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wwwoerda6.com <br />Ata?fa?eixere?c. saa rest <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000\Tedwards <br />Reviewed Date: 4/7/2011 <br />2-0711 0 Bill1n9s, 19 801-735-4489 • Casper,, WY 888-235-9515 <br />qapid C4, SD 898-67,2-1225 a College Station, T) <br />611040039 <br />Date Received: 4/1/2011 <br />Received by: em <br />Carrier FedEx <br />name: <br />Shipping container/cooler in good condition? Yes 0 No F-1 Not Present <br />Custody seals intact on shipping container/cooler? Yes Z No El Not Present <br />Custody seals intact on sample bottles? Yes El No Not Present <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes Z No ? <br />Chain of custody agrees with sample labels? Yes [7f No ? <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes No <br />All samples received within holding time? Yes [7J No ? <br />Container/Temp Blank temperature: 7.7°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 16 of 19 <br />