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..... _...... www.eneroab.com ( Helena MT 877-472-0711 • Billings MT 800.735-4489 - Casper, WY 888-235-0515 <br />An"eviErceWreSMce 1952 Gillette, WY 666-686-7175 - Rapid City, So 888-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10090073 <br />Login completed by: Edith McPike Date Received: 9/212010 <br />Reviewed by: BL20001tedwards Received by: ha <br />Reviewed Date: 9/3/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes No F1 Not Present <br />Custody seals intact on shipping container/cooler? Yes © No Not Present <br />Custody seals intact on sample bottles? Yes No Not Present <br />Chain of custody present? Yes [ No F1 <br />Chain of custody signed when relinquished and received? Yes [? No n <br />Chain of custody agrees with sample labels? Yes Q No 71 <br />Samples in proper container/bottle? Yes Q No F1 <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes Q No n <br />All samples received within holding time? Yes M No <br />Container/Temp Blank temperature: 12°C On Ice <br />Water - VOA vials have zero headspace? Yes 11 No [] No VOA vials submitted <br />Water - pH acceptable upon receipt? <br />- <br />- <br />--------------- <br />---- <br />--- <br />----------------- Yes © No E] Not Applicable E] <br />--- <br />---- <br />- <br />-- <br />- <br />-- <br />Contact and Corrective Action Comments: ----------------- ---------- --------------------°------------------- <br />None <br />Page 19 of 22