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RECEIVE ® <br /> Excelchem Laboratories, Inc . MAR 1 12019 <br /> ENVIRONMENTAL HEALTH <br /> Project: A&ATransmission <br /> Ramos Environmental j PERMITISERVIC_�C <br /> 1515 S . River Rd. Project Number: [none] Ute Reported: <br /> West Sacramento, CA 95691 Project Manager: David Hendricks 01 /28/ 19 09:04 <br /> Sall kI)IC I11tegAt �Vta72 [% pRDF. li : 1901100 <br /> ()atc Rcccived: 1 /117/y019 <br /> ScctFon t - $ample Arrival Info. — <br /> 1 Sample -F?nnsposi : Ferl - F-:s •1'ruscpomt d In : Iland <br /> 1?cs;.ribc type arp ckis:g m�tcrinls ; 11A <br /> Ila:cchillingrn�ccssbezu:t? N& Received : Ambient <br /> -1't;mpera:urz: of Sunipl6s t'C:Y• 70.6 Ice Chest 'ttempCealurc(s) t"Cl : <br /> Section 2 - Bottic/An3lysis 111fo. - -- Yes Fa wk�S.Lrna <br /> Did all bottles arrive unbroken and intact? — T x_ ---- -� l <br /> - <br /> Did all bottle labels agree with COC? _ _ X - <br /> %%'cre corned containers used ror the tests requested? X <br /> Were: correct preservations used for the tests requested? X - <br /> Was a sufltcicnt ainount ofsatnpk sent for tests indicated? % <br /> �R'rn: bubbIc� preseut in \=OA Vials? : (Valattle mettleds Only) � X <br /> Section 3 - SummltlFioa• rettulator Inr . <br /> Unused SummaH: <br /> Gcaninp Sum mai€_ -' <br /> Reaulator€€z <br /> Was there any visual datnage to summa lnisrers or Rote' re ulatots'' Ex lain . „ <br /> Section 4 — COC Info. Ccsu lciid <br /> Cess Icicd tato F'scins �,� Ttn Comments <br /> Yrs 10 Consmeot �- <br /> Was COC Received % - Analysis Requested x <br /> Date Sampled X -- - Samples arrived tviihin holdinttr brae X <br /> 'rime Sampled - - % ( Any hold times Icss Iha3n 7= hr::. <br /> � <br /> Client Nat" x <br /> Sample ID % <br /> Addressrrelephone 0 x - <br /> Rush TAT X - <br /> ENWasClient.notiflied <br /> — Comments ! Discrepancies <br /> Notified b N/A <br /> ofdiacrepancles: N?As I Couunents: Ill I ALM <br /> —w <br /> —•----..._..._._......_...__.�. _ __,_......,_.. Daicz If1 &+20t9 3 <br /> Samples Labeled by: RL Filled out by: Rachele 1-anima* Time: 11 '31 <br /> ._ _ _ <br /> BIN : Rett <br /> COC Scann&Attached by: RL <br /> %ample labels revien'cd by: RL <br /> 1111 MEN <br /> The results in this report appty to the samples analyzed in accordance with the chain of <br /> rCelchem Environmental Lab . <br /> custody document. This anal aticnl report must be reprodac•ed in its entirety. <br /> s <br /> Page 2 of 2 <br /> Laboratory Representative <br />