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www.eneWebcom Heiera VT 517-472-0711 9 8IIIIngs,M1800-735-4489 • Casper, WY $88-235-0515 <br />A fiweiYeee'Skes talst tte y Y 8664 ,-7175 ? Rapid Go, SD 888-612-1225 • College stet en, IX 888-690-2215 <br />Workorder Receipt Checklist IIIIIIIIIIIIII IIIIIII IIIIII IIIIII III <br />Cotter Corporation C11020376 <br />Login completed by: Corinne Wagner Date Received: 2/11/2011 <br />Reviewed by: BL2000\hackerman Received by: ha <br />Reviewed Date: 2/15/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Q No ? Not Present El <br />Custody seals intact on shipping container/cooler? Yes El No ? Not Present Q <br />Custody seals intact on sample bottles? Yes E] No F? Not Present Q <br />Chain of custody present? Yes No <br />Chain of custody signed when relinquished and received? Yes[/( No <br />Chain of custody agrees with sample labels? Yes Q No <br />Samples in proper container/bottle? Yes [Jf No M <br />Sample containers intact? Yes No <br />Sufficient sample volume for indicated test? Yes No <br />All samples received within holding time? Yes Q No <br />ContainerTremp Blank temperature: 3'C On Ice <br />Water - VOA vials have zero headspace? Yes El No ? No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes 0 No Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 24 of 29