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COOLER RECEIPT FORM <br /> 4 � <br /> ect ��\\\�^L\ Log No <br /> er ro � by <br /> (signature) <br /> ire uustodv papers uresent" YE NO <br /> re custodv papers properly ftlLed out' IES NO <br /> ere the custody papers signed' NO <br /> ,as sufficient ice used' NO 11F>Q C) `b�C <br /> id all bottles arrive in good condit_on (unbroken) " E NO <br /> id bottle labels match COC- YE NO <br /> ere proper bottles used for analysas indicated-,' _`SES NO <br /> orrect preservatives used' `fZE <br /> D <br /> S NO <br /> OA vials checked for headspace bubbles' YE NO <br /> Note ,nich voas ( if any) has oubbles <br /> ample descriptor Number of vials <br /> 411 VOAs with headspace bubbles have been set aside so they ~rill not ;De <br /> used for analysis 1ES NO <br /> .ist here all other jobs received in the same cooler <br /> -lient Job # NET log ,# <br /> I <br /> (coolerrec) <br />