HomeMy WebLinkAboutWQ0002857_Monitoring - 03-2021_20210429Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002857
Name of Facility:*
Month:* March
Report Information
Piedmont Custom Meats
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Piedmont Custom 2.63MB
Meats_March.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Jessica. Mize@pacelabs.com
Jessica Mize
Reviewer: Williams, Kendall N
4/29/2021
This w ill be filled in automatically
Is the project number correct?* WQ0002857
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 4/29/2021
Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00002857 MONTH: March YEAR: 2021
FACILITY NAME: Piedmont Custom Meats W',VTF COUNTY: Caswell
Flow Monitoring Point: Effluent: JllI��1nf1uent: n
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------------
Operator in Responsible Charge (ORC): Glenn Price Grade: SI Phone: 336-996-2841
Check Box if ORC Has Changed: El ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analvtical Services (2
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to-
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CW
Division of Water Quality By this signature, I certify that this report is accurate and
1617 flail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-I617
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is n, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a 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."
43 ,z,� W1
d- d { Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr"s Chapel Road
Gibsonville NC
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
Field Services Director (Pace AnaMcal Services)
PARAMETER CODES
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
NH3 as N
F00610
01067
Nickel
(Position or Title)
336-582-8247
(Phone Number)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
03/31/21
(Permit Exp. Date)
00929
Sodium _
00931
SAR
00745
Sulfide
00515
TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
00076
Turbidity
61092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units desiartated in the reporting -
facilit,+sgermit for reporting data.
* If signed by other than the Penmittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
Page 3 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00002857 MONTH: March YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WNVTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feetfgallon) x 12 (inchesffool)] I (Area Splayed (acres) x 43.560 (squaro feeVacre) or
= (Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) / (Time irrigated (minutes) I60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading (inches/month) / Number of days in the month (dayslmonth )] x 7 (days.1%eek)
N�tion Occur At This Facility�
!1 ■
aa Infig—ati-o-n OccurOnT_ -his -Field:
yen w
Did IrTigaticin Occur On This Feld:
■
Permitted Aoufly
Rate (inches):
. .Permitted
Yearly Rate inches)�
Permitted Yeady Rate Cinchesy.
®�
1
I I
-Weather Codes: Clear, PC-panly cloudy, Cklouds, R-rain, Sn-snux, Sl-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: El
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHAR )
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
I. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in, the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoons) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below -the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a 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 subm,,it�ting ffan alse information, including the possibility of fines and imprisonment for knowing violations."
-1 Z-'11- Baron Neat McDuffie
(Signature of Permttee)* V Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville. NC
(Permittee Address)
Field Services Director ( Pace Analytical Services_
(Position or Title)
336-582-8247
(Phone Number)
03/31/21
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)
Page 2 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUINIBER: WQ0002857 MONTII: March YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchosRool)] 1 {Area Sprayed (acres) x 43,560 (square feellacre) or
= (Volume Applied (gallons)! [Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading )inches) I [Time irrigated )minutes)160 (minuteslhour)[ Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = IMonfty Loading (fichesimonth)1 Number of days in the month (days/month )] x 7 (daystweek)
bid WIrngation Occor At This Facifity�
yes:[:[
'Did Irrigation Occur On This Field:
Yea ■
Did Irrigation Occur On This Field:
■
• ■ •
Permitted Yearly Rate Cinches)�
Permitted Yearly Rate (inchaEy.
flm
film®�®----�---
•Weather Codes: C-clear, PC -partly cloudy, CI -cloudy. R-rain, Sri-snwy, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORQ: Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORS Has Changed
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X c t
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to llte best of my knoN ledge.
RALEIG] NC 27699-1617
DENR Form NDAR-1 (5/2003)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a 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."
