HomeMy WebLinkAboutNCG120096_MONITORING INFO_20200110c)
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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
(- G U 0 1 (L
DOC TYPE
❑ HISTORICAL FILE
C)j( MONITORING REPORTS
DOC DATE
❑ JQ� o C)
YYYYMMDD
DocuSign Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
SMITH+GARDNER
ENGINEERS
January 6, 2020
NCDEO
Division of Water Quality
Attention: DWO Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
AOORM TEL WEB
14 N. Boylan Avenue. Raleigh NC 27603 919,828,0577 wwwsmithgardnednc.com
RE. Discharge Monitoring Report—December2019
Red Rock CEO Landfill
Certificate of Coverage #NCG120096
General Permit#NCG120000
Dear Sir/Madam:
RECEIVED
JAN 10 2020
CENTRAL FILES
DWR SECTION
Smith + Gardner (S+GI is pleased to submit this Discharge Monitoring Report (DMR) for
stormwater monitoring at the Red Rock C&D Landfill. The facility is permitted to discharge
stormwater related to landfilling activities under Certificate of Coverage (CDC) No.
NCG120096, General Permit No.120000.
The facility is required to monitor discharge at the following Stormwater Discharge Outfall
fSDO) locations:
1. COMP-1 (Basin B; Basin 6, Basin T11;
2. COMP-2 (Basin A);
3. Sediment Basin 1 (SB-1); and
4. COMP-4 (Basin 81
The semiannual sampling was conducted during the October sampling event. The Tier III
sampling was conducted for the December sampling event. Sediment Basin 1 entered Tier III
status for total suspended solids (TSSI in December 2018 and improvements were made.to
mitigate erosion from the soil stockpile area. The samples collected at SB-1 exceeded all
three benchmark thresholds, therefore monthly sampling will continue at SB-1.
We are providing two (2) copies of the DMR report for this submittal. If you have any
questions, or require further information, please contact us via phone at (9191 828-0577 or by
email. Thank you for your time.
Sincerely,
SMITH GARDNER, INC.
DocuSigned by:
Docuslg .d by:
i/r1N(u(x
C� (I, '.I 1 Qom,,;. _t I
13
��,gLg93EE,4nc...
C21E W744
35BCL EBd00)660...
W. Michael Brinchek, P.E.
Staff Engineer, ext. 170
Senior Project Manager, ext.128
jesserdsmithgardnerinc.com
mikefdsmithgardnerinc.com
Attachments
CC: Don Plessinger(GFL)
File
H.\Pmjws\Red Rock Diep.,ANPDES\2019\12 -0ecembe110WOnpdes_Decembei [019 ➢ , IIIAm,
DocuSign Envelope ID: 29A44AD7-OB67-42F6-A6A0-9313A4D76EBC
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This page intentionally left blank.
DocuSign Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date Submitted December 31. 2019
CERTIFICATE OF COVERAGE NO. NCG12 0096
FACILITY NAME
Red Rock C&D Landfill
COUNTY Wake
PERSON COLLECTING SAMPLES Seth Rickerts (Smith Gardner, Inc.)
LABORATORY Pace Analytical Lab Cert. # 37738
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Q Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑■ OtherC,NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 ml
Total Suspended
Solids
mg/L
pH,
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
SB-1
12/17/19
0.25
132
2600
1070
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmerk 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.
4 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: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2
DocuSign Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new oil per month.
n No discharge this oeriodz
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
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
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 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 Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME: Thad valentne
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 monitorfna 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 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."
obw
Signature
1/6/2020
Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2
DocuSign Envelope ID: 29A44AD7-OB6742F6-A6AO-9313A4D76EBC
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 31, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0096 _ _
FACILITY NAME Red Rock C&D Landfill
COUNTY Wake
PERSON COLLECTING SAMPLES Seth Rickerts (Smith Gardner, Inc.)
LABORATORY Pace Analytical Lab Cent. fI 37738
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑® Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑zero -flow ❑Water Supply ❑SA
❑■Otherc.NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
n No discharge this periodz
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen
Demand
mg/L
Fecal per 1 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
SB-1
12/17/19
0.25
132
2600
1070
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2
DocuSign Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n Nn rficrhnrnP thic nprinrR
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
CO530
NCOIL
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 Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME: Thadyalentine
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 monitorina 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 persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�DocuSigned by:
NA,
Signature
1/6/2020
Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2
DocuSi n Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
�ceAnalytical"
ww.i aNrtEvcom
January 03, 2020
Jesse Li
Smith Gardner, Inc
14 N. Boylan Ave
Raleigh, NC 27603
RE: Project: RROCK
Pace Project No.: 92459189
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875.9092
Dear Jesse Li:
Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 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.
