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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 21:51 <br /> Sample Integrity WORK ORDER: <br /> Company Name <br /> Date Received: tA -I New Client: Y <br /> Section l—Sampie Arrival luire rmation -- <br /> Sample Transport: ONTRAC UPS USPS Walk-InELCI-IEM Co - r Fed-Ex Other- <br /> Transported In: Ice Chest ax Hand <br /> 1 Packing materials: Bubble Wrap Foam Packing Peanuts Paper Other- 1.S A. <br /> Has chilling process begun? Y (L,;-,-) Samples Received: Chilled to Touch I bin / On Ice <br /> Temperature of Samples("C): t 9, 4 ice Chest Temperature(a)(1L): ><` <br /> Section 2—BottIelAna"is Info. <br /> Yes NO N/A Commcrlls <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 00rrect 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—Summa/Flow regulator Information/ <br /> `lloed Strntnsa#: <br /> Unused Summa#: <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 Comments 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 }� <br /> Sample ID Client Name <br /> Rush Turn Around Time 3 b/�'� C3ient Contact[xxFormation <br /> SHORT HOLD L17 c72 hours <br /> H Chlorine Corrosivi Coliform r]issalved Ox Cn• Odor Nitrate NiVite Qrtltp- hvs hart <br /> MBAs Asbestos Settablmlids Turbidi BieChcmicai O rn Qenaand HPC Color Tcdlan Ammon WTK.N un rcsiev <br /> Section 5—Comments/Discrepancies <br /> Client notified of discrepancies; Yes I No Notiliked b <br /> Com men ts: -- <br /> Bin Number/Location: Filled out bY: K e Date: y i 7,2-o <br /> COC Scanned/Attached by: Time: [13=5 R <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 />