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• wvm.energylab.com Helena, MT 877-472-0711 • Billings, MT 800-735-4489 + Casper WY 888-235-0515 <br />Aru"MExcellenceWnce IM Gillette, WY 866-686-7175 • Rapid City, SD 888-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C11010071 <br />Login completed by: Edith McPike Date Received: 1/4/2011 <br />Reviewed by: BL2000\alynch Received by: ha <br />Reviewed Date: 1/10/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No Fl Not Present E] <br />Custody seals intact on shipping container/cooler? Yes No F-1 Not Present W <br />Custody seals intact on sample bottles? Yes El No F-] Not Present 0 <br />Chain of custody present? Yes W No <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes [ No <br />Samples in proper container/bottle? Yes 0 No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes [? No ? <br />All samples received within holding time? Yes [:] No Q <br />Container/Temp Blank temperature: 13°C Blue Ice <br />Water - VOA vials have zero headspace? Yes El No R No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes F-1 No ? Not Applicable <br />--------------------------------------------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------------------------------------------- <br />Contact and Corrective Action Comments: <br />Sample DIS-001A-A received out of hold. Called and left voice mail message for Randy Whicker. Run all <br />samples per phone call from Randy Whicker. 1/5/11 TP <br />Page 4 of 6