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SPL Houston Environmental Laboratory <br /> t� <br /> Sample Login Checklist <br /> Date: Time: <br /> (V'° <br /> SPL Sample ID: <br /> 1-7 -o3 <br /> Yes No <br /> 1 Chain-of-Custod (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 es, custody seals are intact. <br /> All samples are tagged or labeled. ✓ <br /> 7 If no, Non-Conformance Worksheet has been com feted_ <br /> 8 Sample containers arrived intact ✓ <br /> 9 Temperature of samples upon arrival: <br /> �0 <br /> C <br /> 10 Method of sample delivery to SPL: SPL Delivery <br /> Client Delivery <br /> FedEx Delivery (airbill #) <br /> Other: <br /> I 1 Method of sample disposal: SPL Dis osal / <br /> HOLD <br /> Return to Client <br /> ame: Date: <br />