NCG030451_DMR_20200428

11111
409 Rogers View Court
Mid Atlantic office
h.NC 2
oNice 919.250 9910
9918
Engineering&Environmental Solutions facsimile 919.250.9950
MAAONLINECOM
April 28, 2020
RECEI\pr•
NCDEQ/DWR MAY 1 8 2020
Attention: Central Files CENTRAL FILES
1617 Mail Service Center DWR SECTION
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
LL BUILDING PRODUCTS, INC.
295 MCKOY ROAD
BURGAW, PENDER COUNTY, NORTH CAROLINA
PERMIT NCG030451
MID-ATLANTIC JOB NO. 000R3196.10
To Whom it May Concern,
Attached please find the Stormwater Discharge Monitoring Reports (DMR) and analytical
report for the sampling conducted at the above-referenced site. A stormwater sample was
collected from Outfall 001 on April 14, 2020 and analyzed for total suspended solids (TSS)
oil and grease (O&G), Lead (Pb) Copper(CU), and Zinc (Zn). As indicated on the attached
DMR, all parameters were reported below or within their respective benchmark values. If
you have any questions or need additional information, please contact me at 919-250-
9918.
Sincerely,
MID-ATLANTIC ASSOCIATES, INC.
ParicrAffedel.
Paul W. Spangenberg
Director of Environmental Compliance Services
Attachments: Stormwater Discharge Monitoring Reports
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 4/28/20
CERTIFICATE OF COVERAGE NO. NCGO3 0 4 5 1 SAMPLE COLLECTION YEAR 2020
FACILITY NAME LL Building Products,Inc. SAMPLE PERIOD Q Jan-June ❑July-Dec
COUNTY Pender or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Paul Spangenberg DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Con-test Lab Cert.# 402 Zero-flow ['Water Supply ❑SA
Comments on sample collection or analysis: ❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?'
Non-Polar O&G/
Date Sample 24-hour rainfall pH, Total Toxic
Outfall No. Collected) amount, Total Suspended Solids Standard units Total Copper Total Lead Total Zinc Total Petroleum Organics
(mo/dd/yr) Inches3 Hydrocarbons
Benchmarks - - 100 mg/L or 50 mg/L4 6.0—9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L
Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141
01 4/14/20 .1 N/A
1 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.
'The 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, Section B,Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals,or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample(for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor
manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver,the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Trevor Simmons
Name(Print name)
Environmental Coordinator
Title(Print title)
14J3o/3o
Signature Date
Note: Results must be reported in numerical format. 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
No discharge this period?2
OutfaII No. Date Sample Collected' 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended
(mo/dd/yr) Inches3 Hydraulic Oil Usage Petroleum Hydrocarbons Solids
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L°
Parameter Code - 46529 NCOIL 00552 C0530
Footnotes from Part A also apply to 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.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

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 Q
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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."
Signature of Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3

Table of Contents
4....) con-tEst®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
April 28,2020
Paul Spangenberg
Mid-Atlantic Associates,Inc.-Raleigh,NC
409 Rogers View Court
Raleigh,NC 27610
Project Location:295 McKoy Road,Burgaw,NC
Client Job Number:
Project Number:R3196.00
Laboratory Work Order Number:20D0666
Enclosed are results of analyses for samples received by the laboratory on April 14,2020.If you have any questions concerning
this report,please feel free to contact me.
Sincerely,
tlial 41. r
igibc
Kerry K.McGee
Project Manager
Page 1 of 14

Table of Contents
Table of Contents
Sample Summary 3
Case Narrative 4
Sample Results 5
20D0666-01 5
Sample Preparation Information 7
QC Data 8
Metals Analyses(Total) 8
B256801 8
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total) 9
B256419 9
B256456 9
B256687 9
Flag/Qualifier Summary 10
Certifications 11
Chain of Custody/Sample Receipt 12
Page 2 of 14

