NCG060401_MONITORING INFO_20191210

mv, u
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
AG 0W o l o /
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ C;
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 12/5/20
CERTIFICATE OF COVERAGE NO. NCG06 0 4 0 1
FACILITY NAME Amazon cLT4
COUNTY MecMenbum
PERSON COLLECTING SAMPLES Chns Metter
LABORATORY EemnneTeet rrenca Lab Cert. N 269
REC%E►` ED
DEC 10 2019
O NTFUAL FILES
DWIR-CECTIOIN'
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Watersupply ❑SA
OOther ciessc
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Total event rainfall 2 1.22 or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
30001
5001
Parameter Code
-
COS30
00400
00340
00556
31616
61211
001
10MU2019
10
9.3
67
1.7
N/A
N/A
002
t0130/2019
zA
7.3
11
071
N/A
N/A
003
ter3012019
3]
8.9
16
1.0
N/A
N/A
004
10I W,1,
12
7.7
23
0.62
N/A
N/A
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge ate outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes X no
(if yes• complete Part B)
Permit Date:ll/l/2018-05/31/2021
SWU-249, Last Revisedll/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitorine Results: only for facilitips avPravinP � SS vai of no.., ....... _a i..... +k
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552--- - -
---- -00530 ---
uoinuces Prom Part A also apply io Part is
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I 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
manage the system, or those 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."
Signature of Permittee
12/4/19
Date
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised11/5/2018
Page 2 of 2

ti�a%eurofins '
Environment Testing
TestAmerica
ANALYTICAL REPORT
' Eurofins TestAmerica, Savannah
5102 LaRoche Avenue
Savannah, GA 31404
Tel: [phone]
Laboratory Job ID: 680-176267-1
Client Project/Site: Storm Water - Amazon Warehouses CLT4
For:
ERM-West
1920 Main Street
Suite 300
Irvine, California 92614
Attn: Doug J Wade
Authorized for release by:
1111512019 5:16:24 PM
Danielle Roberts, Senior Project Manager
[phone]
[e-mail]
.:......... LINKS ............
Review your project
results through
TotdAcce%
Have'a Question?
fr; Asks
The test results in this report meet all 2003 NELAC and 2009 TNI requirements for accredited
parameters, exceptions are noted in this report. This report may not be reproduced except in full,
if Ex a rt and wdh written approval from the laboratory. For questions please contact the Project Manager
Qat the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
lisit us at:
uww tpctamprirainr rnm Results relate only to the items tested and the sample(s) as received by the laboratory.

Definitions/Glossary
Client: ERM-West Job ID: 680-176267-1
Project/Site: Storm Water -Amazon Warehouses CLT4
General Chemistry
Qualifier Qualifier Description
H Sample was prepped or analyzed beyond the specified holding time
J Result is less than the RL but greater than or equal to the MDL and the concentration is an approximate value.
Glossary
Abbreviation These commonly used abbreviations may or may not be present in this report.
Listed under the "D" column to designate that the result is reported on a dry weight basis
%R Percent Recovery
CFL Contains Free Liquid
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL Detection Limit (DOD/DOE)
DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample
DLC Decision Level Concentration (Radiochemistry)
EDL Estimated Detection Limit (Dioxin)
LOD Limit of Detection (DaD/DOE)
LOQ Limit of Quantitation (DoD/DOE)
MDA Minimum Detectable Activity (Radiochemistry)
MDC Minimum Detectable Concentration (Radiochemistry)
MDL Method Detection Limit
ML Minimum Level (Dioxin)
NC Not Calculated
NO Not Detected at the reporting limit (or MDL or EDL if shown)
PQL Practical Quantitation Limit
QC Quality Control
RER Relative Error Ratio (Radiochemistry)
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEO Toxicity Equivalent Quotient (Dioxin)
L
Eurofins TestAmerica, Savannah
Page 2 of 14 11/15/2019

