Laserfiche WebLink
ENERGY <br />1. A9ORATORIPS <br />www.energjrtab.com <br />AnsigUal Doan= Macs 1834 <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes E/( No 0 <br />Custody seals intact on shipping container /cooler? Yes 0 No <br />Custody seals intact on sample bottles? Yes 0 No 0 <br />Chain of custody present? Yes EJ( No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No 0 <br />Chain of custody agrees with sample labels? Yes 0 No 0 <br />Samples in proper container /bottle? Yes El No LI <br />Sample containers intact? Yes Z 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: 8.6°C On Ice <br />Water - VOA vials have zero headspace? Yes ❑ No 0 <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />Contact and Corrective Action Comments: <br />None <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 />i <br />11 <br />Not Present ❑ <br />Not Present [J1 <br />Not Present El <br />I <br />11 <br />No VOA vials submitted E✓( <br />Not Applicable 0 <br />Cotter Corporation C11050712 <br />Login completed by: Edith McPike Date Received: 5/20/2011 <br />Reviewed by: BL2000 \hackerman Received by: dw <br />Reviewed Date: 5/23/2011 Carrier FedEx <br />name: <br />11 <br />Page 17 of 20 <br />