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SOP Volume: Client Services ' <br /> Section:- 1.1.2 <br /> Page: I of I <br /> Effective Date: 10-May-99 c Curtis &Tompkins.Ltd. ' <br /> Revision: I Number 1 of 3 <br /> Filename: F:\QC\Forms\QC\Cooler.wpd <br /> COOLER RECEIPT CHECKLIST ' <br /> Login#:� Date Received: 2_ O& Number of Coolers: <br /> Client: Project: 7�7-F�S <br /> A. Preliminary Exam ation Phase <br /> Date Opened: n By(print):(sign) <br /> 1. Did cooler come with a shipping slip(airbill,etc.)?........................................... YES N <br /> If YES, enter carrier 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?........ YEE NO WA- ' <br /> 4. Were custody papers dry and intact when received?.... ................................... NO <br /> 5. Were custody papers filled out property (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?............... ............................... YE NO <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. ............ YES NO ' <br /> Type of ice: ��� Temperature: tV,1 jLg_-tt/�_7114 p <br /> B_ Login Phase <br /> Date Logged In: (e/?to& By(print):?_- (sign <br /> )— <br /> L Describe type of packing in cooler: 7 0(nc t <br /> 2. Did all bottles arrive unbroken?....................................................................... NO <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?................................ NO <br /> 6. Were correct preservatives added to samples?................................................... NO <br /> 7 . Was sufficient amount of sample sent for tests indicated?................................$ NO <br /> NO ' <br /> 8. Were bubbles absent in VOA samples? If NO, list sample Ids below.............. <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:\ge1(orms\gc\cooler.doc Rev. 1,4195 <br />