HomeMy WebLinkAboutNCG120097_MONITORING INFO_202001101771A)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NL G is 60 9 7
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
O I (�
YYYYMMDD
DocuSign Envelope ID: OC606A63-625D45E9-85EF-165012E4D866
SMITH+GARDNER
tN61Nr[fl3
January 2, 2020
NCDEQ
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
ABBAESS IFl WEB
14 N. Boylan Avenue, Raleigh NC 27603 919.828.W? www.smithgaidnerinc.com
RE: Discharge Monitoring Report —Second Semiannual Monitoring Event
Brownfield Road C&D landfill
RErFIVED
Certificate of Coverage #NCG120097
General Permit #NCG120000
JAN 10 2020
CEN'I'KAL FILES
Dear Sir/Madam:
DWR SECTION
Smith Gardner, Inc. (S+G) is pleased to submit this second semiannual Discharge Monitoring
Report (DMR) for stormwater monitoring at the Brownfield Road C&D Landfilt. The site is
Located in Raleigh, North Carolina. The facility is permitted to discharge stormwater related
to landfilling activities under the NPDES program by the General Permit No. 120000 Ipermit),
issued by the North Carolina Department of Environmental Quality (NCDEQ), Division of
Water Quality.
Please note that samples were analyzed from one (1) of three (3) outfalls during this event.
Sample were collected at SDO-002. The samples exhibited results below all benchmark
thresholds. No discharge occurred at SDO-001 and SDO-003 for this sampling period.
As required by the permit, analytical and qualitative monitoring of the discharge will continue
on a semi-annual basis. If you have any questions, or require further information, please
contact us at 19191 828-0577 or by email.
Sincerely,
SMITH GARDNER, INC.
E DocuSigned 6y:
U
CSECC95C937E4AC...
Jesse C. Li, E. I.
Staff Engineer, ext. 170
iesse(dsmithgardnerinc.com
Attachment
CC: Richard Call (GFL)
File
EH4lynoae
,
9620A9406...
John R. Fearrington, P.E.
Project Engineer, ext. 125
iohnffasmithgardnerinc.com
H AP.1e0,Br.,.iald R udN2 BF BF NPBES20WH2019\BR0 npde, 2nd stmi 2019.daa
DocuSign Envelope ID: OC606A63-625D-45E9-85EF-165012E4D866
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This page intentionally left blank.
DocuSign Envelope ID: OC606A63-625D-45E9-85EF-165012E4D866
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 O 9 7
FACILITY NAME Brownfield Road C&D Landfill
COUNTY wake
PERSON COLLECTING SAMPLES Jesse Li (Smith Gardner, Inc.)
LABORATORY Pace Analytical Lab Cert. tJ 37738
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
2, 2020
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
XOtherc,Nsw
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal per Col1 0
Colonies per 100 mL
Total Suspended
Solids
mg/L
and
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
SDO-001
12/18/19
0.1
No discharge during
this reporting period
SDO-002
12/18/19
0.1
ND
400
61.6
SDO-003
12/18/19
0.1
No discharge during
this reporting period.
' 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.
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: OC606A63-625D-45E9-85EF-165012E4D866
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriodz
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
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 ANY ONE OUTFALL? YES ❑ NO 0
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 for 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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
DocoSigncd by:
Vbw
Signature of Permittee
Permit Date: 11/1/2018-5/31/2021
1/6/2020
Date
SWU-248, last revised 11/1/2018
Page 2 of 2
DocuSign Envelope ID: OC606A63-625D45E9-85EF-165012E4D866
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted January 2, 2020
CERTIFICATE OF COVERAGE NO. NCG12 0 0 9 %
FACILITY NAME B—nfeld Road C&D Landfill
COUNTY Wake
PERSON COLLECTING SAMPLES Jesse Li (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 ❑ Monthly' (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
Colonies per
per 100 mL
Total Suspended
Solids
mg/L
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
COS30
00400
SDO-001
12/18/19
0.1
No discharge during
this reporting period
SDO-002
12/18/19
0.1
ND
400
61.6
SDO-003
12/18/19
0.1
No discharge during
this reporting period.
' 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.
