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1 <br /> COOLER RECEIPT FORM <br /> P ect: LL �o e��nc4e/c'?_ <br /> - D - Log No. <br /> Coper receive on _ - c� e on -i - by o <br /> nature <br /> ere custody papers present' . . Y ES NO <br /> ere custody papers properi ✓ filled out' YES, ti0 <br /> ere the custody papers signea' . .`ES) NO <br /> as sufficient ice used' . YES NO <br /> Did all bottles arrive in good condition (unbroken) ' . .(_=Y� 140 <br /> Did bottle labels match COC'' ES NO <br /> .ere proper bottles used for analysis indicated ES ) 140 <br /> correct preservatives used ES ; NO <br /> OA zials checked for neadspace bubbles _S NO <br /> Note which Boas ( if any) had puboles <br /> 7ample descriptor Number of ials <br /> , _ 7 =_3 <br /> -All OAs with heaaspace bubbles have been set aside so they will not be <br /> usea for analysis YES NO <br />'-ist ':ere all other Sobs received in the same cooler <br /> -Bent Job NET log r <br /> �� (coolerrec) <br />