The URL can be used to link to this page

Home My WebLink AboutNCG030234_DMR_20200331 B E N D EL 704.596.5112 office 86 6.596.5112 toll-free 704.597.5069 fax TANK & HEAT EXCHANGER 4823 North Graham Street Charlotte, NC 28269 March 31, 2020 NCDEQ Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh,NC 27699-1617 Subject: Monthly Discharge Monitoring Report Submittal for 2020RPCEIVED Bendel Tank&Heat Exchanger, LLC 4823 N. Graham Street, APR 0 6 2020 Charlotte, Mecklenburg County FILES Stormwater Permit COC Number NCG030234 „,AIR SECTION Dear Division of Water Quality, As required by the referenced Stormwater Permit Certificate of Coverage, please find enclosed an original and one copy of the monthly stormwater Discharge Monitoring Report(DMR) for the referenced facility. These DMRs are being submitted as the following sample designated in the Tier III section of the permit: Year 2—Period 1 As required in Tier III of the Stormwater Plan, Bendel will continue to monitor for all required parameters until such time as the site can demonstrate three consecutive samples that are below the benchmark value for all parameters in a Tier response. Based on the new general stormwater permit, this should be attainable for copper. Once attainment has been reached for copper, Bendel may seek a variance from the Department of Environmental Quality for zinc. Please call me at(704) 596-5112 if you have any questions or if you require any additional information. Sincer y, im Rozsa Vice President, Operations Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 3/5/2020 CERTIFICATE OF COVERAGE NO. NCG03 0 2 3 4 SAMPLE COLLECTION YEAR 2020 FACILITY NAME Bendel Tank&Heat Exchanger SAMPLE PERIOD 0 Jan-June ❑July-Dec COUNTY Mecklenburg or * Monthly'February (month) PERSON COLLECTING SAMPLES Coleman Marchin/AECOM DISCHARGING TO CLASS ❑ORW fHQW *Trout ❑PNA LABORATORY Pace Analytical Lab Cert.# 12,5342,37706 REC E I`I!r *Zero-flow *Water Supply ❑SA *Other Comments on sample collection or analysis: APR 0 6 2020 NO FLOW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CEN'7r .\L, FILES Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION ■ No discharge this period?2 Date Sample 24-hour rainfall pH, Non-Polar O&G/ Total Toxic Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organicss (mo/dd/yr) Inches3 Hydrocarbons Benchmarks===> - - 100 mg/L or 50 mg/L4 6.0—9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L SW-001 2/5/2020 3.37 12.2 7.6 <0.005 <0.005 0.138 <0.005 N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample(for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22;and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-5/31/2021 SWU-245,last revised 2/1/2019 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. 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 electing to employ the TTO monitoring waiver,the discharger shall sign the following 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. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jim Rozsa Name(Print name) Vice President, Operations Title(Print ti ) 3 -3 / �D (S' ture) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non-detect, ND, or other similar non-numerical format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L",where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month. n No discharge this period?2 Date Sample 24-hour rainfall Outfall No. 1 Collected amount, Non-polar O&G/TPH by (mo/dd/yr) Inches3 EPA 1664(SGT-HEM) Total Suspended Solids pH Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0—9.0 SU NA NA NA NA NA NA Footnotes from Part A also apply to this Part B *See General Permit text,Table 5,identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Page 2 of 3 Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑■ NO❑ IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑■ NO❑ REGIONAL OFFICE CONTACT NAME: SamarBou-Ghazale Mail an original and one copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case of"No Discharge"reports)to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 ign'ficant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." (Sig re of Permittee) (Date) Page 3 of 3 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.cora (704)875-9092 February 14, 2020 Mr. Jim Rozsa Bendel Corp. 4823 North Graham St. Charlotte, NC 28269 RE: Project: Bendel Pace Project No.: 92463864 Dear Mr. Rozsa: Enclosed are the analytical results for sample(s) received by the laboratory on February 05, 2020. