HomeMy WebLinkAboutNCS000332_MONITORING INFO_20190608STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
PL5 nib J3:�
DOC TYPE
❑FINAL PERMIT
4, MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ o' I 6�
YYYYMMDD
May 3-1, 20'19
Division of Water Quality
Surface Water Protection Section
Attn: Central Files
16-17 Mail Service Center
Raleigh, NC 27699
Subject: Discharge Monitoring Report for Period 1 (October 2018 to March 2019)
Formaldehyde Testing �C�� Ft ���
Hexion Specialty Chemicals, Inc.
NPDES Permit No. NCS000332 JUN 0 u ?p.
To Whom It May Concern: CC*TKp,� ;-;L.Cg
SECTION
Hexion Specialty Chemicals, Inc. (Hexion) operates under NPDES Permit No.
NCS000332. As a part of this permit, Hexion is required to submit semiannual
Discharge Monitoring Reports (DMRs). The facility submitted the DMR for ammonia,
Chemical Oxygen Demand (COD) and pH for Period "1 testing (October 2018 to March
2019) on April 30, 2019. As noted in the DMR, the formaldehyde was tested outside of
the EPA specified holding time of 72 hours (method 8315) due to lab logistics, and was
therefore invalid.
The facility retested formaldehyde on May 20, 2019. This DMR serves to report results
for formaldehyde for Period "1 (October 2018 to March 2019). Please find enclosed the
completed DMIZ Form (Attachment]) and the analytical testing report (Attachment 2).
Also included is an additional copy of the form, as required by Permit NCS000332.
If you have any questions or require any additional information, please contact me at
828,219.3503.
Sincerely,
Hexion Specialt Chemicals, Inc.
0,00
Jeff McDaniel
Site Leader
Attachments
SI'OR,NIWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Nurnber NCS 000332
FACILITY NAME Hexion Inc
PERSONCOLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Pace Analytical Services Lab 940
Analytical Environmental Lab # 562
Part A: Specific Monitoring Requirements
SA,NIPLES COLLECTED DURING CALENDAR YEAR: 2
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results front the laboratory.)
COUNTY Burke
PHONE NO, 8( 28 ) 219-3504
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
50050
mglL
mglL
mq/L
ma/L
mglL
mg/L
No.
Sample
Collected
Total
Flog' if a
Total
Rainfall
Formaldehyde
mo/dd/vr
MG
inches
mg/L
mg/L
mglL.
mglL
mq/L
mg/L
001
05/20/2019
0.25
Does this facility perform Vehicle ,Maintenance Activities using more than 55 gallons of new motor oil per month? ()yes Qno
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/I'PH
( Iethod 1664
SGT-HEiNI), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/vr
MG
inches
m Il
m /I
unit
al/mo
Form SWU-247. last revised 611212015
Page 1 of 2
STORf�Z EVENT CHARACTERISTICS:
Date 5/20/19
Total Event Precipitation (inches): 0.1
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.)
\fail Original and one copy to:
Division of Energy Mineral and land Resources
Attn: Central Piles
1617 Mail Service Center
Raleigh, Forth 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 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 Pe t kV (Dat )
Dorm SWU-247. last revised 611212015
Page 2 of 2
i
I
aceAnalytical.
WWW.
Pace Analytical services, LLC
2225 Riverside Dr,
Asheville, NC 28804
(828)254-7176
May 28, 2019
Jeff McDaniel
Hexion
114 Industrial Blvd
Morganton, NC 28655
RE:' Project: Hexion-MorgantonSW 5120
Pace Project No.: 92430022
Dear Jeff McDaniel:
Enclosed are the analytical results for sample(s) received by the laboratory on May 21, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
Some analyses have been subcontracted outside of the Pace Network. The subcontracted
labolratory report has been attached.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
christopher.derouen@pacelabs.com
(828)254-7176
Project Manager
Enclosures
cc: Mr. Phil Busovne. Hexion
NCCR�/
REPORT OF LABORATORY ANALYSIS
TNI This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 8
i on" a 017A 7r1n 77
CHAIN -OF -CUSTODY Analytical Request Document
' ��aceAnalytical"
Chain-af-Custody is a LEGAL DOCUMENT -Complete all relevent Fieldscm
LAB USE 01 ber. or
�24}30022 -
_ _
co
`0
-
Company;
Billing Information:
A dr s3 _
OCt
— - — —Container Preservative Type "
Lab Project Manager:
Re orC�,O;•,
1r lr 1ftv
Email To:
i an
• • Preservative Types: (1[ nitric acid,121 sulfuric acid, (3) hydrochloric acid, (a) sodium hydroxide, 1[5► zinc acetate,
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (9) hexane, (A) ascorbic acid, (B) ammonium sulfate,
(Q ammonium hydroxide, (D) TSP, (Li) Unpreserved, (0) Other
Copy T � n t�-, .��
Site Cnlle •on 1 fotAdd
Analyses
lLab Profile/Line:
Customer Project Name/Number:
x 1 t �� (� S U3
State: County/City::}�.�Time Zone Collected:
1 Q! ( trt- t�.l 1[ J PT [ ] MT I ] CT '0 ET
y '
C)
-
Lab Sample Receipt Checkliat.,
Custody Seals Present/Intact Y N
Custody Signatures Present Y N
Collector- Signature Present Y N
Bottles Intact Y N
Correct Bottles Y N
Sufficient Volume Y N
Somplea Received on Ice. Y N
VOA - Headapace Acceptable Y N
USDA Regulated Soils Y N
Samples in Holding,Time Y N
Chlorina Proaent Y N
C1 Strips:
Sample pN Acceptable Y N
",SuPiv Strips:
Sulfide Present Y N
Lead Acatate'Strips:
LAB USE ONLY:
Lab,Sample A'/ Cosmaenta:
G�
l'�`C a
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Phone: 1
Email: 'Awl� M
Site/Facility ID #: J
Compliance Monitoring?
