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ENERGY <br />None <br />Contact and Corrective Action Comments: <br />www.energ)rlab.com <br />Anabtlest Ilitellmee Shoo 1952 <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Helene, Air 877 - 472 -0711 • Billings, MT 800- 735 -4489 • Casper, WY 888 - 235 -0515 <br />Gillette, WY 886 688.7175 • Rapid City, SD 888 672 - 1225 • College Station, TX 888 - 690 - 2218 <br />eii 1111 <br />Shipping container /cooler in good condition? Yes 0 No 0 Not Present 0 <br />Custody seals intact on shipping container /cooler? Yes ❑ No 0 Not Present 0 <br />Custody seals intact on sample bottles? Yes No Not Present 0 <br />Chain of custody present? Yes 0 No 0 <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes 0 No ❑ <br />Sample containers intact? Yes 0 No <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: 11.4°C Melted Ice <br />Water - VOA vials have zero headspace? Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No ❑ <br />1111 <br />IIIIIIIII <br />C12041332 <br />Login completed by: Kristy Gisse Date Received: 4/30/2012 <br />Reviewed by: BL200O \cwagner Received by: kg <br />Reviewed Date: 4/30/2012 Carrier FedEx <br />name: <br />No VOA vials submitted 0 <br />Not Applicable ❑ <br />Page 16 of 19 <br />