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ENERGY <br />1 A9CRATCRIFTS <br />Workorder Receipt Checklist <br />Login completed by: Halley Ackerman <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 6/7/2011 <br />Shipping container /cooler in good condition? Yes 10 <br />Custody seals intact on shipping container /cooler? Yes [J� <br />Custody seals intact on sample bottles? Yes 0 <br />Chain of custody present? Yes[/( <br />Chain of custody signed when relinquished and received? Yes E( <br />Chain of custody agrees with sample labels? Yes El <br />Samples in proper container /bottle? Yes [r <br />Sample containers intact? Yes [� <br />Sufficient sample volume for indicated test? Yes [( <br />All samples received within holding time? Yes <br />Container/Temp Blank temperature: 10.2°C On Ice <br />Water - VOA vials have zero headspace? Yes ❑ <br />Water - pH acceptable upon receipt? Yes Ef <br />Contact and Corrective Action Comments: <br />None <br />www.energylab.com Helena, MT B77- 472 -0711 • Billings, Mf B00- 735 -4489 • Casper, WY 888 -235 -0515 <br />isslytkiErairace Skin NH Gillette, WY 866 -686 -7175 • Rapid City, SD 888-672 -1225 • College Station, T% 888 -690 -2218 <br />No 0 <br />No ❑ <br />No ❑ <br />No 0 <br />No ❑ <br />No 0 <br />No ❑ <br />No 0 <br />No ❑ <br />No ❑ <br />No <br />No 0 <br />I <br />11 <br />I <br />Date Received: 6/3/2011 <br />Received by: dw <br />Carrier FedEx <br />name: <br />Not Present El <br />Not Present ❑ <br />Not Present Q <br />11 <br />No VOA vials submitted [J� <br />Not Applicable ❑ <br />11 <br />Cotter Corporation C11060160 <br />I <br />Page 15 of 18 <br />