This report was issued on 01/03/19 to report the samples on separate reports, per client request.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
(704)875-9092
Project Manager
Enclosures
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 11
DocuSi n Envelope ID: 29A44AD7-0B67-42F6-A6A0-9313A4D76EBC
ceAnalytical
ww.0>tnlatEa.com
Project: RROCK
Pace Project No.: 92459189
Pace Analytical Services Raleigh
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Bioassay Certification M 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiafVELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LL6
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 11
100%
7nCvelope ID: 29A44AD7-0B67-42F6-A6A0-9313A4D76EBC Pace Analytical Services, LLC
' jalytical • 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
WWW.lal l f.cam
p04j875-9092
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
RROCK
92459189
Analytes
Lab 1D
Sample ID
Method
Analysts
Reported
Laboratory
92457785002
RROCK
SM 254OD-2011
AMI
1
PASI-E
SM 9222D-2006
WT
1
PASI-R
SM 5220D-2011
NAL
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 11
7vn.e'
D: 29A44AD7-0l367-42F6-A6A0-9313A4D76EBC
eAnallai N
ANALYTICAL RESULTS
Project: RROCK
Pace Project No.: 92459189
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Sample: RROCK Lab ID: 92457785002 Collected: 12/17/19 14:20 Received: 12117/19 15:05 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
2540D Total Suspended Solids
Total Suspended Solids
MBIO 9222D Fecal Coliform RAL
Fecal Coliforms
5220D COD
Chemical Oxygen Demand
Date: 01/03/2020 12:54 PM
Analytical Method: SM 2540D-2011
1070 mg/L 6L0 1 12/19/1909:45
Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
2600 CFU/100 mL 1.0 1 12/17/19 17:46 12/18/19 16:15
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
132 mg/L 25.0 1 12/1911917:12 1211911919,57
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 11
DocuSi n Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC Pace Analytical Services, LLC
ceAnalytical0 9800 Kincey Ave. Suite 100-
Huntersville, NC 28078
rrr.pal:alabs.com (704)875-9092
QUALITY CONTROL DATA
Project: RROCK
Pace Project No.: 92459189
OC Batch: 515732
Analysis Method:
SM 2540D-2011
OC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 42457785002
METHOD BLANK: 2763350
Matrix:
Water
Associated Lab Samples: 92457785002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
NO
2.5 12/19/19 09:38
LABORATORY CONTROL SAMPLE: 2763351
Spike
1-CS
LCS %Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
246
98 90-110
SAMPLE DUPLICATE: 2763352
92457579002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
100
101 1
SAMPLE DUPLICATE: 2763353
92457741001
Dup
Parameter
Units
Result
Result
RPO Qualifiers
Total Suspended Solids
mg/L
412
450 9
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: 01/03/2020 12:54 PM without the written consent of Pace Analytical Services, L-C. Page 5 of 11
Docu?S n Envelope, ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC Pace Analytical Services, LLC
XoAnalytical ® 9600 Kinsey Ave. Suite100
Hunlersville, NC 28078078
w ro.pacalald.cem
(704)875-9092
QUALITY CONTROL DATA
Project: RROCK
Pace Project No.: 92459189
CC Batch: 516407 Analysis Method: SM 9222D-2006
OC Batch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliform(MF) - RAL
Associated Lab Samples: 92457785002
METHOD BLANK: 2766807 Matrix: Water
Associated Lab Samples: 92457785002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/18/19 16:15
SAMPLE DUPLICATE: 2766808
92457785002 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 2600 2500 4
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: 01/03/2020 12:54 PM without the written consent of Pace Analytical Services, L-C.
Page 6 of 11
DocuSi n Envelope ID: 29A44AD7-OB6742F6-A6AO-9313A4D76EBC
�ceAnalytical0
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
`
Huntersville, NC 28078
www.yacticba-com
(7041875-9092
QUALITY CONTROL DATA
Project: RROCK
Pace Project No.: 92459189
OC Batch: 515648
Analysis Method: SM 5220D-2011
OC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92457785002
METHOD BLANK: 2763111
Matrix: Water
Associated Lab Samples: 92457785002
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L
NO 25.0 12/19/19 19:51
LABORATORY CONTROL SAMPLE: 2763112
Spike LCS LCS % Rec
Parameter Units
Conic. Result %Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750 760 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2763113 2763114
MS MSD
' 92457795001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conic. Conc. Result Result %Rec %Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 193
100 100 306 306 113 113
90-110 0 M7
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2763115 2763116
MS MSD
92457795002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qua[
Chemical Oxygen Demand mg/L 53.6 100 100 158 162 104 109 90-110 3
Results presented on this page are in the unite indicated by the "Unite" 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: 01/03/2020 12:54 PM without the wntten consent of Pace Analytical Services, L-C.
Page 7 of 11
DocuSi n Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
ceMalytical r
rw.pecolaAa.com
QUALIFIERS
Project: RROCK
Pace Project No.: 92459189
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 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.