[ I Yes [ ) No
Collected By (print):
rpr ``55
[VAC- n\'U
Purchase Order #:
Quote fk
OW PWS ID 0:
OW Location Code:
d By ( na e)
t
A
Turnaround Date Required:
S
Immediately Pace on lce:
Yes [ )NO
osa1:
pose as appropriate [ 1 Return
rJ(')ril hive:
( ) Hold:
Rush:
( ] Same Day ( J Next Day
[ 1 Z Day 1] 3 Day 1 1 4 Day 1 1 5 Day
(Expedite Charges Apply)
leld Filtered (if applicable):Reoidual
[ I Yes ( ]No
Analysis:
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (8), Vapor (V), Other (OT)
Customer Sample ID
Matrix
Comp /
Grab
Collected (or
Composite Start)
Composite End
Res
Cl
# of
Ctns
Date
Time
Date
Time
A
WT
s!•zo Jig
3'
lX3 1
1
['?
'2b1
.3 qS
_
f
Customer Remarks / Special Conditions / Possible Hazards:
Type of Ice Used: We Blue Dry None
SHORT HOLDS PRESENT (<72 hours): Y- N N/A
Lab Sample Temperature Info:
Temp Blank Received: Y
Cooler I Temp Upon Receipt:
Cooler 1 Therm Corr. Factor:
Cooler 1 Corrected Temp:
Comments:
NA
: v oC
oC
oC
Packing Material Used:'pj e IJ� j�
eo 6tef
Lab Tracking #:
2341088
Radchem samples) screened (SOD cpm): Y N NA
Samples received via:
FEDEX UPS Client Courier Pace Courier
Relinquished by/Company: (Signature►
Date/Time:
Received b`y/Company: (S�gnature)
,, !%Fl ! , 1
/G��r-
Date ime;
y�},,/cJ
MTJL LAB USE ONLY
Table #:
ACCtnum:
Template:
Prelogin:
PM:
IPB.
Relinquished by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
Date/Time:
Trip Blank Received: Y N
HCL McOH TSP Other
NA
Relinquished by/Company: (Signature)
Date/Time: ]Received
by/Company: (Signature)
Datel'rime:
Non Conformance(s):
YES / NO
Page:
of:
1
I
ANALYTICAL ENVIRONMENTAL SERVICES, INC.
AES
May 28, 2019
Chris DerOueli
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville NC 28804
R I-7: 92430022
Dear Chris Dcrouen: Order No: 1905L43
Analytical Environmental Services, Inc. received I samples on 5/22/2019 9:47:00 AM
for the analyse presented in ibllowing report.
No problems were encountered during (lie analyses. Additionally, all results for the associated
Quality Control samples were within EPA and/or AIDS established limits. Any discrepancies associated with the
analyses contained herein will be noted and submitted in the form of a project Case Naarative. AI"IS'
certifications are as follows:
-NELAPIFlor'rda State Laboratory 11) E87582 for analysis of Non-Potablc Water, Solid & Chemical Materials,
Air & Emissions for Organics, and Drinking Water Microbiology & Metals, effective 07/01/18-06/30/19.
-North Carolina Certification number- 562 fir analysis of Surfacc Water, Groundwater, Effluent, effective until
12/31119.
-South Carolina Environmental Laboratory Certification numhcr 98016003 effective until 6/30/19.
"These results relate only to the items tested as received. This report may only be reproduced in lull and with
written permission from the laboratory.
If you have any questions regarding these test results, please feel free to call.
