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•Trust our People. Trust our Data. Billings MT 800.735.4489 • Casper, WY 888.235.0515 <br />College Station. TX 888.690.1218 • Gillette, WY 866.686.7175 • Helena. MT 877.472.0711 <br />Work Order Receipt Checklist <br />Cotter Corporation <br />C15030861 <br />Login completed by: Dorian Quis <br />Date Received: 3/27/2015 <br />Reviewed by: BL2000\khamre <br />Received by: amm <br />Reviewed Date: 3/30/2015 <br />Carrier name: Ground <br />Shipping container/cooler in good condition? <br />Yes 0 <br />No ❑ <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 ❑ <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 0 <br />No ❑ <br />Samples in proper container/bottle? <br />Yes 0 <br />No R <br />Sample containers intact? <br />Yes 0 <br />No EJ <br />Sufficient sample volume for indicated test? <br />Yes W <br />No ❑ <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 />6.4°C On Ice <br />Water - VOA vials have zero headspace? <br />Yes 1-1 <br />No ❑ <br />No VOA vials submitted <br />Water - pH acceptable upon receipt? <br />Yes 0 <br />No El <br />Not Applicable ❑ <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 12 of 17 <br />