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Home My WebLink AboutNCG100175_MONITORING INFO_20180309r STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. ( oo� DOC TYPE Ig� HISTORICAL FILE MONITORING REPORTS DOC D ATE (93 g ❑ D YYYYM M DD Mid Atlantic Engineering & Environmental Solutions January 9, 2018 NCDEQIDW R Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED MAR 0 S 2018 CEN I NAL FILES DWR SECTION Subject: STORMWATER SAMPLING RESULTS MARTIN'S IMPORT SALVAGE 3468 WENDELL ROAD WENDELL, WENDELL, JOHNSTON COUNTY, NORTH CAROLINA PERMIT NCG100175 . MID -ATLANTIC JOB NO. 0001112614.00 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 276 10 office 919.250.991 B facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on December 20, 2017 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below their respective benchmark values or within benchmark range. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Attachments: Stormwater Discharge Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100175 FACILITY NAME Martin's Import Salvage Wendell, NC PERSON COLLECTING SAMPLE(S) Marty Broaden CERTIFIED LABORATORY(S) Pace Analytical Lab # 12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 COUNTY Johnston PHONE NO. 919) 365-6667 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - 6.0 — 9.01 100/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 12/20/17 0.50 88.1 <5.0 <5.0 0.0074 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, last revised October 25, 2012 Page 1 of 2 6N STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "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 pv aT es for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Perm ittee XDesign ee) /- / -l'�6 (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 aceAnalyticaie www.pacelabs.00m Pace Analytical Services, Lop 9800 Kincey Ave. Suite 100 Huntersville, Nc 28078 (704)875-9092 January 05, 2018 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Martin's Import Salvage Pace Project No.: 92367899 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. P,C REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 aceAnalyrical www. pacelabs.00m Pace Analytical Services, LI-C 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Martin's Import Salvage Pace Project No.: 92367899 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C-49-06 KansaslNELAP Certification ME-10177 Kentucky UST Certification M 80226 Kentucky WW Certification #:98019 CERTIFICATIONS Ohio VAP Certification M CL-0065 Oklahoma Certification #: 2017-124 Texas Certification #: T104704355-17-11 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 Louisiana/NELAP Certification # LA170028 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification M 84 North Carolina Field Services Certification #: 5342 Virginia[VELAP Certification #: 460221 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification M E87W South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VrginialVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LI.C. Page 2 of 13 aceAnalytical www.pacefabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 u SAMPLE ANALYTE COUNT Project: Martin's Import Salvage Pace Project No.: 92367899 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92367899001 Outfall No. 1 EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA 6010 SER 1 PASI-A SM 2540D SLB 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services. LLC. Page 3 of 13 UceAnalytical www.pomMbs.corn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 ANALYTICAL RESULTS Project: Martin's Import Salvage Pace Project No.: 92367899 Sample: Outfall No. 1 Lab ID: 92367899001 Collected: 12/20/17 02:00 Received: 12/21/17 12:51 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 01/05/18 04:43 801 SM Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg1L 5.0 1 12/26/17 11:46 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead 7.4 uglL 5.0 1 01/02/18 15:35 01/04/18 00:36 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 88.1 mg/L 16.6 1 12/26/17 19:12 .REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalytical www.pscelahs.ccm Pace Analytical Services, L1,C 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 i (704)875-9092 Project: Martin's Import Salvage Pace Project No.: 92367899 QC Batch: 393325 QC Batch Method: EPA 1664E Associated Lab Samples: 92367899001 METHOD BLANK: 2180920 Associated Lab Samples: 92367899001 Parameter Units Total Petroleum Hydrocarbons mg/L QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/05/18 04:32 LABORATORY CONTROL SAMPLE & LCSD: 2180921 2180922 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Total Petroleum Hydrocarbons mglL 20 19.8 19.6 99 98 64-132 1 30 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 a ce Analytical www.pacelab3.