HomeMy WebLinkAboutRiverbend Steam Station (10)Page 21 of 28
Analytical Laboratory
Please print or type in the unshaded areas I
EPA ID Number (copy from item I of Form 1)
I
l
Form
2F
NPDES
Page 21 of 28
Analytical Laboratory
Please print or type in the unshaded areas I
EPA ID Number (copy from item I of Form 1)
I
Form Approved OMB No 2040 -0086
Approval expires 5 -31 -92
Form
2F
NPDES
United States Environmental Protection Agency
Washington, DC 20460
Application for Permit to Discharge Storm Water
NY Discharges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 286 hours per application, including time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information Send comments regarding the burden estimate,
any other aspect of this collection of information or suggestions for improving this form, including suggestions which may increase or reduce this burden to Chief,
Information Policy Branch, PM -223, U S Environmental Protection Agency, 401 M St, SW, Washington, DC 20460, or Director, Office of Information and Regulatory
Affairs, Office of Management and Budget, Washington, DC 20503
I. Outfall Location
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water
A Outfall Number
list
B Latitude
C Longitude
D Receiving Water
name
SW 003
11. Improvements
A Are you now required by any Federal, State, or local authority to meet any implementation schedule for the construction, upgrading or
operation of wastewater treatment equipment or practices or any other environmental programs which may affect the discharges described
in this application? This includes, but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance
schedule letters, std ulations, court orders, and grant or loan conditions
1 Identification of Conditions,
Agreements, Etc
2 Affected Outfalls
3 Brief Description of Project
4 Final
Com fiance Date
number
source of discharge
a req
b proj
B You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your discharges)
you now have under way or which you plan Indicate whether each program is now under way or planned, and indicate your actual or planned
schedules for construction
III. Site Drainage Map
Attach a site map showing topography (or indicating the outline of drainage areas served by the outfall(s) covered in the application if a
topographic map Is unavailable) depicting the facility including each of its intake and discharge structures, the drainage area of each storm
water outfall, paved areas and buildings within the drainage area of each storm water outfall, each known past or present areas used for
outdoor storage or disposal of significant materials, each existing structure control measure to reduce pollutants in storm water runoff,
materials loading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied, each of its hazardous
waste treatment, storage or disposal units (including each are not required to have a RCRA permit which !s°used for accumulating hazardous
waste under 40 CFR 262 34), each well where fluids from the facility are injected underground, springs, and other surface water bodies which
receive storm water discharges from the facility
EPA Form 3510 -2F (Rev 1 -92) Page 1 of 3 Continued on Page 2
Page 22 of 28
Analytical Laboratory
Continued from the Front
IV. Narrative Description of Pollutant Sources
A For each outfall, provide an estimate of the area (include units) of impervious surfaces (including paved areas and building roofs) drained
to the outfall, and an estimate of the total surface area drained by the outfall
Outfall
Area of Impervious Surface
Total Area Drained
Outfall
Area of Impervious Surface
Total Area Drained
Number
(provide units
(provide units
Number
(provide units
(provide units
SW003
B Provide a narrative description of significant materials that are currently or in the past three years have been treated, stored or disposed
in a manner to allow exposure to storm water, method of treatment, storage, or disposal, past and present materials management
practices employed to minimize contact by these materials with storm water runoff, materials loading and access areas, and the location,
manner, and frequency in which pesticides, herbicides, sod conditioners, and fertilizers are applied
C For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce pollutants in
storm water runoff, and a description of the treatment the storm water receives, including the schedule and type of maintenance for
control and treatment measures and the ultimate disposal of any solid or fluid wastes other than by discharge
Outfall
List Codes from
Number
Treatment
Table 2F -1
SW003
V. Non Stormwater Discharges
A I certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the presence of
nonstormwater discharges, and that all nonstormwater discharges from these outfall(s) are identified in either an accompanying Form 2C
or Form 2E application for the outfall
Name of Official Title (type or print)
Signature
Date Signed
8 provide a description of the method used, the date of any testing, and the onsite drainage points that were directly observed during a test
VI. Significant Leaks or Spills
Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three
ears, including the approximate date and location of the spill or leak, and the type and amount of material released
EPA Form 3510 -2F (Rev 1 -92) Page 2 of 3 Continued on Page 3
t
f
1
i
i
I
t
EPA ID Number (copy from Item I of Form 1)
Continued from Page 2
Page 23 of 28
Analytical Laboratory
Al. Discharge Information
A,B,C, & D See instruction before proceeding Complete one set of tables for each outfall Annotate the outfall number in the space provided
Tables Vii-A, VII -B, and VII -C are included on separate sheets numbered VII -1 and VII -2
E Potential discharges not covered by analysis - is any toxic pollutant listed in table 2F -2, 2F -3, or 2F-4, a substance or a component of a
substance which you currently use or manufacture as an intermediate or final product or byproduct?
❑ Yes (list all such pollutants below) ❑ No (go to Section lX)
VIII. Biological Toxicity Testing Data
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or
on a receiving water in relation to your discharge within the last 3 years?
❑ Yes (list all such pollutants below) ❑ No (go to Section /X)
IX. Contact analysis Information
Were any of the analysis reported in item VII performed by a contact laboratory or consulting firm?
