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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 Hendricks 04/26/17 14:47 <br />Sample Integrity <br />Ua[e rceceivecr i�wj //LUI / <br />WORK ORDER. 1704113 <br />Section I —Sample Arrival Info. <br />Sample Transport: EXC.Ei OffEM Courier Transported 1w land <br />Describe type of packing materials: None <br />Has chilling process begun? No Sampten Received: Ambient <br />Tetnperawre of Samples (cC):22 Ice Chest Temperature(s) (°C): NA <br />Section 2—Bottle/Anal". is info. <br />Y_ N., NJA CamlNiflr> <br />Did all containers arrive unbroken and Intact? <br />x <br />Did all container labels agree with COC? <br />x I Click here to enter text_ <br />Were correct containers used for the tests requested? <br />x <br />Were correct reservations usod for the tests rc uestcd7 <br />x <br />Was at sufficient amount of sample ;tent for tests indicated? <br />X <br />WW bubbles present in VOA trials?: (Votallle Methods only) <br />x <br />Section 3 — Sumnzs/Flow retiulator Info. <br />wee Sgaft~ t: <br />Unused SummnUr <br />Clauning Summa*: <br />RMulatorlt: <br />Was there any visual damage to summa eatristcrs or now rcgulatom? Explain. <br />Section 4 — COC Info, <br />ComIcred t -f Pn.m <br />Bin tis: <br />Gdm [+;led <br />CXK b)': <br />YCe Nu Couu�ine+ <br />Stunpte labels reviewed <br />bY., <br />Ycs Ho C+7mmenh <br />Was COC Received <br />X <br />Analysis Requested <br />X <br />Dare Sampled <br />X <br />Samples arrived within holding throe <br />x <br />Time Sampled <br />X - <br />Any hold times less than 72 hrS <br />K <br />Sample ID <br />x - <br />Client Name <br />X <br />Rush TAT <br />X <br />Address/Tolephone11 <br />X - <br />Section 5 — Comments / Discrepancies <br />Was Client notified of discreancies: NIA Notified by: NIA <br />Ex lanatlons 1 Cott mews: - <br />SamplesA Labeled by: <br />JS <br />Bin tis: <br />43 <br />CXK b)': <br />JS ...__..... <br />Stunpte labels reviewed <br />bY., <br />.1S <br />Excelchem Environmental Lab. <br />Laboratory Representative <br />[Ailed�� �SpwrEs llstte:4/17/17 <br />Out <br />by; Time: <br />The results in this report apply to the samples analyzed in accordance with the chain of <br />custody document. This analytical report null be reproduced to its entirety. <br />Page 2 of 2 <br />