HomeMy WebLinkAboutNCG100110_DMR_20211022CERTIFIED MAIL, RETURN RECEIPT REQUESTED
Date:
Winston-Salem Regional Office
Attn: Central Files
450 West Hanes Mill Road, Suite 300,
Winston-Salem, NC 27105
RE: LKQ Greensboro
Greensboro, NC
Permit # NCG100110
2021 Third Quarter Discharge Monitoring Report
Dear Sir/Madam:
N C Department of
Environmental Quality
Received
OCT 2 2 2021
Winston-Salem
Regional Office
Please find attached the 2021 Third Quarter Stormwater Discharge Monitoring Report (DMR)
for the LKQ Greensboro facility located in Greensboro, North Carolina. This submittal covers the
reporting period July 31st to September 30th, 2021. A copy of the DMR was also uploaded
electronically as required. Please call me at (912) 313-2720 or Mr. Colby Geil of RPS at 404-
809-3878 if you have any comments, questions, or concerns about the information presented in
this submittal.
Sincerely,
Waldemar Sanchez
Plant Manager
Attachment
NC Department r`
NCDEQ Division of Energy, Mineral and Land Resources Environmental Qu.:i;',/
Stormwater Discharge Monitoring Report (DMR) Form for NCG1000;aceived
Used Motor vehicles OCT 2 2 2021
Click here for instructions
Winston-O •lem
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring ReporRffA0081itfoW(FOrm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG10 0110
Person Collecting Samples: Waldemar Sanchez
Facility Name: LKQ Greensboro
Laboratory Name: Eurofins TestAmedca, Savannah
Facility County: Guilford
Laboratory Cert. No.: 490
Discharge during this period:
EjYes
Lj
No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample Period for any benchmark exceedances7 Yes Q No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
B
N/A
Date Sample Collected MM/DD/YYYY
09/08/2021
46529
24-Hour Rainfall in inches
0.4
C0530
TSS in mg/L (100 or 50•)
28
00400
PH in standard units (6.0-9.0 FW,
6.0
6.9 — 8.5 SW)
00340
Chemical Oxygen Demand in mg/L
120
(120)
01051
Lead, total recoverable (as Pb) in
0.0041
mg/ L (0.075 FW, 0.22 SW)
Ethylene Glycol in mg/ L (any amount
77023
detected Tier One; 8,000 mg/L Tier
<s.rrwma aunwa�
Two and Three)
00552
Non -Polar Oil & Grease in mg/L (15) 14.7
NCOIL
Estimated New Motor/Hydraulic Oil
5.10
Usage in gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including the possibiliyyWines and imprisonment for knowing violations."
III
Signature o ertnittee elegat ndividual Date
klYSn4ce_ -9Z:S9®rs
Email Address Phone Number
eu
rofins 0
Environment Testing
America
ANALYTICAL REPORT
Eurofins TestAmerica, Savannah
�ir Department l
Enviro us ty
5102 LaRoche Avenue
Rece vela
Savannah, GA 31404
OCT 2 2 2021
Tel: (912)354-7858
Laboratory Job ID:680-204123-2
Winston-Salem
Laboratory Sample Delivery Group:
2124�g$1'Nice
Client Project/Site: #1226 - LKQ SELF SERVICE
GREENSBORO
For:
RPS Group Inc
3525 Piedmont Rd NE
Suite 520 Bldg 6
Atlanta, Georgia 30305
Attn: Seth Ailiff
Authorized for release by:
101612021 4:32:16 PM
Jim Knapp, Project Manager II
(630)758-0262
Jim.Knapp@Eurofinset.com
The test results in this report meet all 2003 NELAC, 2009 TNI, and 2016 TNI requirements for
accredited parameters, exceptions are noted in this report. This report may not be reproduced
except in full, and with written approval from the laboratory. For questions please contact the
Project Manager at the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
Results relate only to the items tested and the sample(s) as received by the laboratory.
Definitions/Glossary
Client: RPS Group Inc Job ID: 680-204123-2
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO SDG: 212438141522
Qualifiers
Metals
Qualifier Qualifier Description
J Result is less than the RL but greater than or equal to the MDL and the concentration is an approximate value.
General Chemistry
Qualifier Qualifier Description
HF Field parameter with a holding time of 15 minutes. Test pertormed by laboratory at client's request.
J Result is less than the RL but greater than or equal to the MDL and the concentration is an approximate value.
