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ENERGY <br />I ARORtTCRIFIS <br />None <br />Contact and Corrective Action Comments: <br />www.eeergylab.com <br />Mdy7ta tExeshoca Sinn 1831 <br />Workorder Receipt Checklist <br />Login completed by: Edith McPike <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 5/4/2011 <br />Shipping container /cooler in good condition? Yes Q <br />Custody seals intact on shipping container /cooler? Yes fl <br />Custody seals intact on sample bottles? Yes ri <br />Chain of custody present? Yes [ <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes [ <br />Samples in proper container /bottle? Yes 0 <br />Sample containers intact? Yes 0 <br />Sufficient sample volume for indicated test? Yes 0 <br />All samples received within holding time? Yes 0 <br />Container/Temp Blank temperature: 3.8°C On Ice <br />Water - VOA vials have zero headspace? Yes ❑ <br />Water - pH acceptable upon receipt? Yes 0 <br />Helena, MT 817- 472 -0711 • Billings, MT 800 - 735 -4469 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 -686 -7175 • Rapid City, SD 886 -672 -1225 • College Station, TX 888- 690 -2218 <br />No ❑ <br />No ❑ <br />No ❑ <br />No ❑ <br />No 0 <br />No <br />No ❑ <br />No ❑ <br />No 0 <br />No ❑ <br />No <br />N o ❑ <br />11 <br />Date Received: 5/3/2011 <br />Received by: em <br />Carrier FedEx <br />name: <br />Not Present ❑ <br />Not Present Ed <br />Not Present VI <br />11 <br />No VOA vials submitted WI <br />Not Applicable <br />11 <br />Cotter Corporation C11050080 <br />Page 11 of 20 <br />