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ENERGY <br />L A1ORATOAIF <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Edith McPike <br />Reviewed by: BL2000 \hackerman <br />Reviewed Date: 5/31/2011 <br />Shipping container /cooler in good condition? Yes J No 0 <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes ❑ No ❑ <br />Chain of custody present? Yes 0 No 0 <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 ❑ <br />Sufficient sample volume for indicated test? Yes 0 No ❑ <br />All samples received within holding time? Yes 0 No ❑ <br />Container/Temp Blank temperature: 7.2°C On Ice <br />Water - VOA vials have zero headspace? Yes 0 No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />Contact and Corrective Action Comments: <br />None <br />wm energytab.com <br />Skres 1832 <br />Helena, Mr 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 />11 <br />11 <br />11 <br />Date Received: 5/27/2011 <br />Received by: em <br />Carrier FedEx <br />name: <br />Not Present ❑ <br />Not Present 0 <br />Not Present 0 <br />11 <br />11 <br />C11050928 <br />No VOA vials submitted 0 <br />Not Applicable 0 <br />11 <br />Page 17 of 20 <br />