Abbreviation These commonly used abbreviations may or may not be present In this reporL
Listed under the "Y column to designate that the result is reported on a dry weight basis
%R Percent Recovery
CFL Contains Free Liquid
CFU Colony Forming Unit
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
Dil Fac Dilution Factor
OIL Detection Limit (DoD/DOE)
DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample
DLC Decision Level Concentration (Radiochemistry)
EDL Estimated Detection Limit (Dioxin)
LOD Limit of Detection (DoD/DOE)
LOQ Limit of Quantitation (DoD/DOE)
MCL EPA recommended "Maximum Contaminant Level"
MDA Minimum Detectable Activity (Radiochemistry)
MDC Minimum Detectable Concentration (Radiochemistry)
MDL Method Detection Limit
ML Minimum Level (Dioxin)
MPN Most Probable Number
MQL Method Quantitation Limit
NC Not Calculated
NO Not Detected at the reporting limit (or MDL or EDL if shown)
NEG Negative/Absent
POS Positive / Present
PQL Practical Quantitation Limit
PRIES Presumptive
QC Quality Control
RER Relative Error Ratio (Radiochemistry)
RL Reponing Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TNTC Too Numerous To Count
Eurofins TestAmerica, Savannah
Page 2 of 14 10/6/2021
Client: RPS Group Inc Sample Summary
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Lab Sample ID Client Sample ID Matrix Collected Received
680-204123-1 Sample Water 09/08/2112:00 09/09/2110:45
Job ID: 680-204123-2 -
SDG: 212438/41522
Page 3 of 14 Eurofins TestAmerica, SI 8PHA
Case Narrative
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Job ID: 680-204123-2
Laboratory: Eurofins TestAmerica, Savannah
Narrative
Job Narrative
680-204123-2
Comments
No additional comments.
Job ID: 680-204123-2
SDG: 212438/41522
Receipt
The sample was received on 9/9/2021 10:45 AM. Unless otherwise noted below, the sample arrived in good condition, and where
required, property preserved and on ice. The temperature of the cooler at receipt was 5.0° C.
General Chemistry
No analytical or quality issues were noted, other than those described in the Definitions/Glossary page.
Page 4 of 14 Eurofins TestAmerica, 1Savannah
6/2021
Client: RPS Group Inc Client Sample Results Job ID: 680-204123-2
ProjecUSite: #1226 - LKQ SELF SERVICE GREENSBORO SDG: 212438/41522
Client Sample ID: Sample Lab Sample ID: 680-204123-1
Date Collected: 09/08/21 12:00 Matrix: Water
Date Received: 09/09/21 10:45
[Method: 8015C - Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac
co Ethylene glyl <5.0 5.0 12 m9IL 09l14121 17:55 1
Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable
Analyte_ _ Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac
Lead 0.0041 J 0.010 0.0039 m9/L 09/10/2109:18 09/13/2119:23 1
General Chemistry
Analyte
Result Qualifier
NONE
NONE
Unit
D Prepared
Analyzed
DII Fac
pH
6.0 H—F
Su-
69/13121 33:15
1
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
Oil Fac
Oil & Grease
4.7 J
5.1
1.4
mg/L
09/16/2 00800
09/16I21 11:00
1
Chemical Oxygen Demand
120
10
5.0
mg/L
10/05/21 12:25
1
Analyte
Result Qualifier
RL
RL
Unit
D Prepared
Analyzed
Oil Fac
Total Suspended Solids
28
16
16
mg/L
09/13/21 16:11
1
Eurofins TestAmerica, Savannah
Page 5 of 14 10/6/2021
QC Sample Results
Client: RPS Group Inc
Job ID: 680-204123-2
ProjectlSite: #1226 - LKQ SELF SERVICE GREENSBORO
SDG: 212438141522
Method: 8015C - Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
Lab Sample ID: MB 680-684594/19
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 684594
MB MB
Analyte Result Qualifier
RL MIDI. Unit D Prepared Analyzed oil Fac
Ethylene glycol <5.0
5.0 1.2 mg/L 09/14/21 02:27 1
Lab Sample ID: LCS 680-684594/15
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 684594
Spike
LCS LCS %Rec.
