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R o www.ertergylab.com ` Helena, W 977-472-0711 Billings MT 800-735-4489 Casper WY 888-235.0515 <br />a ? - 0xy0cal&cauerue$Inc# 189 Gillette, WY 866-686-7175 - Rapid City, SG 888-672-1225 P College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10090289 <br />Login completed by: Edith McPike Date Received: 9/9/2010 <br />Reviewed by: BL20001hackerman Received by: tae <br />Reviewed Date: 9/11/2010 Carrier name: EedEx <br />Shipping container/cooler in good condition? Yes No Not Present <br />Custody seals intact on shipping container/cooler? Yes El No F] Not Present <br />Custody seals intact on sample bottles? Yes Cl No n Not Present <br />Chain of custody present? Yes Q No F1 <br />Chain of custody signed when relinquished and received? Yes 0 No E] <br />Chain of custody agrees with sample labels? Yes Q No 17 <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes Q No <br />Sufficient sample volume for indicated lest? Yes 0 No <br />All samples received within holding time? Yes [7 No <br />Container/Temp Blank temperature: 12°C On Ice <br />Water - VOA vials have zero headspace? Yes 0 No El No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes [7J No E] Not Applicable <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ----------------- ---------- ---------°-----_-----------°----_------------- <br />None <br /> Page 6 of 8