NCG100164_DMR_20190905

• •
ED'S AUTO SERVICE & SALVAGE ITANNED
FEB 0 3 2020
1238 SLOCOMB RD
LINDEN, NC 28356 OCT i
72019
[phone] sTOR��WRER QUALITY
TtNG
09-05-19
BASED UPON MY INQUIRY OF THE PERSON OR PERSONS
DIRECTLY RESPONSIBLE FOR MANAGING COMPLIANCE WITH
THE PERMIT MONITORING REQUIREMENT FOR TOTAL TOXIC
ORANGICS (TTO), I CERTIFY THAT TO THE BEST OF MY
KNOWLEDGE AND BELIEF, NO LEAK, SPILL OR DUMPING OF
CONCENTRATED TOXIC ORGANICS INTO THE STORMWATER
OR ONTO AREAS WHICH ARE EXPOSED TO RAINFALL HAS
OCCURRED SINCE FILING THE LAST DISCHARGE MONITORING
REPORT. I FURTHER CERTIFY THAT THIS FACILITY IS
IMPLLEMENTING ALL THE PROVISIONS OF THE SOLVENT
MANAGEMENT PLAN INCLUDED IN THE STORMWATER
POLLUTION PREVENTION PLAN.
c%W.14
OWNER
/(
DATE PERMIT #NCG100164

• I��/(�0(;�_;• Page 1 of 1
MICROBAC`p'
Questions?910.864.1920 Invoice Number: KA9100235
.\sk for:Jeanne Overstreet Invoice Date: 09/17/2019
Due Date: 10/17/2019
PO Number:
Client ID: KE074
Bill to: Ed's Auto Service&Salvage,Inc. R E C F t`/F D
Ms.Jennifer Pettit 1238 Slocomb Road OCT 1 /ry
2019
Linden,NC 28356
DENR-LAND QUALITY
STORMWATER PERMITT!N
Work Order: K9I0074
TOTAL
QUANTITY ANALYSIS MATRIX UNIT COST UNIT SURCHARGE COST
Invoice:KA9I00235
1 Glycols-Ethylene and Propylene Aqueous $210.00 $210.0
1 Lead WW 200.7 Aqueous $30.00 $30.0
1 Metals digestion Aqueous $10.00 $10.0
1 Oil&Grease HEM Aqueous $55.00 $55.0
1 pH(SM 4500-H,B) Aqueous $27.00 $27.0
1 Solids,Total Suspended Aqueous $27.00 $27.0
Total Current Charges $359.0
Total charges due by $359.01
October 17, 2019
The services being invoiced were provided under and subject to Microbac's standard terms and conditions
which can be located and reviewed at<hups://www.microbac.com/standard-terms-conditions>.
Microbac Laboratories Inc.I Fayetteville
2592 Hope Mills Rd I Fayetteville,NC 28306 1910.864.1920 p 1910.864.8774 f i www.microbec.com
M I CRO BAC' Invoice Number: KA9I00235
Due Date: 10/17/2019
Client ID: KE074
l:d's Auto Service&Salvage,.Inc.
Ms.Jennifer Pettit Total charges due by $359.00
9 238 Slocomb Road .l
Linden,NC 28356 October 17, 2019
See Our
New
Remittance
Address...
•
Microbac Laboratories,Inc.
Make checks payable to:Microbac Laboratories,Inc. p0 Box 3510
Please return this remit slip with payment Pittsburgh,PA 15230
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INVOICE Page 1 of 2
VMICROBAC "
Que rions?910.864.1920 Invoice Number: KA9I00234
.\sk for:Jeanne Overstreet Invoice Date: 09/17/2019
Due Date: 10/17/2019
PO Number:
Client ID: KE074
Bill to: Ed's Auto Service&Salvage,Inc. P E F!\fF ,l
Ms.Jennifer Pettit O CT 1 r�/ }
'1238 Slocomb Road 2019
Linden,NC 28356 DENR-LAND QUALITY
STORMWATER PERMITTING
Work Order: K9I0075
TOTAL
QUANTITY ANALYSIS MATRIX UNIT COST UNIT SURCHARGE COST
Invoice:KA9100234
1 Copper WW 200.7 Aqueous $25.00 $25.00
1 Glycols-Ethylene and Propylene Aqueous $210.00 $210.00
1 Lead WW 200.7 Aqueous $30.00 $30 00
1 Metals digestion Aqueous $10.00 $10.00
•
1 Oil&Grease HEM Aqueous $55,00 $55.00
1 pH(SM 4500-H,B) Aqueous $27.00 $27.00
1 Solids,Total Suspended Aqueous $27,00 $27.00
Total Current Charges $384.00
Total charges due by $384.00
October 17, 2019
The services being Invoiced were provided under and subject to Microbac's standard terms and conditions
which can be located and reviewed at<https://www.microbac.com/standard-terms-conditions>.
Microbac Laboratories Inc.I Fayetteville
2592 Hope Mills Rd I Fayetteville.NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com
6-> M I C R O B AC® Invoice Number: KA9100234
Due Date: 10/17/2019
Client ID: ICE074
I•:rl's Auto Service&Salvage,inc.
Ms.Jennifer Pettit Total charges due by $354.00
1238 Slocornb Road
I.inden,NC 28356 October 17, 2019
See Our
New
Remittance
Address...
;Microbac Laboratories,Inc.
Make checks payable to:Microbac Laboratories,Inc. p0 Box 3510
Please return this remit slip with payment Pittsburgh,PA 15230
r,r.. " VA ❑Tnn771i nnnnnTuunn

