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' Semon 3 <br /> ONSITE Envi otuneutal Laboratories Inc Revision 0 <br /> ' Quality Assurance Plan January 15, 1996 <br /> Page 2 of 5 <br /> > Locked or sealed so that no one can tamper with it after having been in <br /> physical custody <br /> > In a secured area restricted to authorized personnel <br /> ' Figure 2 An Example of ONSTTEs Chain-of-Custody Form <br /> ProrecthAanaizer BAi to <br /> ENVIRONMENTAL ownt Name Comranv, <br /> LAEORATORI E9 INC Address Address <br /> cltystate ZIP I C State ZIP <br /> Plrorre Phane <br /> pte Fax lFax <br /> of <br /> P ett Names P O Vo <br /> biN m In Eelr Pro}eet Numoer I <br /> AnaWsis Reaues ed <br /> Mill <br /> S+mo4 4ne&.m Cro S—N-4 Tin•Sina�a Vaver <br /> I I I I I ! <br /> I I I I I I ! <br /> I ! I I I ! <br /> I I I I i <br /> I I I <br /> ! ! I I I I I I <br /> I I i I I I <br /> I F I I I I <br /> I I I I I <br /> I <br /> ! I <br /> I I I I I <br /> I I ! I <br /> Inl[sali Panted Name Sl nature to Thai Cbn,.aTgrs <br /> I Start True 3Reumvea In acr <br /> Stoo Tone Recrrvao Cid' <br /> ' Hours c4stc4v Seals <br /> GientS ncrr <br /> The person transporting the samples to the laboratory or delivenng them for <br /> shipment is regzured to sign the COC indicating that they have reliigwshed the <br /> samples to ONSITE If the person collecting the sample does not transport the <br /> samples to ONSITE directly, a signature trail should be uutiated in the field when <br /> ' relinquishing the samples to a third parry or a commercial carrier If samples are <br /> shipped by commercial carrier, the waybill is retained and attached to the COC as <br /> an extension of the Chairs of Custody record between the final field custodian and <br /> ' receipt in the laboratory <br /> Word 6 0 WcLsee3 doe <br />