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HomeMy WebLinkAboutNCG210166_DMR_20200325 GP Georgia-Pacific Georgia-Pacific Wood Products LLC Dudley CNS Facility 2457-B Old Mt.Olive Hwy Dudley,NC 28333 March 23,2020 Certified Mail#7017 0190 0000 2521 9387 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center RECEIVED Raleigh,NC 27699-1617 MAR 3 0 2020 RE: Georgia-Pacific Wood Products LLC CENTRAL FILES Dudley Chip-N-Saw Facility DWR SECTION NPDES General Stormwater Permit DMR Submittal Certificate of Coverage No.NCG210166 To Whom It May Concern: As required by the referenced permit in condition Part III, Section E.1, attached are the original and one copy of the signed discharge monitoring report(DMR)and laboratory analytical results for Year 2 Period 1 for the Georgia-Pacific Wood Products LLC(GP)Dudley Chip-N-Saw Facility Outfall 001. Please note that all required monitoring parameters are within their respective benchmarks Should you have any questions or need additional information,please contact the Complex Environmental Manager,Brandy Turley,at(919)705-0526 or brandy.turley(a,gapac.com Certification: "I certifii, 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." Sincerely, OttlA11494)141\ Timothy Anderson Plant Manager Dudley Sawmill Attachments: DMR Reporting Form—Year 2—Period 1 (original and one copy);Laboratory Reports Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted _March 23, 2020 CERTIFICATE OF COVERAGE NO. NCG210166 SAMPLE COLLECTION YEAR 2020 FACILITY NAME _Georgia Pacific—Dudley CNS SAMPLE PERIOD Jan June July Dec COUNTY Wayne or n Monthly' (month) PERSON COLLECTING SAMPLES Brandy Turley DISCHARGING TO CLASS nORW I IHQW nTrout I IPNA LABORATORY_Pace Analytical Lab Cert. # 12 I 1Zero-flow ZWater Supply PSA Comments on sample collection or analysis: Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) No discharge this period?' Outfall No. Date Sample 24-hour rainfall Collected' amount, (mo/dd/yr) Inches' Chemical Oxygen Demand Total Suspended Solids Benchmarks=__> - - 120 mg/L 100 mg/L or 50 mg/L4 001 3/5/2020 0.42 32.9 mg/L 20.2 mg/L ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text,Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non-detect, ND, or other similar non- numerical format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date:8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?' Outfall No. Date Sample 24-hour rainfall Collected' amount, Non-polar O&G by EPA Total Suspended Solids (mo/dd/yr) Inches 1664(SGT-HEM) Benchmarks=__> - - 15 mg/L 100 mg/L or 50 mg/L4 001 3/5/2020 0.42 <4.8 mg/L 20.2 mg/L Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Ei IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case of"No Discharge"reports)to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." JAA,NAJDNIAAd 3 (Signature of Permittee) (Date) Permit Date:8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Pace Analytical Services,LLC aceAnalytical®(lir 9800 Kincey Ave. Suite 100 Huntersville,NC 28078 wrrw.patcalabssga (704)875-9092 March 17, 2020 Brandy Turley Georgia-Pacific 139 Brewerton Road Dudley, NC 28333 RE: Project: CNS Stormwater Pace Project No.: 92468508 Dear Brandy Turley: Enclosed are the analytical results for sample(s) received by the laboratory on March 07, 2020. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Sean Coury,Georgia Pacific Accounts Payable do GP,Georgia Pacific .s�• ;yd °' REPORT OF LABORATORY ANALYSIS v This report shall not be reproduced,except in full, without the written consent of Pace Analytical Services,LLC. Page 1 of 13 (iir Pace Analytical Services,LLC aceAnalyticalNC 9800Hunc:y Alle. Suite 100 078 www•pactlabstoe (704)875-9092 CERTIFICATIONS Project: CNS Stormwater Pace Project No.: 92468508 Pace Analytical Services Charlotte 9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Certification#:99006001 Louisiana/NELAP Certification#LA170028 Florida/NELAP Certification#:E87627 North Carolina Drinking Water Certification#:37706 Kentucky UST Certification#:84 North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221 North Carolina Wastewater Certification#: 12 Pace Analytical Services Asheville 2225 Riverside Drive,Asheville, NC 28804 North Carolina Wastewater Certification#:40 Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001 Massachusetts Certification#:M-NC030 VirginiaNELAP Certification#:460222 North Carolina Drinking Water Certification#:37712 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 13 (iir Pace Analytical Services,LLC aceAnalytical® 9800 Kincey Ave. Suite 100 Huntersville,NC 28078 www•paalaba.com (704)875-9092 SAMPLE ANALYTE COUNT Project: CNS Stormwater Pace Project No.: 92468508 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92468508001 CNS Stormwater EPA 1664B HH 1 PASI-C SM 2540D-2011 MJP 1 PASI-A SM 5220D-2011 MDW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, without the written consent of Pace Analytical Services,LLC. Page 3 of 13 Pace Analytical Services,LLC Kincey Ave. (__ FiPiceAnaVical6 9800te 100 Huntersvvle,NC128078 www.pacallab$.com (704)875-9092 ANALYTICAL RESULTS Project: CNS Stormwater Pace Project No.: 92468508 Sample: CNS Stormwater Lab ID: 92468508001 Collected: 03/05/20 15:00 Received: 03/07/20 10:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM,Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 4.8 1 03/17/20 08:45 2540D Total Suspended Solids Analytical Method:SM 2540D-2011 Total Suspended Solids 20.2 mg/L 6.2 1 03/12/20 12:03 5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011 Chemical Oxygen Demand 32.9 mg/L 25.0 1 03/16/20 21:35 03/17/20 00:27 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 13 (er Pace Analytical Services,LLC _ Ia Kincey Ave. aceAnalyticaI® 9800Huntersvlle,NC Suite tnrrw.pscNsbs.cas (704)875-9092 QUALITY CONTROL DATA Project: CNS Stormwater Pace Project No.: 92468508 QC Batch: 530848 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM,Oil and Grease Associated Lab Samples: 92468508001 METHOD BLANK: 2834442 Matrix: Water Associated Lab Samples: 92468508001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 03/17/20 08:43 LABORATORY CONTROL SAMPLE: 2834443 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Oil and Grease mg/L 40 35.2 88 78-114 MATRIX SPIKE SAMPLE: 2834444 92468974001 Spike MS MS %Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers Oil and Grease mg/L ND 38.5 12.8 31 78-114 M1 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:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 13 (ft Pace Analytical Services,LLC Kincey Ave. aceAnalytical e 9800te 100 