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- 11 <br /> COOLER RECE(PT CHALI[ST Curtis'3' Vottykills. Lt4. 4 <br /> Login goX, 70 ___ Otte Received '51 / Number ofcoolers---_.,t.___ <br /> Client <br /> Date Opened By(pr-int)M-411.11J�*Wlo- (sign) <br /> Date Logged in_ r By(print) Izaha (sig'g <br /> 1. Did cooler come with a shipping slip(atirbill, YES t& <br /> Shipping info <br /> 2A. Were custody seats present? C]YES (circle) on cooler on samples C16 <br /> How many Natne Date <br /> 2B. Were custody seats intact uponmrival? YES NO,-ft <br /> 3. Were custody papers dry and intact when received? NO. <br /> 4. Were custody papers filled out property(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 0 Foam blocks alrQ's 0 None <br /> (]Cloth rnatenial C1 Cardboard C1 Styrofoam Paper towels <br /> 7.Temperature documentation: <br /> Type of ice used: M'Wet Q Blue/Gel C]None TeWC) <br /> Xg� Ales 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 All <br /> If YES, what time were they transferred to freezer? <br /> 9. Did all bottles arrive unbroken! pe NO <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 1 i agree with custody papers? NO <br /> 13. Was sufficient anmunt of sample sent for tests requested? V2 NO <br /> 14.Are the samples appropriately preserved? YES <br /> l5. Are bubbles>6mm absent in VOA samples? YES NO <br /> 16. Was the client contacted concerning this sampledetivery? YES <br /> If YES, Who was called? By Date: <br /> COMMENTS <br /> SOP Voktrne: Client Services Rev.6 N t of 3 <br /> Section: L 1.2 Effective: 23 Ady 2008 <br /> Page: t of.1 ZAqc1fmns\checklists\Coo1er Receipt Checklist-rv6-doc <br />