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vrvnv.energy,ab.tom i Helena, MT 877-472-0711 b Billings, MT 800-735-4489 • Casper, WY 688-235.0515 <br />Anj4*21EicallorweVace loll j Gillette, WY 866-666.7175 - Rapid City, So 886-672-1225 *College Station, Tx 880-690-2216 <br />Workorder Receipt Checklist <br /> <br />Cotter Corporation C10090167 <br />Login completed by: Edith McPike Date Received: 9/7/2010 <br />Reviewed by: BL20001tedwards Received by: em <br />Reviewed Date: 9/9/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes [?( No Not Present ? <br />Custody seals intact on shipping container/cooler? Yes No Not Present El <br />Custody seals intact on sample bottles? Yes El No Not Present <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 0 No <br />Samples in proper containerlbottle? Yes No <br />Sample containers intact? Yes [ No <br />Sufficient sample volume for indicated test? Yes No <br />All samples received within holding time? Yes No <br />Container/Temp Blank temperature. 19°C On Ice <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted [?J <br />Water - pH acceptable upon receipt? Yes 0 No <br />- Not Applicable E] <br />----------------------------------------- <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ----------------- -- <br />------- ------- <br />None <br />Page 4 of 6