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HomeMy WebLinkAboutNC0021954_Method 625 Scan_20200219Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/19/2020 10:42:14 AM (Supplemental Submittal) Submit by Thedford, Wren 5/12/2020 9:22:15 AM (Supplemental Info Submittal) • Thedford, Wren assigned the task to Thedford, Wren 5/12/2020 9:21 AM • The task was assigned to Thedford, Wren, Bennett, Bradley 2/19/2020 10:42 AM Initial Review Information Updated ID#:* IWORTANf:FEVIBAERSHOLLDVERFYand revise here ifnecessary. NC0021954 How should this project be handled?* r File r Discard Information Submitted on 2/19/2020 Submitter Information Name: Willard Hardison Vft is subrritting the information? Email Address:* whardis@citgo.com Submittal Information The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted electronically through the eDMR system and should not be submitted here. Division staff will reviewall uploaded documents and will only maintain required information. Documents such as laboratory reports are not required to be submitted and will not be maintained in the system. Project Information: Rease SUDDly the Dernit nun ber for this Existing ID#* PerrritNurrber NC0021954 Exarrples: NOKxxxxxx or NO&xxxxx Facility Name:* CITGO Petroleum Corp. County: Wayne Please upload all files that need to be submited. * dick the upload button or drag and drop files here to attach docurrent 625.pdf 1.07MB Only pdf files are accepted. Comments about the attachments: 625 scan compound the scanned submittal. * V By checking the box and signing box below, I certify that: o I have given true, accurate, and complete information on this form; • I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act) • I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'); • I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND • I intend to electronically sign and submit the Supplemental Information form." Full Name: Willard Hardison Signature: Date Submitted: 02/19/2020 ANALYTICAL REPORT January 30, 2020 CITGO-Selma, NC Sample Delivery Group: Samples Received: Project Number: Description: Site: Report To: L1181559 01/22/2020 Semiann Outfalls Outfalls-Semiann Monitoring SELMA (3442) H. Wayne Whiting 4095 Buffalo Road Selma, NC 27576 Entire Report Reviewed By ��MJarda ,' P�ti Cassandra Foster 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-0067and 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. aceAnalytical National Center for Testing & Innovation AW ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:03 1 of 19 TABLE OF CONTENTS ONE LAB. NATIONWIDE. * Cp: Cover Page 1 FP Tc: Table of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 FS OUTFALL 001 L1181559-01 5 Fn Qc: Quality Control Summary Gravimetric Analysis by Method 2540 D-2011 7 Fr Wet Chemistry by Method 1664B 8 Wet Chemistry by Method 2130 B-2011 9 FC Wet Chemistry by Method 420.4 10 F Volatile Organic Compounds (GC/MS) by Method 624.1 11 Semi Volatile Organic Compounds (GC/MS) by Method 625.1 12 [Al GI: Glossary of Terms 17 Al: Accreditations & Locations 18 RC Sc: Sample Chain of Custody 19 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:03 2 of 19 OUTFALL 001 L1181559-01 WW SAMPLE SUMMARY Collected by Brentrhornton Collected date/time 01/21/20 08:00 ONE LAB. NATIONWIDE. Received date/time 01/22/20 08:45 FP Method Batch Dilution Preparation Analysis Analyst Location date/time date/time F Gravimetric Analysis by Method 2540 D-2011 WG1415710 1 01/23/20 06:43 01/23/20 08:00 TH Mt. Juliet, TN Wet Chemistry by Method 1664B WG1415700 1 01/23/20 07:07 01/23/2013:36 AMG Mt. Juliet, TN Wet Chemistry by Method 2130 B-2011 WG1415601 1 01/22/20 2120 01/22/20 2120 MSP Mt. Juliet, TN Wet Chemistry by Method 420.4 WG1415420 1 01/22/2015:16 01/23/2014:07 JER Mt. Juliet, TN Volatile Organic Compounds (GC/MS) by Method 624.1 WG1415157 1 01/22/2016:29 01/22/2016:29 ACG Mt. Juliet, TN Fn Semi Volatile