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ENERGY <br />L,b.HORATORlES <br />None <br />Contact and Corrective Action Comments: <br />www.energylab.com Helena, MT 817 472 - 0711 • Billings, MT 800 - 735 - 4489 • Casper, WY 888 235 - 0515 <br />Analytical flra eaea Seca 1952 1 Gillette, WY 866 686 - 7175 • Rapid City, SD 888 - 672 - 1225 • College Station, TX 888 690 - 2218 <br />VVorkorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes El No <br />Custody seals intact on shipping container /cooler? Yes El No 0 <br />Custody seals intact on sample bottles? Yes j No El <br />Chain of custody present? Yes 0 No El <br />Chain of custody signed when relinquished and received? Yes IZI No r] <br />Chain of custody agrees with sample labels? Yes 0 No El <br />Samples in proper container /bottle? Yes 171 No <br />Sample containers intact? Yes 0 No El <br />Sufficient sample volume for indicated test? Yes [Z No ❑ <br />All samples received within holding time? Yes 0 No ❑ <br />Container/Temp Blank temperature: 15.2°C Melted Ice <br />Water - VOA vials have zero headspace? Yes ❑ No El <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />11 <br />11 <br />11 <br />Cotter Corporation C11070520 <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 />Not Present <br />Not Present 0 <br />Not Present 0 <br />I <br />No VOA is submitted <br />Not Applicable <br />11 <br />11 <br />Page 11 of 20 <br />