Analyte Added
Result Qualifier Unit D %Ree Limits
Ethylene glycol 20.0
19.8 mg/L 99 61 -148
Lab Sample ID: LCSD 680-684594/16 Client Sample ID: Lab Control Sample Dup
Matrix: Water Prep Type: Total/NA
Analysis Batch: 684594
Spike LCSD LCSD %Rec. RPD
Analyte Added Result Qualifier Unit D %Ree Limits RPD Limit
Ethylene glycol 20.0 19.9 mg/L 99 61 -148 0 50
Method: 200.7 Rev 4.4 - Metals (ICP)
Lab Sample ID: MB 680-684288/1-A
Matrix: Water
Analysis Batch: 684750
MB MB
Analyte Result Qualifier
Lead 4.010
Lab Sample ID: LCS 680-684288/2-A
Matrix: Water
Analysis Batch: 684750
Spike
Analyte _ Added Result Qualifier Unit D %Rec Limits
Lead 0.505 0.483 mglL 96 85-115
Method: 1664A - HEM and SGT-HEM
RL MDL Unit
0.010 0.0039 mg/L
Client Sample ID: Method Blank
Prep Type: Total Recoverable
Prep Batch: 684288
D Prepared Analyzed Dil Fac
09/10/21 0918 09/13/2118:57 1
Lab Sample ID: MB 680.68507411-A
Matrix: Water
Analysis Batch: 685150
Client Sample ID: Lab Control Sample
Prep Type: Total Recoverable
Prep Batch: 684288
LCS LCS %Rec.
Client Sample ID: Method Blank
Prep Type: Total/NA
Prep Batch: 685074
M8 MB
Analyte Result Qualifier
RL MDL Unit
D Prepared
Analyzed Dil Fac
Oil & Grease <5.0
5.0 1.4 mg/L
09/16/21 08:00
09/16/21 11:00 1
Lab Sample ID: LCS 680-685074/2-A
Client Sample ID:
Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 685150
Prep Batch: 685074
Spike
LCS LCS
%Rec.
Analyte Added
Result Qualifier
Unit D %Rec
Limits
_ _
Oil & Grease 40.0
34.80
mg/L 87
78-114
Eurofins TestAmerica, Savannah
Page 6 of 14
10/6/2021
QC Sample Results
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Method: 1664A - HEM and SGT-HEM (Continued)
Lab Sample ID: LCSD 680-686074/3-A
Matrix: Water
Analysis Batch: 685150
Job 10: 680-204123-2
SDG: 212438/41522
Client Sample ID: Lab Control Sample Dup
Prep Type: Total/NA
Prep Batch: 685074
Spike LCSD LCSD %Rec. RPD
Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit
Oil & Grease 40o 39.60 mg/L 99 78-114 13 18
Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-105eC)
Lab Sample ID: MB 680-684638/1
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 684638
Me MB
Analyte Result Qualifier
RL RL Unit
D Prepared
Analyzed oil Fae
Total Suspended Solids <2.5
2.5 2.5 mg/L
09n 3/21 16:11 1
Lab Sample ID: LCS 680-684638/2
Client Sample ID:
Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 684638
Spike
LCS LCS
%Rec.
Analyte Added
Result Qualifier
Unit 0 %Rec
Limits
Total Suspended Solids 951
890
mg/L 94
80-120
Lab Sample ID: LCSD 680-684638/3
Matrix: Water
Analysis Batch: 684638
Analyte
LTotal Suspended Solids
Method: 410.4-1993 R2.0 - COD
Lab Sample ID: MB 680-688033/3
Matrix: Water
Analysis Batch: 688033
Analyte
Chemical Oxygen Demand
Lab Sample ID: LCS 680-68803314
Matrix: Water
Analysis Batch: 688033
Analyte
Chemical Oxygen Demand
Method: 4500 H+ B-2011 - DH
Lab Sample ID: LCS 680-684614/4
Matrix: Water
Analysis Batch: 684614
Client Sample ID: Lab Control Sample Dup
Prep Type: Total/NA
Spike LCSD LCSD %Rec. RPD
Added Result Qualifier Unit D %Rec Limits RPD Limit
951 888 mgA 93 80-120 0 25
MS MB
Result Qualifier RL Mot. Unit
<10 10 5.0 mg/L
Spike LCS LCS
Added Result Qualifier
50.0 50.9
Client Sample ID: Method Blank
Prep Type: Total/NA
D Prepared Analyzed Dil Fac
10/0512112:25 1
Client Sample ID: Lab Control Sample
Prep Type: Total/NA
%Rec.
Unit D %Rec Limits
m911. 102 90-1 00
Client Sample ID: Lab Control Sample
Prep Type: Total/NA
Spike LCS LCS
Analyte Added Result Qualifier Unit
pH _ 7.01 7.0 SU
%Rec.
