NC0000396_Mercury Field Blank Information_20191121

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/21/2019 7:20:48 PM (Supplemental Submittal)
Submit by Bennett, Bradley 2/3/2020 7:31:33 AM (Supplemental Info Submittal)
• Bennett, Bradley assigned the task to Bennett, Bradley 2/3/2020 7:31 AM
• The task was assigned to Thedford, Wren, Bennett, Bradley 11/21/2019 7:20 PM

Initial Review Information
Updated ID#:* IWORTANf:FEVIBAERSl-IOLLDVERFYand revise here ifnecessary.
NC0000396
How should this project be handled?*
r File r Discard
Information Submitted on 11/21/2019
Submitter Information
Name: Teresa Williams
Who is subrritting the inforrretion?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental
information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted
electronically through the eDMR system and should not be submitted here. Division staff will reviewall
uploaded documents and will only maintain required information. Documents such as laboratory reports are not required
to be submitted and will not be maintained in the system.
Project Information:
Rease SUDDly the Dernit nun ber for this
Existing ID#* PerrritNurrber
NC0000396
Exarrples: NOKxxxxxx or NO&xxxxx
Facility Name:* Asheville Steam Electric Plant
County: Buncombe
Please upload all files that need to be
submited. *
Gick the upload button or drag and drop files here to attach docurrent
11-20-19 12520B ASVL PLT October 2019 NPDES
1.63MB
DMR.pdf
Only pdf files are accepted.
Comments about the attachments:
The weekly low level Hg field blank sample collected October 7, 2019 did not meet quality control criteria. Per division
guidance the sample has been noted in the comments and the associated lab report attached.
* V By checking the box and signing box below, I certify that:

• I have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act)
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information form."
Full Name: Teresa Williams
Signature:
Date Submitted: 11/21/2019

DUKE
ENERGY.
PROGRESS
Submitted Electronically
File No.: 12520B
November 20, 20I9
ATTN: Central Files
NCDEQ, Division of Water Resources
1617 Mail Service Center
Raleigh NC 27699-1617
Subject: Asheville Steam Electric Generating Plant
Buncombe County
NPDES Number NC0000396
Discharge Monitoring Report (DMR)
Dear Sir or Madam:
Garry A, Whisnant
Plant General Manager
AsherRe Steam Electric Plant
Duke Energy Progress
ASVL PLT 1200 CP&L Dr
Arden, NO 28704
a. 828.687-5211
f, 828-687-5204
garry.whisrunt@duke-energy Com
In accordance with condition I.A. (18) L, replaced by electronic signature and submission
guidelines, the October 2019 NPDES eDMR for Duke Energy Progress's Asheville Steam
Electric Plant — NPDES Permit Number NC0000396 has been submitted.
The OutfaIl 001 weekly low-level mercury field blank sample collected on October 7, 2019 did
not meet quality control criteria in accordance with EPA Method 1631E. Per Division guidance
("NPDES Mercury Requirement- EPA Method 1631 Additional Information"), the October 7,
2019 Outfall 001 mercury field blank sample has been noted in the eDMR comments section,
and the associated analytical report is attached to this cover letter and uploaded electronically to
the eDMR Supplement Data Upload server.
Please contact Ms. Teresa Williams at [phone] or Mr. Matthew Fields at [phone]
with any questions concerning the data in this submittal.
Best regards,
V=
Jeff McFee
Asheville Maintenance Superintendent

