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ENERGY <br />w svonergyiab.com <br />l&Wenca Awe IOW <br />Workorder Receipt Checklist <br />Helena, MT 817472 -0711 • Billings, MT 800-735-4489 • Casper, WY 888- 235 -0515 <br />Gillette, WY 866 -686 -7175 • Rapid City, SD 888 -672 -1225 • College Station, TX 888 -680 -2218 <br />11 <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 ❑ No ❑ Not Present Z <br />Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present 0 <br />Chain of custody present? Yes E✓] No ❑ <br />Chain of custody signed when relinquished and received? Yes Q No 0 <br />Chain of custody agrees with sample labels? Yes 0 No ❑ <br />Samples in proper container /bottle? Yes 0 No 0 <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 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 8.8°C On Ice <br />Water - VOA vials have zero headspace'' Yes [] No ❑ <br />Water - pH acceptable upon receipt? Yes IA No ❑ <br />Contact and Corrective Action Comments <br />11 <br />No VOA vials submitted J <br />Not Applicable ❑ <br />Sample SW -AWD filtered 1gal HNO3 lost all volume due to hole in container. Enough volume provided for <br />requested testing. <br />11 <br />Page 26 of 29 <br />