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-- Cum �: To .l.'lpc.ltd. ' <br /> COOLER RECEIPT CHECKLIST Cb "'� <br /> Login Date Received '� Ifl Number of coolers <br /> CllerifS %� P703eCi 1�5 <br /> Date.Opened l�'f By(Print)�A Jr � 1 <br /> Date Logged ni By (print) <br /> 1.Dd cooler come with a shipping slip (airbi)l, etc) <br /> Shipping info <br /> 2A. Were custody seals pzesent? ... �(circie) cooie on sample <br /> How many e5 Name_ TL=4 Date 3lLdro <br /> 2B. Were custody seals intact upon arrival? 1\10 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 /> ubble Wrap ❑Foam blocks 215 s ❑None <br /> ❑Cloth material ❑Cardboard ❑Styrofoam ❑Paper towels ' <br /> 7. Temperature documentation: <br /> Type of ice used: e Wet C!Blue/Gel ❑None Temp(°C) itZ• <br /> ❑ Samples Received on ice& cold without a temperature blank t <br /> ❑ Samples received on ice directly from the field. Cooling process had begun <br /> S. Were Method 5035 sampling containers present? YES t <br /> 1f YES;what time were they transferred to freezer? <br /> 9. Did all bottles arrive unbroken/unopened? LITNO <br /> 10. Are samples in the appropriate containers'for indicated tests? NO% <br /> 11. Are sample labels present;in good condition and complete? <br /> 12. Do the sample labels agree with custody papers? YES r0, <br /> 13. Was sufficient amount of sample sent for tests requested? 1\O <br /> 14.Are the samples appropriately preserved? >\10 N/A <br /> 15. Are bubbles> 6mm absent in \70A samples? NO N/A <br /> 16. Was the client contacted concerning this sample delivery? YES NO ' <br /> If YES,Who was called? By Date: <br /> CO S ' <br /> 7-4 W UcO�; -nom L,)p saraPL44- 1t 3V <br /> ,5 b Vz6�k-- ow, L+ o ZRe <br /> SOP Volume: Client Services Rev.6 Number 1 of 3 ' <br /> Section: 1.1-2 Effective:23 July 2008 <br /> Page: l of l Z:\gc\forms\checklists\Cooler Receipt Checklist n,6.doc ' <br /> 8 of 116 I <br />