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E ICE RGY / www.energylab.com Helena, MT 877 -472 -0711 • Billings, MT 881- 735 -4488 • Casper, WY 888 - 235 -1515 <br />� 10 Gillette, WY 866486 -7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888- 681 -2218 <br />Workorder Receipt Checklist <br />Contact and Corrective Action Comments: <br />None <br />1111 IIUIIIIIII <br />Cotter Corporation C12050419 <br />Login completed by: Timothy I.. Houghteling Date Received: 5/10/2012 <br />Reviewed by: BL2000 \tparke Received by: th <br />Reviewed Date: 5/15/2012 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes f7I No EI Not Present <br />Custody seals intact on shipping container /cooler? Yes No Not Present 0 <br />Custody seals intact on sample bottles? Yes No Not Present IZI <br />Chain of custody present? Yes 0 No <br />Chain of custody signed when relinquished and received? Yes 0 No ❑ <br />Chain of custody agrees with sample labels? Yes No D <br />Samples in proper container /bottle? Yes 0 No III <br />Sample containers intact? Yes 0 No ❑ <br />Sufficient sample volume for indicated test? Yes El 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: 8.6°C On Ice <br />Water - VOA vials have zero headspace? Yes El No 0 <br />Water - pH acceptable upon receipt? Yes E No El <br />No VOA vials submitted 0 <br />Not Applicable El <br />IuII <br />Page 5 of 8 <br />