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Home My WebLink AboutNCG120056_MONITORING INFO_20200113RZ ,0 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. (- G )a "V U 5(o DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ p �% 13 YYYYM M D D Semi-annual Stormwater Discharge Monitoring; Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000 Date submitted CERTIFICATE OF COVERAGE NO. NCG12 0 0 5 6 FACILITY NAME Upper Piedmont Regional Landfill COUNTY Person PERSON COLLECTING SAMPLES Chris Gustin LABORATORY ENCO Lab Cert. fi 591 Comments on sample collection or analysis: Tier II Monthly Sampling for Dutfall 002 only Part A: Stormwater Benchmarks and Monitoring Results 3.2020 SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑■ Monthly' December (month) DIScHARG ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA JAN 13 Mo *Other SWS-Iv, NSW CENI RAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION n No discharge this period2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand mg/L Fecal per Col1 0 Colonies per 100 mL Total Suspended Solids mg/L Standard Units and Benchmarks _ - 120 1000 100 or 504 6.0-9.0 Parameter Code - 46529 00340 31616 C0530 00400 001 002 12/10/19 0.38 100 31.0 15 7.32 003 004 005 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/l/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period' OutFall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -Polar Oil & Grease mg/L Total Suspended Solids, mg/L New Motor or Hydraulic Oil Usage, gal/mon Benchmarks - - 15 100 or 504 Parameter Code - 46529 00552 C0530 NCOIL 001 002 12/10/19 0.38 <2.70 15 >55 003 00< 005 Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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, North Carolina 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 p rsons dir y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aw re t t er are sig 'cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 3 J 4 r 2vLd Si ature of Permittee Date Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 2 of 2 W FJVCO Laboratories Accurate. Timely. Responsive. Innovative. 102-A Woodwinds Industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Thursday, December 19, 2019 Republic Services of NC (RE014) Attn: Christopher Gustin 9650 Oxford Rd Rougemont, NC 27572 RE: Laboratory Results for Project Number: Semi -Annual, Project Name/Desc: Upper Piedmont Stormwater Monthly ENCO Workorder(s): CC11159 Dear Christopher Gustin, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Tuesday, December 10, 2019. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative if applicable. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. if you have any questions or require further information, please do not hesitate to contact me. Sincerely, �V/'1_.�//!' 1 Meghan K Shea Project Manager Enclosure(s) 1`1 L This repan relates may m Me sample as served try Me lahomtory, aM may onh, Le mWaduoad h U, I Page 1 of 9 - M ' E)) ,Leg www.enmlabs.rnm SAMPLE SUMMARY/LABORATORY CHRONICLE Olent ID: Outfall2 lab ID: CC11159-01 Sampled: 12/10/19 08:15 Received: 12/10/19 10:46 Parameter pn para0on Hold Date/Time(sl Prep Date/Timm AnaWs Date/Tine(s) EPA 1664A EPA 1664A 01/07/20 12/12/19 11:07 12/13/19 14:56 SM 254OD-2011 NO PREP 12/17/19 12/13/19 12:56 12/13/19 12:56 SM 522OD-2011 Same 01/07/20 12/14/19 14:16 12/14/19 14:16 FINAL. This u" relates only m me sample as receMea by me laboramry, and may only a nepmyli In full. Page 2 OFT] Amlyte Chemical Oxygen Demand Total Suspended SuIM SAMPLE DETECTION SUMMARY Results E1e9 IML EQL uwta 100 10 10 mg/L 15 2.5 2.5 mg/L CeN , www.ancolabs.mm SM 5220D-2011 SM 25MD-2011 FIML