Sincerely,
Jessica Shilling
Project Manager
3080 Presidc:itial Drive • Atlanta, Georgia 30340 • Tel. 770.457,81 77 • Fax. 770.457.8186 • Toll free: 800.972.4889
wwws ,Iesatlanta_com
Page 3 of 8
Page 1 of 6
I
8 10 t' abed 005 Lq'3
Chain of Custody ceAnalyticale
—pacelabsxam
Workord'er: 92430022-' Workorder Name: He-xion-MorgantonSW 5/20 Results Requested By: 5/31/2019
Chris Derouen
4 V i 776
Pace Analytical Asheville P.O.
2225 Riverside Dr.
Asheville, NC 28804
Phone (828)254-7176
Email: christopher.derouen@pacelabs.com
�,q
State of Sample Origin: NC 1!4 Pfe'se:iv 'e&Cd'nt6ih rsiV
SR:
W
�MW
a
MID'
LAB USE ONLY
°M
:5
I
SW-01NB
5/20/2019 15:45
92430022001
Water
A
2
3
4
5
?!&-1*-2-MA&I
�—VPWXNXINI r'Ma-IVWI
&5IWUIffw
WM�A
.-;i
C
Transfers
Releas_By
Date/Time
Received By
DateMme
CY ' -7
1
(q
2
3
Cooler Temperature on Receipt— OC -T Custody Seal Y or N
Received on Ice Y or -N
Samples Intact Y or N
Tuesday, May 21. 2019 3:19:50 PM FMT-ALL-C-002rov.00 24March2009 Page I of 1
Page 2 of 6
Analytical Environmental Services, Inc
Date: 28-May-19
Client:
PaccAnalytical Services, Inc.
Client Sample ID:
SW-01 A/B
Project Name:
92430022
Collection Date:
5/20/2019 3:45:00 I'M
Lab ID:
190SL43-001
Matrix:
Aqueous
Reporting Dilution I
Analyses Result Qual Units BatchID DateAnahced Analyst
Limit Factor ,
Formaldehyde by SW8315A
Form aIclef) yde
Q. olific, • Value exceeds maximum contatuinaut level
ML Heiow repaving limit
H Holding times kit preparation or analysis exceeded
N Analvte not Nl;[.AC ceit ied
ti Aralvie detected it the assiK[med method blank
> Greater than Result value
250 50 ugl1. 27954 t 1 05 /23/2019 18:09 I [ L
E Estimated {value nhove quantitmion range)
S Spike Recover' outside limits duc to matrix
Nurr See case nurntive
NC Not confirmed
< Less Than RCXUIt v:due
i LFtinmtcd value detected below Rcpurting Limit
Page 5 of 8
Page 3 of 6
1
ANAi.yncAL
IENVIRONMFNrAL
AES SERVICES, INC.
1. client Name_ Pace Analytical Services, Inc.
2. Carrier: fed Ex •❑ ups ❑ t1Sp5❑ Client❑ Courier❑ Othei
Clear Save as
SAMPLE/COOLER RECEIPT CHECKLIST
AES Work Order Number: 1905L43
Yes No N/A
Details
Comments
Shipping container/cooler received in good condition?
no
damaged ❑ leaking ❑ other❑
Custody seals present on shipping container?
•
Custody seals intact on shipping container?
•
Temperature blanks present?
•
Cooler temperature(s) within limits of 04'C? ]See item 13 and 14 for
temperature recordings.]
0
O
®
Cooling initiated for recently collected samples / ice
present ❑
Chain of Custody (COC) present?
•
Chain of Custody signed, dated, and timed when relinquished and received?
•
Sampler name and/or signature on COC?
fif
Were all samples received within holding time?
•
I
TAT marked on the COC?
•
no TAT indicated, proceeded with standard TAT per Terms & Conditions. Ll
13. Cooler 1 Temperature 2.4
14. Cooler 5 Temperature
15. Comments:
16.
17.
18.
19.
20.
21.
22.
23.
24_
25.
26.
°C Cooler 2 Temperature °C Cooler 3 Temperature °C Cooler 4 Temperature °C
°C Cooler 6 Temperature °C Cooler 7 Temperature °C Cooler 8 Temperature °C
I certify that I have completed sections 1-15 (dated initials). Mf 5/22/19
Yes No N/A Details Comments
Were sample containers intact upon receipt?
•
Custody seals present on sample containers?
•
Custody seals intact on sample containers?
•
Do sample container labels match the COC?
O
O
O
incomplete info ❑ illegible ❑
no label ❑ other ❑
Are analyses requested indicated on the COC?
CO)
Were all of the samples listed on the COC received?
O
O
O
samples received but not listed on COC ❑
samples listed on COC not received ❑
Was the sample collection date/time noted?
•
Did we receive sufficient sample volume for indicated analyses?
•
Were samples received in appropriate containers?
