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wwwx*Web.com Helena, M1 ni 1-+1e-Us 11 - auw?gs, M1 --- --- <br />A?rytfarEu ftmar saoae tlw t , f i Bette, wY 066-686-7179 • Rapid City, M1118-11172-1225 • Collage Station, TX 880-690-2218 <br />Workorder Receipt Checklist IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />Cotter Corporation C11030940 <br />Login completed by: Corinne Wagner Date Received: 3/31/2011 <br />Reviewed by: BL2000\Tedwards Received by: em <br />Reviewed Date: 4/6/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes 171 No ? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes Q No ? Not Present ? <br />Custody seals intact on sample bottles? Yes ? No ? Not Present [f <br />Chain of custody present? Yes Q No ? <br />Chain of custody signed when relinquished and received? Yes Q No ? <br />Chain of custody agrees with sample labels? Yes No ? <br />Samples in proper container/bottle? Yes Q No ? <br />Sample containers intact? Yes [7J No ? <br />Sufficient sample volume for indicated test? Yes [Jf No ? <br />All samples received within holding time? Yes F,71 No R <br />Container/Temp Blank temperature: 7.4°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes Q No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 20 of 24