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ENERGY <br />L A9ORATORIr;; <br />Login completed by: Corinne Wagner <br />Reviewed by: BL2000 \hackerman <br />Reviewed Date: 4/25/2011 <br />„o <br />Contact and Corrective Action Comments: <br />None <br />www.energylab.cflm Helena, MT 877 -472 -0711 • Billings, MT 800- 735 -4489 • Casper, WY 888- 235 -0515 <br />AulytkatEratlecta Since 1831 Gillette, WY 866 - 686 - 7175 • Rapid City, SD 888 - 672 -1225 • College Station, TX 888 690 - 2218 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Shipping container /cooler in good condition? Yes [f <br />Custody seals intact on shipping container /cooler? Yes 71 <br />Custody seals intact on sample bottles? Yes 0 <br />Chain of custody present? Yes 0 <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes 2 <br />Samples in proper container /bottle? Yes [r <br />Sample containers intact? Yes[/( <br />Sufficient sample volume for indicated test? Yes 0 <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 0 <br />Water - pH acceptable upon receipt? Yes <br />No ❑ <br />No <br />No ❑ <br />No 0 <br />No ❑ <br />No 0 <br />No 0 <br />No fl <br />No ❑ <br />No ❑ <br />No 0 <br />No <br />11 <br />Not Present ❑ <br />Not Present [l <br />Not Present [J <br />I <br />11 <br />11 <br />C11040679 <br />Date Received: 4/21/2011 <br />Received by: ckw <br />Carrier FedEx <br />name: <br />No VOA vials submitted 0 <br />Not Applicable 0 <br />Page 19 of 23 <br />