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ENERGY <br />I.i ABORATORIES <br />None <br />www.energylab.com Helena, MT 877- 472 -0711 • Billings, MT 800 - 735 -4489 • Casper, WY 888 - 235 -0515 <br />Analytical Excellence Slxe MY 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 0 No ❑ <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ <br />Custody seals intact on sample bottles? Yes E No ❑ <br />Chain of custody present? Yes 0 No [] <br />Chain of custody signed when relinquished and received? Yes [ J No [] <br />Chain of custody agrees with sample labels? Yes 0 No [) <br />Samples in proper container /bottle? Yes E/] • No E] <br />Sample containers intact? Yes E( No E <br />Sufficient sample volume for indicated test? Yes EI No [] <br />All samples received within holding time? Yes 0 No [j <br />Container/Temp Blank temperature: 15.2°C Melted Ice <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes Z No E] <br />Contact and Corrective Action Comments: <br />11 <br />11 <br />Not Present E] <br />Not Present El <br />Not Present <br />1 1 <br />11 <br />Login completed by: Edith McPike Date Received: 7/14/2011 <br />Reviewed by: BL2000 \cwagner Received by: dw <br />Reviewed Date: 7/19/2011 Carrier FedEx <br />name: <br />11 <br />No VOA vials submitted 0 <br />Not Applicable ❑ <br />C11070522 <br />Page 23 of 28 <br />