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COOLER RECEIPT FORM <br /> Oct: q Log No: 01-541 <br /> oler received on. li and checked on by <br /> si a ure <br /> re custody papers present' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y-E"T' NO <br />!re custody papers properly filled out? . . . . . . . . . . . . . . . . . . . YS- NO <br /> ire the custody papers signed? . . . . . . . . . . . . . . . . . . . . . . . . . . . .�LP5 NO -t <br /> is sufficient ice used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO )���.'- tit , <br /> r <br />_d all bottles arrive in good condition (unbroken) ? . . . . . . .YES NO <br /> Ld bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YF6 NO <br /> are proper bottles used for analysis indicated? . . . . . . . . . . .YE& NO <br /> 3rrect preservatives used?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y•Es NO <br /> A vials checked for headspace bubbles? . . . . . . . . . . . . . . . . . . . YES NO <br /> Note which vows (if any) had bubbles: * <br /> ample descriptor: Number of vials: <br /> i <br /> ow <br /> kll VOAs with headspace bubbles have been set aside so they will not be <br /> ised for analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YES NO <br /> ist here all other )obs received in the same cooler: <br /> lient Job jf NET loges <br /> 1 (coolerrec) <br />