HomeMy WebLinkAboutNCS000315_MONITORING INFO_20190712M'To
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
0 FINAL PERMIT
4 MONITORING REPORTS
❑ APPLICATION
0 COMPLIANCE
❑ OTHER
DOC DATE
❑ au I C1 D -1 l
YYYYMMDD
04� Univor5olutions
July 1, 2019
NC DEQ JUL 12 2019
Division of Energy Mineral and Land Resources
Central Files ('Zt'' + R'Aij-1
1617 Mail Service Center � �f'{ Q f C rdOp,t
Raleigh, NC 27699-1617
Re: Semi -Annual Storm Water Sampling Results for 2019 Period 1
Nexeo Solutions, LLC (dlbla Univar Solutions)
3930 Glenwood Avenue
Charlotte, Mecklenburg County, North Carolina
EPA ID #NCD 061 263 315
To Whom It May Concern:
Nexeo Solutions, LLC (Nexeo) (dlbla Univar Solutions) conducted the semi-annual analytical
monitoring event for 2019 Period 1 at the facility located at 3930 Glenwood Drive in Charlotte,
Mecklenburg County, North Carolina, on June 7, 2019, as prescribed in the National Pollutant
Discharge Elimination System (NPDES) stormwater permit (NCS000315). Per the requirements,
the stormwater sample was collected from the storm water discharge outfall (SDO) 001 during a
measurable storm event that consisted of 1.125 inches of total rainfall, as measured by the onsite
rain gauge. The previous measurable storm event was at least 72 hours prior.
Enclosed is one signed original and one signed copy of the Discharge Monitoring Report (DMR)
for the 2019 Period 1 sampling event. The permittee recorded the required qualitative monitoring
observations on the SDO Qualitative Monitoring Report form, which will be retained on site.
Should you have any questions or require additional information, please contact me at 704-391-
6877.
Sincerely,
Nexeo Solutions, LLC (dlbla Univar solutions)
�7
TimothyZghtwine
Facility Manager
Enclosure
CC" Chris Byerman, Nexeo Solutions, LLC (dlb/a Univar solutions)
Univar Solutions 1 3 Waterway Square Place, Suite a000 I The Woodlands, Texas 77380 1 USA
SI'ORNIWATER DISCHARGE OUITALL(SDO)
MONITORING REPORT
Permit Number NCS000315
FACILITY NAME Nexeo Solution$, LLC (d1bla Univar Solutions)
PERSON COLLECTING SANIPLE(S) Kyle Sorenson, Antea Group
CERTIFIED i,%,nORATORY(S) Eurofins TestAmerira Lab a 269
Lab 4
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(This monitoring report shall he received by the Division no later than 30 days front
the date the facility receives the sampling results from the laboratory.)
COUNTY .Mecklenburg _ _
PHONE NO. 7( 04 1391-6877
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfull
No.
Date
Sample
Collected
50050
SM 25401)
SM 4500 H+S
SM 4500 H+H
SM 5220D
Total
Flow if a r
Total
Rainfall
TSS
pH
Temperature
OOb
i
molddlvr
MG
inches
'9 L
SU
Degrees C
mg L
001
06/07119
1.125
13
7.93
22.9
44
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes (Don
(ifyes, complete Pan 8)
Part R: Vehicle %faintrnnnre Activity %1nniturinv Renuirenrents
Outftil
No.
Date
Sample
Collected
50050
110556
00530
1041400
Total Flow
(ifapplicable)
'fetal
Rainfall
Oil & Crease
(ifappl.)
Non -polar
O&G/1'PII
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pfl
New Motor
Oil Usage
rnoldd/yr
I%If;
inches
m /l
mg/1
unit
gaUnto
Form SWU-247, lust revised 6112120)5
Page 1 oi'2
STORM EVENTCHARACfERISTICS:
Date 06/07/19
Total Event Precipitation (inches): 1,125
Event Duration (hours): (only ifapplicable—sce permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with it
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. 1 am aware that there are significant penalties for submitting false Information,
including the possibility of fines and imprisonment for knowing violations."