MICROBAC INVOICE Pagel of2
t?u <rit,ns>910.864.1920 Invoice Number: KA9100236
Ask f:,r:Jeanne Overstreet Invoice Date: 09/17/2019
Due Date: 10/17/2019
PO Number:
Client Ill: KE074
•
Bill to: Ed'JAuto Service&Salvage,Inc. DC^������
Ms.Jennifer Pettit r\C l i
1238 Slocomb Road OCT
Linden,NC 28356 I 17 [01g
DENR-LAND QUALITY
STORMWATER PERMIT1 NG
Work Order: K9I0073
TOTAL
QUANTITY ANALYSIS MATRIX UNIT COST UNIT SURCHARGE COST
Invoice:KA9100236
1 Glycols-Ethylene and Propylene Aqueous $210.00 $210.00
1 Lead WW 200.7 Aqueous $30.00 $30.00
1 Metals digestion Aqueous $10.00 $10.00
1 Oil&Grease HEM Aqueous $55.00 $55.00
1 pH(SM 4500-H,B) Aqueous $27.00 $27.00
1 Shipping Charge Aqueous $18.00 $18.00
1 Solids,Total Suspended Aqueous $27.00 $27.00
Total Current Charges $377.00
Total charges due by $377.00
October 17, 20'19
The services being invoiced were provided under and subject to Microbac's standard terms and conditions
which can be located and reviewed at<https://www.microbac.com/standard-terms-conditions>.
Microbac Laboratories Inc.I Fayetteville
2592 Hope Mills Rd I Fayetteville.NC 283061 910.864.1920 p 1910.864.8774 f I www.microbac.com
MICRO BAC' Invoice Number: KA9I00236
Due Date: 10/1.7/2019
Client ID: KE074
d's;\uro Service&Salvage,inc.
1 Ms. Pettit
Total charges due by $377.00
1238 Slocomb Road g
Linden,NC 28356 October 17, 2019
See Our
New
Remittance
Address...
.Make checks payable to:Microbac Laboratories,Inc.
Microbac Laboratories,.Inc.
PO Box 3510
Please return this remit slip with payment Pittsburgh,PA 15230
• nnhi nnnnnnnvcn7i, vAgTnn= nnnnnJJnn

( MICROBAC ®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Project Description Stormwater Sample-Semiannual RECF.1 1{/FO
For: OCT 17 2019
Ms. Jennifer Pettit STO ENR LAND QUALITY
Ed's Auto Service&Salvage, Inc. �MWATER PtftAgjrTING
1238 Slocomb Road
Linden, NC 28356
9eez./tite_
Client Relationship Specialist, Environmental
Jeanne Overstreet
Tuesday, September 17, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. -Fayetteville. If you have any questions, comments, or require
further assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. All results for soil
samples are reported on a 'dry-weight'basis unless specified otherwise. Analytical results for water and wastes are reported on
a 'as received' basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This
laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported
results are related only to the samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com

•
( MICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K910073
Ed's Auto Service & Salvage, Inc. Project Name: Stormwater Sample -Semiannual
Ms. Jennifer Pettit Project/ PO Number: N/A
1238 Slocomb Road Received: 09/05/2019
Linden, NC 28356 Reported: 09/17/2019
Sample Summary Report
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
Outfall #1, grab K9I0073-01 Aqueous Grab 09/05/19 11:00 09/05/19 14:2

( MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Analytical Testing Parameters
Client Sample ID: Outfall#1,grab
Sample Matrix: Aqueous Collected By: Pettit
Lab Sample ID: K9l0073-01 Collection Date: 09/05/2019 11:00
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Anal
EPA 1664 Rev.B
Oil&Grease(HEM) <5.0 5.0 mg/L 1 09/12/19 1009 TEN
SM 2540 D-2011
Total Suspended Solids 14.7 4.17 mg/L 1 09/11/19 1102 CLE
SM 4500 H+B-2011
pH at 25°C 6.0 1.0 pH Units 1 H 09/10/19 0908 CLE
Metals Result RL Units Dilution Note Prepared Analyzed Anal!
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead <0.010 0.010 mg/L 1 09/16/19 1250 09/16/19 1250 TAE
Analyses Subcontracted to: Microbac Laboratories Inc., - Marietta, OH
Glycols GC/FID Result RL Units Dilution Note Prepared Analyzed Anal
EPA 8015D Method Notes:AC
Ethylene glycol <5.00 5.00 mg/L 1 09/12/19 1821 ECI
Propylene glycol <5.00 5.00 mg/L 1 09/12/19 1821 ECI
Surrogate: 1,4-Butanediol 2.52 Limit:65-131 % Rec 1 S2 09/12/19 1821 ECI