Organic Compounds (GC/MS) by Method 625.1 WG1415666 1 01/23/2010:31 01/24/20 05:14 JNJ Mt. Juliet, TN Fr FC �GI SAI RC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 3 of 19 CASE NARRATIVE ONE LAB. NATIONWIDE. * 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 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. Cassandra Foster Project Manager RC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:03 4 of 19 OUTFALL 001 SAMPLE RESULTS - 01 Collected date/time: 01/21/20 08:00 L1181559 Gravimetric Analysis by Method 2540 D-2011 Result Qualifier MDL Analyte mg/I mg/I Suspended Solids 1.30 J 0.350 Wet Chemistry by Method 1664B Result Qualifier MDL Analyte mg/I mg/I Oil & Grease (Hexane Extr) U 1.29 Wet Chemistry by Method 2130 B-2011 RDL Dilution Analysis Batch mg/I date / time 2.50 1 01/23/2020 08:00 WG1415710 RDL Dilution Analysis Batch mg/I date / time 5.56 1 01/23/202013:36 WG1415700 Result Qualifier MDL RDL Analyte NTU NTU NTU Turbidity 1.24 0.0310 0.300 Wet Chemistry by Method 420.4 Result Qualifier MDL RDL Analyte mg/I mg/I mg/I Total Phenol by4AAP U J6 0.00830 0.0400 Volatile Organic Compounds (GC/MS) by Method 624.1 Dilution Analysis date / time 1 01/22/2020 21:20 Batch WG1415601 Dilution Analysis Batch date / time 1 01/23/202014:07 WG1415420 Result Qualifier MDL RDL Dilution Analysis Batch Analyte mg/I mg/I mg/I date/time Benzene U 0.000331 0.00100 1 01/22/202016:29 WG1415157 Ethylbenzene U 0.000384 0.00100 1 01/22/202016:29 WG1415157 Toluene U 0.000412 0.00100 1 01/22/202016:29 WG1415157 Xylenes, Total U 0.00106 0.00300 1 01/22/202016:29 WG1415157 Methyl tert-butyl ether U 0.000367 0.00500 1 01/22/202016:29 WG1415157 (S) Toluene-dH 105 80.0-120 0112212020 16.29 WG1415157 (S) 4-Bromofluorobenzene 96.9 80.0-120 0112212020 16.29 WG1415157 (S) 1,2-Dichloroethone-d4 99.2 70.0-130 011221202016.29 WG1415157 Semi Volatile Organic Compounds (GC/MS) by Method 625.1 Result Analyte mg/I Acenaphthene U Acenaphthylene U Anthracene U Benzidine U Benzo(a)anthracene U Benzo(b)fluoranthene U Benzo(k)fluoranthene U Benzo(g,h,i)perylene U Benzo(a)pyrene U Bis(2-chlorethoxy)methane U Bis(2-chloroethyl)ether U 2,2-Oxybis(1-Chloropropane) U 4-Bromophenyl-phenylether U 2-Chloronaphthalene U 4-Chlorophenyl-phenylether U Chrysene U Dibenz(a,h)anthracene U 3,3-Dichlorobenzidine U 2,4-Dinitrotoluene U 2,6-Dinitrotoluene U 1,2-Diphenylhydrazine U ACCOUNT: CITGO-Selma, NC Qualifier MDL m g/I RDL mg/I 0.000316 0.00100 0.000309 0.00100 0.000291 0.00100 0.00432 0.0100 0.0000975 0.00100 0.0000896 0.00100 0.000355 0.00100 0.000161 0.00100 0.000340 0.00100 0.000329 0.0100 0.00162 0.0100 0.000445 0.0100 0.000335 0.0100 0.000330 0.00100 0.000303 0.0100 0.000332 0.00100 0.000279 0.00100 0.00202 0.0100 0.00165 0.0100 0.000279 0.0100 0.000318 0.0100 Dilution Analysis date / time 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 1 01/24/2020 05:14 PROJECT: SDG: Semiann Outfalls L1131559 ONE LAB. NATIONWIDE. * Fp _ Fc FS Fn Fc F, SAI Rc Batch WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 WG1415666 DATE/TIME: 01/30/20 12:08 PAGE: 5of19 ONE LAB. NATIONWIDE. * OUTFALL 001 SAMPLE RESULTS - 01 Collected date/time: 01/21/20 08:00 L1181559 Semi Volatile Organic Compounds (GC/MS) by Method 625.1 Result Analyte mg/I Fluoranthene U Fluorene U Hexachlorobenzene U HexachIoro-1,3-butadiene U HexachIorocyclopentadiene U Hexachloroethane U Ind eno(1,2,3-cd)pyrene U Isophorone U Naphthalene U Nitrobenzene U n-Nitrosodimethyl amine U n-Nitrosodiphenylamine U n-Nitrosodi-n-propylamine U Phenanthrene U Benzylbutyl phthalate U B is(2-ethyl hexyl)phthal ate U Di-n-butyl phthalate U Diethyl phthalate U Dimethyl phthalate U Di-n-octyl phthalate U Pyrene U 1,2,4-Trichlorobenzene U 4-Chloro-3-methyl phenol U 2-Chorophenol U 2,4-Dichlorophenol U 2,4-Dimethylphenol U 4,6-Dinitro-2-methylphenol U 2,4-Dinitrophenol U 2-Nitrophenol U 4-Nitrophenol U Pentachlorophenol U Phenol 