HomeMy WebLinkAboutNCG030134_DMR_20210409Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted: 04/09/2021
CERTIFICATE OF COVERAGE NO. NCG030134
FACILITY NAME: Thermo Fisher Scientific (Asheville) LLC
COUNTY: Buncombe
PERSON COLLECTING SAMPLES: Jeremy Putnam, EHS
LABORATORY: Pace Analytical Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD —Jan-June July -Dec
Or X Monthly: March
RECEI Th ARGING TO CLASS ❑ ORW ❑ HQW X❑frout ❑ PNA
'" ❑Zero -flow ❑Water Supply ❑SA
APR 2 6 2021 ❑other
CENTRAL FILE a
PWR uIECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics'
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
Outfall1
03/25/2021
0.8
45.4
6.8
0.0075
<0.005
0.145
<5
N/A
Outfall2
03/25/2021
0.8
48.0
6.2
0.0291
<0.005
0.214
<5
N/A
Outfall3
03/25/2021
0.8
141
6.3
0.0353
0.0152
0.143
<5
N/A
Outfall4
03/25/2021
0.8
2.5
6.2
<0.005
0.005
0.0894
<5
N/A
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
= 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.
See General Permit, Section 13, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 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),
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 Pr ve do Plan."
Name (Print name)
'tle (Print title)
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 z, 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.
nNo discharge this period?'
Outfall No.
Rate Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/O
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 1, 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 FORTH E 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 X NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES NO REGIONAL OFFICE CONTACT NAME: Ms. Laura Herbert
(Asheville Regional Office)
Mail an on final copV of this DMR includingall "No Discharge" reports, within 30 days a recei t o 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
aqx aXare that th e a ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
V J J
Date
Permit Date: 11/1/2018-05/31/2021
11/1/2018
SWU-245, last revised
(�IaceAnalytical
www.pacelabi.com
April 07, 2021
Mr. Jeremy Putnam
Thermo Electron Corp.
275 Aiken Road
Asheville, NC 28804
RE: Project: March 2021 SW
Pace Project No.: 92529821
Dear Mr. Putnam:
Pace Analytical Services, LLC
2225 Riverside Dr
Asheville, NC 28804
(828)254-7176
Enclosed are the analytical results for sample(s) received by the laboratory on March 25, 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 - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
christopher.derouen@pacelabs.com
(828)254-7176
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 12
f
�ceAnalytical
www.pacelahs.com
Project: March 2021 SW
Pace Project No.: 92529821
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
FloridalNELAP Certification #: E87627
Kentucky UST Certification M 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not 6e reproduced, except in full,
without the written consent of Pace Analytical Services, LLC, Page 2 of 12
11ce Analytical
�
I www.pacelabs.com
Project: March 2021 SW
Pace Project No.: 92529821
Lab ID Sample ID
92529821001 1
92529821002 2
92529821003 3
92529821004 4
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
j8281254-7176
SAMPLE ANALYTE COUNT
Method
Analysts
Analytes
Reported
Laboratory
EPA 1664E
CJM
1
PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3
PASI-A
SM 2540D-2011
ZMC
1
PASI-A
EPA 1664B
CJM
1
PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3
PASI-A
SM 254OD-2011
ZMC
1
PASI-A
EPA 1664E
CJM
1
PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3
PASI-A
SM 25400-2011
ZMC
1
PASI-A
EPA 1664B
CJM
1
PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3
PASI-A
SM 26400-2011
ZMC
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 12
IeAnalytical e
www.pacelabs.com
ANALYTICAL RESULTS
Project: March 2021 SW
Pace Project No.: 92529821
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Sample: 1
Lab ID: 92529821001 Collected:
03/25/21 14:15
Received: 03/25/21 15AI Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared Analyzed CAS No. Qual
1664 SGT HEM, TPH
Analytical Method: EPA 1664E
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
04/07/21 11:03
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4A
1994 Preparation Method: EPA 200.7 Rev 4.4 1994
Pace Analytical Services -Asheville
Copper
7.5 ug/L
5.0
1
04/01121 01:49 04/05/21 23:37 7440-50-8
Lead
ND ug/L
5.0
1
04/01/2101:49 04105/2123:37 7439-92-1
Zinc
145 ug/L
10.0
1
04/0112101:49 04/05/2123:37 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 26400-2011
Pace Analytical Services - Asheville
Total Suspended Solids
45.4 mg/L
3.3
1
03/28/21 11:16
Sample: 2
Lab ID: 92529821002 Collected:
03/25/21 15:00
Received: 03/25/21 15:41 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared Analyzed CAS No. Qual
1664 SGT HEM, TPH
Analytical Method: EPA 1664B
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons
ND mg1L
5.0
1
04/07/21 11:03
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.41994
Preparation Method: EPA 200.7 Rev 4.4 1994
Pace Analytical Services -Asheville
