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ENERGY <br />1 AR RATC)FFI[ <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Edith McPike <br />Reviewed by: BL2000 \cwagner <br />Reviewed Date: 4/19/2011 <br />Shipping container /cooler in good condition? Yes [A' <br />Custody seals intact on shipping container /cooler? Yes ❑ <br />Custody seals intact on sample bottles? Yes 0 <br />Chain of custody present? Yes WI <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes 0 <br />Samples in proper container /bottle? Yes [✓f <br />Sample containers intact? Yes 10 <br />Sufficient sample volume for indicated test? Yes [� <br />All samples received within holding time? Yes [I <br />Container/Temp Blank temperature: 13.4°C Melted Ice <br />Water - VOA vials have zero headspace? Yes 0 <br />Water - pH acceptable upon receipt? Yes <br />Contact and Corrective Action Comments: <br />None <br />www.energyiab.com <br />am t,t <br />Helena, NT 877 - 472 41711 • Billings, MT 808-735-4489 • Casper, WY 888 -235 -8515 <br />Gillette, WY 866 -686 -7175 • Rapid City, SD 888 -672 -1225 • College Station, TX 888 - 690 -2218 <br />No ❑ <br />No ❑ <br />No 0 <br />No 0 <br />No ❑ <br />No 0 <br />No 0 <br />No O <br />No ❑ <br />No ❑ <br />No 0 <br />No LJ <br />i <br />w <br />11 <br />Not Present ❑ <br />Not Present [f <br />Not Present <br />I <br />Date Received: 4/18/2011 <br />Received by: em <br />Carrier FedEx <br />name: <br />C11040550 <br />No VOA vials submitted <br />Not Applicable 0 <br />11 <br />Page 16 of 19 <br />