0.000488 2,4,6-Trichlorophenol U (S) Nitrobenzene-d5 59.4 (S) 2-Fluorobiphenyl 75.8 (S) p-Terphenyl-d14 83.1 (S) Phenol-d5 23.4 (S) 2-Fluorophenol 37.E (S)Z4,6-Tribromophenol 89.4 Qualifier MDL RDL Dilution Analysis Batch mg/I mg/I date/time J 0.000310 0.00100 1 01/24/2020 05:14 WG1415666 0.000323 0.00100 1 01/24/2020 05:14 WG1415666 0.000341 0.00100 1 01/24/2020 05:14 WG1415666 0.000329 0.0100 1 01/24/2020 05:14 WG1415666 0.00233 0.0100 1 01/24/2020 05:14 WG1415666 0.000365 0.0100 1 01/24/2020 05:14 WG1415666 0.000279 0.00100 1 01/24/2020 05:14 WG1415666 0.000272 0.0100 1 01/24/2020 05:14 WG1415666 0.000372 0.00100 1 01/24/2020 05:14 WG1415666 0.000367 0.0100 1 01/24/2020 05:14 WG1415666 0.00126 0.0100 1 01/24/2020 05:14 WG1415666 0.00119 0.0100 1 01/24/2020 05:14 WG1415666 0.000403 0.0100 1 01/24/2020 05:14 WG1415666 0.000366 0.00100 1 01/24/2020 05:14 WG1415666 0.000275 0.00300 1 01/24/2020 05:14 WG1415666 0.000709 0.00300 1 01/24/2020 05:14 WG1415666 0.000266 0.00300 1 01/24/2020 05:14 WG1415666 0.000282 0.00300 1 01/24/2020 05:14 WG1415666 0.000283 0.00300 1 01/24/2020 05:14 WG1415666 0.000278 0.00300 1 01/24/2020 05:14 WG1415666 0.000330 0.00100 1 01/24/2020 05:14 WG1415666 0.000355 0.0100 1 01/24/2020 05:14 WG1415666 0.000263 0.0100 1 01/24/2020 05:14 WG1415666 0.000283 0.0100 1 01/24/2020 05:14 WG1415666 0.000284 0.0100 1 01/24/2020 05:14 WG1415666 0.000624 0.0100 1 01/24/2020 05:14 WG1415666 0.00262 0.0100 1 01/24/2020 05:14 WG1415666 0.00325 0.0100 1 01/24/2020 05:14 WG1415666 0.000320 0.0100 1 01/24/2020 05:14 WG1415666 0.00201 0.0100 1 01/24/2020 05:14 WG1415666 0.000313 0.0100 1 01/24/2020 05:14 WG1415666 0.000334 0.0100 1 01/24/2020 05:14 WG1415666 0.000297 0.0100 1 01/24/2020 05:14 WG1415666 15.0-314 0112412020 05.14 WG1415666 22.0-127 0112412020 05.14 WG1415666 29.0-141 0112412020 05.14 WG1415666 8.00-424 0112412020 05.14 WG1415666 10.0-120 0112412020 05.14 WG1415666 10.0-153 0112412020 05.14 WG1415666 Fp Fc FS Fn FA Fc F, SAI Rc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 6 of 19 WG1415710 Gravimetric Analysis by Method 2540 D-2011 Method Blank (MB) (MB) R3494666-1 01/23/20 03 00 MB Result Analyte mg/I Suspended Solids U MB Qualifier MB MDL MB RDL mg/I mg/I 0.350 2.50 L1181597-01 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L1181559-01 (OS) L1131597-01 01/23/20 03:00 • (DUP) R3494666-3 01/23/20 03 00 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/I mg/I Suspended Solids 84.0 80.0 1 4.88 5 L1181659-01 Original Sample (OS) • Duplicate (DUP) (OS) L1131659-01 01/23/20 03:00 • (DUP) R3494666-4 01/23/20 03 00 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/I mg/I Suspended Solids 134 122 1 9.38 P1 5 Laboratory Control Sample (LCS) (LCS) R3494666-2 01/23/20 03 00 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I Suspended Solids 773 828 107 85.0-115 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 7 of 19 WG1415700 Wet Chemistry by Method 1664B Method Blank (MB) (MB) R3493456-1 01/23/201150 MB Result Analyte mg/I Oil & Grease (Hexane Extr) U MB Qualifier MB MDL MB RDL mg/I mg/I 1.16 5.00 QUALITY CONTROL SUMMARY L1181559-01 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3493456-2 01/23/2011:50 • (LCSD) R3493456-3 01/23/201150 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD Analyte mg/I mg/I mg/I Oil & Grease (Hexane Extr) 40.0 38.0 32.5 95.0 81.3 78.0-114 15.6 RPD Limits 20 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 3 of 19 WG1415601 Wet Chemistry by Method 2130 B-2011 Method Blank (MB) (MB) R3493193-1 01/22/20 2120 MB Result Analyte NTU Turbidity 0.0680 MB Qualifier MB MDL MB RDL NTU NTU J 0.0310 0.300 L1181559-01 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L1181559-01 (OS) L1131559-01 01/22/20 2120 • (DUP) R3493193-3 01/22/20 2120 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte NTU NTU Turbidity 1.24 1.20 1 3.28 20 Laboratory Control Sample (LCS) (LCS) R3493193-2 