NCG551311_2023 Lab Data Compliance Inspection_20231023

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
October 09, 2023
One Time Client
Private Small Jobs
Huntersville, NC 28078
RE: Project: Power Sampling Event
Pace Project No.: 92690165
Dear One Client:
Enclosed are the analytical results for sample(s) received by the laboratory on September 25, 2023. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services -Asheville
• Pace Analytical Services - Charlotte
• Pace Analytical Services - Eden
• Pace Analytical Services - Raleigh
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
pely
��4--Wd-
Ashari Taylor -Watson
[e-mail]
704-977-0939
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 19

Project: Power Sampling Event
Pace Project No.: 92690165
Pace Analytical Services Raleigh
4915 Waters Edge Dr. #120, Raleigh, NC 27606
North Carolina Wastewater Certification #: 67
Pace Analytical Services Charlotte
South Carolina Laboratory ID: 99006
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Laboratory ID: 99006
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Drinking Water Certification #: 37731
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DoH Drinking Water #: LA029
Virginia/VELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 19

SAMPLE ANALYTE COUNT
Project: Power Sampling Event
Pace Project No.: 92690165
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92690165001 5719 Poragon Circle, Durham NC SM 2540D-2015
DAW
1
PASI-E
SM 521OB-2016
LRB
1
PASI-E
Colilert-18
HGH
1
PASI-R
TKN+NO3+NO2 Calculation
KDF1
1
PASI-A
EPA 350.1 Rev 2.0 1993
NCF
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
EGC
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
PASI-E = Pace Analytical Services - Eden
PASI-R = Pace Analytical Services - Raleigh
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 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Power Sampling Event
Pace Project No.: 92690165
Sample: 5719 Poragon Circle, Lab ID: 92690165001 Collected: 09/25/23 09:55 Received: 09/25/23 13:15 Matrix: Water
Durham NC
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2015
Pace Analytical Services - Eden
Total Suspended Solids
13.7 mg/L 2.8
1
09/28/23 15:14
5210B BOD, 5 day EDN
Analytical Method: SM 521OB-2016 Preparation
Method: SM 521 OB-2016
Pace Analytical Services - Eden
BOD, 5 day
ND mg/L 2.0
1 09/27/23 09:18
10/02/23 11:18
Field Data Raleigh
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Pace
1
09/28/23 19:15
Collected By
TC
1
09/28/23 19:15
Collected Date
09/25/23
1
09/28/23 19:15
Collected Time
09:55
1
09/28/23 19:15
pH
7.2 Std. Units
1
09/28/23 19:15
Temperature
19.7 deg C
1
09/28/23 19:15
Chlorine, Total Residual
9 MG/L mg/L
1
09/28/23 19:15 7782-50-5
Colilert-18 Fecal Coliform RAL
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Raleigh
Fecal Coliforms
11.0 MPN/100ml- 1.0
1 09/25/23 14:50
09/26/23 11:40
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
3.4 mg/L 0.040
1
10/06/23 08:49
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Ammonia
0.55 mg/L 0.10
1
10/03/23 06:48 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation
Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Kjeldahl, Total
2.1 mg/L 0.50
1 10/05/23 14:20
10/06/23 04:17 7727-37-9
353.2 Nitrogen, NO2/NO3 pres.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, NO2 plus NO3
1.3 mg/L 0.040
1
10/05/23 11:57
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation
Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Phosphorus
0.56 mg/L 0.050
1 10/03/2318:00
10/05/2311:02 7723-14-0
Date: 10/09/2023 05:12 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 802681
Analysis Method:
SM 2540D-2015
QC Batch Method: SM 254OD-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92690165001
METHOD BLANK: 4157554
Matrix:
Water
Associated Lab Samples: 92690165001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 09/28/23 15:00
LABORATORY CONTROL SAMPLE: 4157555
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
252
101 90-110
SAMPLE DUPLICATE: 4157556
92690222001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
176
193 9
SAMPLE DUPLICATE: 4157557
92690101003
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
174
184 6
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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 802280
Analysis Method:
SM 521 OB-2016
QC Batch Method: SM 521OB-2016
Analysis Description:
5210B BOD, 5 day Final EDN
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92690165001
METHOD BLANK: 4155777
Matrix: Water
Associated Lab Samples: 92690165001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND
2.0 10/02/23 09:35
LABORATORY CONTROL SAMPLE: 4155778
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
BOD, 5 day
mg/L
198 172
87 84.6-115
SAMPLE DUPLICATE: 4155780
92689887002 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
97.5
120 20
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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 19

QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 803063 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform RAL
Laboratory: Pace Analytical Services - Raleigh
Associated Lab Samples: 92690165001
SAMPLE DUPLICATE: 4159410
Parameter Units
Fecal Coliforms MPN/100mL
92689775002 Dup
Result Result RPD Qualifiers
2420 2420 0 El
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 803656
Analysis Method: EPA
350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993
Analysis Description: 350.1 Ammonia
Laboratory: Pace
Analytical Services
-Asheville
Associated Lab Samples: 92690165001
METHOD BLANK: 4162303
Matrix: Water
Associated Lab Samples: 92690165001
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10
10/03/23 06:32
LABORATORY CONTROL SAMPLE: 4162304
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits
Qualifiers
Nitrogen, Ammonia mg/L
5 4.9
97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4162305 4162306
MS MSD
92689771002
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L ND
5 5 5.0
5.1 99
99
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4162307 4162308
MS MSD
92689773001
Spike Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L 3.9
5 5 8.8
8.7 97
97
90-110 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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 804042
Analysis Method: EPA
351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace
Analytical Services
-Asheville
Associated Lab Samples: 92690165001
METHOD BLANK: 4164105
Matrix: Water
Associated Lab Samples: 92690165001
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50
10/06/23 04:01
LABORATORY CONTROL SAMPLE: 4164106
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits
Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 10.2
102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4164107 4164108
MS MSD
92689775001
Spike Spike MS
MSD MS
MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 13.1
10 10 22.7
22.5 96
94 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4164109 4164110
MS MSD
92689775002
Spike Spike MS
MSD MS
MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 5.9
10 10 15.6
15.6 97
97 90-110 1
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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 804326
Analysis Method:
EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993
Analysis Description:
353.2 Nitrate + Nitrite, preserved
Laboratory:
Pace Analytical Services -Asheville
Associated Lab Samples: 92690165001
METHOD BLANK: 4165456
Matrix: Water
Associated Lab Samples: 92690165001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L
ND 0.040 10/05/23 11:55
LABORATORY CONTROL SAMPLE: 4165457
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L
2.5 2.5
100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4165458 4165459
MS MSD
92690165001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 1.3
2.5 2.5 3.7
3.7 96 98 90-110 1
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: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Power Sampling Event
Pace Project No.: 92690165
QC Batch: 803558
Analysis Method: EPA
365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace
Analytical Services
-Asheville
Associated Lab Samples: 92690165001
METHOD BLANK: 4161810
Matrix: Water
Associated Lab Samples: 92690165001
Blank Reporting
Parameter Units
Result Limit
Analyzed
Qualifiers
Phosphorus mg/L
ND 0.050
10/05/2310:58
LABORATORY CONTROL SAMPLE: 4161811
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits
Qualifiers
Phosphorus mg/L
2.5 2.5
101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4161812 4161813
MS MSD
92690198001
Spike Spike MS
MSD MS
MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec Limits RPD Qual
Phosphorus mg/L 0.064
2.5 2.5 2.6
2.6 101
100 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4161814 4161815
MS MSD
92690198002
Spike Spike MS
MSD MS
MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec
% Rec Limits RPD Qual
Phosphorus mg/L 0.18
2.5 2.5 2.7
2.6 99
97 90-110 2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: Power Sampling Event
Pace Project No.: 92690165
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.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
ANALYTE QUALIFIERS
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/09/2023 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 19

Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
Power Sampling Event
92690165
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92690165001
5719 Poragon Circle, Durham NC
SM 254OD-2015
802681
92690165001
5719 Poragon Circle, Durham NC
SM 521OB-2016
802280
SM 521OB-2016
802908
92690165001
5719 Poragon Circle, Durham NC
92690165001
5719 Poragon Circle, Durham NC
Colilert-18
803063
Colilert-18
803064
92690165001
5719 Poragon Circle, Durham NC
TKN+NO3+NO2
804591
Calculation
92690165001
5719 Poragon Circle, Durham NC
EPA 350.1 Rev 2.0 1993
803656
92690165001
5719 Poragon Circle, Durham NC
EPA 351.2 Rev 2.0 1993
804042
EPA 351.2 Rev 2.0 1993
804549
92690165001
5719 Poragon Circle, Durham NC
EPA 353.2 Rev 2.0 1993
804326
92690165001
5719 Poragon Circle, Durham NC
EPA 365.1 Rev 2.0 1993
803558
EPA 365.1 Rev 2.0 1993
804008
Date: 10/09/2023 05:12 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 13 of 19

