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wwwmimg aboom llslaaa, M15714724711.1illinp, MT Ull-7354155 a caspar, wY 1e4t35-0515 <br />Allah ra ftmillim MMIM GIIW wy 151-811-7175 • aspid city, so M111112-1225 • cellw station, nc ON420-221 t <br />Workorder Receipt Checklist <br />Cotter Corporation C10090382 <br />Login completed by: Corinne Wagner Date Received: 9/10/2010 <br />Reviewed by: BL2000\tedwards Received by: tae <br />Reviewed Date: 9/21/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No E] Not Present M <br />Custody seals intact on shipping container/cooler? Yes [:] No Not Present 0 <br />Custody seals intact on sample bottles? Yes No Not Present 0 <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes No 0 <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 0 <br />Sufficient sample volume for indicated test? Yes 0 No ? <br />All samples received within holding time? Yes 0 No ? <br />Container/Temp Blank temperature: 7'C <br />Water - VOA vials have zero headspace? Yes ? No El No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes 0 No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 29 of 36