//e? Z/
(Signature of Permi (Dale)
Form SWIJ-247, lust revised 602/2015
Page 2 o f 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000315
FACILITY NAME Nexoo Solutions LLC dlbla Univar Solutions
PERSON COLLECTING SAMPLE(S) Kyle Sorenson, Antea Group
CERTIFIED LABORATORY(S) Eurofins TestAmerica Lab N 269
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Mecklenburg _
PHONE NO. 7(___0.4 ) 391 fi877
SIGNATURE OF PER %IrfTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfell
No.
Date
Sample
Collected
50050
SM 2540D
SM 4500 Hr6
SM 4500 H+B
SM 5220D
Total
Flow if a
Total
Rainfall
TSS
pH
Temperature
COD
mo/dd! r
MG
inches
mg L
Su
Degrees C
m9 L _
001
06/07/19
1,125
13
7.93
22.9
44
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes (F)no
(ifyes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Reauirements
Outfau
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appL)
Non -polar
O&GrrPH
(Method 1664
SGT-HEM), if
a I.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd! r
MG
inches
nwA
man
unit
allmo
Form SWU-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date O6107/19
Total Event Precipitation (inches): 1.125
Event Duration (hours): (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (ordy if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Atin: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-I617
"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 ury 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 arc significant penalties for submitting false information,
including the possibility of fines
'and imprisonment for knowing violations." A
l Jy --2 Ao
(Signature of Permi (Date)
Form SWU-247, last revised 611212015
Page 2 OF 2
ANALYTICAL REPORT
Eurofins TestAmerica, Savannah
3 5102 LaRoche Avenue
Savannah, GA 31404
Tel: (912)354-7858
Laboratory Job ID: 680-170111-1
� 3
Client Project/Site: Nexeo - Charlotte, N.C. (Outfall 001 )
For:
EHS Support, LLC
30475 Middle Creek Circle
Daphne, Alabama 36527
Attn: Amy Bauer
Authorized for release by.
6/26/2019 1:24:31 PM
Jerry Lanier, Project Manager I
r. (912)250-0281
jerry.lanier@testamericainc.com
�9.
t
LINKS �s
Reyiemi ,your project
resultsthrougli
Total�4cce5s I
Have,a Question
A k.
The The test results in this report meet all 2003 NELAC and 2009 TNl requirements for accredited
i, parameters, exceptions are noted in this report. This report may not be reproduced except in full,
Expert and with written approval from the laboratory. For questions please contact the Project Manager
at the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
Visit'us'at:
www.testamericainccorni ":: Results relate only to the items tested and the samples) as received by the laboratory.
Client: EHS Support, LLC Laboratory Job ID: 580-170111-1
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Table of Contents
Cover Page ..............................................
1
Table of Contents .........................................
2
Case Narrative ...........................................
3
..............
Sample Summary .........................................
4
Method Summary ...........................................
5
Definitions/Glossary.......................................
6
Detection Summary ........................................
7
Client Sample Results ......................................
8
QC Sample Results ........................................
9
QC Association Summary ...................................
10
Lab Chronicle ............................................
11
Chain of Custody ..........................................
12
Receipt Checklists .........................................
13
Certification Summary ......................................
14
Eurofins TestAmerica, Savannah
Page 2 of 14 6/26/2019
Case Narrative
Client: EHS Support, LLC Job ID: 680-170111-1
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Job ID: 680-170111-1
Laboratory: Eurofins TestAmerica, Savannah �, I
Narrative
CASE NARRATIVE
Client: EHS Support, LLC
Project: Nexeo - Charlotte, N.C. (Outfall 001)
Report Number: 680-170111-1
With the exceptions noted as flags or footnotes, standard analytical protocols were followed in the analysis of the samples and no
problems were encountered or anomalies observed. In addition all laboratory quality control samples were within established control
limits, with any exceptions noted below. Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of
the method. In the event of interference or analytes present at high concentrations, samples may be diluted. For diluted samples, the
reporting limits are adjusted relative to the dilution required.