Table of Contents
IPCOfl tESt®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Mid-Atlantic Associates,Inc.-Raleigh,NC
409 Rogers View Court REPORT DATE: 4/28/2020
Raleigh,NC 27610 PURCHASE ORDER NUMBER:
AWN:Paul Spangenberg
PROJECT NUMBER: R3196.00
ANALYTICAL SUMMARY
WORK ORDER NUMBER: 20D0666
The results of analyses performed on the following samples submitted to the CON-TEST Analytical Laboratory are found in this report.
PROJECT LOCATION: 295 McKoy Road,Burgaw,NC
FIELD SAMPLE# LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
1 20D0666-01 Water EPA 1664B
SM21-22 2540D
SM21-22 4500 H B
SW-846 6010D
Page 3 of 14

Table of Contents
IPcon-tEst®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA01028'FAX [phone]'TEL.[phone]
CASE NARRATIVE SUMMARY
All reported results are within defined laboratory quality control objectives unless listed below or otherwise qualified in this report.
SM21-22 4500 H B
Qualifications:
H-OS
Holding time was exceeded.pH analysis should be performed immediately at time of sampling. Nominal 15 minute holding time was
exceeded.
Analyte&Samples(s)Qualified:
pH
20D0666-0I[1],B256419-DUP 1
The results of analyses reported only relate to samples submitted to the Con-Test Analytical Laboratory for testing.
I certify that the analyses listed above,unless specifically listed as subcontracted,if any,were performed under my direction according to the approved methodologies listed
in this document,and that based upon my inquiry of those individuals immediately responsible for obtaining the information,the material contained in this report is,to the
best of my knowledge and belief,accurate and complete.
1 A
Lisa A.Worthington
Technical Representative
Page 4 of 14

Table of Contents
IPcon-t+ st®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: 295 McKoy Road,Burgaw,NC Sample Description: Work Order: 20D0666
Date Received: 4/14/2020
Field Sample#: 1 Sampled: 4/14/2020 10:00
Sample ID: 20D0666-01
Sample Matrix: Water
Metals Analyses(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Copper ND 0.010 0.0087 mg/L I SW-846 6010D 4/23/20 4/23/20 17:01 MJH
Lead ND 0.010 0.0065 mg/L 1 SW-8466010D 4/23/20 4/23/20 17:01 MJH
Zinc 0.027 0.010 0.0045 mg/L 1 SW-846 6010D 4/23/20 4/23/20 17:01 MJH
Page 5 of 14

Table of Contents
44 con-test®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: 295 McKoy Road,Burgaw,NC Sample Description: Work Order: 20D0666
Date Received: 4/14/2020
Field Sample#: 1 Sampled: 4/14/2020 10:00
Samule ID: 20D0666-01
Sample Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Fiag/Qual Method Prepared Analyzed Analyst
pH @23.3°C 7.3 pH Units 1 H-05 SM2t-22 4500 H B 4/16/20 4/16/20 17:40 AWA
Total Suspended Solids 13 1.7 0.68 mg/L 1 SM21-22 2540D 4/17/20 4/17/20 12:05 LL
Oil&Grease(HEM) ND 1.8 1.3 mg/L 1 EPA 1664B 4/22/20 4/22/20 12:25 LL
Page 6 of 14

Table of Contents
IIIIPCon-test®
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Sample Extraction Data
EPA 1664B
Lab Number[Field ID] Batch Initial[mL] Date
20D0666-01[I] B256687 770 04/22/20
SM21-22 2540D
Lab Number[Field ID] Batch Initial[mL] Date
20D0666-01[1] B256456 300 04/17/20
SM21-22 4500 H B
Lab Number[Field ID] Batch Initial[mL] Date
20D0666-01[1] B256419 50.0 04/16/20
Prep Method:SW-846 3005A Analytical Method:SW-846 6010D
Lab Number[Field ID] Batch Initial ImLI Final[mi.] Date
20D0666-01[1] B256801 50.0 50.0 04/23/20
Page 7 of 14