® Yes (list the name, address, and telephone number of, and pollutants ❑ No (go to Section X)
analyzed by, each such laborato ry or firm below)
A Name
B Address
C Area Code & Phone No
D Pollutants Analyzed
Pace Analytical Services, Inc 9800 Kincey Ave Suite 100 704 - 875 -9092 Oil &Grease/
Huntersville, NC 28078 Organic
Pace Analytical Services, Inc 2225 Riverside Dr 828 - 254 -7176
Asheville, NC 28804 Wet chemistry &
metals
X. Certification
I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate
the information submitted Based on my inquiry of the person or persons who manage the system or those persons
directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and
belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations
A Name & Official Title (type or pnnt)
B Area Code and Phone No
C Signature
D Date Signed
EPA Form 3510 -2F (Rev 1 -92)
Page 3 of 3
EPA ID Number (copy from Item l of Form 1)
Page 24 of 28
Analytical Laboratory
Form Approved OMB No 2040 -0086
Approval expires 5 -31 -92
VII. Discharge Information Contlnued from page 3 of Form 2F
Part A - You must provide the results of at least one analysis for every pollutant in this table Complete one table for each outfall See
instructions for additional details
Maximum Values
Average Values
Number
Pollutant
include units
include units
Of
And
Grab Sample
Grab Sample
Storm
CAS Number
Taken During
Flow- weighted
Taken During
Flow- weighted
Events
(if available)
First 30
Composite
First 30
Composite
Sampled
Minutes
Minutes
Sources of Pollutants
Oil & Grease
N/A
Biological Oxygen
Demand BOD5
Chemical Oxygen
58 0 mg /L
1
Demand COD
Total Suspended
Solids TSS
Total
2 28 mg/L.
1
Nitrogen
Total
0 16 mg /L
1
Phosphorus
pH
Minimum
Maximum
Minimum
Maximum
Part B - List each pollutant that is limited in an effluent guideline which the facility is subject to or any pollutant listed in the facility's NPDES
permit for its process wastewater (if the facility is operating under an existing NPDES permit) Complete one table for each outfall
See the instructions for additional details and re uirements
Maximum Values
Average Values
Number
Pollutant
include units
include units
Of
And
Grab Sample
Grab Sample
Storm
CAS Number
Taken During
Flow- weighted
Taken During
Flow- weighted
Events
(if available)
First 30
Composite
First 30
Composite
Sampled -
Minutes
Minutes
Sources of Pollutants
Bromide (24959 -67 -9)
Chlorine, Total
residual
Ammonia (as N)
0 25 mg /L
1
Chloride
Color
Fluoride (1698448 -8)
Nitrate - Nitrite (as N)
0 78 mg /I
1
Radioactivity, alpha
total
Radioactivity, beta
total
Radioactivity, radium
total
Radioactivity, radium
226 total
Sulfate (as SO4)
_
14808 -79 -8
Sulfite (as SO,)
14265 -45 -3
Aluminum, Total
0 897 mg /L
1
7429 -90 -5
Barium, Total
0 0222 mg /L
1
7440 -39 -3
Boron, Total (7440-
<0 050 mg /L
1
42 -8
Cobalt, Total (7440-
<0 005 mg /L
1
48-4
Iron, Total (7439 -89-6)
0 999 mg /L
1
Magnesium, Total
0 934 mg /L
1
7439 -95-4
Magnesium,
Dissolved
Molybdenum, Total
7439 -98 -7
Manganese, Total
0 0792 mg /L
1
7439 -96 -5
EPA Form 3510 -21F (Rev 1 -92) Page VII -I Continue on Reverse
Page 25 of 28
Analytical Laboratory
Tin, Total
<0 005 mg /L
1
7440 -31 -5
Titanium, Total
0 0403 mg /L
1
7440 -32 -6
Antimony, Total
7440 -36 -0
Arsenic, Total
<0 005 mg /L
1
7440 -38 -2
Beryllium, Total
7440 -41 -7
Cadmium, Total
<0 001 mg /L
1
7440 -43 -9
Chromium, Total
<0 005 mg /L
1
7440 -47 -3
Copper, Total
0 0182 mglL
1
7440 -50 -8
Lead, Total
7439 -92 -1
Mercury, Total
<0 200 ug /L
1
7439 -97 -6
Nickel, Total
<0 005 mg /L
1
7440 -02 -0
Selenium, Total
<0 010 mg /L
1
7782 -49 -2
Silver, Total
<0 005 mg /L
1
7440 -22 -4
Thallium, Total
7440 -28 -0
Zinc, Total
0 758 mg /L
1
(7440 -66 -6)
EPA Form 3510 -2F (Rev 1 -92) Page VII -1 Continue on Reverse
Page 26 of 28
Analytical Laboratory
Cnnfinnuri from hho P—M
Part C - List each pollutant shown in Tables 2F -2, 2F -3, and 2F -4 that you know or have reason to believe is present See the instructions for
additional details and requirements Cam lets one table for each outfall
Pollutant
And
CAS Number
(if available)
Maximum Values
include units
Average Values
include units
Number
Of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 30
Minutes
Flow- weighted
Composite
Grab Sample
Taken During
First 30
Minutes
Flow- weighted
Composite
Cyanide, Total
57 -12 -5
Phenols, Total
Surfactants (MBAs)
Total Dissolved Solids
Total Organic Carbon
Total Kleldahl
Nitrogen TKN
1 5 mg /L
1
Part D - Provide data for the storm events which resulted in the maximum values for the flow weighted com osite sample
1
Date of
Storm
Event
2
Duration
of Storm Event
(in minutes)
3
Total rainfall
during storm event
(in inches)
4
Number of hours between
beginning of storm measured
