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COOLER RECEIPT FORM <br /> ect: 1_L. �j ^7►-,� �r rr -_fit9 y42�/6 -L oZ_Log NO. <br /> 1-pler rete iv on: - �and c ecked on -/ 51 by <br /> s na ure <br /> vere custody papers present' . YES NO <br /> ,ere custody papers properly filed out' . . ES NO <br /> ere the custody papers signed' . . ES NO <br /> vas sufficient ice used' . . . . . YES NO <br /> Did all bottles arrive in good condition (unbroken) ' . . . �E NO <br /> Did bottle labels match COC' . . . . . . . . . . NO <br /> ,ere proper bottles used for analysis indicated" . Y�E; NO <br /> 'orrect preservatives used' . . YES NO <br /> OA vials checked for headspace bubbles"' ES NO <br /> Note . hick voas ( if an,, has bubbles <br /> =ample descripr- dumber 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 fobs received in the same cooler* <br /> Client Job m NET log # <br /> (coolerrec) <br />