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC 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: Jennifer Wheat,AECOM REPORT OF LABORATORY ANALYSIS r.' This report shall not be reproduced,except in full, without the written consent of Pace Analytical Services,LLC. Page 1 of 12 Pace Analytical Services,LLC aceAnalytical® 9800 Kincey Ave. Suite 100 Huntersville,NC 28078 www.pacelabs.com (704)875-9092 CERTIFICATIONS Project: Bendel Pace Project No.: 92463864 Pace Analytical Services Charlotte 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#:84 North Carolina Field Services Certification#:5342 Virginia/VELAP Certification#:460221 North Carolina Wastewater Certification#: 12 Pace Analytical Services Asheville 2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40 Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001 Massachusetts Certification#:M-NC030 VirginiaNELAP 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,LLC. Page 2 of 12 Pace Analytical Services,LLC 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.com (704)875-9092 SAMPLE ANALYTE COUNT Project: Bendel Pace Project No.: 92463864 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92463864001 SW-001 EPA 1664E WAM 1 PASI-C EPA 200.7 Rev 4.4 1994 SH1 3 PASI-A SM 2540D-2011 CJL 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 12 Pace Analytical Services,LLC 9800 Kincey Ave. Suite100 aceAnalytical Huntersville,NC 28078078 www.pacelabs.com (704)875-9092 ANALYTICAL RESULTS Project: Bendel Pace Project No.: 92463864 Sample: SW-001 Lab ID: 92463864001 Collected: 02/05/20 13:20 Received: 02/05/20 14:06 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 mg/L 5.0 1 02/14/20 09:14 200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994 Copper ND ug/L 5.0 1 02/11/20 00:57 02/13/20 00:02 7440-50-8 Lead ND ug/L 5.0 1 02/11/20 00:57 02/13/20 00:02 7439-92-1 Zinc 138 ug/L 10.0 1 02/11/20 00:57 02/13/20 00:02 7440-66-6 2540D Total Suspended Solids Analytical Method:SM 2540D-2011 Total Suspended Solids 12.2 mg/L 2.5 1 02/07/20 18:00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.cola (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92463864 QC Batch: 525180 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM,TPH Associated Lab Samples: 92463864001 METHOD BLANK: 2807148 Matrix: Water Associated Lab Samples: 92463864001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg/L ND 5.0 02/14/20 09:14 LABORATORY CONTROL SAMPLE: 2807149 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 20 15.8 79 64-132 MATRIX SPIKE SAMPLE: 2807150 92463731002 Spike MS MS %Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 16.3 70 64-132 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:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.caa (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92463864 QC Batch: 524325 Analysis Method: EPA 200.7 Rev 4.4 1994 QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Associated Lab Samples: 92463864001 METHOD BLANK: 2803088 Matrix: Water Associated Lab Samples: 92463864001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 02/12/20 23:56 Lead ug/L ND 5.0 02/12/20 23:56 Zinc ug/L ND 10.0 02/12/20 23:56 LABORATORY CONTROL SAMPLE: 2803089 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Copper ug/L 500 498 100 85-115 Lead ug/L 500 472 94 85-115 Zinc ug/L 500 461 92 85-115 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2803090 2803091 MS MSD 92463864001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Copper ug/L ND 500 500 524 484 104 96 70-130 8 Lead ug/L ND 500 500 500 499 100 100 70-130 0 Zinc ug/L 138 500 500 631 589 99 90 70-130 7 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:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 12 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pac.labs.com (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92463864 QC Batch: 523819 Analysis Method: SM 2540D-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92463864001 METHOD BLANK: 2800612 Matrix: Water Associated Lab Samples: 92463864001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 02/07/20 17:55 LABORATORY CONTROL SAMPLE: 2800613 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 251 248 99 90-110 SAMPLE DUPLICATE: 2800630 92463819001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 28.0 25.8 8 SAMPLE DUPLICATE: 2800631 92463831001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 5450 3320 49 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:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 12 Pace Analytical Services,LLC cal®aceAnalyti 9800 Kinsey Ave. Suite100 Huntersville,NC 28078078 www.pacelabs.con (704)875-9092 QUALIFIERS Project: Bendel Pace Project No.: 92463864 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 Quantitation Limit. RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. 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 Chloroethylvinyl ether. A separate 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 ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacslabs eaa (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Bendel Pace Project No.: 92463864 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92463864001 SW-001 EPA 1664B 525180 92463864001 SW-001 EPA 200.7 Rev 4.4 1994 524325 EPA 200.7 Rev 4.4 1994 524346 92463864001 SW-001 SM 2540D-2011 523819 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/14/2020 04:32 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 12 Document Name: Document Revised:February 7,2018 Sample Condition Upon Receipt(SCUR) Page 1 of 2 aceARaIytical Document No.: Issuing Authority: i F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville Li Eden❑ Greenwood❑ Huntersvillep Raleigh❑ Mechanicsville❑ Sample Condition Client Name: WO# : 92463864 Upon Receipt 4_- ; A 0/1 f`rL6• Pro}eet�: II III Il lI I III II I II III Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client ❑Commercial ,Face ❑Other: 92463864 i Custody Seal Present? Oyes /.12No Seals Intact? ❑Yes /6No Date/Initials Person Examining Contents: Packing Material: . Bubble Wrap _216ubble Bags ❑None ❑ Other Biological Tissue Frozen? Thermometer:R OW et ❑No ON/A Gun ID: 92T058 Type once: Duvet ❑Blue ONone Cooler Temp(°C): (--I, (!l Correction Factor:Add/Subtract(°C) 0.0°C Temp 9ould be above freezing to 6'C Cooler Temp Corrected('C): 1/•(7 jaamples out of temp criteria.Samples on ice,cooling process has begun USDA Regulated Soil fe 'J/A,water sample) Did samples on ' ate in a quarantine zone within the United States:CA,NY,or SC(check maps)? Old samples originate from a foreign source(Intern ally, )]Pes Ai o Including Hawaii and Puerto Rico)?Oyes No Comments/Discrepancy: Chain of Custody Present? Ves ONo ON/A 1. Samples Arrived within Hold Time? faces ONo ON/A 2. Short Hold Time Analysis(<72 hr.)? Oyes �No ON/A 3. Rush Turn Around Time Requested? ,Ves fo ON/A 4. e , 5"13a Sufficient Volume? QYes [fNo ON/A 5. Correct Containers Used? Oyes ONo ON/A 6. -Pace Containers Used? es ONo ON/A Containers Intact? (ayes ONo ON/A 7. .- Dissolved analysis:Samples Field Filtered? Des ONo )3(/A 8. Sample Labels Match COC? ,Yes ONo ON/A 9. -Includes Date/Time/ID/Analysis Matrix: L)// Headspace in VOA Vials(>5-6mm)? ❑Yes No ❑N/A 10. Trip Blank Present? Oyes No ON/A 11. Trip Blank Custody Seals Present? Oyes ONo (afl%A COMMENTS/SAMPLE DISCREPANCY -1 r Field Data Acquit d? Oyes ONo 5 hh VDV. j k. Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Date/Time: Project Manager SCURF Review: N V Y ` , Date: 2 Nit() Project Manager SRF Review: N q Date: Z((7120 Page 10 of 12 Document Name: Document Revised:February 7,2018 • Sample Condition Upon Recelpt(SCUR) Page 1 of 2 1 i aceAnalytical Document No.: Issuing Authority: F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office *Check mark top half of box if pH and/or dechlorination Is Project'WON" f O# : 92463864 verified and within the acceptance range for preservation {� samples. PM: NMG Due Date: 02/14/20 Exceptions:VOA,Coliform,TOC,Oil and Grease,DRO/8015(water)DOC,t.LHg CLIENT: 32—AECOM CHA **Bottom half of box is to list number of bottle u ° 2 v z a a a 0 g_ v V a a a A Z Z 2 z U Z ry C z in ry Z 7,lc- N M > Q .