(SignatGe of Permitee)* Date
Baron Neal MCDUffe (Authorized Agent)
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville NC
(Permittee Address)
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(Position or Title)
336-582-8247
(Phone Number)
03/31/21
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)
/55'ceAnaljdical'
www.pactiabi.com
March 29, 2021
Larry Moore
Piedmont Custom Meats
430 NC Highway 49 South
Asheboro, NC 27205
RE: Project: Piedmont Custom Meats 3/17121
Pace Project No,: 92528140
Dear Larry Moore:
Pate Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977.0981
Enclosed are the analytical results for sample(s) received by the laboratory on March 17, 2021. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Asheville
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Stephanie Knott
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 21
1�l5aceAna1j6ca(
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Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C. Page 2 Of 21
aceAnalytical
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SAMPLE ANALYTE COUNT
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Analyses
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92528140001 Effluent HACH 10206
AMI
1
PASI-E
SM 254OC-2011
MLS1
1
PASI-E
SM 254OD-2011
MLS1
1
PASI-E
SM 4500-H+B-2011
MWF
1
PASI-E
SM 521OB-2011
MWF
1
PASI-E
SM 9222D-2006
AMI
1
PASI-E
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 300.0 Rev 2.1 1993
JLH
1
PASI-A
EPA 350.1 Rev 2.0 1993
NAL
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1
PASI-A
EPA 365.1 Rev 2.0 1993
MFO
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C.
Page 3 of 21
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1
ANALYTICAL RESULTS
Project: Piedmont Custom Meats 3/17121
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Sample: Effluent
Parameters
Lab ID: 92528140001 Collected: 03/17/21 10:49
Results Units Report Limit DF
Received: 03/17/21 12:30 Matrix: Water
Prepared Analyzed CAS No. Qual
HACH 10206 Nitrogen, Nitrate
Analytical Method: HACH 10206
Pace Analytical Services - Eden
Nitrogen, Nitrate
28.5 mg/L 7.5
25
03/17121 17:46 14797-55-8
2540C Total Dissolved Solids
Analytical Method: SM 254OC-2011
Pace Analytical Services - Eden
Total Dissolved Solids
394 mg/L 25.0
1
03/18/21 13:49
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
192 mg/L 62.5
1
03118/21 08:46
4500H+ pH, Electrometric EDN
Analytical Method: SM 4500-H+B-2011
Pace Analytical Services - Eden
pH at 25 Degrees C
6.0 Sid. Units 0.10
1
03/18/21 12:51 H3
5210B BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 52106-2011
Pace Analytical Services - Eden
BOD, 5 day
368 mg/L 2.0
1
03/18/21 10:27 03/23/21 10:48
M1310 9222D Fecal Coliform EDN
Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Conforms
69.0 CFU/100 mL 1.0
1
03/17/21 14:40 03/18/21 15:14
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
98.4 mg/L 0.52
1
03/25/21 15:36
300.0 IC Anions 28 Days
Analytical Method: EPA 300.0 Rev 2.1 1993
Pace Analytical Services -Asheville
Chloride
57.9 mg/L 10.0
10
03/20/2122:12 16887-00-6
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
42.5 mg/L 1.0
10
03/28/21 15:38 766441-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
65.1 mg/L 2.5
5
03/24/21 20:15 03/25/21 06:04 7727-37-9
353.2 Nitrogen, NO2IN03 pres.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
33.3 mg/L 0.40
10
03/23/21 12:41
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 21
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ANALYTICAL RESULTS
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Sample: Effluent Lab ID: 92528140001 Collected: 03/17121 10:49 Received: 03/17/21 12:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
365.1 Phosphorus, Total Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus 2.4 mg/L 0.050 1 03/25/2122:57 03/26/2104:08 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 21
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i
{
QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
QC Batch: 607369 Analysis Method: HACH 10206
QC Batch Method: HACH 10206 Analysis Description: 10206 Nitrogen, Nitrate
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
METHOD BLANK: 3199828
Associated Lab Samples: 92528140001
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.30 03/17/2117:43
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3199829
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 5 5.1 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3199830 3199831
MS MSD
92527185017 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L ND 5 5 5.0 5.0 100 100 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE. 3199905 3199906
MS MSD
92527185018 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L ND 5 5 5.0 5.0 100 100 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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 21
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i
QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
QC Batch: 607644
Analysis Method:
SM 254OC-2011
QC Batch Method: SM 254OC-2011
Analysis Description:
2540C Total Dissolved Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
METHOD BLANK: 3201017
Matrix:
Water
Associated Lab Samples: 92528140001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Dissolved Solids