RECEIPT
The samples were received on 0611012019; the samples arrived in good condition, properly preserved and on ice. The temperature of the
coolers at receipt was 12.1 C.
TOTAL SUSPENDED SOLIDS
Sample SDO-001 (680-170111-1) was analyzed for total suspended solids in accordance with SM 25400. The samples were analyzed on
0611712019.
The following sample was analyzed outside of analytical holding time due to lab scheduling error: SDO-001 (680-170111-1).
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
CHEMICAL OXYGEN DEMAND
Sample SDO-001 (680-170111-1) was analyzed for chemical oxygen demand in accordance with SM 5220D. The samples were analyzed
on 06116/2019.
No analytical or quality issues were noted, other than those described above or in the DefinitionslGlossary page,
CORROSIVITY (PH)
Sample SOO-001 (680-170111-1) was analyzed for corrosivity (pH) in accordance with SM 4500 H+ B. The samples were analyzed on
06/12/2019.
This analysis is normally performed in the field and has a method -defined holding time of 15 minutes. This sample(s) was performed in
the laboratory outside the 15 minute timeframe.
No analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page
Eurofins TestAmerica, Savannah
Page 3 of 14 6/26/2019
Client: EHS Support, LLC
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Lab Sample ID Client Sample ID
680-170111-1 SDO-001
Sample Summary
Job ID: 680-170111-1
Collected Received Asset ID
0610711911:35 06/10/1910:06
Eurofins TestAmerica, Savannah
Page 4 of 14 6/26/2019
Method Summary
Client: EHS Support, LLC
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Method Method Description
Protocol
SM 25400 Solids, Total Suspended (TSS) SM
SM 4500 H+ B pH SM
SM 5220D COD SM
Protocol References:
SM = "Standard Methods For The Examination Of Water And Wastewater'
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL- (912)354-7858
Page 5 of 14
Job lfl: 680-170111-1
Laboratory
TAL SAV
T.AL SAV
T.AL SAV
RI
Eurofins TestAmerica, Savannah
6/26/2019
9M
Definitions/Glossary
Client: EHS Support, LLC
Job ID: 680-170111-1 -
Project/Site: Nexeo
- Charlotte, N.C. (Outfall 001 )
Qualifiers
General Chemistry
Qualifier
Qualifier Description
+
H
Sample was prepped or analyzed beyond the specified holding time
H F
Field parameter with a holding time of 15 minutes. Test performed by laboratory at client's request.
Glossary
Abbreviation
These commonly used abbreviations may or may not be present in this report.
a
Listed under the "D" column to designate that the result is reported on a dry weight basis
%R
Percent Recovery
CFL
Contains Free Liquid
-
CNF
Contains No Free Liquid
I
DER
Duplicate Error Ratio (normalized absolute difference)
Dil Fac
Dilution Factor
DL
Detection Limit (DODIDOE)
DL, RA, RE, IN
Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metalslanion analysis of the sample
DLC
Decision Level Concentration (Radiochemistry)
EDL
Estimated Detection Limit (Dioxin)
LOD
Limit of Detection (DODIDOE)
LOQ
Limit of Quantitation (DOD/DOE)
, l
MDA
Minimum Detectable Activity (Radiochemistry)
MDC
Minimum Detectable Concentration (Radiochemistry)
U�
U�J
MDL
Method Detection Limit
ML
Minimum Level (Dioxin)
NC
Not Calculated
ND
Not Detected at the reporting limit (or MDL or EDL if shown)
PQL
Practical Quantitation Limit
QC
Quality Control
RER
Relative Error Ratio (Radiochemistry)
RL
Reporting Limit or Requested Limit (Radiochemistry)
RPD
Relative Percent Difference, a measure of the relative difference between two paints
TEF
Toxicity Equivalent Factor (Dioxin)
TEQ
Toxicity Equivalent Quotient (Dioxin)
Eurofins TestAmerica, Savannah
Page 6 of 14 6/26/2019
Client: EHS Support, LLC
Project/Site: Nexec - Charlotte, N.C. (Outfall 001)
Client Sample ID: SDO-001
FAnalyte
Total Suspended Solids
pH
Temperature
Chemical Oxygen Demand
Detection Summary
Result Qualifier RL
13 H 1.6
7.1 HF
22.9 HF
44 10
This Detection Summary does not include radiochemical test results.