> z N N N N v ... m v 2 a: a, a, 2 a n E, a m 2 v v L. a z ? ¢` '� ? ? 01 v Fw F. v a v M u S _m cu w zn n c rD � Q. M ` ? m w u ,, n n 't, a a a n a O O a p c O Z z v o =a " '^ = c c n n N Z Z f0 2, D u rw = Q INn a O ar+ > m C. Z , u N V r a a 1,5 E x Z = Y x u v y a = u is m G " :v «. 3 a a E a2 < < < < y u `a, E c E a a n n E a E E E < E E ry O p O O n y ,71 In a Q N Q a a > E E n` E E E E D w a` E v lm E E E E E E p E E N vii oo _ N 22 ,. In 3 — .-� O 2 G a c a 0 0 ra n , ON a O a N Vl t-1 N N ,-1 0 N ,.y N _ q 4 V 7 N N R F 7 > Z r. U LL = 7 In 0, = F- g 6 Y 1l r • Q 6 > > E e} M N e-1 M O e V. r/ M M M QI Q, Q1 Ql Q V' N N T O (,� In a a 0. a 0. 0. 0. 0. l7 U' Vr V' L) U' t7 l7 l7 Q �. 0. 0. 6 61 > l7 m m CO m ar m m m 3 a a c c a a o > > o > > ti v, CC a > o 1 \ !! \ 1 2 \ \ 3 \ 4 \ S \ \ \ 6 \ 1 \ \ _. 7 \ \ 8 \ \ 9 \ \ \ ' 10 \ ..\\ N., 11 \12 \ \ \ \ pH Adjustment Log for Preserved Samples Sample ID Type of Preservative pH upon receipt Date preservation adjusted Time preservation Amount of Preservative Lot f adjusted added 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 12 Col cc? CHAIN-OF-CUSTODY/ Analytical Request Document o FaceM..,... . The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately. OJ a) Section A Section B Section C cca d Required Client Information: Required Project Information: Invoice Information: Page: 1 Of 1 • • Company: AECOM,Charlotte Report To Wheat,Jennifer Attention. Address 6000 Fairview Rd Copy To. f af; •,I ,.,t it i"1. _I' ,e .,,_Company Name Suite 200.Charlotte,NC 28210 �.. Address Regulatory Agency Email. Jennifer wheat(taecom corn Purchase Order#: Pace Quote. Phone. IFax Project Name, Bendel Pace Project Manager. nicole.gasiorowski@pacelabs.corn, State/Location Requested Due Date: Project# Pace Profile# 6012-1 NC Requested Analysis Filtered(YIN( a_ Z MATRIX CODE — o COLLECTED = Preservatives } Diking Water OWii 6 O Wale Wi u U Waste Water WW v q Z Pi° n ea P to cr. JO N , } SAMPLE ID Sod/Saha 0� START END i- c m One Character per box. wipe WP N a `-``.r NJ H r a •o L. tila1 w Sample Ids must be unique �,,,,,, Ts x wof 0 v - r'O �a o ^ u> �� o: a . O m O n 2 0 m C N ry -o tu �_ N O O N L E Q 2 rn — " /rei DATE TIME DATE TIME ° . O II- = Z Z O F-a. av II`---- /� 2 7 3 4 5 6 7 8 9 10 11 12 ADDITIONAL COMMENTS RELWOlJlSHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS {}�f) / „ J/J.,�/ /yj!! may. la Is y./f (vim/ Jr/ Jl _t-I E li'/ ' 9' lt[/ �✓ lL��ii'-� ✓ l.i''�r�-�T� S�e�� 72-,., }�f...,� �!- �//.� r- ✓-� G�b 1 4 {✓l'7 CI S v I A- - SAMPLER NAME AND SIGNATURE c PRINT Na of ih! Ju c ESed: w Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 2/24/2020 CERTIFICATE OF COVERAGE NO. NCGO3 0 2 3 4 SAMPLE COLLECTION YEAR 2020 FACILITY NAME Bendel Tank&Heat Exchanger SAMPLE PERIOD 0 Jan-June ❑July-Dec COUNTY Mecklenburg or n Monthly'January (month) PERSON COLLECTING SAMPLES Jennifer Wheat/AECOM DISCHARGING TO CLASS ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace Analytical Lab Cert.# 12,5342,37706 ❑Zero-flow ❑Water Supply ❑SA Comments on sample collection or analysis: �El_.^� I, P *Other o APR 0 6 2020 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION pi No discharge this period?2 Date Sample 24-hour rainfall pH, Non Polar O&G/ Total Toxic Outfall No. Collected) amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organicss (mo/dd/yr) Inches3 Hydrocarbons Benchmarks===> - - 100 mg/L or 50 mg/L4 6.0—9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SW-001 1/24/2020 1.34" 38.0 8.5 0.0123 <0.005 0.122 <5.0 N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. °See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22;and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. 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 electing to employ the TTO monitoring waiver,the discharger shall sign the following 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. