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wvrw.energyiah.tom Helena MT 677-472-0711 Billings, MT 800-735 4469 p Casper WY 868 235 0515 <br />AaalytlaalExcalleareSlam 1951 Gillette, WY 866-686-7175 a Rapid City SO 888-672-1225 « College Station TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Edith McPike <br />Reviewed by: BL20001tedwards <br />Reviewed Date: 9/3/2010 <br />Shipping contalnerlcooler 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 headspace? <br />Water - pH acceptable upon receipt? <br />-------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Yes 0 <br />Yes 0 <br />Yes ? <br />Yes Q <br />Yes <br />Yes Q <br />Yes <br />Yes <br />Yes f7l <br />Yes Z <br />12°C On Ice <br />Yes D <br />Yes <br />mn?amuuioouuiu <br />C100900]5 <br />Date Received: 9/2/2010 <br />Received by: ha <br />Carrier name: FedEx <br />No E] Not Present <br />No ? Not Present <br />No E] Not Present [JJ <br />No <br />No <br />No (] <br />No <br />No [] <br />No [] <br />No n <br />No F1 No VOA vials submitted <br />No E] Not Applicable <br />----------------------------------------- <br />Page 6 of 8