Sample Summary
Client: ERM-West
Project/Site: Storm Water -Amazon Warehouses CLT4
Lab Sample ID
Client Sample ID
Matrix
680-176267-1
CLT4-OUTFALL 001
Water
680-176267-2
CLT4-OUTFALL 002
Water
680-176267-3
CLT4-OUTFALL 003
Water
680-176267-4
CLT4-OUTFALL 004
Water
Job ID:680-176267-1
Collected Received Asset ID
10/30/19 13:45
11/01/19 09:30
10/30/19 14:00
11/01/19 09:30
10/30/19 15:45
11/01/19 09:30
10/30/19 15:45
11/01/19 09:30
E
Page 3 of 14
Eurofins TestAmerica, Savannah
11 /15/2019

Case Narrative
Client: ERM-West
Project/Site: Storm Water -Amazon Warehouses CLT4
Job ID: 680-176267-1
Laboratory: EurofinsTestAmerica, Savannah
Narrative
Job Narrative
680-176267-1
Comments
No additional comments.
Job ID:680-17(3267-1
Receipt
The samples were received on 11/1/2019 9:30 AM; the samples arrived in good condition, properly preserved and, where required, on ice.
The temperatures of the 2 coolers at receipt time were 0.60 C and 1.90C.
General Chemistry
Method SM 2540D: The following samples were analyzed outside of analytical holding time due to analyst error CLT4-OUTFALL 001
(680-176267-1), CLT4-OUTFALL 002 (680-176267-2), CLT4-OUTFALL 003 (680-176267-3) and CLT4-OUTFALL 004 (680-176267-4).
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
Eurofins TestAmerica, Savannah
Page 4 of 14 11/15/2019

Client Sample Results
Client: ERM-West
Project/Site: Storm Water -Amazon Warehouses CLT4
Client Sample ID: CLT4-OUTFALL 001
Date Collected: 10/30119 13:45
Date Received: 11/01/19 09:30
Job ID:680-176267-1
Lab Sample ID: 680-176267-1 j
Matrix: Water t
General Chemistry
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared Analyzed
Dil Fac©
HEM (Oil & Grease)
1.7 J
2.5
0.71
mg/L
17/OB/19 09:29 11/08/19 12:24
1
Total Suspended Solids
10 H
2.5
2.5
mg/L
11/10/19 11:07
1
Chemical Oxygen Demand
67
10
5.0
mg/L
11/13/19 17:35
1
Client Sample ID: CLT4-OUTFALL 002
Lab Sample ID: 680-176267-2
Date Collected: 10/30/19 14:00
Matrix: Water
Date Received: 11101119 09:30
General Chemistry
Analyte Resull Qualifier
RL
MDL
Unit
D Prepared Analyzed Dil Fac
HEM (Oil & Grease) 0.71 J
2.5
0.71
mg/L
11/ 88/1909:29 11/08/1912:24 1
Total Suspended Solids 2.4 H
1.0
1.0
mg/L
11/10/1911:33 1
Chemical Oxygen Demand 11
10
5.0
mg/L
11/13/1917:35 1
Client Sample ID: CLT4-OUTFALL 003
Lab Sample ID: 680-176267-3
Date Collected: 10/30/19 15:45
Matrix: Water
Date Received: 11/01119 09:30
General Chemistry
Analyte Result Qualifier
RL
MDL
Unit
D Prepared Analyzed Dil Fac
HEM (Oil & Grease) 1.0 J
2.5
0.71
mg/L
11/08/1909:29 11/08/1912:24 1
Total Suspended Solids 3.7 H
1.0
1.0
mg/L
11/10/1911:11 1
Chemical Oxygen Demand 16
10
5.0
mg/L
11/1311917:35 1
Client Sample ID: CLT4-OUTFALL 004
Lab Sample ID: 680-176267-4
Date Collected: 10/30/19 15:45
Matrix: Water
Date Received:11/01119 09:30
General Chemistry
Analyte Result Qualifier
RL
MDL
Unit
D Prepared Analyzed Dil Fac
HEM (Oil & Grease) 0.82 J
2.6
0.72
mg/L
1110811909:29 11/08/1912:24 1
Total Suspended Solids 12 H
1.0
1.0
mg/L
11/10/1911:06 1
Chemical Oxygen Demand 23
10
5.0
mg/L
11/13/1917:35 1
Eurofins TestAmerica, Savannah
Page 5 of 14 11/15/2019

