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ENERGY <br />I A`1O17AIORIr- <br />None <br />Contact and Corrective Action Comments: <br />www.energylab.com <br />Assl S- Eret9 Oct trt 1952 J <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes Q No <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes ❑ No E] <br />Chain of custody present? Yes Q No E] <br />Chain of custody signed when relinquished and received? Yes 0 No [] <br />Chain of custody agrees with sample labels? Yes j No [] <br />Samples in proper container /bottle? Yes EJJ No [] <br />Sample containers intact? Yes EJJ No E] <br />Sufficient sample volume for indicated test? Yes [Jf No [] <br />All samples received within holding time? Yes El No E] <br />Container/Temp Blank temperature: 9.6°C On Ice <br />Water - VOA vials have zero headspace? Yes E] No E i <br />Water - pH acceptable upon receipt? Yes EJ1 No [] <br />Helena, Mr 877 412 - 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, IX 888 - 680 - 2218 <br />11 <br />11 <br />11 <br />Cotter Corporation C11050843 <br />Login completed by: Edith McPike Date Received: 5/25/2011 <br />Reviewed by: BL2000 \hackerman Received by: dw <br />Reviewed Date: 5/26/2011 Carrier FedEx <br />name: <br />Not Present [] <br />Not Present El <br />Not Present <br />11 <br />11 <br />No VOA vials submitted <br />Not Applicable E] <br />111 <br />Page 11 of 20 <br />