This 1e twat- only to the sample as t.ce by Me lap tory, and may only e re nducid in full. I Page 3 Oi 9 w .encolabs.mm ANALYTICAL RESULTS Description: Outfall 2 Lab Sample ID: CC11159-01 Received: 12/10/19 10:46 Matrix: Surface Water Sampled: 12/10/19 08:15 Work Order: CC11159 Project: Upper Piedmont Stomwater Monthly Sampled By:Client Classical Chemistry Parameters ^ -EMCO Cary cer(ifiN anary(e/AY 5911 Analvte (CAS Numbed Results Flag units DF MIDL PQL Batch Mein Anaed BY Notes Chemical Oxygen Demand^ 100 mg/L 1 10 10 9114006 SM 5220D-2011 12/14/19 14:16 JOC Total Suspended Solids- is mg/L 1 2.5 2.5 91173025 SM 2540D-2011 12113/1912:56 JAH Classical Chemistry Parameters Analvte FCAS Numberl Rmljtsc flu units DE MPL EQL QA= Method Anah¢sd kII Notes Oil & Grease (HEM-537) Nan -Polar Material 270 ll mg/L t 270 5.00 9L12010 EPA 1664A 12/13/19 14:56 5MA FINAL This repot relates only to Me sample as ro e, Iry the laboratory, aM may only to mpmtluceo In full I Page 4 Of 9 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 9L13025 - NO PREP Blank (91,33025-BLRI) Prepared & Analyzed: 12/13/2019 12:56 Spike Souree %REC RPD Analvle Result flap PQL Units Level Result %REC Limits RPD Limit Holes Total Suspended] Solids 2.5 U 2.5 mg/L LCS (9L13025-851) Prepared & Analyred: 12/13/2019 12:56 Spike Source %REC RPD Analvte Result Sap POL units Level Result %REC limits RPD Limit Notes I otal Suspended Solids 91 2.5 mg/L 100 91 80-120 Duplicate (91-33025-DUP3) Prepared & Anayzed: 12/13/2019 12:56 Source: CC18329-01 Spike Source %REC RPD .Angling Result flap POL Units Level Result %REC Limits RPD Limn Notes Total Suspended Solids 980 110 mg/L 1400 33 20 QM-12 Duplicate (91-13025-DUP2) Prepared & Analyzed: 12/13/2019 12:56 Source: CCIS385-01 Spike Source %REC RPD An&WW Result flap CQL units Level Restm %REC LimRi RPD Unlit Notes Total Suspended Solids 220 41 mg/L 220 2 20 Batch 9L14006 - Same Blank (9LI4006-BLRI) Neal & Analyzed: 12/14/2019 14:16 Spike Source %REC RPD Anal Result Flau POL Units Leval Result %REC Limits RPD Limit Notes Clu_miwl Oxygen Demand 10 U 10 mg/L LCS (91-14006-I1S1) Prepare) & Analyzed: 12/14/2019 14:16 Spike Source %REC RPD Armlvte Basalt flag POL Unite Level Rgsu %REC Limits RPD Limit Notes Ch miwl Oxygen Demand 490 10 mg/L 500 99 90-110 Matrix Spike (91-34006-11 Prepared & Analyzed: 12/14/2019 14: 16 Source: CCIII59-01 Spike Source %REC RPD Anal Result FIN PQL Units Level Rat %REC Limlti RPD Limo Rote Uemh:al Oxygen Dewnd 610 10 mg/L 526 100 95 90-110 Matrix Spike Dup (91.14006-MSDS) Prepared & Analyzed: 12/14/2019 14:16 Source: CCIII59-01 Spike Source %REC RPD Anaivte Result Rag P-QL units Level Result %REC Limits RPD Limit Notes Chemical Oxygen Demand 600 10 mg/L 526 100 95 90-110 0.4 5 Classical Chemistry Parameters - Quality Control Batch 9L12010 - EPA 16648 Blank (91-12010-BLRI) Prepared: 12/12/2019 11:07 Analyzed: 12/13/2019 14:56 Spike Source %REC RPD Anal9te Result Flau POL units Level Result %REC Limits RPD Limit Rq1eei Oil & Grease (HEM-SGT) Non -Polar Material 2.70 U 5.00 mg/L FlNAL. This repot rmates only to me sample as rmelved by me laboratory, aM may mJy be reproduced In full. Page 5 of 9 s � vnaw.enmlabs.cpm QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Balch 9LI2010 - EPA 1664E - Continued LCS (91.12010-851) Prepared: 12/12/2019 11:07 Analyzed: 12/13/2019 14:56 Spike Source %REC RPD . Analvtp Result Flag PUL Units level Resul[ %REC Umits RPD Umit Notg Oil & Grease (HEM.SGl) Non -Polar Material 71.3 5.00 mg/L 78.7 90 64-132 1.C5 Dup (91.12010-11SDl) Prepared: 12/12/2019 1 L07 Analyzed: 12/13/2019 14:56 Se Source %REC RPD .AnatVW Result Rag P9L Units Level Result %REC Undt, RPD