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RA&
PROM PT- ACCURATE •AELIABLE
LABORATORIES,, INC
W %'%V.PARLA8S,CUM
REPORT OF ANALYSES
Attn: MATTHEW SPENCER
BLYTHE BROTHERS ASPHALT CO LLC
1415 E. WESTINGHOUSE BLVD
CHARLOTTE, NC 28273-
SAMPLE NUMBER- 141844 SAMPLE !D- BBA 001
DATE SAMPLED- 06/03/21
DATE RECEIVED- 06/04/21 SAMPLER- JP
TIME RECEIVED- 1441 DFLTVERED BY- SIP
Page 1 of 3
PROJECT NAME: JUN 21
DATE: 06/09/21
SAMPLE MATRIX- WW
TIME SAMPLED- 0845
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS MFTHOD DATE TIME BY RESULT UNITS
TOTAL SUSPENDED SOLIDS SM 2540 D 06/07/21 0820 DJ < 5 rnq/L
LABORATORY DIRECTOR
2217 Graham Park Drive • Charlotte, NC 282173
Phone: [phone] -Fax: [phone]

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PA&FZ
PROMPT -ACCURATE- RELIABLE
LABORA.TOIFUES., INC
WWW.PARI ABS.COM
Attn: MATTHEW SPENCER
BLYTHE BROTHERS ASPHALT CO LLC
1415 E. WESTINGHOUSE BLVD
CHARLOTTE, NC 28273-
SAMPLE NUMBER- 141846 SAMPLE ID- BBA 003
DATE SAMPLED- 06/03/21
DATE RECEIVED- 06/04/21 SAMPLER- JP
TIME RECEIVED- 1441 DELIVERED BY- JP
Page 3 of 3
PROJECT NAME: JUN 21
DATE: 06/09/21
SAMPLE MATRIX- WW
TIME SAMPLED- 0915
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS METHOD DATE TIME BY RESULT UNITS
TOTAL SUSPENDED SOLIDS SM 2540 D 06/07/21 0820 DJ 9 mg/L
r
00,
LABORATORY DIRECTOR
2217 Graham Park Drive - Charlotte, NC 28273
Phone: [phone] - Fax: [phone]

M-M,r=L-lA8t-FZ
L"OFRATC)RIFS, INC
Shipping & Mailing:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
Phone (7G4) 588-8333
Fax [phone]
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories. Inc. and the North
Carolina nannrtment of Fn%drnnmentnl and rdahval Racneirn-:
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Com 61-of4t-l
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Comments/S ecial Instructions
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City, State Es zip code
92--73
Point of C tact Tele lone Number �7
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Sample
Taken By: SIGNATURE PRINTED NAME (/2
ARE SAMPLES FOiKSTATE or EPA REPORTING? YES X NO
'Sample Type: DW ww Z?� GWMW HW Soil Omer
Sample Temp at time of sampling: a C Sample Temp upon receipt: a C
"Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n1a
Residual Chlorine checked at time of sampling (YIN): Dechiorination Necessary (YIN):
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Comp
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Relinquished by. Dateffime Received by- Datefrime
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWIVWwGroundwater Monhoring Well HW=Hazardous Waste

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