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SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN CHECKLIST <br /> DATE: Z TIME: CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : <br /> X <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? <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 CDC? <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 /> 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) : <br /> Aj <br /> '10 € , € <br /> J� ATTEST: G DATE: ,-----�� <br /> DELIVERED FOR R SOLUTIO RECD DATE: I <br /> ;' RESOLVED: I DATE: I € <br />