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wWNLa aWab.wn <br />A?idjua/aaaaterasbw reu <br />f7 :472-0711 • Billings, Mf 800-735-4489 • Casper, WY 888-235-0513 <br />1_756 flapid-City, So 888-672-.1225 • CollegeStation, TX 888-690-2218 <br />Workorder Receipt Checklist ?pIRIYllllllll <br />Cotter Corporation C1 1020751 <br />Login completed by: Corinne Wagner Date Received: 2/28/2011 <br />Reviewed by: BL2000\tedwards Received by: ckw <br />Reviewed Date: 3/2/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes [14 No Not Present ? <br />Custody seals intact on shipping container/cooler? Yes E] No F-l Not Present Q <br />Custody seals intact on sample bottles? Yes [:] No F? Not Present 0 <br />Chain of custody present? Yes RI No ? <br />Chain of custody signed when relinquished and received? Yes 0 No F] <br />Chain of custody agrees with sample labels? Yes Q No <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes 0 No D <br />Sufficient sample volume for indicated test? Yes Q No 0 <br />All samples received within holding time? Yes No <br />Container/Temp Blank temperature: 4.2°C <br />Water - VOA vials have zero headspace? Yes L] No E] No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No E] Not Applicable F1 <br />Contact and Corrective Action Comments: <br />None <br />Page 17 of 20 <br />