HomeMy WebLinkAboutNCG160191_MONITORING INFO_20191119STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NLN16 D 1 q I
DOC TYPE
❑ HISTORICAL FILE
❑� MONITORING REPORTS
DOC DATE
❑ o o l g j j)%
YYYYMMDD
ETC
ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
North Carolina Department of Environmental Quality RECEIVED
Division of Water Resources
Attn: DWR Central Files NOV 19 2019
1617 Mail Service Center CEN I i AL FILES
Raleigh, North Carolina 27699-1617 DWR SECTION
RL: Submittal of Discharge Monitoring Report
1-lammaker Fast L'mulsions
1561 Grovestone Road
Black Mountain Facility — Permit No. NCG 160191
Dcar Sir or Madam:
270 William Pitt Way
Pittsburgh, PA 15238
Telephone 412-826-3120
Fax 888-515-4869
www.atcgrout)services.com
November 5, 2019
On behalf of Russell Standard Corporation, ATC Group Services I.,LC (ATC) is pleased to provide the
attached Discharge Monitoring Report for the facility referenced above. Please do not hesitate to contact
me at (412) 826-3120 x219 or by email at Andrew.ZinmyRwATCGS.com.
Respectfully,
ATC Group Services LLC
Andrew S.Zinuty
Project A4cmager
Enclosures: DMR— IlammakerFastEmulsions— BlackMountainFacility
cc: James Shay
Andrew Levenson
Semi-annual Stormwater Discharge Monitoring Report.(DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 11/5/2019
CERTIFICATE OF COVERAGE NO. NCG16 0191
FACILITY NAME Hammaker East, Ltd. COUNTY Black Mountain
PERSON COLLECTING SAMPLESAndrew Levenson
LABORATORY Pace Analytical Lab Cert. #460025
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR2019
SAMPLE PERIOD ❑ Jan -June El July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
n No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
P
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
Outfall1 (SD01)
10/22/2019
0.61
14.3 mg/L
Outfall 2 (SD02)
10/22/2019
0.61
21.6 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check mark 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
4requirement. 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 mR/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: 08/01/2019-05/31/2024 SWU-252, last revised 09/04/2019
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 O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
New Motor Oil or Hydraulic
Oil Usage, Annual average
gal/mo
Benchmarks =__>
-
-
15 mg/L
100 /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 Q
IF YES, HAVE YOU CONTACTED THE. DEMUR REGIONAL OFFICE AS REQUIRED BYTHE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, including all 'No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water 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."
(Signature of Permittee) (Date)
Fermit Date: 08/01/2019-05/31/2024 _ SWU-252, last revised 09/04/2019
— - - - - - - '-- - Page 2of2
ace Analytical
www.pacelaDs.cam
I•
October 26, 2019
Andrew Zimny
ATC Group Services
270 William Pitt Way
Pittsburgh, PA 15238
RE: Project: Hammaker East - July -December
Pace Project No.: 30331064
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
Dear Andrew Zimny:
Enclosed are the analytical results for sample(s) received by the laboratory on October 22, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNUNELAC 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,
Rachel Christner
rachel.christner@pacelabs.com
724-850-5611
Project Manager
Enclosures
cc: Ryan Fox, ATC Group Services
=��QpcCR��`no
r
eNI
pto�
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 13
aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
CERTIFICATIONS
Project: Hammaker East -July-December
Pace Project No.: 30331064
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginiaA/ELAP Certification #: 460222
North Carolina Drinkina Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C.