RL Unit
mg/L
SU
Degrees C
mg/L
M
Job ID: 680-170111-1
Lab Sample ID: 680-170111-1 n
I
Dil Fac
D Method
Prep Type
1
SM 2540D
Total/NA
1
1
SM 4500 H+ B
SM 4500 H+ g
TotalINA
TotalINA
RI
1
SM 5220D
Total/NA
a
Eurofins TestAmerica, Savannah
Page 7 of 14 6/26/2019
Client: EHS Support, LLC
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Client Sample ID: SDO-001
Date Collected: 06107/19 11:35
Date Received: 06/10/19 10.06
General Chemistry
A natyte
pH
Temperature
Anatyte
Chemical Oxygen Demand
Analyte
LTotal Suspended Solids
Client Sample Results
Result Qualifier
NONE
NONE Unit
7.1 HF
SU
22.9 HF
Degrees C
Result Qualifier
RL
MOIL Unit
44
10
mg/L
Result Qualifier
RL
RL Unit
13 H 1.6
Page 8of14
mg/L
E
Job ID: 680-170111-1
Lab Sample ID: 680-170111-1
Matrix: GW
'RI
D Prepared
Analyzed
Oil Fac
06112/19 15:27
1
06112/19 15:27
1
❑ Prepared
Analyzed
Dil Fac
06/16119 10:15
1
D Prepared
Analyzed
Dil Fac
06117/19 10:56
Eurofins TestAmerica, Savannah
6/26/2019
QC Sample Results
M
Client: EHS Support, LLC
Job ID: 680-170111-1
ProjectlSite: Nexeo - Charlotte, N.C. (Outfall 001)
Method: SM 2540D - Solids, Total Suspended (TSS)
51
Lab Sample ID: MB 680-57449611
Client Sample ID: Method Blank
Matrix: Water
Prep Type: TDtalINA
Analysis Batch: 574496
MB M8
Analyte Result Qualifier
RL RL Unit
D Prepared Analyzed Dil Fac
Total Suspended Solids <1.0
1.0 mglL
06717119 10:44 1
Lab Sample ID: LCS 680-57449612
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: TotallNA
Analysis Batch: 574496
Spike
LCS LCS
%Rec.
�
Analyte
Added
Result Qualifier
Unit D %Rec Limits
Total Suspended Solids
20,0
17.0
mglL 85 80 - 120
Lab Sample ID: LCSD 680-57449613
Client Sample ID: Lab Control Sample Dup
-
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 574,496
Spike
LCSD LCSD
%Rec. RPD
Analyte
Added
Result Qualifier
Unit ❑ %Rec Limits RPD Limit
Total Suspended Solids
20.0
19.0
mglL 95 80 - 120 11 25
Method: SM 4500 H+ B
- pH
Lab Sample ID: LCS 680-57416115
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 574161
Spike
LCS LCS
% Roc.