Copper
29.1 ug/L
5.0
1
04/01/2101.49 04/06/2100:00 7440-50-8
Lead
ND ug/L
5.0
1
04/01/2101*49 04/06/2100:00 7439-92-1
Zinc
214 ug/L
10.0
1
04/01121 01:49 04/06/2100:00 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Asheville
Total Suspended Solids
48.0 mg/L
7.1
1
03/28/21 11:15
Sample: 3 Lab ID: 92529821003 Collected: 03/25/21 15:15 Received: 03/25/21 15:41 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH Analytical Method: EPA 1664B
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons ND mg/L 5.0 1 04/07/21 11:03
200.7 MET ICP Analytical Method: EPA 200.7 Rev 4A 1994 Preparation Method: EPA 200.7 Rev 4.4 1994
Pace Analytical Services - Asheville
Copper 35.3 ug/L 5.0 1 04/01/2101:49 04106/2100:04 7440-50-8
Lead 15.2 ug/L 5.0 1 04/01121 01:49 04106/2100:04 7439-92-1
Zinc 143 ug/L 10.0 1 04/01/2101:49 04106/2100:04 7440-66-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 12
1�;a'ne Analytical
www.paeelabs.eom
ANALYTICAL RESULTS
Project: March 2021 SW
Pace Project No.: 92529821
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
(828)254-7176
Sample: 3 Lab ID: 92529821003 Collected: 03/25/21 15:15 Received: 03/25/21 15:41 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services -Asheville
Total Suspended Solids 141 mg/L 25.0 1 03/28121 11:16
Sample: 4
Parameters
Lab ID: 92529821004 Collected: 03/25/21 15:30
Results Units Report Limit DF
Received: 03/25/21 15:41 Matrix: Water
Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Pace Analytical Services - Charlotte
Total Petroleum Hydrocarbons
ND mg1L
5.0
1
04/07/21 11:03
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation
Method: EPA 200.7 Rev 4.4 1994
Pace Analytical Services - Asheville
Copper
ND ug1L
5.0
1
04/01121 01:49 04/06/2100:07 7440-50-8
Lead
ND ug1L
5.0
1
04/01121 01:49 04/0612100:07 7439-92-1
Zinc
89.4 ug1L
10.0
1
04/01121 01:49 04/06/2100:07 7440.66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Pace Analytical Services -Asheville
Total Suspended Solids
ND mg1L
2.6
1
03/28/21 11:16
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 12
(—'!1aceAna1j6ca16
www.pacelabs.com
QUALITY CONTROL DATA
Project: March 2021 SW
Pace Project No.: 92529821
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
QC Batch: 611861
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664E
Analysis Description:
1664 SGT-HEM, TPH
Laboratory:
Pace Analytical Services - Charlotte
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
METHOD BLANK: 3220892
Matrix: Water
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 5.0 04/07/21 11:03
LABORATORY CONTROL SAMPLE:
3220893
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
20 14.9
74 64-132
MATRIX SPIKE SAMPLE:
3220894
92530737001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
ND 20
ND 18 64-132 M1
Results presented on this page are in the units Indicated by the "Units" column except where an aftemate unit Is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, I.I.C.
Page 6 of 12
Iac
(
eAnalil ical
www.patelabs com
QUALITY CONTROL DATA
Project: March 2021 SW
Pace Project No.: 92529821
QC Batch: 610650 Analysis Method: EPA 200.7 Rev 4.4 1994
OC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
METHOD BLANK: 3215568 Matrix: Water
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Copper ug/L NO 5.0 04/05/2123:21
Lead ug/L NO 5.0 04/05/2123:21
Zinc ug/L ND 10.0 04/05/2123:21
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
LABORATORY CONTROL SAMPLE:
3215569
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Copper
ug/L
500
517 103 85-115
Lead
ug/L
500
471 94 85-115
Zinc
ug/L
500
457 91 85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3215570
3215571
MS
MSD
92529821001
Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits RPD Qual
Copper ug/L
7.5
500
500
534
539
105
106
70-130 1
Lead ug/L
ND
500
500
491
492
98
98
70-130 0
Zinc ug/L
145
500
500
625
630
96
97
70-130 1
Results presented on this page are in the units indicated by the "Unite" 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: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, L-C. Page 7 of 12
1�;a'ceAnalyfical'
www.pacelabsxom
QUALITY CONTROL DATA
Project: March 2021 SW
Pace Project No.: 92529821
QC Batch: 609823 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
METHOD BLANK: 3211790 Matrix: Water
Associated Lab Samples: 92529821001, 92529821002, 92529821003, 92529821004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg1L ND 2.5 03/28/21 11:12
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
LABORATORY CONTROL SAMPLE: 3211791
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg1L 250 248 99 90-110
SAMPLE DUPLICATE: 3211806
92529776002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 535 545 2
SAMPLE DUPLICATE: 3211807
92529961001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 2760 2740 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 fun,
Date: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 12
m
(�IaneAnalyfical
www.pacelabs.com
QUALIFIERS
Project: March 2021 SW
Pace Project No.: 92529821
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.