•
Were VOA samples received without headspace (< 1/4" bubble)?
•
Were trip blanks submitted?
•
listed on COC ❑ not listed on COC ❑
27. Comments:
This section only applies to samples where pH can be I certify that I have completed sections 16-27 (dated initials). MH 5/22/19
checked at Sample Receipt. Yes No N/A Details Comments
28.
29.
3Qi
W
Have containers needing chemical preservation been checked? * • — — — — — —
Containers meet preservation guidelines? — — — — — — • —
Was pH adjusted at Sample Receipt? 0 1 •
m ' Note: Certain analyses require chemical preservation but must be checked in the laboratory and not upon Sample Receipt such as Coliforms, VOCs and Oil & Grease/TPH.
m 1 certify that I have completed sections 28-30 (dated initials). MH 5/22/19
o_
5ecklist 6.9.17 Rev 2 Locked Page 4 of 6
Analytical Environmental Services, Inc
Date: 28-May-19
Client: Pace Analytical Services, lnc.
Project Name: 92430022
Dates Report
Lab Order: 1905L43
Lab Sample ID Client Sample ID Collection Date Matrix Test Name TCLP Date Prep Date Analysis Date
19051-43-001A SW-01 A/B 5/20/2019 3:45:OOPM Aqueous Formaldehyde by SW8315A 5/23/2019 2:00:OOPM 0512312019
Page 7 of 8
Page 5 of 6
Analvtical Environmental Services, Inc Date: 28-tvlay 19
Client: Pace Analytical Services, Inc. ANALYTICAL QC SUNINNIARY REPORT
Project Name: 92430022
Workorder: 19051-43 BatchlD: 279541
Samplc ID: MR-279541
Client ID:
Units: ug11,
Prep Date: 05/23/2019
Run No: 398963
SampleType: tti1BLK
TestCode: Forrnatdeh}deb. SW8315A
BatchlD: 279541
Analysis Date: 05/23/2019
Seq No: 8943072
Analyte
Result RPT Limit SPK value SPK Ref Val
%REC Low Limit
High Limit RPD Ref Val %RPD
RPD Limit Qual
Formaldehyde BRL 50
Sample 1D: LCS-279541
Client 11):
Units: ugll,
Prep Date: 05/23/2019
Run No: 398963
SampleType: LCS
TestCode: FormaldehcdebySNV831>A
BatchlD: 279541
Analysis Date: 0512312019
Seq No: 8943073
Analyte
Result RPT Limit SPK value SPK Ref Val
%REC Low Limit
High limit RPD Rcf Val %RPD
RPD Limit Qual
Formaldehyde 900.9 50 1000 22.36 87.9 70 130
Sample ID: 19051_44-00 AiMS
Client ID:
Units: ugl1,
Prep Date: 05/23/2019
Run No: 398963
SampleType: INIS
TestCode: FurrnaldehydebySW831S.\
BatchlD: 279541
Analysis Date; 0512312019
Seq No: 8943075
Analyte
Result RPT Limit SPK value SPK Ref Val
%REC Low Limit
High Limit RPD Ref Val %RPD
RPD Limit Qual
Formaldehyde 882.1 50 1000 69.30 81.4 50.1 139
Sample ID: 19051,44-00]Ai17SD
Client 1D:
Units: ug/L
Prep Date: 05/2312019
Run No: 398963
SampleType: MSD
TestCode: Formaldehyde bySNVN31>n
BatchlD: 279541
Analysis Date: 05123/2019
Seq No: 8943076
Analyte
Result RPT Limit SPK value SPK Rei'Val
%REC Low Limit
High Limit RPD Ref Val %RI'D
RPD Limit Qual
Formaldehyde 987.5
Qualifiers: > Greater than Result value
BRL 9elow reponing limit
] Estimated value detected below Reponing Limir
Rpt Lim Reporting Limir
50 1000 68.30 91.9 50.1 139 882.1 11.3 16.2
Less than Result value
Ei Estimated (value above quantimtion range)
IN Analyte not NELAC certified
5 Spike Recovery outside limits due to matrix
n Analvtc detected in the associated method blank
H Holding times for preparation or analysis exceeded
R Ri'n outside limits due to matrix
Page 8 of 8
Page 6of6
May 31, 2019
RECEIVED
JUN 0 4 2019
CENTRAL FILES
Division of Energy Mineral and Land Resources DWR SECTION
Atha: Central Files
-16'17 Mail Service Center
Raleigh, NC 27699
Subject: Discharge Monitoring Report for Period 1 (October 20"18 to March 20"19)
Formaldehyde Testing
Hexion Specialty Chemicals, Inc.
NPDES Permit No. NCS000332
To Whom It May Concern:
Hexion Specialty Chemicals, Inc. (Flexion) operates under NPDES Permit No.