QC Sample Results
Client: ERM-West
Project/Site: Storm Water -Amazon Warehouses CLT4
Job ID:680-176267-1
Method: 1664E - HEM and SGT-HEM
Lab Sample ID: MB 680-595217/1-A Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
ranatysts e,a,cn: oaozro i-rep tyalcn: oaoz37
MB MB
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac
HEM (Oil & Grease) 4 5.0 1.4 mg/L 11/08/19 09:29 iTdiEt 19 12:24 1
Lab Sample ID: LCS 680-595217/2-A Client Sample ID: Lab Control Sample
Matrix: Water Prep Type: Total/NA
Analysis Batch: 595276 Prep Batch:595217
Spike LCS LCS %Rec.
Analyte Added Result Qualifier Unit D %Rec Limits
HEM (Oil E, Grease) 40.0 33.00 mg/L 82 78 -114
Lab Sample ID: LCSD 680-59521713-A Client Sample ID: Lab Control Sample Dup
Matrix: Water Prep Type: Total/NA
Analysis Batch: 595276 Prep Batch:595217
Spike LCSD LCSD %Rec. RPD
Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit
HEM (Oil 8 Grease) 40.0 31.20 mg/L 78 78 - 114 6 18
Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-105°C)
Lab Sample ID: MB 680-59541811
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 595418
MB MB
Analyte Result Qualifier
RL MDL Unit D Prepared Analyzed Dil Fac
Total Suspended Solids <1.0
1.0 1.0 mg/L 11/10/19 10:56 1
Lab Sample ID: LCS 680-595418/2
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 595418
Spike
LCS LCS %Rec.
Analyte Added
Result Qualifier Unit D %Rec Limits
Total Suspended Solids 4.00
3.90 mg/L 98 80 -120
Lab Sample ID: LCSD 680-595418/3
Client Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 595418
Analyte
Total Suspended Solids —
— — -- —
Method: 5220D-2011 - Chemical Oxygen Demand
Lab Sample ID: MB 680-596083/3
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 596083
MB MB
Analyte Result Qualifier
RL MDL Unit D Prepared Analyzed Dil Fac
Chemical Oxygen Demand <5.0
10 5.0 mg/L 11/13/19 17:35 1
Eurofins TestAmerica, Savannah
Page 6 of 14 11/15/2019

QC Sample Results
Client: ERM-West Jab ID:680-176267-1
Project/Site: Storm Water -Amazon Warehouses CLT4
Method: 5220D-2011 -Chemical Oxygen Demand (Continued)
is
Lab Sample ID: LCS 680-596083/4 Client Sample ID: Lab Control Sample
Matrix: Water Prep Type: Total/NA
Analysis tsa[cn: oaouas
Spike LCS LCS %Rec.
Analyte Added Result Qualifier Unit D %Rec Limits /�I
Chemical Oxygen Demand 50.0 46.9 mg/L 94 90-110 (�
Eurofns TestAmerica, Savannah
Page 7 of 14 11/15/2019

