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Sample Submission

Chain of Custody Form

Fill out the form below and download a completed Chain of Custody PDF. Print it, sign it, and include it with your samples.

Client & Project

Turnaround time

Analysis Requested

Type up to 4 analyses (for example, Soil Complete). Then tick them for each sample below.

Samples

10 samples fit on one page. Extra samples continue on additional pages.
# Sample ID * Date collected Time Type A1 A2 A3 A4
New rows copy the date, type and analyses from the row above.

Notes

Fill in Relinquished By and the date/time on the printed form when you drop off or ship your samples. Report #, temperature and receipt details are filled in by the lab.
Preparing your Chain of Custody...
This only takes a few seconds.

Email COC opens an email to us with your form encoded inside, so we can prepare before your samples arrive. Just press Send. Your entries stay in your browser until you send them, and are saved on this device so you can come back later. Prefer paper? Download the blank PDF.

Your Chain of Custody is ready

Print it and include it with your samples. Fill in Relinquished By and the date/time when you drop them off.

Last step: press Send in your email

We opened an email to [email protected] with your form inside. Nothing is sent until you press Send in your email program.

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Encoded for safety and security. Your form is packed into a coded block, compressed and sealed with a check value, so it can’t be read at a glance and any change on the way is detected. It goes only from your email to ours, and nothing is stored on this website. Please send it as-is.
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