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www.Kiffeab.com <br />AU"fwtfira MMM1M <br />2-0711 • Billings; MT 801-135-4480 -Casper, WY 888-235-0515 <br />taxi cry, so 888472=1225 • CetiegeStalian, TX 668-69072218, <br />Workorder Receipt Checklist <br />Cotter Corporation 011030280 <br />Login completed by: Corinne Wagner Date Received: 3/9/2011 <br />Reviewed by: BL2000\tedwards Received by: ha <br />Reviewed Date: 3/16/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes Q No Not Present ? <br />Custody seals intact on shipping container/cooler? Yes E] No ? Not Present Q <br />Custody seals intact on sample bottles? Yes E] No E] Not Present Q <br />Chain of custody present? Yes F,71 No Fj <br />Chain of custody signed when relinquished and received? Yes Q No F] <br />Chain of custody agrees with sample labels? Yes [Jf No <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes [J1 No <br />Sufficient sample volume for indicated test? Yes F,71 No n <br />All samples received within holding time? Yes 0 No F] <br />Container/Temp Blank temperature: 2.41C On Ice <br />Water - VOA vials have zero headspace? Yes 1:1 No El No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No El Not Applicable El <br />Contact and Corrective Action Comments: <br />None <br />Page 27 of 36 <br />