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www.enerRylab.com WHelena, MT 877-472-0711 Billings, MT 800-735-4489 o Casper, WY 888-235-0515 <br />< Anaw al arelleweslnes 1832 ) Gillette, WY 866-686-7175 • Rapid City, SD 886-672-1225 + College Station, T% 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10080639 <br />Login completed by: Edith McPike Date Received: 8/18/2010 <br />Reviewed by: BL20001tedwards Received by: ckw <br />Reviewed Date: 8/23/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes [f No Not Present R <br />Custody seals intact on shipping container/cooler? Yes No FJ Not Present 0 <br />Custody seals intact on sample bottles? Yes E] No R Not Present 0 <br />Chain of custody present? Yes [0 No R <br />Chain of custody signed when relinquished and received? Yes Q No R <br />Chain of custody agrees with sample labels? Yes R No <br />Samples in proper container/bottle? Yes Fyj No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes Fvj No <br />All samples received within holding time? Yes 0 No R <br />ContainerlTemp Blank temperature: 14°C On Ice <br />a Water - VOA vials have zero headspace? Yes No No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes No Not Applicable R <br />------------------------------------------------------------------------------------------------------------------------- <br />------------------------------------------------------------------------------------------------------------------------- <br />Contact and Corrective Action Comments: <br />No Sulfide bottle was received. <br />Page 18 of 21