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COOLER RECEIPT FORM <br /> ?ro3ecLog No: <br /> �ooler receive on : an c ec e on by <br /> gna ure <br /> dere custody papers present . . . . . .� NO <br /> 4ere custody papers properly filled outs . . . . . . . � NO <br /> sere the custody papers signed? . . . . . . . . . � NO <br /> das sufficient ice used' . . . . . . . . . . . . . Y� NO-IE�-xV{f, � <br /> Did all bottles arrive in good condition (unbroken) ' . . . . . . . YE NO <br /> Did bottle labels match COC? . . . . . . . . . . . . . . Y NO <br /> ,7ere proper bottles used for analysis indicated' . . . . . . Y NO <br /> �orrect preservatives used? . . . . . . . . . . . . . . Y NO <br /> JOA vials checked for headspace bubbles" . . . . NO <br /> Note which voas ( ,if any) had bubbles <br /> Dam le descriptor - Number of vials <br /> TAll VOAs with headspace bubbles have been set aside so they will not be <br /> usedfor analysis . . . . . . . . . . . . . . . . . . . . . . . . . YES NO <br /> :ist here all other Sobs received in the same cooler: <br /> Dlient Job # NET log # <br /> (coolerrec) <br />