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COOLER RECEIPT CHECKLIST cb Curtis&Tompkins,Ltd. <br /> Login# O�; 76 y Date Received �' I I Number of coolers <br /> Client UV G Proj ct DUI awrr" Pit- <br /> Date <br /> i/- <br /> Date Opened U;1/1 By(print) i 1,t (sign)�.G ' <br /> Date Logged in By(print) (sign) <br /> 1. Did cooler come with a shipping slip(airbill,etc) YES <br /> Shipping info <br /> 2A. Were custody seals present? ....;ftES (circle) on samples LCL( <br /> How many, Name Date <br /> 2B. Were custody seals intact upon arrival? YES NO /A <br /> 3. Were custody papers dry and intact when received? NO <br /> 4. Were custody papers filled out properly(ink, signed, etc)? NO <br /> 5. Is the project identifiable from custody papers? (If so fill out top of form)_ NO <br /> 6. Indicate the packing in cooler: (if other, describe) <br /> Bubble Wrap ❑Foam blocks *ags ❑None <br /> ❑Cloth material ❑Cardboard ❑Styrofoam ❑Paper towels <br /> 7. Temperature documentation: <br /> Type of ice used: )rWet ❑Blue/Gel El None Temp(°C)__5,'-:, <br /> ❑ Samples Received on ice&cold without a temperature blank <br /> ❑ Samples received on ice directly from the field. Cooling process had begun <br /> 8. Were Method 5035 sampling containers present? YES NO <br /> If YES,what time were they transferred to freezer? <br /> 9. Did all bottles arrive unbroken/unopened? O <br /> 10. Are samples in the appropriate containers for indicated tests? NO <br /> 11. Are sample labels present, in good condition and complete? NO <br /> 12. Do the sample labels agree with custody papers? NO <br /> 13. Was sufficient amount of sample sent for tests requested? NO <br /> 14. Are the samples appropriately preserved? 6T..9 NO N/A <br /> 15. Did you check preservatives for all bottles for each sample? NO N/A <br /> 16. Did you document your preservative check 3:ES--'NO N/A <br /> 17. Are bubbles>6mm absent in VOA samples? XgS—:;1O NZA <br /> 18. Was the client contacted concerning this sample delivery? YES O <br /> If YES, Who was called? By Date: <br /> COMMENTS <br /> SOP Volume: Client Services Rev.7 Number 1 of 1 <br /> Section: 1.1.2 Effective: 1 September2olo <br /> Page: 1 of 1 F:\qc\sop\client services\Cooler Receipt Checklist rv7.doc <br /> 5 of 47 <br />