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www.energyiab.com <br />AnarytieealExealleoceSleee 1832 <br />Liarm- <br />...... _._...... _ <br />Helena, Ml 677-472-0711 Billings, Mr 800-735-4489 o Casper, WY 888-235-0515 <br />Gillette, WY 866-686-7175 G Rapid City, SG 888-672-1225 - College Station, TX 888-69D-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10090551 <br />Login completed by: Tabitha Edwards Date Received: 9/1512010 <br />Reviewed by: BL20001hackerman Received by: ckw <br />Reviewed Date: 9/20/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes © No E] Not Present F1 <br />Custody seals intact on shipping container/cooler? Yes ? No F] Not Present 0 <br />Custody seals intact on sample bottles? Yes E] No ? Not Present Q <br />Chain of custody present? Yes No <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes No <br />Sufficient sample volume for indicated test? Yes [Jf No F1 <br />All samples received within holding time? Yes [?] No <br />ContainerlTemp Blank temperature: 13°C <br />Water - VOA vials have zero headspace? Yes El No 11 No VOA vials submitted 0 <br />Water- pH acceptable upon receipt? Yes RI No [] Not Applicable El <br />---------------- <br />Contact and Corrective Action Comments: <br />COC indicates collection date as 918/10 and the bottles indicate the collection date as 09114110, logged as per <br />bottles. <br />Page 19 of 22