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PlanICL\SS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I
eD\IR PERIOD: 10-2019 (October 2019)
COMPLIANCE STATUS: Comphanl
ORC IIAS ClIANGED: No
VERSION. 10
CONTACT PIION E #: 8287071686
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NtiMBER: 1003106
STATUS: Submitted
SUBMISSION DATE: 11.19/2019
I L, I W2019
ORC/Certifier Signature: Matthew Fields E-Mail:matthew,fie ldsluduke-energy.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permiltee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be pro, ided orally within 24 hours from the time the permitice became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.L6 of
the NPDES permit.
zoz "� 11f19.�2019
Permittee/Submitter Signature:"' Jeff McFee E-Mail:jcff.mcfeeirrduke-energy.com Phone 9:828-687-5239 Date
Permittee Address: 200 CPL Dr Arden NC 28704 Permit Expiration Date; 11/30/2023
1 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 managed the
system, or these 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Asheville Steam Electric Plant. Pace Analytical Services, Inc - Environmental Testing Solutions. Duke Energy Analytical Laboratory
CERTIFIED LAB #: 5055, 40, 12, 37.248
PERSON(s) COLLECTING SAMPLES: Matthew Fields, John Bright, Ryan Heise, Mike Swin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http-.-'..'portal. nedeur.orglwcK'wq.'s%vplps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data-
" No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
'• ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
"• Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO000396 PERMIT'VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PiamCLASS: PC -I
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC4 ORC HAS CHANGED: No
eD\IR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
Report Comments:
The mercury field blank sample from 1010W 19 did not meet quality control criteria The analytical report is uploaded with the electronic copy of the October 2019 DMR
Qualifiers included for the following parameters
CO - Result confirmed by second analysis. Applied to Outfal1001 - Hg field blank on 10107,19
BC - The same analyte was detected in an associated blank at a concentration above 1I2 the reporting limit but below the laboratory reporting limit
Applied to Outfail 001 - TDS on 10107.119
MI - Matrix Spike recovery exceeded QC limits, Batch accepted based on laboratory control sample (LCS) rccove
Applied to Outfall 001 - Bromide on 10107119_ Fluoride on 10/14/19
D6 - The precision between the sample and sample duplicate exceeded laboratory control limits
Applied to Outfall 001 Downstream - TDS on 10101r 19

NPDES PERMIT NO.: N00000396 PERMIT VERSION: 3 1
FACILITY NASIE: Asheville Steam Electric Power Plan1CLASS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I ORC 11AS ClIANGED: No
eD11R PERIOD: 10-2019 (October 2019) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
****No Reporting Reason ENFRUSE - No Flow-Rcuselltecycle, ENVWTIIR - No Visitation.- Adverse Wealher. NOFLOW + No Flow, HOLIDAY -No Visitarion - Ilohday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Stearn Electric Power PlantCLASS: PC4
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC. I ORC HAS CHANGED: No
rDti1R PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001 (Continue)
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NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
F►CILITY NAME: Asheville Steam Electric Powcr Plan1CLASS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Ilolcomb Fields
GRADE: PC-1 ORC HAS CHANGED: No
eDNIR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NU►IBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
•"" No Reporting Rcason. LNFRl1SE - No Flow-RcusclRecycle, ENV WTHR - No Visitation - Advetse Weather: NOFLOW - No Flow_ 110L1DAY - No Visitation - Iloliday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power P1antCLASS: PC -I
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC HAS CHANGED: No
eD,NIRPERIOD: 10-2019(October2019) VERSION,10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
•'•" No Reporting Reason ENFRUSE - No Flow-ReusciRecycle, ENVWTHR - No Visitation - Adverse Weather; NOFLOW - No Flow_ HOLIDAY- No Visitation - Holiday

NPUES PERMIT NO.: NCO000396 PERMIT VERSION: 3 1
FACILITY NA11Er Asheville Steam Electric Power Plan1CLASS: PC4
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC HAS CHANGED: No
eD.%IR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT,tiIf\IBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
" ' No Reporting Reason. ENFRUSE.- No Flow-ReuselRecycle, ENV WTHR - No V,snanon - Adeerse Weather, NOFLO%k' - No Flow, HOLIDAY- No Vis,tauon - Holida)

NPDES f ERA11TNO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PlaruCLASS: PC-1
OWNER NANIE: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC IIAS CHANGED: No
rDNIR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
••" No Reporting Rcason, ENFRUSE No Flow-ReusciRecy'cic, ENV WTHR - No VtaiWion - Adverse Wcather: NOFLOW - No Flow, HOLIDAY- No Visgatton - Holiday

