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SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN CHECKLIST <br /> DATE: TIME: CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <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/packing list/bill of lading with shipment? ✓ <br /> If yes, ID# : <br /> 4. Is a USEPA Traffic Report present? <br /> 6. Is a USEPA SAS Packing List present? <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? <br /> If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about thesitua tion) <br /> 8. Do all shipping documents agree? <br /> If no, describe what is in nonconformity: <br /> 9. Condition/temperature of shipping container : <br /> 18. Condition/temperature of sample bottles : <br /> 11. Sample Disposal? : SPL disposal Return client <br /> NOTES ( reference item number if applicable) : <br /> i <br /> ATTEST: DATE: <br /> DELIVERED FOR RES LU I N: RECD DATE: <br /> RESOLVED: DATE: <br />