Analyte
Added
Result Qualifier
Unit D %Rec Limits
pH
7.01
7.1
SU � 101 63 - 158
Method: SM 5220D - COD
Lab Sample ID: MB 680-57443613
Matrix: Water
Analysis Batch: 574436
Analyte
Chemical Oxygen Demand
Lab Sample ID: LCS 680-57443614
Matrix: Water
Analysis Batch: 574436
Analyte
Chemical Oxygen Demand
MB MB
Result Qualifier RL MDL Unit
<10 10 mg/L
Spike LCS LCS
Added Result Qualifier Unit
50.0 48.5 mglL
Client Sample ID: Method Blank
Prep Type: TotallNA
D Prepared Analyzed Dil Fac
06/16/19 10:15 1
Client Sample ID: Lab Control Sample
Prep Type: TotallNA
%Rec.
D %Rec Limits
97 90-110
Eurofins TestAmerica, Savannah
Page 9 of 14 6/26/2019
QC Association Summary
Client: EHS Support, LLC
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
General Chemistry
Analysis Batch: 574161
Lab Sample ID
Client Sample ID
Prep Type
681-170111-1
SDO-001
TotalINA
LCS 680-574161/5
Lab Control Sample
TotalINA
Analysis Batch: 574436
Lab Sample I❑
Client Sample ID
Prep Type
680-170111-1
SDO-001
TotalINA
MB 680-57443613
Method Blank
TotaUNA
LCS 680-57443614
Lab Control Sample
TotalINA
Analysis Batch: 574496
Lab Sample ID
Client Sample ID
Prep Type
680-170111-1
SDO-001
TotallNA
MB 6a0-57449611
Method Blank
Total/NA
LCS 680-574496/2
Lab Control Sample
TotalINA
LCSD 680-57449613
Lab Cortrol Sample Dup
TotalINA
Page 10 of 14
Matrix
Matrix
GW
Water
Water
Matrix
GW
Water
Water
Water
Job ID: 680-170111-1
Method Prep Batch
_
SM 4500 H+ B
SM 4500 H+ B
Method Prep Batch
SM 5220D
SM 5220D
SM 5220D
Method
SM 2540D
SM 2540D
SM 2540D
SM 2540D
�J
Prep Batch
Eurofins TestAmerica, Savannah
6/26/2019
Lab Chronicle
Client: EHS Support, LLC
Project/Site: Nexeo - Charlotte, N.C. (Outfall 001)
Client Sample ID: SDO-001
Date Collected: 06107/19 11:35
Date Received: 06/10/19 10:06
Prep Type
TotallNA
Job ID: 680-170111-1
Lab Sample ID: 680-170111-1
Matrix: GW
Batch Batch Dil Initial Final Batch Prepared ❑
Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab
Analysis SM 25400 1 625 mL 1000 mL 574496 06117/19 10:56 JAW TAL SAV
Instrument ID: NOEQUdP
Total7NA Analysis Ski 4500 H+ B 1 574161 06/12/19 15:27 BTD TAIL SAV
Instrument ID MANTECH
Total/NA Analysis SM 52201) 1 2 mL 2 mL 574436 06/16/19 10:15 ALG TAL SAV
Instrument ID: SPC7 ,
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Page 11 of 14
Eurofins TestAmerica, Savannah
6/26/2019
TestAmerica Charlotte
2838-8 Queen City Grille
Charlotte, MC 28280
Phone: 704.392.1164 Fax:
iiotte
Chain of Custody Record. hr,�< �I+�
<..
3.
a,,R,lorv'Proaram: 1-1Dw )('r,PDts 1 iRLRA rather'
TestAmedca
T.E LEADER IN UN RON..MP.NNAt TESTING
TestAmerica Laboratories, tnc.
Client Contact
Project Manager: A r—
Site Contact:
Date:
COC No:
Company Name: C., 13A-.
