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Home My WebLink AboutNCS000582_DMR_20200107 RECEIVED STORMWATER DISCHARGE OUTFALL(SDO) JAN 27 2020 MONITORING REPORT DENR-LAND QUALITY Permit Number NCS 000582 SAMPLES COLLECTED DURING CALENDAR YEAFS T 4/ATER PERMITTING (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Ennis-Flint (High Point facility) COUNTY Guilford PERSON COLLECTING SAMPLE(S) Nicholas Murphrey PHONE NO.( 336)475-6600 CERTIFIED LABORATORY(S) Pace Analytical(Pace Nat.) Lab#Env375 Lab# SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 00530 00310 00340 00610 00400 No. Sample Total Total Total Susp. Biochem.Oxy. Chemical Oxy. Ammonia as pH Collected Flow(if app.) Rainfall Solids(TSS) Demand(BOD) Demand(COD) Nitrogen mo/dd/yr MG inches mg/L mg/L mg/L mg/L SU benchmark -- -- -- 100 30 120 8.4 6.0-8.0 001 01/07/20 -- 0.22 36.5 2.3 16.2 0.183 7.9 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes Xno (if yes,complete Part B) Part B:Vehicle Maintenance Activity Monitoring Requirements Outfall Date 50050 00556 00530 00400 No. Sample Total Flow Total Oil& Grease Non-polar Total pH New Motor Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage (Method 1664 Solids SGT-HEM),if appl. mo/dd/yr MG inches mg/I mg/I unit gal/mo Form SWU-247,last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Date 01/07/20 Attn:Central Files Total Event Precipitation(inches): 0.22 1617 Mail Service Center Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation(inches): Event Duration(hours): (only if applicable—see permit.) "I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ,?oc2o (Si atu of Per ittee) (Da e) Form SWU-247,last revised 2/2/2012 Page 2 of 2 aceAnaIyticar A \ A L Y T I C A L R L D O R T - National Center for Testing&Innovation January 13, 2020 I Tc 3 Ss Piedmont Geologic 4 Sample Delivery Group: L1177053 Cn jSamples Received: 01/08/2020 Sr5 Project Number: 2014 Description: Ennis Flint-High Point Qc 7 GI Report To: Pete Dressel — 6003 Chapel Hill Rd Al Ste 145 g Raleigh, NC 27607 i Sc Entire Report Reviewed By: Heather J Wagner Project Manager Results relate only to the Items tested or calibrated and are reported as rounded values.This test report shall not be reproduced,except in full,without written approval of the laboratory.Where applicable,sampling conducted by Pace ;., Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067 and ENV-SOP-MTJL-0068.Where sampling conducted by the customer,results relate to the accuracy of the Information provided, and as the samples are received. 7. ,., :a a ;.' Iii c.„Allilik. 10-\de,,.....,<0.000., 5 44`73-- AP II n. r� yr. .per a .. Y i. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/20 16:09 1 of 14 TABLE OF CONTENTS ONE LAB.NATIONWIDE. Si Cp:Cover Page Cp Tc:Table of Contents 2 Ss: Sample Summary 3 2Tc Cn:Case Narrative 4 3 Sr:Sample Results 5 Ss OUTFALL-001 L1177053-01 5 4 Cn Qc: Quality Control Summary 6 Gravimetric Analysis by Method 2540 D-2011 6 5Sr Wet Chemistry by Method 350.1 7 6 Wet Chemistry by Method 410.4 8 Qc Wet Chemistry by Method 5210 B-2011 9 7 GI GI:Glossary of Terms 11 Al: Accreditations & Locations 12 Al Sc: Sample Chain of Custody 13 9 Sc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/20 16:09 2 of 14 SAMPLE SUMMARY ONE LAB.NATIONWIDE. AO Collected by Collected date/time Received date/time OUTFALL-001 L1177053-01 WW Nicholas Murphrey 01/07/20 10:45 01/08/2009:00 /-p Method Batch Dilution Preparation Analysis Analyst Location date/time date/time 2 Tc Gravimetric Analysis by Method 2540 D-2011 WG1407869 1 01/08/20 21:28 01/08/20 23:09 TH Mt.Juliet,TN Wet Chemistry by Method 350.1 WG1407936 1 01/08/2018:12 01/08/20 18:12 AJC Mt.Juliet,TN ■ Wet Chemistry by Method 410.4 WG1408068 1 01/09/20 09:00 01/09/2012:27 SL Mt.Juliet,TN Wet Chemistry by Method 5210 B-2011 WG1407514 1 01/08/2015:38 01/13/2011:01 ARM Mt.Juliet,TN 4 Cn 5 Sr Qc 7 GI AI 9 Sc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/20 16:09 3 of 14 1 CASE NARRATIVE ONE LAB.NATIONWIDE. 