How We Work > Chain-Of-Custody Record Instructions

Instructions for filling out a chain-of-custody record

Project No. :		Your project number for this sampling event. The Project No. can be a file number, purchase order number, etc.
Project Name :		Your project description for this sampling event.
Sampled By (Signature) :		Please sign your name.
Sampled By (Printed) :		Please print your name.
Date :		The date the sample was taken.
Time :		The time the sample was taken.
Composite/Grab :		If several samples were composited to create this sample, place a “C” in this box. If the sample is a grab sample and not composited, place a “G” in this box.
Field Filtered :		If sample is field filtered, place a “Y” in this box, if not field filtered, then place an “N” in this box.
Sample ID No. :		Provide your sample ID number. This number or description will appear on the analytical report. (e.g., MW-2) Use one line per sampling location.
No. of Containers :		Number of bottles collected for the sample(s).
Parameters :		Write in the name of the tests to be performed. (e.g., Nitrate, BOD, COD, pH, etc.).
Remarks :		Available space for comments include field preparation, turnaround times or other pertinent details.
Relinquished By :		The signature of the person releasing custody of the sample(s). Sign your name, print your name, and enter the date and time.
Received at Laboratory By :		To be completed by Continental Sample Receiving personnel.
Shipped Via :		How or what shipping courier is being used? (e.g., UPS, Fed X, Airborne, etc.)
Seal Number :		Enter a unique identifying number that corresponds to the Chain-of-Custody seal, which is placed on the cooler.
Send Report To :		The complete address and the person’s name the analytical report should be mailed to. Please provide a telephone number and fax number.
Send Invoice To :		The complete address and the person’s name the invoice should be mailed to. Please provide a telephone number and fax number.