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Home My WebLink AboutNCG210166_MONITORING INFO_20190711wv k 1� o STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. n/CG p�) iLa DOC TYPE ❑ HISTORICAL FILE [MONITORING REPORTS DOC DATE ❑ �� l YYYYMMDD July 8, 2019 Certified Mail #7017 0190 0000 2521 9136 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Georgia-Pacific Wood Products LLC Dudley Chip-N-Saw Facility Year 2019 — Period 1 DMR Submittal Certificate of Coverage No. NCG210166 To Whom It May Concern: vsw Georgia-Pacific Ceorgia-Pacific Wood Products LLC Dudley CNS Facility 2457-13 Old Mt. Olive Hwy Dudley, NC 28333 RECEIVED JUL 11 2019 CENTR/\I- FILES 0WR SECTICP! As required by the referenced permit in condition Part ill, Section E.1, attached are the original and one copy of the signed discharge monitoring report (DMR) and laboratory analytical results for Year 2019 — Period 1 for the Georgia-Pacific Wood Products LLC Dudley Sawmill Facility (GP). Results for the sample taken on June 6, 2019 indicated an exceedance of the Chemical Oxygen Demand (COD) and Total Suspended Solids (TSS) benchmark values. The facility has begun Tier 1 actions. As required in Section D of the general permit; the facility exceeded the threshold of 55 gallons of new motor oil and/or hydraulic oil usage when averaged over the calendar year (2018). As such, analytical monitoring for oil and grease was performed during this monitoring period. Should you have any questions or need additional information, please contact the Complex Environmental Manager, Brandy Turley, at (919) 705-0526 or brandy.turley@gapae.com. Certification: "1 certify, under penalty of lane, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure chat qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person at - 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. " Georgia-Pacific Georgia-Paci0c Wood Products LLC Dudley CNS Facility 2457-13 Old Mt. Olive 1-Iw), Dudley, NC 28333 Sincerely, Timothy Anderson Plant Manager Dudley Sawmill Attachments: DMR Reporting Form — Year 2019 — Period 1 (original and one copy) Laboratory Reports � II Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted _7/8/19_ CERTIFICATE OF COVERAGE NO. NCG210166 FACILITY NAME _Georgia Pacific — Dudley CNS COUNTY Wayne PERSON COLLECTING SAMPLES _Brandy Turley LABORATORY —Pace Analytical Lab Cert. # _12_ Comments on sample collection or analysis: 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 ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.)' ❑ No discharge this period 2l Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> - - 120 mg/L 100 mg/L or 50 mg/L4 001 6/5/2019 0.23 150 mg/L 135 mg/L 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. 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 mg/L", where XX is the numerical value of the detection limit, reporting 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ 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 Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L4 001 6/5/2019 0.23 <4.8 mg/L 135 mg/L 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 IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those 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." pigndLureui rernuueej 1 (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 aceAnalyfical o vmw.petelabs.an June 14, 2019 Brandy Turley Georgia-Pacific 139 Brewerton Road Dudley, NC 28333 RE: Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 Dear Brandy Turley: Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on June 07, 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 revision was issued on 6/14/19 to include TSS and COD analyses, per client request. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Sean Coury, Georgia Pacific Accounts Payable Go GP, Georgia Pacific 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 12 aceAnalj tical e ~..pacW&b&mon Pace Analytical services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certifcation # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 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 12 aceAnalytical " w»w.pacelaDSam M, Tkil7WNW\\TAAII=weilll]\11 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: CNS STORMWATER SAMPLING 92432132 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92432132001 CNS 001 EPA 1664E JMS 1 PASI-C SM 254OD-2011 MDW 1 PASI-A SM 5220D-2011 GC 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 12 (�IaceAnalyfical ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 2807B (704)875-9092 Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 Sample: CNS 001 Lab ID: 92432132001 Collected: 06/05/19 18:45 Received: 06/07/19 10:17 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664H Oil and Grease NO mg/L 4.8 1 06/12/19 05:59 2640D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 135 mg/L 16.7 1 06/12/19 22:25 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 150 mg/L 25.0 1 06/12/19 17:45 06/13/1916:33 REPORT OF LABORATORY ANALYSIS This repel shall not be reproduced, except in full, Dale: 06/14/2019 05:12 PM without the written consent cf Pace Analytical Services, I.L.C. Page 4 of 12 (�55'ceAnalytcale mtw.p&ogWa.,xm QUALITY CONTROL DATA Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 QC Batch: 480559 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92432132001 METHOD BLANK: 2599794 Matrix: Water Associated Lab Samples: 92432132001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L NO 4.8 06/12/19 05:55 LABORATORY CONTROL SAMPLE: 2599795 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 38.5 37.4 97 78-114 MATRIX SPIKE SAMPLE: 2599796 92432130001 Spike MS MS %Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L NO 38.5 38.1 96 78-114 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: 06/14/2019 05:12 PM without the written consent of Pace Analytical Services, L-C. Page 5 of 12 aceAnalytical e wawpeceleburcom Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 QC Batch: 480804 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92432132001 METHOD BLANK: 2600970 Associated Lab Samples: 92432132001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 2600971 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2600972 Parameter Total Suspended Solids SAMPLE DUPLICATE: 2600997 Parameter Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 06/12/1922:25 Spike LCS LCS % Rec Conic. Result %Rec Limits Qualifiers 250 236 94 90-110 92432130001 Dup Units Result Result mg/L 14.3 13.3 92432132001 Dup Units Result Result mg/L 135 137 RPD Qualifiers 7 D6 RPD Qualifiers 2 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: 06/14/2019 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 12 (�55?eAnalytical yraypncela&&can QUALITY CONTROL DATA Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 QC Balch: 480786 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92432132001 METHOD BLANK: 2600854 Associated Lab Samples: 92432132001 Parameter Units Chemical Oxygen Demand mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 06/13/1916:31 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersoille, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2600855 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 755 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2600856 2600857 MS MSD 92431578001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Chemical Oxygen Demand mg/L 57.9 100 100 162 164 104 107 90-110 1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2600858 2600859 MS MSD 92432193001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Chemical Oxygen Demand mg/L 84.5 100 too 179 181 94 97 90-110 1 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, Dale: 06/14/2019 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 12 (�55?eAnalyfical* w papawacnra QUALIFIERS Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 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 Huntersville, 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 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 Acrylonitrile by EPA Method 8260. N-Nilrosodiphenylamine 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. TN -The NELAC Institute, LABORATORIES PAST -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full, Dale: 06/14/2019 05:12 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 12 aceAnalytical" mmwpscele0.crmr QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: CNS STORMWATER SAMPLING Pace Project No.: 92432132 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, INC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92432132001 CNS 001 EPA 1664B 480559 92432132001 CNS 001 SM 2540D-2011 480804 92432132001 CNS 001 SM 5220D-2011 480786 SM 5220D-2011 Date: 06/14/2019 05:12 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batch 480834 Page 9 of 12 Client Name: � Pro l;tPo71'eri� �GZiI/%7�. Courier: Fed ❑UPS LIUSPS ❑Client ❑ Commercial ❑Dace ❑Other:_ Custody Seal Present? Oyes No Seals intact? []Yes No Document Name: Document Revised: February 7, 2018 ace Ana pica) � �- '1'' Sample Condition Upon Recef t SCUR Palie 1 of 2 Document No.: F-CAR-CS-033-Rev.06 Issuing Authority: Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden[]Greenwood ❑ Huntersville Raleigh❑ Mechanicsuular'I ,eEtR:,.