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www.ene dab.com <br />A=?"Enah=91w 1131 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL20001tparke <br />Reviewed Date: 11/9/2010 <br />Helena, MT 877472-0711 • Billings, W 800-735-4488 • Casper, WY 888-230-0515 <br />WY 866-686-7175 • Rapid City, So 888-872-1225 • College Station, TX 888-680-2218 <br />Shipping container/cooler in good condition? Yes [?7( No <br />Custody seals intact on shipping container/cooler? Yes [J( No <br />Custody seals intact on sample bottles? Yes No <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes Q No 171 <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes [7f No Fj <br />Sample containers intact? Yes No ? <br />Sufficient sample volume for indicated test? Yes [f No <br />All samples received within holding time? Yes No ? <br />ContainerlTemp Blank temperature: 3°C <br />Water - VOA vials have zero headspace? Yes El No <br />Water - pH acceptable upon receipt? Yes No <br />Contact and Corrective Action Comments: <br />None <br />i?n?u?urm <br />Date Received: 10/14/2010 <br />Received by: <br />Carrier name: <br />Not Present F1 <br />Not Present 0 <br />Not Present M <br />No VOA vials submitted 0 <br />Not Applicable ? <br />Page 30 of 36