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ENERGY <br />1 ARORATOR1 <br />Workorder Receipt Checklist <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000 \emcpike <br />Reviewed Date: 6/29/2011 <br />Shipping container /cooler in good condition? Yes 0 No L <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes ❑ . No 0 <br />Chain of custody present? Yes 0 No ill <br />Chain of custody signed when relinquished and received? Yes 0 No ❑ <br />Chain of custody agrees with sample labels? Yes 0 No ❑ <br />Samples in proper container /bottle? Yes 0 No ❑ <br />Sample containers intact? Yes 0 No ill <br />Sufficient sample volume for indicated test? Yes 0 No III <br />All samples received within holding time? Yes 0 No 0 <br />Container/Temp Blank temperature: 12.2°C <br />Water - VOA vials have zero headspace? Yes 11 No ID <br />Water - pH acceptable upon receipt? Yes 0 No El <br />Contact and Corrective Action Comments: <br />None <br />t <br />www.energ 1ab.com <br />ARiQ rlEz .ft ine 1952 <br />Helena, MT 877 - 472 -0711 • Billings, MT 801- 735 -4419 • Casper, WY 888- 235 -0515 <br />Gillette, WY 865- 666 -7175 • Rapid City, SD 881 -672 -1225 • College Station, TX 888 -600 -2218 <br />11 <br />11 <br />11 <br />11 <br />11 <br />11 <br />Cotter Corporation C11061003 <br />Date Received: 6/24/2011 <br />Received by: dw <br />Carrier FedEx <br />name: <br />Not Present LI <br />Not Present 0 <br />Not Present 0 <br />No VOA vials submitted 0 <br />Not Applicable <br />I <br />Page 18 of 21 <br />