19039_Oneida Mill_VIR_20160713

MINERAL SPRINGS ENVIRONMENTAL, P.C.
4600 MINERAL SPRINGS LANE
RALEIGH, NORTH CAROLINA, 27616
919.261.8186

INDOOR AIR SAMPLING
REPORT

ONEIDA MILLS FACILITY
219 WEST HARDEN STREET
GRAHAM, ALAMANCE COUNTY,
NORTH CAROLINA
JULY 13, 2016
MSE JOB NO. 838

Prepared For:
MR. RICHARD ANGINO
PUMPKIN HILL MILL, LLC
463 1/2 CAROLINA CIRCLE
WINSTON-SALEM, NORTH CAROLINA, 27104
INERAL
PRINGS
environmental, p.c.
4600 Mineral Springs Lane
Raleigh. NC 27616
July 13, 2016
Mr. Lebeed Kady
North Carolina Department of Environment and Natural Resources
Brownfields Program
1646 Mail Service Center
Raleigh, North Carolina 27699-1646
Subject:
Dear Mr. Kady:
Indoor Air Sampling Workplan and Report
Oneida Mills Loft Site
Graham, North Carolina
MSE Job 838
Mineral Springs Environmental (MSE) has prepared the following workplan and report for your
review. The document outlines the methods used to perform an Indoor Air Sampling within
certain portions of the Building 1 and Building 1 Annex.
If you have any questions, please contact me at [phone].

TABLE OF CONTENTS

1 INTRODUCTION 1
2 INDOOR AND OUTSIDE AIR SAMPLING PROGRAM 2
3 CONCLUSIONS 3

DRAWINGS
Drawing 1 Topographic Site Map
Drawing 2 Site Map

Tables

Table 1 Summary of Indoor and Outside Air Quality Analytical Results

Appendices

Appendix A Photographs
Appendix B Air Quality and Groundwater Analytical Results

INDOOR AIR SAMPLING WORKPLAN AND REPORT
ONEIDA MILLS LOFT SITE
219 Hardin Street
Graham, Alamance County, North Carolina
July 13, 2016

1 INTRODUCTION

1.1 Site Information

The subject site is the former Oneida Mills facility located at 219 Hardin Street in Graham, North
Carolina (see Drawing 1). The subject property is currently comprised of approximately seven
acres of land and developed with two large buildings, which are currently vacant. The total
square footage of the buildings is approximately 105,000 square feet. This workplan and report
are associated with Building 1 and Building 1 Annex, which is located on the eastern portion of
the property. It should be noted that construction activities are ongoing in Building 1 and
Building 1 Annex.

Slightly elevated concentrations of benzene and 1,2,4 trimethylbenzene were detected in a sub-
slab air sample collected by others in 2013. The air sample was collected at a depth of four feet
below land surface. Based on the identified concentrations the North Carolina Brownfields
Program required that Indoor Air Samples be collected from within the existing Building 1 and
Building 1 Annex areas to determine if vapor intrusion is occurring through the building’s
concrete slab.

1.2 Purpose

Mineral Springs Environmental PC (MSE) was contracted to perform an indoor air assessment of
the potential for benzene and 1,2,4 trimethylbenzene vapors to be present in the building. This
assessment will consist of collecting air samples for laboratory analysis at various locations
within the building using summa canisters.

1.3 Scope of Work

The scope of work is based on a telephone discussion between Lebeed Kady with the North
Carolina Brownfields Program and Will Warren with Blanket Creek LLC on June 16, 2016. MSE
will collect up to six indoor air quality samples to determine if concentrations of volatile organic
compounds are present in the building. Indoor air samples will be collected in accordance with
procedures provided in the most recent version of the North Carolina Division of Waste
Management Vapor Intrusion Guidance document. The samples will be collected in various
areas of Building 1 and Building 1 Annex to obtain a thorough representation of the air quality
inside the building. The preliminary sample locations are shown on Drawing 2.

The summa canisters used to collect the samples will be deployed for a period of eight hours
with regulators pre-set at the laboratory. The run time of eight hours represents an eight hour
work day. The samples will be analyzed for volatile organic compounds benzene and 1,2,4

MINERAL SPRINGS ENVIRONMENTAL PC
Indoor Air Sampling Workplan and Report July 13, 2016
Former Oneida Mills Site Page 2
trimethylbenzene according to EPA TO-15 SIM. All results will be reported in micrograms per
cubic meter. Each canister will be set at a height of approximately five feet above the concrete
floor of the building Pictures will also be obtained to document the locations of the canisters.

