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' <br /> COOLER RECEIPT CHECKLIST Cb Curtis&Tomkins,Ltd.P <br /> Login# ZZTS T° Date Received q"11Number o coglm a Ott <br /> Client ll Project f <br /> Date Opened I Q I I By (print) Pants (sign) <br /> Date Logged in By(print) VG. ) <br /> 1. Did cooler come with a shipping slip(airbill, etc) YES <br /> Shipping info <br /> ' 2A. Were custody seals present? .... YES (circle C on cooler on sam les ' ❑ NO <br /> How many :2- <br /> 2B. <br /> Name P Date <br /> 2B. Were custody seals intact upon arrival? NO N/A <br /> 3. Were custody papers dry and intact when received? 0 <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 ,Bags ❑None <br /> ' Cloth material ❑Cardboard ❑Styrofoam ❑Paper towels <br /> 7. Temperature documentation: <br /> Type of ice used: )OWet ❑Blue/Gel ❑None Temp(°C) 5.3 <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 <br /> If YES,what time were they transferred to freezer? <br /> ' 9. Did all bottles arrive unbroken/unopened? 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 labels agree with custody papers? ag NO <br /> 13. Was sufficient amount of sample sent for tests requested? YD NO <br /> 14. Are the samples appropriately preserved? 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 )CBS NO N/A <br /> 17.Are bubbles>6mm absent in VOA samples? NO N/t� <br /> 18. Was the client contacted concerning this sample delivery? YES <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 September 20 to <br /> Page: I of 1 F:\gc\sop\client services\Cooler Receipt Checklist_rv7.doc <br /> 4 of 35 <br />