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www.ener&8b.com Helena, MT 871472-0711 • Billings, W 800.735-4489 • Casper, WY 888-235-0'513 <br />A-&d 1O' ' f Gillette, WY 866-686-7175 • Rapid City, SD 888-672-1225 • College Station, TX 888-600-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10100100 <br />Login completed by: Corinne Wagner Date Received: 10/4/2010 <br />Reviewed by: BL2000\swaldrop Received by: ckw <br />Reviewed Date: 11/5/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No ? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present Q <br />Custody seals intact on sample bottles? Yes 1:1 No El Not Present Q <br />Chain of custody present? Yes 0 No [-] <br />Chain of custody signed when relinquished and received? Yes [ No F-l <br />Chain of custody agrees with sample labels? Yes q No ? <br />Samples in proper container/bottle? Yes [?( No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes 0 No <br />All samples received within holding time? Yes No <br />Container/TempBlank temperature: 17°C Melted Ice <br />Water - VOA vials have zero headspace? Yes F-1 No No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? <br />------------------------------------------------------ Yes <br />------------------ No <br />------------ Not Applicable <br />----------------------------- <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ------------------ ------------ ----------------------------- <br />None <br />Page 19 of 22