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www.eriergyl8b.com Helena, MT 877-472-0711 ? Billings, MT 80D 735-4489 Casper, WY 888-235-0515 <br />Arwlrtica16ca1JancaSince 1851 <br />Gillette, WY 866-688-7175 a Rapid City, SO 888-672-1225 O College Station, TX 888-BOD-2218 <br />ED' <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL20001hackerman <br />Reviewed Date: 11/8/2010 <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 />Contact and Corrective Action Comments: <br />None <br />IVl?l?il!IIIIIVI IIIIIII?II?IIIII9 <br />cioiiooz7 <br />Date Received: 11/1/2010 <br />Received by: ckw <br />Carrier name: FedEx <br />Yes F71 No E] Not Present 1:1 <br />Yes No Not Present Q <br />Yes No Not Present F11 <br />Yes Q No E] <br />Yes 0 No 1-1 <br />Yes No <br />Yes [f No <br />Yes No <br />Yes [J No <br />Yes 0 No <br />8°C <br />Yes No No VOA vials submitted [?/f <br />Yes Q No Not Applicable El <br />Page 22 of 26