40 Cp All sample aliquots were received at the correct temperature, in the proper containers,with the appropriate preservatives,and within method specified holding times, unless qualified or notated within the report. Where applicable,all MDL(LOD)and RDL(LOQ)values reported for environmental samples Tc have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative,a non-conformance form or properly qualified within the sample results. By my digital signature below,I affirm to the best of my knowledge,all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory,and no information or data have been ■ knowingly withheld that would affect the quality of the data. s Sr 6 4)4flitok418-2— QC GI Heather J Wagner Project Manager Al 9 SC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 4 of 14 OUTFALL-001 SAMPLE RESULTS - 01 ONE LAB.NATIONWIDE. 40 Collected date/time: 01/07/20 10:45 L1177053 Additional Information , Result Units Cp Analyte 2 pH(On Site) 7.9 su Tc Gravimetric Analysis by Method 2540 D-2011 Iss Result Qualifier RDL Dilution Analysis Batch Analyte ug/I ug/I date/time a n C Suspended Solids 36500 12500 1 01/08/2020 23:09 WG1407869 Wet Chemistry by Method 350.1 Sr Result Qualifier RDL Dilution Analysis Batch 6 Analyte ugh ug/I date/time Qc Ammonia Nitrogen 183 100 1 01/08/2020 18:12 WG1407936 7GI Wet Chemistry by Method 410.4 Result Qualifier RDL Dilution Analysis Batch VA) Analyte ug/I ug/I date/time COD 16200 10000 1 01/09/2020 12:27 WG1408068 F19 Wet Chemistry by Method 5210 B-2011 Result Qualifier RDL Dilution Analysis Batch Analyte ugh ug/I date/time BOD 2300 K5 2000 1 01/13/202011:01 WG1407514 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 5 of 14 WG1407869 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. Si Gravimetrlc Analysis by Method 2540 D-2011 L1177053-01 Method Blank(MB) (MB)R3489228-1 01/08/20 23:09 Cp MB Result MB Qualifier MB MDL MB RDL 2 Analyte ug/I ug/I ug/I Tc _ Suspended Solids U 350 2500 ISs L1177058-01 Original Sample(OS) • Duplicate (DUP) (OS)L1177058-01 01/08/20 23:09•(DUP)R3489228-3 01/08/20 23:09ill Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits 5 Sr Analyte ug/I ugh' % % Suspended Solids 65600 66000 1 0.608 5 Qc L1177152-02 Original Sample (OS) • Duplicate (DUP) ill (OS)L1177152-02 01/08/20 23:09•(DUP)R3489228-4 01/08/20 23:09 Original Result DUP Result Dilution DUP RPD DUP Qualifier RPD °AI Analyte ug/I ug/I % % Suspended Solids 18200 19600 1 7.09 P1 5 9 Sc Laboratory Control Sample (LCS) (LCS)R3489228-2 01/08/20 23:09 Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier Analyte ug/I ug/I % % Suspended Solids 773000 808000 105 85.0-115 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 6 of 14 WG1407936 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. AO Wet Chemistry by Method 350.1 L1177 0 5 3-01 Method Blank (MB) (MB)R3489119-1 01/08/20 17:44 MB Result MB Qualifier MB MDL MB RDL Analyte ug/I ugh! ug/I Tc Ammonia Nitrogen U 31.7 100 3 Ss L1177021-01 Original Sample (OS) • Duplicate (DUP) 4 (OS)L1177021-01 01/08/20 17:51•(DUP)R3489119-3 01/08/20 17:52 Cn Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD 5 Limits Sr Analyte ug/I ug/1 % % Ammonia Nitrogen 1430 1440 1 0.559 10 c Qc L1177062-01 Original Sample(OS) • Duplicate (DUP) 7GI (OS)L1177062-01 01/08/20 18:19•(DUP)R3489119-6 01/08/20 18:21 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits a Analyte ug/I ug/I % % Ammonia Nitrogen ND 0.000 1 0.000 10 9 Sc Laboratory Control Sample (LCS) (LCS)R3489119-2 01/08/20 17:46 Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier Analyte ug/I ug/I % % Ammonia Nitrogen 7500 7600 101 90.0-110 L1177025-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS)L1177025-01 01/08/20 17:54•(MS)R3489119-4 01/08/20 17:56•(MSD)R3489119-5 01/08/20 17:57 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte ug/I ug/I ug/I ug/I % % % % % Ammonia Nitrogen 5000 ND 5090 5090 102 102 1 90.0-110 0.118 10 L1177094-01 Original Sample(OS) • Matrix Spike (MS) (OS)L1177094-01 01/08/20 18:27•(MS)R3489119-7 01/08/20 18:29 Spike Amount Original Result MS Result MS Rec. Dilution Rec.Limits MS Qualifier Analyte ug/I ug/I ug/1 % % Ammonia Nitrogen 5000 1640 6560 98.3 1 90.0-110 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 7 of 14 WG1408068 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. AO Wet Chemistry by Method 410.4 L1177053-01 Method Blank (MB) Cp (MB)R3489345-1 01/09/20 12:21 MB Result MB Qualifier MB MDL MB RDL 2 Analyte ug/I ugh] ugh' Tc COD U 3000 10000 _____ 3 Ss L1176873-01 Original Sample (OS) • Duplicate (DUP) (OS)L1176873-01 01/09/20 12:24•(DUP)R3489345-3 01/09/20 12:24El Original Result DUP Result Dilution DUP RPD DUP Qualifier D RPD LimitsUP Sr Analyte ug/I ug/I % % COD ND 0.000_.....