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ENERGY <br />Workorder Receipt Checklist <br />Contact and Corrective Action Comments: <br />Split for metals. <br />www.euergylab.com <br />Amiga Enema Saco lest <br />Helena, MT 877- 472 -0711 • Billings, MT 806 - 735 -4469 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 -688 -7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888-690-2218 <br />11 <br />11 <br />11 <br />Shipping container /cooler in good condition? Yes 71 No ❑ Not Present E <br />Custody seals intact on shipping container /cooler? Yes ❑ No ❑ Not Present IZ <br />Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present Z <br />Chain of custody present? Yes 0 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 j No E <br />Sample containers intact? Yes 0 No E <br />Sufficient sample volume for indicated test? Yes 0 No ❑ <br />All samples received within holding time? Yes Z 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. 16.6°C Melted Ice <br />Water - VOA vials have zero headspace? Yes III No ❑ <br />Water - pH acceptable upon receipt? Yes J No ❑ <br />11 <br />Login completed by: Debra Williams Date Received: 9/26/2011 <br />Reviewed by: BL2000 \cwagner Received by: kg <br />Reviewed Date: 9/28/2011 Carrier FedEx <br />name: <br />11 <br />Cotter Corporation 011090956 <br />No VOA vials submitted <br />Not Applicable E <br />11 <br />11 <br />Page 17 of 20 <br />