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Xcired fill andolrcr1�r! Oil ��`'� 7� 1� �:�•���i�/ /'? <br /> . (a1g11at <br /> ascooIcrsc�:j�;ted forlrrc�serrcc of radioactirir]�, a1 rrvred ffoufA, _... ........ .. ..... ....... 1c 1VO <br /> 117elc crtttocly seals ort out3ide of cooler and httacr?.. ..............-----•--....... .... . ., c�1lO <br /> ' a. If M, how 111(ur)f and where• � �� <br /> h_ 1i erz signature and date co.rect?...... ... ............... .. ...... S• ��-�'� <br /> ere c" Olt papers ;op�'rl La the <br /> lid rlrside the cooler? ` <br /> . - <br /> -- ----.... }LS r�t7 <br /> iere custodlpepersprcrperlyfrlled ora-{n�-, signed, dared, etc-)?..... _.� --„- ,•- „ }� rNO` <br /> 'cr)arrsign ctrsrody payers in the app;opriate places .............. 11'0Ad)Ou Clio ` <br /> slripper'a pac"710 Shp to thisf .......... <br /> tat kind o;-LcdUng ]'w!eried 3Uas used 2 <br /> WYrssrrJ,cie,. ke used (r. oppropriate)?. . ... _,-- - • - - ........-•----..._--•---............. .... .. `�a 1�0 <br /> f • 4 , <br /> 1 em aerat?�re Z,Z C <br /> erzad DareTG]Z'ptr <br /> rare <br /> . Ol.lcrressn Q . . . . <br /> lid all boules arrive in ,clod condirlor. (ur•broken)?. ......__.-.--.. .. .... .. . ... . . AG <br /> jiere all bor.'-s labela complete (ID. No , dared, anal method, e:c-) ._. .. 1 <br /> s� <br /> dall bottle labels agi,e wirh custody paaer . ... .........._..---....-----.._. . .. .. . ..... . .Yrs 1 <br /> ere correcrbortles used for rhe4rfsrs indicated . .. .. ................... ....... .. .. .� P'O <br /> IJ present, ..ere Y0A s,,,rt;/corzromers checked for absence of air Duobles - <br /> ' heat space and 1irlted if . .... . .. . . ... . .. ...........----.. ..._.. ..._..............IGS 1`10 <br /> Vler <br /> sr�cier! Volume o 5rur;ple sear rn each bottle? -- --- --------- .. ... ..... ` TIO <br /> e correct prcservow l , used? . .. . . r .i 1•r0 <br /> ,pro:ed n;-- _ �__ _ Dori0101LO -P <br /> ��•�cl; <br /> h. 4rtffm "IL:01.' if 11L'm aj'J• ' <br /> ' -- ---- • _.. _____-. rr,,r ter•urr.�f;, <br />