NCS000332. As a part of this permit, Hexion is required to submit semiannual
Discharge Monitoring Reports (DMRs). The facility submitted the DMIZ for amRlonia,
Chemical Oxygen Demand (COD) and pl-1 for Period 1 testing (October 2018 to March
2019) on April 30, 2019. As noted in the DMR, the formaldehyde was tested outside of
the EPA specified holding time of 72 hours (method 8315) due to lab logistics, and was
therefore invalid.
The facility retested formaldehyde on May 20, 2019. This DMR serves to report results
for formaldehyde for Period 1 (October 2018 to March 2019). Please find enclosed the
completed DMR Form (Attachment 1) and the analytical testing report (Attachment 2).
Also included is an additional copy of the form, as required by Permit NCS000332.
If you have any questions or require any additional information, please contact me at
828.219,3503,
Sincerely,
Hexion Specialty Chemicals, Inc.
go
Jeff McDaniel
Site Leader
Attachments
Attachment 1
Completed DMR Form for
Formaldehyde, Period 1
(October -March 2019)
Attachment 2
Analytical Testing Report
for Formaldehyde, Period 1
(October 2018 -March 2019)
STOR,NIWATER DISCHARGE OUTFALL (SDO)
NIONITORING REPORT
Permit Number NCS 000332 SANIPLES COLLECTED DURING CALENDAR YEAR: 2
(This munitaring 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 Flexion Inc
PERSON COLLECTING SANIPLE(S)
CERTIFIED LABORATORV(S) Pace Analytical ServiceS Lab #40
Analytical Environmental Lab # 562
Part A: Specific Monitoring Requirements
COUNTY Burke
PH ON E NO. 8( 28 ) 219-3504
E
GNATURE OF PERMITFEE OR DESIGNEEEQUIRED ON PAGE 2.
Outfall .<
Date
50050
mq/L "
mg/L
mglL
mglL ..mg1L
•mg1L
No.
Sample
Collected
Total
Flow if a
Total
Rainfall _
Formaldehyde
mo/dd/ve..
MG.-, "
inches •
mq/L
mglL
mq&l
mg/L
imq/L
mglL
001
05/20/2019
0.25
I
Does this facility perform Vehicle Maintenance Activities using more than » gallons of new motor oil per month? oyes (j)no
(if yes, complete Part 13)
cart B. vehicle Maintenance Activity Alonitormg Requirements
Outfall
No Y
Date;
Sample:.
50050 .;
" ;.: , `
:00556"..
00530
00400 =:
Total: Flo►+
Coi rl }:
Oil &'Grease
Nlon-polar
Total
pH
Nei; Motor
:Collected
(dapplicaiile),
'Rainfall
{iCappl:)
O&Gl1PH _
t ," ":
Su'sp'ended_OilUsSge
t
f:
1(Method`I664
Shcids
SGT-HE,17},`if
qppi.
'mo/ddhr ,
MG
inches
;i,!/l
moll .:
unit.
iml/mo
Form SNVU-247, lust revised 611212015
Page l of 2
STORINI EVENT CHARACTERISTICS:
Date 5120/19
Total Event Precipitation (inches): 0.1
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.)
Nlail Original and one copy to:
Division of Energy Mineral and Land Resources
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 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 possibilityAf fines and imprisonment for knowing violations."
QA' " � 31 C9
(Sign atu ermittee) (Date)
Form SWU-247, last revised 61121201.i
Page 2 of 2
aceAnalytkal
..pacalabsc m
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NO 28804
(828)254-7176
May 28, 2019
Jeff McDaniel
Hexion
114 Industrial Blvd
Morganton, NC 28655
RE: Project: Hexion-MorgantonSW 5120
Pace Project No.: 92430022
Dear Jeff McDaniel:
Enclosed are the analytical results for sample(s) received by the laboratory on May 21, 2019. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINEbAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
Some analyses have beer subcontracted outside of the Pace Network. The subcontracted
laboratory report has been attached.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
christopher.derouen@pacelabs.com
(828)254-7176
Project Manager
Enclosures
cc: Mr. Phil Busovne, Hexion
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 1 of 8
i IIn# . qa] A *2nn77
CHAIN -OF -CUSTODY Analytical Request Document
ace Analytical'
Chain -of -Custody is a LEGAL DOCUMENT -Complete all relevant fields
-LABUSE°I WlVTr beror .