MOIL -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 analyle 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 Acrolein and Acrylonfr le by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-E Pace Analytical Services - Eden
PAST-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
Ml Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01/03/2020 12:54 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 11
DocuSi n Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
ceAnalytical
rw.lucd�bs.cmo
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 2BO78
(704)875-9092
Project:
RROCK
Pace Project No.:
92459189 .
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92457785002
RROCK
SM 254OD-2011
515732
92457785002
RROCK
SM 9222D-2006
516407
SM 9222D-2006
516409
92457785002
RROCK
SM 5220D-2011
515648
SM 5220D-2011
515896
Date: 01/03/2026 12:54 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 9 of 11
CHAIN -OF -CUSTODY Analytical Request Document-
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Phone: _
Si[e/FxiRN ID e:
COmph n[eMonitoring?
Small: (
I J Yer ]No
C atoey s14jMt¢N. Pr n vt -Y'$ CA
c 1lccto75 9 r [eDi t (�R to -
aOttles'ln.act D HA
CollectedBY Pr
-
Purctase Order R:
DW PWSIO,R:
'
1
Quote R:
DW Location Code.
,
Corract.Bott1 ._� Rw
.tsufflcie"nt voiVIDe :. } �Y p. qA _
6amD3 v.6
y (signature);
Turnaround Data Required:
-
Immndatety Packcd on Ice:4
t
Reedn
DDA pace Accep-able '.YH'
a
I 1 YCS [ ) No
�'
_
1'
OSDA Reyul ed soda ry
JSanPlz Yolatng'
Aesidn>f ChloeLt¢ pre
ae:•tQ
is a lsposal:
I Dlsposei+saPPrtvdata ( I Return
Ruih:
( ]Same Da V I I Next Day
Field FRtefed(if applicable):
( ]Yes l ) No
1 Arthur
I Had:
I ) 2 Day 113 Day (] 4 D% 115 Day
(ExpediteQ ,Hes Apply)
Analysis:
IL
t
-
51
amblePa AtrepSoble Y'N.RA ..
DB Stripe+
•MatrixCodes(Insenin Matrix boa below): Drinldng Water(DWI, Ground Water{(W), Wastewater(WM,
ProduR(p). SDWSdrd lSQ, Oil lot),Wipe (WPI,Air 1"), Tfswe(m), Bbassay (BL Vapor M. Olher(OT)
toe tysc,m¢x .
Lads 1e s C4¢tlta
!
Customer �ampk ID
MaMx
Comp/
Grab
Collected for
Composite Start)
Cornposhe EndCl
Res
Cof
Cbn
s G2 y-�/j�
Date
Tine
Date
Tone',
77
G
x
li
7I t
r5 ,
_
k
I
3'
T
�.
....
ustomcr Parks Special mansi al Conditions Hoards. Type.of ice Used:.H6LDSpRF5EN1(621:ours] �M/A I265ampleTemperature lMp .
Padu6gM tedal Used
t Lab 7raddngR s Ternp Blank Received Y N NA
2424Q774 t
TumlDa
t, ' �CoDIerlTemP.Upon Recelpct goC
RaEchem samPie(s)sneerv_dlaSpD. epm}NA SamPle4 receWetl.via f CoolgrlThvjm Cqrr Fas(w; 0�0�aC '
.I FcDEX ,�. NIPS Cliect :;Courier Page Codrter Cookrl[oyreaedT 4 ! Y'
` `R , `/Co
elinqush I / arry; IS wre)' Dat%er� " pant: (Sture Date/Time; . MUL lHe u5E ONLY. mrperrts
1e:
-`
ahrpul /Company: (Slgnatwe) DxeTme: Received m Acttnum ,; ..
Wm'aFgnazure) DateTme: _ r;
., iemplxe -',Tdp Blank R¢cerved Y : N NA -:
.i
veoHn + HCL MOON. TSPOther -
eIi unshed by/Comparry: (Signature) DateTme: Received by/Compary:(Slgnature) DateTme: 'H, -
PM
m'�NOn Cord }iturrtir.(s)', PaHe:__.
(� /
1GuNI�el i�`r}�tX Q'1 /�(XiV (-)"l P�� I, n(,/ � ( V( /1?A tcSt %sae l IZI3tIl-I v.`4 .
DocuSlgn Envelope ID: 29A44AD7-OB67-42F6-A6AO-9313A4D76EBC
'Check mark top half of box I f pH and/or dechlorination Is Project
verified and within the acceptance range for preservation
samples.
ExeePIrsns: VOA- CCatorm, TOP, Oil and Grease, 0110/8015 (water) DOC, LIHg
"Bottom halt of box is to list number of bottle
a a x
E qE 5QE & E E E E g Of
(�{ j g 7a E qqE gE QqE yrygE� E. E SE pE E
7. ]., T ` 18 hM N
r4
s
it
Page 11 of 11