(75) MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Batch Quality Control Summary: Microbac Laboratories, Inc.-Fayetteville
Spike Source %REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90090-Wet Chem Aqueous -SM 2540 D-2011
Blank(KI90090-BLK1) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK2) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK3) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK4) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK5) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
LCS(KI90090-BS1) Prepared&Analyzed:09/11/2019
Total Suspended Solids 34.9 2.50 mg/L 36.1 97 94.5-105.4
Duplicate(KI90090-DUP1) Source: K9I0087-01 Prepared&Analyzed:09/11/2019
Total Suspended Solids 108 2.50 mg/L 97.0 11 10
Duplicate(KI90090-DUP2) Source:K910114-01 Prepared&Analyzed:09/11/2019
Total Suspended Solids 84.0 2.50 mg/L 85.0 1 10
Batch KI90131 -Wet Chem Aqueous -EPA 1664 Rev. B
Blank(KI90131-BLK1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) <5.0 5.0 mg/L
LCS(KI90131-BS1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 37.4 5.0 mg/L 40.8 92 83-101
Matrix Spike(KI90131-MS1) Source: K9I0074-01 Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 20.2 5.0 mg/L 40.8 ND 50 78-114
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90128 -Metals Aqueous-EPA 200.7 Rev 4.4 1994
Blank(KI90128-BLK1) Prepared&Analyzed:09/16/2019
Lead <0.020 0.020 mg/L
LCS(KI90128-BS1) Prepared&Analyzed:09/16/2019
Lead 0.246 0.020 mg/L 0.248 99 85-115
LCS(KI90128-BS2) Prepared&Analyzed:09/16/2019
Lead 0.250 0.020 mg/L 0.248 101 85-115
Duplicate(KI90128-DUP1) Source: K910073-01 Prepared&Analyzed:09/16/2019
Lead <0.010 0.010 mg/L ND 10
Duplicate(KI90128-DUP2) Source:K910182-01 Prepared&Analyzed: 09/16/2019
Lead <0.010 0.010 mg/L ND 10

(75) MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90128-Metals Aqueous -EPA 200.7 Rev 4.4 1994
Matrix Spike(KI90128-MS1) Source: K910073-01 Prepared&Analyzed:09/16/2019
Lead 0.256 0.010 mg/L 0.248 ND 103 70-130
Matrix Spike(KI90128-MS2) Source: K9I0182-01 Prepared&Analyzed:09/16/2019
Lead 0.313 0.010 mg/L 0.248 ND 126 70-130
Matrix Spike Dup(K190128-MSD1) Source:K9I0073-01 Prepared&Analyzed:09/16/2019
Lead 0.259 0.010 mg/L 0.248 ND 104 70-130 1 30
Matrix Spike Dup(KI90128-MSD2) Source: K9I0182-01 Prepared&Analyzed:09/16/2019
Lead 0.302 0.010 mg/L 0.248 ND 122 70-130 4 30
Reference(KI90128-SRM1) Prepared&Analyzed:09/16/2019
Lead 2.00 0.020 mg/L 2.00 100 95-105
Batch Quality Control Summary: Microbac Laboratories Inc., -Marietta, OH
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit Note
Batch B9I0642 -Default Prep-Semivolatiles-EPA 8015D
Blank(B9I0642-BLK1) Prepared&Analyzed:09/12/2019
Ethylene glycol <2.50 2.50 5.00 mg/L
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate:1,4-Butanediol 37.3 mg/L 40.0 93.3 65-131
LCS(B910642-BS1) Prepared&Analyzed:09/12/2019
Ethylene glycol 35.2 2.50 5.00 mg/L 40.0 88.0 60-125
Propylene glycol 37.3 2.50 5.00 mg/L 40.0 93.3 65-120
Surrogate. 1,4-eutanediol 40.3 mg/L 40.0 101 65-131
LCS Dup(B910642-BSD1) Prepared&Analyzed:09/12/2019
Ethylene glycol 37.5 2.50 5.00 mg/L 40.0 93.6 60-125 6.21 20
Propylene glycol 40.3 2.50 5.00 mg/L 40.0 101 65-120 7.57 20
Surrogate: 1,4-Butanediol 15.7 mg/L 40.0 39.3 65-131 S2
Batch B910735-Default Prep-Semivolatiles-EPA 8015D
Blank(B910735-BLK1) Prepared&Analyzed:09/16/2019
Ethylene glycol <2.50 2.50 5.00 mg/L
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate: 1,4-Butanediol 36.7 mg/L 40.0 91.7 65-131
LCS(B910735-BS1) Prepared&Analyzed:09/16/2019
Ethylene glycol 34.9 2.50 5.00 mg/L 40.0 87.2 60-125
Propylene glycol 36.8 2.50 5.00 mg/L 40.0 92.1 65-120
Surrogate: 1,4-Butanediol 37.5 mg/L 40.0 93.6 65-131
LCS Dup(B910735-BSD1) Prepared&Analyzed:09/16/2019
Ethylene glycol 38.5 2.50 5.00 mg/L 40.0 96.3 60-125 9.92 20

(7 ) MICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit Note
Batch B910735 -Default Prep -Semivolatiles -EPA 8015D
LCS Dup(B9I0735-BSD1) Prepared&Analyzed:09/16/2019
Propylene glycol 39.0 2.50 5.00 mg/L 40.0 97.4 65-120 5.59 20
Surrogate:1,4-Butanediol 38.6 mg/L 40.0 96.4 65-131

( MICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0073
Definitions
AC: Sample was re-extracted out of hold time. Re-extraction yielded acceptable surrogate recovery.Both the original
and sample re-extract were non-detect. Only the original in hold extraction data was reported.
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
MDL: Minimum Detection Limit
RL: Reporting Limit
RPD: Relative Percent Difference
S2: Surrogate recovery is below acceptance limits.
Cooler Receipt Log
Cooler ID: Default Cooler Temp: 25.2°C
Cooler Inspection Checklist
Ice Present or not required? Yes Shipping containers sealed or not required?
Custody seals intact or not required? Yes Chain of Custody(COC)Present?
COC includes customer information? Yes Relinquished and received signature on COC?
Sample collector identified on COC? Yes Sample type identified on COC?
Correct type of Containers Received Yes Correct number of containers listed on COC?
Containers Intact? Yes COC includes requested analyses?
Enough sample volume for indicated tests received? Yes Sample labels match COC(Name, Date&Time?)
Samples arrived within hold time? Yes Correct preservatives on COC or not required?
Chemical preservations checked or not required? Yes Preservation checks meet method requirements?
VOA vials have zero headspace,or not recd.? Yes
Project Requested Certification(s)
Microbac Laboratories, Inc.-Fayetteville
11 North Carolina DENR NPDES
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted. `U,}
The data and information on this, and other accompanying documents, represents
only the sample(s)analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist,Environmental
Reported: 09/17/2019 16:34

•
6) wA I C 1"'�[ � B Afi C® • 3323 Gilmore Industrial Blvd. 2520 Regency Rd. 2701 N.Cullen Ave.,Ste.A 5309 Reid€and Rd. *K9100 7 3* '-a,Ste.22
t•1 [ Louisville,KY 40213 Lexington,KY 40503 Evansville,IN 47715 Paducah,KY 4200:
7
CHAIN OF CUSTODY 50Z962 641011 f 859.278.5665 f 812,424,0e67 f 270.898.36667 f 11111111111111111
www.microbac.com
Client e EjC ak -e_ MCS Due Date: �a Analyses Requested
StreetAddress: 3rre,tyl E .• • ....... �w /
City i State!Zip: n )� gg35 /
Phone: Fax: �) 7i E D"t l �, ., �� ` t,
Email• ,� � Sp .C�se, v I ce-Cat1r x0A �. . 'L c m y' �r<5? k 'ai S t- '
Attention: PO#: ca c a> At' .` a sa ` . O c-0• /// ..
Sampler. \ eAA3 o �� o 42.�': * y ,
Site/Project Name: $ �.�V. Q`� o ti� o J� {a �/
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Date[lime I Sample ID/Description _ fi i
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•
Relinquished By: Date: /U / lime: _130 Notes: D
Received By: 40 Y+ Dater /5—/j c7 Time: /yZc7 ��
Relinquished By: Date: / / Time:
Received By;,-• Date: / / Time:
Relinquished By: Date: / / Time: To be filled out Temp.Upon Receipt(°C): ThermometerlU: No.Bottles Received:
by Microbac
Received By: - Date: / / Time: Samples Received on Ice? Yes No Custody Seals Intact? Yes No N;li

( MICROBAC ®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0074
Project Description
Stormwater Sample-Semiannual
For:
Ms. Jennifer Pettit
Ed's Auto Service&Salvage, Inc.
1238 Slocomb Road
Linden, NC 28356
Client Relationship Specialist, Environmental
Jeanne Overstreet
Tuesday, September 17, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require
further assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. All results for soil
samples are reported on a'dry-weight' basis unless specified otherwise. Analytical results for water and wastes are reported on
a 'as received'basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This
laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported
results are related only to the samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com

•
6) MICROBAC ''
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K910074
Ed's Auto Service& Salvage, Inc. Project Name: Stormwater Sample -Semiannual
Ms. Jennifer Pettit Project/ PO Number: N/A
1238 Slocomb Road Received: 09/05/2019
Linden, NC 28356 Reported: 09/17/2019
Sample Summary Report
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
Outfall #2, grab K910074-01 Aqueous Grab 09/05/19 11:17 09/05/19 14:2

•
( MICROBAC '
•
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0074
Analytical Testing Parameters
i. •
Client Sample ID: Outfall#2,grab
Sample Matrix: Aqueous Collected By: Pettit
Lab Sample ID: K9l0074-01 Collection Date: 09/05/2019 11:17
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Anail
EPA 1664 Rev.B
Oil&Grease(HEM) <5.0 5.0 mg/L 1 Al2 09/12/19 1009 TBN
SM 2540 D-2011
Total Suspended Solids 125 16.7 mg/L 1 09/11/19 1102 CLE
SM 4500 H+B-2011
pH at 25°C 6.1 1.0 pH Units 1 H 09/10/19 0908 CLE
Metals Result RL Units Dilution Note Prepared Analyzed Anal!
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead <0.010 0.010 mg/L 1 09/16/19 1306 09/16/19 1306 TAE
Analyses Subcontracted to: Microbac Laboratories Inc., -Marietta, OH
Glycols GC/FID Result RL Units Dilution Note Prepared Analyzed Anal
EPA 8015D Method Notes:AC
Ethylene glycol <5.00 5.00 mg/L 1 09/12/19 1843 ECL
Propylene glycol <5.00 5.00 mg/L 1 09/12/19 1843 ECL
Surrogate: 1,4-Butanediol 34.1 Limit:65-131 %Rec 1 S2 • 09/12/19 1843 ECL

