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SOP Volume Client Services <br /> Section 1 12 <br /> Page 1 of 1 <br /> Effective Date 10-May-99 cb <br /> Curtis &fompkins Ltd <br /> Revision I Number,I of <br /> 1 Filename F 1QCTorms\QC\Cooler wpd COOLER RECEIPT CHECKLIST <br /> ' Lo in# Oaely-l-'g Date Received //6/0-VNumber of Coolers <br /> 1 Client r �-f P Jet <br /> A Preliminary Exam at n Phase <br /> ' Date Opened By (print (sign) <br /> 1 Did cooler coinWA a shipping slip ( rbill, etc)? yE N <br /> ' If YES, enter carrier name and airbill number <br /> ' 2 Were custody seals on outside of cooler? YES07 <br /> How many and where? Seal date Seal name <br /> 3 Were custody seals unbroken and intact at the date and time of arrival? YES NO OtA— <br /> ' 4 Were custody papers dry and intact when received? NO <br /> 5 Were custody papers filled out properly (ink, signed, etc )? NO <br /> 6 Did you sign the custody papers in the appropriate place? NO <br /> 1 7 Was project identifiable from custody papers? NO <br /> If`SES, enter project name at the top of this form <br /> 8 If required, was sufficient ice used? Samples should be 2-6 degrees C INO <br /> Type of ice ___ W C J� _ Temperature op-Z <br /> B Login Phase <br /> Date Logged In p By (print) (sign) <br /> 1 Describe type onig in cooler u/� <br /> 2 Dad all bottles arrive unbroken? O <br /> 3 Were labels in good condition and complete (ID, date, time, signature, etc )? NO <br /> 4 Did bottle labels agree with custody papers? NO <br /> ' 5 Were appropriate containers used for the tests indicated? <br /> 6 Were correct preservatives added to samples? YE N <br /> 7 Was sufficient amount of sample sent for tests indicated? YES NO <br /> ' 8 Were bubbles absent in VOA samples?If NO, list sample Ids below YES NO <br /> 9 Was the client contacted concerning this sample delivery? YES NO <br /> If YES, give details below <br /> Who was called? By whom9 Date <br /> Additional Comments <br /> 1 <br /> 1 <br /> • <br /> 1 <br /> {=flename F lgclformslgcicooler doc Rev 1,4195 <br /> 1 <br />