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wwxiefiagylab.COm MONOW?,??2p"d -0A l • Billings, MT 681-735-4499 • Casper, WY 881-235-0515 <br />ArfptlwlUcdrm,a,,Im C6, so SSB-672-1225 • CollegeSfation,TX886=69D-2218 <br />Workorder Receipt Checklist IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />Cotter Corporation C10110835 <br />Login completed by: Edith McPike Date Received: 11/23/2010 <br />Reviewed by: BL2000\alynch Received by: ha <br />Reviewed Date: 12/8/2010 Carrier name: Fed Ex <br />Shipping container/cooler in good condition? Yes [J1 No ? Not Present <br />Custody seals intact on shipping container/cooler? Yes No Not Present <br />Custody seals intact on sample bottles? Yes No Not Present [Jf <br />Chain of custody present? Yes Q No <br />Chain of custody signed when relinquished and received? Yes No El <br />Chain of custody agrees with sample labels? Yes [Jf No <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes [J? No <br />Sufficient sample volume for indicated test? Yes [Jf No <br />All samples received within holding time? Yes [?7J No E] <br />Container/Temp Blank temperature: 3°C <br />Water - VOA vials have zero headspace? Yes No No VOA vials submitted [f <br />Water - pH acceptable upon receipt? Yes 0 No Not Applicable El <br />Contact and Corrective Action Comments: <br />None <br />Page 20 of 23 <br />