Table of Contents
0111141 con-test®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028"FAX [phone]*TEL.[phone]
QUALITY CONTROL
Metals Analyses(Total)-Quality Control
Reporting Spike Source %REC RPD
Analytc Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B256801-SW-846 3005A
Blank(B256801-BLKI) Prepared&Analyzed:04/23/20
Copper ND 0.010 mg/L
Lead ND 0.010 mg/L
Zinc ND 0.010 mg/L
LCS(B256801-BS1) Prepared&Analyzed:04/23/20
Copper 0.997 0.010 mg/L 1.00 99.7 80-120
Lead 0.528 0.010 mg/L 0.500 106 80-120
Zinc 1.06 0.010 mg/L 1.00 106 80-120
LCS Dup(B256801-BSDI) Prepared&Analyzed:04/23/20
Copper 0.998 0.010 mg/L 1,00 99.8 80-120 0.0688 20
Lead 0.527 0.010 mg/L 0.500 105 80-120 0.209 20
Zinc 1,06 0.010 mg/L 1.00 106 80-120 0.279 20
Page 8 of 14

Table of Contents
61 con-test®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
QUALITY CONTROL
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)-Quality Control
Reporting Spike Source %REC RPD
Analytc Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B256419-SM21-22 4500 H B
LCS(B256419-BS1) Prepared&Analyzed:04/16/20
pH 5.98 pH Units 6.00 99.7 90-110
Duplicate(B256419-DUP1) Source:20D0666-01 Prepared&Analyzed:04/16/20
PH 7.4 pH Units 7.3 1.62 5 H-05
Batch B256456-SM21-22 2540D
Blank(B256456-BLKI) Prepared&Analyzed:04/17/20
Total Suspended Solids ND 2.5 mg/L
LCS(B256456-BSI) Prepared&Analyzed:04/17/20
Total Suspended Solids 226 10 mg/L 200 113 57.6-118
Batch B256687-EPA 1664B
Blank(B256687-BLK1) Prepared&Analyzed:04/22/20
Oil&Grease(ItEM) ND 1.4 mg/L
LCS(B256687-BS1) Prepared&Analyzed:04/22./20
Oil&Grease(HEM) 18 mg/L 20.0 91.5 78-114
Page 9 of 14

Table of Contents
41141 con-test�
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
FLAG/QUALIFIER SUMMARY
• QC result is outside of established limits.
t Wide recovery limits established for difficult compound.
j Wide RPD limits established for difficult compound.
# Data exceeded client recommended or regulatory level
ND Not Detected
RI Reporting Limit is at the level of quantitation(LOQ)
DL Detection Limit is the lower limit of detection determined by the MDL study
MCL Maximum Contaminant Level
Percent recoveries and relative percent differences(RPDs)are determined by the software using values in the
calculation which have not been rounded.
No results have been blank subtracted unless specified in the case narrative section.
H-05 Holding time was exceeded.pH analysis should be performed immediately at time of sampling. Nominal 15
minute holding time was exceeded.
Page 10 of 14

Table of Contents
con-tEste
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
CERTIFICATIONS
Certified Analyses included in this Report
Analvte Certifications
EPA 1664E in Water
Oil&Grease(HEM) CT,MA,NH,NY,RI,NC,ME,VA
SM21-22 2540D in Water
Total Suspended Solids CT,MA,NH,NY,RI,NC,ME,VA
SM21-22 4500 H B in Water
pH CT,MA,RI
SW-846 6010D in Water
Copper CT,NH,NY,ME,VA,NC
Lead CT,NH,NY,ME,VA,NC
Zinc CT,NH,NY,ME,VA,NC
The CON-TEST Environmental Laboratory operates under the following certifications and accreditations:
Code Description Number Expires
AIHA AIHA-LAP,LLC-ISOI 7025:2017 100033 03/1/2022
MA Massachusetts DEP M-MA100 06/30/2020
CT Connecticut Department of Publilc Health PH-0567 09/30/2021
NY New York State Department of Health 10899 NELAP 04/1/2021
NH-S New Hampshire Environmental Lab 2516 NELAP 02/5/2021
RI Rhode Island Department of Health LA000112 12/30/2020
NC North Carolina Div.of Water Quality 652 12/31/2020
NJ New Jersey DEP MA007 NELAP 06/30/2020
FL Florida Department of Health E871027 NELAP 06/30/2020
VT Vennont Department of Health Lead Laboratory LL015036 07/30/2020
ME State of Maine 2011028 06/9/2021
VA Commonwealth of Virginia 460217 12/14/2020
NH-P New Hampshire Environmental Lab 2557 NELAP 09/6/2020
VT-DW Vermont Department of Health Drinking Water VT-255716 06/12/2020
NC-DW North Carolina Department of Health 25703 07/31/2020
PA Commonwealth of Pennsylvania DEP 68-05812 06/30/2020
Page 11 of 14

