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Pace Analytical National Center for Testing & Innovation <br />Cooler Receipt Form <br />Client: (2 t% <br />Cooler Received/Opened On: 7 / `L ry- I 20 Temperature: <br />Received By: Gisely Quiles <br />Signature: ,, i"/ (./;:. <br />0 <br />Receipt Check List NP Yes No <br />COC Seal Present / Intact? <br />COC Signed / Accurate? <br />Bottles arrive intact? <br />Correct bottles used? <br />Sufficient volume sent? <br />If Applicable <br />VOA Zero heacispace? <br />Preservation Correct / Checked?