OMICROBAC `'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K910074
Batch Quality Control Summary: Microbac Laboratories, Inc.-Fayetteville
Spike Source %REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90090-Wet Chem Aqueous -SM 2540 D-2011
Blank(KI90090-BLK1) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK2) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK3) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK4) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90090-BLK5) Prepared&Analyzed:09/11/2019
Total Suspended Solids <2.50 2.50 mg/L
LCS(KI90090-BS1) Prepared&Analyzed:09/11/2019
Total Suspended Solids 34.9 2.50 mg/L 36.1 97 94.5-105.4
Duplicate(KI90090-DUP1) Source:K9I0087-01 Prepared&Analyzed:09/11/2019
Total Suspended Solids 108 2.50 mg/L 97.0 11 10
Duplicate(KI90090-DUP2) Source:K9I0114-01 Prepared&Analyzed:09/11/2019
Total Suspended Solids 84.0 2.50 mg/L 85.0 1 10
Batch KI90131 -Wet Chem Aqueous -EPA 1664 Rev. B
Blank(KI90131-BLK1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) <5.0 5.0 mg/L
LCS(KI90131-BS1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 37.4 5.0 mg/L 40.8 92 83-101
Matrix Spike(KI90131-MS1) Source: K9I0074-01 Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 20.2 5.0 mg/L 40.8 ND 50 78-114
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90128 -Metals Aqueous-EPA 200.7 Rev 4.4 1994
Blank(KI90128-BLK1) Prepared&Analyzed:09/16/2019
Lead <0.020 0.020 mg/L
LCS(KI90128-BS1) Prepared&Analyzed:09/16/2019
Lead 0.246 0.020 mg/L 0.248 99 85-115
LCS(KI90128-BS2) Prepared&Analyzed:09/16/2019
Lead 0.250 0.020 mg/L 0.248 101 85-115
Duplicate(KI90128-DUP1) Source: K910073-01 Prepared&Analyzed:09/16/2019
Lead <0.010 0.010 mg/L ND 10
Duplicate(KI90128-DUP2) Source: K910182-01 Prepared&Analyzed:09/16/2019
Lead <0.010 0.010 mg/L ND 10

•
( MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0074
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90128-Metals Aqueous -EPA 200.7 Rev 4.4 1994
Matrix Spike(KI90128-MS1) Source:K910073-01 Prepared&Analyzed:09/16/2019
Lead 0.256 0.010 mg/L 0.248 ND 103 70-130
Matrix Spike(KI90128-MS2) Source: K9I0182-01 Prepared&Analyzed:09/16/2019
Lead 0.313 0.010 mg/L 0.248 ND 126 70-130
Matrix Spike Dup(KI90128-MSD1) Source: K9I0073-01 Prepared&Analyzed:09/16/2019
Lead 0.259 0.010 mg/L 0.248 ND 104 70-130 1 30
Matrix Spike Dup(KI90128-MSD2) Source:K910182-01 Prepared&Analyzed:09/16/2019
Lead 0.302 0.010 mg/L 0.248 ND 122 70-130 4 30
Reference(KI90128-SRM1) Prepared&Analyzed:09/16/2019
Lead 2.00 0.020 mg/L 2.00 100 95-105
Batch Quality Control Summary: Microbac Laboratories Inc., -Marietta, OH
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit Note
Batch B910642-Default Prep-Semivolatiles -EPA 8015D
Blank(B910642-BLK1) Prepared&Analyzed: 09/12/2019
Ethylene glycol <2.50 2.50 5.00 mg/L
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate:1,4-Butanediol 37.3 mg/L 40.0 93.3 65-131
LCS(B910642-BS1) Prepared&Analyzed:09/12/2019
Ethylene glycol 35.2 2.50 5.00 mg/L 40.0 88.0 60-125
Propylene glycol 37.3 2.50 5.00 mg/L 40.0 93.3 65-120
Surrogate:1,4-eutanediol 40.3 mg/L 40.0 101 65-131
LCS Dup(B910642-BSD1) Prepared&Analyzed:09/12/2019
Ethylene glycol 37.5 2.50 5.00 mg/L 40.0 93.6 60-125 6.21 20
Propylene glycol 40.3 2.50 5.00 mg/L 40.0 101 65-120 7.57 20
Surrogate: 1,4-eutanediol 15.7 mg/L 40.0 39.3 65-131 S2
Batch B910735 -Default Prep-Semivolatiles -EPA 8015D
Blank(B910735-BLK1) Prepared&Analyzed:09/16/2019
Ethylene glycol <2.50 2.50 5.00 mg/L
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate:1,4-Butanediol 36.7 mg/L 40.0 91.7 65-131
LCS(B910735-BS1) Prepared&Analyzed:09/16/2019
Ethylene glycol 34.9 2.50 5.00 mg/L 40.0 87.2 60-125
Propylene glycol 36.8 2.50 5.00 mg/L 40.0 92.1 65-120
Surrogate: 1,4-eutanediol 37.5 mg/L 40.0 93.6 65-131
LCS Dup(B910735-BSD1) Prepared&Analyzed:09/16/2019
Ethylene glycol 38.5 2.50 5.00 mg/L 40.0 96.3 60-125 9.92 20