Page 2 of 13
Pace Analytical Services, LLC
ites 2,3,4
GCna'�Ina'® 1636 RoseytoGreensburg,u
e rrPA 15601
fill w ..pacelfai (724)850-5600
SAMPLE SUMMARY
Project: Hammaker East -July-December
Pace Project No.: 30331064
Lab ID Sample ID Matrix Date Collected Date Received
30331064001 SD 01 Water 10/22/19 08:50 10/22/19 10:28
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 13
aceAnalytical
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Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
SAMPLE ANALYTE COUNT
Project: Hammaker East - July -December
Pace Project No.: 30331064
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
30331064001 SD 01 SM 2540D-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 4 of 13
aceAnalytical
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Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
ANALYTICAL RESULTS
Project: Hammaker East - July -December
Pace Project No.: 30331064
Sample: SD 01 Lab ID: 30331064001 Collected: 10/22/19 08:50 Received: 10/22/19 10:28 Matrix: Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 14.3 mg/L 3.2 3.2 1 10/23/19 10:50
Date: 10/26/2019 06:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 5 of 13
aceAnalXical
' www.pecela6s.cam
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)650-5600
QUALITY CONTROL DATA
Project: Hammaker East - July -December
Pace Project No.: 30331064
QC Batch: 505161 Analysis Method: SM 254OD-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 30331064001
METHOD BLANK: 2714164
Associated Lab Samples: 30331064001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE: 2714165
Parameter Units
Total Suspended Solids mg/L
Matrix: Water
Blank Reporting
Result Limit
NO 2.5
Spike LCS
Conc. Result
251 246
SAMPLE DUPLICATE: 2714166
92450404001 Cup
Parameter Units Result Result
Total Suspended Solids mg/L 59.0 55.0
SAMPLE DUPLICATE: 2714395
92450531001 Cup
Parameter Units Result Result
Total Suspended Solids mg/L 129 132
MDL Analyzed Qualifiers
2.5 10123/1910:40
LCS % Rae
% Rec Limits Qualifiers
98 90-110
Max
RPD RPD Qualifiers
7 25
Max
RPD RPD Qualifiers
2 25
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: 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13
or
aceAnalytical
www.pacela6s.corn
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
QUALIFIERS
Project: Hammaker East - July -December
Pace Project No.: 30331064
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - 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, 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 Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
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
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13
aceAnalytical
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Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Hammaker East -July-December
Pace Project No.: 30331064
Lab ID Sample ID
30331064001 SD 01
QC Batch Method
SM 2540D-2011
QC Batch Analytical Method
505161
REPORT OF LABORATORY ANALYSIS
Analytical
Batch
This report shall not be reproduced, except in full,
Date: 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13
CHAIN -OF -CUSTODY / Analytical Request Document
dceAruf}ticaf The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Iection1A Section a Section C
: 1 1
Involcu Information: Paae Of
tequlrotl Client Information: Requlrotl Protect Information:
Attention: Andrew DIM
:ompany. ATC Group Services Report To: Andrew Zimn
Copy To: Company Name: ATC GMP Services
fGRe uleto 'A enc '%k
ddress: 270 William Pitt Way
Address: 270 William Pitt Way. Piltsbu h. PA 1523E
hatsbur h. PA 1523E
:mail: ardrew.zimn at n.com Purt3ase Order e: Pace Ouota:
Paw Project Manager. racnel.dwistner pawlabs.com,
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SAMPI FR NAME AND SIGNATURE v� - 5a
PRINT Name of SAMPLER: d ./p�SO�
SIGNATURE of SAMPLER: DATE 519netli
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Name:' Document Revised: February 7, 2018
on Recelpt(SCURI Page 1 of 2
t No.: IIssuing Authority:_^:
Laboratory receiving s fnples:
Asheville,] Eden[] Greenwood ❑ Huntersville❑ Rale(gh❑ Mechanicsville[]
client Name: ' WO# : 92450591
P(2A-*Ltigk rojettq• IIIIIUIIIIIIIIIIIIIIII
Courier: - ❑Fed Ex ❑UPS ❑USPS Client
❑ Commercial ❑Pace ❑Other:_ 92450591
Custody Seal Present? []Yes &_ o Seals Intact? []Yes No �✓SQF JO/1 Z)jtA
' Date/Nltlab Person Examining Contents: I 1
Packing Material: []Bubble Wrap ❑bubble Bags t None Other
[]Yes ONO /A
Therm ter: Type of ice: et []Blue ❑None
❑IR Gun ID;
Cooler Temp ('C): Correction Factor: Add/Subtract (°C) O e above freeting to 6°C
/yt Te p ..
