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wwwrenergYlab com <br />Ene%m Abo reu <br />r MHeIA}a Mi 877-472-0711 • Billings, W 808-735-4489 • Casper, WY888-235-0515 <br />eaYr 06'686--717V! Rapid City, SD 889-972=1225 • College Statien, TX 888-698-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C1 1020391 <br />Login completed by: Halley Ackerman Date Received: 2/14/2011 <br />Reviewed by: BL2000\tedwards Received by: ha <br />Reviewed Date: 2/15/2011 Carrier name: Ground <br />Shipping container/cooler in good condition? Yes Q No Not Present <br />Custody seals intact on shipping container/cooler? Yes E] No 7 Not Present <br />Custody seals intact on sample bottles? Yes No 0 Not Present 0 <br />Chain of custody present? Yes 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 No <br />Sample containers intact? Yes [?( No <br />Sufficient sample volume for indicated test? Yes No 0 <br />All samples received within holding time? Yes Q No El <br />Container/remp Blank temperature: 5°C Blue 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 />-------------------------------------- <br />Contact and Corrective Action Comments: <br />None <br />Page 11 of 20