Laserfiche WebLink
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 21:49 <br /> Sample Integrity WORK ORDER.:>'004bL-4;, <br /> Cornpany Name:Received: _�! I I ZO New Client: Y <br /> Section I–Sample Arrival Information <br /> Sample Transport: ONTRA.0 UPS LISPS Walk-1n ELCF 1VI Co r Fed-Ex Other: <br /> Transported in: Ice Chest oX Hand <br /> Packing materials: Bubble Wrap Foam Packing Peanuts Paper Other- Na 'k– <br /> Flas chilling process begun? Y (L;,) Samples Received: Chilled to Touch I bin 1 On Ice <br /> Temperature of Samples("C):Ill.4 Ice Chest Temperature(s)(-C): <br /> Section 2-Hottle/Anal"is taro. <br /> Ycs No NIA Commmts <br /> Did all bottles arrive unbroken and intact? <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 hubbies present in VOA Vials?.(Volatile Methods Only) <br /> Section 3-Sttmma/Flow regulator Information <br /> 2Laed Swavrtrs#: <br /> Unused Summa#F_ <br /> Cleaning Summa#; <br /> Regulator#: <br /> Was there any visual damage to summa canisters or flow regulators?Explain. <br /> Section 4–COC Information <br /> Yes No Commcnts Yrs No Comments <br /> COC Received Analysis Requested -.rte <br /> Date Sampled Samples arrived within holding time <br /> Time Sampl�Time <br /> �[ Hold gimes Iess than 72 hours f <br /> Sample 1➢ Client blame <br /> Rush Turn A 3 DAtl Client Contact Information <br /> SHORT HOLID LIST X72 hours <br /> H Chtarinc Corrosivi - Coii Farm Di5501vcd ox Ddvr Nitrate iYitrite ortha-has hate <br /> MBAs Asbestos Settable Solids Turbidi Sivchemical Ox en 6cmand HPC Color Tedlars P.-mmoniaR•KSl un re Cd <br /> Section 5-Comments/Discrepancies. <br /> Client notified of discrepancies* Yes I No Notified h <br /> Comments: <br /> Bin Number/"cation; Filled out by: Rif lrl1�- l x l y�7/�2D <br /> COC Scanned/Attached by: Dam;c� Daft, id: <br /> Ssmpies tabeied by: <br /> Sa�rrep Ee labels mviewod 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 />