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ENERGY <br />LABORATORIES <br />ate' <br />Workorder Receipt Checklist <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 6/9/2011 <br />Shipping container /cooler in good condition? Yes [(✓ No 0 <br />Custody seals intact on shipping container /cooler? Yes ❑ No III <br />Custody seals intact on sample bottles? Yes ❑ No lIl <br />Chain of custody present? Yes 0 No ID <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes [l No ❑ <br />Samples in proper container /bottle? Yes 0 No ❑ <br />Sample containers intact? Yes 0 No fl <br />Sufficient sample volume for indicated test? Yes 0 No 0 <br />All samples received within holding time? Yes 0 No 0 <br />Container/Temp Blank temperature: 10.6°C <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No LI <br />Contact and Corrective Action Comments: <br />None <br />wwwenergyla6.cflm Helene, MT 877 -472 4711 • Billings, MT 800- 735 -4489 • Casper, WY 888-235-0515; <br />AsilitfillExiiitaicaStie i 952 Gillette, WY 866- 686 -7175 • Rapid City 8018B-672-1225 • College station; TX 8884904218 <br />11 <br />I <br />Date Received: 6/8/2011 <br />Received by: em <br />Carrier FedEx <br />name: <br />Not Present 111- <br />Not Present 0 <br />Not Present [� <br />11 <br />11 <br />i <br />11 <br />Cotter Corporation C11060386 <br />No VOA vials submitted [� <br />Not Applicable ❑ <br />11 <br />Page 31 of 41 <br />