MICROBAC `
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0074
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit Note
Batch B910735-Default Prep-Semivolatiles -EPA 8015D
LCS Dup(B910735-BSD1) Prepared&Analyzed:09/16/2019
Propylene glycol 39.0 2.50 5.00 mg/L 40.0 97.4 65-120 5.59 20
Surrogate: 1,4-Butanediol 38.6 mg/L 40.0 96.4 65-131

•
•
•
•
( MICROBAC `
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0074
Definitions
Al2: MS/MSD fail recovery,but the LCS passes criteria.
AC: Sample was re-extracted out of hold and yielded acceptable surrogate recovery.Both the original and sample
re-extract were non-detect.Only the original in-hold sample results were reported.
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
MDL: Minimum Detection Limit
RL: Reporting Limit
RPD: Relative Percent Difference
S2: Surrogate recovery is below acceptance limits.
Cooler Receipt Log
Cooler ID: Default Cooler Temp: 25.2°C
Cooler Inspection Checklist
Ice Present or not required? Yes Shipping containers sealed or not required?
Custody seals intact or not required? Yes Chain of Custody(COC)Present?
COC includes customer information? Yes Relinquished and received signature on COC?
Sample collector identified on COC? Yes Sample type identified on COC?
Correct type of Containers Received Yes Correct number of containers listed on COC?
Containers Intact? Yes COC includes requested analyses?
Enough sample volume for indicated tests received? Yes Sample labels match COC(Name, Date&Time?)
Samples arrived within hold time? Yes Correct preservatives on COC or not required?
Chemical preservations checked or not required? Yes Preservation checks meet method requirements?
VOA vials have zero headspace,or not recd.? Yes
Project Requested Certification(s)
Microbac Laboratories, Inc.-Fayetteville
11 North Carolina DENR NPDES
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents,represents
only the sample(s)analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist,Environmental
Reported: 09/17/2019 16:34

wA ( � R D B h C® 3323 Gilmore Industrial Blvd. 2520 Regency Rd. 2701 N.Cullen Ave.,Ste.A 5309 Reidland Rd. *K9I0074*
"t t 1� V H Louisville,KY 40213 Lexington,KY 40503 Evansville,IN 47715 Paducah,KY 42003 JJJJjfl
502.962.6400 p 859.276.3506 p 812,464.9000 p 270.898.3637 p 11
•
CHAIN �F CUSTODY 502.962.6411f 859.278.5665 f 812,424.0667 f 270.898.3666 f Mr WWWWW'I YYY
vvvtw.microbac.com
Client: G .vvi('_0... ,soWay "51‘1,(1_, Due Date: --) 4., Analyses Requested
Street Address: `'
City/State 1 Zip:j ! Qin � _sao ` t pz � .
Phone: "ti f�3 Fax: >i©) c9"\ t`1 (? v m ,418
o m .c Boak ,
Attention: PD#: 40 0 �0 .
Sampler. I �tY✓ e �0 0 ct, - . .. * trj .1 j
Z
Site!Project Name: �� ��Q 4i��oca, c o �J�
Date/Time Sample ID/Description l ( 2
Cy5 11-0out*\\ Q } Y `f Y K . ,
•
Relinquished By Date:d /(} ii Time: , Notes:
Received By Date: / Time: V1ED
f(54
Relinquished By: Date: / / Time:
Received By; Date: / / lime:
Relinquished By: Date: / / lime: To be filled out Temp..Upon Receipt(°C): Thermometer ID: No.Bottles Received:
by Mkrobac
Received By: Date: / / Time: Sampl
es Received on Ice? Yes No Custody Seals Intact? Yes No N/A
______

( MICROBAC ®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Project Description
Stormwater Sample-Semiannual
For:
Ms. Jennifer Pettit
Ed's Auto Service&Salvage, Inc.
1238 Slocomb Road
Linden, NC 28356
Client Relationship Specialist, Environmental
Jeanne Overstreet
Tuesday, September 17, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. -Fayetteville. If you have any questions, comments, or require
further assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. All results for soil
samples are reported on a'dry-weight'basis unless specified otherwise. Analytical results for water and wastes are reported on
a 'as received'basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This
laboratory report shall not be reproduced, except in full,without the written approval of Microbac Laboratories. The reported
results are related only to the samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com

( MICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K910075
Ed's Auto Service& Salvage, Inc. Project Name: Stormwater Sample -Semiannual
Ms. Jennifer Pettit Project/ PO Number: N/A
1238 Slocomb Road Received: 09/05/2019
Linden, NC 28356 Reported: 09/17/2019
Sample Summary Report
Sample Name Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
Outfall #3, grab K910075-01 Aqueous Grab 09/05/19 11:36 09/05/19 14:2

* MICROBAC ';
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Analytical Testing Parameters
Client Sample ID: Outfall#3,grab
Sample Matrix: Aqueous Collected By: Pettit
Lab Sample ID: K910075-01 Collection Date: 09/05/2019 11:36
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Anal
EPA 1664 Rev.B
Oil&Grease(HEM) <5.0 5.0 mg/L 1 09/12/19 1009 TBN
SM 2540 D-2011
Total Suspended Solids 308 51.0 mg/L 1 09/10/19 1425 CLE
SM 4500 H+B-2011
pH at 25°C 5.5 1.0 pH Units 1 H 09/10/19 0908 CLE
Metals Result RL Units Dilution Note Prepared Analyzed Anal)
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Copper <0.050 0.050 mg/L 1 09/16/19 1310 09/16/19 1310 TAE
Lead 0.014 0.010 mg/L 1 09/16/19 1310 09/16/19 1310 TAE
Analyses Subcontracted to: Microbac Laboratories Inc., -Marietta, OH
Glycols GC/FID Result RL Units Dilution Note Prepared Analyzed Anal3
EPA 8015D Method Notes:AC
Ethylene glycol <5.00 5.00 mg/L 1 J 09/12/19 1906 ECL
Propylene glycol <5.00 5.00 mg/L 1 09/12/19 1906 ECL
Surrogate: 1,4-Butanediol 69.4 Limit:65-131 % Rec 1 09/12/19 1906 ECL

