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Energy Laboratories Inc <br />Workorder Receipt Checklist <br />Energy Fuels Resources Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: <br />Reviewed Date: <br />YY?dMIIYnIIY?I <br />C0804W6! <br />Date and Time Received: 4/21/2009 9:15 AM <br />Received by: al <br />Carrier name: Next Day Air <br />Shipping container/cooler in good condition? Yes <br />No [] <br />Not Present ? <br />Custody seals intact on shipping container/cooler? Yes <br />No ? <br />Not Present ? <br />Custody seals intact on sample bottles? Yes No ? Not Present [JJ <br />Chain of custody present? Yes Q No ? <br />Chain of custody signed when relinquished and received? Yes FA No ? <br />Chain of custody agrees with sample labels? Yes No ? <br />Samples in proper container/bottie? Yes 0 No ? <br />Sample containers intact? Yes Q No ? <br />Sufficient sample volume for indicated test? Yes [ No ? <br />All samples received within holding time? Yes No ? <br />Container/Temp Blank temperature: 1 °C On Ice <br /> <br />Water -VOA vials have zero headspace? <br />Yes <br />? <br />No <br />El [Jj <br /> <br />No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes FJJ No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None