During the sample collection activities periodic temperature readings will be obtained within the
building and outside the facility. Overall weather conditions will also be documented.

In addition to the above, a background air sample will be collected outside and on the property.
The canister will be placed in an area upwind of the facility. The sample will be analyzed for
volatile organic compounds, benzene and 1,2,4 trimethylbenzene according to EPA TO-15.

2 INDOOR AND OUTSIDE AIR SAMPLING PROGRAM

On June 23, 2016 MSE collected six indoor air quality samples (IA-1 thru IA-6) to determine if
concentrations of benzene and 1,2,4 trimethylbenzene were present in the building. Indoor air
samples were collected in accordance with procedures provided in the most recent version of
the North Carolina Division of Waste Management Vapor Intrusion Guidance document. The
samples were collected in various areas of Building 1 and Building 1 Annex to obtain a thorough
representation of the air quality inside the building. The sample locations are shown on Drawing
2.

The summa canisters used to collect the samples were deployed for a period of eight hours with
regulators pre-set at the laboratory. The run time of eight hours represents an eight hour work
day. The samples were analyzed for benzene and 1,2,4 trimethylbenzene according to EPA TO-
15. A beginning and end regulator flow rate was recorded. Each canister was set at a height of
approximately five to six feet above the concrete floor of the building. Pictures are included in
Appendix A.

During the sample collection activities periodic temperature readings were obtained within the
building and outside the facility. At 8:30 p.m. the temperature inside the buildings was 88
degrees Fahrenheit. At 5:00 a.m. the temperature inside the building was 720 Fahrenheit. The
weather conditions during the testing were fair with a slight breeze coming from the southwest.
The outside temperature at 7:45 p.m. was 920 Fahrenheit and at 5.00 a.m was 75.000
Fahrenheit. Barometric readings for the area were between 30 and 31 inches of mercury.

In addition to the above, a background air sample (IA-7) was collected outside and on the
property. The canister was placed in an area upwind of the facility and southwest of the
building (see Drawing 2). The samples were analyzed for volatile organic compounds according
to EPA TO-15 by Environmental Conservation Laboratories, Inc. (ENCO) located in Jacksonville,
Florida.

Analytical results obtained from the indoor and outside air samples are summarized in Appendix
B and summarized in Table 1. None of the six indoor air samples indicated the presence of
benzene or 1,2,4 trimethylbenzene above the IHSB Residential Screening Values.

3 CONCLUSIONS
Based on the indoor air quality analytical results, it does not appear chemical vapor intrusion
through the concrete floor is occurring inside the building. At this time we request that you
move forward with the Brownfields Agreement for the site.
MINERAL SPRINGS ENVIR O NMENTAL PC
Indoor Air Sampling Workplan and Report
Former Oneida Mills Site
July 13, 2016
Page3
DRAWINGS
DRAWING NO. 1

TOPOGRAPHIC SITE MAP
ONEIDA MILLS SITE
GRAHAM, NORTH CAROLINA
Date: September 2015
Job No.: MSE 838
File: 838/Drawing 1
By: KP
SITE
N
I
LEGEND f:::.. AS-7
b._ AS-1 AIR SAMPLE LOCATION
CADDATE: JULY2016
PROJECT NO: MSE838
CAD FILE: MSE-838-001
DRAWN BY: BAM
APPROVAL:
REFERENCE: MSE FIELD NOTES
6, AS-6
BUILDING 1
6, AS-5
f:::.. AS-4
SITE MAP
AIR SAMPLING LOCATIONS
ONEIDA MILLS
GRAHAM, NORTH CAROLINA
6, AS-1
BUILDING 1 ANNEX
f:::.. AS-2
f:::.. AS-3 -i'
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miNERAL
SPRINGS
environmental, p.c;_ I DRAWING NO:
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APPENDICES

