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www.enerdeb.com ( Helena, MT 877-472-0711 + Billings MT 800-735-4489 • Casper, WY 888-235-0515 <br />_ AastfdarExWlenca Slaw 109 Gillette, WY 866-686-7175 + Rapid City, SO 888-672-1225 + College Station, TX 888-690-2218 <br />Workorder Receipt Checklist VIII I IIIIII II IIIIII IIIIIII <br />Cotter Corporation C10120646 <br />Login completed by: Halley Ackerman Date Received: 12/17/2010 <br />Reviewed by: BL2000\alynch Received by: jb <br />Reviewed Date: 1/5/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Samples in proper container/bottle? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />All samples received within holding time? <br />Container/Temp Blank temperature: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />---------------------------------------------------- <br />---------------------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Yes 2 No El Not Present El <br />Yes El No Not Present <br />Yes E] No Not Present <br />Yes M No <br />Yes No <br />Yes No <br />Yes No ? <br />Yes No <br />Yes No <br />Yes No <br />2.4°C <br />Yes No Ej No VOA vials submitted <br />Yes 0 <br />-------------- No El <br />--------------- Not Applicable <br />----------------------------- <br />Page 4 of 6