Cooler Temp Corrected ('C): SOmplez outaf temp criteria .Sample; an ice, cooling process
his begun
USDA Regulated Solt ( N/A, water sample)
Did samples originate in a quarantine tone within the United States: CA, NY, or SC (check maps)? Old unit to Originate from a foreign source (internationally,
..... u-11.nd Puerto Ricoi?nYes ONO
Yes UNo
......._...__.. ----
. comments (Disue ancy:
1.
Chan of Custody Present? Yes QNo N/A
Samples Arrived within Hold Time?
es
No
N/A
24
Short Hold Time Analysis(42 hr.?
ElYes
@15o
N/A
.3.
Rush Turn Around Time Requested?
Yes kgKo
Sufficient Volume?
Yes .
NO
N/A
5.
'Correct Containers Used?
es
❑No
❑N/A
6.
-Pace Contalners Used?
Yes
No
N/A
Contalners Intact?
es
NP .
N/A
7.
Dissolved analysis: Samples Field Filtered?
Yes
No
N/A
Sample labels Match COC?
es
ONO
❑N/A
9.
-Includes Dateirnme/1D/Anal Is Matrix:
Headspace In VOA Vials >S•6mm?
Trip Blank Present?
Yes
❑Yes
No
No
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❑N/A
10.
Trip Blank Custody Seals Present?
JJYes
QNO
WK
COMMENTS/SAMPLE DISCREPANCY
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review; Sites
Date/Time:
Field Data Requlred7 LjYes.t_INo
Date: �71�I
Date: �I) J-\`"r —
Page 10 of 13
Document Name: Document Revised: February 7, 2013
Sample Condition Upon Racal t SCUR) page 1 of 2
"aCCAn21yi1Ca! Document No.: Issuing Authority:
F-CAR-CS-033-Rev.06 Face Carolinas Quality Office
'Check mark top half of box if pH and/or dechlorination is Project # WO# : 92450591
verified and within the acceptance range for preservation PM: BV Due Date: 10/29/19
samples.
Exceptions: VOA, Collform, TOC, Oil and.Grease, DRO/8015 (water) DOC, LLHg CLIENT: Pace PR
"°Bottom half of box is to list number of bottle
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Out of hole, Incorrect preservative, out of temp, Incorrect contalners.
Page 11 of 13
Chain of Custody
Q Samples were sent directly to
Workorder:30331064 Workorder
Subcontracting Laboratory.
Hammaker East - July -December
State Of Origin: NC .
Cert. Needed: x❑ Yes
Owner Received Date:
No a
1012212019 Results Requested By: 11/5/2019
4swSuticdMratTtl,,;.;..'
Rachel Christner
Pace Analytical Charlotte
Pace Analytical Pittsburgh
9800 KinceyAve.
1638 Roseytovm Road
Suite 100
Suites 2,3,4
Huntersville, NC 2BO78
Greensburg, PA 15601
Phone(704)875-9092
Phone 724-a50-5611
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Tuesday. October 22. 2C, 912:29:29 Pf4--
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CHAIN-0F CUSTQpY / ltnalffical Requesf Document:
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aceAnalytical
www.pacelabscrom
October 26, 2019
Andrew Zimny
ATC Group Services
270 William Pitt Way
Pittsburgh, PA 15238
RE: Project: Hammaker East - July -December
Pace Project No.: 30331067
Pace Analytical Services, LLC
1638 Roseylown Road- Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
Dear Andrew Zimny:
Enclosed are the analytical results for sample(s) received by the laboratory on October 22, 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,
lf�.Q z oyu_rt-na,'_
Rachel Christner
rachel.christner@pacelabs.com
724-850-5611
Project Manager
Enclosures
cc: Ryan Fox, ATC Group Services
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 13
aceAnalytical
_pscelabs.c
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
Project: Hammaker East - July -December
Pace Project No.: 30331067
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VlrgunaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 13
Pace Analytical Services, LLC
aceites 2,3,4
AnalXical ® 636 RoseytoGreensburg, uPA 15601
, ..yacefabs.com
(724)850-5600
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Project: Hammaker East - July -December
Pace Project No.: 30331067
Lab ID Sample ID Matrix Date Collected Date Received
30331067001 SD 02 Water 10/22/19 09:10 10/22/19 10:28
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 13
aceAnalytical
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Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
SAMPLE ANALYTE COUNT
Project: Hammaker East -July-December
Pace Project No.: 30331067
Lab ID Sample ID
11
Method Analysts
Analytes
Reported
Laboratory
30331067001 SD 02
SM 2540D-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 4 of 13
aceAnalytical o
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Pace Analytical Services, LLC
