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HomeMy WebLinkAboutNCS000582_MONITORING INFO_20190411STORMWATER DIVISION CODING SHEET NCS PERMITS PERMIT NO. n/� � � b 6 5 l v DOC TYPE El FINAL PERMIT MONITORING REPORTS ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ �U I '1 � � I YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) IION'ITORINGG REPORT Permit Number NCS 000582 � � � 5'AiMPLES COLLECTED DURING CALENDAR YEAR: 2019 APR j I 2019`I'his monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling; results from the laboratory.) FACILITY NAME Ennis -Flint (High Point facilit) D1;"J fir~ CENTRALCENTRALFILE�CS PERSON COLLECTING SAMPLE(5) Nick Murphrey ION CERTIFIED LABORATORY(S) Pace Analytical Lab # 375 Lab # Part A: Specific Monitoring Requirements COUNTY Guilford PHONE NO. ( 336) 475-6600 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. `Outtali ' - 'No.- =Date ;Sample :Collected '50050 - ' _.. - ;(Q0530r 00310. i -00340' 00610 00400 Total Flow if a ,Total � _Rainfall :'Solids' !Total 5uspt; TSS i f'Biochem: Oxy:a i Dcmand� BOI) Ctiemical`Oxy. 1 yDemand+" COD ;Ammonia as • Nitrogen pH fmo/dd/ r MG inches -•m of m IG - : m /L mg/L SU benchmark -- -- -- IOU 30 120 8.4 6.0 - 8.0 001 02/20/19 0.4 8.5 <2.0 25.4 <0.1 7.8 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity MonitorinV Requirements Outfall` V ;,Date, 50050 "'.': 056`. _'_ - - : j00530 -00400 'No.: �Sainple .'I'otalPFlow ` Total_. '0�1,8& Grease !Yon polar i Tbfal pH New Motor Collected ; (if applicable)= Raiiifali k(tfappl )•y.. xQBc;G/Tf'H ;Suspended Oil Usage . - ... �{Method•1664 :Solids i :SC'I-A-IEM);,if! a l -_ mo/dd/vr MG _inches .. ^m I-. - m 1 unit gaumo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 02/20/19 Total Event Precipitation'(inches): 0.4 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours); (only if applicable -- see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 oil 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." �01 (S gnature of Permittee (Date) Form SWU-247, last revised 21212012 Page 2 oi'2 r aceAnalytica! National Center ror resnng R lnnovarion I' ANALYTICAL REPORT February 28, 2019 Piedmont Geologic Sample Delivery Group: Samples Received: Project Number: Description: Site: Report To: Li072170 02/21/2019 1914 Ennis Flint - High Point HIGH POINT, NC Pete Dressel 6003 Chapel Hill Rd Ste 145 Raleigh, NC 27607 Entire Report Reviewed By Heather J Wagner Project Manager Results relate only to the items tested 01 calibraled and are reported as rounded values. This test report shall not be reproduced. ertept in lull, wrlhout written approval of the laboratory, Where applicable, sampling conducted by Pace National is perlovirM per gurtlarr promded in laboratorystandard operating procedures: 060302, 060303, and 050304. . � i TABLE OF CONTENTS ONE LAi3.NATIONWIDE Cp: Cover Page 1 Tc: Table of Contents 2 H Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 3Ss OUTFALL 001 L1072170-01 5 Qc: Quality Control Summary 6 Cn Gravimetric Analysis by Method 2540 D-2011 6 F Wet Chemistry by Method 350.1 7 Wet Chemistry by Method 410.4 8 6�C Wet Chemistry by Method 5210 B-2011 9 , Gi GI: Glossary of Terms 11 Al: Accreditations & Locations 12 Al Sc: Sample Chain of Custody 13 F 7C ACCOUNT: PROJECT: $DG: DATEITIME: PAGE: Piedmont