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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 16:43 <br /> Sample Integrity WORD ORDF-R: 1904047 <br /> Date Received:4105/2019 <br /> Section 1—Sample Arrival Info. T <br /> Sample Tran spurt: EAC ELC FIEM Courier Transported In: Hand <br /> Describe type of packing materials: NLA <br /> Has chilling process bcgun? No Samples Received: Ambient <br /> Temperature of Samples('C;): 21,Z Ice Chest Temperalure(s)('C): NIA <br /> Section 2—Bottle/Analysis Info_ <br /> Yes No NIA Clommema <br /> Did all bottles arrive unbroken and intact? X - <br /> [Jid 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/Flow regulator Inf . <br /> U0at s"MMCr#: <br /> Unused Sumrna#- <br /> Cleaning SummaN: <br /> Re ulator#- <br /> Was there any visual darrlage to summa canisters or flow regulators?Ex lain. <br /> Section 4—COC Info. <br /> Completed lnro Fmm Cpm loca <br /> Y" Na Comment Yes No Comments <br /> Was COC Received x - Analysis Requested % - <br /> Date Sampled x - Samples arrived within holding time % <br /> Time Sampled x Any hold times less than 72 hrs. X <br /> Sample IP x - Client Name X <br /> Rush TAT X -5 day Addressrrelephone# X - <br /> Section S—Comments 1 Discrepancies <br /> Was Client notified of discrepancies: NIA Notified by: <br /> Explanations/Comments: <br /> r <br /> Samples Labeled by: RL, Filled out by: Rachele Lang Date,4/8/2019 <br /> 131N_ Dept. 1 1 Time: 16:59 <br /> CDC 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 />