1; 44 llII
92430027
1�
N
0
Company:
Billing Information:
_
A dr s� _ _
ndust
— — ---Container Preservative T e "
Lab Project Manager:
1
--Blvd
Re oR�O;
�-{— 1
Emai] To:
-1
" Preservative Types: (1) nitric acid, (2)sutfuric acid, J3] hydrochloric arid, J4) sodium hydroxide, (5) zinc acetate,
(6) methanol, (7) sodium bisulfate, (B) sodium thiosulfate. 19) hexane, (A) ascorbic acid, (8) ammonium sulfate,
(C) ammonium hydroxide, (D) TSP, JUI Unpreserved, (0) Other
Copy TttNn C (�^, ,�
LEA
Site Collec ion I fo/Addr
Analyses
Lab Profile/Line:
Customer Project Name/Number.
X ! —MAi S
i l a t lLJ
State: County/City: Time Zone Collected:
is IC- / / ,r }fin[ ] PT ( ] MT ( j CT WET
1 C 1 t t IL.1 1 /
TJ
y,
tr Q
I
Lab Sample Receipt Checkl at:
Custody Seals Present/IntaCt Y N
Custody Signatures Present Y N
Collector Signature Present "Y N
Bottles Intact Y N
'Correct Bottles Y N
Sufficient volume Y N
Samples RCCeived on Ice Y N
VOA - Headspace Acceptable Y N
USDA Regulated Solis Y N
Samples in holding Tithe Y N
Reulduol Chlorina Araaont Y K
Cl Strips:
Sample pR Acceptable Y N
�pWStrips:
Sulfide Present Y N
Lend Acetate'Strips:
LAB USE ONLY:
lab Sample # :/ Comments:
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Phone: 1
Email: I
`-�'jJ1 _M
Site/Facility ID #:
Compliance Monitoring?
( ) Yes [ ) No
Collected By (print[: I
f1��1
Purchase Order N:
Quote9:
DW PWS ID p:
OW Location Code:
Co€lest d By ( na are}
t
Turnaround Date Required:
S
Immediately Pac a on Ice:
Yes [ ]No
osal:
Dispose as appropriate ( ] Return
] Archive:
I lHold:
Rush:
[ ] Same Day ( ) Next Day
[ ] 2 Ray [ ] 3 Day ( ] 4 Day [ j 5 Day
(ExpedlteChargcsApply)
leld Filtered (If applicable):
[ ) Yes ( l No
Analysis:
' Matrix Codes (insert in Matrix box below): Drinking Water (OW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue ITS), Bioassay (B), vapor (V), Other (OT)
Customer Sample ID
Matrix '
Comp/
Grab
Collected (or
Composite Start)
Composite End
Res
Cl
u of
Ctns
Date
Time
Date
Time
A
WIT
G
sl•2-0
3 SP
� rl O
Customer Remarks / Special Conditions / Possible Hazards:
Type of Ice Used: We Blue Dry None
SHORT HOLDS PRESENT (<72 hours): Y - N N/A
Lab Sample.Temperature Info:
Temp Blank Received: Y 111
Therm IDP: a- G
Cooler 1 Temp Upon Receipt:
Cooler. I Therm Corr. Factor:
Cooler 1 Corrected Temp:
'Comments:
NA
y oC
oC
—aC
Packing Material Co Used: "pji, e- v yap in
�te�
Lab Tracking a:
2 3 410 8 8
Radchern sampie(s).screened (<500 tpm): Y N NA
Samples received via:
FEDEX UPS Client Courier Pace Courier
Relinquished by/Company: (Signature)
Date/Time:
Rece€ve`�by/Company: ISjgnat ure)
Date/Time:
51.1A7 jJ: i 4
MTJJL-LAB USE ONLY
Tablel#:
Acctnum:
Template:
Prelogin:
PM:
Pg:
Relinquished by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
Date/Time:
Trip Blank Received: Y N
HCL Me OH TSP OtJ
NA
ter
Relinquished by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
DatefFime:
Non Conformance(s):
YES / NO
Page:
of:
1
�-
ANALYTICAL ENVIRONMENTAL SERVICES, INC.
AES
May 29, 2019
Chris DerOLrell
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville NC 28804
R E: 92430022
Dear Chris Dcroucn: Order No: 19051-43
Analytical Environmental Services, Inc. received 1 samples on 5/22/2019 9:47:00 AM
for the analysts presented in following report.
No problems were encountered during the analyses. Additionally, all results for the associated
Quality Control samples were within EPA and/or AI:S established limits. Any discrepancies associated with the
analyses contained herein will be noted and submitted in the fitrm of a project Case Narrative. A1-S'
certifications arc as follows:
-NE1.AP/Florida State Laboratory ID E87582 for analysis ofNon-Potable Water, Solid &, Chemical Materials,
Air & Emissions for Organics, and Drinking Wetter Microbiology & Mcuils, effective 07/01/18-06/30/19.
-North Carolina Certification number 562 for analysis of Surface Water, Groundwater, Effluent, effective until
12/31/19.
-South Carolina Environmental Laboratory Certification number 98016003 effective until 6/30/19.
