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COOLER nECEFPT FORM <br /> Sect `>, _ Log No <br /> ler received on �and checked on c _ by <br /> ( signature) <br /> ire (_ustodv *)avers present? YES NO <br /> re custody r)aoers poperly t i ?ecs out' IES NO <br /> ere the custody papers signed' YES NO <br /> ,3s suif -dent ice usea- {tel NO <br /> ' zd all bottles arrive in gooa conal,: -on ( unbroken) ' YES NO <br /> id Mottle labels match COC_' ZES' NO <br /> dere proper bottles used For analvs_s indicated' SES' NO <br /> orrect preservatives used Y� NO <br /> OA vials checked for neadspace cubbles' IES NO <br /> Note fnicn joas ( if anv) naa 2ubbies * J <br /> ample descriptor of ✓ Ials <br /> - - 11 OAs lath headsrDace bubbles gave been set aside so thev iil not be <br /> _,sed for analrsls YES NO <br /> _ist here all other jobs received _n --he same cooler <br /> -Hent Job NET log # <br /> (coolerrec) <br />