Dames & Moore, 1999 - USDA Forest Service

Frontier Geosciences Inc.
414 Pontius Avenue North
(206) 622-6960 fax (206) 622-6870
info@fronfier.wa.com
Chain-of-Custody (COC)
Frontier Client Dm, {fhoss, Phone # ~ O L735 - - DT~V
Client Contact . WCI rn;r cn Fax # Jog - 7a7 -33 ro
Address %.~hrkt\- SltteT~Project Name Holho? .k.
A+ RVQ ' Contract/PO #
&~\rk, %I+~
nteed TAT Confirmation of Sample Arrival at Lab (Y/N) QA Level: Standard 0 High a Low 0
- - -
# ( Sample ID 1 Matrix ( DatelTime Sampled I Collected By I Preservation I Analysis RequiredComrnents I
I I I I I I
~ished by (signature): $1 C& 6hQ Received by (signature):
ame: Kiwi ' L . .fr~ , ytr,
ny: 0- ~~~
s% /?z Time: 1030
Print Name:
company: FG c C
Condition of samples upon arrival:
ition of unused sample (circle one)
/
to Client/Ship to 3rd party (discuss with Frontier project manager)
Geosciences Inc. COC Form, Version IV, 1/15/98
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