These results relate only to the items tested as received. This report may only be reproduced in full and with
written permission from the laboratory.
II'you have any questions regarding these test results, please feel free to call.
Sincerely,
�r�'w&w
Jessica Shilling
Project Manager
3080 Presidential Drive • Atlanta, Georgia 30340 • Tel.: 770.457.8177 • Fax: 770.457.8188 • Toll Free: 800.972.4'889
wu-w.acaatlanta_com
Page 3 of 8
Page 1 of 6
9 30 17 a68CI I—q3
Chain of Custody
ceAnalytical"
1
www.pacelabs.com
er; Name: 4ex"on -W&r-k-o-Fd'-- 92430022 Worko�der i -MorgantonSW 5/20 Results Requested By: 5/31/2019
1 Rddrt?h IrfV61c 64ToZV-jL—, I'S-ub
R 6-0 tie-§ t ed.,-Ahri
JmOsisTinOl
MR-1,
Chris Derouen 4v r7-7(.
Pace Analytical Asheville P.O.
2225 Riverside Dr.
Asheville, NC 28804 F
Phone (828)254-7176 0,
Email: christopher.derouen@pacclabs.com
State of Sample Origin: NC
LL
6
4
Q IA114- 50
k A
56--Z
0
R
--I
' Collect,
iemD
i a
!Date: Irne—
II L: a -V mo-..
M
LAB USE ONLY
1
SW-01A/B
5/20/2019 15:45
:92430022001
Water
X
2
3
4
5
%;�A'4
OOM%a
PWIV�
-P
coilf,
Transfers
Releas9d By
Datefri,me
Received By
Datefrime
1
2
3
.Cooler Temperature on Receipt Oc Custody Seal Y or N
Received on Ice Y or N
Sam plesIntact Y or N
Tuesday, May 21, 2019 3:19:50 PM FMT-ALL-C-002rev,00 24March2009 Page 1 of I
Page 2 of 6
Analytical Environmental Services, Inc Date: 28-May-19
Client:
Pace Analytical Services, lric.
Client Sample ID:
SW-0I A/11
Project Name:
92430022
Collection Date:
5/20/2019 3:45:00 I'M
Lab ID:
19051-43-001
Matrix:
AquenuS
Reporting Dilution I
Analyses Result Qual Units RatchlD n Date Analysed ly ed Anast
Limit Factor
Formaldehyde by SW8315A
Formaldehyde 250 50 ugll. 279541 1 05/23/2019 M09 Hl_
Qualifiers: Vduc exceeds maxinnun contaminant level E Estimated (value above quantitation range)
BRl. Ilclow repotting limil S Spike Recovery outside limits due to m:urix
} I holding times For prepurtliun or analysis exceeded Nary See case narrative
N Analvic not NFAAC certified NC ;Jot confirmed
Ei Analvte detected in the associated method blank < Less than Result vahte
> Greater thnu Result value J Estimated value detected below Reporting Limit Page 5 of 8
Page 3 oK
ANAI,YnCAL
IENVIRONAIFXrAl.
ERVICF,INSAMPLE/COOLER RECEIPT CHECKLIST
AE$ SERV(CF.S, INC.
1. Client Name: Pace Analytical Services, Inc. AES Work Order Number: 190SL43
2. Carrier: FedEx ❑ UPS❑ USPS❑ Client❑ Courier[:] Othei
3.
4.
5.
6.
7.
8,
9.
10.
11.
12.
Yes No N/A
Dptnilc
Clear Save as
rnmmpntc
Shipping container/cooler received in good condition?
•
damaged ❑ leaking ❑ other❑
Custody seals present on shipping container?
•
Custody seals intact on shipping container?
•
Temperature blanks present?
U•
Cooler temperature(s) within limits of 0-6°C? [See item 13 and 14 for
temperature recordings.(
O
O
O
Cooling initiated for recently collected samples / ice
present ❑
Chain of Custody (CDC) present?
•
Chain of Custody signed, dated, and timed when relinquished and received?
•
Sampler name and/or signature on COC?
•
Were all samples received within holding time?
•
TAT marked on the COC7
lit no TAT indicated, proceeded with standard TAT per Terms & Conditions. Li
13. Cooler 1 Temperature 2-4
14_ Cooler 5 Temperature
15. Comments:
16.
17.
18,
19.
20.
21.
22.
23.
24.
25.
26.
°C Cooler 2 Temperature °C Cooler 3 Temperature °C Cooler 4 Temperature °C
°C Cooler 6 Temperature °C Cooler 7 Temperature °C Cooler 8 Temperature °C
I certify that I have completed sections 1-15 (dated initials). Mi 5/22/19
Yes No N/A Details Comments
Were sample containers intact upon receipt?
