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ENERGY <br />None <br />www.energ 1ab.com <br />Asslyt alExaamai Sao 1152 <br />Workorder Receipt Checklist <br />Shipping container /cooler in good condition? Yes 0 <br />Custody seals intact on shipping container /cooler? Yes ❑ <br />Custody seals intact on sample bottles? Yes ❑ <br />Chain of custody present? Yes <br />Chain of custody signed when relinquished and received? Yes Q <br />Chain of custody agrees with sample labels? Yes ut <br />Samples in proper container /bottle? Yes J <br />Sample containers intact? Yes ul <br />Sufficient sample volume for indicated test? Yes <br />All samples received within holding time? Yes 0 <br />Container/Temp Blank temperature: 17.2°C Melted Ice <br />Water - VOA vials have zero headspace? Yes <br />Water - pH acceptable upon receipt? Yes f <br />Contact and Corrective Action Comments: <br />Helena, MT 577- 472 -0711 • Billings, MT 809-735-4481 • Casper, WY 888 -235 -0515 <br />Gillette, WY 886 - 986 - 7175 • Rapid City, SD 888 672 - 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 />11 <br />Login completed by: Halley Ackerman Date Received: 8/11/2011 <br />Rev iewed by: BL2000 \emcpike Received by: kg <br />Reviewed Date: 8/15/2011 Carrier Ground <br />name: <br />Not Present ❑ <br />Not Present 0 <br />Not Present 0 <br />11 <br />Cotter Corporation 011080483 <br />No VOA vials submitted 0 <br />Not Applicable <br />11 <br />11 <br />11 <br />Page 24 of 29 <br />