NPDES PERMIT NO.: NC0000396 PERMITVERSION: 3 I
FACILITY NAME: Asheville Steam Electric Power PlantCL►SS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY. Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001 (Continue)
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NPOES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PlantCLASS: PC4
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC HAS CHANGED. No
eD,%IR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUb1BER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001A NO DISCHARGE*: YES
*• No Reporting Reason. ENFRUSE . No Flow-Reuse/Recycle: ENVWTHR - No Visitation- Adverse Weather, NOFLOW M No Flow, HOLIDAY - No Vrsuation - Holiday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3.1
FACILITY NAME: Asheville Steam Electric Power PlantCLASS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC 1[AS CIIANGED: No
eDNIR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY. Buncombe
ORC CERT NU,►IRER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001B NO DISCHARGE*: NO
"" No Reporting Reason ENFRUSE .. No Flow-Reuse/Rccycic. ENV %VTHR - No Visitation - Adverse Wcathcr; NOFLOW o No Flow. HOLIDAY - No Visitation - Holiday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY ,NAME: Asheville Stcam Electric Power PlaniCLASS: PC4
OWNER NAME: Dukc Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I ORC IIAS CIIANGED: No
eD,MRPERIOD: 102019(October 2019) VERSION:1.0
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ODIC NO DISCHARGE*: YES
-*No Reporting Reason ENFRUSE • No Flow•ReuselRecycle, ENVWTHR -No Vishation.. Adverse Weather, NOFLOW — Na Flow, HOLIDAY- No V,snauon - Ilohday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3.1
FACILITYNAME: Asheville Steam Electric Paver PlantCLASS: PC-1
OWNER NAME: Duke EncM Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I ORC 11AS CHANGED: No
eD\IR PERIOD: 10-2019 (October 2019) VERSION: IA
PERMIT STATUS: Acttvc
COUNTY: Buncombe
ORC CERT NU,►IBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 0011) NO DISCHARGE*: NO
,
*— No Reporting Reason ENFRUSE - No Flow-RcuseAecycle: ENVWTHR - No Vmlahon - Adverse Weather; NOFLOW o No Flow, HOLIDAY- No Visitation - Holiday

NPDES PERMIT NO.: NCO000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Stcam Electric Power PIMCLASS: PC-1
OWNER NAME: Duke Encrgy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-t ORC I[AS CIIANGED: No
eD1IR PERIOD: 10-2019 (October 2019) VERSION: 10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: OOZE
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\PDES PERMIT NO.: NC0000396 PERMIT VERSION: 3.1
FACILITY NAME: Asheville Sicam Electric Power P1aniCLASS: PC -I
OWNER NAME: Duke Energy Progress LLC ORC: Malthew Ilolcomb Fields
GRADE. PC-] ORC HAS CIIANGED: No
eD11RPERIOD: 10-2019(October 2019) VERSION'-10
PERMIT STATUS. Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
• * No Reporting Reason ENFRUSE � No Flow•Reuse/Recycle; ENVIti THR 9 No Visitation - Adverse Weather. NOFLOW - No Flow, HOLIDAY -No Vtsitanon - Handa}•

NPDES PERMIT NO.: NCO000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PlantCLASS: PC-1
OWNER NAME: puke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I ORC IIAS CHANGED. No
eD,NIR PERIOD: 10-2019 (October 2019) VERSION: 10
PERII IT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 004 NO DISCHARGE*: YES
"" No Rcporung Reason ENFRU5E -No Flow-Reuse/Recycle, ENV WTHR - No Vtsilwion - Ad%crse Weather. N0FL0%V - No Flow, HOL[DAN' -No Visnanon - Holiday

NPDES PERMIT NO.: NC0000396 PERMIT VERSION: 3 1
FACILITY NAME: Asheville Steam Electric Power PlantCLASS: PC4
0%%NER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC -I ORC HAS CHANGED: No
eDNIRPERIOD: 10.2019(October 2019) VERSION:10
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 005 NO DISCHARGE*: YES
"•• No Rcpomng Reason ENFRUSE - No Flow-ReuselRecycic; ENVkM]R a No Visitation - Adserse Weather: NOFLOW t No Flow. HOLIDAY • No Visitation - Holiday