Unit r12ti5_ Oil & Grease (HEM.SGT) Non -Polar Material 79.6 5.00 mg/L 78.4 102 64-132 it 34 Matrix Spike (91.32010-MS1) Prepared: 12/12/2019 11:07 Analyzed: 12/13/2019 14:56 Source: 0005032-01 Spike Source %REC RPD .Analvte RCSOit Flag POL Units Level Result %REC Llml$ RPD LIMB Notes_ Oil & Grease (HEM-SGT) Non -Polar Material 80.4 5.00 mg/L 81.6 2.76 95 64-132 FINAL This report relates only to the sample as r.,M M the atr at.1, and may only he repmdored In 111. Page 6 Of 9 www.encolabs.com FLAGS/NOTES AND DEFINITIONS 8 The analyte was detected in the associated method blank. D The sample was analyzed at dilution. I The reported value is between the laboratory method detection limit (MDL) and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. PQL PQL Practical Quantitation Limit. The PQL presented is the laboratory MRL. The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. [CALL] Calculated analyte - MDL/MRL reported to the highest reporting limit of the component analyses. QM-12 Precision between duplicate samples was outside acceptance limits. nruI- This report relates only m the sample as received by the laboatbn, am ray only be reprobucee in full. I Page 7 of g — tC; ]S Cerva`PonP <EtDneaf Pory CouC.SWe tt: tTI-S lndatN,p. Osev:. FL 3?62< Jac*.su�nba. F: 322tbfiRi9 Ca,, NC M1 t (<C718P2 531< Fa> i<DJ1880 S 19D:)2983DDJ Fez (BDtt 295621D (?.91s87-9D90 :v (�te(<eJ35t5 Cb Name Pr Numem a ReW A.ty— Republic Servi�esof NC (RE014) I Semi -Annual py9650 P Oxford Rd Upper Piedmont Stormwater Monthly F CwrSTZC P . / BMM Jm Rougemont. NC 27572 2019: o 0 p N ¢ O Tel Faz RWa¢-g Ca,tad (336) 364-3099 I Christopher Gustin ,t j+ L0 Is N to smaoleml Name. Af>aaeon (P.;,.I hnsto her Gustin P ` O — _ O SampleNs)SiBaamre Sae Lacafcn/Tutor Zme LL O F CDAxtan Dme 2 Td .of ?age of Requested iurnaro Q' Times O m fkae :Run taeuea6 su � azmpmrMo q' me mtlti � IL _ Standard _ Expedited Due ab WwkDrder cc11159 SamDle Comments San 0Prepm BY Ba BY Oaca'rNe /2 le-19t RecaMEBY - G� Datemine 1216* C mmdslSpa Repwvq RaNieman6 Re4nstssneD Date/iMe R BY Daia7itrro %k quoered BY I Oah?rtre. BY DafmTmre CODim et 8 Te m Pwso r 1 e CmEDat Re.W i.. Acceptable Unacceptable Y : Gw{ygepnmar W W.� A-� �U N-nnw-rrratH nwvatn+ t+wvt tumv n wnv�®ust NDID: M sanpb+s smtNtkC b EllCOIADs ere Nt amdi� viM tlW mrtr¢ mA mmlIDoru fote0 m me raserse al rtu brtn. rmkss Griar wrWmr epeerturms mov r Sample Preservation Verification ENCO Cary Work Order: CC11159 Project: Client: Republic Services of NC (RE014) Project #: Logged In: 10-Dec-19 10:49 Logged By: Upper Piedmont Stormwater Monthly Semi -Annual John C King Preservation Check Performed By: \ Date/Time: ) ? -l0' (q r 1!0,6 CC11159-01 Cont Ty'pa ' - Pres (pH)'- Requireirient pH Checked I `InContro(. ; - ' ` �' DateRmo pHAdJusled` ".Adjusted �. - a •,,;: ,. Reegent.UsetllComments ,. ... • , B 250rnLA+1-12SO4 <2 Y / N / NA Y / N / N6i C 250mLA+H2SO4 <2 Y/ N/ Y/ N/ IJ 250mLP,H2SO4 <2 N 1 NA Y I N/ NA Reagent Name ID 1 2 pH Strip ID: C- c?if/Q (n I Rea em Name ID Rea ent Name ID 31 15 4 6 C:\ELMNT\Print\wko—PreservationCheck.rpt Page 9 of 9 Page 1 t ace Analytical w".pualahs.cnm December 12, 2019 Meghan Shea ENCO Labs 102 A-Woodswinds Industrial Co Cary, NC 27511 RE: Project: CC11159 Pace Project No.: 92456690 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)8769092 Dear Meghan Shea: Enclosed are the analytical results for sample(s) received by the laboratory on December 10, 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 f eel free to contact me. Sincerely, Sarah Graham saiah.grahain@pacelabs.com (704)875-9092 Project Manager EnClosufeS cc: Chuck Smith, ENCO Labs PCCgF4w—,r o REPORT