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COOLER RECEIPT FORM <br /> fro3ect: Log No: 5 <br /> Cooler receive on: ana c ec ed on 61 <br /> si <br /> 4ere custody papers present' . . . . . . . . . . . . . �YF NO <br /> sere custody papers properly filled out' . . . . NO <br /> Were the custody papers signed' . . . . . . . lz-n <br /> NO <br /> Was sufficient ice used' . NO O O`C. f <br /> Dial all bottles arrive in good condition (unbroken) ' . . . NO <br /> Did bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . t7ENO <br /> 4ere proper bottles used for analysis indicated' . . NO <br /> Correct preservatives used' . . . . . . NO <br /> VOA vials checked for headspace bubbles' NO <br /> Note which voas ( if any) had bubbles . * <br /> Sample descriptor Number of vials <br /> MW <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 fobs received in the same cooler• <br /> Client Job # NET log # <br /> (coolerrec) <br />