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�l <br /> COOLER RECEIPT FORM <br /> • h <br /> ect.: 6-70 + C-ha�+,-2.r, ��rsc_l��r� Log No <br /> ler receive on: a�f an c ec e on as by, p- T <br /> Signa re <br /> 4ere custody papers present' . . YE-S, NO <br /> ,ere custody papers properly fillea out' .; NO <br /> were the custody papers signed' YES; NO <br /> +as sufficient ice used' 4-ei NO a �` C <br /> oid all bottles arrive in good condition (unbroken) ' .jE5' NO <br /> Did bottle labels match COC' . . - S, NO <br /> ,Here proper bottles used for analysis indicated' .�ES 140 <br /> :orrect preservatives used' �Y�ES NO <br /> OA vials checked for headspace burbles' VVS NO <br /> Note which voas ( if any) had bubbles <br /> ample descriptor Nuncer or vials <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 )obs received in the same cooler <br /> Client Job F NET log # <br /> (coolerrec) <br />