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ENERGY <br />Workorder Receipt Checklist <br />Cotter Corporation <br />Login completed by: Kristy Gisse <br />Contact and Corrective Action Comments. <br />None <br />- www.energylab.com <br />Asset.* Erxlesce $1mce 1151 <br />Helena, MT 877 -472 -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 - 690 -2218 <br />11 <br />i <br />11 <br />Date Received: 4/7/2012 <br />Reviewed by: BL2000 \tparke Received by: kg <br />Reviewed Date: 4/15/2012 Carrier FedEx <br />name: <br />Shipping container /cooler in good condition? Yes WI No ❑ 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 0 <br />Chain of custody present? Yes Z No ❑ <br />Chain of custody signed when relinquished and received? Yes 0 No ❑ <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 lyl No E <br />Sufficient sample volume for indicated test? Yes 0 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. 4.3°C On Ice <br />Water - VOA vials have zero headspace Yes ❑ No ❑ <br />Water - pH acceptable upon receipt? Yes EZI No ❑ <br />11 <br />111 <br />C12040313 <br />No VOA vials submitted 0 <br />Not Applicable ❑ <br />Page 33 of 42 <br />