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_ s .., ......._- z v- ..z-..--z,.� --.� Vis^..-x•1r_- -o"--"w'9,z.�^�^"�-_. . «- L'.�`..- ..--r -_c- -...- -_-v-_ _ _�.. - -J �-__. ^a 4 _ ,._ �.`...¢"� �.� +� �C1 <br /> SPL HOUSTON ENVIRONMENTAL LABORATORY _ <br /> SAMPLE LOGIN- CHECKLIST <br /> DATE: TIME: V CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : q 31 a S <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 /> 103. Is airbill/packing list/bilof lading with �h pent? �~ <br /> If yes, ID# f O <br /> 4. Is a USEPA Traffic Report present? <br /> 5. Is a USEPA SAS Packing List present? J <br /> 6. 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? y� <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 /> 9. Condition/temperature of shipping container: <br /> 10 . Condition/temperature of sample bottles : � C <br /> 11 . Sample Disposal? : SPL disposal geturn to client <br /> NOTES (reference item number if applicable) : <br /> I� <br /> G' <br /> ATTEST: DATE: <br /> DELIVERED FOR RE OLUTION: RECD DATE: <br /> RESOLVED: DATE: <br />