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Excelchem Laboratories,Inc. <br /> DTE Stockton,LLC Project: Scrubber Ball Profile <br /> 2526 W.Washington St. Project Number: 4700995195 Date Reported: <br /> Stockton,CA 95203 Project Manager: Genny Huffinan 11/05/20 17:12 <br /> anii<}ri� n13L%!gTliy WORK ORDER: a0100No - <br /> Date Receir ed: � y Company Name: <br /> New Client: y <br /> Section 1 -Sample Arrival,information <br /> Sample Transport_ ONTRAC �� USPS Walk-In EXCELCHEM Courier Fed-Ex Other_ <br /> Transported In_ ice Chest 14 r d <br /> Packing materials. Bubble Wrap Foam Packing Peanuts Paper Other: <br /> flas chilling process begun? Y � Samples Received= Chilled to Touch I t I On Ice <br /> Temperature of Samples{�C): _ Ice Chest Temperature(s)(°C):- r� <br /> Wall <br /> $ottle/Analysis Into. <br /> Yes No N/A Comments <br /> les arrive unbroken and intact? <br /> le labels a tee with COC? X <br /> ct containers used forthe tests requested?ct preservations used for the tests requested? <br /> cient amount of sample sent for tests indicated? <br /> Were bubbles present in VOA Vials?:(Volatile Methods Only) <br /> rCleaning <br /> S;visual <br /> aw regulator I7canisters <br /> a <br /> :ymage to summflow 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 /> Flush Turn Around Time � Client Contact Information <br /> ❑RT IIULD LIST -72 hours <br /> H Chlorine C'vrrosivity Col+form r]issoived Ox Odar Nitrate Nitrite prrho- hos here <br /> MBAs AshCsi os Srrtable Solids Turbidity BipChemical p Demand HPC Color Ted]ars AmmanidT[{T+[ un r�scrved) <br /> Section S—Comments/Discre ancies <br /> Client notified of discre ancies_ Yes I No Notified b <br /> Comments; <br /> r - <br /> Bin Number/.Location! r-1 rrz�� <br /> I�atec . <br /> CDC Scannrd ALIachecl b• 04 �Gt� l(� Time:t I - <br /> SampF—Igheled b.•: <br /> Sumplr•luhO' cr <br /> Excelchem Laboratories.inc. 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 rage 1 oft <br />