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vmwenergylab.mrn Helena, Mr 877-472-0711 o Billings, MT 800-735-4489 - Casper, WY 888-235-0515 <br />- AiwWrsltreel/owo$14" 1952 Gillette, WY 866-688.7175 a Rapid City, SD 888-672-1225 a College Statlon, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL20001tedwards <br />Reviewed Date: 8/3/2010 <br />Shipping container/cooler 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 />ContainedTemp 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 />NIIiRINIIIIIVY111311EIV <br />C1 0070913 <br />Date Received: 7/26/2010 <br />Received by: ckw <br />Carrier name: FedEx <br />Yes <br />Yes Q <br />Yes <br />Yes <br />Yes <br />Yes 0 <br />Yes <br />Yes <br />Yes Q <br />Yes <br />24°C <br />No El <br />No <br />No <br />No <br />No F] <br />No ? <br />No M <br />No E] <br />No <br />No El <br />Not Present [) <br />Not Present <br />Not Present C?) <br />Yes [] No F1 No VOA vials submitted F4 <br />Yes El No Not Applicable [] <br />Page 41 of 45