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Energy Laboratories Inc <br />Workorder Receipt Checklist <br />Denison Mines (USA) Corp <br />Login completed by: Corinne Wagner <br />Reviewed by: <br />Reviewed Date: <br />C09010051 <br />Date and Time Received: 1/5/2009 9:15 AM <br />Received by: kw <br />Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No Ej Not Present 11 <br />Custody seals intact on shipping container/cooler? Yes No 0 Not Present Q <br />Custody seals intact on sample bottles? Yes No El Not Present <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes [( No <br />Chain of custody agrees with sample [abels? Yes [JJ No 171 <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes No EJ <br />All samples received within holding time? Yes 0 No <br />Container/Temp Blank temperature: 11 °C <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted 0 <br />Water- pH acceptable upon receipt? Yes 0 No E] Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />• <br /> <br />•