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COOLER RECEIPT FORM <br />�j ect: 0.�}����.'Z- 1P . Log No: <br /> lar receive on: \NV\jkV and checked on by <br /> szgna ure <br /> Mere custody papers present? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I'M NO <br /> Were custody papers properly filled out > . . . . . . . . . . . . . . . . . . . YES NO <br /> Were the custody papers signed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y-Es NO <br /> 0 <br /> was sufficient ice used"' . . . . . . . . . . . . . . . . . . . . . . . . . . . .YES- NO�- <br /> Did all bottles arrive in good condition (unbroken) ? . . . . . . .Y-25 NO <br /> Did bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..mss NO <br /> Were proper bottles used for analysis indicated? . . . . . . . . . . .Y-E,-� NO <br /> Correct preservatives used" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y -% NO <br /> VOA vials checked for headspace bubbles? . . . . . . . . . . . . . . . . . . .Y-Fra NO <br /> Note which voas ( if any) had bubbles: * <br /> Simle descriptor: Number of vials: <br /> I <br /> *All VOAs with headspace bubbles have been set aside so they will not be <br /> usedfor analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO <br /> List here all other fobs received in the same cooler: <br /> Client Job # NET log # <br /> (coolerrec) <br />