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Dames & Moore, 1999 - USDA Forest Service

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Frontier Geosciences Inc.<br />

414 Pontius Avenue North<br />

(206) 622-6960 fax (206) 622-6870<br />

info@fronfier.wa.com<br />

Chain-of-Custody (COC)<br />

Frontier Client Dm, {fhoss, Phone # ~ O L735 - - DT~V<br />

Client Contact . WCI rn;r cn Fax # Jog - 7a7 -33 ro<br />

Address %.~hrkt\- SltteT~Project Name Holho? .k.<br />

A+ RVQ ' Contract/PO #<br />

&~\rk, %I+~<br />

nteed TAT Confirmation of Sample Arrival at Lab (Y/N) QA Level: Standard 0 High a Low 0<br />

- - -<br />

# ( Sample ID 1 Matrix ( DatelTime Sampled I Collected By I Preservation I Analysis RequiredComrnents I<br />

I I I I I I<br />

~ished by (signature): $1 C& 6hQ Received by (signature):<br />

ame: Kiwi ' L . .fr~ , ytr,<br />

ny: 0- ~~~<br />

s% /?z Time: 1030<br />

Print Name:<br />

company: FG c C<br />

Condition of samples upon arrival:<br />

ition of unused sample (circle one)<br />

/<br />

to Client/Ship to 3rd party (discuss with Frontier project manager)<br />

Geosciences Inc. COC Form, Version IV, 1/15/98<br />

L<br />

'4<br />

,,- btbe al bposinr, ( G ~<br />

1<br />

JL~, Arm Now.4- ad-^.<br />

*

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