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ENERGY <br />None <br />Contact and Corrective Action Comments. <br />1952 J <br />www.energylab.com <br />Workorder Receipt Checklist <br />Helena, MT 877- 472 -0711 • Billings, MT 800 -735 -4489 • Casper, WY 888- 235 -0515 <br />Gillette, WI 866 -686 -7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888 -690 -2218 <br />I <br />1 1 <br />11 <br />Shipping container /cooler in good condition? Yes j No ❑ Not Present ❑ <br />Custody seals intact on shipping container /cooler? Yes No 0 Not Present IZI <br />Custody seals intact on sample bottles? Yes ❑ No 0 Not Present 0 <br />Chain of custody present? Yes 0 No 0 <br />Chain of custody signed when relinquished and received? Yes 0 No El <br />Chain of custody agrees with sample labels? Yes 0 No LI <br />Samples in proper container /bottle? Yes Z No ❑ <br />Sample containers intact? Yes 0 No LI <br />Sufficient sample volume for indicated test? Yes J No ❑ <br />All samples received within holding time? Yes No <br />Iz_I (Exclude analyses that are considered field parameters <br />such as pH, DO, Res CI, Sulfite, Ferrous Iron, etc.) <br />Container/Temp Blank temperature: 2.6°C On Ice <br />Water - VOA vials have zero headspace? Yes 0 No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No 0 <br />Cotter Corporation C11120541 <br />Login completed by: Edith McPike Date Received: 12/16/2011 <br />Reviewed by: BL2000 \cwagner Received by: kg <br />Reviewed Date: 12/21/2011 Carrier FedEx <br />name: <br />No VOA vials submitted 0 <br />Not Applicable <br />Page 23 of 27 <br />