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Home My WebLink AboutNCG160174_MONITORING INFO_20191216WS j?o STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE I MONITORING REPORTS DOC DATE ❑ YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt CERTIFICATE OF COVERAGE NO. NCG16_ _ FACILITY NAME Sharpe Bros. — Plant 4 COUNTY Forsyth PERSON COLLECTING SAMPLES _ Parker Alvis LABORATORY ENCO Lab Cert. It 591 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results Date submitted 04/29 2019 SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ® Jan -June ❑ July -Dec RECENEfj or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA DEC 16 2Qig ❑zero -flow ❑Water Supply [:]SA CENTPJ1L FILES ❑Other DMIR SECTION 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' Total Suspended Solids -, Benchmarks===>' - - _ 100 mg/L or 50 mg/L4 001 01/04/19 0.10 23 ' 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. 3The 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 3, 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, quantitation limit, etc. in mg/L. 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: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 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?1 Outfall No. - - 'Date Sample .. Collected' �(mo/dd/yr) ` 24-hour rainfall - amount,' .Inches', Non polar O&G by EPA '1664.(SGT-HEM) Total Suspended Solids Benchmarks ===> _ - '35 mg/C` 100 mg/L or 50 mg/[!., r 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one 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 Resources Attn: DWR 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." 3/21/2018 (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 _�� i . TN �4011P Accurate. Tamely. Responsive. Innovative. 102-A Woodwinds Industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Wednesday, January 16,2019 EI Group, Inc. (TH005) Attn: Parker Alvis 2101 Gateway Center Blvd., Suite 200 Morrisville, NC 27560 RE: Laboratory Results for Project Number: [none], Project Name/Desc: Sharpe Plant 4 ENCO Workorder(s): CB12084 Dear Parker Alvis, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Monday, January 7, 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. 4>, a F{'• Bill Scott Project Manager Enclosure(s) FINAL This report relates only to the sample as receivee by the IaGoratory, and may only be reproGuced in full. Page 1 - 7 www.encolabs.com SAMPLE SUMMARY/LABORATORY CHRONICLE Client ID: Outfall-01 Lab ID: C812084-01 Sampled: 01/04/19 12:10 Received: 01/07/19 11:00 Parameter Preparation Hold Date/Time(sl Prep Date/Time(s) Analysis Date/Time(sl SM 254OD-2011 NO PREP 01/11/19 01/07/19 12:20 01/07/19 12:20 FINAL This report relates only to the sample as receiveE by the labmatory, ant may only be repre luce i in lull. I Page 2 Of =SN4 C� w .encolabs.corn SAMPLE DETECTION SUMMARY I client ID: Outfall -01 Lab ID: CB12094-01 I Analyt Total Suspended Solids Results Fla9 MDL P45 millu 23 2.5 2.5 rng1L SM 2540D-2011 FINAL This repon relates only to the sample as rmolved by the laboratory, and may only be reproduced in full I Page 3 of ANALYTICAL RESULTS Description: Outfall -01 Lab Sample ID:CB12084-01 Matrix: Water Sampled: 01/04119 12:10 Project: Sharpe Plant 4 Sampled By: Parker ANis Classical Chemistry Parameters Analyte rCAS Numberl Total Suspended SolidsA y .encolabs.com Received: 01/07/ 19 11:00 Work Order: CB12084 Results Had Units DF MDL PS1 Batch Method Analyzed 0y Notes 23 mg/L 1 2.5 2.5 9A07021 SM 2540D-2011 01/07/19 12:20 LI; FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 4 Oj 7 www.