NPDES PERMIT NO.- NCO000396 PERMIT VERSION: 3 1
FACILITY NANIE: Asheville Steam Electric Power PlantCLASS: PC -I
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Ilolcomb Fields
GMWE: PC -I ORC HAS CHANGED: No
cDMR PERIOD: 10-2019 (October2019) VERSION,: 1 0
PERMIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 101 NO DISCHARGE*: YES
****No Reporting Reason: ENFRUSE No Flow-RcuscAtccycle, ENVWTIIR No Visitation- Ad%erse Weather, NOFLOW = No Flow, 1101-IDA1' - No Visitation Hohday

NPDES PERMIT NO.: NCO000396 PERMIT VERSION: 3 1
FACILITI' NAME: Asheville Steam Electric Power P1amCLASS: PC-1
OWNER NAME: Duke Energy Progress LLC ORC: Matthew Holcomb Fields
GRADE: PC-1 ORC IIAS CHANGED. No
rD11R PERIOD: 10 2019 (October 2019) VERSION: 10
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 101
PERMIT STATUS: Active
COUNTY. Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
NO DISCHARGE*: YES (Continue)
" ' No Reporting Reason' ENFRUSE � No flow-Reuse/Recycle; ENV% MIR No Visitation - Adverse Wcaiher. NOFLOW � No Flow. HOLIDAY -No Visitation- Holiday

NPDES PERMIT NO.: N00000396 PERMIT VERSION: 3 I
FACILITY NAME: Asheville Steam Electric Power P1antCLASS: PC-1
OWNER NAME: Duke EneM Progress LLC ORC: Matthew Ilalcomb Fields
CRr►DE: PC-1 ORC HAS Cll ANCED: No
eDNIR PERIOD: 10-2019 (October 2019) VERSION: 1 0
PERNIIT STATUS: Active
COUNTY: Buncombe
ORC CERT NUMBER: 1003106
STATUS: Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 101 NO DISCHARGE*: YES (Continue)
mill
""No Rcponing Reason ENFRUSE -No Flow -RcusclRecycle ENVWTIIR • No Visitation- Ad%crsc Wcathcr. NOFLOW o No Flow. HOLIDAY- No Visuation - I{oliday

aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
October 24, 2019
Mr. Matthew Fields
Duke Energy Progress, Inc.
RE: Project: AVL Outfall 001
Pace Project No.: 92448546
Dear Mr. Fields:
Enclosed are the analytical results for sample(s) received by the laboratory on October 07, 2019.
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,
�� � -�
Lorri Patton
[e-mail]
1(828)254-7176
Project Manager
Enclosures
cc: Mr. Steve Hodges, Duke Energy Progress, Inc.
Ms. Mariea Keezel, Duke Energy
Program Manager, Duke Energy
Ms. Teresa Williams, Duke Energy Progress, Inc.
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 18

aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Project: AVL Outfall 001
Pace Project No.: 92448546
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
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 18

aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
AVL Outfall 001
92448546
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92448546001
Field Blank
EPA 1631E
RDT
1
PASI-A
92448546002
Outfall 001 2019/10/07 1115 N
EPA 1664E
AAC1
1
PASI-C
EPA 200.7 Rev 4.4 1994
DS
11
PASI-A
EPA 1631E
RDT
1
PASI-A
SM 2540C-2011
SAM2
1
PASI-A
SM 2540D-2011
SAM2
1
PASI-A
EPA 300.0 Rev 2.1 1993
CDC
2
PASI-A
SM 4500-CI-E-2011
GC
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 18