&) MICROBAC "
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Batch Quality Control Summary: Microbac Laboratories, Inc. -Fayetteville
Spike Source %REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90052 -Wet Chem Aqueous -SM 2540 D-2011
Blank(KI90052-BLK1) Prepared&Analyzed:09/10/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90052-BLK2) Prepared&Analyzed:09/10/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90052-BLK3) Prepared&Analyzed:09/10/2019
Total Suspended Solids <2.50 2.50 mg/L
Blank(KI90052-BLK4) Prepared&Analyzed:09/10/2019
Total Suspended Solids <2.50 2.50 mg/L
LCS(KI90052-BS1) Prepared&Analyzed:09/10/2019
Total Suspended Solids 31.7 2.50 mg/L 94.5-105.4
Duplicate(KI90052-DUP1) Source:K9I0063-01 Prepared&Analyzed:09/10/2019
Total Suspended Solids 144 2.50 mg/L 129 12 10
Duplicate(KI90052-DUP2) Source: K9I0080-01 Prepared&Analyzed:09/10/2019
Total Suspended Solids 145 2.50 mg/L 142 2 10
Batch KI90131 -Wet Chem Aqueous-EPA 1664 Rev. B
Blank(KI90131-BLK1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) <5.0 5.0 mg/L
LCS(KI90131-BS1) Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 37.4 5.0 mg/L 40.8 92 83-101
Matrix Spike(KI90131-MS1) Source: K9I0074-01 Prepared&Analyzed:09/12/2019
Oil&Grease(HEM) 20.2 5.0 mg/L 40.8 ND 50 78-114
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Noti
Batch KI90128-Metals Aqueous -EPA 200.7 Rev 4.4 1994
Blank(KI90128-BLK1) Prepared&Analyzed:09/16/2019
Copper <0.100 0.100 mg/L
Lead <0.020 0.020 mg/L
LCS(KI90128-BS1) Prepared&Analyzed:09/16/2019
Copper 0.240 0.100 mg/L 0.250 96 85-115
Lead 0.246 0.020 mg/L 0.248 99 85-115
LCS(KI90128-BS2) Prepared&Analyzed:09/16/2019
Copper 0.249 0.100 mg/L 0.250 100 85-115
Lead 0.250 0.020 mg/L 0.248 101 85-115
Duplicate(KI90128-DUP1) Source: K9I0073-01 Prepared&Analyzed: 09/16/2019
Copper <0.050 0.050 mg/L ND 10
Lead <0.010 0.010 mg/L ND 10
Duplicate(KI90128-DUP2) Source:K9I0182-01 Prepared&Analyzed:09/16/2019

( MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Spike Source %REC RPD
Metals Result RL Units Level Result %REC Limits RPD Limit Note
Batch KI90128-Metals Aqueous -EPA 200.7 Rev 4.4 1994
Duplicate(KI90128-DUP2) Source:K910182-01 Prepared&Analyzed:09/16/2019
Copper 0.083 0.050 mg/L 0.084 0.7 10
Lead <0.010 0.010 mg/L ND 10
Matrix Spike(KI90128-MS1) Source:K910073-01 Prepared&Analyzed:09/16/2019
Copper 0.258 0.050 mg/L 0.250 ND 103 70-130
Lead 0.256 0.010 mg/L 0.248 ND 103 70-130
Matrix Spike(KI90128-MS2) Source: K9I0182-01 Prepared&Analyzed:09/16/2019
Copper 0.375 0.050 mg/L 0.250 0.084 117 70-130
Lead 0.313 0.010 mg/L 0.248 ND 126 70-130
Matrix Spike Dup(KI90128-MSD1) Source:K9I0073-01 Prepared&Analyzed:09/16/2019
Copper 0.257 0.050 mg/L 0.250 ND 103 70-130 0.4 30
Lead 0.259 0.010 mg/L 0.248 ND 104 70-130 1 30
Matrix Spike Dup(KI90128-MSD2) Source: K910182-01 Prepared&Analyzed:09/16/2019
Copper 0.371 0.050 mg/L 0.250 0.084 115 70-130 1 30
Lead 0.302 0.010 mg/L 0.248 ND 122 70-130 4 30
Reference(K190128-SRM1) Prepared&Analyzed: 09/16/2019
Copper 2.08 0.100 mg/L 2.00 104 95-105
Lead 2.00 0.020 mg/L 2.00 100 95-105
Batch Quality Control Summary: Microbac Laboratories Inc., -Marietta, OH
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit Noti
Batch B910642-Default Prep-Semivolatiles -EPA 8015D
Blank(B910642-BLK1) Prepared&Analyzed:09/12/2019
Ethylene glycol <2.50 2.50 5.00 mg/L
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate:1,4-Butanediol 37.3 mg/L 40.0 93.3 65-131
LCS(B910642-BS1) Prepared&Analyzed: 09/12/2019
Ethylene glycol 35.2 2.50 5.00 mg/L 40.0 88.0 60-125
Propylene glycol 37.3 2.50 5.00 mg/L 40.0 93.3 65-120
Surrogate:1,4-Butanediol 40.3 mg/L 40.0 101 65-131
LCS Dup(B910642-BSD1) Prepared&Analyzed:09/12/2019
Ethylene glycol 37.5 2.50 5.00 mg/L 40.0 93.6 60-125 6.21 20
Propylene glycol 40.3 2.50 5.00 mg/L 40.0 101 65-120 7.57 20
Surrogate: 1,4-Butanediol 15.7 mg/L 40.0 39.3 65-131 S2
Batch B910735-Default Prep -Semivolatiles-EPA 8015D
Blank(B910735-BLK1) Prepared&Analyzed:09/16/2019
Ethylene glycol <2.50 2.50 5.00 mg/L

