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1 <br /> SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN CHECKLIST <br /> DATE: C3 TIME:-/0 0 Q� CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> - <br /> SPL SAMPLE NOS. : <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 situation) <br /> 3. Is airbill/pac list/bill of ladingwith shipment? v",If yes, IDO: <br /> NITO <br /> 4. Is a USEPA Tr ffic Report present? v <br /> S. Is a USEPA SAS Packing List present? <br /> 5. Are custody seals present on the package? <br /> - If yes, were they intact upon receipt? <br /> s 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 /> 81 Do all shipping documents agree? r� <br /> If no, describe what is in nonconformity: <br /> 9. Condition/temperature of shipping container: <br /> 10. Condition/temperature of sample bottles : G <br /> 11 . Sample Disposal?: SPL disposal Rete n to client <br /> NOTES (reference item number if applicable) : <br /> C <br /> ATTEST: NI L,m:: DATE• L l 1 <br /> DELIVER D OR SOL T O : EC'D DATE: <br /> RESOLVED: DATE: <br />