APPENDIX A

PHOTOGRAPHS

APPENDIX B

INDOOR AND OUTSIDE AIR QUALITY AND
GROUNDWATER
ANALYTICAL RESULTS
4810 Executive Park Court, Suite 111
Jacksonville FL, 32216-6069
904.296.3007 904.296.6210Phone:FAX:
ENCO Workorder(s): BZ02692
Raleigh, NC 27616
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative. This report shall not be reproduced except in full, without
the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Jacksonville.
Data from outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
Enclosure(s)
Project Number: [none], Project Name/Desc: Oneida Mills
Attn: Kirk Pollard
Mineral Springs Environmental (MI017)
4600 Mineral Springs Lane
Chris Tompkins
Project Manager
Thursday, June 30, 2016
RE: Laboratory Results for
Dear Kirk Pollard,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Monday, June 27, 2016.
Enclosure(s)
Page 1 of 9This report relates only to the sample as received by the laboratory, and may only be reproduced in full.FINAL
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PROJECT NARRATIVE
Client: Mineral Springs Environmental (MI017)
Project: Oneida Mills
ENCO Project ID: BZ02692
Overview
All samples submitted were analyzed by Environmental Conservation Laboratories, Inc. in accordance with the
methods referenced in the laboratory report. Any particular difficulties encountered during sample handling and
processing will be discussed in the Remarks section below.
Remarks
Analysis: TO-15
Affected Samples: AS-4[BZ02692-04]
At sample receipt, the analyst noticed that the connection between the stem and the valve was loose. The
summa canisters are leaked checked before they leave the laboratory and this canister passed all requirements.
Chris Tompkins
Project Manager
Page 2 of 9This report relates only to the sample as received by the laboratory, and may only be reproduced in full.FINAL
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SAMPLE SUMMARY/LABORATORY CHRONICLE
AS-1 BZ02692-01RE1 Sampled:06/23/16 05:20 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 22:11 06/28/16 22:11
AS-2 BZ02692-02RE1 Sampled:06/23/16 05:22 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 22:52 06/28/16 22:52
AS-3 BZ02692-03 Sampled:06/23/16 05:24 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 23:32 06/28/16 23:32
AS-4 BZ02692-04RE1 Sampled:06/23/16 05:30 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/29/16 00:13 06/29/16 00:13
AS-5 BZ02692-05 Sampled:06/23/16 05:21 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 18:19 06/28/16 18:19
AS-6 BZ02692-06 Sampled:06/23/16 05:22 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 18:59 06/28/16 18:59
AS-7 BZ02692-07 Sampled:06/23/16 05:19 Received:06/27/16 11:00Client ID:Lab ID:
Prep Date/Time(s)Hold Date/Time(s)Parameter Analysis Date/Time(s)
TO-15 07/07/16 06/28/16 19:39 06/28/16 19:39
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SAMPLE DETECTION SUMMARY
Lab ID:Client ID:AS-1 BZ02692-01RE1
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.42 0.70 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.11
0.45 0.46 ug/m³ Air TO-15JD Benzene 0.07
Lab ID:Client ID:AS-2 BZ02692-02RE1
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.40 0.79 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.13
0.50 0.51 ug/m³ Air TO-15JD Benzene 0.08
Lab ID:Client ID:AS-3 BZ02692-03
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.51 0.82 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.13
0.51 0.54 ug/m³ Air TO-15JD Benzene 0.08
Lab ID:Client ID:AS-4 BZ02692-04RE1
Analyte MethodUnitsPQLResultsFlag NotesMDL
1.3 0.82 ug/m³ Air TO-15D 1,2,4-Trimethylbenzene 0.13
1.4 0.53 ug/m³ Air TO-15D Benzene 0.08
Lab ID:Client ID:AS-5 BZ02692-05
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.40 0.82 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.13
