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www.ewz4ab.com <br />Ask"MEXCONAVCOMMIM <br />1 • Biilmgs, W 600-135-4489 • Casper, WY 888-235-0615 <br />?", Sp> W672=1225 • College Station, TX 880-630-2218 <br />Workorder Receipt Checklist IIIIII IIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIIII <br />Cotter Corporation C11030134 <br />Login completed by: Corinne Wagner Date Received: 3/3/2011 <br />Reviewed by: BL2000\tparke Received by: ckw <br />Reviewed Date: 3/10/2011 Carrier FedEx <br />name: <br />Shipping container/cooler in good condition? Yes Q No F1 Not Present <br />Custody seals intact on shipping container/cooler? Yes E] No E] Not Present 0 <br />Custody seals intact on sample bottles? Yes E] No El Not Present <br />Chain of custody present? Yes Z No ? <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes Q No <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes [Jf No ? <br />Sufficient sample volume for indicated test? Yes No ? <br />All samples received within holding time? Yes 0 No ? <br />Container/Temp Blank temperature: 3.4°C <br />Water - VOA vials have zero headspace? Yes El No El No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No El Not Applicable R <br />Contact and Corrective Action Comments: <br />None <br />Page 34 of 43 <br />