mg/L
NO
25.0 03/18/21 13:49
LABORATORY CONTROL SAMPLE: 3201018
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Dissolved Solids
mg/L
250
236
94 90-110
SAMPLE DUPLICATE: 3201019
92527772001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Dissolved Solids
mg/L
510
514 1
SAMPLE DUPLICATE: 3201020
92527777001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Dissolved Solids
mg/L
ND
ND
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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 21
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Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17121
Pace Project No.: 92528140
OC Batch: 607482 Analysis Method: SM 254OD-2011
OC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
METHOD BLANK: 3200298
Associated Lab Samples: 92528140001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE: 3200299
Parameter Units
Total Suspended Solids mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 03/18/2108:44
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 252 101 90-110
SAMPLE DUPLICATE: 3200300
92528276001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 343 255
SAMPLE DUPLICATE: 3200301
92528164001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 371 367
RPD Qualifiers
30 D6
RPD Qualifiers
1
Results presented on this page are In the units Indicated by the "Units" column except whore 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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, I.I.C. Page 8 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
QC Batch: 607616 Analysis Method: SM 4500-H+B-2011
QC Batch Method: SM 4500-H+B-2011 Analysis Description: 4500H+B pH EDEN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
SAMPLE DUPLICATE: 3200841
92528140001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 6.0 6.0 0 H3
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 21
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Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3117/21
Pace Project No.: 92528140
QC Batch: 607502 Analysis Method: SM 521OB-2011
QC Batch Method: SM 521OB-2011 Analysis Description: 52108 SOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
METHOD BLANK: 3200368
Associated Lab Samples: 92528140001
Parameter Units
B00, 5 day mg/L
LABORATORY CONTROL SAMPLE: 3200369
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 03/23/2110:10
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 226 114 84.6-115A
SAMPLE DUPLICATE: 3200371
92528042002 Dup
Parameter Units Result Result
BOD, 5 day mgiL 116 114
RPD Qualifiers
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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3117/21
Pace Project No.: 92528140
QC Batch: 607404 Analysis Method: SM 9222D-2006
QC Batch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliform(MF)-EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92528140001
METHOD BLANK: 3200119 Matrix: Water
Associated Lab Samples: 92528140001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFUI100 mL NO 1.0 03/18/21 15:14
SAMPLE DUPLICATE: 3200120
92528275003 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 13.0 13.0 0
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977.0981
Results presented on this page are to 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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
QC Batch: 607982
Analysis Method: EPA 300.0 Rev 2.1 1993
QC Batch Method: EPA 300.0 Rev 2.1 1993
Analysis Description: 300.0 IC Anions
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92528140001
METHOD BLANK: 3202733
Matrix: Water
Associated Lab Samples: 92528140001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Chloride mg/L
ND 1.0
03/20/2117:54
LABORATORY CONTROL SAMPLE: 3202734
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Chloride mg/L
50 51.7
103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3202737 3202738
MS MSD
92528140001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Chloride mg/L 57.9
50 50 105
105 94 94
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3203204 3203205
MS MSD
92528440001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Chloride mg/L 319
50 50 332
332 26 27
90-110 0 M6
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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, I.I.C.
Page 12 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
QC Batch: 609785 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92528140001
METHOD BLANK: 3211680
Associated Lab Samples: 92528140001
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 03/28/2114:45
Paco Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3211681
Spike LCS LCS % Rec
Parameter Units Conc. Result %e Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 4.8 96 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3211682 3211683
MS MSD
92529274006 Spike Spike MS MSD MS MSD %e Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.2 5.2 103 103 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3211684 3211685
MS MSD
92528059001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result %e Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.3 5.3 103 103 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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, L.I.C.
