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wwwAnerdsb=rn ( Helena, Mr 811-412-0111 • Billings, MT 808-135-4189 • Casper, WY 688-235-0515 <br />NNi1Md CW di riM-. 1=9 f .. ....- - .... _ - .. .... - www ....wwr _ .... -.. www www -w.w <br />Workortler Receipt Checklist IIlIIYIY?Mllfll <br />Cotter Corporation C1103081] <br />Login completed by: Corinne Wagner Date Received: 3/28/2011 <br />Reviewed by: BL2000\Tedwards Received by: ckw <br />Reviewed Date: 4/5/2011 Carrier FedEx <br /> name: <br />Shipping container/cooler in good condition? Yes [,;l No ? Not Present n <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present Q <br />Custody seals intact on sample bottles? Yes El No 0 Not Present 0 <br />Chain of custody present? Yes Q No n <br />Chain of custody signed when relinquished and received? Yes 0 No F] <br />Chain of custody agrees with sample labels? Yes Q No F1 <br />Samples in proper container/bottle? Yes 0 No F1 <br />Sample containers intact? Yes 0 No n <br />Sufficient sample volume for indicated test? Yes No n <br />All samples received within holding time? Yes [7f No El <br />Container/Temp Blank temperature: 7.4 °C <br />Water - VOA vials have zero headspace? Yes E] No E] No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No L1 Not Applicable n <br />Contact and Corrective Action Comments: <br />None <br />Page 22 of 26