D %Rec Limits
100 63-158
Eurofins TestAmerica, Savannah
Page 7 of 14 10/6/2021
QC Sample Results
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Method: 4500 H+ 8-2011 - pH (Continued)
Lab Sample ID: 680-204123-1 DU
Matrix: Water
Analysis Batch: 684614
Sample Sample
Analyte _ Result Qualifier
PH 6.0 HF
DU DU
Result Qualifier Unit
6.0 SU
Job ID: 680-204123-2
SDG: 212438/41522
Client Sample ID: Sample
Prep Type: Total/NA
RPD
_ D RPD Limit
0.3 40
Eurofins TestAmerica, Savannah
Page 8 of 14 10/6/2021
Q
Client: RIPS Group Inc C Association Summary
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
r_r vne —
Job ID:680-204123-2
SDG: 212438/41522
Analysis Batch: 684594
Lab sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method prep Batch
Me 680-684594/19
Method Blank
TotaVNA
Water
8015C _
LCS 680-684594115
Lab Control Sample
Total/NA
TotaVNA
Water
8015C
LCSD 680�84594/16
Lab Control Sample Dup
Total/NA
Water
8015C
Water
8015C
Prep Batch:
684288
Lab Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
Me 680-684288/1-A
Method Blank
Total Recoverable
Water
200.7-1 994 R4.4
LCS 680-684288/2-A
Lab Control Sample
Total Recoverable
Water
200.7-1994 R4,4
Total Recoverable
Water
200.7-1994 R4.4
Analysis Batch: 684750
Lab Sample ID
6807204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
MB 680-684288/1-A
Method Blank
Total Recoverable
Water
200.7 Rev 4.4
684288
LCS 680-68428812-A
Lab Control Sample
Total Recoverable
Water
200.7 Rev 4.4
684288
Total Recoverable
Water
200.7 Rev 4.4
684288
Analysis Batch:684614
Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
1Lab
LCS 680-684614/4
Lab Control Sample
TotaVNA
T0taUNA
Water
4500 H+ B-2011
680-2D4123-1 DU
Sample
Water
4500 H+ B-2011
Total1NA
Water
4500 H+ B-2011
Analysis Batch: 684638
Lab Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
MB 680-684638/1
Method Blank
TotaUNA
Water
2540 D-2 111
LCS 680-684638/2
Lab Control Sample
Total/NA
TotaUNA
Water
2540 D-2011
LCSD 680fi84638/3
Lab Control Sample Dup
Total/NA
Water
2540 D-2011
Water
2540 D-2011
Prep Batch: 685074
Lab Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
TotaUNA
Water
1664A
MB 680-68507411-A
Method Blank
Total/NA
Water
1664A
LCS 680-685074/2-A
Lab Control Sample
TotaUNA
Water
1664A
LCSD 680-685074/3-A
Lab Control Sample Dup
Total/NA
Water
1664A
Analysis Batch: 685150
Lab Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
MB 680-685074/1-A
Method Blank
TotaVNA
Water
1664A
685074
LCS 680-685074/2-A
Lab Control Sample
TotaVNA
Total/NA
Water
1664A
685074
LCSD 680-685074/3-A
Lab Control Sample Dup
Total/NA
Water
Water
1664A
685074
1664A
685074
Analysis Batch: 688033
Lab Sample ID
680-204123-1
Client Sample ID
Sample
Prep Type
Matrix
Method
Prep Batch
MB 680-68803313
Method Blank
TotaVNA
Water
410.4-1993 R2.0
Total/NA
Water
410.4-1993 R2.0
Eurofins TestAmerica, Savannah
Page 9 of 14 10/6/2021
Client: RPS Group Inc QC Association Summary
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
General Chemistry (Continued)
Job ID:680-204123-2
SDG:212438/41522
Analysis Batch: 688033 (Continued)
Lab Sample ID Client Sample ID Prop Type Matrix Method Prop Batch
LCS 660-68603314 Lab Control Sample ToIaVNA Water 410.4-1993 RU
771
Eurofins TestAmerica, Savannah
Page 10 of 14 10/6/2021
Lab Chronicle
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Job
Job ID: 680-204123-2
ID 80-20 123-2
2
Client Sample ID: Sample
Lab
Sample ID:
680-204123-1
Date Collected: 09/08/21 12:00
Date Received: 09/09/21 10:45
Matrix: Water
Batch Batch
