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¦ C' wvm.energylaL.com Helena, MT 877-472-0111 • Billings, MT 600-135-4489 • Casper, WY 888-235-0515 <br />aayuc tfxce/Iarcestaee 193Y Gillette, WY 866-686-7175 • Rapid City, SO 888-672-1225 • College Station, TX 888-698-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation 010120853 <br />Login completed by: Corinne Wagner Date Received: 12/28/2010 <br />Reviewed by: BL2000\alynch Received by: em <br />Reviewed Date: 1/10/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes M No E] Not Present <br />Custody seals intact on shipping container/cooler? Yes El No E] Not Present <br />Custody seals intact on sample bottles? Yes [:] No Not Present <br />Chain of custody present? Yes No <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes F,71 No F <br />Sample containers intact? Yes M No <br />Sufficient sample volume for indicated test? Yes FYI No ? <br />All samples received within holding time? Yes q No <br />Container/Temp Blank temperature: 7°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No E] No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes No F-1 Not Applicable <br />Contact and Corrective Action Comments: <br />None <br />Page 7 of 9