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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 &Tompkins Ltd <br /> Revision 1 Number 1 of 3 <br /> Filename F 1QCTorms\QC\Cooler wpd <br /> COOLER RECEIPT CHECKLIST <br /> Lo i # f Dat Rec ived 7 Z Number of Coolers r ' <br /> Client �/'r° E' 7` Project <br /> LTJ- <br /> A Preliminary Exati n Phase <br /> 1 I, <br /> Date Opened z r By (print) (sign) ' <br /> I Did cooler co Ah a shipping slip (atrbill, etc )? YES <br /> If YES, enter carver name and airbill number <br /> 2 Were custody seals on outside of cooler? . YES ' <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 A114-- <br /> 4 Were custody papers dry and intact when received? NO <br /> 5. Were custody papers filled out properly (ink, signed, etc )? WNO <br /> 6 Did you sign the custody papers in the appropriate place? NO <br /> 7 Was project identifiable from custody papers? . NO , <br /> If YES, enter project name at the top of thus form <br /> 8 If required, was sufficient ice used? Samples should be 2-6 degrees C. <br /> Type of ice W C7—' Temperature 6-vl 1e--o <br /> B Login Phase <br /> Date Logged In 2- By (print) <br /> I Describe type of ac g in cooler '2,1Le� <br /> 2 Did all bottles amve unbroken? . . NO , <br /> 3. Were labels in good condition and complete (ID, date, time, signature, etc)? QEW NO <br /> 4. Did bottle labels agree with custody papers? ... NO <br /> 5 Were appropriate containers used for the tests indicated?. .. .. O <br /> 6 Were correct preservatives added to samples? . .. V rS_ NO^f/A ' <br /> 7 Was sufficient amount of sample sent for tests indicated? . .. �S'NO <br /> 8. Were bubbles absent in VOA samples?If NO, list sample Ids below . .YES NOIJrA ' <br /> 9. Was the client contacted concerning this sample delivery? .. . . . YES NO <br /> If YES, give details below <br /> Who was called? By whom? Date: ' <br /> Additional Comments <br /> • <br /> Filename F IGcftrmslgcicoolerdoc Rev 1,4195 <br /> 1 <br />