Laserfiche WebLink
SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN, CHECKLIST <br /> DATE: 123 TIME: Sr CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : -f07 K <br /> YES NSC <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/ f 1 ding with shipment? <br /> If yes, ID#: <br /> 4. Is a USEPA Traffic Report present? <br /> 5. Is a USEPA SAS Packing List present? Tyr' <br /> 5. 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 the situation) <br /> 8. Do all shipping documents agree? <br /> If no, describe what is in nonconformity: <br /> ' I 1 <br /> 9. Condition/temperature of shipping container: <br /> 18. Condition/temperature of sample bottles: <br /> 11. Sample Disposal?: SPL dispos Retur to c lent <br /> ' NOTES (reference item number if applicable) : I <br /> !' 4 <br /> I <br /> I <br /> ATTEST: L ! DATE:' <br /> DELIVERED FOR R SOLUTIIO : REC'D DATE: <br /> RESOLVED: DATE: I' <br />