01/22/20 2120 Spike Amount LCS Result Analyte NTU NTU Turbidity 40.0 36.6 LCS Rec. Rec. Limits LCS Qualifier 91.5 90.0-110 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 9 of 19 WG1415420 QUALITY CONTROL SUMMARY Wet Chemistry by Method 420.4 L1181559-01 Method Blank (MB) (MB) R3493610-1 01/23/2013:53 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Total Phenol by4AAP 0.0117 J 0.00830 0.0400 L1177617-02 Original Sample (OS) • Duplicate (DUP) (OS) L1177617-02 01/23/20 13:54 • (DUP) R3493610-3 01/23/20 13:55 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/I mg/I %_ Total Phenol by4AAP ND 0.000 1 0.000 20 L1181164-02 Original Sample (OS) • Duplicate (DUP) (OS) L1131164-02 01/23/2014:25 • (DUP) R3493610-5 01/23/2014:26 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/I mg/I Total Phenol by4AAP 0.0497 0.0337 1 38.4 P1 20 Laboratory Control Sample (LCS) (LCS) R3493610-2 01/23/20 13:54 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I Total Phenol by4AAP 0.500 0.550 110 90.0-110 L1181559-01 Original Sample (OS) • Matrix Spike (MS) (OS) L1131559-01 01/23/20 14:07 • (MS) R3493610-4 01/23/20 14:03 Spike Amount Original Result MS Result MS Rec. Analyte mg/I mg/I mg/I Total Phenol by4AAP 1.00 U 0.0318 3.18 Dilution Rec. Limits MS Qualifier 1 90.0-110 J6 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 10 of 19 WG1415157 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Volatile Organic Compounds (GC/MS) by Method 624.1 L1181559-01 Method Blank (MB) C p (MB) R3493274-2 01/22/201013 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I TC I Benzene U 0.000331 0.00100 Ethylbenzene U 0.000384 0.00100 FS Methyl tert-butyl ether U 0.000367 0.00500 Toluene U 0.000412 0.00100 Xylenes, Total U 0.00106 0.00300 [Cn] (S) Toluene-dH 102 80.0-120 (S) 4-Bromofluorobenzene 84.2 80.0-120 5 Sr (S) 1,2-Dichloroethane-d4 98.3 70.0-130 Laboratory Control Sample (LCS) (LCS) R3493274-1 01/22/20 09:33 G1 I Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I % % FAI Benzene 0.00500 0.00454 90.8 65.0-135 Ethylbenzene 0.00500 0.00422 84.4 60.0-140 Methyl tert-butyl ether 0.00500 0.00457 91.4 64.0-123 SC F Toluene 0.00500 0.00406 81.2 70.0-130 Xylenes, Total 0.0150 0.0124 82.7 77.0-120 (S) Toluene-dH 98.4 80.0-120 (S) 4-Bromofluorobenzene 82.1 80.0-120 (S) 1,2-Dichloroethane-d4 106 70.0-130 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 11 of 19 1 WG1415666 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Semi Volatile Organic Compounds (GC/MS) by Method 625.1 L1181559-01 Method Blank (MB) C p (MB) R3493691-2 01/23/20 2320 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I TC I Acenaphthene U 0.000316 0.00100 Acenaphthylene U 0.000309 0.00100 FSS Anthracene U 0.000291 0.00100 Benzidine U 0.00432 0.0100 Benzo(a)anthracene U 0.0000975 0.00100 [Cn] Benzo(b)fluoranthene U 0.0000896 0.00100 Benzo(k)fluoranthene U 0.000355 0.00100 FSr Benzo(g,h,i)perylene U 0.000161 0.00100 Benzo(a)pyrene U 0.000340 0.00100 Bis(2-chlorethoxy)methane U 0.000329 0.0100 Bis(2-chloroethyl)ether U 0.00162 0.0100 2,2-oxybis(1-chloropropane) U 0.000445 0.0100 7GI 4-Bromophenyl-phenylether U 0.000335 0.0100 2-Chloronaphthalene U 0.000330 0.00100 4-Chlorophenyl-phenylether U 0.000303 0.0100 FAI Chrysene U 0.000332 0.00100 Dibenz(a,h)anthracene U 0.000279 0.00100 FSC 3,3-Dichlorobenzidine U 0.00202 0.0100 2,4-Dinitrotoluene U 0.00165 0.0100 2,6-Dinitrotoluene U 0.000279 0.0100 Fluoranthene U 0.000310 0.00100 Fluorene U 0.000323 0.00100 Hexachlorobenzene U 0.000341 0.00100 Hexachloro-1,3-butadiene U 0.000329 0.0100 Hexachlorocyclopentadiene U 0.00233 0.0100 Hexachloroethane U 0.000365 0.0100 Indeno(1,2,3-cd)pyrene U 0.000279 0.00100 Isophorone U 0.000272 0.0100 Naphthalene 0.00215 0.000372 0.00100 Nitrobenzene U 0.000367 0.0100 n-Nitrosodimethylamine U 0.00126 0.0100 n-Nitrosodiphenylamine U 0.00119 0.0100 n-Nitrosodi-n-propylamine U 0.000403 0.0100 Phenanthrene U 