| # | Requirement | Yes | No | N/A | Objective Evidence / Comments |
|---|---|---|---|---|---|
| 1 | Sample container is labeled with a unique sample identifier. | ||||
| 2 | Label includes material or product name and corresponding lot or batch number. | ||||
| 3 | Sample collection date and sampler identification are present on the label. | ||||
| 4 | Label information matches the approved sampling plan and related documentation. | ||||
| 5 | Label is legible, securely affixed, and suitable for storage and testing conditions. |
| Performed By | Date | Signature |
|---|---|---|
| QC Review | Date | Signature |