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WWWO*Wab.com j Helena, MY 877-472-0711 • Billings, W 800-735-4489 • Casper, WY 888-235-0515 <br />Aarrytlall: CMMrM SI= IJV Gillette, WY 866-686-7175 • Rapid City, SD 88B-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10070865 <br />Login completed by: Edith McPike Date Received: 7/22/2010 <br />Reviewed by: BL2000\tedwards Received by: dd <br />Reviewed Date: 7/27/2010 Carrier name: Fed Ex <br />Shipping container/cooler in good condition? Yes 0 No ] Not Present <br />Custody seals intact on shipping container/cooler? Yes No ] Not Present 0 <br />Custody seals intact on sample bottles? Yes ? No ? Not Present Q <br />Chain of custody present? Yes Q No M <br />Chain of custody signed when relinquished and received? Yes Q No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes [?( No <br />Sample containers intact? Yes 0 No E] <br />Sufficient sample volume for indicated test? Yes Z No 1-1 <br />All samples received within holding time? Yes F,71 No 0 <br />ContainerlTemp Blank temperature: 20°C <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes 0 No ? Not Applicable F1 <br />Contact and Corrective Action Comments: <br />Received raw sample volume on 7/26/10. A split was made from the raw sample for the Phosphorus and N03 <br />analysis on 7/26/10. <br />Page 20 of 25