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COOLER RECEIPT FORM <br /> ect: Log No: <br /> oaler, recezve on: <br /> and c ec e on b r <br /> s1g <br /> +ere custody papers present' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO <br /> sere custody papers properly filled outs . . . . . . . . . . . . . .4ES -NO+ere the custody papers signed' . . . . . . . . . . . . . . . . . . . . . . . NOdas cufficient ice used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO Yl <br /> �� `�.�Jy <br /> )id all bottles arrive in good condition (unbroken) ' . . . . . . . Y . NO <br /> )id bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> vere proper bottles used for analysis indicated? . . . . . . . . . ES NO <br /> lorrect preservatives used' . . . . . . . . . . . . . ES ND <br /> 10A vials checked for headspace bubbles' . . . . . . . . . . . YE NO <br /> Note which voas ( if any) had bubbles: * <br /> Sampl ddescriptor: Numb of vials. <br /> it <br /> W <br /> *All VOAs with headspace bubbles have been set aside so they will not be <br /> used for analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YES NO <br /> Lj,st here all other fobs received in the same cooler: <br /> Client Job i NET log <br /> r <br /> (coolerrec) <br />