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Energy Laboratories Inc <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Edith McPike <br />Reviewed by: <br />Reviewed Date: <br />Shipping container/cooler in good condition? <br />Custody seals Intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Samples in proper container/bottle? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />All samples received within holding time? <br />ContainedTemp Blank temperature in compliance? <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />1111111111111111111111 <br />008050250 <br /> Date and Time Received: 5/2/200810:30 AM <br /> Received by: ah <br /> Carrier name: Next Day Air <br />Yes 0 No [] Not Present ? <br />Yes No C-] Not Present <br />Yes El No ? Not Present Q <br />Yes No C] <br />Yes No <br />Yes Q No <br />Yes No <br />Yes No <br />Yes Q No <br />Yes 0 No <br />Yes [JJ No °C NA <br />Yes No 0 No VOA vials submitted 0 <br />Yes No Not Applicable Q <br />Contact and Corrective Action Comments: <br />None