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ENERGY <br />wv w.energylab.com <br />Msrytdgl auk= Stec.1952 J I <br />Workorder Receipt Checklist <br />Login completed by: Edith McPike <br />Reviewed by: BL2000 \hackerman <br />Reviewed Date: 5/13/2011 <br />Shipping container /cooler in good condition? Yes No ❑ <br />iz_i Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes ❑ No ❑ <br />Chain of custody present? Yes [l No ❑ <br />Chain of custody signed when relinquished and received? Yes 2 No ❑ <br />Chain of custody agrees with sample labels? Yes [Jf No ❑ <br />Samples in proper container /bottle? Yes 0 No ❑ <br />Sample containers intact? Yes 2 No ❑ <br />Sufficient sample volume for indicated test? Yes Z No ❑ <br />All samples received within holding time? Yes Z No ❑ <br />Container/ Temp Blank temperature: 4.8°C On Ice <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes 2 No ❑ <br />Contact and Corrective Action Comments: <br />None <br />Helens, MT 877 -472 -0711 • Billings, MT 800- 735 -4489 • Casper, WY 888- 235 -0515 <br />Gillette, WY 066- 686 -7175 • Rapid City, SD 888 - 672 -1225 • College Station, TX 880- 690 -2218 <br />11 <br />11 <br />11 <br />I <br />Cotter Corporation C11050423 <br />Date Received: 5/12/2011 • <br />Received by: dw <br />Carrier FedEx <br />name: <br />Not Present ❑ <br />Not Present Q <br />Not Present [� <br />No VOA vials submitted 0 <br />Not Applicable ❑ <br />W <br />11 <br />Page 34 of 44 <br />