2012-07-12_GENERAL DOCUMENTS - C1981008 (3)

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ENERGY Contact and Corrective Action Comments: www.energylab.con r A..ytialEndo.e.SUre.1152 J Workorder Receipt Checklist Office of Surface Mining Shipping container/cooler in good condition? Yes [✓f Custody seals intact on shipping container /cooler? Yes ❑ Custody seals intact on sample bottles? Yes fl Chain of custody present? Yes 0 Chain of custody signed when relinquished and received? Yes 0 Chain of custody agrees with sample labels? Yes Samples in proper container /bottle? Yes 0 Sample containers intact? Yes ❑ Sufficient sample volume for indicated test? Yes 0 All samples received within holding time? Yes 0 (Exclude analyses that are cons idered field parameters such as pH, DO, Res CI, Sulfite, Ferrous Iron, etc.) Container/Temp Blank temperature: 15.0°C Water - VOA vials have zero headspace? Yes Water - pH acceptable upon receipt? Yes ❑ Helena, MT 877472 -0711 • Billings, MT 800 -735 -4488 • Casper, WY 888 - 235 -0515 Gillette, WY 806- 086 -7175 • Rapid City, SO 818 -172 -1225 • College Station, TX 888 -680 -2218 No No No ❑ No ❑ No No 0 No ❑ No No ❑ No ❑ No fl No 11 11 H12040357 Login completed by: Wanda Johnson Date Received: 4/20/2012 Reviewed by: BL2000 \sdull Received by: elm Reviewed Date: 4/24/2012 Carrier UPS Ground name: Not Present O Not Present Not Present 0 No VOA vials submitted 0 Not Applicable [l 11 11 Collection date & time received from client in an e-mail. Sample bag 21202A5 0 -5 on COC bag states 21206A5 0 -5. Client stated use ID on bag. Small hole in sample bags #21403 A7 30 -35 & 23101D1 3 Bucket Client stated to analyze the samples. E -mail sent to client regarding samples 034 & 035 which are both labeled 22604,C2, 5 -10 verifying if one should be labeled something different. Wj 4/20/12. Received e-mail from Amy McGregor in which she stated to analyze samples as separate samples. They are labeled as 22604, C2, 5 -10- 001 and 22604,C2, 5 -10 -002. Wj 4/23/12 Page 8 of 13