Page 13 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
QC Batch: 608918 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92528140001
METHOD BLANK: 3207275
Associated Lab Samples: 92528140001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 03/25/2104:29
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3207276
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 9.8 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3207277
3207278
MS
MSD
92528612001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total
mg/L
9.6
10
10
22.2
21.4
126
118
90-110 4 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3207279
3207280
MS
MSD
92528699001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total
mg/L
3.4
10
10
15.2
15.0
118
116
90-110 1 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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, I.I.C.
Page 14 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 608427
Analysis Method: EPA 353.2 Rev 2.0 1993
OC Batch Method: EPA 353.2 Rev 2.0 1993
Analysis Description: 353.2 Nitrate + Nitrite, preserved
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92528140001
METHOD BLANK: 3204914
Matrix: Water
Associated Lab Samples: 92528140001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L
NO 0.040 03/23/21 12:01
LABORATORY CONTROL SAMPLE: 3204915
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mgiL
2.5 2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3204916 3204917
MS MSD
92528672004
Spike Spike MS MSD MS MSD
eke Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.17
2.5 2.5 2.4 2.4 88 88
90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3204918 3204919
MS MSD
92528672005
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.24
2.5 2.5 2.5 2.5 91 92
90-110 1
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: 03/2912021 12:01 PM without the written consent of Pace Analytical Services, I.I.C.
Page 15 of 21
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QUALITY CONTROL DATA
Project: Piedmont Custom Meats 3117/21
Pace Project No.: 92528140
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 609341
Analysis Method: EPA 365.1 Rev 2.0 1993
OC Batch Method: EPA 365.1 Rev 2.01993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92528140001
METHOD BLANK: 3209674
Matrix: Water
Associated Lab Samples: 92528140001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Phosphorus mg/L
ND 0.050
03/26/2104:00
LABORATORY CONTROL SAMPLE: 3209675
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.6
105 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3209676 3209677
MS MSD
92528059006
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L ND
2.5 2.5 2.6
2.6 101 102
90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3209678 3209679
MS MSD
92528059007
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L ND
2.5 2.5 2.6
2.6 101 102
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: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, LLC.
Page 16 of 21
Pace Analytical Services, LLC
1377 South Park Drive
lanema0calm Kemersville, NC 27284
www.pacelab GM (704)977-0981
QUALIFIERS
Project: Piedmont Custom Meats 3/17/21
Pace Project No.: 92528140
314JIZ511L•7.��
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.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/29/2021 12:01 PM without the written consent of Pace Analytical Services, I.L.C. Page 17 of 21
acemalytical
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1
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Piedmont Custom Meats 3117/21
Pace Project No.: 92528140
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92528140001
Effluent
HACH 10206
607369
92528140001
Effluent
SM 254OC-2011
607644
92528140001
Effluent
SM 254OD-2011
607482
92528140001
Effluent
SM 4500-H+B-2011
607616
92528140001
Effluent
SM 521OB-2011
607502
SM 521OB-2011
607559
92528140001
Effluent
SM 9222D-2006
607404
SM 9222D-2006
607405
92528140001
Effluent
TKN+NO3+NO2
609311
Calculation
92528140001
Effluent
EPA 300.0 Rev 2.11993
607982
92528140001
Effluent
EPA 350.1 Rev 2.0 1993
609785
92528140001
Effluent
EPA 351.2 Rev 2.0 1993
608918
EPA 351.2 Rev 2.0 1993
609091
92528140001
Effluent
EPA 353.2 Rev 2.0 1993
608427
92528140001
Effluent
EPA 365.1 Rev 2.0 1993
609341
EPA 365.1 Rev 2.0 1993
609417
Date: 03/29/2021 12:01 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 18 of 21
528140
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CHAIN -OF -CUSTODY Analytical Requpst Document
Chain -of -Custody is a LEGAL DOCUMENT- Complete adrelevent fields
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company:
66
Billing Information:
ALL -SHADED.Af
925,20
Container PreservativelLa
Type
P
Address:
I Report To;
Email r-;
Preservative Types" III riltdc acid, t4I "c auu, tal mfulOCIlloric aQu, IJ sodium fly. � (I nc acetate,
j6) methanol, (7) sodium bisulfate, (8) sodium thiosidbte, (9) hexane, (A) ascorbic add, (a) am monlum sulfate,
JQ ammonium hydroxide. (D)TSP, (U) Unpreserved, 10) Other
Copy TO;
Site Collection Info/Address:
Analyses
Prpfile/Liher.