hum//www,conteStlabS,com Doc#379 Rev 1_03242017
con-testy CHAIN OF CUSTODY RECORD(North Carolina) 39 Spruce Street Page . 1__of_1_
wN_ Phone:
�irr,uL uxow.Tow: East Longmeadow,MA 01028
Fax:4- RegdififteiPfiaroUndTime' ' '' ''7;04,4
Email:infoOcontestlabs.com 7-Day ❑ 10-Day Q 1 2 1 1 1 1 4 of Containers
, Mid Atlantic Associates Due Date: • S N N N )Preservation Code
Address:409 Rogers View Court,Ra t Ma 't a Rush-Approval Required Ph G P P P P 'Container Code
Phone: [phone] 1-Day El 3-Day ED ANALYSIS REQUESTED r Aa s forriples
rt E` tP1 w :),a t :' .« LL Building Products 2-Day ❑ 4-Day Ell ❑ Field Filtered '
Project Location: 295 McKoy Road.Burgaw,NC lialtilaZIgt.Matinefgalltriatt (TI Lab to Filter
Project Number: R3196.00 Format: PDF Q EXCFL ❑
'
Project Manager: ;Paul W.Spangenberg Other: i tL4r:
Con-Test Quote Name/Number: CLP Like Data Pkg Required: LJ LI Field Fdaitiii
Invoice Recipient: Email To: pspangenberqamaaonline.com ❑ Lati'<6htfr I' '.
Sampled By: Trevor Simmons Fax To#: [phone]
Con-Test 'Matrix ! a t
Work Order# Sample ID/Desci Beginning DaterNme Coding Date/tirhe Composite Grab Code Conc Code v v, A a " NtatrbeSedes:
a. o H °3 v v GW=Ground Water
=
/ t 4/14/20,010:00 4/14/20,010:00 x 0 P x WIN Waste Water
DW=DrirdtinpWater
1 4/14/20,010:00 4/14/20,010:00 x 0 G x A=Air
S=50i1 r ;
1 4/14/20,010:00 4/14/20,010:00 x 0 P x 31.E Sludge }}
Sabi Solid
o=Other(please
1 4/14r20,010:00 4/14/20,010:00 x O P x x x define)
2 Preservation Codes:
1-Iced
H-HCL
. M=Methanol
N=Nitric Acid
S Sulfuric Acid
B-Sodium Bisulfate
X=Sodium Hydroxide
T=Sodium
Thiosulfate
Comments: 0=Other iplease
IPlease use the following codes to indicate possible sample concentration within the define)
Conc Code column above:
i H-High;M•Medium;L•Low; C-Clean; U-Unknown
'Container Codes:
24 Hour Rain Event,1'of Precipitation
A=Amber Glass
Relinquished by:(signature) 4,,, North Carolina Detection Limit Requirenencs Program Information G`Gla9S`
/s,.nr �.: + e.+e 'f//f/LQ O/(/O% ❑ 2L DSCA ❑ UST/Trust Fund ST PSterHee
{ a
RFccived by:(signature) -i I l ❑ GYVPC y1 1; : SWS Landfill ❑ REC V=Vial
cri)2- LI SWSL I I 1! # IH58 Orphaned Landfill S=Summa Catlister
Relinquis by: (signature) LI IHS8 ll� a State Lead T= ddl>f►tip[;'"
(,: ^ o r Other(pteate
❑ MSCC o,r uvu.,,r Other:
define)
o—'vecl by: (signature) y — rp T
;` IIj 1,',r a ,tii\ s..er a /gaa s
a t.,,...,s+«,-.ru. ^Adn .amG+wa,•+usa,w,w3e., n w.,ia.i S)
N cC2quished by: (signature) Project Entity t . Other PCB ONLY r3
m ❑ GovernmentLI Soxhlet
0
Yp1111C1�16i1ty ❑ Chromatogramp
N ved by:(signature) , Federal dI
( S ❑ ❑ g ISrpWn�iCilY1 ❑ AINA-LAP,LLC ❑ Non Soxhle[ 0
LI
1
City ❑ �Scttool!
is!!
-P r;t (D
1 1 i
1

