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COOLER RECEIPT FORM <br /> 03 ect: �'` Log No: <br /> ooler receive on: an c ec a on by <br /> gni ure <br /> ere custody papers present . . . . . . . . YE NO <br /> ere custody papers properly filled outs . . . . ( YF NO <br /> ere the custody papers signed > . . . (:�D NO <br /> as sufficient ice used . . . . . . . . . . c YE .1, <br /> id all bottles arrive 3n good condition (unbroken) '' . . . . . 3YE NO <br /> id bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . NO <br /> ere proper bottles used for analysis indicated' . . . . . . Oy-E NO <br /> orrect preservatives used' . . . . . . . . . . . YE NO <br /> OA vials checked for headspace bubbles > .� NO <br /> Note which voas ( if any) had bubbles- * <br /> ample descriptor- Number of vials <br /> I <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 ]obs received in the same cooler <br /> lient Job # NET log # <br /> I <br /> i <br /> (coolerrec) j <br /> I <br />