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Hatch 9A07021 - NO PREP Blank (9A07021-111,1(1) Prepared & Analyzed: O1/07/2019 12:20 Spike Source %REC RPD Analvte Result Elan VOL Units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 2.5 U 2.5 mg/L LCS (9A07021-BSI) Prepared & Analyzed: 01/07/2019 12:20 Spike Source %REC RPD Analyte Reti"I Elm ML Units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 100 2.5 mg/L 100 101 80-120 Duplicate (9A07021-DUPl) Prepared & Analyzed: 01/07/2019 12:20 Source: CB16868-01 Spike Source %REC RPD Analvte Result Elm COL units Level Flesul %REC Lfirnit5 RPD umit Notes Total Suspended Solids 160 25 mg/L 160 2 20 Duplicate (9A07021-DUP2) Prepared & Analyzed: 01/07/2019 12:20 Source: CC00308-01 Spike Source °/a REC RPD Analtne Result Elm ROL Units Level Resule %REC Limits RPD Lima Notes Total Suspended Solids 70 12 mg/L 72 2 20 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. I Page 5 Of % www.encolabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. ] 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. N 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. FINAL Thls report relates only to the sample as received by the laboratory, and may only be reproduced In full. I Page 6 Df % Central Pan Dc' 481O Exacteliw Park Court, SuiteIII 1wz rvtKbeatuvMR �\Cauade Page of- ,FL3282< cks Jaormllo,FL3ZLt6G069 Cary.NC2]511J(a0])826-5314 �.:YO]J5 Fox(4O7)850-6945 (904) 29& 7—Fax (904) 296-6210 (919)<6] 3ri90 Fax(9t9)46P3515 Turnau f7equested ro Prol.a Number Requ<ated Analyses chard Nam. 0 (TH005 • [none] El Group, Inca ) - - Note: Rush requests sulq Addr.ss - - Project NamelDosc waccep'an<e by ate tagli0. M 2101 Gateway Center. Blvd., Suite 200 Sharpe Plant d m - -' - PO 01Bitling We � CL - -- Standard aryort Morrisville, NC 27560- � M o' T.I Fax - Rep .kv [ar.arJ ,. Expedited (919) 657-7500 Parker Alvis w _ BeetName, A;Idiatiun (Print) Bflii Contact ' - Due Parker Atvis r-✓ .C//7� - co l.ab Workorder ',.,• r.�. t Sampter(s) Signature Sae Lban / oceTars Zone (n Gi✓"-- Preservation (Sea, Codeal (CeaA ire as necessary) C I*c,u.n y tauu Taal e of Sample Comments Ilom o- Sample ID (Fed Identi ic.uon) Couecbon Date Time Como / Greta (seecotl os) •Y Conta na•s _ I e 't, 4 - r dot WA d 1. Xr,y� f 1 'r f• F —�i�9 /G: i t ��'s a �, Vi �" �A x A' •; 's," � ., �- �� s w 3 =' : �s �-"'i3,<.r( T ':- � � ,fF.. a:.:' •i, F r'�-' y. $ P. !,G Y, 1 f 4 i'.et^ a' < Jy f a.,.. 4 x # b..,.�: a* a_ "�'.y .0 r a `- bk ar .; ✓.- av :' ::w i y, IN .d.r 4t Total # of Containers SamWe Kit Preparetl BY. - Oa1rlF DaleTune - R.L.N.d BY Dafern/m�e.,/J f ReGrpu�ed �',��[. / �1� /,/ U \1J Dasfnme Da1oT e Rec.iwd By _ Rallnquished By ,. - ChmmenWSpectul Reponing Requirements ! - - Pelinqulshotl By O..—wna r Received BY J C.�tian nRcceipt - Cower a'a 8 Tom, on Receipt, ' • d.