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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