•
( MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Spike Source %REC RPD
Glycols GC/FID Result MDL RL Units Level Result %REC Limits RPD Limit
Note
Batch B910735-Default Prep-Semivolatiles-EPA 8015D
Blank(B910735-BLK1) Prepared&Analyzed:09/16/2019
Propylene glycol <2.50 2.50 5.00 mg/L
Surrogate:1,4-Butanediol 36.7 mg/L 40.0 91.7 65-131
LCS(B910735-BS1) Prepared&Analyzed:09/16/2019
Ethylene glycol 34.9 2.50 5.00 mg/L 40.0 87.2 60-125
Propylene glycol 36.8 2.50 5.00 mg/L 40.0 92.1 65-120
Surrogate:1,4-eutanediol 37.5 mg/L 40.0 93.6 65-131
LCS Dup(B910735-BSD1) Prepared&Analyzed:09/16/2019
Ethylene glycol 38.5 2.50 5.00 mglL 40.0 96.3 60-125 9.92 20
Propylene glycol 39.0 2.50 5.00 mg/L 40.0 97.4 65-120 5.59 20
Surrogate:1,4-eutanediol 38.6 mg/L 40.0 96.4 65-131

. MICROBACR'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9I0075
Definitions
AC: The associated BSD had low surrogate recovery.The sample was re-extracted out of hold and all QC acceptance
criteria were met.Only the in-hold sample results were reported.
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
J: The result is an estimated quantity.The associated numerical value is the approximate concentration of the analyte
in the sample.
MDL: Minimum Detection Limit
RL: Reporting Limit
RPD: Relative Percent Difference
S2: Surrogate recovery is below acceptance limits.
Cooler Receipt Log
Cooler ID: Default Cooler Temp: 25.2°C
Cooler Inspection Checklist
Ice Present or not required? Yes Shipping containers sealed or not required?
Custody seals intact or not required? Yes Chain of Custody(COC)Present?
COC includes customer information? Yes Relinquished and received signature on COC?
Sample collector identified on COC? Yes Sample type identified on COC?
Correct type of Containers Received Yes Correct number of containers listed on COC?
Containers Intact? Yes COC includes requested analyses?
Enough sample volume for indicated tests received? Yes Sample labels match COC(Name, Date&Time?)
Samples arrived within hold time? Yes Correct preservatives on COC or not required?
Chemical preservations checked or not required? Yes Preservation checks meet method requirements?
VOA vials have zero headspace,or not recd.? Yes
Project Requested Certification(s)
Microbac Laboratories, Inc.-Fayetteville
11 North Carolina DENR NPDES
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted. v/J
The data and information on this, and other accompanying documents, represents
only the sample(s)analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist,Environmental
Reported: 09/17/2019 16:34

5) MICROBAC° 3323 Gilmore Industrial Blvd. 2520 Regency Rd. 270I N.Cullen Ave.,Ste.A 5309 Reidland Rd.
Louisville,KY 40213 Lexington,KY 40503 Evansville,IN 47715 Paducah,KY 42003 *K910015*
•
HAIN OF CUSTODY 502.962.6400 p 859.276.3506 p 812.464.9000 p 270.898.3637 p \NROINNIN
502.962.6411 f 859.278.5665 f 812.424.0667 f 270.898.3666 f
ww.microbac.com
:rent:�:aq Due Date: ��a Analyses Reyu•��ea
treetpddress: V,5LSbc � CA. `-
ity!State iliip:u.l,� en \C Asis (0� Q� ^— Q I
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ampler: \end r,C--V� k ° z�� e ,,-ty' r ►�j3 `
ite/Project dame: , s,`, '�S "�a�o �`' -ir
!late I Time Sample ID I Description 1-v.`"" Z
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elinquished By: 4211,1 te: /e3/05/(Q( Time: J); Notes:
.eceived By: Date: / / lime:
;elinquished By: Date: / / Time: WED
:eceived By: Date: / / Time:
.elinquished By: Date: / / Time: I To be filled out Temp.Upon Receipt(°Q: Thermometer ID: No.Bottles Received:
by Microbac
.eceived By: Date: / / Time: Samples Received on Ice? Yes No Custody Seals Intact? Yes No N/A