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SOP Volume Client Services <br /> Section 1 12 <br /> Page I1 <br /> Effective Date 10--May-99 cb Curtis &Tompkins Ltd <br /> Revision 1 Number i of 3 <br /> Filename F 1QCIForms\QC\Cooler wpd <br /> COOLER RECEIPT CHECKLIST <br /> Logii# Date Received 6 Number of Coolers <br /> Client P oject ' <br /> A Preliminary Ex ina n Phase <br /> Date Opened By (print) (sign <br /> 1 Did cooler con�W v i& a s4upping slip (airbill, etc )? YES <br /> ' If YES, enter carrier name and airbill number <br /> 2 Were custody seals on outside of cooler? YE , <br /> How many and wbere9 Seal date Seal name <br /> 3 Were custody seals unbroken and intact at the date and time of arrival? YES NO �Jw <br /> 4 Were custody papers dry'and intact when received? <)1§:-->N0 I <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 /> 7 Was project identifiable from custody papers? SNO <br /> If YES, enter project name at the top of this form <br /> 8 If required, was sufficient ice used? Samples should be 2-6 degrees C C�NO <br /> Type of ice — _ _ Temperature <br /> B Login Phase ' <br /> Date Logged In j&10 By (print) (sign <br /> r, <br /> 1 Describe type of packs g in cooleri>, lr� <br /> 2 Did all bottles amve unbroken? NO <br /> 3 Were labels in good condition and complete (ID, date, time, signature, etc )? O <br /> 4 Did bottle labels agree with custody papers? NO <br /> 5 Were appropriate containers used for the tests indicated? NO ' <br /> 6 Were correct preservatives added to samples? NO <br /> 7 Was sufficient amount of sample sent for tests indicated? NO <br /> 8 Were bubbles absent in VOA samples?If NO, list sample Ids below NO <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 /> Filename F 1gclformslqcicooler doc Rev 1,4195 <br />