QC Association Summary
Client: ERM-West Job ID:680-176267-1
Project/Site: Storm Water -Amazon Warehouses CLT4
General Chemist
Prep Batch: 595217
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-176267-1
CLT4-OUTFALL 001
Total/NA
Water
1664B
680-176267-2
CLT4-OUTFALL 002
Total/NA
Water
1664B
680-176267-3
CLT4-OUTFALL 003
Total/NA
Water
1664E
680-176267-4
CLT4-OUTFACE 004
Total/NA
Water
1664B
MB 680-595217/1-A
Method Blank
Total/NA
Water
16648
LCS 680-595217/2-A
Lab Control Sample
Total/NA
Water
1664B
LCSD 680-595217/3-A
Lab Control Sample Dup
Total/NA
Water
1664E
Analysis Batch: 595276
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-176267-1
CLT4-OUTFALL 001
Total/NA
Water
1664B
595217
680-176267-2
CLT4-OUTFALL 002
Total/NA
Water
1664E
595217
680-176267-3
CLT4-OUTFALL 003
Total/NA
Water
1664E
595217
680-176267-4
CLT4-OUTFACE 004
Total/NA
Water
1664B
595217
MB 680-595217/1-A
Method Blank
Total/NA
Water
1664B
595217
LCS 680-595217/2-A
Lab Control Sample
Total/NA
Water
1664B
595217
LCSD 680-595217/3-A
Lab Control Sample Dup
Total/NA
Water
1664E
595217
Analysis Batch: 595418
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
680-176267-1
CLT4-OUTFALL 001
Total/NA
Water
2540 D-2011
680-176267-2
CLT4-OUTFALL 002
Total/NA
Water
2540 D-2011
680-176267-3
CLT4-OUTFALL 003
Total/NA
Water
2540 D-2011
680-176267-4
CLT4-OUTFACE 004
To
Water
2540 D-2011
MB 680-595418/1
Method Blank
Total/NA
Water
2540 D-2011
LCS 680-595418/2
Lab Control Sample
Total/NA
Water
2540 D-2011
LCSD 680-595418/3
Lab Control Sample Dup
Total/NA
Water
2540 D-2011
Analysis Batch: 596083
Lab Sample ID
680-176267-2
680-176267-3
680-176267-4
MB 680-596083/3
LCS 680-596083/4
Client Sample ID
Prep Type
CLT4-OUTFALL 001
Total/NA
CLT4-OUTFALL 002
Total/NA
CLT4-OUTFALL 003
Total/NA
p1121
Method Blank
Lab Control Sample
Total/NA
Total/NA
Total/NA
Matrix
Method Prep Batch
Water
522OD-2011
Water
5220D-2011
Water
5220D-2011
Water
9220D-2011
Water
5220D-2011
Water
5220D-2011
Eurofns TestAmerica, Savannah
Page 8 of 14 11/15/2019

Lab Chronicle
Client: ERM-West
Project/Site: Storm Water -Amazon Warehouses CLT4
JobID:680-176267-1
Client Sample ID: CLT4-OUTFALL 001
Lab Sample ID: 680-176267-1
i
Date Collected:10/30/1913:45
Matrix: Water
L
Date Received: 11/01/19 09:30
Batch Batch
oil
Initial
Final
Batch Prepared
Prep Type Type Method Run
Factor
Amount
Amount
Number or Analyzed Analyst Lab
Total/NA Prep 1664B
985 mL
500 mL
595217 11/08/19 09:29 EEW TAL SAV
Total/NA Analysis 1664B
1
595276 11/08/19 12:24 EEW TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 2540 D-2011
1
400 mL
1000 mL
595418 11/10/1911:07 JAW TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 52200-2011
1
2 mL
2 mL
596083 11/13/19 17:35 TB TAL SAV
Instrument ID: SPC7
n
'L5(
Client Sample ID: CLT4-OUTFALL 002
Lab Sample ID: 680-176267-2
Date Collected: 10/30/19 14:00
Matrix: Water
Date Received: 11101/1909:30
Prep Type
Batch Batch
Type Method Run
Total/NA
Prep 1664B
Total/NA
Analysis 1664B
Instrument ID: NOEQUIP
Total/NA
Analysis 2540 D-2011
Instrument ID: NOEQUIP
Total/NA
Analysis 52200-2011
Instrument ID: SPC7
Dil
Initial
Final
Batch
Prepared
Factor
Amount
Amount
Number
or Analyzed
Analyst
Lab
988 mL
500 mL
595217
11/08/19 09:29
EEW
TAL SAV
1
595276
11/0811912:24
EEW
TAL SAV
1
1000 mL
1000 mL
595418
11/10/19 11:33
JAW
TAL SAV
1
2 mL
2 mL
596083
11/13/19 17:35
TB
TAL SAV
Client Sample ID: CLT4-OUTFALL 003 Lab Sample ID: 680-176267-3
Date Collected: 10/30/19 15:45 Matrix: Water
Date Received: 11 /01119 09:30
Batch Batch
Prep Type Type Method Run
Dil
Factor
Initial
Amount
Final
Amount
Batch
Number
Prepared
or Analyzed
Analyst Lab
Total/NA Prep 1664B
984 mL
500 mL
595217
11/08/1909:29
EEW TAL SAV
Total/NA Analysis 16648
1
595276
11/08/1912:24
EEW TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 2540 D-2011
1
1000 mL
1000 mL
595418
11/10/19 11:11
JAW TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 52200-2011
1
2 mL
2 mL
596083
11/13/19 17:35
TB TAL SAV
Instrument ID: SPC7
Client Sample ID: CLT4-OUTFALL 004
Lab Sample ID: 680-176267-4
Date Collected: 10/30/19 15:45
Matrix: Water
Date Received: 11/01/19 09:30
Prep Type
Batch Batch
Type Method Run
Total/NA
Prep 16648
Total/NA
Analysis 1664E
Instrument ID: NOEQUIP
Total/NA
Analysis 2540 D-2011
Instrument ID: NOEQUIP
Total/NA
Analysis 5220D-2011
Instrument ID: SPC7
Dil
Factor
Initial
Amount
Final
Amount
Batch
Number
Prepared
or Analyzed
Analyst
979 mL
500 mL
595217
11/O8/1909:29
EEW
1
595276
11/08/1912:24
EEW
1
1000 mL
1000 mL
595418
11/10/19 11:06
JAW
1 2 mL
2 mL 596083 11/13/19 17:35 TB
Lab
TAL SAV
TAL SAV
TAL SAV
TAL SAV
Page 9 of 14
Eurofins TestAmerica. Savannah
11/1512019

