Laserfiche WebLink
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 16:19 <br /> Sample Integrity 'WORK ORDER: 1904033 <br /> Date Received:4/05/2019 <br /> Serf ion t—Sam ple Arr ival Info, <br /> Sample I7ansport! EXCELCIIEM COari r Transported in: Sox <br /> Describe type of packing materials: N/A <br /> I las chilling process begun? Yes Samples Received: Ambient <br /> Temperature of Samples(qC): 24 Ice Chest Temperature(s)(°L'): NIA <br /> Section 2—Bottle/Analysis Info. <br /> Yes No NIA ctnn arts <br /> Did all bottles arrive unbroken and intact? x - <br /> Did all bottle labels agree with COC? 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) Et X - <br /> Section 3—Summa/Flow re ulator In f4 . <br /> 4faed Saofen fm: <br /> Unused Summa#: JL N <br /> Cleaning SummaRF: <br /> Regulator#: <br /> Was there any visual damage to summa c anisters or flow regulators?Ex pinin. <br /> Section 4—COC Info. <br /> Cornplated info Fr Com Icted <br /> Yes No Common+ Yes No Comments <br /> Was COC 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 Addressl'Telephone 9 x - <br /> Section 5—Comments I Discrepancies <br /> Was Client notified of discrepancies: N/A Notified by: <br /> Explanations/Comments: <br /> r <br /> Samples Labeled by: RL Filled out by: Rachele Lang Date:4/5/2019 <br /> BIN: Dept, 1 1 Time: 10:14 <br /> CDC Scanned/Attached by: RE <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 />