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www.ene dab.com Helena, MT 677472-0711 • Billings, MT 800-735-4489 - Casper, WY 888-235-0815 <br />tfft x s, GiNetj, WY 9164,864175 • Rapid ", 80 866.612-1225 • Collage Station, TX 888-616.2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Edith McPike <br />Reviewed by: BL2000\tedwards <br />Reviewed Date: 8/18/2010 <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 />Container/Temp Blank temperature: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />Contact and Corrective Action Comments: <br />None <br />oimiiimiamii <br />010080538 <br />Date Received: 8/13/2010 <br />Received by: ha <br />Carrier name: FedEx <br />Yes 0 <br />Yes 0 <br />Yes ? <br />Yes Q <br />Yes [J? <br />Yes 0 <br />Yes <br />Yes Q <br />Yes Q <br />Yes [?( <br />5°C On Ice <br />Yes <br />Yes [?( <br />No E] <br />No <br />No <br />No <br />No <br />No <br />No <br />No <br />No 0 <br />No F? <br />No ? <br />No ? <br />Not Present <br />Not Present <br />Not Present <br />No VOA vials submitted <br />Not Applicable ? <br />Page 26 of 31