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ENERGY <br />www.energylab.om <br />Aaaq* fiaa hoa? Mot 11162 <br />Workorder Receipt Checklist <br />Contact and Corrective Action Comments: <br />Helena, MT 877- 472 -0711 • Billings, MT 808 -735 -4480 • Casper, WY 888- 235 -0515 <br />Gillette, WY 868 -888 -7175 • Rapid City, SD 888 -872 -1225 • College Station, TX 888-610-2218 <br />1 <br />Cotter Corporation C12050084 <br />Login completed by: Kristy Gisse Date Received: 5/2/2012 <br />Reviewed by: BL2000 \djuarez Received by: th <br />Reviewed Date: 5/8/2012 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes 0 No ❑ Not Present ❑ <br />Custody seals intact on shipping container /cooler? Yes 0 No 0 Not Present 0 <br />Custody seals intact on sample bottles? Yes 0 No 0 Not Present El <br />Chain of custody present? Yes ET No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No 0 <br />Chain of custody agrees with sample labels? Yes E✓( No 0 <br />Samples in proper container/bottle? Yes El No ❑ <br />Sample containers intact? Yes ❑ No 0 <br />Sufficient sample volume for indicated test? Yes El No 0 <br />All samples received within holding time? Yes El No 0 <br />(Exclude analyses that are considered field parameters <br />such as pH, DO, Res CI, Sulfite, Ferrous Iron, etc.) <br />Container/Temp Blank temperature: 8.8°C On Ice <br />Water - VOA vials have zero headspace? Yes 0 No 0 <br />Water - pH acceptable upon receipt? Yes 0 No ri <br />II1IIIIIUIIUIII 1111 <br />No VOA vials submitted El <br />Not Applicable 0 <br />Sample SW -AWD filtered 1gal HNO3 lost all volume due to hole in container. Enough volume provided for <br />requested testing. <br />Page 26 of 29 <br />