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r <br /> 7 <br /> COOLER RECEIPT FORM <br /> ect: �5Q b\- 3Log No: <br /> ler receive on: an c ec a on 2r by <br /> (signature) <br /> are custody papers present? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ytr. ' NO <br /> ere custody papers properly filled out? . . . . . . . . . . . . . . . . . . . YF.s NO <br /> ere the custody papers signed? . . . . . . . . . . . . . . . . . . . . . . . . . . . .*E-13 NO <br /> as sufficient ice used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .M NO�,;EA . ' D"d- <br /> id all bottles arrive in good condition (unbroken) ? . . . . . . .YES NO <br /> id bottle labels match COC? . . . . . . . . yz& NO <br /> ere proper bottles used for analysis indicated? . . . . . . . . . . :Y£„s` NO <br /> orrect preservatives used? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vrs NO <br /> OA vials checked for headspace bubbles? . . . . . . . . . . . . . . . . . . .YES NO <br /> Note which vows (if any) had bubbles: * <br /> ample descriptor: Number of vials: <br /> All VOAs with headspace bubbles have been set aside so they will not be <br /> usedfor analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO <br />.ist here all other Gobs received in the same cooler: <br /> lient Job , _ NET log _ <br />• (coolerrec) <br />