Laserfiche WebLink
www.ale dabxom <br />ANKAiMMIA aSMrut <br />472-0711 • Billings, W B08435-"89* Casper, WY 816-235-0915 <br />i ?apw.C ty -SD 818-672-1225,• College Statism TX 883-690-2218 <br />Workorder Receipt Checklist IIII I II VIII IIIIIII II II II <br />Cotter Corporation C1 1010664 <br />Login completed by: Halley Ackerman Date Received: 1/24/2011 <br />Reviewed by: BL2000\cwagner Received by: ha <br />Reviewed Date: 1/25/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No F? Not Present ? <br />Custody seals intact on shipping container/cooler? Yes ? No ? Not Present Q <br />Custody seals intact on sample bottles? Yes ? No ? Not Present 0 <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes 0 No ? <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes 0 No <br />All samples received within holding time? Yes 0 No <br />Container/Temp Blank temperature: 1°C On Ice <br />Water- VOA vials have zero headspace? Yes No No VOA vials submitted <br />Water- pH acceptable upon receipt? Yes 0 <br />---------- No <br />-------------- Not Applicable El <br />----------------------------- <br />------------------------------------------------------ <br />------------------------------------------------------ <br />Contact and Corrective Action Comments: ------ <br />---------------- -------------- ----------------------------- <br />None <br />Page 11 of 20 <br />