and end of previous
measurable rain event
5
Total flow from
rain event
(gallons or specify units)
7 Provide a description of the method of flow measurement or estimate
EPA Form 3510 -21F (Rev 1 -92) Page VII -2
Page 27 of 28
Analytical Laboratory
EPA Form 3510 -2F (Rev 1 -92) Page VII -2
OUTFALL
SAMPLED
SAMPLE
COLLECTION DATE
SAMPLE
TYPE
ANALYSES
SWO03
July 5, 2008
Composite
EPA 200 7
EPA 245 1
EPA 350 1
EPA 3512
EPA 353 2
EPA 365 1
SM 5220D
i
i
Duke
?VEnergye
Re. 07 -09 -07
Analytical Laboratory
13339 Hagers Ferry Road
Huntersville, NC 28078 -7929
McGuire Nuclear Complex — MG03A2
Phone 704 - 875 -5245 Fax 704 - 875 -5038
Job Summary Report
Job Number: I 08 -JUL -0149
Project Name:
Customer Name:
Copy To:
Customer Address:
Riverbend Stormwater
Brandy Starnes
Steve Jones, Greg Phillips
MG03A3
Lab Contact: Mary Ann Ogle
Lab Contact Phone: 704- 875 -5274
Report Authorized By:
(Printed Name)
MARY ANN OGLE
Report Authorized By:
(Signature) Date 10 o
Page 1 of 28
Analytical Laboratory
Data Package
This data package includes analytical results that are applicable only to the samples
described in this narrative An estimation of the uncertainty of measurement for the
results in the report is available upon request This report shall not be reproduced, except
in full, without the written consent of the Analytical Laboratory Please contact the
Analytical Laboratory with any questions The order of individual sections within this
report is as follows-
Job Summary Report
Analytical Laboratory Certificate of Analysis
Analytical Laboratory QC Reports (f applicable)
Sub - contracted Laboratory Results
Customer Specific Data Sheets, Reports & Documentation (f applicable)
Customer Database Entries
Test Case Narratives
Chain of Custody (COQ
I
f
Duke
POEnergy.
i Rev 07 -09 -07
Analytical Laboratory
13339 Hagers Ferry Road
Huntersville, NC 28078 -7929
McGuire Nuclear Complex — MG03A2
Phone 704 - 875 -5245 Fax 704 - 875 -5038
Job Summary Report
Certification
The Analytical Laboratory holds the following Certifications
New York State Department of Health Certification # 11717(NEL,4C)
North Carolina Department of Health & Human Services Certification # 37804
South Carolina (DHEC) Laboratory ID # 99005
North Carolina (DENR) Certification # 248
Analytical results listed in this report may not be certified by the authorities referenced above
Contact the Analytical Laboratory for definitive information about the certification status of
specific methods The results meet all requirements of NELAC except where deviations are
noted in this report.
Data Flags
Any analytical tests or individual analytes within a test flagged with an "X" or a "1" indicate a
deviation from the method quality system or quality control requirement
Calculations
All results are reported on a wet weight basis unless otherwise noted
Sample ID's & Descriations:
Collection Sample
Sample ID Plant /Station Date Collected By Description
--- - - - - -- ------- - - - - -- ---- - - - - -- ------ - - - - -- ----- - - - - --
28018958 FOSSIL 7/05/2008 B STARNES RIVERBEND SWO03 -
COMP
-----------------
1 TOTAL SAMPLES
Page 2 of 28
Analytical Laboratory
Page 3 of 28
Analytical Laboratory
Huke Analytical Laboratory
16%nergy@ 13339 Ferry Road
untersvilleille, NC 28078 -7929
Rey 07 -09 -07 McGuire Nuclear Complex — MG03A2
Phone 704 - 875 -5245 Fax 704 - 875 -5038
Job Summary Report
Validation of Analytical Data Package
i COC and pdf report are in agreement with sample totals
Yes
No
and analyses (compliance programs and procedures).
ii) All results are less than the laboratory reporting limits
Yes
v No
iii) All laboratory QA/QC requirements are acceptable.
Job Summary Report
ff No
iv) NPDES and TCLP results are below permit or regulatory
No
limits respectively
Documentation (if applicable)
C`
11 ►v) above is No, document below
Permit
Variable Result I Limit Notes
V)
Components of the Job Summary Report arranged in order
Yes EE
stipulated on page one
Indicate components included
jr
Job Summary Report
Customer Specific Data Sheets, Reports &
Documentation (if applicable)
C`
Analytical Laboratory Certificate of
Customer Database Entries
Analysis
F
Analytical Laboratory QC Report
Test Case Narratives
(if applicable)
f7
Sub - contracted Laboratory Results
ry
Chain of Custody
vi) Notes and Additional Information
This is a partial report for SW 003 The other reports for this outfall are 08 -JIJL -0641 and 08 -JUN -0400 The
followmg parameters contained quality control failures for matrix spike recovery, but the spike was not performed
on this sample COD,TKN and ammonia The following parameters contained quality control failures for duplicate
relative percent difference, the quality control was not performed on this sample metals and ammonia. These quality
