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www.ener6ab.com Helene, MT 877472 -0711 • Billings, MT 800- 7354409 • Casper, WY 888 - 235 -0515 <br />E1°sh1QB Sku IM Gillette, WY 866-686 -7175 • Rapid City, SD 888-672 -1225 • College Station, TX 888 -690 -2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />C14120084 <br />Login completed by: Dorian Quis <br />Date Received: 12/2/2014 <br />Reviewed by: BL2000 \smead <br />Received by: dcq <br />Reviewed Date: 12/3/2014 <br />Carrier NDA <br />name: <br />Shipping container /cooler in good condition? <br />Yes 0 <br />No 1:1 <br />Not Present ❑ <br />Custody seals intact on all shipping container(s) /cooler(s)? <br />Yes ❑ <br />No ❑ <br />Not Present 0 <br />Custody seals intact on all sample bottles? <br />Yes ❑ <br />No n <br />Not Present 0 <br />Chain of custody present? <br />Yes 0 <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes 0 <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes M <br />No ❑ <br />Samples in proper container /bottle? <br />Yes 0 <br />No ❑ <br />Sample containers intact? <br />Yes M <br />No ❑ <br />Sufficient sample volume for indicated test? <br />Yes M <br />No El <br />All samples received within holding time? <br />Yes 0 <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 F1 <br />Container/Temp Blank temperature: <br />4.2°C On Ice <br />Water - VOA vials have zero headspace? <br />Yes E] <br />No El <br />No VOA vials submitted <br />Water - pH acceptable upon receipt? <br />Yes 0 <br />No D <br />Not Applicable <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 9 of 12 <br />