aceAnalytical
—pacelabs.com
Pace Analytical Services, LLC
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
ANALYTICAL RESULTS
Project: AVL Outfall 001
Pace Project No.: 92448546
Sample: Field Blank Lab ID: 92448546001 Collected: 10/07/19 11:15 Received: 10/07/19 15:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1631E Mercury,Low Level
Mercury
Date: 10/24/2019 02:02 PM
Analytical Method: EPA 1631 E Preparation Method: EPA 1631 E
1.23 ng/L 0.50 1 10/14/1915:30 10/16/1914:22 7439-97-6 CO
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Project: AVL Outfall 001
Pace Project No.: 92448546
Sample: Outfall Lab ID: 92448546002 Collected: 10/07/19 11:15 Received: 10/07/19 15:30 Matrix: Water
001 _2019/10/07_1115_N
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
200.7 MET ICP
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Nickel
Selenium
Silver
Hardness, Total(SM 2340B)
Zinc
1631E Mercury,Low Level
Mercury
2540C Total Dissolved Solids
Total Dissolved Solids
2540D Total Suspended Solids
Total Suspended Solids
300.0 IC Anions 28 Days
Bromide
Fluoride
4500 Chloride
Chloride
Date: 10/24/2019 02:02 PM
Analytical Method: EPA 1664E
ND mg/L
5.0
1
10/11/1910:25
Analytical Method: EPA 200.7 Rev 4.4 1994
Preparation Method: EPA 200.7 Rev 4.4 1994
161 ug/L
10.0
1
10/11/19 22:46
10/13/19 01:03
7440-38-2
ND ug/L
1.0
1
10/11/19 22:46
10/13/19 01:03
7440-41-7
1.2 ug/L
1.0
1
10/11/19 22:46
10/13/19 01:03
7440-43-9
10.1 ug/L
5.0
1
10/11/19 22:46
10/13/19 01:03
7440-47-3
ND ug/L
5.0
1
10/11/19 22:46
10/13/19 01:03
7440-50-8
ND ug/L
5.0
1
10/11/19 22:46
10/13/19 01:03
7439-92-1
ND ug/L
5.0
1
10/11/19 22:46
10/13/19 01:03
7440-02-0
72.9 ug/L
10.0
1
10/11/19 22:46
10/13/19 01:03
7782-49-2
ND ug/L
5.0
1
10/11/19 22:46
10/13/19 01:03
7440-22-4
222000 ug/L
662
1
10/11/19 22:46
10/13/19 01:03
ND ug/L
10.0
1
10/11/19 22:46
10/13/19 01:03
7440-66-6
Analytical Method: EPA 1631 E Preparation
Method: EPA 1631 E
1.12 ng/L
0.50
1
10/14/1915:30
10/16/1916:15
7439-97-6
Analytical Method: SM 2540C-2011
400 mg/L
25.0
1
10/14/19 21:11
BC
Analytical Method: SM 2540D-2011
5.1 mg/L
2.5
1
10/10/19 23:11
Analytical Method: EPA 300.0 Rev 2.1 1993
0.15 mg/L
0.10
1
10/10/1914:03
24959-67-9 M1
0.93 mg/L
0.10
1
10/10/1914:03
16984-48-8
Analytical Method: SM 4500-CI-E-2011
16.5 mg/L
1.0
1
10/09/19 20:35
16887-00-6
REPORT OF LABORATORY ANALYSIS
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QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 503052
Analysis Method:
EPA 1664B
QC Batch Method: EPA 1664E
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92448546002
METHOD BLANK: 2703997
Matrix: Water
Associated Lab Samples: 92448546002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 4.8
10/11/19 10:25
LABORATORY CONTROL SAMPLE:
2703998
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oil and Grease
mg/L
38.5 35.1
91 78-114
MATRIX SPIKE SAMPLE:
2703999
92448199002 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mg/L
31.8 44.4
51.4 44 78-114
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
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[phone]
QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 502816
Analysis Method: EPA 1631 E
QC Batch Method: EPA 1631E
Analysis Description: 1631E Mercury,Low Level
Associated Lab Samples: 92448546001, 92448546002
METHOD BLANK: 2702789
Matrix: Water
Associated Lab Samples: 92448546001, 92448546002
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Mercury ng/L
ND 0.50
10/16/1916:38
METHOD BLANK: 2702790
Matrix: Water
Associated Lab Samples: 92448546001, 92448546002
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Mercury ng/L
ND 0.50
10/16/1914:29
METHOD BLANK: 2702791
Matrix: Water
Associated Lab Samples: 92448546001, 92448546002
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Mercury ng/L
ND 0.50
10/16/1916:31
LABORATORY CONTROL SAMPLE: 2702792
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Mercury ng/L
5 5.81
116 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702793 2702794
MS MSD
92448373001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Mercury ng/L 2.20
25 25 25.1
25.6 92 94
71-125 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702795 2702796
