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SPL Houston Environmental Laboratory <br /> Sample Login Checklist <br /> Date. Time <br /> 10 <br /> I ( !� /000 <br /> SPL Sample ID: <br /> Yes No <br /> 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 Custod seals are present on the shipping container. <br /> If yes, custody seals are intact <br /> All samples are to ed or labeled <br /> — --7 If-no,-Non-Conformance-Worksheet has-been-com leted--- ____ <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 #) _ _ qqq-W5733 <br /> Other. <br /> I I Method of sample disposal SPL Disposal <br /> HOLD <br /> Return to Client <br /> me Date. <br />