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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 16:21 <br /> Sample Integrity WORT{01tI7ER: 1904034 <br /> Date Received:4/05/2019 <br /> Section I—Sample Arrival rntp. <br /> Sample Transport: EXCELCHEM Courier Transported In: Box <br /> Describe type of packing materials: NIA <br /> E las chilling process begun? Yes Samples Received: Ambient <br /> Temperature of Samples(qC). 24 Icc Chest Temperature(s)(°C): NIA <br /> Section 2—Bottle/Analysis Info. <br /> Vas No NIA Comments <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) X, <br /> Section 3—Summa/Fiew regulator I n fo o. <br /> 'lead s�:r—Jv. <br /> Unused Summa#: <br /> Cleaning Summag: <br /> Regulator#: <br /> Was there any visual damage to summa r amsters or flow reizuIators?Ex plain. <br /> Section 4—COC Info. <br /> Completed Info From Completed <br /> Yes No Comment 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 Address/Telephone# x - <br /> Section S—Corn inents 1 Discrepancies <br /> was Client notified of discrepancies: NIA Notified by: <br /> Explanations/Corhments: <br /> r <br /> Samples Labeled by: RL Fitted out by: Rachele Lang Date:415t2019 <br /> BIN. Dept- I l 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 />