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Excelchem Environmental Labs <br /> DTE Stockton,LLC Project: Ash <br /> 2526 W.Washington St. Project Number: 4701052861 Date Reported: <br /> Stockton,CA 95203 Project Manager: Dan Crawford 11/14/17 18:04 <br /> Sample Integrity WORK ORDER; 1711065 <br /> Date Received: L I I Of-210 17 <br /> Srettnn 1—Sample Arrival t nFo. <br /> Sample Transport: F,�C(�t- -t�ll1•:?st k:o'Urier Transp..reed Im Hand <br /> nescrabe type of pa.-k..8�rtntria75_ tic nr <br /> Has chilling process begun' No Samples Received-�mhi r nt <br /> Te�uperarure of San,�krs r'Ct= ]�6 1ce Chess Tar perature(s)Ms_L4 A <br /> Section Z—BoltI&Ansly sis Info - <br /> Y_ N. ii6'n •t± <br /> Did all hntiles arrive urdwu:en and iritao-T x <br /> mid a bosde labels agssc wish COC= _ x <br /> Were correct con[air[crx usrad Fur the lists rtetl ui btr '_' x <br /> Weri:ctwuZc[llrescn u[ic.nc used for lire iems requested? iC <br /> Was a sutTiciem amount of simple sent for tests itsdseated? x - <br /> Werelx�hhlcsprcccn[en 4'pq Vilkls'!:(Vdatile t+?ethodsdslrl �[ <br /> Seedion 3-Summnlvly regulator lnfa <br /> Yfsa!See�r.wir�.- <br /> 4mn9ed Sutnlim*:- .. <br /> Cteunixtg Samt" /*- <br /> Itewilatoro. <br /> Wa4 there any wisuaf damage to summa can stern or noreguiatorx:'Explain_ <br /> y <br /> Section 4-Cos Info_ <br /> C'• aed Imc.Fnrm _ L'um cti <br /> __ V_ ?:n Comnx-�n Yc [+o Cwnrnen�. <br /> Was COC Received X - Anftlyias%nquesled x - <br /> Date Sampled K - tixlnplc urr5.xd—[Ain kidd ng7®[ X <br /> Time Sampled K Any hold Iirr c tess than 72 hrs x -pl1 <br /> Sample LD K - aieni Name x <br /> Rmsh7AT x -2 DAY AddresslTelephone*0 ]t <br /> Section S--CpF7menis l Discrepaq[vey <br /> Was Client iwsiflcd t4 dmcrcva ics. NEA • blutiFied by: NIA <br /> Ex Iansiit7nslC0rnn1etpkc: - — <br /> S�dp1Cs 1. -6.d by: ['.M Filled out h- +1�i rr-y � Date: I U101WI <br /> Rin ItnR.i.11 �+�GL-� Timm. 31.24 <br /> COC SeanileWAnached by_ Cly <br /> Samplr lal?rJ♦rnvicwra3 6Y- CM <br /> Excelchem Environmental Lab. 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 2of2 <br />