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www lab.com g??r'a; MF 877412-0711 •81111ngs, 6tT 600435-4489 • Casper, WY 888-235-8515 <br />IlSI ?88fi{i66=7175 Rapid City, SD 888-672-1225 • College Station, TX 888-690-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C11010885 <br />Login completed by: Corinne Wagner Date Received: 1/31/2011 <br />Reviewed by: BL2000\hackerman Received by: ckw <br />Reviewed Date: 2/1/2011 Carrier name: Fed Ex <br />Shipping container/cooler in good condition? Yes 0 No ? Not Present <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present <br />Custody seals intact on sample bottles? Yes ? No 0 Not Present Q <br />Chain of custody present? Yes [Jf No El <br />Chain of custody signed when relinquished and received? Yes [ No 7 <br />Chain of custody agrees with sample labels? Yes No F7 <br />Samples in proper container/bottle? Yes Q No ? <br />Sample containers intact? Yes No ? <br />Sufficient sample volume for indicated test? Yes [/f No ? <br />All samples received within holding time? Yes [J? No ? <br />Container/Temp Blank temperature: 3°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 20 of 24