NCG050362_DMR_20200128

f �
409 Rogers View Court
Mid Atlantic ffceg9192N 27610
office 91 .2509918
Engineering&Environmental Solutions facsi,,a 919.2509950
— MAAONUNE COM
January 28, 2020
NCDEQ/DWR
Attention: Central Files RECEIVED
Mail Service Center
Raleigh, North Carolina 27699-1617 MAR 2 0 2020
Subject: STORMWATER SAMPLING RESULTS CTRADWR SECTION
180 TECHNIMARK, LLC — PLANT 1
180 COMMERCE PLACE
ASHEBORO, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCG050362
MID-ATLANTIC JOB NO. 000R2947.10
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, 002, AND 003 on January 15, 2020 and analyzed for total
suspended solids (TSS) oil and grease (O&G). 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,
SCANNED
MID-ATLANTIC ASSOCIATES, INC.
O C t 1 3 2020
Aid 1 1)
Paul W. Spangenberg
Director of Environmental Compliance Services
Attachments: Stormwater Discharge Monitoring Reports
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1/28/2020
CERTIFICATE OF COVERAGE NO. NCG 50,362 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Technimark,LLC-Plants 1,IC,3,5,5A,and Distribution
COUNTY Randolph
PERSON COLLECTING SAMPLES Tensesa Hurley PLEASE REMEMBER TO SIGN ON THE REVERSE
LABORATORY Con-test Lab Cert.# 652
Vehicle Maintenance Area(VMA)Stormwater Monitoring Results: Only for facilities using an average of>55 gal of new motor oil per month.
Total event rainfall 1.18" or ❑ No discharge this period'
Outfall No. Sample Total Suspended Non-polar O&G/TPH,mg/L Oil and Grease,mg/L pH,Standard units New Motor Oil or
Collected, Solids(TSS),mg/L (Method 1664 SGT-HEM) (if applicable) (only if applicable) Hydraulic Oil Usage,
mm/dd/yr (if applicable) Annual average gal/mo
Benchmark - 100 or 503 15 30 Within 6.0—9.0 -
01 1/15/2020 21 0 N/A N/A 300
02 1/15/2020 13 0 N/A N/A 300
03 1/15/2020 15 0 N/A N/A 300
'The total precipitation must be recorded using data from an on-site rain gauge.
2 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 I I NO ■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO I.
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised.•June 1, 2018
Page 1 of 2

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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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, includi g the possibility of fines and imprisonment for knowing violations."
eli?'K /2cZo
(Signature cif-Permitte (Date)
Additional copies of this form may be downloaded at:
https://deq.nc.gov/about/divisions/energ_y-mineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised:June 1, 2018
Page 2 of 2

Table of Contents
con-tEst°
ANALYTICAL LABORATORY
39 Spruce Street"East Longmeadow,MA 01028'FAX [phone]*TEL.[phone]
January 27,2020
Paul Spangenberg
Mid-Atlantic Associates,Inc.-Raleigh,NC
409 Rogers View Court
Raleigh,NC 27610
Project Location:Plant 1,3,5,5A+D-Asheboro,NC
Client Job Number:
Project Number:R2947.10
Laboratory Work Order Number:20A0839
Enclosed are results of analyses for samples received by the laboratory on January 17,2020.If you have any questions
concerning this report,please feel free to contact me.
Sincerely,
14i,Lf l 4-
iu
Kerry K.McGee
Project Manager
Page 1 of 14

Table of Contents
Table of Contents
Sample Summary 3
Case Narrative 4
Sample Results 5
20A0839-01 5
20A0839-02 6
20A0839-03 7
Sample Preparation Information 8
QC Data 9
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total) 9
B250356 9
B250531 9
Flag/Qualifier Summary 10
Certifications 11
Chain of Custody/Sample Receipt 12
Page 2 of 14