__.._.1 0.000 20 6 Qc L1177363-03 Original Sample(OS) • Duplicate (DUP) 7G1 (OS)L1177363-03 01/09/20 12:30•(DUP)R3489345-6 OV09/20 12:31 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Al Analyte ug/1 ugh' % % COD 27600 26600 1 3.62 20 9 Sc Laboratory Control Sample (LCS) (LCS)R3489345-2 01/09/20 12:23 Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier Analyte ug/I ug/I % % COD 222000 204000 91.7 90.0-110 L1177254-01 Original Sample(OS) • Matrix Spike(MS) • Matrix Spike Duplicate(MSD) (OS)L1177254-01 01/09/20 12:27•(MS)R3489345-4 01/09/20 12:27•(MSD)R3489345-5 01/09/20 12:28 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte ug/I ug/I ug/1 ug/I % % % % % COD 400000 69700 473000 454000 101 96.1 1 80.0-120 4.07 20 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/20 16:09 8 of 14 WG1407514 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. Wet Chemistry by Method 5210 B-2011 L1177 0 5 3-01 Method Blank(MB) i (MB)R3490242-1 01/13/20 11:41 MB Result MB Qualifier MB MDL MB RDL Analyte ug/I ug/I ug/I Tc BOD 250 200 200 3 Ss L1176836-01 Original Sample(OS) • Duplicate (DUP) 4 (OS)L1176836-01 01/13/20 09:13•(DUP)R3490242-6 01/13/20 09:15 Cn Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Limits Sr Analyte ug/I ug/I % % BOD 54700 56200 1 3 30 a Qc L1177040-01 Original Sample (OS) • Duplicate (DUP) 7G) (OS)L1177040-01 01/13/20 10:53•(DUP)R3490242-9 01/13/2010:54 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Al Analyte ug/I ug/I % % BOD ND 0.000 1 0 30 9 Sc L1177113-01 Original Sample (OS) • Duplicate (DUP) (OS)L1177113-01 01/13/20 11:19•(DUP)R3490242-10 01/13/20 11:20 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ug/I ug/I % % BOD 11400 10900 1 4 30 Laboratory Control Sample (LCS) (LCS)R3490242-2 01/13/20 09:09 Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier Analyte ug/I ug/I % % BOD 198000 193000 97.5 84.6-115 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 9 of 14 WG1407514 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. A. Wet Chemistry by Method 5210 B-2011 L1177053-01 Laboratory Control Sample (LCS) (LCS)R3490242-3 01/13/20 10:18 Cc Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier 2 Analyte ug/I ug/I % % TC BOD 198000 219000 110 84.6-115 3 Ss Laboratory Control Sample (LCS) 4 (LCS)R3490242-4 01/13/20 11:16 I Cn Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier s Analyte ugh ugh % % Sr 800 198000 205000 103 84.6-115 6 Qc Laboratory Control Sample (LCS) 7 (LCS)R3490242-5 01/13/2011:38 GI Spike Amount LCS Result LCS Rec. Rec.Limits LCS Qualifier - Analyte ugh ugh' % % CAl BOD 198000 211000 107 84.6-115 9 SC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 10 of 14 GLOSSARY OF TERMS ONE LAB.NATIONWIDE. 1111 Guide to Reading and Understanding Your Laboratory Report Cp information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not intended as a comprehensive explanation,and if you have additional questions please contact your project representative. Results Disclaimer-Information that may be provided by the customer,and contained within this report,include Permit Limits,Project Name, I2TC Sample ID,Sample Matrix,Sample Preservation,Field Blanks,Field Spikes,Field Duplicates,On-Site Data,Sampling Collection Dates/Times,and 11 Sampling Location.Results relate to the accuracy of this information provided,and as the samples are received. Abbreviations and Definitions �Ss MDL Method Detection Limit. ND Not detected at the Reporting Limit(or MDL where applicable). Cn RDL Reported Detection Limit. Rec. Recovery. RPD Relative Percent Difference. Sr SDG Sample Delivery Group. 