' 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 me/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: OC606A63-625D-45E9-85EF-165012E4D866
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriodz
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 ATANY ONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMUR 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 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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
r Doc„sic"ed by:
06W
Signature of Permittee
Permit Date: 11/1/2018-5/31/2021
1/6/2020
Date
SWU-248, last revised 11/1/2018
Page 2 of 2
DocuSi n Envelope ID: OC606A63-625D45E9-85EF-165012E4D866
11
eAnalytical-401"
rw.pecsla0a.mrn
December 26, 2019
Mary Kennamer
Smith Gardner, Inc.
14 N. Boylan Ave
Raleigh, NC 27603
RE: Project: BROWNFIELD-13-1
Pace Project No.: 92457912
Dear Mary Kennamer:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlerwille, NC 28078
(704)875-9092
Enclosed are the analytical results for sample(s) received by the laboratory on December 18, 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 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: OC606A63-625D-45E9-85EF-165012E4D866
�ceAnalytical
www.Decd�ba.com
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
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-NC030
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 #: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
YrginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiafVELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
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
7DocuSi n Envelope ID: OC606A63-625D-45E9-85EF-165012E4DB66
ceAnalytical
sttsr.Dacahss.cols
SAMPLE ANALYTE COUNT
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville; NC 28078
(704)875-9092
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92457912001 SDO-2 SM 254OD-2611
AMI
1
PASI-E
SM 9222D-2006
WT
1
PASI-R
SM 5220D-2011
JPt
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wntten consent of Pace Analytical Services, LLC.
Page 3 of 11
DocuSi n Envelope ID: OC606A63-625D-45E9-85EF-165012E4D866 Pace Analytical Services, LLC
ceAnalytical ® 9800 Kincey Ave. Suite100
Hunlersville, NC 28078078
rrw.penUbs.com (704)875.9092
ANALYTICAL RESULTS
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
Sample: SDO-2 Lab ID: 92457912001 Collected: 12/18/19 11:25 Received: 12/18/19 12:08 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 61.6 ' mg/L 4.0 1 12/19/19 09:59
MBIO 9222D Fecal Coliform RAL Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Fecal Coliforms 400 CFU/100 mL 1.0 1 12/18/19 16:58 12/19/19 16:30
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand ND mg/L 25.0 1 12/23/19 23:10 12/24/19 02:49
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 12/26/2019 11:40 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 11
DocuSi n Envelope ID: OC606A63-625D-45E9-85EF-165012E40866 Pace Analytical Services, LLC
aceAnalytical• 9800 uncey Ave. Suite100
078
Hunlersville, NC 28078
vityw.pacelabs.com (704)875-9092
QUALITY CONTROL DATA
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
QC Batch: 515738
Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description: 25400 Total Suspended Solids
Associated Lab Samples: 92457912001
METHOD BLANK: 2763370
Matrix:
Water
Associated Lab Samples: 92457912001
Blank
Reporting
Parameter
Units
Result
Limit Analyzed Qualifiers
Total Suspended Solids
mg/L
NO
2.5 12/19/19 09:52
LABORATORY CONTROL SAMPLE: 2763371
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
238 95 90-110
SAMPLE DUPLICATE: 2763372
92457802003
Dup
Parameter
Units
Result
Result RPD - Qualifiers
Total Suspended Solids
mg/L
1800
1790 0
SAMPLE DUPLICATE: 2763373
92457883001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
22.7
23.0 2
Results presented on this page are In the units indicated by the -UmW 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,
Dale: 12/26/2019 11:40 AM without the written consent of Pace Analytical Services, U.C. Page 5 of 11
7 D S EnDocuSi n Envelope ID: OC606A63-625D-45E9-85EF-165012E4D866
ceAnalytical
rw.lunhhs.colo
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
QC Batch: 516705
QC Batch Method: SM 9222D-2006
Associated Lab Samples: 92457912001
METHOD BLANK: 2768133
Associated Lab Samples: 92457912001
Parameter Units
Fecal Coliforms CFU/100 ml-
SAMPLE DUPLICATE: 2768134
Parameter
Feral Coliforms
QUALITY CONTROL DATA
Analysis Method: SM 9222D-2006
Analysis Description: 9222D Fecal Coliform(MF) - RAL
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 1.0 12/19/19 16:30
92457912001 Dup
Units Result Result
CFU/100 mL 400 600
RPD Qualifiers
40
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
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: 12/26/2019 11,40 AM without the written consent of Pace Analytical Services, L-C.
