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ENERGY <br />1 nq01 ORI <br />wwwenergylab.com <br />AsgrUart Ercaaaicr tD52 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Helena, MT 877- 472 -0711 • Billings, MT 800- 785 -4489 • Casper, WY 888-235-0515 <br />Gillette, WY 866- 686 -7175 • Rapid City, SD 888 - 672 -1225 • College Station, TX 888 -680 -2218 <br />u <br />Login completed by: Corinne Wagner Date Received: 5/2/2011 <br />Reviewed by: BL2000 \alynch Received by: ckw <br />Reviewed Date: 5/16/2011 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes Q No ❑ <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 Q No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No ❑ <br />Chain of custody agrees with sample labels? Yes [Jf 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 Q No ❑ <br />All samples received within holding time? Yes 2 No ❑ <br />Container/Temp Blank temperature: 8.2°C On Ice <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes Q No ❑ <br />Contact and Corrective Action Comments: <br />None <br />Not Present ❑ <br />Not Present 0 <br />Not Present ❑✓ <br />i <br />I <br />C11050010 <br />No VOA vials submitted [� <br />Not Applicable 111 <br />i <br />Page 18 of 22 <br />