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SOP Volume Client Services <br />Section. 1.1 2 <br />Page: i of l Gxt,s & forrif*iris. tCb <br />_td <br />Effective pate 08-Aua-07 <br />Revision: 3 Number 1 of i <br />Filename F \(\Four�slQC\Cooler.upd <br />COOLER R-ECEIPTCHECKLIST <br />Login#: Date.IZecetve(l <br />- — -- (_-a l_--p� _ Number of Coo(ers- <br />Client:�My��{-- — . --- Project: _ _.1B—j Ls.s-tVn-e <br />A_ <br />Preliminary Examination Phase <br />Date Opened: _ .-p By �-1st <br />�.tal��_g( <br />I- <br />_ <br />Did cooler come with a shi in sli airbill, etc. <br />PP g P ( )-- <br />--� <br />------------ _......... <br />If YES, enter carrier name and aft -bill number: --j q dq to ("I —� <br />E. NO <br />2. <br />_a0-1 <br />Were custody seals on outside of cooler?.-.. .-..._ .. <br />flow <br />— <br />YES NO <br />many and where? Seal date: Seal name: <br />3. <br />4. <br />Were custody seals unbroken and intact at the date and time of arrival?.......... <br />Y S NON (� <br />Were custody papers dry and ifttact when received?------------------- <br />S_ <br />- <br />Were custodypapers filled out properly (inketc) <br />PPe , signed, .. <br />� ---. <br />NO <br /><� NO <br />6. <br />7. <br />Did you sign the custody papers in the appropriate place? ........................... __. <br />NO <br />Was project identifiable from custody papers?..--.............. ----- ...._...--- ..--- <br />If YES, <br />NO. <br />enter project name at the top of this form - <br />8. <br />Describe type of packing in cooler:,b U_1rj <br />9- <br />____ <br />If required, was sufficient ice used? Samples should degrees C. .. <br />Type of ice: CQ(� <br />_YES <br />M <br />_�-�o �� - _Temperature: 100C _ <br />Were Encore sampling devices present in the cooler?... ---- <br />................. .-- - <br />If YES, <br />.YES <br />enter time they were transferred to the freezer <br />f3- <br />Login Phase <br />Date Logged In: 11-.0_1_ BY(Prtnt): �Qit� t�1(sign <br />I- <br />Did all bottles arrive unbroken? ................ Gy —� <br />2. <br />3- <br />Were labels in good condition and complete (ID, date, time, signature, etc.)) <br />Did bottle labels agree with custody <br />NO <br />4. <br />papers? ................ -------- <br />Were appropriate containers used for the tests indicated? ...................... <br />NO <br />5. <br />.......... <br />Were correct preservatives added to samples? .................. ..-... - - .. ................. <br />NO <br />YES NONJ? " <br />6. <br />Was sufficient amount of sample sent for tests indicated?................ . <br />M NO <br />T <br />8- <br />Were bubbles absent in VOA samples? If NO, list sample Ids below................. <br />NOoJ� ft <br />Was the client contacted concerning thus sample delivery? ............. .....—.... <br />YES NO <br />..... <br />If YES, give details below- <br />Who was called? By whom?_ Date: <br />Additional Comments <br />Filename' F'Ytr Utum�ln.lrnnlvr (ince <br />