0.37 0.54 ug/m³ Air TO-15JD Benzene 0.08
Lab ID:Client ID:AS-6 BZ02692-06
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.43 0.79 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.13
0.46 0.51 ug/m³ Air TO-15JD Benzene 0.08
Lab ID:Client ID:AS-7 BZ02692-07
Analyte MethodUnitsPQLResultsFlag NotesMDL
0.44 0.79 ug/m³ Air TO-15JD 1,2,4-Trimethylbenzene 0.13
0.56 0.52 ug/m³ Air TO-15D Benzene 0.08
Page 4 of 9This report relates only to the sample as received by the laboratory, and may only be reproduced in full.FINAL
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ANALYTICAL RESULTS
AS-1Description:Lab Sample ID:BZ02692-01 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:20Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 22:111,2,4-Trimethylbenzene [95-63-6]0.11 LTS6F280110.700.42 JD 1.14
ug/m³ Air TO-15 06/28/16 22:11Benzene [71-43-2]0.07 LTS6F280110.460.45 JD 1.14
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13097 %LTSTO-15 06/28/16 22:116F280113031.2 1
AS-2Description:Lab Sample ID:BZ02692-02 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:22Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 22:521,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.790.40 JD 1.28
ug/m³ Air TO-15 06/28/16 22:52Benzene [71-43-2]0.08 LTS6F280110.510.50 JD 1.28
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13088 %LTSTO-15 06/28/16 22:526F280112831.2 1
AS-3Description:Lab Sample ID:BZ02692-03 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:24Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 23:321,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.820.51 JD 1.34
ug/m³ Air TO-15 06/28/16 23:32Benzene [71-43-2]0.08 LTS6F280110.540.51 JD 1.34
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13089 %LTSTO-15 06/28/16 23:326F280112831.2 1
AS-4Description:Lab Sample ID:BZ02692-04 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:30Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/29/16 00:131,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.821.3 D 1.33
ug/m³ Air TO-15 06/29/16 00:13Benzene [71-43-2]0.08 LTS6F280110.531.4 D 1.33
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13087 %LTSTO-15 06/29/16 00:136F280112731.2 1
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ANALYTICAL RESULTS
AS-5Description:Lab Sample ID:BZ02692-05 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:21Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 18:191,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.820.40 JD 1.34
ug/m³ Air TO-15 06/28/16 18:19Benzene [71-43-2]0.08 LTS6F280110.540.37 JD 1.34
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13098 %LTSTO-15 06/28/16 18:196F280113131.2 1
AS-6Description:Lab Sample ID:BZ02692-06 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:22Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 18:591,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.790.43 JD 1.28
ug/m³ Air TO-15 06/28/16 18:59Benzene [71-43-2]0.08 LTS6F280110.510.46 JD 1.28
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13091 %LTSTO-15 06/28/16 18:596F280112931.2 1
AS-7Description:Lab Sample ID:BZ02692-07 06/27/16 11:00Received:
BZ02692Work Order:06/23/16 05:19Sampled:AirMatrix:
% Solids:Sampled By:Project:Oneida Mills
Volatile Organic Compounds by GCMS
NotesFlagPQLBatchByAnalyzedMethodMDLResultsUnitsDFAnalyte [CAS Number]
ug/m³ Air TO-15 06/28/16 19:391,2,4-Trimethylbenzene [95-63-6]0.13 LTS6F280110.790.44 JD 1.29
ug/m³ Air TO-15 06/28/16 19:39Benzene [71-43-2]0.08 LTS6F280110.520.56 D 1.29
Surrogates Results Spike Lvl % Rec Batch Method Analyzed By% Rec Limits NotesDF
4-Bromofluorobenzene 64-13094 %LTSTO-15 06/28/16 19:396F280112931.2 1
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QUALITY CONTROL DATA
Volatile Organic Compounds by GCMS - Quality Control
Batch 6F28011 - Same
