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ENERGY <br />I ARORATCRIFS <br />www.energlab.com <br />kistitind En•: r Since 1852 <br />Workorder Receipt Checklist <br />Helena, MT 877472 -0711 • Billings, MT B00- 735 -4489 • Casper, WY 888-235-0515 <br />Gillette, WY 866 -686-7175 • Rapid City, SD 88B- 672 -1225 • College Station, TX 888- 680 -2218 <br />11 <br />11 <br />Cotter Corporation C11070080 <br />Login completed by: Edith McPike Date Received: 7/5/2011 <br />Reviewed by: BL2000 \cwagner Received by: em <br />Reviewed Date: 7/6/2011 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes 0 No El <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes El No <br />Chain of custody present? Yes [Jf No <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 I-J� No Ill <br />Sample containers intact? Yes Q No 0 <br />Sufficient sample volume for indicated test? Yes [r No ❑ <br />All samples received within holding time? Yes [J1 No ❑ <br />Container/Temp Blank temperature: 23.6°C Melted Ice <br />Water - VOA vials have zero headspace? Yes fl No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />Contact and Corrective Action Comments: <br />None <br />Not Present <br />Not Present WI <br />Not Present 0 <br />11 <br />11 <br />11 <br />No VOA vials submitted <br />Not Applicable ❑ <br />11 <br />11 <br />Page 18 of 21 <br />