Huntersville,NC128078 www.pacalabs.cwu (704)875-9092 QUALITY CONTROL DATA Project: CNS Stormwater Pace Project No.: 92468508 QC Batch: 530090 Analysis Method: SM 2540D-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92468508001 METHOD BLANK: 2830765 Matrix: Water Associated Lab Samples: 92468508001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 03/12/20 12:01 LABORATORY CONTROL SAMPLE: 2830766 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 242 97 90-110 SAMPLE DUPLICATE: 2830767 92468444002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 415 410 1 SAMPLE DUPLICATE: 2830768 92468624001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 3380 3300 2 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 13 (er Pace Analytical Services,LLC aceAnalytical® 9800 Kincey Ave. Suite 100 Huntersville,NC 28078 www.pacelabs.COII (704)875-9092 QUALITY CONTROL DATA Project: CNS Stormwater Pace Project No.: 92468508 QC Batch: 530764 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92468508001 METHOD BLANK: 2834221 Matrix: Water Associated Lab Samples: 92468508001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 03/17/20 00:26 LABORATORY CONTROL SAMPLE: 2834222 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 758 101 90-110 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2834223 2834224 MS MSD 92468261001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Chemical Oxygen Demand mg/L 149 100 100 241 245 92 96 90-110 2 MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 2834225 2834226 MS MSD 92468508001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Chemical Oxygen Demand mg/L 32.9 100 100 138 138 105 105 90-110 0 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:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 13 Pace Analytical Services,LLC Kincey100 __(_11aceAnalytical® 9800Huntersville,NCve. 1te 28078 www.pacelabatom (704)875-9092 QUALIFIERS Project: CNS Stormwater Pace Project No.: 92468508 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. PQL-Practical Quantitation Limit. RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S-Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate%recovery and RPD values. LCS(D)-Laboratory Control Sample(Duplicate) MS(D)-Matrix Spike(Duplicate) DUP-Sample Duplicate RPD-Relative Percent Difference NC-Not Calculable. SG-Silica Gel-Clean-Up U-Indicates the compound was analyzed for,but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-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. LABORATORIES PASI-A Pace Analytical Services-Asheville PASI-C Pace Analytical Services-Charlotte ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 13 (r' Pace Analytical Services,LLC Kincey te 100 hAnaIyticaI® 9800Hunte sv Ile,NC'28078 www.pacNabs.cao (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: CNS Stormwater Pace Project No.: 92468508 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92468508001 CNS Stormwater EPA 1664E 530848 92468508001 CNS Stormwater SM 2540D-2011 530090 92468508001 CNS Stormwater SM 5220D-2011 530764 SM 5220D-2011 530817 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/17/2020 03:10 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 13 "t-. Document Name: Document Revised: February 7,2018 Sample Condition Upon Receipt(SCUR) Page 1 of 2 