,.
Table of Contents
I) COfl .tESt°
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow, MA 01028*FAX [phone]*TEL.[phone]
Mid-Atlantic Associates5lnc.-Raleigh,NC
409 Rogers View Court REPORT DATE: 1/27/2020
Raleigh,NC 27610 PURCHASRDER NUMBER:
ATTN:Paul Spangenberg
PROJECT NUMBER: R2947.10
ANALYTICAL SUMMARY
WORK ORDER NUMBER: 20A0839
The results of analyses performed on the following samples submitted to the CON-TEST Analytical Laboratory are found in this report.
PROJECT LOCATION: Plant 1,3,5,5A+D-Asheboro,NC
FIELD SAMPLE# LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
1 20A0839-01 Water EPA 1664B
- SM21-22 2540D
2 20A0839-02 Water EPA 1664B
SM21-22 2540D
3 20A0839-03 Water EPA 1664B
SM2I-22 2540D
•
W;
. iz
•
Page 3 of 14

/� Table of Contents
IPc� ®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*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.
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.
Vt1)17114444L.'"--"
Lisa A.Worthington
Technical Representative
Page 4 of 14

Table of Contents
44 cOfste
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Plant 1,3,5,5A+D-Asheboro,N Sample Description: Work Order: 20A0839
Date Received: 1/17/2020
Field Sample#: 1 Sampled: 1/15/2020 09:30 s:
Sample ID: 20A0839-01
Sample Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)
Date Date/Time
Analyse Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Total Suspended Solids 21 2.0 0.82 mg/L I SM21-22 2540D 1/19/20 1/19/20 11:09 LL
Oil&Grease(HEM) ND 2.8 2.0 mg/L I EPA 1664B 1/22/20 1/22/20 13:35 LL
i
Page 5 of 14

Table of Contents
11114santterr
/ ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028'FAX [phone]'TEL.[phone]
Project Location: Plant 1,3,5,5A+D-Asheboro,N Sample Description: Work Order: 20A0839
Date Received: 1/17/2020
Field Sample#: 3 Sampled: 1/15/2020 10:00
Sample ID: 20A0839-03
Sample Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Total Suspended Solids 15 2.0 0.82 mg/L I SM21-22 2540D 1/19/20 1/19/20 11:09 LL
Oil&Grease(HEM) ND 2.8 2.0 mg/L I EPA 1664B 1/22/20 1/22/20 13:35 LL
Page 7 of 14

Table of Contents
IIIPcon-tEst°
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028'FAX [phone]*TEL.[phone]
Sample Extraction Data
EPA 1664B
Lab Number IField ID] Batch Initial ImL] Date
20A0839-01[1] B250531 500 01/22/20
20A0839-02[2] B250531 500 01/22/20
20A0839-03[3] B250531 500 01/22/20
SM21-22 2540D
Lab Number]Field ID] Batch Initial ImL] Date
20A0839-01[1] B250356 250 01/19/20
20A0839-02[2] B250356 250 01/19/20
20A0839-03[3] B250356 250 01/19/20
Page 8 of 14

Table of Contents
Contif °
s
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 B250356-SM21-22 2540D
Blank(B250356-BLKI) Prepared&Analyzed:01/19/20
Total Suspended Solids ND 2.5 mg/L
LCS(B250356-BS1) Prepared&Analyzed:01/19/20
Total Suspended Solids 170 10 mg/L 200 85.0 57.6-118
Batch B250531-EPA 1664B
Blank(B250531-BLKI) Prepared&Analyzed:01/22/20
Oil&Grease(HEM) ND 1.4 mg/L
Blank(B250531-BLK2) Prepared&Analyzed:01/22/20
Oil&Grease(HEM) ND 56 mg/L
LCS(B250531-BS1) Prepared&Analyzed:01/22/20
Oil&Grease(HEM) 18 mg/L 20.0 91.5 78-114
LCS(B250531-BS2) Prepared&Analyzed:01/22/20
Oil&Grease(HEM) 710 mg/L 800 88.5 78-114
Page 9 of 14

Table of Contents
11114 ofld.tEs®
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.
t Wide RPD limits established for difficult compound.
# Data exceeded client recommended or regulatory level
ND Not Detected
RL 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.
•
Page 10 of 14

