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ENERGY <br />None <br />Contact and Corrective Action Comments: <br />www.energyleb com Helena, MT 877 -472 -0711 • Billings, MT 801- 735 -4485 • Casper, WY 888 -235 -0515 <br />AvaWeal Ercal'a01Wm 1952 Gillette, WY 881 - 686 - 7175 • Rapid City, SD 888 -672 -1225 • College Station, TX 888 - 680 - 2218 <br />Workorder Receipt Checklist <br />Cotter Corporation C12050412 <br />Shipping container /cooler in good condition? Yes 0 No O Not Present ❑ <br />Custody seals intact on shipping container /cooler? Yes 0 No O Not Present IZI <br />Custody seals intact on sample bottles? Yes ❑ No 0 Not Present Z <br />Chain of custody present? Yes 0 No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No O <br />Chain of custody agrees with sample labels? Yes 0 No O <br />Samples in proper container /bottle? Yes 0 No ❑ <br />Sample containers intact? Yes Z No ❑ <br />Sufficient sample volume for indicated test? Yes 0 No ❑ <br />All samples received within holding time? Yes El 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: 8.6°C On Ice <br />Water - VOA vials have zero headspace? Yes D No ❑ <br />Water - pH acceptable upon receipt? Yes 0 No 0 <br />IlIII 1111 IIH!IIJIIIII II <br />Login completed by: Kristy Gisse Date Received: 5/10/2012 <br />Reviewed by: BL2000 \tparke Received by: th <br />Reviewed Date: 5/15/2012 Carrier FedEx <br />name: <br />No VOA vials submitted El <br />Not Applicable ❑ <br />Page 17 of 20 <br />