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jim Rozsa Name(Print name) Vice President, Operations Title(Print ' e) 2 (Si ature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL,<PQL, Non-detect, ND, or other similar non-numerical format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L",where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?2 Date Sample 24-hour rainfall Outfall No. Collected' amount, Non-polar O&G/TPH by (mo/dd/yr) Inches3 EPA 1664(SGT-HEM) Total Suspended Solids pH Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0—9.0 SU NA NA NA NA NA NA Footnotes from Part A also apply to this Part B *See General Permit text,Table 5,identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑■ NO❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑■ NO❑ REGIONAL OFFICE CONTACT NAME: Samar Bou-Ghazale Mail an original and one copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case of"No Discharge"reports)to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 sign' " enalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." .3-3/ 6(Signat of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012 Page 3 of 3 Pace Analytical Services,LLC 9800 KinceyAve. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.com (704)875-9092 February 05, 2020 Mr. Jim Rozsa Bendel Corp. 4823 North Graham St. Charlotte, NC 28269 RE: Project: Bendel Pace Project No.: 92462402 Dear Mr. Rozsa: Enclosed are the analytical results for sample(s) received by the laboratory on January 27, 2020. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC 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: Jennifer Wheat,AECOM 2�'''' = REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, ��l__�4 *. without the written consent of Pace Analytical Services,LLC. Page 1 of 12 �� Pace Analytical Services,LLC i 9800 Kincey Ave. Suite 100 aceAnalytcal Huntersville,NC 28078 www.pacelabs.cors (704)875-9092 CERTIFICATIONS Project: Bendel Pace Project No.: 92462402 Pace Analytical Services Charlotte 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#:84 North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221 North Carolina Wastewater Certification#: 12 Pace Analytical Services Asheville 2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40 Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001 Massachusetts Certification#:M-NC030 VirginiaNELAP 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,LLC. Page 2 of 12 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.com (704)875-9092 SAMPLE ANALYTE COUNT Project: Bendel Pace Project No.: 92462402 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92462402001 SW-001 EPA 1664E NH 1 PASI-C EPA 200.7 Rev 4.4 1994 DS 3 PAST-A SM 2540D-2011 CJL 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 12 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacalabs.com (704)875-9092 ANALYTICAL RESULTS Project: Bendel Pace Project No.: 92462402 Sample: SW-001 Lab ID: 92462402001 Collected: 01/24/20 08:15 Received: 01/27/20 12:19 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 mg/L 4.8 1 01/31/20 16:18 200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994 Copper 12.3 ug/L 5.0 1 02/01/20 00:58 02/04/20 11:49 7440-50-8 Lead ND ug/L 5.0 1 02/01/20 00:58 02/04/20 11:49 7439-92-1 Zinc 122 ug/L 10.0 1 02/01/20 00:58 02/04/20 11:49 7440-66-6 2540D Total Suspended Solids Analytical Method:SM 2540D-2011 Total Suspended Solids 38.0 mg/L 10.0 1 01/29/20 17:36 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacalabs.cam (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92462402 QC Batch: 522598 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM,TPH Associated Lab Samples: 92462402001 METHOD BLANK: 2795061 Matrix: Water Associated Lab Samples: 92462402001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg/L ND 5.0 01/31/20 16:01 LABORATORY CONTROL SAMPLE: 2795062 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 20 16.9 84 64-132 MATRIX SPIKE SAMPLE: 2795063 92461814002 Spike MS MS %Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 19.2 17.7 88 