Table of Contents
4.4) con-test„,„
ANALYTICAL LABORATORY
39 Spruce Street`East Longmeadow,MA 01028*FAX [phone]'TEL.[phone]
CERTIFICATIONS
Certified Analyses included in this Report
Analyte Certifications
EPA 1664B 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
The CON-TEST Environmental Laboratory operates under the following certifications and accreditations:
Code Description Number Expires
AIHA AIHA-LAP,LLC-IS017025:2017 100033 03/1/2022
MA Massachusetts DEP M-MA 100 06/30/2020
CT Connecticut Department of Publilc Health PH-0567 09/30/2021
NY New York State Department of Health 10899 NELAP 04/1/2020
NH-S New Hampshire Environmental Lab 2516 NELAP 02/5/2020
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 Vermont 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

Table of Contents
1/18/2020 Track your package or shipment with FedEx Tracking
FedEx
411359784673
Delivered
Saturday 1 /18/2020 at 10:23 am
• • •
DELIVERED
Signed for by: R.PETRAITIS
GET STATUS UPDATES
OBTAIN PROOF OF DELIVERY
Shipment Facts
TRACKING NUMBER SERVICE WEIGHT
411259784673 FedEx Priority Overnight 30 lbs/13.61 kgs
fff
DIMENSIONS DELIVERED TO TOTAL SHIPMENT WEIGHT
24x15x13 in. Shipping/Receiving 30 lbs 113.61 kgs
PACKAGING SPECIAL HANDLING SECTION STANDARD TRANSIT
Your Packaging Saturday Delivery,Additional Handling a
Surcharge 1.18/2020 by 12:00 pm
SHIP DATE ACTUAL DELIVERY
Sal 1/18/2020 10:23 am
Fri 1/17/2020
Travel History Local Scan Time u
Saturday,1/18/2020
10:23 am Delivered
9.28 am WINDSOR LOCKS,CT On FedEx vehicle for delivery
B:SSam WINDSOR LOCKS,CT At local FedEx facility
7:56 am EAST GRANBY,CT At destination sort facility
4:57 am MEMPHIS,TN Departed FedEx location
Friday,1/17/2020
,,.., LACr.APUIc Ira AreiwaA:«F,,iry tnrn*:.,n Page 12 of 13 ,
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Table of Contents
CID
I Have Not Confirmed Sample Container Cc) n i to s t
Numbers With Lab Staff Before Relinquishing ANALYTICAL LABt'7RATORY
Over Samples
Dac#277 Rev:5 261
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 V c,, AA- eA-fit-
Received By 4 Date +l I ' / ?U' Time l ; 3
How were the samples In Cooler ,-1-- No Cooler On Ice -1— No Ice
received? Direct from Sampling Ambient Melted Ice
Were samples within By Gun# 5-- Actual Temp- _3 :),
Temperature?2-6°C f By Blank# Actual Temp-
Was Custody Seal Intact? VP Were Samples Tampered with? fV\
Was COC Relinquished ? 1 - Does Chain Agree With Samples? T
Are there broken/leaking/loose caps on any samples?
Is COC in ink/Legible? -I- Were samples received within holding time? -T
Did COC include all Client T Analysis j Sampler Name T
pertinent Information? Project -_) ID's i Collection Dates/Times 1--
Are Sample labels filled out and legible?
Are there Lab to Filters? I Who was notified?
Are there Rushes? t` Who was notified?
Are there Short Holds? F Who was notified?
Is there enough Volume? -r-
Is there Headspace where applicable? -r MS/MSD? 1
Proper Media/Containers Used? --f" Is splitting sampleerequired? c-
Were trip blanks received? F On COC?
Do all samples have the proper pH? Apo, Acid Base
Unp- 1 Liter Amb. 1 Liter Plastic 16 oz Amb.
HCL- 500 mL Amb. 500 mL Plastic ma. 8oz Amb/Clear
Meoh- 250 mL Amb. 250 mL Plastic 4oz Amb/Clear Bisulfate- Flashpoint Col./Bacteria 2oz Amb/Clear
DI- — Other Glass Other Plastic Encore
Thiosulfate-— SOC Kit Plastic Ba. —Frozen:
Sulfuric- Perchlorate Zi•lock _
m'!1111111111111111111 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 Flash.oint 2oz Amb/Clear
DI- IIIIIIIIIIII Other Plastic Other Glass Encore Thiosulfate-— SOC Kit Plastic Ba• —Frozen:
Sulfuric- Perchlorate Zi•lock
Comments:
Page 13 of 13

