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SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN CHECKLIST <br /> DATE: (, TIME: )d " y CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : <br /> YES -O <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 situation) <br />'• 3. Is c airbil l/pack-r-nist/bil ay i th shipment?�� � <br /> If yes, iD#: <br /> 4. Is a USEPA Traffic Report present? �' <br /> 5. Is a USEPA SAS Packing List present? <br /> b. 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? <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 /> n <br /> 9. Condition/temperature of shipping container: �✓�� <br /> 10 . Condition/temperature of sample bottles : <br /> 13 . Sample Disposal? : SPL disposal Return to -13 t <br /> NOTES (reference item number if applicable) : <br /> • <br /> ATTEST:�t4DATE. <br /> DELIVERED FOR OLUTION: RECD DATE: <br /> RESOLVED: DATE: <br />