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1 <br /> SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> • SAMPLE LOGIN CHECKLIST <br /> DATE: TIME: 3�� <br /> LOT NO. �. / CLIENT NO. <br /> CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : U C (o <br /> YES NO <br /> 1 . Is a Chain-of-Custody form present? <br /> 2. Is the COC properly completed? <br /> If no, describe what is incomplete: <br /> If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about the 4it ation) <br /> 0 3. Is airbill/packing 1 st/ 11 of lading with shipment? <br /> If yes, ID* : -=r!lt' _ <br /> 4 . Is a USEPA Traffic Report present? ✓ <br /> 5. Is a USEPA SAS Packing Last present? <br /> 6 . Are custody seals present on the package? <br /> If yes, were they intact upon receipt? <br /> 7. Are all samples tagged or labeled? <br /> Do the sample tags/labels match the COC? <br /> If no, has the client been contacted about it? T— <br /> (Attach subsequent documentation from client about the situation) <br /> 8 . Do all shipping documents agree? <br /> If no, describe what is in nonconformity: <br /> 9. Condition/temperature of shipping container: <br /> 18. Condition/temperature of sample bottles : C <br /> 11 . Sample Disposal? : SPL disposal Re in to client <br /> NOTES ( reference item number if applicable) : <br /> ATTEST: DATE:--v <br /> DELIVERED FDR RESOLU ON: RECD DATE: <br /> RESOLVED: DATE; <br />