Dil
Initial Final
Batch
Prepared
Prep Type Type Method Run
Factor
Amount Amount
Number
or Analyzed
Analyst Lab
Total/NA Analysis 8015C
1
684594
09/14/21 77:55
EHS TALSAV
Instrument ID: CVGG2
Total Recoverable Prep 200.7-1994 R4.4
50 mL 50 mL
684288
09/10/21 09:18
JE TAL SAV
Total Recoverable Analysis 200.7 Rev 4.4
1
684750
09/13/21 19:23
BCB TAL SAV
Instrument ID: ICPE
Total/NA Prep 1664A
492 mL 500 mL
685074
09/16/21 08:00
JAS TAL SAV
Total/NA Analysis 1664A
1
685150
09/162111:00
JAS TAL SAV
Instrument ID: NoEquip
Total/NA Analysis 2540 D-2011
1
158 mL 1000 mL
684638
0911321 16:11
PG TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 410.4-1993 R2.0
1
2 mL 2 mL
688033
10/05/21 12:25
ALG TAL SAV
Instrument ID: SPC7
TotaVNA Analysis 4500 H+ B-2011
1
684614
09/13/21 13:15
DR TAL SAV
Instrument ID: MANTECH
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Eurofins TestAmerica, Savannah
Page 11 of 14 10/6/2021
Accreditation/Certification Summary
Client: RPS Group Inc Job ID: 680-204123-2
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO SDG: 212438/41522
Laboratory: Eurofins TestAmerica, Savannah
All accreditations/certifications held by this laboratory are listed. Not all accreditations/certificetions are applicable to this report.
Authority
Program
Identification Number
Expiration Date
AFCEE
SAVLAB
Alabama
State
41450
06-30-22
Alaska (UST)
Stale
17-016
09-22-22
ANAB
Dept. of Defense ELAP
L2463
09-22-22
ANAB
ISO/IEC 17025
1-2463.01
09-22-22
Arkansas DIED
State
19-015-0
02-01-22
California
State
2939
06-30-22
Connecticut
State
PH-0161
03-31-23
Florida
NELAP
E87052
06-30-22
Georgia
State
E87052
06-30-22
Georgia (DW)
State
803
06-30-22
Guam
Stale
19-007R
04-17-22
Hawaii
State
<cert No.>
06-30-22
Illinois
NELAP
200022
11-30-21
Indiana
State
C-GA-02
06-30-22
Iowa
State
353
06-30-22
Kentucky (UST)
State
NA
06-30-22
Louisiana
NELAP
02011
06-30-22
Louisiana (DW)
State
LA009
12-31-21
Maine
State
GA00006
09-25-22
Maryland
State
250
12-31-21
Massachusetts
State
M-GA006
06-30-22
Michigan
State
9925
03-05-22
Mississippi
State
<can No.>
06-30-22
Nebraska
State
NE-OS-7-04
06-30-22
New Jersey
NELAP
GA769
06-30-22
New Mexico
State
GA00006
06-30-22
New York
NELAP
10842
04-01-22
North Carolina (DW)
State
13701
07-01-22
North Carolina (W ISW)
State
269
12-31-21
Pennsylvania
NELAP
68-00474
06-30-22
Puerto Rico
State
GA00006
01-01-22
South Carolina
Slate
98001
06-30-22
Tennessee
State
02961
06-30-22
Texas
NELAP
T1047004185-19-14
11-30-21
Texas
TCEQ Water Supply
T104704185
06-30-22
JSDA
US Federal Programs
P330-18-00313
09-03-24
Arginia
NELAP
10509
06-29-22
Nashington
State
C805
06-10-22
Msconsin
State
999819810
08-31-22
Nyoming
State
8TMS-L
06-30-22
Eurofins TestAmerica, Savannah
Page 12 of 14 10/6/2021
Method Summary
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Job ID: 680-204123-2
SDG: 212438/41522
Method
Method Description
Protocol
Laboratory
8015C
Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
SW846
TAL SAV
200.7 Rev 4.4
Metals (ICP)
40CFR136A
TAL SAV
1664A
HEM and SGT-HEM
1664A
TAL SAV
2540 D-2011
Total Suspended Solids (Dried at 103-105°C)
SM
TAL SAV
410.4-1993 R2.0
COD
MCAWW
TAL SAV
4500 H+ B-2011
pH
SM
TAL SAV
1664A
HEM and SGT-HEM (Aqueous)
1664A
TAL SAV
200.7-1994 R4.4
Preparation, Total Recoverable Metals
EPA
TAL SAV
Protocol References:
1664A= EPA-821-98-002
40CFR136A = "Methods for Organic Chemical Analysis of Municipal Industrial Wastewater', 40CFR, Part 136, Appendix A, October 26, 1984 and
subsequent revisions.
