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I r <br /> COOLER RECEIPT FORM = r <br /> Sect a04 - 00((j Lc&,L Log No `' <V1 <br /> foo ler receive on _ c and checked on 1-14C, by #- �� <br /> T <br /> si q1 <br /> a u <br /> fere custody papers present' C:P NO <br /> ere custody papers properly filled out' YES NO <br /> ere the custody papers signed' YES O <br /> gas sufficient ice used' Y S NO <br /> fid all bottles arrive in good condition (unbroken) ' ESD NO <br /> Jid bottle labels match COC' . . YES NO J <br /> Frere proper bottles used for analysis indicated' . YESS NO <br /> =orrect preservatives used' YE NO I <br /> IOA vials checked for headspace bubbles' YES NO <br /> Note which -moan ( if any) had bubbles <br /> ample descriptor Number of vials <br /> rAll VOAs with headspace bubbles have been set aside so they will not be <br /> Iused for analysis YES NO <br /> fist here all other fobs received in the same cooler: <br /> Ulient Job # NET log # <br /> r <br /> (coolerrec) <br />