Laserfiche WebLink
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 Huffman 01/25/2108:41 <br /> Sample Integrity WORK ORDER: 2 o fe a-7 <br /> Company Name. -�7-t5.4, <br /> Date Received. l C- A`+ /> New Client: Y <br /> Section 1—Sample Arrival!n£ormation <br /> Sample Transport: ONTRAC ll USPS Walk-In EXCELCHEM Courier Fed-Ex Other: <br /> Transported In: Ice Box Hand <br /> Packing material Bubble Wra oam Packing Peanuts Paper Other: <br /> Has chilling process begun? Y N Samples Received: Chilied to Touch 1 A nt I On Ice <br /> Temperature of SamPies("C): t� Ice Chest Tem perature(s)("C): 1 ? <br /> Section 2-Bottle/Analysis Info. <br /> Yes No NIA. commews <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 correct preServatiolLs used For the tests requested? <br /> Was a sufficient amount of sample sent for tests indicated? <br /> Were bubbles present in VOA Vials?--(Volatile Methods Only) <br /> Flow regulator information <br /> Unused Summa#: <br /> Cleaning <br /> ulator - <br /> Was there any visual damage to summa canisters or flow regulators?Explain. <br /> Section 4—COC Information <br /> Yes No Commenm 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 1D Client Name <br /> !tush Turn Around Time Client Contact information <br /> SHORTHOLD LIST C72 hpurs <br /> H Chlerine C'�rrosiviiv Coliform Dissolve ox en T gdor I <br /> Ni[rate Nisriee Ortho- hos hale <br /> MSAs Asbestos Serrnhie Solids rurh�di[� Biochemical Or en I]emand HPC Color 7cdrars AmmonialrlCN(un reserved) <br /> See tion 5-Comments/Discre an cies <br /> Client notified of discrepancies* Yes I No Notified by; <br /> Comments- <br /> Bin Numbrrl Locnliun- Filled out by; L1ate: <br /> coc Scunncdunu„ci,rd by Time; <br /> r ►� ss.� !�Ic <br /> Samples lahrie(J b- <br /> Semple I;Ihel.,re,i.%,,d in <br /> Excelchem Labor'ator'ies_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 2of2 <br />