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COOLER RECEIPT CHECKLIST .cb Curtis&Tompkins,Ltd. <br /> (� <br /> Login# 2 U ` I Date Received Number of coolers <br /> Client Project CA- -tr/a—r- <br /> Date Opened -"Z -1 O By(print)S•;En�� (s' <br /> Date Logged in_4 By(print) �- <br /> 1.Did cooler come with a shipping slip(airbill, etc) YES�SD <br /> Shipping info <br /> 2A. Were custody seals present? ... ❑YES (circle) on cooler on samples �-Z NO <br /> How many Name Date <br /> 2B. Were custody seals intact upon arrival? YES N /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 /> ��B,u'�bble Wrap ❑Foam blocks Bags ❑None <br /> th material ❑Cardboard ❑S foam ❑Paper towels <br /> 7. Temperature documentation: <br /> Type of ice used�et ❑Blue/Gel ❑None Temp(OC) <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? YE <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? 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? (YES NO <br /> 14. Are the samples appropriately preserved? YES NOy -�— <br /> 15.Are bubbles>6mm absent in VOA samples? YES NO <br /> 16. Was the client contacted concerning this sample delivery? YES NO <br /> If YES,Who was called? By Date: <br /> COMMENTS <br /> SOP Volume: Client Services Rev.6 Number 1 of 3 <br /> Section: 1.1.2 Effective:23 July 2008 <br /> Page: 1 of 1 Z:\gc\forms\checklists\Cooler Receipt Checklist rv6.doc <br /> 6 of 295 <br />