0.000366 0.00100 Benzylbutyl phthalate U 0.000275 0.00300 B is(2-ethyl hexyl)phthal ate U 0.000709 0.00300 Di-n-butyl phthalate U 0.000266 0.00300 Diethyl phthalate U 0.000282 0.00300 Dimethyl phthalate U 0.000283 0.00300 Di-n-octyl phthalate U 0.000278 0.00300 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/2012:03 12 of19 1 WG1415666 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Semi Volatile Organic Compounds (GC/MS) by Method 625.1 L1181559-01 Method Blank (MB) C p (MB) R3493691-2 01/23/20 2320 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I z TC Pyrene U 0.000330 0.00100 1,2,4-Trichlorobenzene U 0.000355 0.0100 FS 1,2-Diphenylhydrazine U 0.000318 0.0100 4-Chl oro-3-m ethyl phenol U 0.000263 0.0100 2-Chorophenol U 0.000283 0.0100 [Cn] 2-Nitrophenol U 0.000320 0.0100 4-Nitrophenol U 0.00201 0.0100 5 Sr Pentachlorophenol U 0.000313 0.0100 Phenol U 0.000334 0.0100 2,4,6-Trichlorophenol U 0.000297 0.0100 2,4-Dichlorophenol U 0.000284 0.0100 2,4-Dimethylphenol U 0.000624 0.0100 7GI 4,6-Dinitro-2-methylphenol U 0.00262 0.0100 2,4-Dinitrophenol U 0.00325 0.0100 (S) Nitrobenzene-d5 61.6 15.0-314 FAI (S) 2-Fluorobiphenyl 77.7 22.0-127 (S) p-Terphenyl-d14 79.3 29.0-141 FS (S) Phenol-d5 24.2 8.00-424 (S) 2-Fluorophenol 38.6 10.0-120 (S) 2,4, 6-Tribromophenol 84.5 10. 0-153 Laboratory Control Sample (LCS) (LCS) R3493691-1 01/23/20 22:59 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I Acenaphthene 0.0500 0.0359 71.8 47.0-145 Acenaphthylene 0.0500 0.0386 77.2 33.0-145 Anthracene 0.0500 0.0392 78.4 27.0-133 Benzidine 0.100 0.0273 27.3 1.00-120 Benzo(a)anthracene 0.0500 0.0391 78.2 33.0-143 Benzo(b)fluoranthene 0.0500 0.0419 83.8 24.0-159 Benzo(k)fluoranthene 0.0500 0.0396 79.2 11.0-162 Benzo(g,h,i)perylene 0.0500 0.0448 89.6 1.00-219 Benzo(a)pyrene 0.0500 0.0436 87.2 17.0-163 Bis(2-chlorethoxy)methane 0.0500 0.0319 63.8 1.00-219 Bis(2-chloroethyl)ether 0.0500 0.0334 66.8 33.0-185 2,2-oxybis(1-chloropropane) 0.0500 0.0332 66.4 36.0-166 4-Bromophenyl-phenylether 0.0500 0.0429 85.8 53.0-127 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/2012:03 13 of19 WG1415666 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Semi Volatile Organic Compounds (GC/MS) by Method 625.1 L1181559-01 Laboratory Control Sample (LCS) C Fp (LCS) R3493691-1 01/23/20 22:59 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I % % E 2-Chloronaphthalene 0.0500 0.0361 72.2 60.0-120 4-Chlorophenyl-phenylether 0.0500 0.0399 79.8 25.0-158 FS Chrysene 0.0500 0.0399 79.8 17.0-168 Dibenz(a,h)anthracene 0.0500 0.0387 77.4 1.00-227 3,3-Dichlorobenzidine 0.100 0.0851 85.1 1.00-262 FC n 2,4-Dinitrotoluene 0.0500 0.0412 82.4 39.0-139 2,6-Dinitrotoluene 0.0500 0.0411 82.2 50.0-158 E Fluoranthene 0.0500 0.0415 83.0 26.0-137 Fluorene 0.0500 0.0382 76.4 59.0-121 Hexachlorobenzene 0.0500 0.0425 85.0 1.00-152 Hexachloro-1,3-butadiene 0.0500 0.0338 67.6 24.0-120 Hexachlorocyclopentadiene 0.0500 0.0317 63.4 10.0-120 FGI Hexachloroethane 0.0500 0.0352 70.4 40.0-120 Indeno(1,2,3-cd)pyrene 0.0500 0.0399 79.8 1.00-171 Isophorone 0.0500 0.0315 63.0 21.0-196 FAI Naphthalene 0.0500 0.0339 67.8 21.0-133 Nitrobenzene 0.0500 0.0305 61.0 35.0-180 E n-Nitrosodimethylamine 0.0500 0.0180 36.0 10.0-120 n-Nitrosodiphenylamine 0.0500 0.0401 80.2 44.0-120 n-Nitrosodi-n-propylamine 0.0500 0.0333 66.6 1.00-230 Phenanthrene 0.0500 0.0386 77.2 54.0-120 Benzylbutyl phthalate 0.0500 0.0366 73.2 1.00-152 B is(2-ethyl hexyl)phthal ate 0.0500 0.0352 70.4 8.00-158 Di-n-butyl phthalate 0.0500 0.0423 84.6 1.00-120 Diethyl phthalate 0.0500 0.0396 79.2 1.00-120 Dimethyl phthalate 0.0500 0.0390 78.0 1.00-120 Di-n-octyl phthalate 0.0500 0.0370 74.0 4.00-146 Pyrene 0.0500 0.0386 77.2 52.0-120 1,2,4-Trichlorobenzene 0.0500 0.0328 65.6 44.0-142 1,2-Diphenylhydrazine 0.0500 0.0357 71.4 37.0-125 4-Chl oro-3-m ethyl phenol 0.0500 0.0335 67.0 22.0-147 2-Chlorophenol 0.0500 0.0326 65.2 23.0-134 2,4-Dichlorophenol 