MS MSD
92448373003
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Mercury ng/L 2.25
25 25 23.5
26.3 85 96
71-125 11
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
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QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 503198
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: 92448546002
METHOD BLANK: 2705064
Matrix: Water
Associated Lab Samples: 92448546002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed
Qualifiers
Arsenic
ug/L
ND
10.0
10/12/19 23:18
Beryllium
ug/L
ND
1.0
10/12/19 23:18
Cadmium
ug/L
ND
1.0
10/12/19 23:18
Chromium
ug/L
ND
5.0
10/12/19 23:18
Copper
ug/L
ND
5.0
10/12/19 23:18
Hardness, Total(SM 2340B)
ug/L
ND
662
10/12/19 23:18
Lead
ug/L
ND
5.0
10/12/19 23:18
Nickel
ug/L
ND
5.0
10/12/19 23:18
Selenium
ug/L
ND
10.0
10/12/19 23:18
Silver
ug/L
ND
5.0
10/12/19 23:18
Zinc
ug/L
ND
10.0
10/12/19 23:18
LABORATORY CONTROL SAMPLE:
2705065
Spike
LCS
LCS %
Rec
Parameter
Units
Conc.
Result
% Rec Limits
Qualifiers
Arsenic
ug/L
500
467
93
85-115
Beryllium
ug/L
500
475
95
85-115
Cadmium
ug/L
500
477
95
85-115
Chromium
ug/L
500
475
95
85-115
Copper
ug/L
500
488
98
85-115
Hardness, Total(SM 2340B)
ug/L
33100
31200
94
85-115
Lead
ug/L
500
481
96
85-115
Nickel
ug/L
500
476
95
85-115
Selenium
ug/L
500
480
96
85-115
Silver
ug/L
250
239
96
85-115
Zinc
ug/L
500
470
94
85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2705066
2705067
MS
MSD
92448413008
Spike
Spike MS
MSD MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc. Result
Result % Rec % Rec
Limits RPD Qual
Arsenic
ug/L
ND
500
500
487
488
97 98
70-130
0
Beryllium
ug/L
ND
500
500
471
471
94 94
70-130
0
Cadmium
ug/L
ND
500
500
488
491
98 98
70-130
0
Chromium
ug/L
ND
500
500
470
474
94 95
70-130
1
Copper
ug/L
3.7J
500
500
483
486
96 96
70-130
0
Hardness, Total(SM 2340B)
ug/L
3700
33100
33100 36900
37100
100 101
70-130
1
Lead
ug/L
ND
500
500
479
478
96 96
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
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QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2705066
2705067
MS
MSD
92448413008
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Nickel
ug/L
1.7J
500
500
476
478
95
95
70-130
0
Selenium
ug/L
ND
500
500
508
518
102
104
70-130
2
Silver
ug/L
ND
250
250
252
254
101
102
70-130
1
Zinc
ug/L
7.9J
500
500
485
487
95
96
70-130
0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2705068
2705069
MS
MSD
92448413018
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD Qual
Arsenic
ug/L
ND
500
500
489
472
98
94
70-130
3
Beryllium
ug/L
ND
500
500
473
463
95
93
70-130
2
Cadmium
ug/L
ND
500
500
490
480
98
96
70-130
2
Chromium
ug/L
ND
500
500
475
464
95
93
70-130
2
Copper
ug/L
ND
500
500
482
470
96
94
70-130
2
Hardness, Total(SM 2340B)
ug/L
ND
33100
33100
33400
32700
101
99
70-130
2
Lead
ug/L
ND
500
500
481
473
96
95
70-130
2
Nickel
ug/L
ND
500
500
480
467
96
93
70-130
3
Selenium
ug/L
ND
500
500
512
506
102
101
70-130
1
Silver
ug/L
ND
250
250
255
246
102
99
70-130
3
Zinc
ug/L
ND
500
500
480
469
96
94
70-130
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
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205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 502920
Analysis Method:
SM 2540C-2011
QC Batch Method: SM 2540C-2011
Analysis Description:
2540C Total Dissolved Solids
Associated Lab Samples: 92448546002
METHOD BLANK: 2703471
Matrix:
Water
Associated Lab Samples: 92448546002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Dissolved Solids
mg/L
ND
25.0 10/16/19 01:30 BC
LABORATORY CONTROL SAMPLE: 2703472
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Dissolved Solids
mg/L
250
264
106 90-110 BC
SAMPLE DUPLICATE: 2703473
92448546002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Dissolved Solids
mg/L
400
385 4 BC
SAMPLE DUPLICATE: 2703474
92448414009
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Dissolved Solids
mg/L
98.0
314 30 BC,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
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[phone]
QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 502915
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92448546002