control failures should be documented when reporting result, but these results are still considered valid
Mary Ann Ogle
Duke Energy Analytical Lab
NPDES Contact
Office 704- 875 -5274
Cell 704.280 -7956
of
Page 4 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
aceAnalytical 2225 Riverside Or 9800 KlnceyAve Suite 100
wwwpacelebs.com Asheville, NC 28804 Huntersville, NC 28078
(828)254.7176 (704)875 -9092
July 28, 2008
Mr Jay Perkins
Duke Energy
13339 Hagers Ferry Road
Bldg 7405 MG30A2
Huntersville, NC 28078
RE Project 08 -JUL -0149
Pace Project No 9222864
Dear Mr Perkins
Enclosed are the analytical results for sample(s) received by the laboratory on July 08, 2008 The
results relate only to the samples included in this report Results reported herein conform to the
most current NELAC standards, where applicable, unless otherwise narrated In the body of the
report
Inorganic Wet Chemistry and Metals analyses were performed at our Pace Asheville laboratory and
Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted All
Microbiological analyses were performed at the laboratory where the samples were received
If you have any questions concerning this report, please feel free to contact me
Sincerely,
-K-
Kevin
Herring
kevin herring @pacelabs com
Project Manager
Enclosures
cc Accounts Payable DPEHS, Duke Energy Carolinas, LLC
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent
?eoff Pace Analytical Services, Inc
CLLGiLL1.J
Page 1 of 15
aceAnaljNcal
www pacelabs com
Project 08 -JUL -0149
Pace Project No 9222864
Charlotte Certification IDs
Florida /NELAP Certification Number E87627
Kansas Certification Number E -10364
Louisiana / LELAP Certification Number 04034
North Carolina Drinking Water Certification Number 37706
North Carolina Wastewater Certification Number 12
Asheville Certification IDs
Flonda /NELAP Certification Number E87648
LOWSIana/LELAP Certification Number 03095
New Jersey Certification Number NC011
North Carolina Drinking Water Certification Number 37712
North Carolina Wastewater Certification Number 40
North Carolina Bioassay Certification Number 9
Eden Certification IDs
North Carolina Drinking Water Certification Number 37738
Virginia Drinking Water Certification Number 00424
Pace Analytical Services, Inc
2225 Riverside Dr
Asheville NC 28804
(828)254 -7178
CERTIFICATIONS
Page 5 of 28
Analytical Laboratory
Pace Analytical Services, Inc
9800 KmceyAve Sude 100
Huntersville NC 28078
North Carolina Field Services Certification Number 5342
South Carolina Certification Number 990060001
South Carolina Bioassay Certification Number 990060003
Tennessee Certification Number 04010
Virginia Certification Number 00213
Pennsylvania Certification Number 68 -03578
South Carolina Certification Number 99030001
South Carolina Bloassay Certification Number 99030002
Tennessee Certification Number 2980
Virginia Certification Number 00072
North Carolina Wastewater Certification Number 633
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of �P�aycee Analytical Services, Inc
"t rcfid
(704)875 -9092
Page 2 of 15
Page 6 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
ace*alXical 2225 Riverside Dr 9800 KmceyAve Sude 100
wwwpacelabs cam Asheville. NC 28804 Huntersville, NC 28078
(828)254 -7176 (704)875 -9092
SAMPLE SUMMARY
Project 08 -JUL -0149
Pace Project No 9222864
Lab ID Sample ID Matrix
9222864001 28018958 SW003 Water
Date Collected Date Received
07/05/08 09 30 07/08/08 14 25
REPORT OF LABORATORY ANALYSIS Page 3 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 7 of 28
Analytical Laboratory
I
® Pace Analytical Services, Inc Pace Analytical Services, Inc
i aceAnalytica! 2225 Riverside Dr 9800 Klncey Ave Sude 100
wwwpacelabs cam Asheville, NC 28804 Hunterswlle NC 28078
(828)254 -7176 (704)875 -9092
SAMPLE ANALYTE COUNT
Project 08 -JUL -0149
Pace Project No 9222864
Lab ID Sample ID Method
Analysts
Analytes
Reported
9222864001 28018958 SWO03 EPA 200 7
EWS
17
EPA 245 1
SHB
1
EPA 350 1
RAB
1
EPA 351 2
JDA
1
EPA 353 2
JDA
1
EPA 365 1
SER
1
SM 5220D
SAJ
1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
oeo�a
t �s
1
Page 4 of 15
aceAnalytical
wwwpacelebtcom
Pace Analytical Services, Inc
2225 Riverside Or
Asheville, NC 28804
(828)254 -7176
ANALYTICAL RESULTS
Page 8 of 28
Analytical Laboratory
Pace Analytical Services, Inc
9800 KinceyAve Suite 100
Huntersville, NC 28078
(704)8759092
Project 08 -JUL -0149
Pace Project No 9222864
Sample 28018958 SWO03
Lab ID 9222864001 Collected
07/05/08 09 30
Received 07/08/08 14 25 Matrix Water
Report
Parameters
Results Units Limit
MDL
OF
Prepared
Analyzed CAS No Qual
200 7 MET ICP
Analytical Method EPA 200 7 Preparation Method EPA 200 7
Aluminum
897 ug /L
100
250
1