EPA = US Environmental Protection Agency Fffin
MCAWW = "Methods For Chemical Analysis Of Water And Wastes", EPA-60014-79-020, March 1983 And Subsequent Revisions.
SM = "Standard Methods For The Examination Of Water And Wastewater,
SW846 = "Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And Its Updates.
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Eurofins TestAmerica, Savannah
Page 13 of 14 10/6/2021
Login Sample Receipt Checklist
Client: RPS Group Inc
Login Number: 204123
List Number: 1
Creator: Tyler, Matthew M
Question
Answer
Job Number: 680-204123-2
SDG Number: 212438/41522
List Source: Eurofins TestAmerica, Savannah
Comment
Radioactivity wasn't checked or is </= background as measured by a survey
N/A
meter.
The cooler's custody seal, if present, is intact.
True
Sample custody seals, if present, are intact.
True
The cooler or samples do not appear to have been compromised or
True
tampered with.
Samples were received on ice.
True
Cooler Temperature is acceptable.
True
Cooler Temperature is recorded.
True
COC is present.
True
COC is filled out in ink and legible.
True
COC is filled out with all pertinent information.
True
Is the Field Sampler's name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time (excluding tests with immediate
True
HTs)
Sample containers have legible labels.
True
Containers are not broken or leaking.
True
Sample collection date/times are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
True
Sample Preservation Verified.
N/A
There is sufficient vol. for all requested analyses, incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble is
N/A
<6mm (1/4").
Multiphasic samples are not present.
True
Samples do not require splitting or compositing.
True
Residual Chlorine Checked.
N/A
Eurofins TestAmerica, Savannah
Page 14 of 14
10/6/2021
eurofins
Environment Testing
America
ANALYTICAL REPORT
Eurofins TestAmerica, Savannah
5102 LaRoche Avenue
Savannah, GA 31404
Tel: (912)354-7858
Laboratory Job ID: 680-204123-1
Laboratory Sample Delivery Group: 212438141522
Client Project/Site: #1226 - LKQ SELF SERVICE
GREENSBORO
For:
RPS Group Inc
3525 Piedmont Rd NE
Suite 520 Bldg 6
Atlanta, Georgia 30305
Attn: Seth Ailiff
Authorized for release by:
911712021 8:23:41 AM
Jim Knapp, Project Manager II
(630)758-0262
Jim.Knapp@Eurofinset.com
The test results in this report meet all 2003 NELAC, 2009 TNI, and 2016 TNI requirements for
accredited parameters, exceptions are noted in this report. This report may not be reproduced
except in full, and with written approval from the laboratory. For questions please contact the
Project Manager at the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
C
Results relate only to the items tested and the sample(s) as received by the laboratory.
Definitions/Glossary
Client: RPS Group Inc Job ID: 680-204123-1
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO SDG: 212438/41522
Qualifiers
Metals
Qualifier Qualifier Description
J Result is less than the RL but greater then or equal to the MDL and the concentration is an approximate value.
General Chemistry
Qualifier Qualifier Description
HF Field parameter wlN a holding time of 15 minutes. Test pedormetl by laboratory at dient's request
J Result is less than the RL but greater than or equal to the MDL and the concentration is an approximate value.
Abbreviation These commonly used abbreviations may or may not bs present In this report
� Listed untlerthe "D" column to designate that the result is reported on a tlry weight basis
%R Percent Recovery
CFL Contains Free Liquid
CFU Colony Forming Unit
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL Detection Limit(DoD/DOE)
DL, RA, RE, IN Indicates a Dilution, Re -analysis, R"Araction, or additional Initial metals/anion analysis of the sample
DLC Decision Level Concentration (Radiochemistry)
EDL Estimated Detection Limit (Dioxin)
LOD Limit of Detection (DoD/DOE)
LOQ Limit of Quantitation (DoD/DOE)
MCL EPA recommended "Maximum Contaminant Level"
MDA Minimum Detectable Activity (Radiochemistry)
MCC Minimum Detectable Concentration (Radiochemistry)
MDL Method Detection Limit
ML Minimum Level (Dioxin)
MPN Most Probable Number
MQL Method Quantitation Limit
NC Not Calculated
ND Not Detected at the reporting limit (or MDL or EDL R shown)
NEG Negative/Absent
POS Positive / Present
PQL Practical Quantitation Limit
PRIES Presumptive
OC Quality Comml
RER Relative Error Ratio (Radiochemistry)
RL Reporting Limit or Requested Limit(Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient(Dioxin)
TNTC Too Numerous To Count
Eurofins TestAmerica, Savannah
Page 2 of 13 9/17/2021
Client: RPS Group Inc Sample Summary
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
680-204123-1 Sample
Matrix Collected Received
Water
09/08/2112:00 09/09/2110:45
Job ID: 680-204123-1
SDG: 212438/41522
i' ;
Page 3 of 13
Eurofins TestAmerica Savannah
J117/2021
Case Narrative
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Job ID: 680-204123-1
Laboratory: Eurofins TestAmerica, Savannah
Narrative
680-204123-1
Comments
No additional comments.
