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www.enewab.com <br />Ar>tjlk9E=aN W Me+k 1W <br />72 071.1 • Billings, MT 880-735-4189 • Casper, WY 880435-0515 <br />,+-R id City, So 880-672-1225 • CDIIege Station, TX 888-610-2218 <br />Workorder Receipt Checklist IIIIIII IIIIIII III IIIIIIIIIIIIIIIIIIIIII <br />Cotter Corporation C10110384 <br />Login completed by: Corinne Wagner Date Received: 11/9/2010 <br />Reviewed by: BL2000\hackerman Received by: em <br />Reviewed Date: 11/10/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes No El Not Present ? <br />Custody seals intact on shipping container/cooler? Yes No E] Not Present Q <br />Custody seals intact on sample bottles? Yes No 0 Not Present Q <br />Chain of custody present? Yes Q No E] <br />Chain of custody signed when relinquished and received? Yes F171 No E] <br />Chain of custody agrees with sample labels? Yes [Jf No E] <br />Samples in proper container/bottle? Yes [,/f No <br />Sample containers intact? Yes [J? No <br />Sufficient sample volume for indicated test? Yes No El <br />All samples received within holding time? Yes [?7( No ? <br />Container/Temp Blank temperature: 13°C Melted Ice <br />Water - VOA vials have zero headspace? Yes No El No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes No Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 7 of 9 <br />