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www.energylab.com Helena, MT 877-472-0711 * Billings, MT 800-735-4489 . Casper, WY 888-235-0515 <br />Anstydal Escspsm once isss Gillette, WY 866-686-7175 » Rapid City, SG 888-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10120814 <br />Login completed by: Corinne Wagner D ate Received: 12/27/2010 <br />Reviewed by: BL2000\alynch Received by: ckw <br />Reviewed Date: 1/5/2011 Carrier name: Fed Ex <br />Shipping container/cooler in good condition? Yes 0 No El Not Present 11 <br />Custody seals intact on shipping container/cooler? Yes F] No [] Not Present Z <br />Custody seals intact on sample bottles? Yes E] No 1:1 Not Present 0 <br />Chain of custody present? Yes [ No El <br />Chain of custody signed when relinquished and received? Yes Z No M <br />Chain of custody agrees with sample labels? Yes ry-I No ? <br />Samples in proper container/bottle? Yes F,71 No E] <br />Sample containers intact? Yes Q No ? <br />Sufficient sample volume for indicated test? Yes 171 No 0 <br />All samples received within holding time? Yes 0 No El <br />Container/Temp Blank temperature: 12°C <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes F7 No Not Applicable <br />------------------- <br />Contact and Corrective Action Comments: <br />None <br />Page 4 of 6