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e <br /> . y <br /> COOLER RECEIPT FORM <br /> ect: Log No- (%3t <br /> er receive on: and checkea on JWCWAG= �9 <br /> Signa e <br /> e custody papers present ). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'YES NO <br /> e custody papers properly filled out". . . . . . . . . . . . . . . . . . . 10 NO <br /> e the custody papers signed) . . . . . . . . . . . . . . . . . . . . . . . . . . IYESNO <br /> sufficient zee used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> all bottles arrive in good condition (unbroken) ? . . . . . . NO <br /> bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> e proper bottles used for analysis indicated?. . . . . . . . . . NO <br /> rect preservatives used?. . . . . . . . . . . . . . . . . . . . . NO <br /> vials checked for headspace bubbles'' . . . . . . . . . . NO <br /> Note which voas (if any) had bubbles: * <br /> ple descriptor: Number of vials: <br /> VOAs with headspace bubbles have been set aside so they will not be <br /> I for analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO <br /> here all other fobs received in the same cooler: <br /> t Job # NET log # <br /> (coolerrec) <br />