6 U Not detected at the Reporting Limit(or MDL where applicable). QC Analyte The name of the particular compound or analysis performed.Some Analyses and Methods will have multiple analytes reported. If the sample matrix contains an interfering material,the sample preparation volume or weight values differ from the GI Dilution standard,or if concentrations of analytes in the sample are higher than the highest limit of concentration that the laboratory can accurately report,the sample may be diluted for analysis.If a value different than 1 is used in this field,the result reported has already been corrected for this factor. Al These are the target%recovery ranges or%difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported.Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. 9SC Original Sample The non-spiked sample in the prep batch used to determine the Relative Percent Difference(RPD)from a quality control sample.The Original Sample may not be included within the reported SDG. This column provides a letter and/or number designation that corresponds to additional information concerning the result Qualifier reported.If a Qualifier is present,a definition per Qualifier is provided within the Glossary and Definitions page and potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. The actual analytical final result(corrected for any sample specific characteristics)reported for your sample.If there was no measurable result returned for a specific analyte,the result in this column may state"ND"(Not Detected)or"BDL" Result (Below Detectable Levels).The information in the results column should always be accompanied by either an MDL (Method Detection Limit)or RDL(Reporting Detection Limit)that defines the lowest value that the laboratory could detect or report for this analyte. Uncertainty Confidence level of 2 sigma. (Radiochemistry) A brief discussion about the included sample results,including a discussion of any non-conformances to protocol Case Narrative(Cn) observed either at sample receipt by the laboratory from the field or during the analytical process.If present,there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. This section of the report includes the results of the laboratory quality control analyses required by procedure or Quality Control Summary(Qc) analytical methods to assist in evaluating the validity of the results reported for your samples.These analyses are not being performed on your samples typically,but on laboratory generated material. This is the document created in the field when your samples were initially collected.This is used to verify the time and Sample Chain of date of collection,the person collecting the samples,and the analyses that the laboratory is requested to perform.This Custody(Sc) chain of custody also documents all persons(excluding commercial shippers)that have had control or possession of the samples from the time of collection until delivery to the laboratory for analysis. This section of your report will provide the results of all testing performed on your samples.These results are provided Sample Results(Sr) by sample ID and are separated by the analyses performed on each sample.The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary(Ss) This section of the Analytical Report defines the specific analyses performed for each sample ID,including the dates and times of preparation and/or analysis. Qualifier Description K5 The Dilution water D.O.depletion was>0.2 mg/L. P1 RPD value not applicable for sample concentrations less than 5 times the reporting limit. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/2016:09 11 of 14 r ACCREDITATIONS & LOCATIONS ONE LAB.NATIONWIDE. 10 Pace National is the only environmental laboratory accredited/certified to support your work nationwide from one location.One phone call,one point of contact,one laboratory.No other lab is as accessible or prepared to handle your needs throughout the country.Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry.The most significant benefit to our one location design is the design of our laboratory campus.The model is conducive to accelerated productivity,decreasing f,;rj turn-around time,and preventing cross contamination,thus protecting sample integrity.Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. 'Not all certifications held by the laboratory are applicable to the results reported in the attached report. `Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National. Tc State Accreditations 3 Alabama 40660 Nebraska NE-OS-15-05 Ss Alaska 17-026 Nevada TN-03-2002-34 Arizona AZ0612 New Hampshire 2975 4 Arkansas 88-0469 New Jersey—NELAP TN002 C n California 2932 New Mexico' n/a Colorado TN00003 New York 11742 5 Connecticut PH-0197 North Carolina Env375 Sr Florida E87487 North Carolina' DW21704 Georgia NELAP North Carolina' 41 6 Georgia' 923 North Dakota R-140 Qc Idaho TN00003 Ohio—VAP CL0069 Illinois 200008 Oklahoma 9915 Indiana C-TN-01 Oregon TN200002 7 GI Iowa 364 Pennsylvania 68-02979 Kansas E-10277 Rhode Island LA000356 Kentucky's 90010 South Carolina 84004 Al Kentucky' 16 South Dakota n/a Louisiana A130792 Tennessee'' 2006 9 Louisiana' LA180010 Texas T104704245-18-15 SC Maine TN0002 Texas s LAB0152 Maryland 324 Utah TN00003 Massachusetts M-TN003 Vermont VT2006 Michigan 9958 Virginia 460132 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A2LA Third Party Federal Accreditations A2LA—ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A2LA—ISO 17025 5 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Crypto TN00003 'Drinking Water 2 Underground Storage Tanks 'Aquatic Toxicity 'Chemical/Microbiological 5 Mold 'Wastewater n/a Accreditation not applicable Our Locations Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies.If you would like assistance from one of our support offices,please contact our main office.Pace National performs all testing at our central laboratory. vow MT ND Irp OR riii6- , 1 14 I ID SD WY 41411110111 11113114t NE 111111W° H '� iiii, cOT KS MOAT r • . Tc, OK N T IIILIF NM AR sc MSRIP GA T TX T l4TApt � Tiiii. .. .O \ HI /'l` , ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Piedmont Geologic 2014 L1177053 01/13/20 16:09 12 of 14 Company Name/Address. Billing Information: 1 Analysis/Container/Preservative j Chain of Custody Page I of_L . Piedmont Geologic !..10Esc 6003-145 Chapel/� Hill Road S aVA e' I Raleigh, NC 27607 ± L•A•B S C ,•E N•C•E•5 BEEENITI OMI Report to: I Email To: 12065 Lebanon Rd - O e. D Pete Dressel Mount Juliet,TN 37122 f " pjdressel@piedmontgeologlc.com Phone-615-7585858 tp Phone.800-767.5859 >,4 : iProject Ennis Flint High Point City/State High Point, NC Fax615-758•5859 . s Description: Collected: L# ti Client Project# Lab Project# Phone: (919)854-9700 v Fax: 2014 I 0 0 H 08 cn Collected by(print): Site/Facility ID# P.O.# I 1\1:c,1,0` S l 4r t`` a a wd W Acctnum:PIEGEO 0 O O. Template: Collected by(signature): Rush? (Lab MUST Be Notified) Date Results Needed = I i Q �y7'- A _Same Day 200% E E I Prelogin: ).4td _ ` Immediate) Two Da ay t00% Email? No t/4es o S O w , TSR: Wagner Packed on Ice N Y _Three Day 25% FAX? No _YesNo Lip CVN ' Cooler: _ of r — — 0 0 , M 0 0 I Cl)N ShippedVia: Sample ID Comp/Grab Matrix• Depth Date Time Cntrs CO U Z L I-- f Rem/Contaminant Sample a(lab only) Ou�cc\\\ - GC\ Grab WT , l/r?/o20 ICLIS 4 x }C .)( _1 .— 12L_ I r I # 1 I i H I - - ___ _- ____ _ _ ___ _ J ___I __. 'Matrix: SS-Soil GW-Groundwater WW-WasteWater DW-Drinking Water OT-Other pH Temp Remarks: 1C H = (7. q _ `n — Flow Other Hold# Relinquished shed by:(Signature) Date:�� Time: � � Received by:(Si aturA) = Samples returned via: 0 UPS Condition: (lab use only) 0 FedEx 0 Courier 0—. RAD SCREEN:<0.5 mR/hr Relinquished byi(Slgna ' ) Date: Time: Rec - t.;-fl to e) �' Temp: "C Bottles Received: ✓J /),/2,,4, y c23-1" !.-3 � �l -g � COC Seal Intact: Y N ✓FIA Reli uls ed ture) ,_. ate: Time: Received for la b :(Signature) Date: Time:ig 1..6 pH Checked: I NCF: Pace Analytical National Center for Testing & Innovation Cooler Receipt Form Client: \'1110 '? Cooler Received/Opened On: 01 /Q /20 Temperature: VI, Received By: Tanner Windham Signature: --- L, Receipt Check List NP Yes No COC Seal Present/ Intact? COC Signed /Accurate? Bottles arrive intact? Correct bottles used? Sufficient volume sent? If Applicable VOA Zero headspace? Preservation Correct/Checked? _ l _