Customer Project Name/Number:
State. County/City: Time Zone C61lected.
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Site/Facility ID #:
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Purchase Order
DW PWS ID It:
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Sufficiehi %ir,61 um
o-llcct&d By (signature}:
Turnaround Date Required;
Immediately Packed an Ice:
[ ]Yes I I NO
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Sample Disposal:
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Field Filtered (if applicable):
as apprupriate I Return
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I Archive:
I 0 11f 13Day I 14Day 1 5 Day
Analysis:
X
(Expedite Charges Apply}
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 (Ak), TIssue (5), Bloassay (B), Vapor IV), other (OT)
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Customer Sample ID
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Comp
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Composite Start)
Composite End
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Customer Remarks/ Special Conditions/ Possible Hazards: ITyp
Relinquished by/Copparly: (Signature)
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YES /. No,
of:
'Cfttk mark top half of boat if pH and/or dechterin3U. is
ao��.fo�2Maa• - - SMALL-
&UpdmL' VDA, CaUb% MC CH and grew, GW/W jg fwater) CCr "80 tarm haN od box is tO fiat 44Mker of bottle t LI&
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page '20
aceAnafyflcaf
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Sam le Receiving Non -Conformance Form (NCF)
_ 1-1
_ Affix Workarderl>;ogitt Label Here or List Pace
C Q� > "- U"I" Workorder Nurrtber or MiJLlog-in Number
;.. ;� ,r$ ~ r r Here
1. If Chain -of -Custody (COC) Is not received; contact client and if necessary, fill out a COC and indicate that it was filled out by
lab personnel. Note issues on this NCF.
7- if CCIr'. rc Incmmninta ,hcrk nnnlin*klo i ii k..l.,... 4 .AA A-# -a.- ...-
Collection dateltime miss#ng or
Analyses or anaiytes: missing or
I
Samples listed on COC'do not match samples
incorrect
ciarificat'on needed
racoived missin , additional. etc.
Sample IDs on COC do not
I
match samole labels
Required trip blanks were not received
Required si natures are missin
wrrrrrenrsruetairsrutner issues no[ jisiea above:
3. Sample integrity issues: check a0plIcable Issues below and add details where appropriate:
Samples: Condition needs to be brought to
Sam fes: Past holding time lab ersonnel's attention details below Preservation: Improper
Temperature: not within acceptance criteria (typicailt
Samples: Not fleid filtered Containers: Broken or compromised n-a(,,)
received I Containers. Incorrect I Tem eraturs: Samples arrived frozen
-Samples: Coole, damaged or Custody Seals: Missing or compromised on
compromised samples, trip blanks or coolers Vials received with Improper heads ace
Samples contain chlorine or
sulfides Packing Material: InsufncienUlm arn er Other:
'Comments/Detail
�C���� can's C �Ccr,r�_ G �IGt 0. SDttL1
4. If Samples not preserved proparly and Sample Receiving ad usts, H add details below:
Sample ID: Date/Time: Amount/type prei added:
Preserved by: Initial and Final pR Lot * of ones added:
Sample ID: Date/Time: Arnount/type pres added:
Presented by: Initial and Final H: Lot # of pres added:
Sample 10: Daterrime. Amount/type pres added:
Preserved by: Initial and Final 2R Lot * of pres added:
5. Client Contact: If client is contacted for anv issue listed above. fill in details below:
PM Inilials: I Date/Time:
Client Comments IInstructions:
1=-ALL-C-011-rev.00, 05Ju12018
Page 21 of 2