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A9& W=IEW8b=$A=193? 1 <br />Gillette, WY 866-686-7175 • Rapid City, SD 888-672-1225 • College Station, TX 888-690-2218 <br />Iworkorder Receipt Checklist <br />Energy Fuels Resources Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000\tparke <br />Reviewed Date: 6/17/2010 <br />nunai?si?iiw?m <br />C ,0O6a2,4 <br />Date Received: 6/5/2010 <br />Received by: ha <br />Carrier name: FedEx <br />IIIIIIShipping container/cooler in good condition? Yes 0 No Not Present ? <br />Custody seals intact on shipping container/cooler? <br />( Yes No Not Present Q <br />Custody seals intact on sample bottles? Yes No Not Present Q <br />-Chain of custody present? <br />t Yes No <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes Q No F? <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes [,7( No <br />Sufficient sample volume for indicated test? Yes No El <br />All samples received within holding time? Yes ? No 0 <br />-Container/Temp Blank temperature: °C <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted <br />--Water - pH acceptable upon receipt? Yes Q No [] Not Applicable rI <br />- --------------------------------------------------- <br />---------------------------------------------------- <br />Contact and Corrective Action Comments: <br />The Nitrite sample was received out of hold. <br />Page 19 of 20