07/1410811 23
07/18/0801 29 7429 -90 -5
Arsenic
NO ug /L
5 0
27
1
07/14/0811 23
07/18/0801 29 7440 -38 -2
Barium
222 ug /L
50
020
1
07/14/08 11 23
07/18/0801 29 7440 -39 -3
Boron
NO ug /L
500
47
1
07/1410811 23
07118/0801 29 7440.42 -8
Cadmium
NO ug /L
1 0
050
1
07/14/0811 23
07/18/0801 29 7440 -43 -9
Chromium
NO ug /L
50
040
1
07/14/0811 23
07/18/0801 29 7440 -47 -3
Cobalt
NO ug /L
5 0
060
1
07/14/0811 23
07/18/0801 29 7440 -48-4
Copper
182 ug /L
50
030
1
07/1410811 23
07/18/0801 29 7440 -50 -8
Iron
999 ug /L
500
140
1
07/14/0811 23
07/18/0801 29 7439 -89 -6
Magnesium
934 ug /L
100
30
1
07/14/08 11 23
07/18/08 0129 7439 -95-4
Manganese
79 2 ug /L
5 0
030
1
07/14/08 11 23
07/1810801 29 7439 -96 -5
Nickel
NO ug /L
5 0
1 7
1
07/14/0811 23
07/18/0801 29 7440 -02 -0
Selenium
NO ug /L
100
38
1
07/14/0811 23
07/1810801 29 7782 -49 -2
Silver
NO ug/L
5 0
010
1
07/14/08 11 23
07/18/0801 29 7440 -22 -4
Tin
NO ug /L
so
1 8
1
07/14/0811 23
07/1810801 29 7440 -31 -5
Titanium
403 ug /L
5 0
010
1
07/14/0811 23
07/18/0801 29 7440 -32-6
Zinc
758 ug /L
100
040
1
07114/0811 23
07/18/0801 29 7440 -66 -6
2451 Mercury
Analytical Method EPA 245 1
Preparation Method EPA 245 1
Mercury
NO ug /L
020
020
1
07/09/08 12 15
07/09/08 15 47 7439 -97 -6
3501 Ammonia
Analytical Method EPA 350 1
Nitrogen, Ammonia
0 25 mg /L
0 10
010
1
07/25/08 18 07 7764 -41 -7
351 2 Total Kjeldahl Nitrogen
Analytical Method EPA 351 2
Nitrogen, Kjeldahl, Total
1 5 mg /L
0 50
0 50
1
07/19/08 11 54 7727 -37 -9
353 2 Nitrogen, NO2/NO3 pres
Analytical Method EPA 3532
Nitrogen, NO2 plus NO3
0 78 mg /L
010
010
1
07/27/08 13 46
365 1 Phosphorus, Total
Analytical Method EPA 365 1
Phosphorus
0 16 mg /L
0 10
010
1
07/14/08 00 41 7723 -14 -0
5220D COD
Analytical Method SM 5220D
Chemical Oxygen Demand
58 0 mg /L
25 0
250
1
07/11/08 2145
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 5 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 9 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
aceAnaljdical 2225 Riverside Dr 9800 KinceyAve Surte 100
WWW pacabbs com Asheville, NC 28804 Huntersville, NC 28078
(828)254 -7176 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch MERP /1575
Analysis Method
EPA 245 1
QC Batch Method EPA 245 1
Analysis Description
245 1 Mercury
Associated Lab Samples 9222864001
METHOD BLANK 137270
Associated Lab Samples 9222864001
Blank Reporting
Parameter
Units
Result Limit
Qualifiers
Mercury
ug /L
NO 020
LABORATORY CONTROL SAMPLE
137271
Spike LCS
LCS
% Rec
Parameter
Units
Conc Result
% Rec
Limits
Qualifiers
Mercury
ug /L
2 5 26
105
85 -115
MATRIX SPIKE SAMPLE
137272
9222860001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Mercury
ug /L
ND 2 5
1 9
77 70 -130
SAMPLE DUPLICATE 137273
9222860002 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Mercury
ug /L
ND ND
0
20
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 6 of 15
I
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 10 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
aceMalXieal 2225 Riverside Dr 9800 Kincey Ave Suite 100
wwwpacelabs.com Asheville NC 28804 Hunterswlle, NC 28078
(828)254 -7176 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3047
Analysis Method SM
5220D
QC Batch Method SM 5220D
Analysis Description 5220D COD
Associated Lab Samples 9222864001
METHOD BLANK 138813
Associated Lab Samples 9222864001
Blank Reporting
Parameter
Units
Result Limit
Qualifiers
Chemical Oxygen Demand
mg /L
NO 25 0
LABORATORY CONTROL SAMPLE
138814
Spike LCS
LCS
% Rec
Parameter
Units
Conc Result
% Rec
Limits
Qualifiers
Chemical Oxygen Demand
mg /L
750 792
106
90 -110
MATRIX SPIKE SAMPLE
138815
9222112014 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Chemical Oxygen Demand
mg /L
ND 750
NO
3 75 -125 MO
MATRIX SPIKE SAMPLE
138818
9222640001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Chemical Oxygen Demand
mg /L
122 750
113
-1 75 -125 MO
SAMPLE DUPLICATE 138816
9222770001 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Chemical Oxygen Demand
mg /L
581 786
30
20 Rt
SAMPLE DUPLICATE 138817
9222628001 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Chemical Oxygen Demand
mg /L
458 438
4
20
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 7 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
.&at
I
I
aceAnalytical
wwwpacelabs.com
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3059 Analysis Method EPA 365 1
QC Batch Method EPA 365 1 Analysis Description 365 1 Phosphorus, Total
Associated Lab Samples 9222864001
METHOD BLANK 139287
Associated Lab Samples 9222864001
Blank Reporting
Parameter Units Result Limit Qualifiers
Phosphorus mg /L ND 010
LABORATORY CONTROL SAMPLE 139288
Spike LCS LCS % Rec
Parameter Units Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 1 11 110 90 -110