0.0500 0.0340 68.0 39.0-135 2,4-Dimethylphenol 0.0500 0.0300 60.0 32.0-120 4,6-Dinitro-2-methylphenol 0.0500 0.0444 88.8 1.00-181 2,4-Dinitrophenol 0.0500 0.0430 86.0 1.00-191 2-Nitrophenol 0.0500 0.0342 68.4 29.0-182 4-Nitrophenol 0.0500 0.0171 34.2 1.00-132 Pentachlorophenol 0.0500 0.0419 83.8 14.0-176 Phenol 0.0500 0.0158 31.6 5.00-120 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 14 of 19 WG1415666 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Semi Volatile Organic Compounds (GC/MS) by Method 625.1 L1181559-01 Laboratory Control Sample (LCS) (LCS) R3493691-1 01/23/20 22:59 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I 2,4,6-Trichlorophenol 0.0500 0.0384 76.8 37.0-144 (S) Nitrobenzene-d5 54.2 15.0-314 (S) 2-Fluorobiphenyl 76.8 22.0-127 (S) p-Terphenyl-d14 77.7 29.0-141 (S) Phenol-d5 25.8 8.00-424 (S) 2-Fluorophenol 40.8 10.0-120 (S) 2,4, 6-Tribromophenol 92.0 10. 0-153 L1181880-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1131330-01 01/24/20 0105 • (MS) R3493691-3 01/24/20 0126 • (MSD) R3493691-4 01/24/20 0146 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits Analyte mg/I mg/I mg/I mg/I Acenaphthene 0.0500 ND 0.0359 0.0364 71.8 72.8 1 47.0-145 Acenaphthylene 0.0500 ND 0.0383 0.0390 76.6 78.0 1 33.0-145 Anthracene 0.0500 ND 0.0378 0.0397 75.6 79.4 1 27.0-133 Benzidine 0.100 ND ND ND 0.000 0.000 1 1.00-120 Benzo(a)anthracene 0.0500 ND 0.0391 0.0403 78.2 80.6 1 33.0-143 Benzo(b)fluoranthene 0.0500 ND 0.0422 0.0431 84.4 86.2 1 24.0-159 Benzo(k)fluoranthene 0.0500 ND 0.0394 0.0409 78.8 81.8 1 11.0-162 Benzo(g,h,i)perylene 0.0500 ND 0.0422 0.0435 84.4 87.0 1 1.00-219 Benzo(a)pyrene 0.0500 ND 0.0435 0.0451 87.0 90.2 1 17.0-163 Bis(2-chlorethoxy)methane 0.0500 ND 0.0322 0.0337 64.4 67.4 1 33.0-184 Bis(2-chloroethyl)ether 0.0500 ND 0.0328 0.0331 65.6 66.2 1 12.0-158 2,2-oxybis(1-chloropropane) 0.0500 ND 0.0319 0.0324 63.8 64.8 1 36.0-166 4-Bromophenyl-phenylether 0.0500 ND 0.0427 0.0450 85.4 90.0 1 53.0-127 2-Chloronaphthalene 0.0500 ND 0.0362 0.0375 72.4 75.0 1 60.0-120 4-Chlorophenyl-phenylether 0.0500 ND 0.0394 0.0406 78.8 81.2 1 25.0-158 Chrysene 0.0500 ND 0.0383 0.0400 76.6 80.0 1 17.0-168 Dibenz(a,h)anthracene 0.0500 ND 0.0370 0.0384 74.0 76.8 1 1.00-227 3,3-Dichlorobenzidine 0.100 ND 0.0576 0.0559 57.6 55.9 1 1.00-262 2,4-Dinitrotoluene 0.0500 ND 0.0402 0.0417 80.4 83.4 1 39.0-139 2,6-Dinitrotoluene 0.0500 ND 0.0408 0.0415 81.6 83.0 1 50.0-158 Fluoranthene 0.0500 ND 0.0410 0.0423 82.0 84.6 1 26.0-137 Fluorene 0.0500 ND 0.0381 0.0389 76.2 77.8 1 59.0-121 Hexachlorobenzene 0.0500 ND 0.0437 0.0455 87.4 91.0 1 1.00-152 Hexachloro-1,3-butadiene 0.0500 ND 0.0364 0.0366 72.8 73.2 1 24.0-120 Hexachlorocyclopentadiene 0.0500 ND 0.0323 0.0343 64.6 68.6 1 10.0-146 Hexachloroethane 0.0500 ND 0.0309 0.0315 61.8 63.0 1 40.0-120 MS Qualifier MSD Qualifier RPD RPD Limits J6 J6 1.38 1.81 4.90 0.000 3.02 2.11 3.74 3.03 3.61 4.55 0.910 1.56 5.25 3.53 3.00 4.34 3.71 3.00 3.66 1.70 3.12 2.08 4.04 0.548 6.01 1.92 48 74 66 40 53 71 63 97 72 54 108 76 43 24 61 87 126 108 42 48 66 38 55 62 34 52 ACCOUNT: PROJECT: SDG: CITGO-Selma, NC Semiann Outfalls L1131559 DATE/TIME: 01/30/20 12:08 PAGE: 15 of 19 WG1415666 QUALITY CONTROL SUMMARY Semi Volatile Organic Compounds (GC/MS) by Method 625.1 L1181559-01 ONE LAB. NATIONWIDE. * L1181880-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1131330-01 01/24/20 0105 • (MS) R3493691-3 01/24/20 0126 • (MSD) R3493691-4 01/24/20 0146 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I Indeno(1,2,3-cd)pyrene 0.0500 ND 0.0388 0.0401 77.6 80.2 Isophorone 0.0500 ND 0.0329 0.0343 65.8 68.6 Naphthalene 0.0500 ND 0.0319 0.0318 63.8 63.6 Nitrobenzene 0.0500 ND 0.0320 0.0329 64.0 65.8 n-Nitrosodimethylamine 0.0500 ND 0.0169 0.0182 33.8 36.4 n-Nitrosodiphenylamine 0.0500 ND 0.0403 0.0414 80.6 82.8 n-Nitrosodi-n-propylamine 0.0500 ND 0.0321 0.0329 64.2 65.8 Phenanthrene 0.0500 ND 0.0380 0.0390 76.0 78.0 