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ENERGY <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Corinne Wagner Date Received: 5/11/2012 <br />Reviewed by: BL2000 \tparke Received by: th <br />Reviewed Date: 5/16/2012 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes 0 <br />Custody seals intact on shipping container /cooler? Yes E] <br />Custody seals intact on sample bottles? Yes 0 <br />Chain of custody present? Yes El <br />Chain of custody signed when relinquished and received? Yes 0 <br />Chain of custody agrees with sample labels? Yes El <br />Samples in proper container/bottle? Yes 0 <br />Sample containers intact? Yes 0 <br />Sufficient sample volume for indicated test? Yes 0 <br />All samples received within holding time? Yes 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: 5.4°C On Ice <br />Water - VOA vials have zero headspace? Yes E] <br />Water - pH acceptable upon receipt? Yes El <br />Contact and Corrective Action Comments: <br />None <br />www.energylab.com Helena, MT 817472 -0711 • Billings, MT 800- 735 -4488 • Casper, WY 888 - 235 -0515 <br />AikaW a$6rca 1152 Gillette, WY 866 -688 -7175 • Rapid City, SD 888- 672 -1225 • College Station, TX 888 -610 -2218 <br />No [] <br />No E] <br />No E] <br />No ❑ <br />No [] <br />No E] <br />No E] <br />No 0 <br />No [] <br />No E] <br />No ❑ <br />No ❑ <br />111 <br />Not Present [] <br />Not Present El <br />Not Present 0 <br />UIIUIUVIUIOI <br />C12050482 <br />No VOA vials submitted 0 <br />Not Applicable E] <br />1111 <br />Page 26 of 30 <br />