1638 Roseylown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
ANALYTICAL RESULTS
Project: Hammaker East - July -December
Pace Project No.: 30331067
Sample: SD 02 Lab ID: 30331067001 Collected: 10/22/19 09:10 Received: 10/22/19 10:28 Matrix: Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 21.6 mg/L 5.0 5.0 1 10/23/19 10:51
Date: 10/26/2019 06:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 5 of 13
aceAnalytical
'. rvww.parelabs.cam
Pace Analytical Services, LLC
1638 Roseylown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
Project: Hammaker East - July -December
Pace Project No.: 30331067
QC Batch: 505161
QC Batch Method: SM 2540D-2011
Associated Lab Samples: 30331067001
METHOD BLANK: 2714164
Associated Lab Samples: 30331067001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE:
2714165
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 2714166
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 2714395
Parameter Units
Total Suspended Solids mg/L
QUALITY CONTROL DATA
Analysis Method: SM 254OD-2011
Analysis Description: 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit MDL Analyzed Qualifiers
ND 2.5 2.5 10/23/1910:40
Spike LCS LCS % Rec
Conc. Result %Rec Limits Qualifiers
251 246 98 90-110
92450404001 Dup Max
Result Result RPD RPD Qualifiers
59.0 55.0 7 25
92450531001 Cup Max
Result Result RPD RPD Qualifiers
129 132 2 25
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: 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13
aceAnalj6cal
wwwpecela6s.com
Pace Analytical Services, LLC
1638 Roseytown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
QUALIFIERS
Project: Hammaker East - July -December
Pace Project No.: 30331067
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - 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.
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
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13
aceAnalytical
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Pace Analytical Services, LLC
1638 Roseylown Road - Suites 2,3,4
Greensburg, PA 15601
(724)850-5600
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Hammaker East - July -December
Pace Project No.: 30331067
Lab ID Sample ID
30331067001 SD 02
QC Batch Method QC Batch Analytical Method
SM 2540D-2011 505161
REPORT OF LABORATORY ANALYSIS
Analytical
Batch
This report shall not be reproduced, except in full,
Dater 10/26/2019 06:47 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13
0
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be Completed accurately.
d
-ectlon A Section B Section C
required Client Information: Required Project Information: Invoice lydomwtion: PaGa: 1 Of 1
Re To: Andrew Zimn Attention: Andrew Zimny
:ompany: ATC Group Services Pon
ddress: 270 William Pitt Way Copy To: Company Name: ATC Group Services
'ittsbur9h. PA 15238 Address: 270 Willie , Pitt Way, Pittsburgh, PA 15239 Ra9ulatory'Apaory
mail: adsv,.zimnyg,nWs.com Purchase Omer#: jPaw Quote:
hone: I (708)638.8243 IF,oc Project Name: Hanmaker East - July -December 1pace Project Manager mcheLchnsmer@pacelabs.wm--=---
le guested Due Date: Project #: Paco Profile #: 5067,1 CLT (9133.4 PGH)
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NC
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SAMPLER NAME'ANDSIGNATURE�:;..
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PRINT Name of SAMPLER:
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SIGNATURE of SAMPLER:: - _ - - - - - - .N./DATE
Signed: O^ Gj__—.
Document Name:
Document Revised: February 7, Mies
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aceAnalytleaf
Sample Condition Upon Recei t SCUR
Page 1 of 2
Document No.:
Issuing Authority:
'
F•CAR•CS•033-CAR
Pace Carolinas Quallt Office
Laboratory receiving s pies:
Asheville Eden[] Greenwood Huntersvllle❑ Raleigh❑ Mechanicsville
client Name: n J WO# : 92450597
Courier: ❑Fed Ex ❑UPS ❑USPS reject
❑Commercial []Pace s,�. ❑other._
Custody Seal Present? Dyes a(�- No Seals Intact? []Yes No
Packing Material: ❑Bubble Wrap ❑Bubble Bags t None ❑ Other
ThermR,;;ter: �3i-o67 Type of fee: et []Blue
❑IRGun ID:
Cooler Temp (°C): (110 Correction Factor: Add/Subtract ('C) 0' 0
�Cooler Temp Corrected VC):
�l1SDA Regulated Sell ( N/A, water sample)
Did samples originate In a quarantine zone within the United States: CA, NY, or SC (check maps)?
