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Excelchem Laboratories,Inc. <br /> DTE Stockton,LLC Project: 2020 Annual Fly Ash Profiling <br /> 2526 W.Washington St. Project Number: 4700995195 Date Reported: <br /> Stockton,CA 95203 Project Manager: Genny Huffinan 04/10/20 21:33 <br /> Sample Integrity- WORK 0RDER. T� - <br /> Company Name: <br /> Date Received: -7/ New Client_ y <br /> Section l—Sample Arrival information <br /> Sample Transport: ot4TRAC L1YS USPS Walk-InELCHEM Co Fed-E, Other: <br /> Transported In: Ice Chest $Fob' Ffand <br /> L <br /> ng materials; Bubble Wrap Foam Packing Peanuts Paper Other: %a ftp' <br /> illing process begun' Y Samples Received: Chilled to Touch I bi I On Ice <br /> erature of Samples("C):—L of_ ck Ice Chest Temperatures)("C): <br /> Section Z—Sotde/Aaalysis Info_ <br /> Cammen4. <br /> Oid all bottles arrive unbroken and intact? Yes No NIA <br /> Did all bottle labels agree with COC? <br /> Were correct containers used for the tests requested? <br /> Were correct preservations used for the tests requested? <br /> Was a sufficient amount of sample sent for tests indicated? <br /> Were bubbles present in VOA Vials?_(Volatile Methods <br /> Only <br /> Sectlon 3—Summa/F'low regulator Informatioo <br /> `/Coed Swnna 4-- <br /> used Summa#- <br /> Cleaning Sum Ito: <br /> Regulator#: <br /> Was there any visual damage to suramn canisters or flow regulators?Explain. <br /> Section 4—COC Information <br /> Yes No Comments Yes Na Comments <br /> COC Received Analysis Requested <br /> L7ate Sampled Samples arrived within holding time <br /> Time Sampled >[ Hold tittles less than 72 horns � <br /> Sample M Client Name <br /> rush Turn Around"rime 3 pA{ Client Contact Information <br /> SHORT"OLD LISTr72 hours <br /> H Chiorinc Carr Ni Coliform Dissolved g odor Nitrate Nitrite Ortho- has hx <br /> Iv16P s Asbestos Settabie Solids TurbidityBiochemical Oxygen Demand I-EPC Color Tedl ars Ammoniarf[CN un reserved <br /> Section 5—Comments/Discrepancies <br /> Client notified of discre agcies: Yes 1 No Notified by: <br /> Commen <br /> Bin Number/Location_ Filled out by: i ," Dates y 1-7 <br /> COC Scanncd/Ahachedime: id_Spl <br /> Samples labeled by' <br /> Sample labels reviewed by- <br /> Excelchem Laboratories.Tnc. 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 2of4 <br />