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Martin's Import Salvage Pace Project No.: 92367899 QC Batch: 421779 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92367899001 METHOD BLANK: 1945165 Associated Lab Samples: 92367899001 Parameter Units Ethylene glycol mg1L LABORATORY CONTROL SAMPLE: 1945166 Parameter Units Ethylene glycol mg1L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 12/26/1710:02 Spike LCS Conc. Result 25 30.3 LCS % Rec % Rec Limits Qualifiers 121 41-162 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 ace Analytical wwwpawkihs.com Pace Analytical Services, LLc 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Martin's Import Salvage Pace Project No.: 92367899 QC Batch: 392621 QC Batch Method: EPA 3010A Associated Lab Samples: 92367899001 METHOD BLANK: 2177679 Associated Lab Samples: 92367899001 Parameter Units Lead ug/L LABORATORY CONTROL SAMPLE: 2177680 Parameter Units Lead uglL QUALITY CONTROL DATA Analysis Method: EPA 6010 Analysis Description: 6010 MET Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/0311823:30 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 459 92 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2177681 2177682 MS MSD 92367744001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead uglL ND 500 500 466 473 93 95 75-125 2 Results presented on this page are in the units indicated by the 'Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 aceAnalytical wwwpaoetalm.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Martin's Import Salvage Pace Project No.: 92367899 OC Batch: 392277 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92367899001 METHOD BLANK: 2176267 Matrix: Water Associated Lab Samples: 92367899001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/26/17 19:05 LABORATORY CONTROL SAMPLE: 2176268 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 242 97 90-110 SAMPLE DUPLICATE: 2176269 92367862001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND SAMPLE DUPLICATE: 2176270 92367890003 Dup Parameter Units Result Result Total Suspended Solids mg/L 63.6 81.8 RPD Qualifiers 25 D6 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical wNw.pacelabs.00m Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Martin's Import Salvage Pace Project No.: 92367899 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL - Practical Ouantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyi ether. Aseparate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. :T-:4*63 11l_1WM&I This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC, Page 9 of 13 la,eAnillytical »ww,pacelabs.cwn Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: Martin's Import Salvage 92367899 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92367899001 Outfall No. 1 EPA 1664E 393325 92367899001 Outfall No. 1 EPA 8015 Alcohol -Glycol 421779 92367899001 Outfall No. 1 EPA 3010A 392621 EPA 6010 392714 92367899001 Outfall No. 1 SM 2540D 392277 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/05/2018 01:02 PM without the written consent of Pace Analytical Services, LLC, Page 10 of 13 Document Name: Document Revised: August 4, 2017 2aceAnalyfical" Sam le Condition Upon Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: _.� F-CAR-CS-033-Rev.04 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ FluntersvilFE—❑ Raielgh❑ Mechanicsville❑ 0101. t i nt Na Project g: WOW 92367699 I( I Courier: Fed Ex ADMS LJUSPS ❑Client ❑ Commercial ❑Pace ❑Other: I I I1 92367899 Custody Seal Present? ❑Yes B96-- Seals Intact? ❑Yes JgNo— Date/Initlals Person Examining Contents: Ln .71 Packing Material: ❑Bubble Wrap rubble Bags ❑None ❑ Other Biological Tissue Frozen? Thermometer: ❑Yes ❑No—N/A—� _LjorGun ID: 9wer— ❑Blue ❑None -� T e of Ice: Correction Factor: Cooler Temp Corrected ('C): % Temp should be above freezing to 6Y 05amples out of temp criteria. Samples on ice, cooling process has begun USDA Regulated Soil ( MIA. water sample) Did