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COOLER RECEIPT FORM <br /> P ect Lag Na. <br /> Cher receive on- an c ec a on by <br /> (signature) <br /> Were custody papers present? . . . . . . . . . . . . . . . . . . . . . • - . .3(-E15 NO <br /> Were custody papers properly filled out7 . . . . . . . . . . . . . . . . . Y.W NO <br /> Were the custody papers signed? . . . . . . . . . . . . . . . . . . . . . . . . . ..YES NO <br /> Was sufficient ice used' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YE5 NO <br /> Did all bottles arrive in good condition (unbroken) ? . . . . . *B'S NO <br /> Did bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .`YEE NO <br /> Were proper bottles used for analysis indicated? . . . . . . . . .`YE:S' NO <br /> Correct preservatives used' . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y-Er5- NO <br /> VOA vials checked for headspace bubbles? . . . . . . . . . . . . . . YES NO <br /> Note which voas ( if any) had bubbles: * <br /> Sample descriptor: Number of vials: <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 jobs received in the same cooler: <br /> CJ1ent _Job <br /> (coolerrec) <br />