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Home My WebLink AboutNCG030644 DMR SW (2)'nCGo�)o�y� NPDS Reporting 'K Groundwater Report To• sypris Blue Midge Labs, Inco P.O. Box 2940 Lenoir, NC 28645 Telephone (828) 728-0149 Fax (828) 728-0131 Chain of Custody Sanitary Landfill Hazardous Waste Industrial or QC UST/Trust Fund Reporting Bill To: , 46 Te VLo116y;I' Field Non State Reporting Ptoject Name =<b irm PO Number Ice Present Y N Preservatives Lab Check Sample ID Sample Type Date Time Time & Temp HR.MM °C Field Sulfide Check Y N Field Sulfide Present/ Removed Y N Resid Chlor Field Check Y N Field Dechlorination Y N pH Resid Chlor°C PorA Temp Sampler leitials Analysis Requested Outfall 3 6a� 4(lt/t to ZIP & -- TSS Outfall 3 � 1 ��Zo LZ �� .� Pb� Ca,� Outfall 3 (714P {o/i' o�Zo G `• O&G Relinquished By: Date: , Time. Rece' Date, Time: r Upon submission of samples, client agrees that invoices are due at the tune wort: is completed Open accounts are due 20 days following invoice date A finance chargc of 1 5% per month will be unposed on all pasiue accounts When ielmquishmg samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney feefthe account becomes delinquent Blue Ridge Labs ieserves the nght to deny documentation for any wort: where payment has not been made, in effect rendering that data unsupported for regulatory purposes BRL cannot guarantee that any regulatory authority will accept any wod, Submitted therefore it is the client's responsibility to request on this form appropriate tests NC DENR Certified Lab #275 ncG-o3a(O q y NPDS Reporting Groundwater Report To sypris Blue Ridge Labs, Inco P O Box 2940 Lenoir, NC 28645 Telephone (828) 728-0149 Fax (828) 728-0131 Chain ®f Custody Sanitary Landfill Hazardous Waste Industrial or QC UST/Trust Fund Reporting BillTo: `gamg S J• iJ 1 �j l 6NYf6 ProjectName PO Number Ice Present Y Field �5� f N Preservatives Lab Check Non State Reporting Sample ID Sample Type Date Time Time & Temp HR -MM °C Field Sulfide Check Y N Field Sulfide Present/ Removed Y N Resid Chlor Field Check Y N Field Dechlorination Y N pH Resid Chlor PorA Temp Sampler CInitials Analysis Requested Outfall 2 1 ��b �% 6% . Z g p,,TSS Outfall 2 \r�(] 1 4 G 2 ti Pb� Outfall 2`�-{ b�d� O&G b y� 1 L - Relinquished By, Date Time: Ree d Date. Tirne: ;os Upon submission of samples. client agrees that invoices are due at the time work is completed Open accounts are due 20 days following invoice date A finance charge of 1 5% per month will be unposed on all padUe accounts When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney fee3 the account becomes delinquent Blue Ridge Labs reserves the right to deny documentation for any work where payment has not been made, in effect rendering that data unsupported for regulatory purposeti BRL cannot guarantee that any regulatory authority will accept any work submitted. therefore it is the clients responsibility to request on this form appropriate tests NC DENR Certified Lab 9275 nC,C--o30b y � aoi� MPDS Reporting K Groundwater Report To Sypris Blue Ridge Labs, Inco P O. Box 2940 Lenoir, NC 28645 Telephone (828) 728-0149 Fax (828) 728-0131 Chain of Custody Sanitary Landfill Hazardous Waste _ UST/Trust Fund Reporting Bill To: -Field Industrial or QC Non State Reporting PiojectName PO Number Ice Present. Y N Preservatives Lab Check Sample ID Sample Type Date Time Time & Temp HR:MM 0C °C Field Sulfide Check Y N Field Sulfide Present/ Removed Y N Resid Chlor Field Check Y N Field Dechlorination Y N pH Resrd Chlor PorA Temp °C Sampler Initials Analysts Requested Outfall 1 (�� ,, TSS Outfall I �r�u ��c` % L ,L < < Pbj t 0') Outfall 1 �� 7® L 2 t I O&G L I EPA ib- G LI Relinquished By. Date: Time: Ree ' e Dat - : Time: Upon submission of samples client agrees that invoices are due at the time wort: is completed Open accounts are due 20 days following invou.e date A finance charge of 1 5% per month will be imposed on all paaiue accounts When relmqutshm1 samples to Blue Ridge Labs (BRL). buyer authorizes BRL to perform only the analysts indicated above and also agrees to pa3 collection and attorney feathe account becomes delinquent Blue Ridge Labs reserves the tight to deny documentation for any worl, where payment has not been made. in effect rendering that data unsupported for-re-ulatory purposes BRL cannot guarantee that any regulatory authority will accept any wod, submitted therefore it rs the client s responsibility to request on this form appropriate tests NC DENR Cetufied Lab 4275