�n�® : 92432132 II I92432132" O�II.- L _ Packing Material: ❑Bubble Wrap Z faubble Bags ❑None ❑ Other Thermometer: 92T048 Typeoflce: wel ❑Blue (�6unID: Cooler Temp('C): G,4 n/�zCorrection Factor: Add/Subtract ('C) 0.0 Cooler Temp Corrected (J'C)/:JL� USDA Regulated Sail (u N/A, water sample) Did samples origin In a quarantine zone within the United Slates: CA, NY, or SC (check maps)? Biologl slue Frozen? ❑Yet No []N/A ❑None Tempshould be above freezing to 6'C ❑Samples out of temp criteria. Samples an Ice, cooling process hasbegun Did samples originate from a foreign source ilnternatl on ally, �"I"dlne wwall and Puenn Rlrnl7 Ayes nNo - Comments/Discrepancy: Chain of Custody Present? ON. ONIA 1. Samples Arrived within Hold Time? rn ONO ❑N/A 2. Short Hold Time Analysts <72 hr.)? QY,j li_o NA 3. Rush Turn Around Time Requested? Over RrNo ❑N/A 4. Sufficient Volume? er. ON. ONIA S. Correct Containers Used? -Pace Containers Used? es Fj ' ONO NO ❑N/A ONJA 6. Containers Intact? No N/A 7. Dissolved analysis: Samples Field Filtered? Oyes ONO N/A a. Sample Lapels Match COC7 -Includes Date/Time/ID/Analysis Matrix: ONO ❑N/A 9. Headspace In VOA Vials (s5-6mm)7 Over ONO N A 10. Trip Blank Present? Trip Blank Custody Seals Present? []Yes Oyn o LINO ❑N/a A 11. ' COMMENTS/SAMPLE DISCREPANCY Lot 10 of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Date/Time: Project Manager SCURF Review: Field Data Required? ❑Yes ONO Page 10 of 12 Document Name: Document Revised: February 7, 2018 aceMalytical" Sample Condition Upon Recel t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office *Check mark top half of box if pH and/or dechlorinatlon is verlfled and within the acceptance range for preservation samples. Exceptions: VDA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg ""Bottom half of box is to list number of bottle Project f WQ# 924321.32 tPM: NMG Due Date: 06/18/19 CLIENT: 82—GP NC i' QE a Z W J a G E n J z � J 6 E N m Z d = 6 E J Em C 6 n ti N 6 yE� N �1 N a: n 4 yob N 2 o H m 6 E vN o z C) y 6 E ti U n- 9 a F y j N C E `u 1 r6 9 'G E Y :E ? 2 a = E a yp� N `rf N > y aC y va �vj R i .D E 4 a a 2 a a E H 'a ... o a Q CE% ,n n a 9 E < < 0 E 3 P a E A a i — > C a w ,NEy <— n u 2 yE� Z d 0 0 3 J 8 o 1 J E E S 1 2 3 a 5 6 7 8 9 10 11 11 pH Adjustment Log for Preserved, Samples Sample 10 Type of Preservative PH upon receipt Date preservation adjusted Time preservation adjusted Amount of Preservative added Lot A Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will he sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp. Incorrect containers. Page 11 of 12 aceAnalytical' CHAIN -OF -CUSTODY / Analytical Request Document o The Chahsor-Custody is a LEGAL DOCUMENT. All relevant fields must be competed accuraley. w I � Section A Sx on B Section C Pa9P: .or Required Client wonnation: Req red Project INofmation: InvdCo Information: To: Brandy Turley Anenuan Kellen Amey-Johnson company: Georgia Pacific Reno Address: 1257-B Old My OINe Hwy Copy To: brandy.tudey@gapacsom compere Name: Georgia Pacific REGULATORY AGENCY; ;,- Dudley, NC 28333 Address: 139 Brewinglon Or Dudley NC 28333 r NPOES r GROUNDWATER r DRINKING WATER r- UST r- RCRA r OTHER i aA apac.com EmTo: bran Purc ase Order NO.: P131055035 Paw qWe .tulle Y Y@9 Relerenee Prom: 919-705-0526 Fa': 919-735-7140 Prole I Na1A81 CNS Storim ater Sampling P°eO P1°I°d nicole.gasiorowskl@pacelabs.com Bite Location way :I -STATE: NC Requested We DMOITAT. Pro tNumOer. Pma c'°m°e` 4552-2 - Requested Analysis Filtered (YIN) Section D Valid M.W. Code. 1 Z' P+vausd cane wamauon MA1AIx -_ - COLLECTED .Preservatives r mmaW waifs ow U O �. ;. WA fe Wwi V m cerwovm W Z PacwctArea P _ as . OL ¢ U C SAMPLE ID wP .0 we .A (A-? OA I:) alMEn m a z Im- N m save Ds MUST BE UNIQUE TrsM.a Ts p - z m d G q 'X w w 0 0 O o c '�` t7 m v (/�/�I �j�� ¢ f d c y O^ O ti c a• L c O O tl$ 1 w ¢ < O Z U m ro Q' 0 0 = m Pace Project NoJ Lab I.D. 2 y DATE TIMET..T,., w a � S= Z Z Z O r m U 00 F 1 CNS 001 Wr G 6ISI19 S: 5lzn 4 1 1 2 X N I 2� 3 4 s S: T 9 0 1 ' 1t 13 "INTIONA1. COMMENTS ; REUNOUISNED BY I AFRLiATION "TE' -TINE ACCEPTEDBYIAFRUATION'� - DAjTE/'y. TIME SAMPLE CONDITIONS I' Brand Turley615/1a 7:20 m r I I SAMPLER NAME AND SIGNATURE .' o? c o c UZ py OZ m 7 PRINT Name of SAMPLER: Brand Tud E eti u V ' n'✓ GATE 6lerad r SIGNATURE Of SAMPLER. NMIDD 6/5119 •Imp°rlye Ntle: aY NpwW cos 1.l?Ye--ouneP 1.a NeT 30 day piPneM leant Me.P°°k*te line dit O d1.5% per moNe fin M'Nvtleee b( PaN sunw uao.