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www.aiergylab.com <br />AU&d* Eat Sbo IM <br />I • Billings, MT 801-735-4489 • Casper, WY 888-235-8515 <br />sa, u,"14,72-11225 • College Station, TX 888=690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C11030702 <br />Login completed by: Halley Ackerman Date Received: 3/23/2011 <br />Reviewed by: BL2000\tedwards Received by: ha <br />Reviewed Date: 3/25/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes No ? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present Q <br />Custody seals intact on sample bottles? Yes ? No ? Not Present 0 <br />Chain of custody present? Yes Z No ? <br />Chain of custody signed when relinquished and received? Yes 0 No ? <br />Chain of custody agrees with sample labels? Yes Fvj No ? <br />Samples in proper container/bottle? Yes M No ? <br />Sample containers intact? Yes No ? <br />Sufficient sample volume for indicated test? Yes No F] <br />All samples received within holding time? Yes 0 No F1 <br />Container/Temp Blank temperature: 3.4°C On Ice <br />Water - VOA vials have zero headspace? Yes E] No n No VOA vials submitted [?7( <br />Water - pH acceptable upon receipt? <br />------------------------------------------------------- Yes 0 <br />-------------------- No El <br />---------- Not Applicable ? <br />----- <br />- <br /> <br />------------------------------------------------------- <br />Contact and Corrective Action Comments: <br />-------------------- <br />---------- --- <br />------------------------ <br />--------------------------------- <br />None <br />Page 28 of 38 <br />