The URL can be used to link to this page

Home My WebLink AboutNC0083101_NOV-2020-MV-0040_20200330 r -o� HEN ` City of Henderson ru sn. Kerr Lake Regional Water System � } P. O. Box 1434 •Z% 280 Regional Water Lane Henderson, NC 27536 A__ Phone: 252/438-2141 Fax: 252/438-7866 March 30, 2020 RECEIVED APR 07 2020 Mr. Jason Robinson Water Quality Regional Operations Section NCDEQ/DWR/NPDES Division of Water Resources, NCDEQ 1634 Mail Service Center Raleigh, NC 27699-1617 Re: NOV-2020-MV-0040 Zinc Notice of Violation/Intent to Assess Civil Penalty Dear Mr. Robinson; Upon the receipt of this NOV, it was discovered that the Zinc quarterly sampling result was omitted from the eDMR for the month of October 2019.The October 2019 eDMR has been updated and resubmitted with the results reported. A copy of the test results from Pace Analytical is enclosed for your review. We apologize for the oversight. If there are any questions or if additional information is required, please contact Ms. Clarissa (Christy) Lipscomb, KLRWS, at(252)438-2142. Sincerely, Aoi v, Clarissa(I hristy/I. comb Director/II RC Kerr Lake -egional Water Plant enclosure Pace Analytical Services,LLC Confeence Drive ® 6701Raleigh,NC 27607 aceAnalytical www.pacelabs.com (919)834-4984 October 15, 2019 Eric Norwood Kerr Lake Regional Water RE: Project: Quarterly Wastewater Pace Project No.: 92447698 Dear Eric Norwood: Enclosed are the analytical results for sample(s) received by the laboratory on October 01, 2019. The results relate only to the samples included in this report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Sarah Graham sarah.graham@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Christy Lipscomb,Kerr Lake Regional Water 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 16 f Pace Analytical Services,'L'LC 6701 Conference Drive aceAnalytical Raleigh,NC 27607 www.pacelabs.com (919)834-4984 CERTIFICATIONS Project: Quarterly Wastewater Pace Project No.: 92447698 Asheville Certification IDs 2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40 Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001 Massachusetts Certification#:M-NC030 Virginia/VELAP Certification#:460222 North Carolina Drinking Water Certification#:37712 Eden Certification IDs 205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633 North Carolina Drinking Water Certification#:37738 Virginia/VELAP Certification#:460025 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 16 Pace Analytical Services,LLC ® 6701 Conference Drive aceAnalytical Raleigh,NC 27607 wwwpacela6s.com (919)834-4984 SAMPLE ANALYTE COUNT Project: Quarterly Wastewater Pace Project No.: 92447698 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92447698001 Quarterly Wastewater SM 2130B-2011 NMH 1 PASI-E SM 2540D-2011 AMI 1 PASI-E EPA 200.7 Rev 4.4 1994 SH1 3 PASI-A TKN+NO3+NO2 Calculation DMN 1 PASI-A EPA 300.0 Rev 2.1 1993 BRJ 1 PASI-A EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A EPA 353.2 Rev 2.0 1993 DMN 1 PASI-A EPA 365.1 Rev 2.0 1993 MDW 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 16 Pace Analytical Services,-LLC f Confeence Drive, aceAnalytical ical® 670 Raleighr NC 27607 www.pacelabs.com (919)834-4984 ANALYTICAL RESULTS Project: Quarterly Wastewater Pace Project No.: 92447698 Sample: Quarterly Wastewater Lab ID: 92447698001 Collected: 10/01/19 08:17 Received: 10/01/19 10:55 Matrix:Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2130B Turbidity EDN Analytical Method:SM 2130B-2011 Turbidity 5.1 NTU 0.50 1 10/02/19 12:51 2540D Total Suspended Solids Analytical Method:SM 2540D-2011 Total Suspended Solids 10.2 mg/L 5.0 1 10/02/19 16:00 200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994 