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MT 877-472-0711 • Billings MT 800-735-4489 • Casper, wy 888-235-0515 <br />' ",' ?,• www energyiab.com <br />' • ®? Awydest Ercatlsaoa sloes 1932 Helena <br />Gillette, WY 666-686-7175 • Rapid City, SO 888-672-1225 • College station, TX 888-690-2218 <br />Workorder Receipt Checkl ist I IIII IIII IIIIII IIII IIII IIII IIIIII ?III ?II? IIIII IIII III? I <br /> C10120539 <br />Cotter Corporation <br /> Date Received: 12/15/2010 <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000\alynch <br />Received by: ha <br />Reviewed Date: 1/5/2011 <br />Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes f7] <br />No ? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes ? <br />No ? Not Present <br />Custody seals intact on sample bottles? <br />? <br />Yes <br />No ? Not Present <br />Chain of custody present? Yes <br />No <br />Chain of custody signed when relinquished and received? Yes 0 No ? <br />Chain of custody agrees with sample labels? Yes 0 No ? <br />Samples in proper container/bottle? Yes 0 No ? <br />Sample containers intact? Yes <br />No <br />Sufficient sample volume for indicated test? Yes No ? <br />All samples received within holding time? <br />Yes <br />No ? <br />Container/Temp Blank temperature: 8°C On Ice <br />Water -VOA vials have zero headspace? <br />? <br />Yes <br />No ? No VOA vials submitted <br />Water - pH acceptable upon receipt? <br />Yes F71 <br />No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 6 of 8