Laserfiche WebLink
COOLER RECEIPT CHECKLIST ' <br /> CL Curtis&Tompkins,Ltd <br /> Login # c?D I Q4`b Date Received 3/13�o� Number of coolers I <br /> Client s Project Cl -P-M - ST-kT/Y ,¢,151= <br /> Date Opened 313/o I- By(print) CrraI Wore.,. (sign) <br /> Date Logged in3-I4-Q4 By(print) 1r N;chol (sig a <br /> L Did cooler come with a shipping slip (airbill, etc)?... <br /> Shipping info j,� E 93 ) q 1 0!;g-o <br /> NO <br /> 2A. Were custody seals present? .... ❑YES (circle) on cooler on samples M NO <br /> How many Name Date <br /> 2B. Were custody seals intact upon arrival? ..... <br /> .. ........: YES NO <br /> 3. Were custody papers dry and intact when received?.......................................4VO <br /> 4. Were custody papers filled out properly(iii k, signed, etc)?............ — )0 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 /> [I Bubble Wrap ❑Foam blocks fj Bags ❑None ' <br /> ❑Cloth material El Cardboard ❑Styrofoam {]pwets <br /> 7. If required, was sufficient ice used? Samples should be <or=6°C ......... <br /> ap <br /> ... ES NO N/A <br /> Type of ice used: WET BLUE El NONE Temp(IC) t -3 �C <br /> ❑SAMPLES RECEIVED ON ICE DIRECTLY FROM FIELD.COOLING PROCESS HAD BEGUN. <br /> 8. Were soil Encore sampling devices present? ......... <br /> ................................:.....YES <br /> If YES, what time were they transferred to freezer? <br /> 9. Did all bottles arrive unbroken/unopened?.................................._...._......... E NO <br /> 10. Are samples in the appropriate containers for indicated tests?................ _ I� <br /> 11. Are sample Labels present, in good condition and complete? ........................... E NO <br /> 12_ Do the sample labels agree with custody papers? ......... YE NO <br /> 13. Was sufficient amount of sample sent for tests requested? I' <br /> 14. Are the samples appropriately NO <br /> P preserved? ....._...... E NO N/A <br /> ............................ <br /> 15. Are bubbles absent in VOA samples?_.._...... ( yds NO N/A <br /> le . li <br /> 16. Was the client contacted concerning this sample delivery?........... <br /> If YES, Who was called? .•..--�S NO <br /> BY Date: <br /> COMMENTS II <br /> SOP Volume: Client Services , <br /> Section: 1.1.2 Rev: 4 Number 1 of 3 <br /> Page I of I Effective: 06 March 2008 <br /> F:\qc\forms\checklists\Cooler Receipt Checklist rv4.doc ' <br />