Page 6 of 11
DocuSi n Envelin'
D: OC606A63-625D-45E9-85EF-165012E4D866 pace Analytical Services, LLC
5 alytical • 9800 Kincey Ave. Suite 0100
78
Huntersville, NC 28078
.Dectlabicoln (704)875-9092
e
QUALITY CONTROL DATA
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
OC Batch: 516490
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92457912001
METHOD BLANK: 2767335
Matrix: Water
Associated Lab Samples: 92457912001
Blank
Reporting
Parameter Units
Result
Limit
Analyzed Qualifiers
Chemical Oxygen Demand mg/L
NO 25.0
12/2411902:45
LABORATORY CONTROL SAMPLE: 2767336
Spike
LCS
LCS %Rec
Parameter Units
Conic.
Result
%Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750
759
101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2767337
2767338
MS
MSD
92457959001
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc.
Conc. Result
Result %Rec %Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L ND
100
100 124
124 - 111 111
90-110 0 Mt
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2767375
2767376
MS
MSD
92457959002
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc.
Conc, Result
Result %Rec %Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L NO
100
100 119
119 104 104
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: 12/26/2019 11:40 AM without the written consent of Pace Analytical Services, LLC.
Page 7 of 11
DocuSi n Envelope ID: OC606A63-6250-45E9-85EF-165012E4D866
ceAnalytical
Wwc.pactle0s.cam
QUALIFIERS
Project: BROWNFIELD-13-1
Pace Project No.: 92457912
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.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilie, NC 28078
(704)875-9092
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 Get - 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.
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
PAST-E Pace Analytical Services - Eden
PASI-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
M 1 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: 12/26/2019 11:40 AM without the written consent of Pace Analytical Services. LLC. Page 8 of 11
DocuSi n Envelope ID: OC606A63-625D-45E9-85EF-165012E40866 Pace Analytical Services, LLC
ceAnalytical" 9800 Kincey Ave. C28078
100
Huntersville, NC 28078
w .psctlsbs.com (7041875.9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
BROWNFIELD-13-1
92457912
Analytical
Lab ID
Sample ID
QC
Batch Method
QC Batch
Analytical Method
Batch
92457912001
SDO-2
SM
254OD-2011
515738
92457912001
SDO-2
SM
9222D-2006
516705
SM 92220-2006
516709
92457912001
SDO-2
SM
5220D-2011
516490
SM 5220D-2011
516509
Date: 12/26/2019 11:40 AM
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 Reclijest Document
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Turnaround Date Required:
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Same Day I I Next Day
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(Expedite Charges Apply)
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(Insert in Matrix box below): DrinldngWater(DW), Grotind Water (GW), Wastewater (WM,
Product
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mTjLLAs USE ONLY
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Received by/Company-. (Signature)
Date/Time:
N�n Confoi�.Acti(s):'
Page:
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DocuSign Envelope ID: OC606A63-625D-45E9-85EF-165012E4D866
Document Name:
AA�e��
Simple condition Upon Raul
r c AMOC81 A • Document No.:
FCAR-CS-033-Rev.06
"Check mark top half of box If pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Esceptlons: VOA, CoOtorm, TOC, Oil and Grease, DRO/eOIS (water) DOC, LLHg
teBottom half of box Is to list number of bottle
Project
1: February 7,
1 of
Office
PM: MWB Due Date: 12/30/19
CLIENT: 92—RSG&R NC
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PH Adjustment Log for Preserved Samptes
Sample 10
Type of Preservative
pH upon receipt
Oato presemlipn adjusted
Time preservation
adjusted
Anaunt of Presorntiva
added
Lot g
Note: Whenever there Is a discrepancy affacting North Carolina compliance samples. a copy of this form will be sent to the Nonh Carellno DEHNA certification Offts (I.e.
Out of hold, Incorract press rvatNe, out of temp. Incorrect co nralnen. Page 11 of 11