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www.emniab.com ( Helena, Mr 877472-0711 • Billings, Mr 800-735-4489 • Casper, WY 888-235-0515 <br />Anllr " ErxdmaAn1l3t J Gillette, WY 866-686-7175 • Rapid City, SD 886-672-1225 • College station, TX 888-698-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Tabitha Edwards <br />Reviewed by: BL2000\hackerman <br />Reviewed Date: 11/3/2010 <br />Shipping container/cooler in good condition? Yes Q <br />Custody seals intact on shipping container/cooler? Yes <br />Custody seals intact on sample bottles? Yes <br />Chain of custody present? Yes <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes Q <br />Samples in proper container/bottle? Yes 0 <br />Sample containers intact? Yes Q <br />Sufficient sample volume for indicated test? Yes 0 <br />All samples received within holding time? Yes Z <br />Container/Temp Blank temperature: 7°C On Ice <br />Water - VOA vials have zero headspace? Yes El <br />Water - pH acceptable upon receipt? Yes 0 <br />Contact and Corrective Action Comments: <br />None <br />IIIIIIIIIIIIIIIIMIII <br />cioioo7aa <br />Date Received: 10/19/2010 <br />Received by: ha <br />Carrier name: FedEx <br />No r-1 Not Present F-1 <br />No E] Not Present Q <br />No [-] Not Present [? <br />No <br />No ? <br />No F-l <br />No ? <br />No <br />No M <br />No F1 <br />No No VOA vials submitted Q <br />No Not Applicable <br />------------------------------------------- <br />------------------------------------------- <br />Page 24 of 29