64-132 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:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.torn (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92462402 QC Batch: 522647 Analysis Method: EPA 200.7 Rev 4.4 1994 QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Associated Lab Samples: 92462402001 METHOD BLANK: 2795460 Matrix: Water Associated Lab Samples: 92462402001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 02/04/20 11:36 Lead ug/L ND 5.0 02/04/20 11:36 Zinc ug/L ND 10.0 02/04/20 11:36 LABORATORY CONTROL SAMPLE: 2795461 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Copper ug/L 500 477 95 85-115 Lead ug/L 500 478 96 85-115 Zinc ug/L 500 465 93 85-115 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2795462 2795463 MS MSD 92462402001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Copper ug/L 12.3 500 500 524 520 102 101 70-130 1 Lead ug/L ND 500 500 508 512 101 102 70-130 1 Zinc ug/L 122 500 500 624 626 100 101 70-130 0 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:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 12 Pace Analytical Services,LLC ® 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pecelabs.com (704)875-9092 QUALITY CONTROL DATA Project: Bendel Pace Project No.: 92462402 QC Batch: 522170 Analysis Method: SM 2540D-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92462402001 METHOD BLANK: 2792927 Matrix: Water Associated Lab Samples: 92462402001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 01/29/20 17:31 LABORATORY CONTROL SAMPLE&LCSD: 2792928 2792929 Spike LCS LCSD LCS LCSD %Rec Max Parameter Units Conc. Result Result %Rec %Rec Limits RPD RPD Qualifiers Total Suspended Solids mg/L 250 248 234 99 94 90-110 6 25 SAMPLE DUPLICATE: 2792930 92462422002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 29.0 31.0 7 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:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 12 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.cora (704)875-9092 QUALIFIERS Project: Bendel Pace Project No.: 92462402 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 Quantitation Limit. RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. 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 Chloroethylvinyl ether. A separate 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 PAST-A Pace Analytical Services-Asheville PASI-C Pace Analytical Services-Charlotte REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 12 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pacelabs.cora (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Bendel Pace Project No.: 92462402 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92462402001 SW-001 EPA 1664B 522598 92462402001 SW-001 EPA 200.7 Rev 4.4 1994 522647 EPA 200.7 Rev 4.4 1994 522670 92462402001 SW-001 SM 2540D-2011 522170 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:02/05/2020 09:25 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 12 Document Name: Document Revised:February 7,2018 Sample Condition Upon Receipt(SCUR) Page 1 of 2 aceAnalytical Document No.: Issuing Authority: F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: ,, Asheville ❑ Edeni Greenwood LI Huntersville.[ Raleigh Mechanicsville❑ Sample Condition Client Na W® •: 92462402 Upon Receipt (.7.—., Project 31: Courier: ❑Fed Ex ❑UPS ❑UsP5 ❑Client I 1111 II II I I I 11111 ❑Commercial DPace DOther. 92462402 r,!1 Custody Seal Present? DYes J]No Seals Intact? ❑Yes ❑N° j (' 1 p- r/ !,(j Date/Initials Person Examining Contents: Jai ' Packing Material: '❑Bubble Wrap ❑Bubble Bags ['None ❑ Other Biological Tissue Frozen? Thermometer: Dyes ❑No,-❑N/A elk Gun ID: 92T058 Type of Ice: .Owes ❑Blue ❑None Cooler Temp(°C): -1y'V Correction Factor:Add/Subtract(°C) 0.0°C � \ Temp should be above freezing to 6'C Cooler Temp Corrected('C): f V ❑Samples out of temp criteria.Samples nn ice,cooling process has begun USDA Regulated Soil ID N/A,water sample) Did samples originate In a quarantine zone within the United States:CA,NY,or SC(check maps)? Old samples originate from a foreign source(inter ationally, Dyes ❑No Including Hawaii and Puerto Rico)?Des No Comments/Discrepancy: Chain of Custody Present? ..des `J:N° ON/A 1. Samples Arrived within Hold Time? • Eyes ❑No ON/A 2. Short Hold Time Analysis(<72 hr.)