METHOD BLANK: 2703442
Matrix:
Water
Associated Lab Samples: 92448546002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 10/10/19 23:10
LABORATORY CONTROL SAMPLE: 2703444
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
248
99 90-110
SAMPLE DUPLICATE: 2703446
92448529002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
2960
2420 20 D6
SAMPLE DUPLICATE: 2703890
92448773001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
266
222 18 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
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[phone]
QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 502804 Analysis Method: EPA 300.0 Rev 2.1 1993
QC Batch Method: EPA 300.0 Rev 2.1 1993 Analysis Description: 300.0 IC Anions
Associated Lab Samples: 92448546002
METHOD BLANK: 2702740 Matrix: Water
Associated Lab Samples: 92448546002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Bromide mg/L ND 0.10 10/10/1913:20
Fluoride mg/L ND 0.10 10/10/1913:20
LABORATORY CONTROL SAMPLE: 2702741
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Bromide mg/L 2.5 2.7 106 90-110
Fluoride mg/L 2.5 2.5 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702742
2702743
MS
MSD
92448546002 Spike
Spike
MS
MSD MS
MSD
% Rec
Parameter Units Result Conc.
Conc.
Result
Result % Rec
% Rec
Limits RPD Qual
Bromide mg/L 0.15 2.5
2.5
3.0
3.1 115
117
90-110 1 M1
Fluoride mg/L 0.93 2.5
2.5
3.5
3.5 102
103
90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702744
2702745
MS
MSD
92448414006 Spike
Spike
MS
MSD MS
MSD
% Rec
Parameter Units Result Conc.
Conc.
Result
Result % Rec
% Rec
Limits RPD Qual
Bromide mg/L ND 2.5
2.5
2.8
2.9 111
113
90-110 2 M1
Fluoride mg/L 0.13 2.5
2.5
2.7
2.7 101
103
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
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[phone]
QUALITY CONTROL DATA
Project: AVL Outfall 001
Pace Project No.: 92448546
QC Batch: 502671
Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011
Analysis Description: 4500 Chloride
Associated Lab Samples: 92448546002
METHOD BLANK: 2702335
Matrix: Water
Associated Lab Samples: 92448546002
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Chloride mg/L
ND 1.0
10/09/19 20:17
LABORATORY CONTROL SAMPLE: 2702336
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Chloride mg/L
20 20.3
102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702337 2702338
MS MSD
92447934001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec Limits RPD Qual
Chloride mg/L 223
10 10 229
279 57 557 90-110 20 M6,R1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2702339 2702340
MS MSD
92448085001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 53.0 10 10 65.0 70.4 120 174 90-110 8 M1
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
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Pace Analytical Services, LLC
ceAnalX ca! ® 205 East Meadow Road -Suite A
Eden, NC 27288
www.pacelabs.com [phone]
QUALIFIERS
Project: AVL Outfall 001
Pace Project No.: 92448546
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
BC The same analyte was detected in an associated blank at a concentration above 1/2 the reporting limit but below the
laboratory reporting limit.
CO Result confirmed by second analysis.
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
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[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: AVL Outfall 001
Pace Project No.: 92448546
Lab ID
Sample ID
QC Batch Method
QC Batch
92448546002
Outfall 001_2019/10/07_1115_N
EPA 1664B
503052
92448546002
Outfall 001_2019/10/07_1115_N
EPA 200.7 Rev 4.4 1994
503198
92448546001
Field Blank
EPA 1631 E
502816
92448546002
Outfall 001_2019/10/07_1115_N
EPA 1631 E
502816
92448546002
Outfall 001
2019/10/07
1115
N SM 254OC-2011
502920
92448546002
Outfall 001
2019/10/07
1115
N SM 2540D-2011
502915
92448546002
Outfall 001_2019/10/07_1115_N
EPA 300.0 Rev 2.1 1993
502804
92448546002
Outfall 001
2019/10/07
1115
N SM 4500-CI-E-2011
502671
Date: 10/24/2019 02:02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Analytical Method Batch
EPA 200.7 Rev 4.4 1994 503224
EPA 1631 E 503616
EPA 1631 E 503616
Page 15 of 18