��. . Acceptable _Unacceptab -- Preservation: Mc. H-HCI WHNO35-H2SO4 NO-NaOH'o caaer(detail N conurenls)' arer A�Air D-0ee Incomments)- ,. WY9-Waeles fdatrlx:GW-Groundwater SO-So11DW-Ddnidrq Water SE-SerFment S1V-Surface WUNr' m ENCO Labs are in acwrtlanre wNh Na l.mis antl LorAilions listad on 00 rwerse of Nis loam, unless prior written agreomenes exist a adh the oa,, - Nota : AD samples submitletl Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 1 20 2019 CERTIFICATE OF COVERAGE NO. NCG160174 FACILITY NAME Sharpe Bros. — Plant 2 COUNTY Guilford �a PERSON COLLECTING SAMPLES Parker Alvis RECEIVED LABORATORY ENCO Lab Cert. # Comments on sample collection or analysis: No Flow DEC 16 nip Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HCiW ❑Trout ❑PNA []Zero -flow []WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this periodj2 Outfall No. "' Date Sample Collected' - (mo/dd/yr) ` 24-hour rainfall amount,- Inches } - Total Suspended Solids Benchmarks =__> . - - .100 mg/L or 50 mg/L' -. 001 01/04/19 0.10 BRL 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. ' See General Permit text, Table 3, 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 m¢/L where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 ❑ No discharge this period?2 Outfall No: Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount,: - Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) , Total Suspended Solids.; - Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/O 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [—]NOD REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, includinq 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 Resources Attn: DWR 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." A �5_ Permittee) Permit Date: 10/1/2014-9/31/2019 1/20/2019 (Date) SWU-252, last revised 9/17/2014 Page 2 of 2 -` ' Laboratories = a �a[lRA�� Accurate, Timely. Responsive. Innovative. 102-A Woodwinds Industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Wednesday, January 16, 2019 EI Group, Inc. (THOOS) Attn: Parker Alvis 2101 Gateway Center Blvd., Suite 200 Morrisville, NC 27560 RE: Laboratory Results for Project Number: [none], Project Name/Desc: Sharpe Plant 2 ENCO Workorder(s): CB07203 Dear Parker Alvis, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Monday, January 7, 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. Bill Scott Project Manager Enclosure(s) FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in PoII. Page 1 of 7 gm e_ www.encolabs.com SAMPLE SUMMARY/ LABORATORY CHRONICLE Client ID: Outfall-01 lab ID: CB07203-01 Sampled: 01/04/19 12:40 Received: 01/07/19 11:00 Parameter Preparation Hold Date/Time(s) Preo Dale/Time(sl Analysis Date/Time(s) SM 2540D-2011 NO PREP 01/11/19 01/07/19 12:20 01/07/19 12:20 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 2 OI % www.encolabs.com SAMPLE DETECTION SUMMARY No positive results detected. FINAL This report relates only to the sample as received by the labombory, and may only be repmducad In fo1L I Page 3 o 77 i w .encolabs.com ANALYTICAL RESULTS Description: Outfall-01 lab Sample ID:CB07203-01 Received: 01/07/19 11:00 Matrix: Water Sampled:01/04/19 12:40 Work Order: CB07203 Project: Sharpe Plant 2 Sampled By: Parker Alvis Chemistry Parameters ^ - ENCO Cery reei0ed aaalyte[NC 5911 Anall rCAS Numberl Total Suspended SolidsA RRResultr Flaa Units DF MDL 4 Bato Method Analyzed @Y Notes ND mg/L 1.74 4.3 4.3 9A07021 SM 2540D-2011 ,01/07/1912:20 LG FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 4 of 7 e 75) wwvv.encolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch 9A07021 - NO PREP Blank (9A07021-BLK1) Prepared & Analyzed: 01/07/2019 12:20 Spike Source o/aREC RPD Analvte Result Flan P_OL UnR9 Level Result %REC Until RPD Limit Notes_ Total Suspended Solids 2.5 U 2.5 mg/L LCS (9A07021-BS1) Prepared & Analyzed: 01/07/2019 12:20 Spike Source %REC RPD Analvte Result Elan P_OL Units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 100 2.5 mg/L 100 101 80-120 Duplicate (9A07021-DUP3) Prepared & Analyzed: 01/07/2019 12:20 Source: CB16868-01 Spike Source o/aREC RPD Analyte ResuR -Flag PQL Units Level Result o/ REC Limits RPD limit Notes Total Suspended Solids 160 25 mg/L 160 2 20 Duplicate (9A07021-DUP2) Prepared & Analyzed: 01/07/2019 12:20 Source: CC00308-01 Spike Source %REC RPD _Analvte Result Flag POL Units Level Result °/aREC Limits RPD Lima Notes Total Suspended Solids 70 12 mg/L 72 2 20 FINAL This report relates only to Ne sample as received by the laboratory, and may only be reproduced in full. Page 5 of-7 www.encolabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. J 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. N 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. FINAL This repart relates only to me sample as received by the laboratory, and may only be reproduced in full. I Page 6 Of % .. � 10775 Central Part O_r_ .10 exo tive Park Court. Suite 115 102-A Woodwinds Indus^trial Ck. ^' - _ Orla dq FL 32824 Jacksonvll¢, FL 32216 6069 Cary, NC 27511 - - L1Client '¢-r . •, S,✓�:3 (467) 82G6914, Fax (407) 650 6945 (904) 296.3W7 Faz 19W) 296-6210 (919) 467 MISO Fax 1919) L673515 Page L Of Name Project Werner Requeated Anelyses Requested TurnafOt o El Group, Inc. (TN005) (none] Times' N Address - - - Project flidne sc r N¢,¢:ti .eege;e M '. - 2101 Gateway Center Blvd., Suite 200 Sharpe Pliant 2 acmpterce tie tM, tavtiGl d to dby a %Standard CitylSTlZ p ' Mrortisville, NC 27560 PO a 10, hng lnfn - - Tel - -IF. Reportn9 Court- BoIIg fdrt3cht�_tj (919) 657-7500 i, 114 AA, Is N , _Expedited 1tme SAn>Fler(s)Name, Attrlatmn (Print} -' a�C.MdUtDue U) . I +J Zono Crab Workofdar - _.. .. - Prea¢rwtlon (S,e Oddes)i0ornbine as nece== _,arY ) Cotledlon Matrix Told q al' train Sample ID (Red ldenlifimition) -0dlectioa Wte. Time Comp t Grab (see cedes) Coatanere.. - � r :.� � j Sample Comments " .., '� Eiit - -.� A -M — vs'. 4r!' '°`" -,' Eat a5a; .+ eY 'F .5' sk S- f--.�£' t t r� ' "M fr -? ii. '•r 1 :- .-Y 1 3 d•._., ,q4' xw. r. •i-, x.h.. k ire. 1ex 0.r'. �Y'� �i3x' F2, P.. �`S� i} ::ems 1r t 1Fk :_ y....s ^fix. 4� l Fa 3�.± �+rY K--4-f .. ,i iGh^'- .iF' "?= .ct }: F .• Rk" �. x Y p i 'y�rh "i A £' ode -d '�.K Pp $ '�"' b`iA? ..i yy �1 " ri KThe s;, .,+ `N x�'",� 747 .�,.r o-f_f-thR-...5 < s.Ne it sKi -" +.e�4 14, ;-' *• ti 4' b,v a.9..v". �-. W.. e3-ae ��s x'k-:.� � t^v .�.tn $ +TY'x., ay,+, :in,,�,c Re...!4."' «ry ,t .s e. .. s:., x :x.. ,. <.-TotaI of Containers Sample Kt Need. Hy, )atMlime 5 l�f I Relinqulstrere - OaleETme - - Racelvad By DateRtme Comrnent0special Reporting Rect,temenls ! - - Relinquished By - oari iiiree Hecery ay - i0ate?ime. I Relinquished t3Y Datemmo Bernhard! By _. Datemme Ceder x's 8 Tempe oa Reeoipl - Q� Cantl�`lon pcn Receipt -Acceptable Unacceptable Matrix, COW-Grocndoeter SO-Sed DW-Droong Water SE-Sedment SW -Surface WaterWW-Was'tervater A -Air O.Other(detail in mmments) Preservation: l-Ice H-HCI N.HNO3 SIYQSO4 NO-NaOH 0 Other(detail in commaue%) Note: All.mules sdomHted to ENCO trans era in ... We,.. with the terms. and cnnd:'aons feted on the reverse of ties form, unless prior written agreements exist