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Get the free Chain of Custody Laboratory Analysis Request Form - epa

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This document is used to request laboratory analysis for samples, ensuring proper chain of custody and documentation for environmental assessments.
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How to fill out chain of custody laboratory

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How to fill out Chain of Custody Laboratory Analysis Request Form

01
Start by entering the date and time of the collection at the top of the form.
02
Fill out the name and contact information of the person submitting the sample.
03
Provide details about the case or incident associated with the sample.
04
Specify the type of sample being submitted (e.g., biological, chemical).
05
Record the specific location where the sample was collected.
06
Include any relevant case numbers or identifiers.
07
List all individuals who handled the sample from collection to submission.
08
Sign and date the form to confirm accuracy and authenticity.
09
Ensure that all fields are completed before submitting the form to the laboratory.
10
Keep a copy of the filled-out form for your records.

Who needs Chain of Custody Laboratory Analysis Request Form?

01
Law enforcement agencies
02
Private investigators
03
Forensic scientists
04
Legal professionals
05
Health care providers conducting drug tests
06
Environmental agencies testing samples
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A chain of custody program is nothing more than a documented system to track and maintain detailed records of your lab. This record should include the handling, movement, and location of samples and materials in your lab from the moment they are collected to the second they are disposed of.
The chain of custody form shall at least include the following information: Unique identifier. Name and signature of the sample collector. Official address and contact number. Name of the recipient. Laboratory's address. Details of each sample, including: Unique identifier and matrix.
A process that tracks the movement of evidence through its collection, safeguarding, and analysis lifecycle by documenting each person who handled the evidence, the date/time it was collected or transferred, and the purpose for the transfer.
The chain of custody form shall at least include the following information: Unique identifier. Name and signature of the sample collector. Official address and contact number. Name of the recipient. Laboratory's address. Details of each sample, including: Unique identifier and matrix.
In forensic science, the chain of custody is the chronological documentation or paper trail that records the seizure, custody, control, transfer, analysis, and disposition of physical or electronic evidence.
An example of chain of custody would be the recovery of a bloody knife at a scene: Officer Andrew collects the knife and places it into a container, then gives it to forensics technician Bill. Forensics technician Bill takes the knife to the lab and collects fingerprints and other evidence from the knife.
Chain-of-Custody (COC) is a documentation trail that demonstrates possession, control, and integrity of a sample at all times. COC is established when: The sample is in a person's physical possession. The sample is in view of the person after being in possession.
Chain of custody in the lab refers to the documented process of tracking the handling, storage, and transfer of samples or data throughout their lifecycle.

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The Chain of Custody Laboratory Analysis Request Form is a document used to maintain the integrity and accountability of samples collected for laboratory analysis, ensuring that they are properly tracked and handled throughout the analysis process.
Typically, law enforcement officials, environmental agencies, and other organizations that collect samples for analysis are required to file the Chain of Custody Laboratory Analysis Request Form.
To fill out the Chain of Custody Laboratory Analysis Request Form, include details such as the sample collector's name, date and time of collection, sample description, custody transfer information, and any pertinent case or project identification.
The purpose of the Chain of Custody Laboratory Analysis Request Form is to document the handling of samples to prevent tampering, ensure authenticity, and establish a legal record of the sample’s transfer throughout the analysis process.
The information that must be reported includes the sample type, collector's information, location of collection, date and time of collection, method of collection, and the identity of individuals who have handled the samples.
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