Laserfiche WebLink
r vm*.enetgytab.com Helena, W 671472-0711 • Billings, MT 8110-735-4489 v carper, wY 888-235-0515 <br />Irul>f tlt:athncastnce 15s1 ?? Gillette, WY 866.686-1175 o Rapid City, Sli 8BB-672-1225 • College Station, TX 888-690-221B <br />Workorder Receipt Checklist III?IIIIII?II??i???l?IN???(I??ll?ll?? <br />Cotter Corporation C10100258 <br />Login completed by: Halley Ackerman Date Received: 10/6/2010 <br />Reviewed by: BL2000\scarlston Received by: tae <br />Reviewed Date: 10/1212010 Carrier name: FedEx <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 headspacel <br />Water - pH acceptable upon receipt? <br />Contact and Corrective Action Comments: <br />None <br />Yes [,?J No D Not Present 11 <br />Yes [] No ? Not Present 0 <br />Yes [) No M Not Present <br />Yes Q No F] <br />Yes [?f No <br />Yes 0 No <br />Yes Q No Ej <br />Yes Q No 0 <br />Yes ?i No <br />Yes No M <br />TC On Ice <br />Yes ? No ? No VOA vials submitted <br />Yes Z No El Not Applicable El <br />Page 6 of 10