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Excelchem Laboratories,Inc. <br /> DTE Stockton,LLC Project: 2019 Annual Fly Ash Profiling <br /> 2526 W.Washington St. Project Number: 4701254256 Date Reported: <br /> Stockton,CA 95203 Project Manager: Genny Huffman 04/12/19 16:16 <br /> Sample Integrity WORK ORDER: 1904032 <br /> Date Received:4/05/2019 <br /> Section 1—Sample Arrival Info. <br /> Sample Transport: F.XCELC1iEM Courier Transported in: Box <br /> Describe type of packing materials: NIA <br /> Has chilling process begun? Yes Samples Received- Ambient <br /> Temperature of Samples(°C): 24 ice Chest Temperature(s)("C): NIA <br /> Section 2—Bottle/Analysis Info- <br /> Y" No WA Cnmmenls <br /> Did al]bottles arrive unbroken and intact? x - <br /> Did all bottle labels agree with CQC? x <br /> Were correct containers used for the tests requested? x - <br /> Were correct preservations used for the tests requested? x <br /> Was a sufficient amount of sample sent for tests indicated? x <br /> Were bubbles present in VOA Vials?:(Volatile Methods Only) 1t - <br /> WUnusedSummsN- <br /> ".__i <br /> umma/Flow r uiator Inf <br /> _a#:my visual damage to summa c an!sters or flow re ulators?Ex plain. <br /> Section 4—COC Info. <br /> Completed blab Fmm Completed <br /> Ycs No Comment Yes No Comments <br /> Was CDC Received x - Analysis Requested x <br /> Date Sampled x - Samples arrived within holding time x <br /> Time Sampled x Any hold times less than 72 hrs. x <br /> Sample ID x - Client Name x <br /> Rush TAT X -5 day AddressrTelephone# x <br /> Section S—Comments 1 Discrepancies <br /> Was Client notified of discrepancies: NIA Notified by: <br /> Explanations/Cormaents: <br /> r <br /> Samples Labeled by: RL Filled out by: Rachele Lang Date:4/3/2014 <br /> BIN: Dept.11 Time: 10,14 <br /> COC Scanned/Attached by: RL <br /> Sample labels reviewed by: RL <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 />