Aluminum 1.0 mg/L 0.10 1 10/10/19 23:26 10/12/19 21:11 7429-90-5 Hardness,Total(SM 2340B) 26200 ug/L 662 1 10/10/19 23:26 10/12/19 21:11 Zinc ND ug/L 10.0 1 10/10/19 23:26 10/12/19 21:11 7440-66-6 Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation Total Nitrogen 0.77 mg/L 0.52 1 10/14/19 10:25 300.0 IC Anions 28 Days Analytical Method:EPA 300.0 Rev 2.1 1993 Fluoride ND mg/L 0.10 1 10/04/19 04:38 16984-48-8 351.2 Total Kjeldahl Nitrogen Analytical Method:EPA 351.2 Rev 2.0 1993 Preparation Method:EPA 351.2 Rev 2.0 1993 Nitrogen,Kjeldahl,Total 0.75 mg/L 0.50 1 10/10/19 07:52 10/11/19 05:14 7727-37-9 M1 353.2 Nitrogen,NO21NO3 pres. Analytical Method:EPA 353.2 Rev 2.0 1993 Nitrogen,NO2 plus NO3 ND mg/L 0.040 1 10/10/19 19:20 365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2.0 1993 Preparation Method:EPA 365.1 Rev 2.0 1993 Phosphorus ND mg/L 0.050 1 10/03/19 19:13 10/04/19 18:49 7723-14-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 16 Pace Analytical Services,LLC ® 6701 Conference Drive aceAnalytical Raleigh,NC 27607 wwwpacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 501191 Analysis Method: SM 2130B-2011 QC Batch Method: SM 2130B-2011 Analysis Description: . 2130B Turbidity EDN Associated Lab Samples: 92447698001 METHOD BLANK: 2695542 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Turbidity NTU ND 0.50 10/02/19 12:44 LABORATORY CONTROL SAMPLE: 2695543 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Turbidity NTU 20 20.4 102 90-110 SAMPLE DUPLICATE: 2695544 92447698001 Dup Parameter Units Result Result RPD Qualifiers Turbidity NTU 5.1 5.0 1 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 16 Pace Analytical Services,LLC aceAnalytical® 6701 Conference Drive Raleigh,NC 27607 www.pacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 501248 Analysis Method: SM 2540D-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92447698001 METHOD BLANK: 2695891 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 10/02/19 15:49 LABORATORY CONTROL SAMPLE: 2695892 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 270 108 90-110 SAMPLE DUPLICATE: 2695893 92447531002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 19.7 21.7 10 D6 SAMPLE DUPLICATE: 2695894 92447698001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 10.2 10.2 0 Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 16 Pace Analytical Services,LLC ® 6701 Conference Drive (P7ceAnalytical® Raleigh,NC 27607 www.pacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 502972 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: 92447698001 METHOD BLANK: 2703861 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Aluminum mg/L ND 0.10 10/12/19 20:50 Hardness,Total(SM 2340B) ug/L ND 662 10/12/19 20:50 Zinc ug/L ND 10.0 10/12/19 20:50 LABORATORY CONTROL SAMPLE: 2703862 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Aluminum mg/L 5 5.0 100 85-115 Hardness,Total(SM 2340B) ug/L 33100 32600 99 85-115 Zinc ug/L ' 500 471 94 85-115 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2703863 2703864 MS MSD 2623948001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Aluminum mg/L ND 5 5 5.1 5.1 102 102 70-130 0 Hardness,Total(SM 2340B) ug/L 21100 33100 33100 54700 54600 101 101 70-130 0 Zinc ug/L ND 500 500 447 447 89 89 70-130 0 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2703865 2703866 MS MSD 92448255001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Aluminum mg/L 610 5 5 5.7 5.7 103 102 70-130 1 ug/L Hardness,Total(SM 2340B) ug/L 12700 33100 33100 47300 46700 104 103 70-130 1 Zinc ug/L 23.6 500 500 500 491 95 93 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 