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ENERGY <br />www.energylab.com <br />Matelot & owSh.1SS2 <br />Workorder Receipt Checklist <br />Helena, MT 877 -472 -0711 • Billings, MT 801 - 735 -4488 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866486 -7175 • Rapid City, So 888 -672 -1225 • College Station, TX 888 -681 -2218 <br />Cotter Corporation C12040313 <br />Login completed by: Kristy Gisse Date Received: 4/7/2012 <br />Reviewed by: BL2000 \tparke Received by: kg <br />Reviewed Date: 4/15/2012 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes El No 0 Not Present 0 <br />Custody seals intact on shipping container /cooler? Yes 0 No 0 Not Present [I <br />Custody seals intact on sample bottles? Yes 0 No 0 Not Present 0 <br />Chain of custody present? Yes El No 0 <br />Chain of custody signed when relinquished and received? Yes El No ❑ <br />Chain of custody agrees with sample labels? Yes El No ❑ <br />Samples in proper container/bottle? Yes 0 No ci <br />Sample containers intact? Yes El No D <br />Sufficient sample volume for indicated test? Yes 0 No 0 <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: 4.3°C On Ice <br />Water - VOA vials have zero headspace? Yes fl No 0 <br />Water - pH acceptable upon receipt? Yes 0 No 0 <br />Contact and Corrective Action Comments: <br />None <br />iiirnuiuiiiiiini <br />No VOA vials submitted El <br />Not Applicable 0 <br />Page 33 of 42 <br />