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ENERGY <br />LABORATORIES <br />www.energylab.com <br />Aaabtlasl Excellence Mae 1952 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Shipping container /cooler in good condition? Yes r7l No <br />Custody seals intact on shipping container /cooler? Yes El No 0 <br />Custody seals intact on sample bottles? Yes No III <br />Chain of custody present? Yes Q No El <br />Chain of custody signed when relinquished and received? Yes [,/] No III <br />Chain of custody agrees with sample labels? Yes 0 No LI <br />Samples in proper container /bottle? Yes [j No <br />Sample containers intact? Yes 0 No <br />Sufficient sample volume for indicated test? Yes 0 No LI <br />All samples received within holding time? Yes 0 No Ei <br />Container/Temp Blank temperature: 10.4°C On Ice <br />Water - VOA vials have zero hgadspace? Yes III No 0 <br />Water - pH acceptable upon receipt? Yes [✓7 No ❑ <br />Contact and Corrective Action Comments: <br />None <br />Helena, MT 677 -472 -0711 • Billings, MT 800 -135 -4489 • Caspar, WY 888 - 235 -0515 <br />Gillette, WY 886 -686 -7175 • Rapid City, SD 888 -672 -1225 • College Station, TX 888 - 690 -2218 <br />11 <br />11 <br />11 <br />11 <br />Not Present L <br />Not Present 0 <br />Not Present Q <br />11 <br />C11070766 <br />Login completed by: Edith McPike Date Received: 7/21/2011 <br />Reviewed by: BL2000 \cwagner Received by: dw <br />Reviewed Date: 7/22/2011 Carrier FedEx <br />name: <br />No VOA is submitted 0 <br />Not Applicable <br />11 <br />11 <br />Page 28 of 38 <br />