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1 � <br /> COOLER RECEIPT FORM <br /> 6 <br /> ect Log No <br />'3oler receive on an c ec e on by <br /> signa ure <br />�re custody papers present' YES NO <br /> ere custody papers Properly filled out' YES NO <br />'ere the custody papers signed' YES NO <br /> as sufficient ice used' YES NO <br />'id all bottles arrive in good condition (unbroken) ' YES NO <br /> )id bottle labels match COC' YES NO <br />`ere proper bottles used for analysis indicated' YES NO <br /> preservatives used' YES NO <br />,orrect <br /> OA vials checked for headspace bubbles' . YES NO <br /> Note which voas ( if any) had bubbles <br /> ample descriptor Number of vials <br /> All VOAs with headspace bubbles have been set aside so they will not be <br />' used for analysis . . . . YES NO <br />�ist here all other fobs received in the same cooler <br /> . lient Job # NET log # <br /> (coolerrec) <br />