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
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-Diphenythydrazine 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 - Retative 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
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: 04/07/2021 03:06 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 12
aceAnalytical
www.pacelaGs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
(828)254-7176
Project:
Pace Project No.:
March 2021 SW
92529821
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical
Method
Batch
92529821001
1
EPA1664B
611861
92529821002
2
EPA 1664B
611861
92529821003
3
EPA1664B
611861
92529821004
4
EPA1664B
611861
92529821001
1
EPA 200.7 Rev 4.4 1994
610650
EPA 200.7
Rev 4.4 1994
610681
92529821002
2
EPA 200.7 Rev 4.4 1994
610650
EPA 200.7
Rev 4.4 1994
610681
92529821003
3
EPA 200.7 Rev 4.4 1994
610650
EPA 200.7
Rev 4.4 1994
610681
92529821004
4
EPA 200.7 Rev 4.4 1994
610650
EPA 200.7
Rev 4.4 1994
610681
92529821001
1
SM 254OD-2011
609823
92529821002
2
SM 254OD-2011
609823
92529821003
3
SM 2540D-2011
609823
92529821004
4
SM 254OD-2011
609823
Date: 04/07/2021 03:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 10 of 12
CHAIN -OF -CUSTODY Analytical Request Document
LAB USE ONLY- Affix Workordr
� �/ 9252M8 /r1
f. i
PaceAnalytical
1 w��
Chain -of -Custody is a LEGAL DOCUMENT -Complete all relevent fields
II � III II III III () I II III
Company;
Billing Information:
, ' `�
P!G a 1-�.
ALLSHADED
Container Preservative Type •` 92529821 --
Address:
u
Rep rt T0:
Ejnail To:
' • Preservative Types: (1) nitric acid, (2) sulfuric acid, (3) hsdrochloric acid, (4) sodium hydroxide, (5) zinc acetate,
I? a
¢ rLtnot4ten to
(6) methana1,17j sodium bisutfate,l8j sodium thiosutfate, f9j hexane, (A) ascorbic acid, (B) ammonium sulfate,
(C) ammonium hydroxide, ID) TSP, (U) Unpreserved, (0) Other
Copy To:
e C Og n oJAddre s:
Analyses
Lab Prof! Upe:
Customer Project Name/Number: f State: County/City: Time Zone Collected:
rok 202-1 SU+I NC, /A.16eVl I i e [ [ PT [ [ MT [ [ CT (�(ET
J
'`
x
Lab S pie Receipt Checklist:
P F
.�+
•�••
-
Custody Seals PresentlIntact YNA
Phone: % - $-2$ $ Site/Facility ID #: Compliance Monitoring?
Email: Yes [ ]No
-S
S
+�
A
w
Custody Signatures Present H NA
Collector Signature Present N NA
V1
_ Q
1✓1
Bottles Intast'l ; N HA
correct Bottles nt H HA
Collected By (print):
Purchase Order #:
QW PWS ID #:
4nyn ri ctYY1
Quote #:
OW Location Code:
,rt
1U
nt cvolume N HA
sufficieReeived once
Samples VOA - Headspace AcceptableiY tNt
ilected By signature):
Turnaround Date Required:
Immediately ace on Ice:
[(Yes I )No
t
Y
USDA Regulated Soils Y N r
Samples in Holding Time 0 H NA
Residual Chlorine Present Y H ID
Sample Disposal:
Rush:
Field Filtered (if applicable):
( I Dispose as appropriate I I Return
[ I Archive:
( ]Same Day ( )Next Day
I ) 2 Day 3 Day 4 Day S Day
( ) Yes ( ) No
i
Cl Stripe: �-
Sample pH Acceptable V n NA[
[ ) ( ) ( )
Analysis:
♦
A-
pH Strips: 3�ia A�
I Hold:
(Expedite Charges Apply)
4
4-1
iN
Sulfide Present x tt
• Matrix Codes (insert in Matrix box below): Drinking Water (OW), Ground Water (GW), Wastewater [WW),
Lead Acetate Stripst
Product (P), Soil/Solid [SL), Oil (OL), Wipe [WP), Air (AR), Tissue (TS), Bioassay (8), Vapor (V), Other (OT)
r
LAB USE ONLY:
Lab Sample 6 I Comments
Comp /
Collected (or
Res
#
Customer Sample ID
Matrix '
Grab
Composite Start)
Composite End
Cl
of
Ctns
i!:
.5
Q
I
Date
Time
Date
Time
aka qua
tTt '
C79A0
o *5
t oo
o S
r. S
3
1
1
►
t
�3t. 0
