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www.eneWsb.com <br />A?p!Ifplfiae/Aso' Sbrx 1137 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000\tedwards <br />Reviewed Date: 3/16/2011 <br />77472-0711 - Billings, 0 801-735=4489 - Casper, WY <br />il]i3 - Iapid City, SD 868-672-1223 • College Station, TX <br />IIIIII IIII I III VIII VIII VIII VIII IIII II II I IIII <br />C11030280 <br />Date Received: 3/9/2011 <br />Received by: ha <br />Carrier FedEx <br />name: <br />Shipping container/cooler in good condition? Yes 0 No R Not Present <br />Custody seals intact on shipping container/cooler? Yes No F1 Not Present 0 <br />Custody seals intact on sample bottles? Yes No Not Present 0 <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes Q No E] <br />Chain of custody agrees with sample labels? Yes Q No <br />Samples in proper container/bottle? Yes 0 No <br />Sample containers intact? Yes 171 No <br />Sufficient sample volume for indicated test? Yes [7f No ? <br />All samples received within holding time? Yes [J1 No ? <br />Container/Temp Blank temperature: 2.41C On Ice <br />Water - VOA vials have zero headspace? Yes E] No R No VOA vials submitted 0 <br />Water - pH acceptable upon receipt? Yes Q No R Not Applicable El <br />Contact and Corrective Action Comments: <br />None <br />15-0515 <br />10-2218 <br />Page 27 of 36