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SPL Houston Environmental Laboratory <br /> Sample Login Checklist <br /> Date: Time: <br /> 112- 5 <br /> 99 / oa <br /> SPL Sample ID: <br /> �9c) Azr <br /> Yes No <br /> 1 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 lCustodyseals are present on the shipping container. <br /> S if yes, custody seals are intact. <br /> 6 All samples are tagged or labeled. <br /> IMF <br /> 7 kf no, Non-Conformance Worksheet has been completed. <br /> S ISample containers arrived intact <br /> 9 Temperature of samples upon arrival: 47 <br /> � 2 C <br /> 10 Method of sample delivery to SPL: SPL Delivery <br /> Client Delivery <br /> FedEx Delivery (airbill #) <br /> Other: <br /> 11 Method of sample disposal: SPL Disposal -� <br /> HOLD <br /> Return to Client <br /> Name: Date: <br />