Gpalcgic 1914 L1072170 02l28119 Ml$ 2 of 13 OUTFALL 001 L1072170-01 GV1 SAMPLE SUMMARY ONE LAB, NATIONWIDE, Collected by Collected rlatellime Peceived datiMlme Nicholas Muphrey 021201190915 02121A9 08 45 P Method Balch Dilution Preparation Analysis Anaiyst dateltime date/time Grnvimetric Analysis by Method 2540 D 2011 WG1240467 1 02123119 09:59 02l23119 11:07 AEC Wet Chemistry dy Melhad 350.1 WG1242453 1 02/28119 10:56 0212311910:56 BRJ Wet Chemistry by Method 410.4 WG1240771 1 02122113 1335 0212211916:55 MJA Wet Chemistry by Method 5210 13-2011 WG1240263 1 02121119 16:11 02/2611910.53 ARM Lacation Mt. Juliet, TN Mt. Juliet. TN Mt. Juliet. TN Mi. Juliet, TN ACCOUNT: PROJECT: SDG, DATE/TIME: PAGE: Piedmont Gealegic 1914 L1072170 02/28/19 14:15 3 of 13 CASE NARRATIVE ONE LAB NATIONWIDE All sample atiquots were received at the correct temperature, in the proper containers. with the appropriate preservatives. and within method specified holding times. unless qualified or notated within the report. Where applicable, all MOL (LOD) and RDL (LOO) values reported for environmental samples have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance farm of properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. Heather J Wagner Project Manager ACCOUNT: PROJECT: 50G: OATUTIME: PAGE: Piedmont Geologic 1914 L1072i70 02/2811914:15 4 of 13 OUTFALL 001 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected dateltime: 02120119 09:15 L1072170 Additional Information Result Units Rp Analyte --- -- -- - pLI(On Site) 7.8 su- FC Graviflietric Analysis by Method 2540 D-2011 E Result Qualifier RDL Dilution Analysis Batch Analyte ugll ugil date 1 time Suspended Solids 9500 250) 1 02123.201911 07 WG12.10467 [Cn] Wet Chemistry by Method 350.1 Result 4ualitier RDL Dilution Analysis Batch 5 Analyte ugll ug;l date! time QC Ammonia Nitrogen ND IDO 1 02/29.2019 10:56 WGI242453 Wet Chemistry by Method 410.4 GI Result Qualifier RDL Dilution Analysis Batch F Analyte ugll ugd date I time COD 25400 10000 1 02/221201916:55 WG1240771 rqC Wet Chemistry by Method 5210 B-2011 Result Qualifier RDL Dilution Analysis Batch Analyte ugA ug;l date 1 time BOD NO J-K1 2000 1 0212612019 10 53 WG1243263 ACCOUNT: PROJECT: 5DG: DATEITIME: PAGE: Piedmont Geologic 1914 L1072170 021281]914:15 5 of 13 WG1240467 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. GraVlmetrie Analysis by Method 2540 D-2011 L1072170-01 Method Blank (MB) (MB) P3386413-1 02/23/19 11:07 Fp ME Result MR Oualifier MR MDL MR ROL Anelyte ugll ugll ug)l Suspended Solids U 350 2500 SS L1072166-01 Original Sample (OS) • Duplicate (DUP) (OSI 1-1072166-01 02/23/19 1107 • (DUP) R3386413-3 02123A9 1107 ]I FC Original Result OUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits s Sr Analyte ugll ugfl % % Suspended Solids 37000 37500 1 34 5 _ _ M L1072187-04 Original Sample (OS) • Duplicate (DUP) GI (OS) L1072187-04 02/23/19 11:07 • (DUP) R3386413-4 02/23/19 11.07 Original Result DUP Result Oiilution DUP RPD DUP Oualifier DUP RPD Limits uAl Analyte ugll ugll % o Suspen&dSolids 54000 46000 1 16.0 J3 5 'SC Laboratory Control Sample (LCS) (LCS) R3386413-2 02/23/19 11:07 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Oualifier Analyte ugll ugll % Suspended Solids 773000 800000 103 85.0-115 ACCOUNT: PROJECT: SDG: DATElTWE: PAGE: Piedmor>t Geologic 1914 L1072170 02128n91a:15 6 01 13 WG1242453 Wet Chemistry by Method 350.1 Method Blank (MB) (IAB) P3387569-1 02/28/19 10:50 M8 Result M8 Qualifier M9 MDL MB RDL Analyte ugll ugll ugll Ammonia Nitrogen U 31.7 100 L1071710-01 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L1072170-01 (OS} L1071710-01 02/28119 10:53 • (DUP) R3387569-3 02,28119 10:54 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll ugll % % Ammonia NrtragEn ND 0.000 1 0.000 10 L1072217-01 Original Sample (OS) • Duplicate (DUP) (0S) L1072217-01 02/28/19 1120 • (DUP) R3387569-6 02!28/19 11:21 Original Result DUP Result Dilution DUP RPD DUP Oualifier DUP RPD Limits Analyte ugll ugll % % Ammonia Nitrogen ND 0,000 1 0.000 10 Laboratory Control Sample (LCS) (LCS) R3387569-2 02/28/19 10:51 Spike Amount LCS Result LCS Rec. Rec. Limits tCS Qualifier Analyte ugll ugll % Ammonia Nitrogen 7500 7800 104 90.0-110 L1072260-01 Original Sample (OS) • Matrix Spike (MS) (OSI L1072260-01 02/28/19 lt23 • (MS) R3387569-7 02!23i19 11:25 Spike Amount Original Result MS Result MS Rec. Dilution Rec. Limits MS Qualifier Analyte ug11 ugll ugll Ammono Nitrogen 5000 ND 5270 105 1 90.0-110 ONE LAB. NATIONWIDE. Cp E E �GI yAl CSC ACCOUNT: PROJECT: 50G'. DATEMME: PAGE: Piedmont Geologic 4914 L1072170 021M1914.15 7 at 13 WG1240771 QUALITY CONTROL SUMMARY ONJE LAD. NATIONWIDE. Wet Chemistry by Method 410.4 L1072170-01 Method Blank (MB) (MB) R3386304-1 02/22/19 16-51 FCp MB Result MB Qualifier MB MDL MB RDL Analyse ugll ugll ugil F COD U 3000 10000 L1069704-01 Original Sample (OS) • Duplicate (DUP) (OS) L1069704-01 02/22/19 16:52 • (DUP) R3386304-3 02/22/19 16:52 Original Result DUP Result Dilution DUP RPO DUP Qualifier DUP RPD Limits Analyte ug1l ugll % % COD 286000 2880DO 1 0.596 20 L1072344-02 Original Sample (OS) • Duplicate (DUP) (OS) L1072344-02 02/22/19 16 57 • (DUP) R3386304-4 02/22/19 15:57 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll ugll % COD U 0,000 1 0.000 20 Laboratory Control Sample (LCS) (LCS) R3386304-2 02/22/19 16 S1 Spike Amount LCS Result LCS Rec. Rec. Limits LC5 Qualifier Analyte ugll ugll % % COD 2.22000 208000 939 90.0-110 L1072411-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1072411-02 02/22/19 16:58 • (MS) R3396304-5 02/22/19 16:58 • (MSD) R3386304-6 02/22119 16:58 Spike Amount Original Result MS Result M50 Result M5 Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte ugA ugll ugll ug)l % % % % % COD 400000 23600 451000 449000 107 106 1 80.0-120 0.745 20 ACCOUNT; PROJECT; SDG: Piedmont Geologic 1914 L1072170 DATE(71ME: 02128/19 1415 PAGE: 8oi13 WG1240263 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. � Wet Chemistry by Method 5210 8-2011 L1072170-01 Method Blank (MB) (ME) R3386934-1 02/26/19 11,44 17p] MB Result MB Qualifier MB MDL MB RDL ^TC Analyte ugll ugll ugll ROD U 200 200 FS L1072097-02 Original Sample (OS) • Duplicate (DUP) (OS) L1072097-02 02/26/19 09.26 • (DUP} R3386934-5 02126/19 09:27 FC Original Result DUP Result Dilution DUP RPD DUP Oudlifier DUP RPD Limits s Analyze ugll ugll % % ROD 6900 10600 1 17 30 L1072187-01 Original Sample (OS) • Duplicate (DUP) E LI (OS) L1072187-01 02/25/19 10:56 • (DUP) R3386934-6 02/26119 10:58 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits IF] Analyze ugll ugli % BCD ND 0,000 