l http://www.contestiabs.com Doc#379 Rev 1_0324ZU11
Art-test" n(J CHAIN OF CUSTODY RECORD(North Carolina) 39 Spruce Street Page of
Phone:[phone] East Longmeadow.MA 01028
.Snecnl ueonw�owr .,,.,,
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ANALYSIS REQUESTED R4 � z;aTl =F,; -:t :.,
Phone ( I Z _( 3Q 1 Day ❑ 3-Day ❑ 0 Field Filtered
'a�'o" :::,,,, av M. Ttc.ii n,rne.F-V,(- -C 2-Day ❑ 4-Day a; Lab to Filter
Project Location: �laykki il.3,s,s4 �'9 'A`?1'1 n(. b,. .., ,. o`; .w"ri' ' p+`p.,, ,',, ❑
Project Number: (aZfN'-1--1, to Format: PDF EXCEL ❑ '' r rs,
Project Manager: ?u 1 pr 'c"� Other: r�. '�` i o �,
Con-Test Quote Name/Number: CLP Like Data Pkg Required: U U Field Filtered
Invoice Recipient: o Email To: ❑ Lab to Filter
P '�S(Jr?n���rk��� �m 3�c�i�11�>1�-C +'r'l �SPP`�`k��g9QQ�ma�c;�tC rQ _
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Con-Test Cllent5ampselD!'tpscr4ptlon • BegMning EnIf Composite 'tXxt+ix Cont 'Matrix Cedes:
Work Order, DatB/Tirne Date/kne Coda GW=Ground Water
'�"'4 11 512c�, WW=Waste Water
/
1 1!t � o i,u X Q L _ OW=Drinking Water
i(i512-cz I051 Zc c1,1; rt, ,r Lk.'Lk.' U' L Air
S=A=Air
Soil
Vf5izez.4 IIF,vcz_' (,✓ 1C O L 7C SL=Sludge
2- t1'.�i �• yvt _ SOL=Solid
Z ,tSiu*, y15(us W _ _ O=Other(please
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3 i(612cZ' `1612..r"
its.c .crrYt ic;cc-G►l w • 6 L 4-
J L -� i1.512c2O I fi5fz.zt: 2 Preservation Codes:
_io,i:C yYt ,t-.(ceyvl V. �[ 0 L � 1=Iced
I _ , H=HCL
M=Methanol
N=Nitric Acid
S=Sulfuric Acid
B=Sodium Bisulfate
X=Sodium Hydroxide
T=Sodium
Thiosulfate
0=Other(please
Comments:
Please use the following codes to indicate possible sample concentration define)
within the Conc Code column above:
H-High;M-Medium; L-Low; C-Clean; U-Unknown 3 Container Codes:
A=Amber Glass
t t:k `'1•-°era wri= ,,.. e .,1srZ T1t+Y `+;. '' . , G=Glass
Date/Time: in am Information
Re" q fished b : (si cure) �r y z a Ewa+ z .�s P=Plastic
II(512c'2D iu:tc„41 II 2L —1 DSCA El UST/Trust Fund ST=Sterile
th�lzf�z« �
Received by: (signature) D e/Time: SWS Landfill ❑ REC V=Vial
y / > ❑ GWPC IHSB Orphaned Landfill S=Summa Canister
"��` ,�� �• t��� �L ❑ SWSL T=TedlarBag
i azure D te/Time: U IHSB State Lead 0=Other(please
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0 MSCC ,.'.r."" ,',...- ❑Other: define)
D lived by: (#Ji nature) Date/Time: „ ',� -I
op o-
(D Other PCB ONLY Co
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nquished by:(signature) Date/Time: Project Entity ❑ Chromatogram ❑ Sox
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0 City ❑ School O