MATRIX SPIKE SAMPLE 139289
9222867002 Spike MS MS % Rec
Parameter Units Result Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 47 1 54 75 90 -110 MO tl
MATRIX SPIKE SAMPLE 1392911t
9222864001 Spike MS MS % Rec 101
Parameter Units Result Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 018 1 12 105 90 -110
SAMPLE DUPLICATE 139290
9223151002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Phosphorus mg /L 14 13 5 20
SAMPLE DUPLICATE 139292
9222866002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Phosphorus mg /L 072 073 3 20
Date 07/28/2008 04 07 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full
without the written consent of Pace Analytical Services, Inc
Page 8 of 15
Page 11 of 28
Analytical Laboratory
Pace Analytical Services, Inc
Pace Analytical Services, Inc
2225 Riverside Or
9800 Kincey Ave Surte 100
Asheville, NC 28804
Huntersville, NC 28078
(828)254 -7176
(704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3059 Analysis Method EPA 365 1
QC Batch Method EPA 365 1 Analysis Description 365 1 Phosphorus, Total
Associated Lab Samples 9222864001
METHOD BLANK 139287
Associated Lab Samples 9222864001
Blank Reporting
Parameter Units Result Limit Qualifiers
Phosphorus mg /L ND 010
LABORATORY CONTROL SAMPLE 139288
Spike LCS LCS % Rec
Parameter Units Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 1 11 110 90 -110
MATRIX SPIKE SAMPLE 139289
9222867002 Spike MS MS % Rec
Parameter Units Result Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 47 1 54 75 90 -110 MO tl
MATRIX SPIKE SAMPLE 1392911t
9222864001 Spike MS MS % Rec 101
Parameter Units Result Conc Result % Rec Limits Qualifiers
Phosphorus mg /L 018 1 12 105 90 -110
SAMPLE DUPLICATE 139290
9223151002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Phosphorus mg /L 14 13 5 20
SAMPLE DUPLICATE 139292
9222866002 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Phosphorus mg /L 072 073 3 20
Date 07/28/2008 04 07 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full
without the written consent of Pace Analytical Services, Inc
Page 8 of 15
aceAnalytical
wwx paceiabs coal
Project 08 -JUL -0149
Pace Project No 9222864
Pace Analytical Services, Inc
2225 Riverside Dr
Asheville NC 28804
(828)254 -7176
QUALITY CONTROL DATA
QC Batch MPRP /2651 Analysis Method EPA 200 7
QC Batch Method EPA 200 7 Analysis Description 200 7 MET
Associated Lab Samples 9222864001
Page 12 of 28
Analytical Laboratory
Pace Analytical Services, Inc
9800 KinceyAve Suite 100
Huntersville, NC 28078
(704)875 -9092
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 9 of 15
This report shall not be reproduced except in full
without the written consent of Pace Analytical Services, Inc
+000 as
w
METHOD BLANK 139450
Associated Lab Samples 9222864001
Blank
Reporting
Parameter
Units
Result
Limit
Qualifiers
Aluminum
ug /L
ND
100
Arsenic
ug /L
ND
50
Banum
ug /L
NO
50
Boron
ug /L
NO
500
Cadmium
ug /L
NO
1 0
Chromium
ug /L
NO
50
Cobalt
ug /L
NO
50
Copper
ug /L
NO
50
Iron
ug /L
NO
500
Magnesium
ug /L
NO
100
Manganese
ug /L
NO
50
Nickel
ug /L
NO
50
Selenium
ug /L
NO
100
Silver
ug /L
NO
50
Tin
ug/L
NO
50
Titanium
ug /L
NO
50
Zinc
ug /L
NO
100
LABORATORY CONTROL SAMPLE 139451
Spike
LCS
LCS
% Rec
Parameter
Units
Conc
Result
% Rec
Limits Qualifiers
Aluminum
ug /L
5000
4860
97
85 -115
Arsenic
ug /L
500
508
102
85 -115
Banum
ug /L
500
494
99
85 -115
Boron
ug /L
500
493
99
85 -115
Cadmium
ug /L
500
511
102
85 -115
Chromium
ug /L
500
516
103
85 -115
Cobalt
ug /L
500
501
100
85 -115
Copper
ug /L
500
491
98
85 -115
Iron
ug/L
5000
5060
101
85 -115
Magnesium
ug /L
5000
5020
100
85 -115
Manganese
ug /L
500
513
103
85-115
Nickel
ug /L
500
512
102
85 -115
Selenium
ug /L
500
495
99
85 -115
Silver
ug /L
250
253
101
85 -115
{ Tin
ug /L
500
519
104
85 -115
Titanium
ug /L
500
503
101
85 -115
Zinc
ug /L
500
508
102
85 -115
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 9 of 15
This report shall not be reproduced except in full
without the written consent of Pace Analytical Services, Inc
+000 as
w
i
Page 13 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
aceAnaIXical 2225 Riverside Dr 9800 Kincey Ave Sude 100
wwwpacelabecam Asheville NC 28804 Huntersville, NC 28078
(828)254 -7176 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
MATRIX SPIKE SAMPLE
139452
9222818001
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc
Result
% Rec
Limits
Qualifiers
Aluminum
ug /L
196
5000
4930
95
70 -130
Arsenic
ug /L
ND
500
494
98
70 -130
Banum
ug /L
NO
500
415
82
70 -130
Boron
ug /L
2300
500
2790
98
70 -130
Cadmium
ug /L
NO
500
463
93
70 -130
Chromium
ug /L
ND
500
465
93
70 -130
Cobalt
ug /L
NO
500
438
88
70 -130
Copper
ug /L
NO
500
445
89
70 -130
Iron
ug /L
214
5000
4680
89
70 -130
Magnesium
ug /L
862
