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ENERGY <br />LABORATORIES <br />None <br />Contact and Corrective Action Comments: <br />www.energylab.com Helena, MT 877 472 - 0711 • Billings, MT 800 735 - 4489 • Casper, WY 888 - 235 - 0515 <br />Anablkal Eavallsace Ac" 1852 Gillette, WY 866 - 686 - 7175 • Rapid City, SD 888 - 672 - 1225 • College Station, TX 888 - 690 - 2218 <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes Ur No <br />Custody seals intact on shipping container /cooler? Yes I No <br />Custody seals intact on sample bottles? Yes ❑ No ❑ <br />Chain of custody present? Yes [ No <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container /bottle? Yes 0 No <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 [ No <br />Container/Temp Blank temperature: 8.2°C <br />Water - VOA vials have zero headspace? Yes ❑ No 0 <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />11 <br />Login completed by: Halley Ackerman Date Received: 7/28/2011 <br />Reviewed by: BL2000 \alynch Received by: dw <br />Reviewed Date: 8/2/2011 Carrier FedEx <br />name: <br />Not Present <br />Not Present Q <br />Not Present WI <br />111 <br />No VOA vials submitted p <br />Not Applicable ❑ <br />11 <br />11 <br />Cotter Corporation 01 1 071 053 <br />Page 29 of 39 <br />