3t, t5
U09-
Customer Remarks J Special Conditions / Possible Hazards:
Type of Ice Used:
et Blue Dry None
SHORT HOLDS PRESENT (02 hours): Y CN N/A
Lab Sample Temperature Info:
Temp Blank Recelved: Y (� NA
Packing Material Used:
Lab Tracking #:
2427025
Therm ID#: _
Cooler 1 Temp Upon Receipt:-fi5 oC
[R.dchern sample(s) screened (c500 cpm): Y N NA
Samples received via:
Cooler i Therm Corr. Factor: �2_oC
FEDEX UPS Clien Courier Pace Courier
Cooler 1 Corrected Temp: q'.'a oC
Comments:
Reli q ' hed by/Company: ISignature)
Date/fime: C
Recei y/Comps y: (Signature)
Date/Time:
MTJL LAB USE ONLY
)
6&Acctnum:
x Z� JSqT
Table#:
Template:
Relinquished by/Company: (Signature)
Oate/Time:
a by/Company: [Signature)
Date/Time:
_
Trip Blank Received: Y N NA
Prelogin:
PM:
HCL McOH TSP Other
Relinquished by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
Date/Time:
on Crsnformance(s):
Page: PaBa 11 Of ;
PB:
YES / NO
of:
Document Name,
Sample Condition Upon Rec
ICeAnaMkal' Document No.:
F-CAR-05-033-Rev.1
*Check marls top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, MC, Oil and Grease, DRO/8015 (water) DOC, LLH6
**Bottom half of box is to list number of bottles
pecwment Revised: October 28, 2020
Paee 2 of 2 --
Issuing Authority:
pace Carolinas Quality Office Project N 1 Ij' # * 9i 2529VQ
21
ph: CDl Due Date: 04/O8/21
CLIENT: 93—Therm0
t I I I
u.ten
roof
M
y
V
53
A
°'
=
a
=' "1+' n
m
n
M
m
C
D
a
.o
a�
C
O
2
V
o
=
a
N
O
m
V
m T C z ¢ ,�� =•
a p = a c
c o �: E ? 0 I u' _ a
C M
a.
E
LA
O.
E
o
a
E
o
0
a
i
i
E
,n
o
c
o
R
i
G
,n
i
E
in
o
E:
9
E
d
;
E
4
`w
d o q i O O O 0 o j E a
J > > > E E
E E m E E E E I > i n o uoi o N Qo
voi O CLA
e.
c
O.
to
tL
9
n.
O.
to
.e
Q.
o
Nv
6.
tl
v
Q.
M
�S
i
l9
Q
'+
V'
d
m r� m m m m 0 w a n
I:J V' t4 13 l? t7 0 > i G m Q >
S d 4 d > > --- -
tv
1e1
'
--1
3
5
^�
i
�r
9
11
12
pH Adjustment Lag for Preserved Samples Lott
sample ID Type of Preservative pH upon receipt Date preservation adµsted Time preservation
adjusted Amount Preservative added
compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification offia
Note: Whenever there is a discrepancy affectin8 North Carolina
Out of hold, Incorrect preservative, out of temp, incorrect containers.
N
O
E
Thermo Rsher
S C I E N T I F I C
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Stormwater Analytical Monitoring Results for Thermo Fisher Scientific, LLC
I have attached the analytical monitoring results from stormwater sampling that was collected
on March 25, 2021 at Thermo Fisher Scientific, LLC's four outfalls.
Per our General Storm Water Permit No. NCG03000 requirements of monthly monitoring for
applicable parameters during a storm event, I have sampled each outfall for copper, zinc, pH,
lead, TSS, and Non -Polar Oil/Grease/TPH. Results show that TSS at one outfall, copper at two
outfalls, and zinc at three of the four outfalls were above the benchmark values, as noted in
Table 3 of the general storm water permit. All other results were below the benchmark values.
We have implemented a Tier Three response for the site and Thermo Fisher Scientific, LLC has
notified the Asheville Regional Office. Thermo Fisher Scientific, LLC is currently working with an
environmental consultant to help achieve compliance with the benchmark values set forth in
the facility's storm water permit. I have attached the completed Monitoring Report containing
the monitoring results from the four outfalls.
If you have any questions, please feel free to contact me at 828-658-2845.
Jeremy Putnam
Sr. EHS Manager
Attachments: 1