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ENERGY <br />LJABORATORIES <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Shipping container /cooler in good condition? Yes Cj No ❑ <br />Custody seals intact on shipping container /cooler? Yes El No <br />Custody seals intact on sample bottles? Yes 0 No ❑ <br />Chain of custody present? Yes 0 No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No El <br />Chain of custody agrees with sample labels? Yes 0 No ❑ <br />Samples in proper container /bottle? Yes 0 No El <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 El <br />Container/Temp Blank temperature: 8.6°C On Ice <br />Water - VOA vials have zero headspace? Yes Ei No El <br />Water - pH acceptable upon receipt? Yes 0 No E <br />Contact and Corrective Action Comments: <br />None <br />www.energylab.com <br />Analytical Excavate Since 1852 <br />Helena, MT 871- 472 -0711 • Billings, MT 800 -735 -4489 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 686 - 7175 • Rapid City, SD 888 - 612 - 1225 • College Station, TX 888 - 690 - 2218 <br />11 <br />11 <br />11 <br />Login completed by: Edith McPike Date Received: 7/8/2011 <br />Reviewed by: BL2000 \cwagner Received by: dw <br />Reviewed Date: 7/12/2011 Carrier FedEx <br />name: <br />Not Present <br />Not Present <br />Not Present 0 <br />11 <br />C11070275 <br />No VOA vials submitted <br />Not Applicable <br />111 <br />11 <br />Page 33 of 43 <br />