Job ID: 680-204123-1
SDG: 212438141522
Receipt
The sample was received on 9/9/2021 10:45 AM. Unless otherwise noted below, the sample arrived in good condition, and where
required, properly preserved and on ice. The temperature of the cooler at receipt was 5.00 C.
GC Semi VOA
No analytical or quality issues were noted, other than those described in the Definitions/Glossary page.
Metals
No analytical or quality issues were noted, other than those described in the Definitions/Glossary page.
General Chemistry
Method SM 2540D: The sample duplicate precision for the following sample associated with analytical batch 680-684638 was outside
control limits: (660-113643-B-1 DU) and (680-204200-A-1 DU). The associated Laboratory Control Sample / Laboratory Control Sample
Duplicate (LCS/LCSD) precision met acceptance criteria.
Methods 1664A, 1664B: Insufficient sample volume was available to perform a matrix spike/matrix spike duplicate/sample duplicate
(MS/MSD/DUP) associated with preparation batch 680-685074.
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
Eurofins TestAmerica, Savannah
Page 4 of 13 9/17/2021
Client Sample Results
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Client Sample ID: Sample
Date Collected: 09/08/21 12:00
Date Received: 09/09/21 10:45
Method: 8015C - Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
Analyte Result Qualifier RL MDL Unit
Ethylene glycol <5.0 5.0 1.2 mg/L
Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable
Analyte Result Qualifier RL MDL Unit
Lead 0.0041 J 0.010 0.0039 mg/L
General Chemistry
Job ID:680-204123-1
BOG: 212438/41522
Lab Sample ID: 680-204123-1
Matrix: Water
D Prepared Analyzed DII Fac
09/14/21 17:55 1
D Prepared Analyzed DII Fac
O9/10/2109:18 09A3/2119:23 1
Analyte
Result Qualifier
NONE
NONE Unit
D Prepared
Analyzed
DII Fac
pH
6.0 HF
SU
09/13/2t 13:15
1
Analyte
Result Qualifier
RL
MOIL Unit
D Prepared
Analyzed
DII Fac
Oil 8 Grease
4,7 J
5.1
1.4 mg/L
09/16/21 08:00
09/16/21 71:00
1
Analyte
Result Qualifier
RL
RL Unit
D Prepared
Analyzed
OR Fac
Total Suspended Solids
28
16
16 mg/L
09/13/21 16:11
1
Eurofins TestAmerica, Savannah
Page 5 of 13 9/17/2021
QC Sample Results
Client: RPS Group Inc
ProjectlSite: #1226 - LKQ SELF SERVICE GREENSBORO
Job ID:680-204123-1
SDG: 212438/41522
metnow ttD15c - Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
Lab Sample ID: MB 680-684594/19 Client Sample ID: Method Blank
Matrix: Water Prep Type: TOtaiINA
Analysis Batch: 684594
MB MB
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac
Ethylene glycol <5.0 5.0 1.2 mg/L 09/14/21 02:27 1
Lab Sample ID: LCS 680-684594/15 Client Sample ID: Lab Control Sample
Matrix: Water Prep Type: Total/NA
Analysis Batch: 684594
Spike LCS LCS %Rec.
Analyte Added Result Qualifier Unit D %Rec Limits
Ethylene glycol 20.0 19.8 mg/L 99 61 - 148
Lab Sample ID: LCSD 680-684594/16
Client Sample ID: Lab Control Sample Dup
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 684594
Spike LCSD LCSD
%Rec. RPD
Analyte
Added Result Qualifier
Unit D %Rec Limits RPO Limit
Ethylene glycol
20.0 19.9
mg/L 99 61 - 148 0 50
Method: 200.7 Rev 4.4 - Metals (ICP)
Lab Sample ID: MB 680-68428811-A
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total Recoverable
Analysis Batch: 684750
Prep Batch: 684288
Me MB
Analyte Result Qualifier
RL MDL Unit
D Prepared Analyzed Dil Fac
Lead <0.010
0.010 0.0039 mg/L
09/10/2109:78 09/13/2718:57 1
Lab Sample ID: LCS 680-684288/2-A
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total Recoverable
Analysis Batch: 684750
Prep Batch: 684288
Spike LCS LCS
%Rec.