c7G8ARaIICa�a Document No.: Issuing Authority: f-CAR-CS 033 Aev.Ob Pace Carolinas Quality Off e Laboratory receiving samples: Asheville❑ EdenD Greenwood❑ Huntersville❑ Raleigh❑ Mechanicsville( Sample Condition Client Name: W 0# : 92468508 Upon Receipt f 1 Project U: 0/a. �: ��i' l 1111111111111111111111 Courier: ❑fed UPS E]USPS DClient ❑Commercial ❑Pace ❑Other: 92468508 Custody Seal Present? ❑Yes ❑No Seals Intact? [-_]Yes ❑No L. Date/Initials Person Examining Contents: -J' /_ /� tJ Packing Material: ['Bubble Wrap QBubble Bags [None ❑ Other Biological Tissue Frozen? Thermometer: ❑Yes ❑No ON/A ❑IR Gun ID:'' 92T060 Type of Ice: ❑Wet ❑Blue alone Cooler Temp VC): r. Correction Factor:Add/Subtract(°C) 0.0 Temp should be above freezing to 6°C Cooler Temp Corrected('C)c ❑Samples out of temp criteria.Samples on ice,cooling process -,r has begun USDA Regulated Soll (0 N/A,water sample) Did samples originate in a quarantine zone within the United States:CA,NY,or SC(check maps)? Did samples originate from a foreign source(internationally, ❑Yes ❑No Including Hawaii and Puerto Rico)?Oyes ❑No Comments/Discrepancy: 'ChainofCustodyPresent?'s'--' Dies ❑No ON/A 1. Samples Arrived within Hold Time? Dyes ❑No ON/A 2. Short Hold Time Analysis(<72hr.)? Dies [No DNA ' 3. 'Rush Turn Around Time Requested? Dies Q??io ON/A 4. Sufficient Volume? []Yes ❑No ON/A 5. Correct Containers Used? Dye. ONo ON/A 6. -Pace Containers Used? ales Duo ❑N/A Containers Intact? Ohs ❑No ❑N/A 7. Dissolved analysis:Samples Field Filtered? Dies ❑No ❑N/A 8. Sample Labels Match COC? Dies ❑No ON/A 9. -Includes Date/Time/ID/Analysis Matrix: IV Headspace in VOA Vials(>5-6mm)? ❑Yes ❑No ON/A 10. Trip Blank Present? Dyes ❑No ON/A 11. Trip Blank Custody Seals Present? Oyes ❑No ON/A COMMENTS/SAMPLE DISCREPANCY Field Data Required? Dies ❑No Lot ID of spilt containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Date/Time: Project Manager SCURF Review: Date: Project Manager SRF Review: Date: Page 10 of 13 O Z -. io OO .1 Or N A W N° i1iiIii -125 ml Plastic Unpreserved(N/A)(CI-) O m ;o• ? o -250 mL Plastic Unpreserved(N/A) N '.^ a. m a 500 ml Plastic Unpreserved(N/A) 13 -1 liter Plastic Unpreserved(N/A) cr I101fr. 123 mL Plastic H25O4(pH<2)(CI-) y0 Ori. -ZSO ml plastic HNO3(pH<2) O poSi 125 mL Plastic ZN Acetate &NaOH(>9) +IIco125 mL Plastic NaOH (pH>12)(Cl-) fD n ▪ = WGFU-Wlde-mouthed Glass jar Unpreserved C A O` 0- 0ti. _" N E D AG1U-1 liter Amber Unpreserved(N/A)(Cl-) o "' v v Q. 0 w O ma s 5 n .+ v+ n 3 Z.' 3 •Ti ri. PIPPPIPPIPPIP AGIH-1 liter Amber HCI(pH<2) ed m ( O rD ✓ '!73 0 rD b �. T 0 ID m is m ; AG3U-250 ml Amber Unpreserved(N/A)(Cl-) o m g 0 a o 2 r ' 0 ar _ roi a 2 SI:: Q 000000 0000AG1S-1 liter Amber H2SO4(pH<2) O 0 �et!I 3 a g 00 = = G. O%El; C 00001000.100101001011001001110r W' 3. p 01 AG3S-2S0 ml Amber H2SO4(pH<2) �i z es Siz In - �` 3 o re o 15 o a TS 0100110V0010°0°0°1010110°110 AG3A(OG3A)-250 ml Amber NH4CI(N/A)(CI-) pl.• fD m M oil - . H ^� N y ID OG9H-40 mL VOA HCI (N/A) C j r1i 0 2 C a m g, VG9T-40 ml VOA Na2S2O3(N/A) a col It re tL VG9U-40 mL VOA Unp(N/A) _ rD a ? a c'>' 1 o �p OG9P-40 ml VOA H3PO4(N/A) a 3 0 o 3 N 3,5, VOAK(6 vials per kit)-5035 kit(N/A) �� tu+ z •- 3rfD o 3 3 V/GK(3 vials per kit)-VPH/Gas kit(N/A) (0o,i sr" 9 n o N A'/'� o 'a < o SPST-1Z5 mL Sterile Plastic(N/A—lab) C) �j�/ N C Q 'O ®V ia - SP2T-250 ml Sterile Plastic (N/A—lab) n 0 c nn pipppppppprpo m � ` 0 0D .