Laserfiche WebLink
COOLER RECEIPT FORM <br /> Client NJ I y` Project <br /> Cooler Recel%ed e Cooler opened <br /> Slaned <br /> as cooler scanned for presense of radioacti%ln and noted if found' 6—es \o <br /> ere custod% seals pre,ent on outside of cooler' Yes <br /> a It Yes were they inter[' Yes No <br /> b Hov, mangy and «here' <br /> c %�ere si,-,nature and date correct' es \o <br /> ere custody papers in,- %k ' <br /> _ p p lth the sample, ce, No <br /> ere the cu,tod,, page^, ;ompletel% fille3 out' <br /> Did \-01-1 ,121) and d to 11 z: -U-�ZOd, Pape', 1 . play,' CC <br /> \J <br /> " .'.� a nlllpper, pay` 1 _ �,Sp atia�llCd Ii' [' � .��'I.'� G <br /> hat kind of pa,A,n <br /> " w, IL- C \o I :c'- L 1001e" 1 7 <br /> Aprro%ed b� O / <br /> %% ere all bonle�, seperate pla,tl, b,.Z, <br /> Did all bortlz� - *' <br /> `\ ere all bottle, labled Lorrectk ' IID anaI%,i� DcL,, T{me,) 6z, <br /> Did all ID, match the IL"tOdN, paper\%or,' <br /> e i e the corre,t on[ainers incltlded for the te,L, <br /> �1 ere ail % 0A [als cheAed for headspace' ` A Ce 1I \o <br /> a, sufficlerlt volume of sample sent in all Lontamer.�' (fe 5 \o <br /> ere correct pre,er�ati%e, tt,ed ' ces \o <br /> \ppro\ed by )\}tP, \/11 Date O6 1 () 7 ,IQI --W- <br /> If not approved <br /> . a Name of person contacted Dare <br /> b Corrective action taken <br />