This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 16 Pace Analytical Services,LLC aceAnalytical 6701 Conference Drive Raleigh,NC 27607 www.pacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 501340 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: 92447698001 METHOD BLANK: 2696405 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Fluoride mg/L ND 0.10 10/03/19 22:35 LABORATORY CONTROL SAMPLE: 2696406 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Fluoride mg/L 2.5 2.4 96 90-110 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2696407 2696408 MS MSD 92446196002 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Fluoride mg/L 0.10 2.5 2.5 2.8 2.7 110 106 90-110 4 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2696409 2696410 MS MSD 92447949001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Fluoride mg/L ND 2.5 2.5 2.6 2.6 98 100 90-110 2 Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 16 aceAnalyticalPace Analytical Services,LLC ® 6701 Conference Drive Raleigh,NC 27607 wwwpacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 502713 Analysis Method: EPA 351.2 Rev 2.0 1993 QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN Associated Lab Samples: 92447698001 METHOD BLANK: 2702479 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen,Kjeldahl,Total mg/L ND 0.50 10/11/19 04:57 LABORATORY CONTROL SAMPLE: 2702480 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen,Kjeldahl,Total mg/L 10 9.4 94 90-110 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2702481 2702482 MS MSD 92447561002 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Nitrogen,Kjeldahl,Total mg/L 3.6 10 10 9.0 11.3 54 77 90-110 23 M1,R1 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2702483 2702484 MS MSD 92447698001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Nitrogen,Kjeldahl,Total mg/L 0.75 10 10 9.3 8.4 86 76 90-110 10 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 This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 16 aceAnalytical® Pace Analytical Services,LLC 6701 Conference Drive Raleigh,NC 27607 ww'.pacelabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 502768 Analysis Method: EPA 353.2 Rev 2.0 1993 QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate+Nitrite,preserved Associated Lab Samples: 92447698001 METHOD BLANK: 2702581 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen,NO2 plus NO3 mg/L ND 0.040 10/10/19 18:46 LABORATORY CONTROL SAMPLE: 2702582 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Nitrogen,NO2 plus NO3 mg/L 2.5 2.6 103 90-110 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2702583 2702584 MS MSD 92448266001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Nitrogen,NO2 plus NO3 mg/L 3.0 2.5 2.5 5.0 5.1 81 82 90-110 1 M1 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2702585 2702586 MS MSD 92448413001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Nitrogen,NO2 plus NO3 mg/L ND 2.5 2.5 2.4 2.3 96 92 90-110 3 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 10 of 16 Pace Analytical Services,LLC ® 6701 Conference Drive aC@Ana�ytica� Raleigh,NC 27607 trvnvpacefabs.com (919)834-4984 QUALITY CONTROL DATA Project: Quarterly Wastewater Pace Project No.: 92447698 QC Batch: 501584 Analysis Method: EPA 365.1 Rev 2.0 1993 QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus,Total Associated Lab Samples: 92447698001 METHOD BLANK: 2697487 Matrix: Water Associated Lab Samples: 92447698001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Phosphorus mg/L ND 0.050 10/04/19 18:40 LABORATORY CONTROL SAMPLE: 2697488 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Phosphorus mg/L 2.5 2.5 101 90-110 