Laserfiche WebLink
I ALI :1 R-40 wwwtaergylab.wm Helena, MT 877472-8711 • Billings, MT B88-735-4489 • Casper, WY 868-235-0515 <br />g..hatW Omd1wo Am ISM Gillette, WY 866-686-7175 • Rapid City, SD 886-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Halley Ackerman <br />Reviewed by: 131-20001scarlston <br />Reviewed Date: 10/12/2010 <br />C10100258 <br />Date Received: 10/6/2010 <br />Received by: tae <br />Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Z No E] Not Present <br />Custody seals intact on shipping container/cooler? Yes F-I No Not Present <br />Custody seals intact on sample bottles? Yes No Not Present [? <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes 0 No <br />Sample containers intact? Yes [ f No <br />Sufficient sample volume for indicated test? Yes 0 No <br />All samples received within holding time? Yes No <br />Container/Temp Blank temperature: 7°C On Ice <br />Water - VOA vials have zero headspace? Yes No No VOA vials submitted Q <br />Water - pH acceptable upon receipt? <br />------------------------------------------------------ Yes <br />---- No Not Applicable <br /> <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ------------ <br />---------------- -------------- <br />-------------- --------------------------------------------- <br />--------------------------------------------- <br />None <br />Page 6 of 10