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ENERGY <br />L A9ORATORIFS <br />Contact and Corrective Action Comments: <br />None <br />www.enetgylab.com r <br />Anallr&zIEwa=Slosu1831 ) I <br />Workorder Receipt Checklist <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000 \emcpike <br />Reviewed Date: 6/10/2011 <br />Shipping container /cooler in good condition? Yes [� <br />Custody seals intact on shipping container /cooler? Yes <br />Custody seals intact on sample bottles? Yes ❑ <br />Chain of custody present? Yes 171 <br />Chain of custody signed when relinquished and received? Yes [� <br />Chain of custody agrees with sample labels? Yes 0 <br />Samples in proper container /bottle? Yes <br />Sample containers intact? Yes f <br />Sufficient sample volume for indicated test? Yes <br />All samples received within holding time? Yes 0 <br />Container/Temp Blank temperature: 6.4°C On Ice <br />Water - VOA vials have zero headspace? Yes fl <br />Water - pH acceptable upon receipt? Yes [� <br />Helena, MT 877- 472 -0711 • Billings, MT 800- 735 -4489 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 -686 -7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888 -690 -2218 <br />No 0 <br />No <br />No El <br />No ❑ <br />No ❑ <br />No El <br />No fl <br />No <br />No El <br />No ❑ <br />No <br />No <br />11 <br />Date Received: 6/9/2011 <br />Received by: dw <br />Carrier FedEx <br />name: <br />Not Present LI <br />Not Present RI <br />Not Present [� <br />11 <br />No VOA vials submitted [J� <br />Not Applicable LI <br />11 <br />Cotter Corporation C11060459 <br />Page 16 of 19 <br />