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2697489 2697490 MS MSD 92447541001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Phosphorus mg/L 284 2.5 2.5 267 273 -676 -428 90-110 2 M6 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2697491 2697492 MS MSD 92447752002 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Phosphorus mg/L 0.067 2.5 2.5 2.6 2.6 102 102 90-110 0 Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 11 of 16 Pace Analytical Services,LLC ence Drive aceAnalytical cal Raleigh,NC 27607 www.pacelabs.com (919)834-4984 QUALIFIERS Project: Quarterly Wastewater Pace Project No.: 92447698 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. LABORATORIES PASI-A Pace Analytical Services-Asheville PASI-E Pace Analytical Services-Eden ANALYTE QUALIFIERS 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 . This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 12 of 16 Pace Analytical Services,LLC 6701 Conference Drive aceAnalytical Raleigh,NC 27607 www.pacelabs.com (919)834-4984 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Quarterly Wastewater Pace Project No.: 92447698 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92447698001 Quarterly Wastewater SM 2130B-2011 501191 92447698001 Quarterly Wastewater SM 2540D-2011 501248 92447698001 Quarterly Wastewater EPA 200.7 Rev 4.4 1994 502972 EPA 200.7 Rev 4.4 1994 502997 92447698001 Quarterly Wastewater TKN+NO3+NO2 503377 Calculation 92447698001 Quarterly Wastewater EPA 300.0 Rev 2.1 1993 501340 92447698001 Quarterly Wastewater EPA 351.2 Rev 2.0 1993 502713 EPA 351.2 Rev 2.0 1993 503007 92447698001 Quarterly Wastewater EPA 353.2 Rev 2.0 1993 502768 92447698001 Quarterly Wastewater EPA 365.1 Rev 2.0 1993 501584 EPA 365.1 Rev 2.0 1993 501626 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:10/15/2019 10:12 AM without the written consent of Pace Analytical Services,LLC. Page 13 of 16 . ! . • i T_______.__i I Document Name: Document Revised:February 7,7D18 I 43 ! . Sample Condition Upon Receipt(SCUR) . • Page 1 of 2 j 2^"`vy°� • Document No.: Issuing Authority: F.CAR•CS-d33•Rev.06 Pace Carolinas Quality Office • Laboratory receiving samples: • Asheville 0 Eden° Greenwood 0 Huntersvifle❑ Raleigh f " Mechanicsville° • • SampleCon drtinn Client Name: WO# : 92447698 • UppnUacelpt /IL ty \o Projectfl: Courier. ❑Fed EX' ❑UPS ❑USPSn []client ❑Commer LUll1111111111 nal . ❑Fora Cotner: l 92447698 Custody Seal Present? Dyes ltilrya• Seals intact? ['Yes ❑No K)/1/M Dato/Initiats Person 6ramtmeg ConteatW) Packing Material: [(Bubble Wrap • ❑Bubble Bags DNone 0 Other Biological Tissue rozen? • Thermometer: Des ONo N/A 0I8 Gun fID.0002) Type of ice: 'Net ❑Blue ❑fione Cooler Temp CC): 1-' Correction Factor.Add/Subtract('C)—(j,` • Temp should be abayefreezingto 6'C I • Cooler Temp Corrected('C): .O °Samples out of temp criteria Samples an ice,waling proem i has begun USDA Regulated Soil ( 4,wat csample) • Old samples originate In a•quarantine tone A(thfn the Untied States:CA,NY,or SC(check maps)? Did samples originate from a foreign source(IntrnratIonaily, Dyes [+Na indudtngHawan and Puerto Mao)?[]Yes Olio Comments/Discrepancy: Chain of Custody Present? • �Y , ■No A N/n L Samples Arrived within Raid Time? QNo []N/A 2 • Short Hold Time Analysis(c72 hr.)? (4 es ON ON/A 3. • • • • Rush Turn Around Time Requested? Oyes No QN/A 4. Sufficlent'/olume? DNo ON/A. 5. • CorrcaCarrtainers Used? [(No ON/A 6, i -Pace Containers Used? Yes [(No [f N/A / i Containers Intact? des Duo A 7. i I Dissolved analysts:Sameles Field Mitered? [)Na N/A 8. Sample labels Match CDC? Yes (]No TWA 9. 