OF LABORATORY ANALYSIS This open shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 10 (�95ceAnalyficalo wuncin ntabs.cem Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: CC11159 Pace Project No.: 92456690 Pace Analytical Services Raleigh 6701 Conference Drive. Raleigh, NC 27607 North Carolina Bioassay Certification #: 16 North Carolina Wastewater Certification #: 67 North Carolina Drinking Water Certification #: 37731 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in full. without the written consent of Pace Analytical Services. LLC. Page 2 of 10 aceAnalytical rw.p¢dstaixerr SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 9800 Kincey Ave. Suite 1 W Huntersville, NC 28078 (704)875-9092 Project: CC11159 Pace Project No.: 92456690 Analytts Lab ID Sample ID Method Analysts Reported Laboratory 92456690001 Dutfall 2 SM 9222D-2006 WT 1 PASI-R REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, -LC. Page 3 of 10 laceAnalyficalo w"./acolabaxorn ANALYTICAL RESULTS Project: CC11159 Pace Project No.: 92456690 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvllle. NC 28078 (704)875-9092 Sample: Outfal12 Lab ID: 92456690001 Collected: 12/10/1908:15 Received: 1211011912:50 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual MBIO 9222D Fecal Coltform RAL Fecal Coliforms Date: 12112/2019 05:02 PM Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006 31.0 CFU/100 mL 1.0 1 12/10/19 13:04 12/11/19 13:10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in lull, without the written consent of Pace Analytical Services, LLC. Page 4 of 10 aceAnalytical s wraiganslabs.com QUALITY CONTROL DATA Project: CC11159 Pace Project No.: 92456690 QC Batch: 514404 Analysis Method: SM 9222D-2006 QC Balch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliforri - RAL Associated Lab Samples: 92466690001 METHOD BLANK: 2756826 Matrix: Water Associated Lab Samples: 92456690001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Fecal Coliforms CFU/100 mL ND 1.0 12/11/19 13:10 SAMPLE DUPLICATE: 2756827 Parameter Units Fecal Coliforms CFU/100 mL 92456690001 Dup Result Result RPD 31.0 25.0 21 Qualifiers Pace Analytical services, LLC 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this page are In the units indicated by the "Wits" column except utters an alternate duals presented b the right of the resuh. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Dale: 12/12/2019 05:02 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 10 (�5ace AnalyticalT va".Pacalaluxom QUALIFIERS Project: CC11159 Pace Project No.: 92456690 DEFINITIONS Pace Analytical services. LLC 9800 Kincey Ave. Su@e 100 Huntersville, NC 28078 (704)875-9092 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, unfounded 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 Acrolem 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-R Pace Analytical Services - Raleigh REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12112/2019 05:02 PM without the written consent of Pace Analytical Services. LLC. Page 6 of 10 laceAnalyficale wary.pudabs.00m QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: =1159 Pace Project No.: 92456690 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Lan ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92466690001 Outtall 2 SM 9222D-2006 514404 SM 9222D-2006 514407 Date: 12/12/2019 05:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full, without the written consent of Pace Analytical Services, LLC. Page 7 of 10 Document Name: Document Revised: February 7,2018 ,tr,,rr� CBl(/181Cr7i Sample Condition U an Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: - F•CAR-CS-033-Rev.06 P Carolinas