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ENERGY <br />None <br />wwwMnergyleb.com <br />Asslytkal E cd Qe Sac. 1852 <br />Workorder Receipt Checklist <br />Contact and Corrective Action Comments: <br />Helena, MT 117- 472 -0711 • Billings, MT 601 -735 -4489 • Casper, WY 888 -235 -0515 <br />Gillette, WY 886- 880 -7175 • Rapid City, SD 886- 172 -1225 • College Station, TX 888 -690 -2218 <br />11 <br />Login completed by: Edith McPike Date Received: 8/19/2011 <br />Reviewed by: BL2000 \cwagner Received by: kg <br />Reviewed Date: 8/23/2011 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes El No E] Not Present E] <br />Custody seals intact on shipping container /cooler? Yes E] No E] Not Present El <br />Custody seals intact on sample bottles? Yes [] No [] Not Present RI <br />Chain of custody present? Yes 0 No E] <br />Chain of custody signed when relinquished and received? Yes 0 No E] <br />Chain of custody agrees with sample labels? Yes Ri No E] <br />Samples in proper container /bottle? Yes [ No E] <br />Sample containers intact? Yes El No [] <br />Sufficient sample volume for indicated test? Yes 0 No E] <br />All samples received within holding time? Yes 0 No E] <br />(Exclude analyses that are considered field parameters <br />such as pH, DO, Res CI, Sulfite, Ferrous Iron, etc.) <br />Container/Temp Blank temperature: 7.0'C Melted Ice <br />Water - VOA vials have zero headspace? Yes [] No E] <br />Water - pH acceptable upon receipt? Yes RI No E] <br />11 <br />11 <br />No VOA vials submitted 0 <br />Not Applicable [] <br />11 <br />Cotter Corporation 011080832 <br />11 <br />Page 29 of 39 <br />