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www.aieWab.com <br />Aiiiryl(q/EsrM? SAset flat <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000\Tedwards <br />Reviewed Date: 3/31/2011 <br />Shipping container/cooler in good condition? Yes 0 <br />Custody seals intact on shipping container/cooler? Yes E] <br />Custody seals intact on sample bottles? Yes <br />Chain of custody present? Yes 0 <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes 0 <br />Samples in proper container/bottle? Yes 0 <br />Sample containers intact? Yes 0 <br />Sufficient sample volume for indicated test? Yes Q <br />All samples received within holding time? Yes 0 <br />Container/Temp Blank temperature: 1.2°C On Ice <br />Water - VOA vials have zero headspace? Yes ? <br />Water - pH acceptable upon receipt? Yes [/f <br />Contact and Corrective Action Comments: <br />None <br />877-472-0711 • Billings, MT 800-735-4489 • Casper, WY 888-235-0515 <br />-7175'• Rapid City, SD 886-672-1225 • College station, TX 668-690-2218 <br />„oaosoo <br />Date Received: 3/30/2011 <br /> Received by: ha <br /> Carrier FedEx <br /> name: <br />No Not Present El <br />No F] Not Present 0 <br />No n Not Present 0 <br />No F1 <br />No F1 <br />No <br />No <br />No <br />No <br />No <br />No ? No VOA vials submitted 0 <br />No ? Not Applicable El <br />Page 11 of 20 <br />