Laserfiche WebLink
:1 .0 M.1 WWWM*'g0ob.CD- Helena, Mr 877472-0711 • Billings, MY 800-73544188 • Casper, WY 888-235-0515 <br />Au&tk lE=ds aSku IM2 Gillette, WY 866-686-7175 • Rapid City, S0 885412-1225 • College Station, TX 888-650-2218 <br />Workorder Receipt Checklist I?Illll?lll?lllllulll?lllllllllllllllllllllllllll <br />Cotter Corporation C10100934 <br />Login completed by: Corinne Wagner Date Received: 10/25/2010 <br />Reviewed by: BL20001hackerman Received by: tae <br />Reviewed Date: 11/1/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No Not Present <br />Custody seals intact on shipping container/cooler? Yes No Not Present [?7f <br />Custody seals intact on sample bottles? Yes No Not Present 0 <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 Q No <br />Samples in proper container/bottle? Yes 0 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 Q No <br />Containerfremp Blank temperature: 9°C <br />Water -VOA vials have zero headspace? Yes No F-I <br />Water - pH acceptable upon receipt? Yes Q No <br />------------------------------------------------------------------------------------- <br />------------------------------------------------------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />No VOA vials submitted 0 <br />Not Applicable R <br />Page 29 of 39