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ENERGY <br />www.energylab.cen <br />Atalpics1 E a=SAccs 1g52 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Helena, MT 877472 -0711 • Billings, MT 800 -735 -4488 • Casper, WY 888- 235 -0515 <br />Gillette, WY 886 -886 -7175 • Rapid City, SD 888 -872 -1225 • College Station, Tx 888 -680 -2218 <br />11 <br />11 <br />C11080593 <br />Login completed by: Halley Ackerman Date Received: 8/15/2011 <br />Reviewed by: BL2000 \Tedwards Received by: dw <br />Reviewed Date: 8/17/2011 Carrier Fed Ex <br />name: <br />Shipping container /cooler in good condition? Yes IA No ❑ Not Present ❑ <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ Not Present 0 <br />Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present 0 <br />Chain of custody present? Yes Z 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 [JI No ❑ <br />Sufficient sample volume for indicated test? Yes Z No ❑ <br />All samples received within holding time? Yes El No ❑ <br />(Exclude analyses that are considered field parameters <br />such as pH, DO, Res CI, Sulfite, Ferrous Iron, etc.) <br />Container/Temp Blank temperature 22.0°C Melted Ice <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes I71 No ❑ <br />Contact and Corrective Action Comments: <br />None <br />11 <br />No VOA vials submitted 0 <br />Not Applicable ❑ <br />11 <br />11 <br />Page 17 of 19 <br />