1/18/2020 Track your package or shipment with FedEx Tracking Table of Contents
Fel11.3(
fF,,
411359784630�
Delivered
Saturday 1 /18/2020 at 10:23 am
• • • Q
DELIVERED
Signed for by: R.PETRAITIS
GET STATUS UPDATES
OBTAIN PROOF OF DELIVERY
Shipment Facts
TRACKING NUMBER SERVICE WEIGHT
411359784630 FedEx Priority Overnight 30 lbs/13.61 kgs •
DIMENSIONS DELIVERED TO TOTAL SHIPMENT WEIGHT •
25x14x14 in. Shipping/Receiving 30 lbs/13.61 kgs
PACKAGING SPECIAL HANDLING SECTION STANDARD TRANSIT
Your Packaging Saturday DeI:very,Additional Handling O i
Surcharge 1/1 812 020 by 12:00 pm
SHIP DATE ACTUAL DELIVERY
0 Sat 1/18/2020 10:23 am
Fri 1/17/2020
Travel History Local Scan Time V
Saturday,1/18/2020
10 23 am Delivered
9:28 am WINDSOR LOCKS,CT On FedEx vehicle for delivery
8:55 am WINDSOR LOCKS,CT At local FedEx facility
7 56 am EAST GRANBY,CT At destination sort facility
4:57 am MEMPHIS,TN Departed FedEx location
Friday.1/17/2020
1/Yc1 nm kACAADt4K TM C,r:.nri a1 Cnr4 v I..rninn Page 13 of 14 I
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Table of Contents
I Have Not Confirmed Sample Container Cc) ni a tE S t
Numbers With Lab Staff Before Relinquishing
Over Samples ANALYTICAL LABORATORY
.:.Doc#277 Rev 5 2 17`::{:::.::::::::.:.:.:.:.:.:.:.::<::.:.::.:;: .::.
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 V`'1 ck A-- 6 -"\'--
Received By LVIT Date i I - ] ?c, Time \ ; 3
How were the samples In Cooler - - No Cooler On Ice -..j-- No Ice
received? Direct from Sampling Ambient Melted Ice
Were samples within By Gun# s Actual Temp- 2,
Temperature? 2-6°C { By Blank# Actual Temp-
Was Custody Seal Intact? lvv Were Samples Tampered with? ,V
Was COC Relinquished ? l Does Chain Agree With Samples? i
Are there broken/leaking/loose caps on any samples? iG
Is COC in ink/Legible? Were samples received within holding time? -�c
Did COC include all Client T Analysis j Sampler Name -1-
pertinent Information? Project -.I ID's — Collection Dates/Times --
Are Sample labels filled out and legible?
Are there Lab to Filters? I Who was notified?
Are there Rushes? F Who was notified?
Are there Short Holds? I Who was notified?
Is there enough Volume? --I--
Is there Headspace where applicable? f- MS/MSD? I
Proper Media/Containers Used? -T" Is splitting samples required? c
Were trip blanks received? F On COC?
Do all samples have the proper pH? w Acid Base
Unp- 1 Liter Amb. r4,. 1 Liter Plastic 16 oz Amb.
HCL- 500 mL Amb. 500 mL Plastic 3 8oz Amb/Clear
Meoh- 250 mL Amb. 250 mL Plastic 4oz Am b/Clear
Bisulfate- Flashpoint r Col./Bacteria 2oz Amb/Clear
DI- Other Glass Other Plastic Encore
Thiosulfate- SOC Kit Plastic Bag Frozen:
Sulfuric- Perchlorate Zi•lock
a.ue.W"^r£..... w.-.. - ., r-_, i ,: ,,..... D F..—_. :_5:.r..:, ,:,- .i.:.l v, _,.y�<.K > a xea
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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:
Page 14 of 14