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www.eneWab.com <br />A U:dh a DO# IZ2 <br />I Billings, W 800-7354489 • Casper, WY 888-235-0515 <br />C y, so 888472-1225 - COU896 St8tion, W118,111-691111-2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000\hackerman <br />Reviewed Date: 2/18/2011 <br />Shipping container/cooler in good condition? <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Samples in proper container/bottle? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />All samples received within holding time? <br />Container[remp Blank temperature: <br />Ammwnimnii <br />„ozo4zz <br />Date Received: 2/11/2011 <br />Received by: ha <br />Carrier name: FedEx <br />Yes Q <br />Yes El <br />Yes E] <br />Yes Q <br />Yes <br />Yes Q <br />Yes 0 <br />Yes <br />Yes Q <br />Yes Q <br />3°C On Ice <br />No ? <br />No <br />No <br />No ? <br />No 7 <br />No El <br />No <br />No <br />No <br />No <br />Not Present <br />Not Present <br />Not Present Q <br />Water - VOA vials have zero headspace? Yes ? No ? <br />Water - pH acceptable upon receipt? Yes Q No <br />---------------------------------------------------------------------------------- <br />---------------------------------------------------------------------------------- <br />Contact and Corrective Action Comments: <br />No VOA vials submitted <br />Not Applicable 11 <br />------------------------------------------ <br />An Energy Laboratories Chain of Custody was not received with the samples. Work order was logged per Cotters <br />Sample Submittal and Tracking Form and Table 2. <br />Page 20 of 22 <br />- -----------------