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www.aierdab.com <br />Au8lica! Eaaftm SIM IN2 <br />11 - Billings mr 801-735-4489 - Casper, WY 088435-0513 <br />d City, su 880-672-1225 - college Station, TX 681-618-2318 <br />Workorder Receipt Checklist III?III IIIIIIIII IIIIIIIIIIIIIIIII <br />Cotter Corporation C10110468 <br />Login completed by: Halley Ackerman Date Received: 11/11/2010 <br />Reviewed by: BL2000\alynch Received by: ckw <br />Reviewed Date: 11/19/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Z No [] Not Present E] <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present 0 <br />Custody seals intact on sample bottles? Yes [] No ? Not Present Q <br />Chain of custody present? Yes 171 No ? <br />Chain of custody signed when relinquished and received? Yes [ No <br />Chain of custody agrees with sample labels? Yes [?7( No <br />Samples in proper container/bottle? Yes Q No <br />Sample containers intact? Yes Q No E] <br />Sufficient sample volume for indicated test? Yes No E] <br />All samples received within holding time? Yes [?7( No ? <br />Container/Temp Blank temperature: 6'C On Ice <br />Water - VOA vials have zero headspace? Yes EJ No ? No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No ? Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 20 of 23 <br />