DC# Title; ENV-FRM-HUN9-0083 011 Sample Condition Upon Receipt
ace,
A��s��=
Effective Date; 05M212022
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Fluntersville ❑ Raleigh❑ Mechanicsville❑ Atianta❑ Kernersville❑
••SampleClient Name: ��� WO 92690165
raject #: rI
Courier: LJ Fed Ex El UP5 El U5P5 J Client
2590168
❑ Commercial ❑Pace �f ❑Other:
Custody Seal Present? ElYes ? No Seals Intact? ❑ Yes XO'No
Packing Material: El Bubble Wrap ❑Bubble Bags El Other
Thermometer: n �'One
❑ IR Gun ID. v 1 Type of lce: et ❑ alue
-----��� Correction Factor:�//�'�j
Cooler Temp: ` Add/Subtract (°C) V
Cooler Temp Corrected ("./&
USDA Regulated Sall ( water sample)
Did samples originat in a Arantine zone within the United States: CA, NY, or SC
trher_k mansl? nYes No
Date/initials Person Examining Contents:
Biological Tis e Frozen?'' /
❑ Yes El ❑ N/A l
❑ NQne
Temp should be above freezing to 5°C
El Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source (IntiNto
lonaily,
includi nx Hawaii and Puerto Rico)? El yes
Comments/Discrepancy:
Chain of Custody Present?
OYes
0 No
N/A
1.
Samples Arrived within Hold Time?
es
❑ No
❑ WA
2,
Short Hold Time Analysis (02 hr.)?
Yes
❑ No
❑ N/A
3.
Rush Turn Around Tlme Requested?
❑ Yes
❑ WA
4.
Sufficient Volume?
es
❑ No
❑ WA
5.
Correct Containers Used?
-Pace Containers Used?
Y
Yes
❑No
[:]No
❑WA
❑N/A
S.
Containers Intact?
Yes
❑ No
❑ WA
7.
Dissolved analysis: Samples Field Filtered?
El %j
❑No
N/A
8.
Sample Labels Match COC7
-Includes Date/Time/ID/Analysis Matrix:
es
❑ No
❑ N/A
9.
Headspace In VOA Vials (>5-6mm)?
❑Yes
❑ No
/A
ID.
p BlankPresent7
FBlank CustodySeals Present?
❑Yes
❑Yes
❑No
El
N/A
/A
11.
COMMENTS/SAMPLE DISCREPANCY
%07r(CATION/RESOLUTION
Person contacted;
Project Manager SCURF Review:
Project Manager SRF Review:
Lot ID of split containers:
Date/Time:
Date;
Date:
Field Data Required? LJYesI-lerNo
I®
ni ialrrMV In - AOA1A Dann 1 of') Page 14 of 19

DC#_Title: ENV-FRM-HUN1-0083 v01_Sample Condition Upon Receipt
�ce
JWkPiCi E�7G5
Effective Date: 05112/2022
*Check mark top half of box If pH and/or dechlorination is verified and project #
within the acceptance range for preservation samples.
Exceptions: VOA, Collform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
WO#:92690165
PM: RTW Due Date: 10/09/23
CLIENT: 92-ONE TIME
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DC# Title: ENV-FRM-HUN1-0083 v01_Sample Condition Upon Receipt
ace
atiR:Y1fL 5'.Fi�_S
Effective Date: 0511212022
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Hunters`viNlle ❑ Raleigh❑ Mechanicsville❑ Atlanta❑ Kernersville❑
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Courier: u reu
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0.
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Seals Intact? ❑Yes
)ZNo
❑ Bubble Bags L I'+lone El Other
Packing Material: El Bubble Wrap g /
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❑ iR Gun ID: Type of Ice: et ❑ Blue
ection Factor: 0
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Cooler Temp Corrected (' ):
USDA Regulated Soil ( N/A, water sample)
Did samples originat in a arantine zone within the United States: CA, NY, or SC
(check mapsl? ❑Yes No
Chain of Custody Present?
Samples Arrived within Hold Time?
Short Hold Time Analysis (<72 hr,)?
Rush Turn Around Time Requested?
Sufficient Volume?
Correct Containers Used?
-Pace Containers Used?
Containers Intact?
Dissolved analysis: 5amples Field Filtered?
Sample Labels Match COC?
-Includes Date[flme/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)?
Trip Blank Present?
Trip Blank Custody Seals Present?
COMMENTS/SAMPLE DISCREPANCY
,_ ' &O --WATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Yes
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❑ Yes ❑ No f N/A 11.
❑ Yes ❑ No N/A
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Date/Time:
Date:
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Field Data Required? LIYes,A�fNo
Page 18 of 19
p�no 1 of 7
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�ce DC#_Title: ENV-FRM-HUN1-0083 v01 Sample Condition Upon Receipt
Effective Date. 05/12/2022
*Check mark top half of box if pH and/or dechlorination is verified and Project #
within the acceptance range for preservation samples.
Exceptions: VOA, Coliform, 70C, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box is to list number of bottles
***Cheek all unpreserved Nitrates for chlorine
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Page 19 of 19
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