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wwwsne dab.com <br />Iuy(fq[&M#jae slae :1M <br />124711 • Billings, MT 800-735-4489 • Casper, WY 858-235-0915 <br />topic SD 888-672-1225 • College station, Tx 888-690-2215 <br />Workorder Receipt Checklist IIIIIIIIIIIIII IIIIIIII IIIIIIIIIIIIII IIII <br />Cotter Corporation C11010459 <br />Login completed by: Corinne Wagner Date Received: 1/14/2011 <br />Reviewed by: BL2000\tedwards Received by: em <br />Reviewed Date: 1/17/2011 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No R Not Present E] <br />Custody seals intact on shipping container/cooler? Yes El No 1:1 Not Present 0 <br />Custody seals intact on sample bottles? Yes No Not Present [J( <br />Chain of custody present? Yes [J1 No <br />Chain of custody signed when relinquished and received? Yes Q No <br />Chain of custody agrees with sample labels? Yes R1 No ? <br />Samples in proper container/bottle? Yes 0 No 7 <br />Sample containers intact? Yes Z No R <br />Sufficient sample volume for indicated test? Yes Q No ? <br />All samples received within holding time? Yes Q No <br />Container/Temp Blank temperature: 2°C On Ice <br />Water - VOA vials have zero headspace? Yes E] No El No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No R Not Applicable El <br />Contact and Corrective Action Comments: <br />None <br />Page 28 of 38