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Excelchem Environmental Labs <br /> Geological Technics Project: Marci Property <br /> 1172 Kansas Ave Project Number: 770.2 Date Reported: <br /> Modesto,CA 95351 Project Manager: Geological Technics 07/25/11 10:16 <br /> Sample Integrity - ___ s., WORK ORDER ll'V`1C <br /> Date Received: l td. <br /> Section I —Sample Arrival Info. _. - <br /> Sample Transport: ONTRAC UPS USPS Walk-In XC.E-LCHLEot ouricr Fed-Ex Other: <br /> Transported In: Ice Ch- <br /> s Box Hand <br /> Describe type ofpacking inateriat Bubble Wrap Foam packing Peanuts Paper Other: _. _ <br /> Has chilling process begun'. Samples Received: Chilled to Touch / Ambicnt On <br /> Temperature of Samples('C): Ice ChestTernperawre(s)('C); _ <br /> Section 2—Bottle/Analysis Info. <br /> Y s No NIA Comments <br /> Did all bottles arrive unbroken and intact? — <br /> Did all bottle labels agree- with COC? -Were correct containers used forthe-tests requested?. <br /> Were correct preservations used for the tests requested? <br /> Was a sufficient amount of sa.m le sent'for tests indicated? -Were bubbles present in VOA Vials?:(Volatile Methods Only) <br /> Section 3—COC Info. ` <br /> Com Icicd +n fo From Com feted <br /> Yes No Ye- NoComments <br /> Was COC Received Analysis Meuested <br /> Date Sam led Samples arrived.within holding time <br /> Time Sampled Any hold times less than 72 firs <br /> Sample 1D Client Name _ <br /> Rush"TAT Address/Telephone 9f <br /> Section 4—Comments/Discrepancies <br /> Was Client notified of discre pancies: Yes No N/A Notified by: <br /> Explanations/Comments: <br /> Samples Labeled by:, <br /> Bin#s: <br /> COC Scanned/Atfached by:—Ir <br /> Forin completed by; Date: —71 I I <br /> Time: (�Ot� <br /> Excelchem Environmental Lab. Me results in this report apply to the samples analyzed in accordance with the chain of <br /> custody document.This analytical report must be reproduced in its entirety. <br /> Laboratory Representative Page 2 oft <br />