? ❑Yes ,QNo ON/A 3. Rush Turn Around Time Requested? Oyes [INo ❑N/A 4. Suth:.ient Volume? . , 'it5 Dr o ON/A S. _„y Correct Containers Used? ,fYes ONo ON/A 6. -Pace Containers Used? eves ❑No ❑N/A Containers Intact? ,)lYes ❑No ON/A 7. _ Dissolved analysis:Samples Field Flitered? Oyes ❑No ❑N/P. 8. Sample Labels Match COC? 11 Yes ❑No ON/A 9. -Includes Cate/Time/ID/Analysis Matrix: v Headspace in VOA Vials(>5-6mm)? Oyes Ono BOA 10. Trip Blank Present? Eyes ,Q110 ON/A 11. Trip Blank Custody Sea':Present? Oyes ❑No ,�N/A COMMENTS/SAMPLE DISCREPANCY Field Data Required? Des ❑No Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION oorson contacted: Date/Time: _ Project Manager SCURF Review: t tf V' \R(! Date: j Z t7lTi Project Manager SRF Review: N' 041 Date: Lill7,g!Z b Page 10of12 ®�� D� �I 01 V1 ? W N r 0 0 ,,, / / hemp ** n vs < * o n .1�.' 7r7/1 /// P i / )I ) 0 f° -a -'_o BP4U-125 mL Plastic Unpreserved N A CI- O a �, A R. o O� >Z ■■ BP3U-250 ml Plastic Unpreserved(N/A) m < % ai TO s -+ BP2U-500 ml Plastic Unpreserved(N/A) > o. ID ., ro ___, O c r: O d v - BP1U-1 liter Plastic Unpreserved(N/A) o = _ a as a C / /' "' 8P45-125 ml.Plastic H2SO4(pH<2)(Cl-) �- O O Z O 2 m '�" " firm BP3N-250ml plastic HNO3(pH<2; 0 p g ,,,,CrX O pp\P4Z1253 mL Plastic ZN Acetate &NaOH(>9) a -h a r,, , - BP4C-125 mL Plastic NaOH (pH>12)(Cl-) 3 v rb a=i (D • Ol m• '' Fs' 'C WSFU-Wide-mouthed Glass jar Unpreserved oo 3 > 5 a D AG1U-1 liter Amber Unpreserved(N/A)(Cl-) O a p Q- a ... rs 3 to 0 • 3 m rillAG1H-1 liter Amber HCI(pH<2) ro • -0n7 3 --I m ftn D T O 0 a° m i AG3U-250 mL Amber Unpreserved(N/A)(CI-) o � fl' n o n o U r AEI /, ` O nr 6. n o 0 3 3 6- ( AG15-1 liter Amber H2SO4(pH<2) r- O 3 r^ 3 r3o OG Pr = 3 v+ w ^ v z n O� AG3S-250 mL Amber H2SO4(pH<2) w z ° 2 AG3A(DG3A)-250 ml Amber NH4Cl(N/A)(CI-) 1 c m ra o (D a m DG9H-40 mL VOA HCI (N/A) -s in Zir y O.19 r '. Q. i I VG9T-40 ml VOA Na25203(N/A) D v c N C It I :•I VG9U-40 mL VOA Unp(N/A) r— 7 o• I r DG9P-40 mL VOA H3PO4(N/A) r 3 t7 z I I ; VOAK(6 vials per kit)-5035 kit(N/A) ? 3 +O 3• t GI 0 n — .... s 9 V/GK(3 vials per kit)-VPH/Gas kit(N/A) • • r. "' al i3 a SPST-12S mL Sterile Plastic(N/A-tab) I �i/ N D rc 0 D N � a p n m i. SPZT-250 ml Sterile Plastic (N/A-lab) O !l p p N 2 /J5 T. c N )i, V / ! BP3A-250 mL Plastic(NH2)2504(9.3-9.7) pOi „Pof0 N o I AGOU-100 mL Amber Unpreserved vials(N/A) O -i � N I4 ( VSGU-20 ml Scintillation vials (N/A) N cfl i =. i O jn I I DG9U-40 ml Amber Unpreserved vials(N/A) Ul I 1 _ N o 0 N EN C�arl�yr,�) CHAIN-OF-CUSTODY/Analytical Request Document "5 --... - The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately. N a) cq Section A Section B Section C ea t4 Required Client Information: Required Information: Invoice Information: D- q q ProjectPage: 1 Of 1 Company: AECOM,Charlotte Report To: Wheat.Jennifer Attention: Address. 6000 Fairview Rd Copy To- Company Name: Suite 200.Charlotte,NC 28210 Address. Regulatory Agency Email: jennifer.wheal@aecom.com Purchase Order#: Pace Quote: Phone- 'Fax Project Name: Bendel Pace Project Manager: nicole gasiorowski aepacelabs corn, State I Location Requested Due Date. Project#: Pace Profile#: 6012-1 NC Requested Analysis Filtered(Y/N) • 1 'Asters cone - ° COLLECTED Z Preservatives >- Drinking Wale. ow U O Water WI w Waste Water WW co z Product P C7 N rc y SAMPLE ID 5oi9Soio e Oil of �? START END r N t— 'c m One Character per box. Wipe WP ,� w w w N o A. AR 0 \ Q N PI = it L # eIds(A-Z,0-91,-) Omer oT 00 w \ w Z m e >. O U Sample Ids must be unique 'Imm,, TS x p O m C0 0 m W - \ °: LL n O O I N L t Q S rn .n -`r� uus uQ ° i i i z z o S }t' ✓DATE TIM DATE TIME ju 1 (fir—COI ',C '-Z -ZCZL7 C I l I 2 f X 2 3 4 5 6 7 8 9 10 11 12 _ ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFIUATION DATE TIME SAMPLE CONDITIONS i)„ / Y SAMPLER NAME AND SIGNATURE U o PRINTI1 Name o AMPLER: 1y, ";(..�F (�//'' / ._ICE � r Ir�r Pl1 / \ lil-LJr I/V a o m - SIG UR ofS PLEB: DgTE Si ned `w " w Z .m o z m m-