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Excelchem Environmental Labs <br />Ramos Environmental Project: BORETECH <br />1515 S. River Rd. Project Number: [none] Date Reported: <br />West Sacramento, CA 95691 Project Manager: David Ilendricks 04128/17 14:47 <br />Sample Integrity <br />mate Kecelvecf: U4117L2017 <br />WORK ORDER. 1704113 <br />Section I — Sample Arrival Into. <br />SampleTransport: EXC.Fi.CHEM Courier Transported 1w Hand <br />Describe type of piwking materials= None <br />Has chilling process begun? No Sample. Received; Ambient <br />Teriperature of Samples (0C):22 Ice Chest Temperattire(s) (IC): NA <br />Section 2—Bottle/Analysis Into. <br />Ya. No N)A Comm a <br />Did all cemimincrs arrive unbroken and Intact? <br />x <br />Did all container labels agrco wlrh C GC? <br />x Click here to enter text_ <br />Were correct conwhiers used for the tests requesters'? <br />X <br />Were correct preservations used for the. tests; .re uestcd7 <br />X <br />Was a sufficient amount of sample sent Por tests indicated? <br />X <br />Write bubble% present in VOA Vials'1: ('Vales ile T9ethada Only) <br />X <br />Section 3 — Summa/Flow re;Rulator Info. <br />Unused SammnMx <br />Cleaning Siummn#. <br />Rmulatorii: <br />Was there tiny visual damage to summa canisters or flow regulators? EXpiulm <br />Section 4 — COC Info, <br />Com Iaad <br />rani r,— <br />00m li ud <br />00c SCMDOW mese.[ by: <br />Yea Nu <br />COINW e+ <br />Yes No commentu <br />Was COC Received <br />}t <br />Analysis Requested <br />X <br />Dare Sampled <br />X <br />- Samples arrived within holding [Dict: <br />x - <br />Time Sampled <br />x <br />Any hold times less than 72 hrs <br />x <br />Sample ID <br />x <br />- Client Name <br />X - <br />Rush TAT <br />x <br />Address/Tolephone it <br />x - <br />Section 5 — Comments / Discrepancies <br />Was Client noticd of disere ancien; NIA Notified by., NIA <br />Explanation,I Comments; - <br />D <br />Swilples Labeled by: �- <br />is <br />BLt ft., <br />43 <br />00c SCMDOW mese.[ by: <br />IS . <br />Sample label%reviewed <br />by. <br />.IS <br />Excelchem Environmental Lab. <br />Laboratory Representative <br />►Fllled ,�Ditte: 4117/17 <br />041 <br />hy; Time: 15:31 <br />The results in this report apply to the samples analyzed in accordance with the chain of <br />custody document. This analytical report mat be reproduced in its entirety, <br />Page 2 of 2 <br />