•
Custody seals present on sample containers?
•
Custody seals intact on sample containers?
•
Do sample container labels match the CDC?
O
O
O
incomplete info ❑ illegible ❑
no label ❑ other ❑
Are analyses requested indicated on the COC?
•
Were all of the samples listed on the COC received?
O
O
O
samples received but not listed on CDC ❑
samples listed on CDC not received ❑
Was the sample collection date/time noted?
•
Did we receive sufficient sample volume for indicated analyses?
•
Were samples received in appropriate containers?
Were VOA samples received without headspace {< 1/4" bubble)?
t
Were trip blanks submitted?
•
listed on CDC ❑ not listed on COC ❑
27. Comments:
This section only applies to samples where pH can be I certify that I have completed sections 16-27 (dated initials). MH 5/22/19
checked at Sample Receipt. Yes No N/A Details Comments
28, Have containers needing chemical preservation been checked? " • _ _ _ — —
29. Containers meet preservation guidelines?- — -- •
3fb Was pH adjusted at Sample Receipt?I 1•
m
m ' Note: Certain analyses require chemical preservation but must be checked in the laboratory and not upon Sample Receipt such as Coliforms, VOCs and Oil & Grease/TPH. MH 5/22/19
rn I certify that I have completed sections 28-30 (dated initials).
o_
E%ecklist 6.9.17 Rev 2 Locked Page 4 of 6
Date: 28-May-19
Analytical Environmental Services, Inc
Client: Pace Analytical Services, Inc.
Project Name: 92430022 Dates Report
Lab Order: 1 905L43
Lab Sample ID Client Sample ID Collection Date Matrix Test Name TCLP Date Prep Date Analysis Date
1905L43-001A SW-01 AIB 5/20/2019 3:45:OOPM Aqueous Formaldehyde by SW8315A 5/23/2019 2:00:OOPM 05/23/2019
Page 7 of 8
Page 5 of 6
Analytical Environmental Services, Inc Date: 28 Ittay-19
Client: Pace Analytical Services. Inc. ANALYTICAL QC SUMMARY REPORT
Project Name: 92430022
Workorder: 19051-43 RatchlD: 279541
Sample ID: 108-279541
Client ID:
Units; ug/L
Prep Date: 05/23/2019
Run No: 398963
SampleType: N1l1l,K
TestCode: Formaldehcdeby5W8315A
BatchlD: 279541
Analysis Date: 05/23/2019
Seq No: 8943072
Analytc
Result RPT Limit SPK value SPK Ref Val
%REC Low Limit
High Limit RPD Ref Val %RPD
RPD Limit Qua]
Formaldehyde BRL 50
Sample ID: LCS-279541
Client ID:
Units: ug/L
Prep Date: 05/23/2019
Run No: 398963
SampleType: LCS
I'cs[Cadc: Formaldehyde by sws315n
BatchlD: 279541
Analysis Date: 05/23/21119
Seq No: 8943073
Analytc
Result RP"I' Lintit SPK Value SPK Ref Val
"/uREC Low Limit
High Limit RPD Rcf Val %RPD
RPD Limit Qual
Formaldehyde 900,9 50 1000 22.36 87.9 70 130
Sample ID: 1905L44-001A\1S
Client ID:
Units: ug/L
Prep Date: 05/23/2019
Run No: 398963
SampleType: ,1IS
TestCode: Furmaldchcdc by Sw8315p
BatchID: 279541
Analysis Date: 05/23/2019
Seq No: 8943075
Analvte
Result RPT Limit SPK value SPK Ref Val
°/WRFC Low Limit
High Limit RPD Ref Val %RPD
RPD Limit Qua]
Fonnaldehyde 882.1 50 1000 68.30 81.4 50.1 139
Sample ID: 1905L44-001AMSD
Client ID:
Units: ug/L
Prep Date: 05/23/2019
Run No: 398963
SampleType: MSD
TestCode: Formaldehyde ny tiWs3l5A
BatchlD: 279541
Analysis Date: 05/23/2019
Seq No: 8943076
Analytc
Result RPT Limit SPK value SPK Ref Val
%REC Low Limit
High Limit RPD Ref Val %RPD
RPD Limit Qual
Fonnaldehyde 987.5
Qualifiers: > Grearer than Resuil value
BRL Below reporting limit
J Estimated value detected below Repnning Li rim
Rpt Lim Reporting Limit
50 1000 68.30 91.9 50.1 139 882.1 11.3 16.2
< Less [hart Result value
E Estimated (value above clmnutation range)
Analvte not NELAC certified
S SpSle Recovery outside limit; due to matrix
B Analyte defected in the associated method blank
H Holding times for preparation or analysis exceeded
R RPD outside limits due to matrix
Page 8of8
Page 6 of 6