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ENERGY <br />L.ArA.ORATORIES <br />None <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes 173 <br />Custody seals intact on shipping container /cooler? Yes ❑ <br />Custody seals intact on sample bottles? Yes ❑ <br />Chain of custody present? Yes Q <br />Chain of custody signed when relinquished and received? Yes Q <br />Chain of custody agrees with sample labels? Yes Q <br />Samples in proper container /bottle? Yes Er <br />Sample containers intact? Yes Q <br />Sufficient sample volume for indicated test? Yes[/( <br />All samples received within holding time? Yes 0 <br />Container/Temp Blank temperature: 7.8°C On Ice <br />Water - VOA vials have zero headspace? Yes [] <br />Water - pH acceptable upon receipt? Yes Q <br />Contact and Corrective Action Comments: <br />www.enezgylab.com <br />A..z11alExc.Bw+c.Macs 1932 <br />Helena, MT 877- 472 -0711 • Billings, MT 800 -735 -4489 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 -686 -7175 • Rapid City, SD 888 -672 -1225 • College Station, TX 888 -690 -2218 <br />No ❑ <br />No ❑ <br />No ❑ <br />No <br />No [] <br />No[] <br />No ❑ <br />No [] <br />No ❑ <br />No ❑ <br />No ❑ <br />No [] <br />11 <br />Not Present ❑ <br />Not Present El <br />Not Present El <br />11 <br />Login completed by: Corinne Wagner Date Received: 5/26/2011 <br />Reviewed by: BL2000 \hackerman Received by: dw <br />Reviewed Date: 5/31/2011 Carrier FedEx <br />name: <br />11 <br />Cotter Corporation C11050901 <br />No VOA vials submitted [� <br />Not Applicable [] <br />11 <br />Page 22 of 27 <br />