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ENERGY <br />Contact and Corrective Action Comments <br />None <br />www.energylab.wm Helena, MT 877- 472 -0711 • Billings, MT 800 -735 -4489 • Casper, WY 885 235 - 0515 <br />Mat IEadwiceShee Jalft J Gillette, WY 80486 -7175 • Rapid City, SD 818- 672 -1225 • College Station, TX 865 -690 -2218 <br />Workorder Receipt Checklist <br />11 <br />Shipping container /cooler in good condition? Yes No EI Not Present III <br />Custody seals intact on shipping container /cooler? Yes No Not Present <br />Custody seals intact on sample bottles Yes ❑ No ❑ Not Present WI <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes No Ei <br />Chain of custody agrees with sample labels' Yes Q No ❑ <br />Samples in proper container /bottle? Yes 0 No <br />Sample containers intact? Yes 0 No III <br />Sufficient sample volume for indicated test? Yes 0 No <br />All samples received within holding time? Yes 0 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: 2.4°C On Ice <br />Water - VOA vials have zero headspace Yes ❑ No ill <br />Water - pH acceptable upon receipt? Yes lyi No ❑ <br />11 <br />Login completed by: Corinne Wagner Date Received: 12/23/2011 <br />Reviewed by: BL2000 \cwagner Received by: kg <br />Reviewed Date: 12/28/2011 Carrier FedEx <br />name: <br />11 <br />No VOA vials submitted 0 <br />Not Applicable <br />111 <br />Cotter Corporation C11120751 <br />11 <br />Page 17 of 19 <br />