samples origi In a quarantine zone %vithin the United States: CA, IVY, or SC (check maps)? Did samples originate from a foreign source (internationally, mvpc Nn including Hawaii and Pugnn Rlrn17 1' lYes _MN Comments/Discrepancy: Chain of Custody Present? es ONa. N/A 1. Samples Arrived within Hold Time? s No ONJA 2. Short Hold Time Analysis 02 hr.? ❑yes .011T ❑N/A 3. Rush Turn Around Time Requested? Yes%9 N/A Q. Sufficient Volume? E3reV [:]No ❑N/A S. Correct Containers Used? -Pace Containers Used? Yes es ❑No ONO QN/A N/A 6. Containers Intact? es ONo N/A 7. Dissolved analysis: Samples Field Filtered? Yes a N/A g. Sample labels Match COO -Includes Date/Time/ID/Analysis Matrix: []Yes „�tttr []N/A 9. (� �{,•� JCS HeadspaceIn VOA vials (>5.6mm)? es [:]No ❑N/A 10. Trip Blank Present? TriR Blank Custody Seals Present? ❑yes Yes o No ❑N/A N/A 11. CLIENT NOTIFICATION/RE50LUTtON Person Contacted: Comments/Sample Discrepancy: Date/Tirne: Field Data Required? i_JYes UNo Lot ID of split containers: Project Manager SCURF Review: Date: Project Manager SRF Review: �� Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, incorrect containers) Page 11 of 13 w co Q N 0 m m U n O M c b c r<a x ti 3 e a n � o m N n v r► A n 3 e� m r o � b �n N_ b n � tb M A a t 'o to N A W R � S �a a � � N D 3 c b y Q m Q M a a a o ua m .r m Itemlt BP41.1-125 ml. Plastic Unpreserved (N/A) (CI-) 8P3U-250 mL Plastic Unpreserved (N/A) SP2U-S00 mt Plastic Unpreserved (N/A) BP1U-1 liter Plastic Unpreserved (N/A) zVBP45-12S m1 Plasti[ H2504 (pH < 2) (CI-) F-7 BP3N-250 mL plastic HNO3 (pH < 2) z �: BP42-125 mL Plastic ZN Acetate & NaOH (>9) 0 8P4C-12S mL Plastic NaOH (pH > 12) (CI-) WGFU-wide-mouthed Glass jar Unpreserved AGIU-1 liter Amber Unpreserved (N/A) (CI-) zzzzz-zz//V/I/ZK AG1H-1 liter Amber HCI (pH < 21 AG3U-250 ml.Amber Unpreserved (N/A) (CI•) AG15-1 liter Amber H2504 (pH < 21 AG35-250 mL Amber H2SO4 (PH < 2) AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-) DG9H-40 mL VOA RCI IN/A) VG9T-40 mL VOA Na2S203 (N/A) VG9U-40 mL VOA Unp {N/A) OG9P-40 mL VOA 113PO4 (N/A) VDAK (b vials per kit)•5035 kit (N/A) V/GK (3 vials per hit)-VPH/Gas kit (N/A) SP5T-125 mL Sterile Plastic (N/A — lab) SP2T-250 mL Sterne Plastic (N/A — lab) Z7/z--Zzzzzz 8P3A-2S0 mL Plastic (NH2)2504 (9.3-9.7) Cubitainer V5GU-20 mL Scintillation vials (N/A) GN W CO �CO W CO i fr� FaceAnalytical ' / -. Section A Required Client Inwirralon' CHAIN -OF -CUSTODY I Analytical Request Document The Chavnol•Cuslody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section 8 Section C Required Piofw Inwrinni om Invoice Inlormatiom 0 N LL Page: of Company, Mid -Atlantic Associates. Inc. RGp-Tn' Chuck Hoffman (choHman@maaonline.com) A:lenlion Chuck Hoffman Aedicss: 409 Rogers View Court Cary To: Ron Davis (rdavis@rnaaonline.Com Company Name: Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh. NC 27610 Adcress, 409 Rogers View Court, Raleigh, NC i NPOES i GROUND WATER r- DRINKING WATER r UST I- RCRA f- OTHER Email To: choffman@maaonline.Com Purchase Order No.: R2614.01 Pac° 0=e - Rooenc Phone"• 919-250-9918 tax: 919-250-9950 Priem Namo: Marlin's Import Salvage - Wendell Pacc Prorru Nicole Gasiorowski Site Location Manager. $rAT1=. NC Requested Due DatefrAT: Smntlartl ProjeC: Number; R2614.02 Paca PwAu e- 5921-7 Requested Analysis Filtered (YINI Scctlan D Valid Matrix Codes — d x Reguirttl Cgem Inicrry,;,:nn MA1RIx caoE -_ COLLECTED Preservatives i N Y N Y ch."C WAT[N OVf C Z O N WATER W Aa1E W41[R Kw s U COMPOSiiE COAWeCdT[ U JO M Z PRODrIeT P = n STAR Et:GGPAB. Lq `} SOrIfJoLlp ::L OL OL Q O O G V" (D O 05 SAMPLE ID VVIPE wp 6 U W 14 U2 AIR AR (A-7-0.9l,-) 07HER Ci w � Sample IDS MUST BE UNIQUE iaSUE IS p Z s 0 m C> L) a F 2 G UI m Qy e7 p w tL 5 C) a rn T � -o w ~ r w DATE TIME DA1E 1tMi: V) o i Y z z 2 O w F I,_ UU a Pace Project Nod Lab I.D. Outfall No. 1 Vn G J 1 1 2 j I I x I x x x Rainfall (inches : I G1 2 1 pH: 3 4 5 6' 7 8 9 10 11 12 ADDITIONAL COMMENTS RELINQUISHED 13Y r AFFtUATIQN DATE TIME !ACCEPTED BY r AFFILIATION DATE TIME SAMPLE COJ�NDITIONS / J 1! t/ SAMPLERNAMEAND SIGNATURE ! u a y n = ... a? O G uI T E } PRINT Name of SAMPLER:.E o n SIGNATURE of SAMPLER: DATE SignL"yjd =' V F ImpGnam liafa: fly zigntllg lhi5larm you n-acceptrtuJ Pace's NE1.36 day paymem term$ and agiccing 10 lore char9u6 of 1.6%Pei nrunm for arty invcievs mi paw MKTus 30 Cay-. F-ALL-Q-020rev.08. 12-Oci-2007