Quality Office Laboratory receiving samples: Asheville ❑ EdenO Greenwood ❑ Huntersville ❑ Raleigh3, MechanicsvllleEJ • Client Name: ProJeWO# : 92456690 t' A' CO M kl Courler. L❑Fed Ex ❑UPS ❑LISPS&Cllent ❑Commercial ❑Pace []Other:_ Custody Seal Present? QYes 29NO Seals Intact? ❑Yes NNO Packing Material: QBubble Wrap ❑Bubble Bags 2SNone ❑ Other Thermometer: p DIR Gun ID: 11'LOOS Type of Ice: ®Wet ❑slue Cooler Temp,(C): _S. % Correction Factor: Add/Subtract ('C) 0 Cooler Temp Corrected rq: J5� Milli III II IIIIIIII III 92486690 Date/Inluals Person Examining Contents:. ZA%/ li-lo-1� Biological Tissue Frozen? QNone ❑Yes []NO &/A Tempshould beabove freezing to 6'C (]Samples curt of temp criteria, Samples on Ice, cooling process USDA Regulated Sall I az begun g �N/A, water sample) Old samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a ferelgn source (Internationally, 0Yes ❑No. Including Hawall and Puerto Rlcol?❑Yes I-INo Comments/Discrepancy: -EltalnofC nu resent? _ Sam Ins Arrived within Hold Time? Fyes QNn QN/A 2. Short Hold Time Analysis (c72 hr.)7 4aTex QNo_ N/A 3. Rush Turn Around Time Requested? No QN/A _ 4._ Sufficient Volume? _ElYes Yu No N/A S. Correct Containers Vsad? -Pace Containers Used? 44YU []NO ®Yes [�No QN/A Q!11A 6. Containers Intact? ;&Y" DNo 9N/A 7. Olssolved anal sis: Sam les Field Filtered? Ym QNo N/A R, Sample Labels Match CDC? -Includes Date/Time/ID/Analysis ®Yes Elfin "jA(%/Irb d Matrix: QN/A 9. Headspace In VOA Vials(>S-6mm)7 []Yes No N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? Dyes QNa QYes QNo J�N/A N/A 11. COMMENTS/SAMPLE DISCREPANCY Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person Contacted: Oate/Time: i Project Manager SCURF Review: -%fit-i _— Field Data Required? Dyes Di. r Date: Project Manager 5RF Review: `_ ,/,�� Data: ; ,_l� �i Page 8 of 10 Document Name: Document Revised: February 7, 2018 Sample CandItimU on Receipt SOUR Page 1ot2 B��I,e 1, f '1'' Document No.: Issuing Authorlry: FCAR-CS033+Rev.08 Pace Carolinas Quality Office *Check mark top half of box If pH and/or dechlorination Is Project g I Wo#.• 92456690 verified and within the acceptance range for preservation PM: SMG Due Date: 12/19/19 samples. CLIENT: 82—ENCO Exceptions: VOA, Collform, TOC, Oil and Grease, DRO18015 (water) DOC, LLHg "Bottom half of box Is to list number of bottle d o d ? a a' 'Z 2 a w n 2 2 2 Q 2 t� _ a th 9h 3 a „— c ,Z„ 9 n ❑ \ 9 Q f i o r] a v i a^ an z ge a. <= a 12 .`> y ] rvl 2 4 l S 2 e ] g n X. a Y a: n A $ b u' o: a a S. E E < f E Q "� O E 6 G > E o E E o E E �' = E o E E E E y a E E E E E E 4 r A 4; c ? 3 g q 0 6 gg3 > 2 3 n 5 NN b fl 10 11 4129 pH Adjustment Log for Preserved Samples Sample NO Type of Preservative pH upon receipt Date preservation adjusted Time preservation adjusted Amount of Preservative added Lot r Note: Whenever there is a discrepancy affecting North Caroline compliance samples, a why of this form wld be sent to the North C milm DEHNR Certifladan Office (I.e. Out of hold, Ircuvect pr.... v tive. out of temp, Incorrect containers. Page 9 of 10 SUBCONTRACT ORDER ENCO Cary ccuI59 SENDING LABORATORY: RECEIVING LABORATORY: ENCO Cary 102-A Woodwinds Industrial Court Cary, NC 27511 Phone: 919.467.3090 Fax: 919.467.3515 Project Manager: Stephanie Franz Pace Analytical (Raleigh NC) 4915 Waters Edge Ur A 120 Raleigh, NC 27606 Phonc:(919)834.4984 Pax: Project State of Origin: North Carolina Sub Lab ID Originating Lab ID Client Mntric Date Sampled Sample Comments Outfall2 Surface Water 10-Dec-1908: 15 Coliform, Fecal 922311 - 19-Dec-19 15:00 10-Dec-19 16:10 I,.t 1,1 •,(�. I,,v` I • i. l Conlainers Supplied: S1criIc250mLP+NaThio (E) Page Far, 10 of 10