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?----•..++-l www.energylab.com ( Helena, MT 577-472-0711 • Billings MT 800-735-4489 • Casper WY 888-235-0515 <br />?o - AnalyBcs &Z011eMWaco 1951 ? Gillette, WY 866-686-7175 • Rapid City, SD 688-672-1225 * College Station, Tx 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10120401 <br />Login completed by: Halley Ackerman D ate Received: 12/10/2010 <br />Reviewed by: BL2000\alynch Received by: ha <br />Reviewed Date: 12/28/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes [?If No ? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present 2 <br />Custody seals intact on sample bottles? Yes [] No El Not Present 2 <br />Chain of custody present? Yes LJ( No ? <br />Chain of custody signed when relinquished and received? Yes 0 No E] <br />Chain of custody agrees with sample labels? Yes 0 No E] <br />Samples in proper container/bottle? Yes 0 No E] <br />Sample containers intact? Yes No <br />Sufficient sample volume for indicated test? Yes No <br />All samples received within holding time? Yes No <br />Container/Temp Blank temperature: 3°C On Ice <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted [7? <br />Water - pH acceptable upon receipt? Yes No E] Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 4 of 6