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1 <br /> COOLER RECEIPT FORM <br />� 31ect Log No <br /> �oler receive on ~t and checked on \ 't by <br /> s ignaure <br />' re custody papers present' YES NO <br /> re custody papers properly Filled out' YES NO <br />'-re the custody papers signed' YES NO <br /> is sufficient ice used' YE NOy+4' \`'3�C—' <br />�id all bottles arrive in good condition (unbroken) ' YES NO <br /> !d bottle labels match COC' YES NO <br />'ire proper bottles used for analysis indicated' YES NO <br /> preservatives used' YES NO <br />,:)rrect <br /> JA vials checked for headspace bubbles' YES NO <br /> Note which voas ( if any) had bubbles <br />'ample descriptor Number of vials <br /> 1 <br /> f,Al VOAs with headspace bubbles have been set aside so they will not be <br /> sed for analysis YES NO <br /> ist here all other )obs received in the same cooler <br /> I'lient Job # NET log # <br /> r <br /> (coolerrec) <br />