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Energy Laboratories In? <br />Workorder Receipt Che <br />Denison Mines (USA) Corp <br />Login completed by: Kimberly Humiston <br />Reviewed by: Kerri Schroeder <br />Reviewed Date: 1/8/20092:49:00 PM <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: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />---------------------------- - <br />Contact and Corrective Action Comments: <br />Samples 001-005 were filtered and preserved in I <br />• <br />list 1111111111111111111 <br />009010103 <br />Date and Time Received: 1/6/2009 9:30 AM <br />Received by: kw <br />Carrier name: FedEx <br />a No ? Not Present El <br />0 No El Not Present <br /> No Not Present <br /> No <br />© No E] <br />© No <br />Q No El <br />© No El <br />;O No El • <br />; © No El <br />On Ice <br />; [] No C1 No VOA vials submitted R1 <br />; © No 0 Not Applicable <br />with HN03. <br />0