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At <br /> COOLER RECEIPT FORM <br /> 11bect. � 9 G3 � Log No- /9�/ ...� <br /> er receive on - and 'checked on by SSa•?-. :S'f4 <br /> s nature <br /> ere custody papers present' CiD NO <br /> ere custody papers properly filled out- YES NO <br /> ere the custody papers signed' CzD NO <br /> as sufficient ice usea% YES NO S <br /> 'id all bottles arrive : n good condition ( unbroken) '' YES NO <br /> 'id bottle labels match COC' . . . . ES NO <br /> ere proper bottles usea for analysis indicatea' JES <br /> NO <br /> =crrect preservatives . sedgy NO <br /> DA vials checked for -eadspace bubbles' NO <br /> Note ihich voas ( if any) hau bubbles x <br /> ample descriptor Numoer of vials <br /> ,all VOAs with headspace bubbles have been set aside so they will not be <br /> aced for analysis . YES NO <br /> _ist here all other Dons received in the same cooler <br /> :tient Job # NET log # <br /> (coolerrec) <br />