Yes No
IIIIIU111111IIIIi IIIII
92450597
Dace/Initials Person Examining Contents; t0/1ZJ��
Biological Tissue Fr en7
Dyes [:]No JLXIA
❑None
Temps A be above freezing to6'C
Samples out of temp uiteda. samples on ice, cooling process
hssbegun
Did samples originate from a foreign source (Internationally,
�..i„Ana unman and Puerto RICOV ❑Yes ❑No
Comments/Discrepant :
Chain of Custody Present?
ONO
ONLA
1. '
Samples Arrived within HOW Time?
es
QN.
nNIA
2.
Short Hold Time Analysis <72 hr.)?
Oyes
PJCo
N/A
3.
Rush Turn Around Time Requested?
Yes
o
N/A
4.
Sufficient Volume?
Yes
No
N/A
S.
Correct Containers Used?
-Pace Containers Used?
..I]ess/
'2 05
ONO
No
❑N/A
N A
6.
Containers intact?
as
No.
NA
7.
Dissolved analysis: Samples Reid Filtered?
QYes
MiNo
N/A
S.
Sample Labels Match CDC?
-Includes Date/Time/ID/Analysis Matrix:
Larm
[:]No
❑N/A
9.
Headspace In VOA Vials(>5.6mm)?
Yes
No
L A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Clyes
No
ONO
❑N/A
kp N<A
11.
COMMENTS/SAMPLE DISCREPANCY
Field Data Required? ❑Yec—E]rvo
Lot 10 of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Date/Time:
Project Manager SCURF Review: Date; 2 I p/
Project Manager SRF Review: Date: N
Page 10 of 13
Document Name:
Document Revised: February 7, 2018
Sample Condition Upon Recoi t SLUR)
Page 1 of 2
Document No.:
Issuing Authority:
_ ?CeAnalytiea!
r
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
*Check mark top half of box If pH and/or dechiorination Is
verified and within the acceptance range for preservation
samples,
Exceptions: VOA, Colifonn, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
"Bottom half of box is to list number of bottle
Project# WO# : 92450597
PM: BV Due Date: 20/29/19
CLIENT: Pace PA
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pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Tlme prearvallon
adked
Amount of Preservative
added
Lot It
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form Will be sent to the North Carolina DEHNR Certification Office (Le
Out of hold, Incorrect preservative, out of temp, Incorrect containers.
Page 11 of 13
:pain of Custody
X❑ Samples were sent directly to the
Irnr4r.rrlur gn'A-IIrlR7 Wn,knrrlar
Laboratory.
Ha mmakor Pnsf-.luly-necemher
State Of Origin: NC
Cert. Needed: X❑ Yes ❑ No
Owner Received Date: 1012212019
M
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N
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ceArtalytical�
Results Requested By: 11/5/2019
eq
;achel Chdstner
Pace Analytical Charlotte
'ace Analytical Pittsburgh
9800 Kncey Ave.
638Roseytown Road
Suite 100
�tiites 2.3.4
Huntersville, NC 28078
ireensburg, PA 15601
Phone (704)875-9092
'hone 724-850-5611
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Received on Ice or N
Samples lntactor N
" In order to maintain client confidentiality.
! 3cationIname of the sampling site, sampler's name and signature may not be provided on this COC document
' This chain of custody is considered com
fete as is since this information is available in the owner laboratory. ..
Nesday, October 22. 201912:18:33 PM FLIT-ALLL-002rev.00 24Marrh2009 Page 1 of 1
CHAIN-OF-C6.ST.00Y I AnalY.bizal Request D-ncmMqnt
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