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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 04/15/19 16:40 <br /> Sample integrity WORD ORDER: 1904046 <br /> Date Received:4/05/2019 <br /> Section 1—Sample Arrival Info. <br /> Sample Transport: EXCI:,L.CHENI Courier Transported in: Hand <br /> Describe type of packing materials: NIA <br /> Has chilling process begun'? To Samples Received: Ambient <br /> Temperature of Samples(�C): 21.2 lee Chest Temperature(s)(�C): NIA <br /> Section 2--Bottle/Analysis Info. <br /> Y" No WA core—are <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 Vials7!(Volatile Methods Only) x <br /> Section 3—Summa/Flow regulator Ihf m. <br /> 11"ed SuA n m#: <br /> Unused Surnmax. <br /> Cleaning Sum math <br /> Re alator#: <br /> Was there any visual damage to summa C anisters or flow reuiators?Ex lain. <br /> Section 4---COC Info- <br /> Com toted Info From Com leted <br /> Yes No co—m Yes No Cnmmcnts <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—Comments I Discrepancies <br /> Was Client notified of discrepancies: NIA Notified by: <br /> Explanations I Comments: <br /> Samples labeled by: RL Filled out by: Rachele Lang Pate:4/8/2019 <br /> BrN: Dept-11 Time: 16:59 <br /> COC Scanned/Anached 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 />