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wwwotr#ab.com <br />EriaNwa Sh m M <br />1711 • Billings, W 800-735-4489 a Casper, WY 880-235-051:5 <br />pid City, SD,888:472-1225 • College Stat orr; TX 888-090-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation 011030585 <br />Login completed by: Corinne Wagner Date Received: 3/18/2011 <br />Reviewed by: BL2000\hackerman Received by: ha <br />Reviewed Date: 3/21/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes Z No ? Not Present <br />Custody seals intact on shipping container/cooler? Yes E] No ? Not Present 0 <br />Custody seals intact on sample bottles? Yes Ej No ? Not Present Q <br />Chain of custody present? Yes [7? No ? <br />Chain of custody signed when relinquished and received? Yes[/( No ? <br />Chain of custody agrees with sample labels? Yes 0 No n <br />Samples in proper container/bottle? Yes Q No F] <br />Sample containers intact? Yes 0 No F] <br />Sufficient sample volume for indicated test? Yes Z No Ej <br />All samples received within holding time? Yes Q No E] <br />Container/Temp Blank temperature: 7.3C On Ice <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No E] Not Applicable n <br />Contact and Corrective Action Comments: <br />None <br />Page 29 of 39 <br />