10
;aoAnalyttcal'
Document Name:
Sample Condition Upon Receipt(SCUR)
Document Revised: February 7, 2018
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev.06
Issuing Authority;
Pace Carolinas Quality Office
Laboratory receiving sa pies:
Asheville Eden❑ Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑
Sample Condition Client Name:
Upon Receipt s
3�l l r fro Project it
Courier: ❑Fed Ex []UPS ❑USP� ❑Client
❑ Commercial L,Pace ❑Other:
Custody Seal Present? ;3Ses ❑No seals Intact? 9Yes ❑No
Packing Material: ❑Bubble Wrap 2clbble Bags []None ❑ Other
Thermome,�tte/rr'- mv i / 1 Type of Ice: OWet []Blue
� IR Gun ID: j l I�
Cooler Temp (°C): Correction Factor: Add/Subtract (°C) f �r�
Cooler Temp Corrected (°C):—
USDA Regulated Soil eN/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)?
WO#:92448546
924485461111111111111111111111
Date/Initials Person Examining Contents:
Biological Tissue Frozen?
❑Yes []NO JZ�/A
❑Nora
Temp should be above freezing to 6°C
]Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source (internationally,
❑Yes [:]No
including Havrau ana ruerco rcicvir LJ,ca .�
Comments/Discrepancy:
Chain of Custody Present?
Yes
[]No
❑N/A
1.
Samples Arrived within Hold Time?
E
ly-
[]No
❑N/A
2.
Short Hold Time Analysis (<72 hr.)?
[-]Yes
o
❑N/A
3.
Rush Turn Around Time Requested?
[]Yes
ZNo
[]N/A
4.
Sufficient Volume?
[:]No❑NIA
S.
Correct Containers Used?
-Pace Containers Used?
rsoE]
❑N/A
❑N/A
6.
Containers Intact?
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)?
[_]Yes
Yes
Inlr
❑Yes
ZfNo
[-]No
[]No
❑N/A
❑N/A
N/A
8.
9.
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑Yes
❑No
[]No
N/A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Field Data Required? ❑Yes VINo
Project Manager SCURF Review: J r/ Date:
�:
Project Manager SRF Review: Date:
/(, c c(
Page 16 of 18

Document Name:
Document Revised: February 7, 2018
/'!aCeArtalytlCal
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
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
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 {water} DOC, LLHg
**Bottom half of box is to list number of bottle
Project # WO# : 92448546
PM: UP Due Date: 10/14/19
CLIENT: 95—PROGRESS
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phi Adjustment Lag for Preserved Samples
Sample lit
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot it
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certitication office ii.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 17 of 18

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Page 18 of 18