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ENERGY <br />nio17m - crn <br />None <br />Login completed by: Edith McPike <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 6/16/2011 <br />Contact and Corrective Action Comments: <br />www.energptab.cam Helena, MT 877 - 472 -0711 • Billings, Mr 800 - 735 -4489 • Casper, WY 888 -235 -0515 <br />M tla/f Oa.Stau lit Gillette, WY 866. 686 - 7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888 - 690 - 2218 <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes RI <br />Custody seals intact on shipping container /cooler? Yes ❑ <br />Custody seals intact on sample bottles? Yes E] <br />Chain of custody present? Yes El <br />Chain of custody signed when relinquished and received? Yes El <br />Chain of custody agrees with sample labels? Yes Q <br />Samples in proper container /bottle? Yes <br />Sample containers intact? Yes <br />Sufficient sample volume for indicated test? Yes [J1 <br />All samples received within holding time? Yes [Jf <br />Container/Temp Blank temperature: 14.0°C Melted Ice <br />Water - VOA vials have zero headspace? Yes ❑ <br />Water - pH acceptable upon receipt? Yes [� <br />No <br />No <br />No E] <br />No [] <br />No LI <br />No [] <br />No [] <br />No [] <br />No [] <br />No [] <br />N o [] <br />No [] <br />11 <br />i <br />Date Received: 6/13/2011 <br />Received by: dw <br />Carrier FedEx <br />name: <br />Not Present ❑ <br />Not Present <br />Not Present J <br />11 <br />No VOA vials submitted 0 <br />Not Applicable [] <br />11 <br />Cotter Corporation C11060536 <br />Page 17 of 20 <br />