Benzylbutyl phthalate 0.0500 ND 0.0376 0.0394 75.2 78.8 B is(2-ethyl hexyl)phthal ate 0.0500 ND 0.0359 0.0380 71.8 76.0 Di-n-butyl phthalate 0.0500 ND 0.0426 0.0437 85.2 87.4 Diethyl phthalate 0.0500 ND 0.0397 0.0395 79.4 79.0 Dimethyl phthalate 0.0500 ND 0.0398 0.0404 79.6 80.8 Di-n-octyl phthalate 0.0500 ND 0.0387 0.0403 77.4 80.6 Pyrene 0.0500 ND 0.0389 0.0404 77.8 80.8 1,2,4-Trichlorobenzene 0.0500 ND 0.0345 0.0350 69.0 70.0 1,2-Diphenylhydrazine 0.0500 ND 0.0380 0.0393 76.0 78.6 4-Chl oro-3-m ethyl phenol 0.0500 ND 0.0336 0.0353 67.2 70.6 2-Chorophenol 0.0500 ND 0.0294 0.0317 58.8 63.4 2,4-Dichlorophenol 0.0500 ND 0.0346 0.0358 69.2 71.6 2,4-Dimethylphenol 0.0500 ND 0.0306 0.0326 61.2 65.2 4,6-Dinitro-2-methylphenol 0.0500 ND 0.0445 0.0452 89.0 90.4 2,4-Dinitrophenol 0.0500 ND 0.0440 0.0447 88.0 89.4 2-Nitrophenol 0.0500 ND 0.0356 0.0370 71.2 74.0 4-Nitrophenol 0.0500 ND 0.0929 0.0943 186 189 Pentachlorophenol 0.0500 ND 0.0414 0.0429 82.8 85.8 Phenol 0.0500 ND 0.0126 0.0141 25.2 28.2 2,4,6-Trichlorophenol 0.0500 ND 0.0379 0.0390 75.8 78.0 (S) Nitrobenzene-d5 54.3 57.6 (S) 2-Fluorobiphenyl 75.7 79.7 (S) p-Terphenyl-d14 79.8 84.5 (S) Phenol-d5 23.0 26.3 (S) 2-Fluorophenol 36.7 42.4 (S)Z4,6-Tribromophenol 95.5 96.5 Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 1.00-171 3.30 99 1 21.0-196 4.17 93 1 21.0-133 0.314 65 1 35.0-180 2.77 62 1 10.0-120 7.41 40 1 16.0-160 2.69 28 1 1.00-230 2.46 87 1 54.0-120 2.60 39 1 1.00-152 4.68 60 1 8.00-158 5.68 82 1 1.00-120 2.55 47 1 1.00-120 0.505 100 1 1.00-120 1.50 183 1 4.00-146 4.05 69 1 52.0-120 3.78 49 1 44.0-142 1.44 50 1 18.0-156 3.36 34 1 22.0-147 4.93 73 1 23.0-134 7.53 61 1 39.0-135 3.41 50 1 32.0-120 6.33 58 1 1.00-181 1.56 203 1 1.00-191 1.58 132 1 29.0-182 3.86 55 1 1.00-132 J5 J5 1.50 131 1 14.0-176 3.56 86 1 5.00-120 11.2 64 1 37.0-144 2.86 58 15.0-314 22.0-127 29.0-141 8.00-424 10.0-120 10.0-153 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:08 16 of 19 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. * Guide to Reading and Understanding Your Laboratory Report The 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 ifyou 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, Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received. Abbreviations and Definitions MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). RDL Reported Detection Limit. Rec. Recovery. RPD Relative Percent Difference. SDG Sample Delivery Group. Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and (S) Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be detected in all environmental media. U Not detected at the Reporting Limit (or MDL where applicable). Analyte The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the 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. 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. 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 ofthe Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere 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 (Radiochemistry) Confidence level of 2 sigma. 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. Quality Control This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity ofthe 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 ofthe samples from the time of collection until delivery to the laboratory for analysis. This section ofyour 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 ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description J The identification ofthe analyte is acceptable, the reported value is an estimate. J5 The sample matrix interfered with the ability to make any accurate determination, spike value is high. J6 The sample matrix interfered with the ability to make any accurate determination, spike value is low. P1 RPD value not applicable for sample concentrations less than 5 times the reporting limit. Fp Fc FS Fn Fr Fc SAI Rc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: CITGO-Selma, NC Semiann Outfalls L1131559 01/30/20 12:03 17 of 19 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. 