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s <br /> _ x <br /> COOLER RECEIPT FORM <br /> Kro]ect: ro05i[,� -& — _ Log No: <br /> ooler received on. and c ec e on -I by <br /> sz aur <br /> Were custody papers present? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E NO <br /> F <br /> Were custody papers properly filled out? . . . . . . . . . . . . . . . . . . 0NO <br /> Were the custody papers signed? . . . . . . . . . . . . . . . . . . . . . . . . . . E NO <br /> Was sufficient ice used"' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y NO dofe � <br /> Did all bottles arrive in good condition (unbroken) ? . . . . . . . INO NO <br /> Dial bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y <br /> Were proper bottles used for analysis indicated? . . . . . . . . . . .�.E NO <br /> Correctpreservatives used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> VOA vials checked for headspace bubbles? . . . . . . . . . . . . . . . . . . NO <br /> Mote which voas (i£ any) had bubbles: * <br /> Sample descriptor: Number of vials. <br /> dwnn <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 I NET log , <br /> (coolerrec) <br />