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www.energylab.com Helena, W 977472-0711 • Billings, htf 800 -735 -4489 • Casper, WY 888 - 235 -1515 <br />-`� - X0 m Sm Nst Gillette, WY 866486 -7175 • Rapid City, SD 881-672 -1225 • College station, Tx 888 - 690 -2211 <br />Workorder Receipt Checklist <br />Cotter Corporation C13110305 <br />Login completed by: Dorian Quis <br />Date Received: 11/7/2013 <br />Reviewed by: BL2000 \khelm <br />Received by: dw <br />Reviewed Date: 11/8/2013 <br />Carrier Ground <br />name: <br />Shipping container /cooler in good condition? <br />Yes 0 <br />No 171 <br />Not Present F] <br />Custody seals intact on all shipping container(s) /cooler(s)? <br />Yes 11 <br />No 171 <br />Not Present 0 <br />Custody seals intact on all sample bottles? <br />Yes El <br />No El <br />Not Present 0 <br />Chain of custody present? <br />Yes <br />No 11 <br />Chain of custody signed when relinquished and received? <br />Yes Q <br />No <br />Chain of custody agrees with sample labels? <br />Yes M <br />No El <br />Samples in proper container /bottle? <br />Yes 0 <br />No <br />Sample containers intact? <br />Yes Z <br />No El <br />Sufficient sample volume for indicated test? <br />Yes M <br />No <br />All samples received within holding time? <br />Yes Q <br />No <br />(Exclude analyses that are considered field parameters <br />such as pH, DO, Res Cl, Sulfite, Ferrous Iron, etc.) <br />Temp Blank received in all shipping container(s) /cooler(s)? <br />Yes ❑ <br />No 0 <br />Not Applicable El <br />Container/Temp Blank temperature: <br />5.2C On Ice <br />Water - VOA vials have zero headspace? <br />Yes El <br />No F-1 <br />No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? <br />Yes Z <br />No F-] <br />Not Applicable El <br />-------------------------------------------------------------------------------------------------------------------------------------- <br />-------------------------------------------------------------------------------------------------------------------------------------- <br />Standard Reporting Procedures: <br />Lab measurement of analytes considered field parameters that require analysis within 15 minutes of sampling such as <br />pH, Dissolved Oxygen and Residual Chlorine, are qualified as being analyzed outside of recommended holding time. <br />Solid /soil samples are reported on a wet weight basis (as received) unless specifically indicated. If moisture corrected, <br />data units are typically noted as -dry. For agricultural and mining soil parameters /characteristics, all samples are dried <br />and ground prior to sample analysis. <br />Contact and Corrective Action Comments: <br />None <br />Page 26 of 30 <br />