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' COOLU: VORM <br /> t_r rccctti«1 r}1� - Z T_.__ ctj)(j oj)elfed 011 by <br /> ��- <br /> . <br /> so IN-0 <br /> eoolerscowierl for presence of radtoactiv,0', nd rlored ' fou�r�1?_........ . . <br /> )tiiele of cooler and irlIOU2 _ •I\'0 <br />'ZYetc c)tstau'1 seals art vl --- ------ ---- -----•--.... ... <br /> Ilo1v nlemy and when e' <br /> b. 1ierz sid date correcr�.. . .• . , ...._�_._.......- • ---•- - ILS ���� <br /> grttrtrrrr ctrl , <br /> _ y y s <br /> �Yere ct�stoay papers �aJr,•tI La the ltd inside tyre cooler? --- -- ----------•--- -- - - - --. .. - ! y - - <br /> - L <br /> li'ere c)rstodti pupers prt�perly f� <br /> ilecl ot:�(tnk, st;ned, dL1r�d, etc-�?.:... ..... . ..:.... .... ....��5 ,NO <br /> r iancturod a Pers N the appropriate places <br />�Dtd}ot s, yP t - <br /> .b ter 1 <br /> Did)orr crrec'1 shipper'a pacl.ir3g slrp to rIr)s far,Tt . .. .. . . ...... ---- _ •-- -_ - _ _ <br /> ITnor t-nd o:_occ'ul g 7710 c ritrl Ivas used <br /> _. ssq cie, - ic>_ used p vppropriate)? . . .--- . - - - --- ---------------- -- -- _ 1_ ":0 <br /> w <br /> t Y� <br /> -emoerer7rre G <br /> t �PPro,ed bN _ Date��� <br /> Were alt cortresseele s�lJarar?plccsttc baas� ..-•......... .. ....... . . .. . . ti�S ti0 <br /> Did all border arrive In �,,,und corrdl£lon (11P7 rokz1c}� -------------- -- - 'riS t1G <br />'. Were all borr7es label) c0h"Plete (ID No , dated, Anal method, ercj 1110 <br /> ? Did all botrl_ (abets agl,r vrirh ct)s404ypaaers7. -- - ---------•----- - Yr3 r��-0 <br />�. Were carrecr bot�les u)c�l jrtr tl2e tests zj7dreared7. - ------------- --- --- -- <br /> If ,preseric, ..ere VO/j )ftp,! /coT)rat77ers checked for absence or air b!Lbbles <br /> r . -- NO <br /> Ilea-i space rrrrrt ranted rf ... . . . .. . <br /> Bch botrle 7 MO <br /> Tr"/asstrff;cterr volumec1i ]1r171pIL' sC11f 117 e - --^- -- ^---- -• - - --' <br /> Were corrccf 9rr-servait): used 2. -- - --.-• -- - Ic I 0 <br /> _ <br /> Date <br /> l nor oPpro''d <br /> a Plum,y rff o,•r,on e wi a, ird_ Date �_— <br />' 1) Gf rM 1t lie,rnrr "a V r1CCL'�Jfl <br />