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• wwwEne oalmm Helena, Mfr 671-472-0711 • Billings, Mr BOO-135-4480 • Casper, YYY 868-235-0515 <br />o. • ArwfjrkWEcdm Sm IM Gillette, WY 566-686-7175 • Rapid City, SD 686-672-1225 • College Station, TX OW6811-2218 <br />Workorder Receipt Checklist I?II??II?II???I??III?II??III??III? <br />Cotter Corporation C10100590 <br />Login completed by: Corinne Wagner Date Received: 10/14/2010 <br />Reviewed by: BL2000\hackerman Received by: ckw <br />Reviewed Date: 11/3/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No E] Not Present <br />Custody seals intact on shipping container/cooler? Yes No El Not Present <br />Custody seals intact on sample bottles? Yes No [:] Not Present [?/f <br />Chain of custody present? Yes F,71 No F1 <br />Chain of custody signed when relinquished and received? Yes M No ? <br />Chain of custody agrees with sample labels? Yes 0 No F-l <br />Samples in proper container/bottle? Yes No F-l <br />Sample containers intact? Yes [f No ? <br />Sufficient sample volume for indicated test? Yes 7f No ? <br />All samples received within holding time? Yes 11 No 0 <br />Container/Temp Blank temperature: 3°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted [!? <br />Water - pH acceptable upon receipt? Yes No Not Applicable ? <br />Contact and Corrective Action Comments: <br />Sample received past recommended holding time for Hexavalent Chromium. <br />Page 19 of 22