5000
5170
86
70 -130
Manganese
ug /L
NO
500
454
91
70 -130
Nickel
ug /L
ND
500
452
90
70 -130
Selenium
ug /L
NO
500
478
95
70 -130
Silver
ug /L
NO
250
233
93
70 -130
Tin
ug /L
NO
500
466
93
70 -130
Titanium
ug /L
NO
500
455
90
70 -130
Zinc
ug /L
NO
500
487
97
70 -130
SAMPLE DUPLICATE 139453
9222819001
Dup
Max
Parameter
Units
Result
Result
RPD
RPD
Qualifiers
Aluminum
ug /L
368
346
6
20
�
Arsenic
ug /L
NO
3 4.1
6
20
00 ,
Barium
ug /L
238
207
14
20
jJv'
Boron
ug /L
723
NO
713
NO
1
76
20
20 R3
'D
Cadmium
ug /L
Chromium
ug /L
90
92
2
20
,01 t�
Cobalt
ug /L
NO
NO
11
20
Copper
ug /L
156
155
6
20
Iron
ug /L
662
631
5
20
Magnesium
ug /L
1640
1510
8
20
Manganese
ug /L
976
486
67
20 R2
Nickel
ug /L
NO
4J
6
20
Selenium
ug /L
NO
NO
200
20 R3
Silver
ug /L
NO
NO
117
20 R3
Tin
ug /L
NO
NO
183
20 R3
Titanium
ug /L
155
147
5
20
Zinc
ug /L
160
163
2
20
Date 07/28/2008 04 07 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 10 of 15
a
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f
2aneAnaljftal
wwwpacelabs com
i
Page 14 of 28
Analytical Laboratory
Pace Analytical Services, Inc Pace Analytical Services, Inc
2225 Riverside Dr 9800 Kmcey Ave Suite 100
Asheville, NC 28804 Huntersville, NC 28078
(828)254 -7176 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3105
Analysis Method EPA 351 2
QC Batch Method EPA 351 2
Analysis Description 3512 TKN
Associated Lab Samples 9222864001
METHOD BLANK 142058
Associated Lab Samples 9222864001
Blank Reporting
Parameter
Units
Result Limit
Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
ND 050
LABORATORY CONTROL SAMPLE
142059
Spike LCS
LCS
% Rec
Parameter
Units
Conc Result
% Rec
Limits Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
5 55
110
90 -110
MATRIX SPIKE SAMPLE
142060
9223043011 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
0 96 5
25
30
90 -110 MO
MATRIX SPIKE SAMPLE
142062
9223199004 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
190 5
288
196
90 -110 Mo
SAMPLE DUPLICATE 142061
9222763001 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
14 5 16 6
14
20
SAMPLE DUPLICATE 142063
9222884003 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Nitrogen, Kjeldahl, Total
mg /L
057 ND
30
20
i Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 11 of 15
Page 15 of 28
Analytical Laboratory
® Pace Analytical Services, Inc Pace Analytical Services, Inc
aceAnalytical 2225 Riverside Dr 9800 Kincey Ave Suite 100
wwwpacelab&com Asheville, NC 28804 Huntersville, NC 28078
(828)254 -7176 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3146
Analysis Method
EPA 350 1
QC Batch Method EPA 350 1
Analysis Description
350 1 Ammonia
Associated Lab Samples 9222864001
METHOD BLANK 144936
Associated Lab Samples 9222864001
Blank Reporting
Parameter
Units
Result Limit
Qualifiers
Nitrogen, Ammonia
mg /L
NO 010
LABORATORY CONTROL SAMPLE
144937
Spike LCS
LCS
% Rec
Parameter
Units
Conc Result
% Rec
Limits
Qualifiers
Nitrogen, Ammonia
mg/L
5 5 5
109
90 -110
MATRIX SPIKE SAMPLE
144938
9222864001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Nitrogen, Ammonia
mg /L
025
5 57
109 90 -110
MATRIX SPIKE SAMPLE
144940
9223554002 Spike
MS
MS
% Rec
Parameter
Units
Result Conc
Result
% Rec
Limits Qualifiers
Nitrogen, Ammonia
mg /L
168
5 225
113 90-110 Mo
SAMPLE DUPLICATE 144939
9223591002 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Nitrogen, Ammonia
mg /L
NO
ND 0
20
SAMPLE DUPLICATE 144941
9223568001 Dup
Max
Parameter
Units
Result Result
RPD
RPD
Qualifiers
Nitrogen, Ammonia
mg /L
ND
ND 183
20 R1
Date 07/28/2008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 12 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
f
aceAnalytical
— pacelaft WM
Page 16 of 28
Analytical Laboratory
Pace Analytical Services, Inc Pace Analytical Services, Inc
2225 Riverside Dr 9800 Kincey Ave Sude 100
Asheville, NC 28804 Huntersville, NC 28078
(828)254 -7178 (704)875 -9092
QUALITY CONTROL DATA
Project 08 -JUL -0149
Pace Project No 9222864
QC Batch WETA/3155
Analysis Method EPA
353 2
QC Batch Method EPA 353 2
Analysis Description 353 2 Nitrate + Nitnte, preserved
Associated Lab Samples 9222864001
METHOD BLANK 145132
Associated Lab Samples 9222864001
Blank
Reporting
Parameter
Units
Result
Limit
Qualifiers
Nitrogen, NO2 plus NO3
mg /L
ND
010
LABORATORY CONTROL SAMPLE
145133
Spike LCS
LCS
% Rec
Parameter
Units
Conc Result
% Rec
Limits Qualifiers
Nitrogen, NO2 plus NO3
mg /L
5
49
97
90 -110
MATRIX SPIKE SAMPLE
145134
9223154002
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc
Result
% Rec
Limits Qualifiers
Nitrogen, NO2 plus NO3
mg /L
234
5
28 4
102
75 -125
MATRIX SPIKE SAMPLE
145136
9223870009
Spike
MS
MS
% Rec
Parameter
Units
Result
Conc
Result
% Rec
Limits Qualifiers
Nitrogen, NO2 plus NO3
mg /L
ND
5
4 6
92
