
Rvatives (see codes) Sampled by [Print Name(s)] / Affiliation Analyses Requested Sampler(s) Signature(s) Item No. Project Name and Address: Sampled Date Time Field ID No. Grab or Composit / / Via: Returned: / / Via: Number of Containers Í Total Number of Containers Shipment Method Out: Matrix (see codes) REQUESTED DUE DATE / / Remarks Lab. No. Item No. Relinquished by / Affiliation Date Time Accepted by / Affiliation Date Additional Comments: Cooler No.(s) / Temperatu.
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How to fill out the FDEP 62-770.900(2) online
The FDEP 62-770.900(2) form, also known as the Chain of Custody Record, is essential for documenting the handling of samples in environmental assessments. This guide provides clear, step-by-step instructions to assist you in filling out the form accurately and efficiently online.
Follow the steps to complete the FDEP 62-770.900(2) form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your company name and address in the designated fields. This information identifies your organization.
- Fill in the contact person’s name and their phone number. Ensure that this person is readily available to answer any inquiries.
- Provide the effective date of the form, which is predetermined as 4-17-05. Ensure this date is visible.
- Complete the section labeled 'FDEP Facility No.' if applicable, which ties this record to a specific facility.
- List the project name and address where the samples were taken. This ensures clarity on location.
- For the sampled date and time, enter when the samples were collected to maintain an accurate timeline.
- Indicate the field ID number and specify whether the samples are grab or composite in the relevant fields.
- Document the number of containers in both the sampled and returned sections, along with the shipment method used.
- Assign a requested due date for analyses and include any relevant remarks that may assist the laboratory in processing your samples.
- Fill in the relinquished by and accepted by sections, including names, affiliations, dates, and time of transfer for chain of custody.
- After completing all sections of the form, review for accuracy. Users can then save changes, download, print, or share the completed form.
Complete your FDEP 62-770.900(2) form online now for a streamlined submission process.
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FDEP Form #: 62-780.900(2). Form Title: Chain of Custody Record. Effective Date: 06/12/13...
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