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www.eneroab.com ? Helena, MT 877-472-0711 • Billings MT 800-735-4489 o Casper, WY 688-235-0515 <br />AnslnkalErcalloweSMca 1832 Gillette, WY 866-686-7175 0 Rapid City, SG 888-672-1225 o College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000\tparke <br />Reviewed Date: 8/27/2010 <br />Shipping container/cooler in good condition? <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Samples in proper container/bottle? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />All samples received within holding time? <br />Container/Temp Blank temperature: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />-------------------------------------- <br />-------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Yes 0 <br />Yes <br />Yes <br />Yes 0 <br />Yes 171 <br />Yes 0 <br />Yes <br />Yes 7 <br />Yes 7 <br />Yes 0 <br />9°C On Ice <br />Yes El <br />Yes [71 <br />I?nII?I?AIIIIWIIIN <br />010080893 <br />Date Received: 8/25/2010 <br />Received by: ha <br />Carrier name: FedEx <br />No Not Present <br />No Not Present <br />No Not Present 0 <br />No <br />No <br />No <br />No <br />No <br />No <br />No <br />No No VOA vials submitted <br />No Not Applicable <br />Page 6 of 8