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I I <br /> SPL Houston Environmental Laboratory <br /> � g <br /> Sample am le Lo in Checklist <br /> Date Time <br /> loCO <br /> SPL Sample ID <br /> Yes No <br /> 1 I Chain-of-Custody (COC) form is present ✓ <br /> 2 COC is properly completed �✓ <br /> 3 If no, Non-Conformance Worksheet has been completed <br /> 4 Custody seals are present on the shipping container ✓ <br /> 5 If yes, custody seals are intact <br /> 6 All samples are tagged or labeled <br /> 7 If no, Non-Conformance Worksheet has been completed <br /> S Sample containers arrived intact <br /> 9 Temperature of samples upon arrival <br /> C <br /> 10 Method of sample delivery to SPL SPL Delivery <br /> Client Delivery <br /> FedEx Delivery (airbill #) <br /> Other <br /> 1 1 Method of sample disposal SPL Dis osal <br /> HOLD <br /> Return to Client <br /> 1 <br /> ame Date <br />