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 Cp 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. Fc State Accreditations Alabama 40660 Nebraska NE-OS-15-05 FS Alaska 17-026 Nevada TN-03-2002-34 Arizona AZ0612 New Hampshire 2975 Arkansas 88-0469 New Jersey—NELAP TNO02 Fn California 2932 New Mexico n/a Colorado TN00003 New York 11742 Connecticut PH-0197 North Carolina Env375 Fr Florida E87487 North Carolina' DW21704 Georgia NELAP North Carolina 3 41 Georgia' 923 North Dakota R-140 Fc Idaho TN00003 Ohio—VAP CL0069 Illinois 200008 Oklahoma 9915 7C71 Indiana C-TN-01 f Oregon TN200002 Iowa 364 Pennsylvania 68-02979 Kansas E-10277 Rhode Island LA000356 Kentucky' 6 90010 South Carolina 84004 Kentucky 2 16 South Dakota n/a Louisiana A130792 Tennessee'" 2006 Louisiana' LA180010 Texas T104704245-18-15 Rc Maine TN0002 Texas 5 LABO152 Maryland 324 Utah TN00003 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 460132 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A2 LA Third Party Federal Accreditations A2LA— ISO17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A2 LA — ISO 17025 5 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Crypto TN00003 ' Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold 6 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. WA MT ND OR ID SD VWY ` NV T NE T UT CA co KS W o �AZ NM O� T TX AK � . b C, fo • B HI 4 S ACCOUNT: V PROJECT: CITGO-Selma, NC Semiann Outfalls ME MN WVI NY MI T IA T PA 4 OH Mo IL Ihi T T WV VAT KY N * r� AR _< MS AL GA LA FL SDG: DATE/TIME: PAGE: L1131559 01/30/20 12:03 13 of 19 Billing Information: A ialvsis/Container i e Chain of Custody Page _ of CITGO-Selma, NC H. Wayne Whiting [re 4095 Buffalo Road aceAnal ical' 4095 Buffalo Road Selma, NC 27576 Henxe+Ce�rer !c. rarv.�S'�'mtAnn., Selma, NC 27576 12065 Lebanon Rd Report to: Email To hwhitfn@citgo.com; H. Wayne Whiting MSantee@citgo.com,whardis@citgo.com v, LA ry T Phount ne 615-7TN �712 58 58587 Phone-800-767-5859 Fax: 615 758-5859 Project City/State Please Circle: Outfalls-Semiann Monitoring Collected: PT MT CT ET q� 5DG # Description: a� a � Client Project # Lab Project p Phone:919-965-3746 Semiann Outfalls CITGOSCNC SEMIANN Q `u v = /t A20r Fax, O rya uu CL 2 C 0 Ln .� O Z 1] E Q Acctnum: CITGOSNc Collected by (print): Sire/Facility ID # P.O. # a ll�T is nl rQ _ ��i`�"i7t z n z ~ 3 in _ d w ❑ FL = p Template:T89830 Collected b si lure : y g } RuSh. (Lab MUST Be Notified} Q cote # Same Day _ Five Oay Prelogin: P744149 PM: 611Stacy Kennedy ��mediately _ Next Day _ 5 Day (Rad Only) Date Results Needed Two Day 10 pay (Rad Only) J i!'} ;J ,� / �.�o. ,..i -� ry m FB;YJL� r Packed on Ice N Y of Day Df e-i Ln X = 0e•n `p Q �n d �tr +� .« ry c! Shipped via: FedEX Ground Sample ID Comp/ ra Matrix' Depth Date Time :ntrs ark: Sample apabomyl O t�h - H > OUTFALL 001 WW 8 X X X X X X _Q ' Matrix: emarks:Please call Keith Oravits at the ESC Raleigh office, for sample pickup. Sample Receipt C kl.: F SS - Soil AIR - Air F- Filter 19-210-5148 We would appreciate 24 hourdtiPH Temp COC seal present/Intact: P _Y _N pp advance notice COC Signed/Accurate: /Y N GW -Groundwater S- Bioassay hank you-ESC FlowBottles arrive intact: _ �Y N Other WW - Waste Water Correct bottles used: �Y _N DW- Drinking Water Sufficient volume sent: _7Y _N Samples returned via: Tracking # �l f T - Other _UPS _ FedEx —Courier VOA Zero Headspace: 4eY N Relinquished by: (Signature} Date; Time: Received by: nat - Tr' nk Received: Y No Preservation Correct/Checked: N RAD Screen <0.5 mR/hr:l —N A Ni Mti �n TBR Relinquished by (Sig na j Date: Time: eore} Temp: °[ Battles Received: If preservation required by Login: Date/Time Relinquished t7y- {Sat Date: Time: Received for lab by: signature} Date: Time: Hold: Condition: NCF / ` C