4ndudes0ate�me/IDJAnalysis Matrix._ 11 Y • H °Yet—eNo— 0 • Trip Blank Present? []Yet Quo N/A • 11. i Trip Blank Custody Seals Present? []Yes Quo fsdN/A I COMMENTS/SAMPLE DISCREPANCY Raid Data Required? Dyes Duo i i . i • • La t ID of split containers: CLIENT NOTIFICATION/RESOLUT1ON Person tentacled: Date/Time: 0 r(�—(�' _..--- 'v^�—(i Page 14 of 16 u r- 8 t 1 — V al lA A W y� 3 item° 9 R t g [t-YSy o BP4U-125 mL Plastic Unpresarved(N/A)(CI-) ra 43 3, ? _ a•3 eP3U•250 mL Plastic Unprelerved(N/A) O p N II. pc- n m BP2U-500 mL Plastid U 9) O n. BPSU-1 lltar Plastic Unpraserved(N/A) -a O 7 S 8P4S-125 mL Plastic H2504(pH a 2)(CI-) X a . m G- O i 0 BP3N-250 ml plastic HNO3(pH a 2) o n a • •17 i 7/ BP42-125 mL Plastic 2N Acetate &NeOH(>9) a• a M • 0 O m 5 5 S7 / BP4f.12s mL Plastic NgOH(pH>12)(tl-) 3 m m / is x • WGFU-Wyss-mouthed Glass Jar Unpreserved 0 o ; C7 O1 �- > - - o o an c n:. // /J // AG1U-1 liter Amber Unpreserved(N/A)(Cl-) a o O Q m C �// / I 1 O 3 m ////7 / AG]H-1llterAmbarHCl(pH<2) m` t- m O � o 1 re ^ es ..... AG3U•250 mlAmber Unpttwerved(N/A)(Cl-) m 3 a v 7:Z//,,,,:://. $ C 0AGSS 11IterAmber H2504{pH<2jS=' CAG35-250mLAmberH25O4(pH c2) °p m ^ 73 n N AGSA(OG3A)-250 mLAmber NH4C1(N/A)(CI-) R 2 iq 3 ro I •DG9H-40 mL VOA HO (N/A) m N m1 O r" In2 V G97-40 mL VOA Na25203(N/A) r A 3 UG>U-40 rni.V DA unp(N/A1 f at 1 3 ty, OG9P-40 mL VOA H3PO4(N/A} r 3 g VOAK(Bvlals per hit}5035 Wt(N/A) In N 0 4 t i F1 V/GIC(3 vials par kit)-VPH/Ges kit(N/A) cif • _ • s eo SPST-325 mL5te lIe Plastic(N/A-1n6� //� p �/ c• a • SP27-250 mi.Stadia Plastic (N/A—lab) N Z V g %f 7.7.;,(7„Zir BP3A,250 mL Plastic(NH2)2SO4(99-9.7) F co AGOU-SDD mLAmbar Unpreservod vials(N/A) a i VSGU-20 mt.Scintillate°vials (N/A) (rt1 ( ' • OG9U-40 mLAmbar Unproserved viols(N/A) • r•+ /0 O �/ r In r m -0 as CD Co . .. .------•- ... .. . _.. -..---_—___-----••----_.__.. rn co 0 co Cl, - CHAIN-OF-CUSTODY I Analytical Request Document a The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately. R' Section A Section 6 Requited Mont Inromnatlon: S C Required Project Ytromtatiory Invoice Information:atlon: I I oke Y• Karr Lake Regional Water Repots To: Eric Norwood Attention: ��: 1 Of 1 &Odes 280 Regional Water Lane Copy To: - Company Name: Nondorson.NC 27536 Addess iin"...41 132oagiyalrory`ilgiiief. ._ .. .;=M� Email: Purchase Order8: Paco Quota Phone: (252)438-2141 'Fact: Project NOME Quertedy Wastewater Pats Plvved Manager. agelabakeiaparrnlate.corn. " iELISi'-;r"' . S-atiRilacatiar' ice. c, Requested Due Date: Project it: Paco Profile t. NC MATRIX COM : o COLLECTED = freSO1VdIV6S >� `,y, `^ ��„`„'cf�v ^. Woking Wrtr ON 1 L 2 ''i. _ VOW wr 11N- WtffiWna vnr " m w - SAMPLE ID P s x a CR a START END ID 6. Orr.Character per box. '�r.. war en - a 2�' ei (A.Z.0.9r,-) O—ar Off g —isl < a >•m .0 CO Sample Ida mat be unique The. 1S a o 0 8 6 2 o a. w ! o o x - to 3e 1 . o, .fie €' 1��'�1 1 ~ g ei GATE TIME DATE TIME a m x x x i z z O s LL F r t'- a ¢ t i(4"1 -(0(-f f Fr.*.t:;=1 1s•at5Oems loy•Ic a Ro rr7 I cfr- e— CT J;r a: ::: 31 • fyCGSptiOYGLt 5 .." ti -'t err i �• fT�[//r�(ne5"5" a73? • r•T' — ix.12-!! '.• �++ ._..•'..'•'�_-'-� �_�H.;y.rt: .'. ..;n_y"i �e'^ �__r.c,...' =+_�i•...'..+e;r g�.n.�v�-�:•9. ';r'..'::''jrc�r •e.n.+.rn.,;' ---„�;,:1 .'a �v c.•_a. Y.. 1.ct.�... sr-r2,L,nua#:E: �, s • o::._,. - ../r, - TEA:.. ;:B:Bl . .T ilnlj't'^n 4 r t rF.. .� i `ilLiT a� _. ..-ti..� r„_.�_•::...;..:�:.�:...�1. :r-'.- r^a•.� L+�—s.a`:. <•' .d�:_•.-nr�,. : �::.." -�15i k. I . C1 (M . . o V ti 133-7 siWPyt4}ti3ErrOS10Nflju[?E,-i-'tac, .::_'-.r^":,.,: >»,"At-t4zew. '"�rtkr,: .:s.os.` �' :sn'c'�-.I':'t PRINT Name of SAMPLER u 1.hey (A +X.c tM SC Al a 'g y `mn SIGNATURE of SAMPLER /�/� DATE Signed:/6 igned: 1 8 Z 5 o? 5 8z elGf�.�=� 1 I lG'l l� 1- a 13 Z 0 y c./Z. co E it