Lab Chronicle
Client: ERM-West Job ID:680-17(3267-1
Project/Site: Storm Water -Amazon Warehouses CLT4
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL [phone]
Eurofins TestAmerica, Savannah
Page 10 of 14 11/15/2019

Accreditation/Certification Summary
Client: ERM-West
Job ID:680-176267-1
Project/Site: Storm Water -Amazon Warehouses CLT4
Laboratory: Eurofins TestAmerica, Savannah
The accreditations/cerGfcations listed below are applicable to this report.
Authority Program Identification Number
Expiration Date
North Carolina (WW/SW) Stale Program 269
12-31-19
Laboratory: Eurofins TestAmerica, Irvine
The accreditations/certifications listed below are applicable to this report.
Authority Program Identification Number
Expiration Date
California State Program CA ELAP 2706
06-30-20
Eurofins TestAmerica, Savannah
Page 11 of 14 11/15/2019

Method Summary
Client: ERM-West
ProjecUSite: Storm Water -Amazon Warehouses CLT4
Method
Method Description
1664E
HEM and SGT-HEM
2540 D-2011
Total Suspended Solids (Dried at 103-105°C)
5220D-2011
Chemical Oxygen Demand
1664E
HEM and SGT-HEM (Aqueous)
Protocol References:
1664B = EPA-821-98-002
SM = "Standard Methods For The Examination Of Water And Wastewater"
Laboratory References:
TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL [phone]
Job ID:680-176267-1
Protocol
Laboratory
1664B
TAL SAV
SM
TAL SAV
SM
TAL SAV {
1664B
TAIL SAV
v
Eurofins TestAmerica, Savannah
Page 12 of 14 11/15/2019

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5102 LaRoche Avenue
Savannah, GA 31404
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Login Sample Receipt Checklist
Client: ERM-West Job Number: 680-176267-1
Login Number: 176267
List Number: 1
Creator: Weston, Pamela
Question
List Source: Eurofins TestAmerica, Savannah
Answer Comment
Radioactivity wasn't checked or is </= background as measured by a survey
N/A
meter.
The cooler's custody seal, if present, is intact.
True
Sample custody seals, if present, are intact.
True
The cooler or samples do not appear to have been compromised or
True
tampered with.
Samples were received on ice.
True
Cooler Temperature is acceptable.
True
Cooler Temperature is recorded.
True
COC is present.
True
COC is filled out in ink and legible.
True
COC is filled out with all pertinent information.
True
Is the Field Sampler's name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time (excluding tests with immediate
True
HTs)
Sample containers have legible labels.
True
Containers are not broken or leaking.
True
Sample collection date/times are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
True
Sample Preservation Verified.
N/A
There is sufficient vol. for all requested analyses, incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble is
N/A
<6mm (1/4").
Multiphasic samples are not present.
True
Samples do not require splitting or compositing.
True
Residual Chlorine Checked.
N/A
Eurofins TestAmerica, Savannah
Page 14 of 14
11/15/2019
A