1 0 30 'SC L1072189-01 Original Sample (OS) • Duplicate (DUP) (OS) L1072189-01 02/26119 11:10 • (DUP) R3386934-7 02/26/19 11:12 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ug11 ugll % % BOD ND 0.000 1 0 30 L1072250-01 Original Sample (OS) • Duplicate (DUP) (US) L1072250-Oi 02/26i19 11:33 - (DUP) R3386934-8 02/26/19 11:35 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte ugll ugli % % BCD 14300 15100 1 6 30 ACCOUNT: - PROJECT: 50G: DATEITIME: PAGE: Piedmcnt Geologic 1914 L1072170 O?Q8139 14,15 9 of 13 WG1240263 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. � Wet Chemistry by Method 5210 8-2011 L1072170-01 Laboratory Control Sample (LCS) (LCS) R3386934-2 02/26/19 08AS FP Spike Amount LCS Result LCS Rec. Stec. Limits LCS Qualifier Analyte ugll u9A % % BCD 198000 160000 30,6 84.6-115 J- Laboratory Control Sample (LCS) (LCS) R3386934-3 02/26/191i.04 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte ugll ug11 }, BOD 198000 221000 112 84 6-11S,, Laboratory Control Sample (LCS) (LCS) R3386934-4 02/26/19 1142 Spike Amount LCS Result LCS Rec Rec, Limits LCS Qualifier Analyte ugll ug11 % o B01) 198000 231000 117 84.E-115 J+ ACCOUNT: PAGE. 10 of 13 PROJECT: SDG: DATHTIME: Pledment Geologic 1914 L1072170 02/28/19 14:15 GLOSSARY OF TERMS ONE LAB NATIONWIDE. Guide to Reading and Understanding Your Laboratory Report The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not RPintended as a comprehensive explanation. and if you have additional questions please contact your project i ep asentative. Abbreviations and Definitions Fc MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). E ROL Reported Detection Limit. Rec. Recovery. t RPD Relative Percent Difference. Cn SOG Sample Delivery Group, U Not detected at the Reporting Limit (or MDL where applicable). s 5r Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the 6 QC Dilution standard, or if concentrations of analytes in the sample are higher than the highest limit of Concentration that the laboratory Can accurately report, the sample may be diluted for analysis, If a value different than I is used In this field, the iesult,eported has already been corrected for this factor. These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyta being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. Original Sample The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) From a quality control LEI sample. The Original Sample may not be included within the reported SDG. This column provides a letter andlor number designation that corresponds to additional information concerning the result a Qualifier reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and 5C potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. The actual analytical final result !corrected for any sample specific characteristics) r eported for your sample. If there was no measurable result returned for a specific analyze, the result in this column may state "ND" lNot Detected) or "BDL" Result (Below Detectable Levels). The information in the results column should always be accompanied by either an MDL (Method Detection Limit) or ROL ;Reporting ()election Limit) that defines the lowest value that the laboratory could defect cr report for this analyte. Uncertainty (Radiochemistry) Confidence level of 2 sigma. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (01) observed either at sample receipt by the laboratory from the field or during the analytical process. If present. there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or Summary (Oc) analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material. This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples. and the analyses that the laboratory is requested to perform. This Custody (5c) chain of custody also documents all persons (excluding commercial shippers) that have had Conti of or possession of the samples from the time of collection until delivery to the laboratory for analysis, This section of your report will provide the results of all testing performed on your samples. These results are provided Sample Re5Ui15 (Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary {5s) This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis, Qualifier Description J3 The associated batch QC was outside the established quality control range for precision. J- The associated batch OC was outside the lower control limits; associated data has a potential negative bias. J+ The associated batch QC was outside the upper control limits; associated data has a potential positive bias. Ki The sample dilutions set-up for the BOD/CBOD analysis did not meet the oxygen depletion criteria of at least 2 mg/L. Reported result is an estimated value. ACCOUNT: PROJECT: SDG: DATEITINIE: PAGE: Piedmont Geologic 1914 L1072170 02/28/1914:15 11 of 121 ACCREDITATIONS & LOCATIONS ONELA3 NArl&r VIDE 0 Pace National is the only environmental laboratory accrecirtedkerUhed to support your work nationwide tram one location. One phone call, one point of contact. one laboratory. No other lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single locatron laboratory is comparable to the collective totals of the network laboratories in our industry, The most significant benefit to our one location design is the design of our laboratory campus, The model is conducive to accelerated productivity, decreasing twirr ound time. and pievenfing cross contamination, thus protecting sample integrity, Our focus an premium quality and prompt service allows us to be YOUR LAB OF CHOICE, Not all certifications held by the laboratory are applicable to the results reported in the attached report. Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National, State Accreditations Alabama 4D650 Nebraska NE-CS-15-05 Alaska 17-026 Nevada TN-03-2002.34 Arizona AZO612 New Hampshire 2975 Arkansas _ 88-046_9 _ New Jersey-N_ELAP _ TNO0_2_ California 2932 New Mezrc_o_' Wa Colorado TNO0003 _ _ _ New_Yoik_ _ _ _ _ _ 11742 Connecticut PH-0197 North Carolina Ena375 EB7487 North Carolina' OW_21704 _Florida _ Georgia - - _ NELAP - - - - - - _ - - _ North Carolina'- - �- �- T _ 41 _ --R-140- - - - - Georgia'-- -- - - 923 ---- - - - - --- North Dakota _ - - Idaho TNO0003 -- Ohio -VA>' _-_ CL0069_-_ - Illinois _ - T 200008 - Oklahoma _- - -� 9915 _ Indiana ----- C-TN-01 Oregon — _-- TN200002 --- Iowa _ --_- - - 364 _ - _ ._ _, - Pennsylvania 6&02979 E-10277 Rhode Island LA000355 _Kansas Kentucky' " _ _ _ _ 90010 South Carolina _ _ _ �- 84004 Kenlucky=_ 16 South Dakota - _--. Louisiana___ - _ - _-� -_ - _ _ _ ___ _ _ _ T _ _ AI30792 _ _ �._____ _ _ _ Tennessee" -_ _nla _ T _ 2005 Louisiana' LA180010 Texas T104704245-18-15 Maine _ — — _ - TN0002 �... - - Texas LABO152 Maryland 324 Utah T TNO0003 �_v - Massachusetts- M-71%1003 Vermont VT2006 _Michigan _ _ 9958 Virginia 460132 _Minnesota 047-999.395 Washington C847 _Mississippi _ _ _ _ TNO0003 _ _ _ _ West Virginia _ _ _ 233 _ Missouri W _ 340 _ _ _ Wisconsin _ 9980939910 Monlana CERT0086 Wyoming A2LA Third Party Federal Accreditations A21LA - ISO 17025 1461.01 _ � AIHA-LAP,LLC EMLAP ID0789 A2LA- ISO 170255 1461.02 DOD 1461.01 Canada—____ 1461X1 USDA P330-15-00234_�___� EPA-C(ypto TNO0003 ' Drinking Water ' Underground Storage Tanks 'Aquatic Toxicity ' ChemicaliMicrobrological s Mold 'Wastewater War Accreditation not applicable Our Locations Pace Nationai has sixty-four client support centers that provide sample pickup andlDr the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact our main office. Pace National performs all testing at our central laboratory. WA R MT ND OR MN T ID SD T WI WY MI T IA T NV T NE IL Icy OH CA - CO KS MC) T IZ,T KY �! `AZ T T Tx T e AK T .o �b H I CV �, ACCOUNT: PROJECT: Piedmont Geclogrc 1914 AR MS j Al � GA LA SDG: L1072170 PA r=_ NY T PA VVV VAT TAT SC --s FIL DATE7T IM E: PAGE: 02128719 14:15 12 of 13 Billing Information: Analysis / Container / Preservative Chain of Custody Page _- of Piedmont Geologic Accounts Payable Pies ch. 6003 Chapel Hill Rd Ste 145 �ice ' 19 6003 Chapel Hill Rd Raleigh, NC 27607 Ste 145 a�lo nl, mr,37rn7 N O z ta2 M d Ca Ln co0 � i LV O N x IL . � 0 u1 N 0 � ` 0 NLn X tit CL M in N ti 0 p w Xi r sloss tebar Rd Q�r�t��+y�0 hauntwurt.TNert72 11 -; i a tw W-S&S9 otw�+r:sss.rss•sssa L�; '+'fir Fa:: 6�ronr:lS7Sl-SSs9 ❑ r, Resort to: Pete Gressel Email To:pjdressel@piedmontgeologic.com; jmurphrey@pledmontgeologic.com Project Description: Ennis Flint - High Point City/State Collected: r � r W t "A Po�.,_i /�+{� E236 Phone: 19-85 -9532 Fa.; 919-854-9532 Client Project a 1914 Lab Project fl PIEGEO-ENNIS-FLINT Collected by (print): k N)�L �U �S l� VMS !l► site/Facility ID t+ HIGH POINT, NC P.O. is acunum: PIfGEO 7emplate:T132067 Prelogin: P691390 TSR: 873 -Heather 1 Wagner PB: s Collected by lsignature}; J J C� Immediately Paci ed on Ice N Y Quote J+ Rush? (tab MUST Be Notified)Quote0. _ $anu oaf _Frye Daq He-t 03y sDay (ard only) Date Resuits Needed — Two pay , 10 Day Iliad Ontyl Ne. ^— three Da: of Sample ID Comp/Grab matri- ' Depth Date Time ntrs shipped %9a:Fed Ex Ground Remarks S.mptr $ (i.b entyt 00 (;ra6 GW --IQ O 1 q, qJS 4 x x x x 1 Matrix:Remarks; SS -Soil AIR -Air F- Filter GW- Groundwater B- Bioassay yW- WasteWatei OW - DrinkingWater OT -Other { i pH Temp i Flow Other Samples returned via: r UPS _ Fedcx _ Courier _ 7racking a i AL ) 7 % t �/1 Sn--ie tzecei nt ctic^kli st CtJC Seai _esens/int.ect: L11PN COC SScnodiAecvra:e: - N Bottles a.rr"J i. nact: �—tt Coccect bcttlea UaQJ: S:afi:zeht voluzw sent-: •_N l�8_=:pllcnble Vo:+ Zerp Headapace: Y N p=eservacier, correct/Checceuo _N . IWU G._.�'i4 ON: <c Re6 i edby:(Sig natur Dater (] Time: O , 105 Aeceivedby: at �' TripBlaMReceived: yes/Ito TpailMeo1 elinquished by; (Si } !u } / Date. "T.'Received a/c e I u 1 Temp: r[ Bottles fiecei:ed: if preservation required by Login; Date/rimeitelinquishe ur" Date: for lab b : (5'rg"nature) Date- Time: C Hold: Condid