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ENERGY <br />None <br />www.energylab.com <br />Assign! Excelling. Sim MI <br />Workorder Receipt Checklist <br />Contact and Corrective Action Comments: <br />Helena, MT 877 -472 -0711 • Billings, MT 808-735-4481 • Casper, WY 888 -235 -0515 <br />Gillette, WY 868 -688 -7175 • Rapid City, SD 888 - 672 -1225 • College Station, TX 888 - 680 - 2218 <br />Cotter Corporation C12050671 <br />Login completed by: Brian H. Cody Date Received: 5/17/2012 <br />Reviewed by: BL2000 \tparke Received by: th <br />Reviewed Date: 5/22/2012 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 D Not Present J <br />Custody seals intact on sample bottles? Yes 0 No 0 Not Present El <br />Chain of custody present? Yes El No ❑ <br />Chain of custody signed when relinquished and received? Yes El No 0 <br />Chain of custody agrees with sample labels? Yes 0 No 0 <br />Samples in proper container/bottle? Yes 0 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 [l No O <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 ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes El No 0 <br />No VOA vials submitted yi <br />Not Applicable ❑ <br />Page 5 of 8 <br />