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www,ener6ob.com Helena, MT 877-472-0711 • Billings, MT 800-735-4489 . Casper, WY 888-235-0515 <br />Analy a1 Excd1snco S1eee 1852 Gillette, WY 866-686-7175 * Rapid City, SO 886-672-1225 • College Station, Tx 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10080420 <br />Login completed by: Edith McPike Date Received: 8/11/2010 <br />Reviewed by: BL20001tedwards Received by: tae <br />Reviewed Date: 8/18/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes No 1:1 Not Present ? <br />Custody seals intact on shipping container/cooler? Yes El No R Not Present Z <br />Custody seals intact on sample bottles? Yes ? No F] Not Present <br />Chain of custody present? Yes [ No R <br />Chain of custody signed when relinquished and received? Yes 0 No F1 <br />Chain of custody agrees with sample labels? Yes No R <br />Samples in proper container/bottle? Yes 0 No R <br />Sample containers intact? Yes [ No El <br />Sufficient sample volume for indicated test? Yes F,71 No R <br />All samples received within holding time? Yes 0 No El <br />Containerfremp Blank temperature: 21°C On Ice <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes Z No E] Not Applicable 0 <br />Contact and Corrective Action Comments <br />Page 6 of 8