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ENERGY <br />L Af3 OR ATC RI ES <br />Contact and Corrective Action Comments: <br />None <br />wwareneigYta6.com ( Helena, MT 877- 472 -0711 • Billings,.MT 800=735 -4489 • Casper, WY 888 -235 -0515 <br />Aisifttiathistlaire Sias 782 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 6/22/2011 <br />Shipping container /cooler in good condition? Yes [Jf No ❑ <br />Custody seals intact on shipping container /cooler? Yes 0 No ❑ <br />Custody seals intact on sample bottles? Yes 0 No ❑ <br />Chain of custody present? Yes Z No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No 0 <br />Chain of custody agrees with sample labels? Yes Z No ❑ <br />Samples in proper container /bottle? Yes 0 No 0 <br />Sample containers intact? Yes IZI No ❑ <br />Sufficient sample volume for indicated test? Yes 0 No ❑ <br />All samples received within holding time? Yes[/( No 0 <br />Container/Temp Blank temperature: 10.8°C On Ice <br />Water - VOA vials have zero headspace? Yes 0 No 0 <br />Water - pH acceptable upon receipt? Yes Z No ❑ <br />Gillette, WY 866 - 686 -7175 • Rapid City„ SO 886- 672 =1225 • College Station, IX 888 -690 -2218 <br />11 <br />Not Present ❑ <br />Not Present EJ <br />Not Present <br />11 <br />111 <br />C11060712 <br />Date Received: 6/16/2011 <br />Received by: ha <br />Carrier FedEx <br />name: <br />No VOA vials submitted <br />Not Applicable ❑ <br />Page 24 of 29 <br />