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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 Huffman 04/10/20 21:34 <br /> Sample Integrity WORK ORDER. <br /> Cornpazny Name: <br /> Date Received: -y �� New Client_ X <br /> r <br /> eCtlon [ —Sample Arrival Iniormation <br /> ample Transport: CNTRAC CIPS USPS Walk-[n ELC1- M Co Fed-Ex Other: <br /> ransported [a: lee Chest v [hand <br /> Packing materials: Bubble Wrap Foam Packing Peanuts Paper Other: to Ate' <br /> Has chilling process begun`-' Y (7') Samples Received; Chilled to Touch I bin I On Ice <br /> Temperature 0 Sam pies("C): { -J `-L Ice Chest Temperature(s)("C);�c <br /> Section 2-Bottle/Analysis Info. <br /> Yes No NIA Comments <br /> Did all bottles arrive unbroken and intact? <br /> Did all bottle labels agree with COC? <br /> 17Vere correct containers used for the tests requested? <br /> Were correct reservarions used.for the tests requested? <br /> Was a sufficient arnount of sample sent for tests indicated? <br /> Were bubbles present in VOA Vials?:(Volatile Methods Only) <br /> Section 3—Suurme/Flow regulator Information 1J <br /> ?Iced Su,r:nea.#ik: <br /> Unused Summa#: <br /> Cleanin Summa#; <br /> Re ulator#: <br /> Was there any visual damage to summa Canisters or Plow regulators?Explain- <br /> Section 4—COC Information <br /> Yes No Commend Yes No Comments <br /> COC Received Analysis Requested <br /> Date Sampled Samples arrived within holding time <br /> Time Sampled Hold times less than 72 hours Y <br /> Sample ID Client Name <br /> Rush Turn Around Time Client Contact Information <br /> SORT HOLD LLST r72 hours <br /> H Chlorine Corrosivi ColiForm Dissolved Dx Odor Nitrate Nitrite Ortho- hos hale <br /> MEAS Asbastas Se[[able Salidg Turbidi Uiochemical Ox Demand HPC Caipr Tcdlars AxttmpniarTKN uss reserved <br /> Section S-Comments I Discrepancies <br /> Client notified of discre ancies: Yes 1 No Notified b <br /> Commtents- <br /> Bid Number/Location: Filled out by; Rte , l .� ■ Date_ -NI '7/2-0 <br /> COC ScnnneNArmched by: Time: 1p-S c1 <br /> Samples labeled by' <br /> Sample!abets 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 />