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' Excelchem Environmental Labs <br /> Condor Earth Technologies,Inc. Project. PNA Diesel <br /> 188 Frank West Circle,Ste.I Project Number: 1838 Date Reported. <br /> Stockton,CA 95206 Project Manager: Casey Kipf 09/01/151622 <br /> ' I Sample Integrity WORK ORDER-1508157_ <br /> Date Rceeived: 08/24/15 <br /> Section f—Sample Arriysl Into. - --- <br /> Sample Transport: ONTRAC UPS USPS Walk-In rh'XClil.GTlEM Connie: Fed-Ex Otber: <br /> Tr mpGrtcd In: ce Ches lox Hand <br /> Describe type of packing msterbtls: nubble Wrap Fonm Packing Permute Pater Other. <br /> Has chilling process begun? © N Samples Received: Chilled to Touch / Aniblern / x Ie <br /> ' Temperature of Samples(n(7)-4_ Ice Cheat Temperature(s)("C):`3— <br /> Section 2—33GttldAnalysis Info. - -- <br /> Yee Nn sk <br /> ' Did an bottles arrive unbroken and intact? _ X <br /> Did all hiAlle labels a ree,,.,with COC? X Massing T.lwl m.�.w M1tw-1 6mJe,will ax <br /> Were correct COntaiRCM used for the[CHIS mgtteSted'! X mfo_from onc�mw�i less.]. <br /> Waal cnrraCl reservalions used for the teats requested? X <br /> Was a aGIf1GICn[mllnLLGl of StAm lc gent for IGsls IndleIIled7 X <br /> ' were bubbles recant In VOA Visls?:(Vomtile Memods OneyJ X <br /> Section 3—Sumnabl 'bw mgalator Info. <br /> ?feed Srrmnar#: __ <br /> Cleaning Summap: lr <br /> lie latalwi <br /> Was there any visual damage w Rummus canisters or flow m lacers?Ex lain. <br /> ' Section 4—COC infq. - - <br /> Cb area Ioro FY CompkrI1d <br /> Yes No Conusswer Yes Na commnau <br /> Was COC Received X _ _Anal sis ftc ucsted X <br /> t <br /> Time S led X — _ seraplos arrivnd within]molding lime I[ �_ <br /> Sam ]oilX Any hold tfmcs Ices than T2 hrs X <br /> Sample ID X n Client IJamu X <br /> Rush TAT X I.Address/Tcic hone# I X <br /> ' SeMlon 5—Comments 11 Discrepancies <br /> Was Client notified Of dtsore nice: Ym Nu iYn1 Notified by: <br /> Explanations"Gornmeras! <br /> Samples Labeled by:_B4/_ <br /> IIin Mc:_,A0_ FIlled Date-- 08/24715 <br /> COC Scanaed/Altnehed hy:—aM_ Our by: Time: 1&13 <br /> ' Sample labels rcviawed by: <br /> ' Excelchem Environmental Lab. The resalisintha report eipplym the samples analy.-edPo a,conlance is ah the chum J' <br /> ocr.dy daculneni.Thu.1yucal report must be reproduced m hs er ireryr <br /> Laboratory Representative Page 2 oft <br />