Loading...
HomeMy WebLinkAboutNCG080696_DMR_20200511STORMWATER SAMPLING TIMELINE Wednesday, April 15, 2020 10:00pm — light rain (thunderstorm) 2:15am — light rain (off and on) 3:15am — moderate rain 4:45am — light rain 5:55am — light rain 6:05am — discharge started 6:28am — sample take (tss & oil/grease) 6:33am — pH reading — 8.57 pH Total rainfall at time of sampling = 0.5" Sample taken by Chris Ray- Public Works Director AZ 4'an NCMDrN7:ems Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on f Iling out this form, please visit. h=:/jporta1.ncdenr.org/webZwQ /ws/su4npdessw#tab-4 Permit No.: N/C/—/—/—/—/—/—/—/ or Certificate of Coverage No.: Facility Name: 'T-jn 04 e t 6J4-10 &_ Lc.Jur/i'S County: � P. k&- Phone No. 917 ' a d Inspector: Ch r : y P Date of Inspection: - I r-laoaG Time of Inspection: LA ^,1 Total Event Precipitation (inches): 5 1 b Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be rm event" or during a "measureable storm event." However, performed during a "representative sto ent. Please refer to these definitions, if applicable. some permits do not have this requirem A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. I certify th this report is accurate and complete to the best of my knowledge: of Permittee or Des'i?gnee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: u,,nrd i- bLJtdg o g L; Jilt VPr Describe the industrial activities that occur within the outfall drainage area: A- k IAr1 64_ cln._ nJ ' Sw��e und1 og-1,9✓el k 2. Color: Describe.the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 6`,h9L • % /> — 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 C. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: (1) 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes Io 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe o����kk try'53 r\ A- r-� k\ . Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 �`..:. �.. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. htip:/./12ortal.ncdenr.orglweb/­wq/ws./­sll/­npdessw#tab- Permit No.: or Certificate of Coverage No.: Facility Name: ' I ems- u 7c "Io°7 dl'obb - tJor ks �5 j " rs— County: WA-k Phone No. Inspector: Gh r l) 6 Date of Inspection: e -- 1 S-- do 0'0 Time of Inspection: b ` 37 Am Total Event Precipitation (inches): -s / a Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) X1 Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). ~Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be representative sto performed during a "rm event" or during a "measureable storm event." However, ent. Please refer to these definitions, if applicable. some permits do not have this requirem A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional office Psi ture, I c tify t this report is accurate and complete to the best of my knowledge: re of Permittee or D si ee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. 6( Structure (pipe, ditch, etc.) r��� SAP l� �✓�s� 5,�� �� "/';'C' y fi Receiving Stream: GRnn P� Ar' 6 19,y of L; )•ale i2 fP^ Describe the industrial activities that occur within the outfall drainage area: aMve 0 S Pq �t.> e ti lanr� 6ltLi.`r�� S 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: G ` 3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):/ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 0,4A + n I 51)w� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 I O v oa m 0 CL Ln O Ln n v d0 CD a� n� v 0 tn tn rt En s 3 rt Ln o: Lq s v 00 m 3 0 0 0 3' w c(o O n m X, m m W m v o rt c m m h 0 � v 3 vm � n_ (D m c � rt v N =3 f+ m e-r O v � m D 3• 3 h M m m-LA Hi. c r+ Ln. M 0 �UQ 3 m O 0 -� M �s v Un Ln cm w o f- -0 n -+ n 0 z c z cn -i 3 = O Z „ -+ D y Z .< A a n Z D o O- m Om s �, n m o< o D 7 D 'r rD G) � m o3i 3 m Z O fD 0 cn y o N z Om7 3 J tT` i ) Ln = o O c DO cr D D n V .O D m m m 0 � r— M O O m 'a m O ❑® °z ((A > 9 m ;o w < to p O m CA m ❑EIF] rip m ElM Q ❑ El0 o o E) Z = , ❑p v o w n Z rho 70 c S m '� s N• ❑ m m ❑ 9 D D 4 y H a� v m o V3 c 3 O a. r+ M �11% � A LA v I'O m 3 O n C) 0 00 0 0 O 0 c r+ 0 v 4 QDu -, m + rD w rt 9 rt o v ro rD O y -+ 7 -O tD rD w & m L 3 m O = 9L 1.1 , - � D: r+ m rD m G O N� a O rD - M rD �ah < S 3 !n +cu Otl or C S v rr cr < 3 rD r* o_ _+ o v a " = o oq 3 a 0 cu rD m O to O w rD ? E O Iv O h CD CL O� rD cu Q - . rr rz 3 3 v o m — 3 O " c ^ o rD O O 0 rOr 3 c rt rt O rD ru ( 3 n 0- N•' m rD O ^ Q 7 0 n h . •O O S rD M CL O O rs O_rD rD 0 0- IS h m �c m-" � 3 3 m -• Q N C: N LA f*D ~ " :ErD V 0 p Q C h o rDLn m a rD m o m 3 <. IT `Oi, O P rD �. SD o <, n N O O Q E S N rt D 3 (CD L c G CL aqq S Q rD O 1+ S �o rD rt Ln �< h rD Lln 3 O Q 3 < 3 CD h fD S Q a N h 0 LO M lD O CL AA CU O �t CDrt C O m N O ('CD D Ch to <. Qq z °' o O — p - cn s � rD v v o � T p a, v (D N < J rn LD O p e e • -p r0 D m;a X Co D O V1 W m n Q a 0 < O O rI >u m I m O h C C vi X : Q Z O O > D m Z n n Z Q -i -< = m m O m z G) = rD O k' C 0 O vmi D Ln x O m rn m W G) m 'D m > N ? Z Co D m D n m.0 a rD r- _ --I C O 0 � m � m D ;o D m n m 7z m rn = Z n m � `C O c m cn D O rmn 0 m rn m m �n Z m O m C �o H Q -n TI a EloD-r r _ r�D LA D m m y m Z �z 'y D ►� ai Mm -mi jo N m C O � m �I D K � z Z W O y z M a m O m O O m D � r U H "O D m a O ={ rD O El Z -i v aceAnalytical www.pacelabs.com April 22, 2020 Mr. Tony Rose Town of Zebulon 450 East Horton Zebulon, NC 27597 RE: Project: STORMWATER Pace Project No.: 92473971 Dear Mr. Rose: Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for seimple(s) received by the laboratory on April 16, 2020. The results relate only to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report. The test results provided in this final report were generated by each of the following laboratories within the Pace Network: • Pace Analytical Services - Charlotte • Pace Analytical Services - Eden If you have any questions concerning this report, please feel free to contact me. Sincerely, Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Jeanine Corbett, Town of Zebulon Mary Duffy, Zebulon (Town of) 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 aceAnalytical www.pacelabs.com Project: STORMWATER Pace Project No.: 92473971 Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Pace Analytical Services Charlotte 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Pace Analytical Services Eden 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 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 11 aceAnalytical www.pacelabs.com Project: STORMWATER Pace Project No.: 92473971 Lab ID Sample ID 92473971001 STORMWATER 1 92473971002 STORMWATER 2 PAST-C = Pace Analytical Services - Charlotte PASI-E = Pace Analytical Services - Eden Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Analytes Method Analysts Reported Laboratory SM 254OD-2011 MWF 1 PASI-E EPA 1664B JDL 1 PASI-C REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 11 aceAnalytical www.patelabs.com ANALYTICAL RESULTS Project: STORMWATER Pace Project No.: 92473971 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: STORMWATER 1 lab ID: 92473971001 Collected: 04/15/20 06:29 Received: 04/16/20 08:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Pace Analytical Services - Eden Total Suspended Solids 119 mg/L 17.9 1 04/17/20 11:15 Sample: STORMWATER 2 Lab ID: 92473971002 Collected: 04/15/20 06:28 Received: 04/16/20 08:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua] HEM, Oil and Grease Oil and Grease Date: 04/22/2020 03:30 PM Analytical Method: EPA 1664E Pace Analytical Services - Charlotte ND mg/L 5.0 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 04/21/20 09:00 Page 4 of 11 Pace Analytical Services, LLC aceAnalytical ® 9800 KinceyAve. Suite100 Huntersville, NC 28078078 www.patelabs.com (704)875-9092 QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92473971 QC Batch: 536851 Analysis Method: SM 2540D-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Laboratory: Pace Analytical Services - Eden Associated Lab Samples: 92473971001 METHOD BLANK: 2863445 Matrix: Water Associated Lab Samples: 92473971001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 04/17/20 11:11 LABORATORY CONTROL SAMPLE: 2863446 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 244 98 90-110 SAMPLE DUPLICATE: 2863447 92473778001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 188 230 20 SAMPLE DUPLICATE: 2863448 92474082001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 489 637 26 D6 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: 04/22/2020 03:30 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 11 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92473971 QC Batch: 537320 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Laboratory: Pace Analytical Services - Charlotte Associated Lab Samples: 92473971002 METHOD BLANK: 2865537 Associated Lab Samples: 92473971002 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 2865538 Parameter Units Oil and Grease mg/L Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 04/21/20 09:00 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 36.1 90 78-114 MATRIX SPIKE SAMPLE: 2865539 92474227003 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 35.0 86 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: 04/22/2020 03:30 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 11 aceAnalytical www.pacelabs.com QUALIFIERS Project: STORMWATER Pace Project No.: 92473971 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 ofAcrolein 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. ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/22/2020 03:30 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 11 aceAnalytical e www.pacelabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: STORMWATER Pace Project No.: 92473971 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92473971001 92473971002 STORMWATER 1 STORMWATER 2 SM 2540D-2011 EPA 1664E 536851 537320 Date: 04/22/2020 03:30 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 Page 8 of 11 DocumentNamt Sample Condition Upon Re Document No.: Laboratory receiving samples: Asheville D Eden[] Greenwaod ❑ Huntersville ❑ Raleigh® mechanics0le[] sm Client Name- Project: WO#: 92473971 TOWA Courier: []Fed Ex []UPS OUSP5.f[ Commercial ®Pace Elmer. g2473971 Custody Seal Present? QYes fiRNo seats intact? ❑Yes (4No Ir Aaritfals Person Examining Contents: 1 G' L'�' te/l Packing Material: []Bubble Wrap • (]Bubble Bags None ❑ Other Biological Tissue Frozen? Thermometer: []Yes QNo [�N/A ❑IR 6un tD: _9�5 tjpe of ca:jWet []Blue QNane Cooler Temp ('Cj:. Correctfon Factor: Add/Subtract ('C) ' J Temp should be above freezing to 6"C Cooler Tamp Corrected ('C): s,1[]Sampksout oftempafteds.samples onice,coa tgprocess has begun USDA Regulated Sol( Q N/A, water sample) Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samplesodginate from a foreign source (Internationally, FIYes -f'INa including Hawaii and Pu-WRfco)?QYes QNo Chain of Custody Present? Samples Arrived within Hold Time? Yas )]Yes No OND N/A (]N/A I L I L Short Hold Time Analysis (472 hr.)? Yes ONo ONIA 3- Rush Turn Around Time Requested? es EINo NIA 4- Sufficient Volume? RYes []No NIA S. Correct Containers Used? WYes QNo []NIA 6. -Pace Containers Used? .. .. OYes .. ❑No ._.__[IWA ',.v, ,. Dlssolvedanalysis:samples Field Filtered? Yes No NIA a Sample Cahefs PrIatch COC? motes QNo QN/A 4. -Includes Datefrime/lo/Analos Matsbc olr Heaclspace In VOA Vials (>5-6mm)7 • Yes QNo ®N/A 10- Trip Blank Present? [JYes []No PN/A 11. Trip Blank Custody Seals Present? Yes No NIA COMMENTS/SAMPLE DISCREPANCY Feld Data Required? QYes []No Lot in of split containers: CLIENT N0T1F1CATION/RES0LLrT1ON Person contacted: Project Manager SCURF Review. - Project Manaeer SRR RAw1^w- Date/lime: Date: natA• Page 9 of 11 oot ument Name, Document Rawsea; MUMMY 4 Aa�u Sample CafIiitton Rai SCUR) Pa e 1 of 2 t Arx Document No.: IssuMgAuthority- r-caR-rs.M. "JU Pace Carolinas Quality �`ttce *Check mark top half of box if pH andlor dechiorination is verified and within the acceptance range for preservation samples, Exceptlens: VOA, Conform, Tor, Oil and Grease, 0R0/8015 (water) = LLH9 **Bottom half of box is to list number of bottle Q d Q a o m e a yI a n a > j U U U c E E E in a1 ca v 2 o, qa o U U a a a J " E m m o u d 2 v 0 a ,y m a a x Z y °s O 4 0 a - U T+ .,+ C, 'U4 o a ., , E a m m m m E E v_ _ m m m '} Q z m m c E c 4 V s ° O m d v c 2 q 4Z E s p ° d Q 4 2 O } O Z N Z p -J E } 4 Z c _ O E O 7 a d m 0 a E 0 z 3 IL P 0a 7 ¢ a X s m � V 7 a Q? a E w N vai e •C m E C) N m o a c a Z o e 'n + 9 m E s E E E E o o a r4 °y N oS PN N I I j3 N I I 1 N I I 5 "6 N I I NN\N N I N\ 9 I," 11 --N 7-\�\ pH Adjustment log for Preserved Samples Sample ID Type of PreservatlVe pH upon receipt oate preservatlon adjusted Timo preservation Amount otPresorvativo tot adjusted added aHSA r—ll- nEHNR Certincation Office (I.e. — dots: Wheno-erifiere is a dLurepancy affecting North Carolina cramp onto sa , GPY- Out of hold, Incorrect presarv2tive, out of temp, Incorrect Containers. Page 10 of 11 I F N �,i r�) ITEM 0 'a M 0 0 2� C C N r% z 10 a m tA U ;a 5U. ;a z 0 MATRIX CODE (sea valldcodesttad} q1 Ct-- SAMOLETYPE (G-GRAB C- P) '31 0 N, In 3 M r- M 0 9 ITI rn qLo ra ;a, SAMPLE TEMP AT COLLECTION # OF CONTAINERS .M Unl5reserved INm. H2SO4 HNO3 HCI NaOH N92S203 Methanol Other ON hn4A.� C z 1= G, 0 17_1 is ,. M M Z C: z Temp In 'C M Residual Chlorine (Y/N) Received an Ice (YIN) 0 z T'-J) X z Custody Sealed Cooler (YIN) > Samples Intact cr (YIN) r-