Prepared & Analyzed: 06/28/2016 11:48Blank (6F28011-BLK1)
FlagResult Units Level Result %REC Limits RPD Limit Notes Analyte PQL
Spike Source %REC RPD
ug/m³ Air0.610.10 U 1,2,4-Trimethylbenzene
ug/m³ Air0.400.06 U Benzene
ppbv 31.2 64-1304-Bromofluorobenzene 10031
Prepared & Analyzed: 06/28/2016 12:37LCS (6F28011-BS1)
FlagResult Units Level Result %REC Limits RPD Limit Notes Analyte PQL
Spike Source %REC RPD
ug/m³ Air0.61 49.2 70-14613164 1,2,4-Trimethylbenzene
ug/m³ Air0.40 32.0 68-14910132 Benzene
ppbv 31.2 64-1304-Bromofluorobenzene 10433
Prepared & Analyzed: 06/28/2016 20:16Matrix Spike (6F28011-MS1)
Source: BZ02692-01
FlagResult Units Level Result %REC Limits RPD Limit Notes Analyte PQL
Spike Source %REC RPD
ug/m³ Air31 2520 70-1461205.0 U3000 1,2,4-Trimethylbenzene
ug/m³ Air20 1640 68-1491133.1 U1800 Benzene
ppbv 31.2 64-1304-Bromofluorobenzene 8627
Prepared & Analyzed: 06/28/2016 20:53Matrix Spike Dup (6F28011-MSD1)
Source: BZ02692-01
FlagResult Units Level Result %REC Limits RPD Limit Notes Analyte PQL
Spike Source %REC RPD
ug/m³ Air31 2520 4270-146123 35.0 U3100 1,2,4-Trimethylbenzene
ug/m³ Air20 1640 2668-149123 93.1 U2000 Benzene
ppbv 31.2 64-1304-Bromofluorobenzene 9128
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FLAGS/NOTES AND DEFINITIONS
The analyte was detected in the associated method blank.
The sample was analyzed at dilution.
The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
MRL
E
U
J
D
B
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a “tentative identification".
P Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
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ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN-OF-CUSTODY RECORD www.encolabs.com
I 0775 Central Port Dr.
Orlando. FL 3262~
{407) ll26·5314 Fax (41)7) 850·1)945
Client Name I ProJeCt Numb("
Mineral Springs Environmental (MI017)
Address
4600 Mineral Springs. Lane
CityiST/Zip
Raleigh, NC 27616
Tel
(9-19) 261 -8186 I Fax
Sarnpler(sj Name, Affiliation (Print)
Sampler(s) Signature
Item ffl Sample ID {Field Identification) . Collection Date
Project NameiDesc
Oneida Mills
PO ~J /Billing lnf(l
Reporting Contact
Kirk Pollard
Billing Contact
Kirk Pollard
Sile Lo(;alion /Tirno Zone
Collection
Time Gompi Grab
11~-1 lb-t?:tz:·rs~z-o {!_,
A .. -/ I I . I GZ-.'Z-p•"'' -~-d-5 2-'l.tt'(' ... -···--•.
48'10 Executive Park Court, Stule 111
Jacksonville. FL 322'l6-6Q69
(904) 296·3007 F<)x [phone]
Matrix Total /I of
(see codes) Containers
AIR 1
AIR 1
-4: :2 :a:
::)
~
1.() ......
0 1-
102-A Woodwinds lndustriul Ct.
Cary, NC 27!; 11
(919i 467-3090 Fax [phone]
Requested Analyses
--1 Preservation (See Co.ctes) (Combine ns necessary) '
Page ~-of __
Requested Turnaround
Times
Note ; Rush requests t;uhjccllo
acceptance by ftle facility
_Standard
_Expedited
Due_/_/_
Lab Workorder
BZ02692
+---1--·--1-1 Sample Comments ___ ,
-I I ----~~--j-~·--1--+--f-------1----------·-, ~:___--t-r-~ili~~t-+~~-~+~-+---+--~~--l-L.J--+-----1---------1 ~ AIR 1
AIR 1
~-·t--t---:.-:-:-+---l-::..:..+.--l--1---l---l--ll--t--+--l--+----AIR I 1 X
~~ X --+--l--~~ AIR 1 X -··----+·-·
___ .. , ......... ,____ --1----f-
1--1------:--------+-----t-----,----.J-------~ 1--+---1----·1 ------------
<·-Total # of Containers
Sample Kit Prepared E!Y I Dateffimo Da';)!lt, Recerv~ By W-------.~
o-""'-'" _.., "'"'~"'" ~r:'i:r-/~ qiiJ "oc" ~--~)
(
r~ #'s & Temps on Receipt
Matrix : GW·Groundwater SO·Soi) OW-Drinking Water SE-Sediment SW-Surtace Water WW-Wastewater A-Air· 0-0ther (detail in comments)
l)ate!Tune Recoervcd By DatelTrme
f)~'~ COr'lditic)(~~eipt
Acceptable
Preservation: l-Ice H-~ICI N-HN03 S·H?S04 NO-NaOI-t O·Oih~>r (<i<>toil in comments)
Note : All samples submitted t.o ENCO t.abs are in accordvnce with the ti?.rms and conditions listed on the reverse of this form. unless prior written agrr:crnenls fJxisl
Unacceptable