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www.onagplab:com <br />A.,ryerad E,x+row?a ?Nra 185t <br />11 • Billings, W 881-735-4499 • Casper, WY 808-235-0515 <br />id,ch So 818-672-1225 • Calls Station, TXSWOOD-2218 <br />Workorder Receipt Checklist IIIIIIII IIIIII (III II IIIIIIII (III (III <br />Cotter Corporation C11010246 <br />Login completed by: Corinne Wagner Date Received: 1/7/2011 <br />Reviewed by: BL2000\tedwards Received by: dcq <br />Reviewed Date: 1/13/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes Q No [:] Not Present 7 <br />Custody seals intact on shipping container/cooler? Yes El No El Not Present 0 <br />Custody seals intact on sample bottles? Yes El No El Not Present 0 <br />Chain of custody present? Yes [Jf No <br />Chain of custody signed when relinquished and received? Yes [J1 No <br />Chain of custody agrees with sample labels? Yes No <br />Samples in proper container/bottle? Yes [7f No <br />Sample containers intact? Yes [Jf No <br />Sufficient sample volume for indicated test? Yes No ? <br />All samples received within holding time? Yes Q No E] <br />Container/Temp Blank temperature: 3°C On Ice <br />Water - VOA vials have zero headspace? Yes ? No ? No VOA vials submitted <br />Water - pH acceptable upon receipt? Yes No ? Not Applicable <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ---------------- -------------- ----------------------------- <br />None <br />Page 10 of 18 <br />