‹ o • BP3A-250 mL Plastic(NH2)25O4(9.3-9.7) . t fD I o n Ia. t0 v^^. AGOU-100 ml Amber Unpreserved vials(N/A) V 0 r I O 00 A ° VSGU-20 mL Scintillation vials (N/A) (a a r.,, v /0 i COco 0G9U-40 ml Amber Unpreserved vials(N/A) co hi _ 0 0 co I CHAIN-OF-CUSTODY / Analytical Request Document co ,PiceAnaIytica/ The Chain-of-Custody is a LEGAL DOCUMENT.All relevant fields must be completed accurately. o „n:s1c^lno3:::),, N a) m es :tion A Section B Section C 0_Page: of tutted Client Information' Required Project Information Invoice Information. npany Georgia Pacific Report To. Brandy Turley Attention: tress: 139 Brewington Dr Copy To: brandy.turley@gapac.com Company Name: Georgia Pacific REGULATORY AGENCY Dudley,NC 28333 Address 2457-B Old Mt.Olive Hwy NPDES GROUND WATER 7 DRINKING WATER all To: brandy.turley@gapac.com Purchase Order No. P131069868 P10e Quote Dudley NC 28333 UST RCRA 7 OTHER Reference' _ Ine. 919-705-0526 Fax91G-735-7140 Project Name: CNS Stormwater Mane Project nicole.gasiorowski@pacelabs.coin Site Location / Manager NC Guested Due Date/TAT: Project Number: Pace Profile rt. 4552-6 STATE: Requested Analysis Filtered(YIN) /// Section D Valid Matrix Codes a z Required Chem Inrormaaon MA RIX COOP .1.. - COLLECTED Preservatives is- /Il DRINKING WATER DW O : • WATER WT 0 WASTEWATER WW U COr,7POSITE COMPOSITE ~ PRODUCT P CD START END/GRAS J Z SOSOL ID SL C }IV OIL OL 0 O rn co SAMPLE ID WIPE WP 0 AIR AR w ¢ Z 1- o (A-Z,0-9/,-) OTHER OT 0 W D. 'D L Sample IDs MUST BE UNIQUE TISSUE TS p a ¢ m to U v it LII Z -6 in To J w x O v! O in a a z Ui . O O p L c O a )� q c"/ w ¢ `- ¢ 0 c (LA Z O m cn W a Q O — w ! DATE TIME DATE TIME _ = S Z Z O y (_. U Pai e'Project Nollab I.D. 1 CNS Stormwater WW G 03/05/20 3 00pm 4 1 1 2 X x X N 2 3 4 5 6 7 8 9 10 11 12 ADDITIONAL COMMENTS RELINQUISHED BY/AFFILIATION DATE TIME ACPTED BY/AFFILIATION DATE TIME SA A PLE CONDITIONS Brandy Turley 3/5/20 4:00pm l 1 �J (4, ', (/ f jr/ L%y 1 L w II CD r I - SAMPLER NAME AND SIGNATURE `o^ 1-;' o PRINT Name of SAMPLER: >> `�-' z Bran/ y Turle v / ; E u 0 S'a> a SIGNATURE of SAMPLER/ -/ v DATE Signed m— m E �� !/ (MMIDD/YY): 3/5/20 co m cn i 'Important Note.By signing this form you arc accepting Pace's NET 30 day payment terms and agreeing to Tate charges of 1.5%per month for any invoice'n aid within ays. F-ALL-Q-020re .08,12-Oct-2007 /(N. Georgia-Pacific Purchase Order PURCHASE ORDER: P131069868 RELEASE NUMBER: 0 DUPLICATE COPY ORDER DATE: 1/13/2020 STATUS: Ready SUPPLIER BILL TO PACE ANALYTICAL SERVICES INC Georgia-Pacific Wood Products LLC 9800 KINCEY AVE STE 100 c/o GP Financial Management HUNTERSVILLE, NC 28078-8400 Dudley Chip-N-Saw Phone: (704) 875-9092 US Email: GPAP-PO@GAPAC.com Send ONLY ONE (1) invoice per email transmission SHIP ALL ITEMS TO BUYER CONTACT INFORMATION Georgia-Pacific Wood Products LLC Georgia-Pacific Chip N Saw 2457B Old Mt. Olive Hwy Phone: 936-829-1744 Fax:404-232-4419 Dudley, NC 28333 Dudley, NC 28333 USA Phone: (936)829-1744 Phone: 936-829-1744 USA Fax:404-232-4419 Email: Dudley.Purchasing2@gapac.com [NCO TERMS PAYMENT TERMS Freight Terms: PREPAID&ADD Payment Terms: 1% 15 NET 45 DAYS Ship Via: STANDARD Shipping Terms: DESTINATION COMMENTS Page 1 of 2 Page 13 of 13