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• www.ene d,,.com Helena, MT 877472-0711 • Billings, Mr 888-735-4488 • Casper, WY 888-236-0616 <br />AnWW avallom sue. raU Gillette, WY 866-686-7175 • Rapid City, SD 888-872-1225 • College Station, TX 888-688-2218 <br />Workorder Receipt Checklist pl'I?II??III'??IIIII?I?III??I??IIN? <br />Cotter Corporation C10101008 <br />Login completed by: Tabitha Edwards Date Received: 10/27/2010 <br />Reviewed by: BL2000\tparke Received by: ckw <br />Reviewed Date: 11/15/2010 Carrier name: Ground <br />Shipping container/cooler in good condition? Yes M No E] Not Present M <br />Custody seals intact on shipping container/cooler? Yes E] No El Not Present 0 <br />Custody seals intact on sample bottles? Yes No 171 Not Present 0 <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes [?f No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes [7J No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes No ? <br />All samples received within holding time? Yes 0 No ? <br />Container/Temp Blank temperature: 4°C On Ice <br />Water - VOA vials have zero headspace? Yes No El No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes 0 No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 19 of 23