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www.energylab.com <br />l Aw&dcs1 Eres11*we Since 1131 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Tabitha Edwards <br />Reviewed by: BL20001cwagner <br />Reviewed Date: 8/10/2010 <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 />Containerlremp Blank temperature: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />•------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Helena, MT 877-472-0711 • Billings, MT 600-735-4489 • Casper, WY 888-235-0515 <br />Gillette, WY 866-686-7175 0 Rapid City, SO 886-672-1225 • College Station, TX 888-690-2218 <br />?I'I1O611IIIIIIIIII IW <br />ciooeoze7 <br />Date Received: 8/9/2010 <br />Received by: tae <br />Carrier name: Ground <br />Yes 0 <br />Yes <br />Yes <br />Yes Q <br />Yes 0 <br />Yes 0 <br />Yes <br />Yes 0 <br />Yes <br />Yes <br />24°C On Ice <br />Yes ? <br />Yes Q <br />No ? <br />No O <br />No ? <br />No <br />No <br />No <br />No El <br />No n <br />No <br />No <br />No ? <br />No ? <br />Not Present <br />Not Present 0 <br />Not Present 0 <br />No VOA vials submitted <br />Not Applicable <br />Page 4 of 6