Tol/Fax: ZS S
Lab Contact:
Carrier:
f o1 COCs
Address:
Analysis Turnaround Time
Z
>_
a
a
E
rn
2
a
Z
a
u)
rq
C
a
Sampler;
Cilyrstateizip: A j
CAlERDAq DAYS U L'fORr.1f:G DAYS
For tab Use Only:
Walk-in Mom
Lab Sampling:
Phone: z — 3
TAT.1 dtifarml tmm Bolaw _
+❑ 2 ways
-1' 1 weo
Cl 2 days
tarry
Fax:
ProjerA Name: C(414timv
Site:
Job r SDG No.:
pop
Sample Identification
Sample
Date
Sample
Time
Sample
Type
(G,Co P
G.Gr,b)
Matrix
of
Cont.
Sample Specific Notes:
G
GNV
3
00
68d-17Qi 11 Chain of Custody
PravervationUsed:.'1alea, 2=_HCI;-9�tH2SO4;i4cHNO3;"s--NaOH;:GzOther
1
1 1 a -
Possible Hazard Identification:
Are any samples from a fisted EPA Hazardous Waste? Please list any EPA JVasfe Codes lot the sample, in the
Comments Section if she lab is to dispose of the sample.
Sample Disposal ( A fee may be assessed if samples are retained longer than 1 month)
0 Return m 0"t by Lab archive fur Months
- nnrrstarard [f nawnatoe ❑ Skin Untam ❑ Pusan a rO un..naa n
Special InStructlonsiClC Requirements 8 Comments: COD "y �1 144 SO,
Ef 7
Custody Seals Inlact: ❑ YeS reo
Custody Seat NO,: lee emp. ( ): Obs'd;_L2.V Corrd: nerm ID ND.:
Relinquished by:
us�
Company:
An G
DaterTime;
7 )� JZ Y
Re eiv
d by: 1
�t>7t1 YI
Company:
Dat ime
�
Relinquished b
Compan :
DeffiN:
Received by:
Company:
Dal ime.
esinquislled by:
Company;
oat (fim
Rece borai
Company:
`Ct1
DaterTime:
-l0-j� I�d6
0
co
Login Sample Receipt Checklist
Client: EHS Support, LLC
Login Number: 170111
List Number: 1
Creator: Elwell, Devin M
Question
Radioactivity wasn't checked or is <1= background as measured by a survey
meter.
The cooler's custody seal, if present, is intact.
Sample custody seals, if present, are intact.
The cooler or samples do not appear to have been compromised or
tampered with.
Samples were received on ice.
Cooler Temperature is acceptable.
Cooler Temperature is recorded.
COC is present.
COC is filled out in ink and legible.
COC is filled out with all pertinent information.
Is the Field Sampler's name present on COC?
There are no discrepancies between the containers received and the COC.
Samples are received within Holding Time (excluding tests with immediate
HTs)
Sample containers have legible labels.
Containers are not broken or leaking.
Sample collection dateltimes are provided.
Appropriate sample containers are used.
Sample bottles are completely filled.
Sample Preservation Verified.
There is sufficient vol, for all requested analyses, incl. any requested
MSIMSDs
Containers requiring zero headspace have no headspace or bubble is
<6mm (114").
Multiphasic samples are not present.
Samples do not require splitting or compositing.
Residual Chlorine Checked.
Answer
NIA
True
True
True
False
False
True
True
True
True
True
True
True
True
True
True
True
True
True
True
N/A
True
True
N/A
!
Job Number: 680-170111-1
List Source: Eurofins TestAmerica, Savannah
Comment
7,' ;
r �7
L
Water present in cooler; indicates evidence of
melted ice.
Cooler temperature outside required temperature
----
criteria.
a
Eurofins TestAmerica, Savannah
Page 13 of 14 6/26/2019
Accreditation/Certification Summary
Client: EHS Support, LLC
ProjectJSite: Nexeo - Charlotte, N.C. (Outfall 001)
Laboratory: Eurofins TestAmerica, Savannah
The accreditations/certifications listed below are applicable to this report.
Authority Program
North Carolina (INWISM State Program
EPA Region
Identification Number
269
Job ID: 680-170111-1
Expiration Date
12-31-19
Eurofins TestAmerica, Savannah
Page 14 of 14 6/26/2019