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Energy Laboratories Inc <br />Workorder Receipt Checklist <br />Energy Fuels Resources Corporation <br />11111011111111111111111 <br />009061064 <br />Login completed by: Corinne Wagner Date and Time Received: 6/25/2009 9:15 AM <br />Reviewed by: Received by: al <br />Reviewed Date: Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes No ? Not Present El <br />Custody seals intact on shipping container/cooler? Yes No F1 Not Present <br />Custody seals intact on sample bottles? Yes E] No ? Not Present 171 <br />Chain of custody present? Yes [J( No F1 <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes Q No <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes [JJ No <br />Sufficient sample volume for indicated test? Yes 0 No ? <br />All samples received within holding time? Yes 0 No <br />Container/Temp Blank temperature; 10°C On Ice <br />Water - VOA vials have zero headspace? Yes No F1 No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes [ f No D Not Applicable n <br />--------------------------------------------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------------------------------------------- <br />Contact and Corrective Action Comments; <br />None <br />