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i' www.enero,ab.com f Helena, MT 877-472-0711 -Billings, Mf 800-735-4489 • Casper, WY 008-235-0515 <br />tt Anj"calErcauwue stnea 1952 Gillette, WY 866-SBS-7175 -Rapid City, SO 888-672-1225 -College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C10110786 <br />Login completed by: Tabitha Edwards Date Received: 11/22/2010 <br />Reviewed by: BL20001alynch Received by: ha <br />Reviewed Date: 12/812010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Q No Not Present E] <br />Custody seals intact on shipping container/cooler? Yes E] No ? Not Present <br />Custody seals intact on sample bottles? Yes [] No [] Not Present <br />Chain of custody present? Yes [f No <br />Chain of custody signed when relinquished and received? Yes No M <br />Chain of custody agrees with sample labels? Yes 0 No F-l <br />Samples in proper container/bottle? Yes Q No [] <br />Sample containers intact? Yes [] No <br />Sufficient sample volume for indicated test? Yes No <br />All samples received within holding time? Yes Q No F] <br />ContainerfTemp Blank temperature: 3°C On Ice <br />Water - VOA vials have zero headspace? Yes D No No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? <br />-- Yes Z <br />---------------- No (] <br />-----°---- Not Applicable El <br />------------------------------------------------ <br />- <br />--------------------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Page 19 of 22