Table of Contents
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ReceptionistiFront Desk 15 lbs/6 8 kgs Your Packaging
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Deliver Weekday CD a
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ACTUAL DELIVERY
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Wednesday,4/15/2020
9:17 am Delivered
7:44 am WINDSOR LOCKS,CT On FedEx vehicle for delivery
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Table of Contents
I Have Not Confirmed Sample C9AV Numbers With Lab Staff Before RenquishingAN
Over Samples
Doc#k 2T7 Rev 5 2017
Login Sample Receipt Checklist-(Rejection Criteria Listing - Using Acceptance Policy)Any False
Statement will be brought to the attention of the Client -State True or False
Client - ,. i;t A -c c(t,ni\
Received By Zip j? Date ! t t y.\ Time ,'yin_
How were the samples in Cooler -1- No Cooler On Ice `T No Ice
received? Direct from Sampling Ambient Melted Ice
Were samples within By Gun# Actual Temp- LA Y
Temperature?2-6°C 1 By Blank# Actual Temp-
Was Custody Seal Intact? fvirt Were Samples Tampered with? A/l^a
Was COC Relinquished ? T Does Chain Agree With Samples? -r-
Are there broken/leaking/loose caps on any samples? f
Is COC in ink/Legible? Were samples received within holding time? --1---
Did COC include all Client "T Analysis A-- Sampler Name -r
pertinent Information? Project `r ID's --t Collection Dates/Times -1-
Are Sample labels filled out and legible? t
Are there Lab to Filters? Who was notified?
Are there Rushes? Who was notified?
Are there Short Holds? r- Who was notified?
Is there enough Volume? T
Is there Heads acewhere.a-applicable? c MSLMSD? -t
P pN
Proper MedialCont'liners Used? -1 Is splitting samples required? )-
Were trip blanks received?"::: ?X; On COC? F
Do all samples have the proper pH? Acid j rr4e. I.`? Base
AWL, . .,., c# - tontait .- : , _ ;# . #. . 4 -
Unp 1 Liter Amb. 1 Liter Plastic 16 oz Amb.
HCL- 500 mL Amb. 500 mL Plastic I 8oz Amb/Clear
Meoh- 250 mL Amb. 250 mL Plastic t 4oz Amb/Clear
Bisulfate- Flashpoint Col./Bacteria 2oz Amb/Clear
DI- Other Glass , Other Plastic Encore
Thiosulfate- SOC Kit Plastic Bag Frozen:
Sulfuric- Perchlorate Ziplock
Unused Media
y
Unp- 1 Liter Amb. 1 Liter Plastic 16 oz Amb.
HCL- 500 mL Amb. 500 mL Plastic 8oz Amb/Clear
Meoh- 250 mL Amb. 250 mL Plastic 4oz Amb/Clear
Bisulfate- Col./Bacteria Flashpoint 2oz Amb/Clear
DI- Other Plastic Other Glass Encore
Thiosulfate- SOC Kit Plastic Bag Frozen:
Sulfuric- Perchlorate Ziplock
Comments:
1 \1\k �� lCR�.Z' t C . `‘ S.- ,1Jj I1 J .
rPage 14 of 14,