75 -125
SAMPLE DUPLICATE 145135
9222864001
Dup
Max
Parameter
Units
Result
Result
RPD
RPD
Qualifiers
Nitrogen, NO2 plus NO3
mg /L
078
079
1 20
SAMPLE DUPLICATE 145137
9223870010
Dup
Max
Parameter
Units
Result
Result
RPD
RPD
Qualifiers
Nitrogen, NO2 plus NO3
mg /L
ND
ND
0 20
Date 0712812008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 13 of 15
This report shall not be reproduced, except in full,
without the written consent of PP�acee� Analytical Services, Inc
:LLL1/1ailala
s
aceAnalytical
.pacelabs com
QUALIFIERS
Project 08 -JUL -0149
Pace Project No 9222864
DEFINITIONS
Pace Analytical Services, Inc
2225 Riverside Dr
Asheville, NC 28804
(828)254 -7176
Page 17 of 28
Analytical Laboratory
Pace Analytical Services, Inc
9800 KinceyAve Sufte 100
Huntersviile NC 28078
(704)8759092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content
ND - Not Detected at or above adjusted reporting limit
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit
MDL -Adjusted Method Detection Limit
S - Surrogate
1,2- Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene
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
Pace Analytical is NELAP accredited Contact your Pace PM for the current list of accredited analytes
ANALYTE QUALIFIERS
MO
Matrix spike recovery was outside laboratory control limits
R1
RPD value was outside control limits
R2
RPD value was outside control limits due to matrix interference
R3
RPD value was outside control limits due to uncertainty of values at or near the PRL
Date 07/28/2008 04 07 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent ooff PPaacee Analytical Services, Inc
Page 14 of 15
{I
i
® Pace Analytical Services, Inc
ac" 2225 Riverside Dr
i wwwpacelabscom Asheville, NC 28804
(828)254 -7176
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project 08 -JUL -0149
Pace Project No 9222864
Page 18 of 28
Analytical Laboratory
Pace Analytical Services, Inc
9800 KinceyAve Sude 100
Hunterswlle, NC 28078
(704)8759092
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
9222864001
28018958 SWO03
EPA 245 1
MERP /1575
EPA 245 1
MERC /1576
9222864001
28018958 SWO03
SM 5220D
WETA13047
9222864001
28018958 SWO03
EPA 365 1
WETA/3059
9222864001
28018958 SWO03
EPA 200 7
MPRP/2651
EPA 200 7
ICP/2522
9222864001
28018958 SWO03
EPA 351 2
WETA13105
9222864001
28018958 SWO03
EPA 350 1
WETA/3146
9222864001
28018958 SWO03
EPA 353 2
WETA/3155
Date 07/2812008 04 07 PM REPORT OF LABORATORY ANALYSIS Page 15 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
• c
f
Page 19 of 28
Analytical Laboratory
zr<
. .. -
�aceArralyilca /'
Client Name 2 & Project # Uj,;-;
t
Courier ❑ Fed Ex ❑ UPS ❑ USPS El C nt ❑ Commercial L7 Pace Other Opti n 11a 0, "uw> ` N ,`
q te Custody Seal on Cooler /Box Present yes ❑ no als intact yes ❑ no a, ,Fcor; ame e
Packing Material ❑ Bubble Wrap ❑Bubble Bags None ❑Other
Thermometer Used T060 Type of I ce(/_V7Pt Blue None I"f�S. oles on ice. coollna process has be4un
Cooler Temperature/
Biological Tissue is Frozen Yes No N/A
Date and Inrtia o p xa inin
contents 0
Temp should be above freezing to 6•C
Comments
Chain of Custody Present
(Pa x ONO
❑N /A
1
Chain of Custody Filled Out
ONO
❑NIA
2
Chain of Custody Relinquished
ONO
❑N /A
3
Sampler Name & Signature on COC
(Y/ ONO
❑NIA
4
Samples Arrived within Hold Time
Y s ONO
❑NIA
5
Short Hold Time Analysis ( <72hr)
Yes ONX
❑N /A
6
Rush Turn Around Time Requested
❑Y s No
❑N /A
7
Sufficient Volume
PY s ONO
❑N /A
8
Correct Containers Used
s ONO
N/A
9
-Pace Containers Used
Y o
ON/A
Containers Intact
Yes ONO
❑N/
10
Filtered volume received for Dissolved tests
❑Y s ONO
N/A
11
Sample Labels match COC
ONo
❑N /A
12
,Y/es
- Includes date /time /ID /Analysis Matrix
W
All containers needing preservation have been checked
ONO
❑N /A
13
All containers needing preservation are found to be in
Yes ONO
ON /A
compliance with EPA recommendation
exceptions VOA, coldorm TOC, O &G WI ORO (water)
OYX ONO
Initial when completed
Samples checked for dechlonnatlon
Yes ONO
0 N
14
Headspace in VOA Vials ( >6mm)
❑Yes ONo
15
Trip Blank Present
OYes ONO
YIA
6
T rip Blank Custody Seals Present
❑Yes ONO
/A
Pace Trip Blank Lot t# (if purchased) N/A
Client Notification/ Resolution Field Data Required) Y / N / N/A
Person Contacted Datefrime
Comments/ Resolution
Protect Manager Review
Date. 3
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 i e out of hold mrnrrPrt nrPGPm;ihvP not of t- ,nrnr t
I
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Page 20 of 28
Analytical Laboratory
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Page 20 of 28
Analytical Laboratory
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Page 28 of 28
Analytical Laboratory
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