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Excelchem Environmental Labs <br /> DTE Stockton,LLC Project: Ash <br /> 2526 W.Washington St. Project Number: [none] Date Reported: <br /> Stockton,CA 95203 Project Manager: Dan Crawford 08/07/17 10:51 <br /> amaple Integrity WORK ORDER : 17081105 <br /> Date Deceived: URlE1Z1 17 <br /> Sevtian 1 —Snmple Arrival <br /> .S;&MplaTrarysport. ]EXCELCHEM Courier '3'1:u1Yp4�r1L:L3 In: Hand <br /> Describe type of packing matcrials: None <br /> Has chilling process beguO7 No Samplcs Received: Ambi4nt <br /> Ternpnrdture ofSFlmples(�C): 22 Irc Chest Temperature(s)M )kYA <br /> Seetlon 2—BetticlAoalysis Inre. <br /> _ Y# No N!h <br /> Did all containers arrive unbrukcn+and intact? x _ <br /> Did all container labels agree%vith COCII x <br /> Y i; C'OYreCL1;UFP -Ai314r5 tl.Se for tbC tests r uealed7 !I <br /> Warn carrcct preservadom used for the tcsts r ucstcd') x <br /> Was a sufficient amount of Sample sent for mors indicated? X - <br /> Wera bubbles present in VC}A Vig15?:(Volodlc Mcahods Only) x <br /> Swtion 3 —Sumnut/Flaw regulator Info. <br /> 1444 nd swrr.rvrsc#: -- <br /> lunun"s4�ma#' _ <br /> CIEAP#np Sbm #: JL 14 r A JL <br /> Was there any visual damage to summa canisters or flow regulwor4•{ I:xplidn. <br /> Section 4—COC Info. <br /> tLeriimn.From V-)Vh k" <br /> yrg <br /> olxerner Yes No CCWno3cn1% <br /> WELR COC Kepeived X - Arkalysil R ue6tad x <br /> Pow Sa— Ivd x %ainp409 w*riva4 WOhio holding to x <br /> Time Sampled x - Any hold xiinea lt�a th;�irx 72 brs x <br /> Sample ID x - {ClientN;snj,' x <br /> Rush TAY x -2 day Address'Telsphons# It <br /> TAT <br /> Section S—Comments f Discrepancies— <br /> Wns Clicnt notified of discrc ancics: NIA Notified : N/A <br /> Ea€ lanationn 1 Comments: <br /> SanVlq�N Lea sled by: .r Ft Milled �# Date: 1/17 <br /> out <br /> Bin#S: Dept T1 by: Tirft@:1 1--37 <br /> EXcelchern Environmental Lab. The results in this report apply to the samples analyzed in accordance with the chain of <br /> y custody document.This analytical report must be reproduced in its entirety. <br /> Laboratory Representative rage 1 oft <br />