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ENERGY <br />Workorder Receipt Checklist <br />Cotter Corporation C11080157 <br />Login completed by: Halley Ackerman Date Received: 8/3/2011 <br />Reviewed by: BL2000 \cwagner Received by: kg <br />Reviewed Date: 8/9/2011 Carrier Ground <br />name: <br />Shipping container /cooler in good condition? Yes [/f <br />Custody seals intact on shipping container /cooler? Yes <br />Custody seals intact on sample bottles? Yes <br />Chain of custody present? Yes 0 <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes 0 <br />Samples in proper container /bottle? Yes Z <br />Sample containers intact? Yes W✓( <br />Sufficient sample volume for indicated test? Yes <br />All samples received within holding time? Yes yl <br />Container/Temp Blank temperature: 15.3°C Melted Ice <br />Water - VOA vials have zero headspace Yes <br />Water - pH acceptable upon receipt? Yes 0 <br />Contact and Corrective Action Comments <br />None <br />www.energylab.com ( Helene, MT 877 -472 -0711 • Billings, MT 800 -735 -4489 • Casper, WY 888 - 235 -0515 <br />krattad Lom'e0' Macs 1152 ) Gillette, WY 886 -686 -7175 • Rapid City, SD 888 - 872 -1225 • College Station, TX 888 - 690 -2218 <br />No <br />No <br />No <br />No <br />No <br />No <br />No ❑ <br />No ❑ <br />No <br />No ❑ <br />No <br />No <br />11 <br />11 <br />11 <br />Not Present ❑ <br />Not Present yl <br />Not Present <br />11 <br />11 <br />No VOA vials submitted [J� <br />Not Applicable <br />11 <br />11 <br />Page 31 of 41 <br />