Laserfiche WebLink
www*wdab.com J Helena, MT 871472-0711 • Billings, M1 B00-)35-4489 • Casper, WY 888-235-0513 <br />AM?"a°°bMSIM'r Giliette, WIC 866-686-7175 • Rapid City, SD 888472-1225 • College Station, Tx 868458-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000\scariston <br />Reviewed Date: 10/9/2010 <br />cmmazza <br />Date Received: 10/6/2010 <br />Received by: tae <br />Carrier name: Ground <br />Shipping container/cooler in good condition? Yes 0 No Not Present <br />Custody seals intact on shipping container/cooler? Yes No Not Present <br />Custody seals intact on sample bottles? Yes No Not Present 0 <br />Chain of custody present? Yes No <br />Chain of custody signed when relinquished and received? Yes No El <br />Chain of custody agrees with sample labels? Yes [/( No E] <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes [J( No <br />All samples received within holding time? Yes [J( No <br />Containerfremp Blank temperature: 7°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No E] No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? <br />------------------------------------------------------ Yes C1 <br />-------- No Not Applicable ? <br /> <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: -------- <br />---------------- -------------- <br />-------------- ----------------------------- <br />----------------------------- <br />None <br />Page 6 of 8