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Excelchem Environmental Labs <br /> DTE Stockton,LLC Project: Ash <br /> 2526 W.Washington St. Project Number: #7401180998 Date Reported: <br /> Stockton,CA 95203 Project Manager: Dan Crawford 05/17/18 18:34 <br /> Sample Integrity WORK ORDIER: 1505095 <br /> Date Received=05f15,2018 <br /> Sccdnn I-Sample Arrival Info. <br /> Saniple-Cransport_ N:X[_FLC'13I?AI Courier Tranaponed In: IT91F&d . <br /> Da cribc type of pxldng material ! 'lune <br /> Has chilling beg it No SampTMc Receivc�Li: &mbient <br /> T�n�p`Yaturc e�FSa[rtpfw[9C}; 36 ICr CM_se"f't•niPcealun�s](`C'}: rJa <br /> Sectioia 2—B41)-tt1elAna1ysis Info. <br /> Y2• Flo �[1\ Cemnscrus <br /> Did 01battles arrive unbroken and intacC x - <br /> Did all botdc labels agree with COC? x <br /> Were correct containers eked rnr the t sly rcq uas"? It <br /> Were correct ptaexervations used for rhe tests requested? x - <br /> Was a sulfiOentamountaFsalnplc sent for LCSIs indicated? x - <br /> Were buku'W s prem[in VDA vialx?_(YWa4m.e Methgma O001y) <br /> Section 3-So mniaMmw regalalor Info. <br /> '?.Ree.!Se.... ft. _ <br /> Unused Sutnnaall: <br /> _C:Ie:.ninR svxnrn dz <br /> Regulatev#_ <br /> Wk 11wre any visual damage to sutura c stern or hook I-gulators?Explain- <br /> Section d-COC Info_ <br /> C- Ixted Icb Eyom C-brn 1[led <br /> YesN. C_­ Y_ N. <br /> _ Coanmenl5 <br /> Was COC Received �% - nnaIysis Regoes[ed x - <br /> Date Sampled S _ Sarnpa_arrived-ahi"hommy[i— x <br /> Time Sampled % Any hold times IecS than 72 lwr x <br /> Sample I❑ X Client Name }[ <br /> Rush TAT x 2 Day AddressoTelephone# x - <br /> Section 15-Comments f Discrepancies <br /> W%Client nou died of discrepancies! MA Notified by-- N,1A <br /> Ex Imtationa f C'ummen[s= <br /> w <br /> Sampl ca Lahaled lhq: (;i FYiled nut br: . � Date-5115,120is <br /> E,in#c: rkpl. 1 1 Tiler- ]1.37 <br /> COC ScanncdlAltachcd b} Er-q- _ <br /> Saanplc labcla r-is wcxl by: CItiI <br /> Excelchem Environmental Lab. The 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 2of2 <br />