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. COOLER RECEIPT FORM <br /> Project: Q mJog NO <br /> Cooler recej-ve on: a i2an checked on by y <br /> gO <br /> si a i-- <br /> Were <br /> Were custody papers present . . . . . . . . . . . . . . . . . . . DES NO <br /> Were custody papers properly filled out? . . . . . . . . . . . . . .(a�) NO <br /> Were the custody papers signed ) . . . . . . . . . . . . . . . . . . . . . . Z) NO <br /> Was sufficient ice used? . . . . . . . . . . . . YES NO--TEMP 1 , D, <br /> Did all bottles arrive in good condition (unbroken) " . . . . . . YE NO <br /> Did bottle labels match COC' . . . . . . . . . . . . . . . . . . . . . . . . . YE NO <br /> Were proper bottles used for analysis indacated'� . . . . . . . Y NO <br /> Correct preservatives used' . . . . . . ES NO <br /> VOA vials checked for headspace bubbles? . . . . . S NO <br /> Note which vows ( if any) had bubbles . * <br /> Sample descriptor: Number of vials <br /> *All VOAs with headspace bubbles have been set aside so they will not be <br /> used for analysis . . . . . . . . . . . . . . . . . . . . . YES NO <br /> List here all other ]obs received in the same cooler: <br /> Client Job NET log <br /> (coolerrec) <br />