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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 11/16/17 18:19 <br /> Saniple lnlegril5 WORK ORDF-R- 1711€085 <br /> Date Keitiwc>1: I];14i2i1lT <br /> Srtrrinrt 1.—Sampbe Arrival Infer <br /> Suinplr Trire,p wt: EXCELCHE.M f'ou.ier En! box <br /> D'c cntw-Lype or packing mauc ial s: Nr <br /> Has-hALLng process hegsus! NO Sanapkcs Ream ed:_Aabisex <br /> TCmpa=-alun:❑f Sas>ples(C)I- 2" I"f-hex[Tii.gcrwurefa?OQr �a <br /> Stenon 2—t3.UWAna11ygis Info. <br /> Ye. fVn PtIA C-�nwu <br /> Did a114vlr4es arrive unrrbrokc and inla-Ct x - <br /> 6a—ai1_benne labels agmc with COC? x - <br /> Were vcwrcc,conlair%cm 4r5Cd for Ehe tcm-+rCf uc-Aed? x <br /> Were cvmTrci pre4ervai ionf,usfvr am iests UCSU47 x <br /> was a sufrWlenl amount Of SOMPIC sent for tests ind ica"? x - <br /> VJrae bubbles praxcnl in VOA Vi21s'l_{Vo It A4 lblds Choy) x _ <br /> 1secti.nn i—SomouifFlow rep�itlalor Info. <br /> abed 5�.......#_ <br /> un�d s..>'isawr <br /> C`be_an_inq tium M- <br /> NI A <br /> Re7eafaior+4• <br /> Way thrre ariv 0SUal damage to summa can mens or now regulaiors?Explain. <br /> Secliun 4—COC Info. <br /> creme i.se F.�-... c�..nvla�•d <br /> Yes_ ko iwni.�d Yea !io Commeiers <br /> Was COC lltecwed Aaaly s R qw"" x <br /> hale Sa x - samples X _ <br /> T31ive Sam x Any hold times Less than 72 lira X <br /> Sample tD x - Client Name X - <br /> RmIN TAT x -2 DAY Addressi Telep1 one a x - <br /> Section S—Commeols f Disc punc" <br /> Was Clicril nWified ofdiscrepericies: WA ' ?4ol5fiad by: NiA <br /> F.x Ian3tic+>Lti!€"ontnxnxti� - <br /> rS--Pt—i-abelk d by- C M FLlyd�.0 l h, Dwtr- i Sf 14ao 17 <br /> - �ouzYorer� �tcDo�raCd <br /> Bin Ifs_ ptpi. I 1 — Time: S 255 <br /> "OC ScsnnadJAltaciii by: CH <br /> Sample latL- revieweal by: Cert <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 />