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Section I — Sample Arrival Information <br />Sample Transport: ONTRAC UPS USPS <br />Transported In: ll3 Box Iland <br />Packing materials: Bubble Wrap Foam <br />Has chilling process begun? (52 N <br />Temperature of Samples ("C): Ct 5/ <br />4cl <br />fl.6° CF <br />EXCELCHEM Courier Fed-Ex Other: <br />Packing Peanuts Paper Other: <br />Samples Received: Chilled to Touch / Ambient <br /> <br />Ice Chest Temperature(s) ("C): — <br />+1.60 CF <br />Section 4 — Comments / Discrepancies <br />Bin Number/ Local ion: A <br />COC Scanned/Attached by <br />.9119f Samples labeled by <br />Sample labels re, iei,ed by. <br />Client notified of discrepancies: Yes / No Notified by: <br />Comments: <br />I <br />Da te_yz zi7e. <br />Time: ihr..ts, <br />Excelchem Laboratories, Inc. <br />Ancon Environmental Project: Stockton Custard <br />570 Business Park Dr. Project Number: 1061985 Date Reported: <br />Lincoln, CA 95678 Project Manager: Nolan Ryan 08/15/22 10:20 <br />Sample Integrity <br /> <br />WORK ORDER: 2707(77 <br /> <br />Date Received: 7/2_2(2 <br />Company Name: ktfiCc) <br />New Client: <br /> <br />Section 2 — Bottle/Analysis Info. <br />Yes /No N/A Comments <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? 4./ <br />Were correct preservations used for the tests requested? t/ <br />Was a sufficient amount of sample sent for tests indicated? t./. <br />Were bubbles present in VOA Vials?: (Volatile Methods Only) 4 <br />Is there head space in the VOA vials? (Volatile Methods Only) <br />Section 3— COC Information <br />Yes o Comments Yes No <br />COC Received Analysis Requested <br />Date Sampled Samples arrived within holding time <br />1../ <br />Time Sampled Hold times less than 72 hours <br />‘.../7 <br />Sample ID Client Name <br />Rush Turn Around Time <br />I..." <br />c ja.4. Client Contact information <br />SHORT HOILD LIST (<72 hours) <br />pH Chlorine Corrosivitv Col i form Dissolved Oxygen Odor Nitrate Nitrite Ortho-phosphati. mn <br />As <br />Asbestos Sensible Solids turbidity Biochemical Oxygen Demand <br />ti <br />11PC Color redlars Animonia/TI.N (Impress:1A call <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 /> <br />Laboratory Representative Page 2 of 5