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wwwm eWeb.com <br />Ae>?ytleif Enwireair EMia 1lSI <br />2-0711 • Billings, Rfr 800-735-4489 • Cespa,, WY 888-235-0515 <br />Rapid City, so 888-612-1225, • Callege.Stet m, IX 88x1-690-221@. <br />Workorder Receipt Checklist VIII I II IIIIII I II IIIIIIIIIIIII <br />Cotter Corporation C11010792 <br />Login completed by: Halley Ackerman Date Received: 1/26/2011 <br />Reviewed by: BL2000\cwagner Received by: ckw <br />Reviewed Date: 1/27/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Q No ? Not Present <br />Custody seals intact on shipping container/cooler? Yes E] No ? Not Present Q <br />Custody seals intact on sample bottles? Yes El No F7 Not Present [?7( <br />Chain of custody present? Yes [?( No <br />Chain of custody signed when relinquished and received? Yes No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes No ? <br />Sample containers intact? Yes [,/J No ? <br />Sufficient sample volume for indicated test? Yes Q No ? <br />All samples received within holding time? Yes [JJ No ? <br />Container/Temp Blank temperature: 3°C On Ice <br />Water- VOA vials have zero headspace? Yes ? No ? No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes [Jf <br />---------------- No El <br />-------------- Not Applicable ? <br />----------------------------- <br />------------------------------------------------------ <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ---------------- -------------- ----------------------------- <br />None <br />Page 29 of 39 <br />.. .:r _?? .. _?_, _ . ..:e: _ ?s?? _- -=?. y,.._ . _. .???,::-....nom 4..,.1.;..:?,.? ?.?-•?,_.. ,__, ...