COC (Chain of Custody)

A documented process that tracks the handling of a drug test specimen from collection through final reporting to ensure its integrity.

Key Facts

  • Tracks specimen from collection through testing to reporting
  • Federal CCF form required for all DOT drug tests
  • Any break in custody can invalidate the test result
  • Collector, lab, and MRO each sign the custody form

The chain of custody (COC) form accompanies every drug test specimen from the moment of collection through laboratory analysis and result reporting. The Federal Drug Testing Custody and Control Form (CCF) records: donor identification, specimen temperature check (within 90-100°F within 4 minutes of collection), collector certification, laboratory processing, and MRO review. Any break in the chain of custody can invalidate the test result. The COC ensures that the specimen tested belongs to the identified donor and has not been tampered with.

Drug Testing Procedures Compared

Key procedural elements that ensure drug test integrity and accuracy.

TypeWhat It CoversRegulationKey RequirementIf Violated
Chain of CustodySpecimen tracking49 CFR Part 40Unbroken documentationTest may be invalidated
CCF FormCollection documentation49 CFR Part 40Multi-part form for all DOT testsTest cancelled
Split SpecimenRetest option49 CFR Part 40Bottle A (30 mL) + Bottle B (15 mL)Test cancelled if B negative
Cutoff LevelsPositive/negative thresholdSAMHSA guidelinesTwo-stage: screen then confirmFalse positives/negatives

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