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vrwwMermitab wm -? ftel., MT B77-472-0711 • Billings, Ur 888-735-4469 • Casper, WY 888-235-1515 <br />. n? ?? ?e _ r i cn ?QQ_Q79_1Mi Cnlleeu CH?inn TY BSB. M-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000\tedwards <br />Reviewed Date: 3/17/2011 <br />Shipping container/cooler in good condition? <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Samples in proper container/bottle? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />All samples received within holding time? <br />Container/Temp Blank temperature: <br />Water - VOA vials have zero headspace? <br />Water - pH acceptable upon receipt? <br />Contact and Corrective Action Comments: <br />None <br />Yes [J1 <br />Yes 11 <br />Yes Fj <br />Yes 0 <br />Yes (,7J <br />Yes <br />Yes <br />Yes F/I <br />Yes[/( <br />Yes Q <br />4.4°C On Ice <br />Yes <br />Yes Q <br />oii?mmniiiu <br />C11030378 <br />Date Received: 3/11/2011 <br /> Received by: ckw <br /> Carrier Ground <br /> name: <br />No Not Present <br />No Not Present [?( <br />No Not Present Q <br />No ? <br />No F] <br />No F1 <br />No El <br />No ? <br />No ? <br />No ? <br />No El No VOA vials submitted Q <br />No El Not Applicable El <br />Page 24 of 29