Analyte
Added Result Qualifier
Unit D %Rec Limits
LLead
0.505 0.483
mg/L 98 85-1 55
Method: 1664A - HEM and SGT-HEM
Lab Sample ID: MB 680-685074/1-A
Client Sample ID: Method Blank
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 685150
Prep Batch: 685074
MB MB
Analyte Result Qualifier
RL Moll. Unit
D Prepared Analyzed oil Fac
Oil 6 Grease c5.0
5.0 1.4 mg/L
09/16/21 08:00 09/16/21 11:00 1
Lab Sample ID: LCS 680-686074/2-A
Client Sample ID: Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 685150
Prep Batch: 685074
Spike LCS Los
%Rec.
Analyte
Added Result Qualifier
Unit D %Rec Limits
Oil 8 Grease
40.0 34.80
mg/L 87 78. 114
Eurofins TestAmerica, Savannah
Page 6 of 13 9/17/2021
Client: RPS Group Inc QC Sample Results
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Method: 1664A - HEM and SGT-HEM
Lab Sample ID: LCSD 680-685074/3-A
Matrix: Water
Analysis Batch: 685150
Analyte
Oil & Grease
Job ID: 680-204123-1
SDG: 212438/41522
Client Sample ID: Lab Control Sample Dup
Prep Type: Total/NA
Prep Batch: 685074
LCSD LCSD %Rec RPD
Result Qualifier Unit D %Ree Limits RPD Dmit
39.60 mg/L 99 78-114 13 18
nnemoa: zs4D o-2011 - Total Suspended Solids (Dried at 103-105eC)
FLab Sample ID: MB 680-684638M
Matrix: Water
Analysis Batch: 684638
Spike
Added
40.0
Client Sample ID: Method Blank
Prep Type: Total/NA
MB Me
[�A..ta_
al Suspended Solitls
Result Qualifier
RL RL Unit
D Prepared Analyzed oil Fac
<2.5
2.5 2.5 me/L
09/1312 11611 1
Lab Sample ID: LCS 680-684638/2
Matrix: Water
Client Sample ID: Lab Control Sample
Analysis Batch: 684638
Prep Type: Total/NA
Analyte
Spike
LCS LCS
%Rec.
Total Suspended Solids
Added
Result Qualifier
Unit
D %Rec Limits
951
890
mg/L
94 80 - 120
Lab Sample ID: LCSD 680-684638/3
Matrix: Water
Client
Sample ID: Lab Control Sample Cup
Analysis Batch: 684638
Prep Type: Total/NA
Analyte
Spike
LCSD LCSD
%Rec. RPD
Total Suspended Solids
Added
Result Qualifier
Unit
D ••/.fiat Limits RPD Limit
951
888
mg/L
93 80-120 0 25
Method: 4500 H+ B-2011 - pH
-
Lab Sample ID: LCS 680-694614/4
Matrix: Water
Client Sample ID: Lab Control Sample
Analysis Batch: 684614
Prep Type: Total/NA
Spike
LCS LCS
%Rec.
Analyte
_
Added
ResultQualifier
UnitD
%fiat Limits
pH7.01
ZO
SU
100 63-158
Lab Sample ID: 680-204123-1 DU
Matrix: Water
Client Sample ID: Sample
Analysis Batch: 684614
Prep Type: Total/NA
Sample Sample
DU DU
RPD
Analyte
Result Qualifier
Result Qualifier
Unit
D RPD Limit
PH
-
6.0 HF
6.0
SU
— - —
0.3 40
Eurofins TestAmerica, Savannah
Page 7 of 13
9/17/2021
QC Association Summary
Client: RPS Group Inc
Job ID: 680.204123-1
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
SDG: 212438/41522
GC VOA
Analysis Batch: 684594
Lab SamplelD
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-204123-1
Sample
Total/NA
Water
8015C
MB 680-684594/19
Method Blank
Total/NA
Water
8015C
LCS 680-684594/15
Lab Control Sample
Total/NA
Water
8015C
LCSD 680-684594/16
Lab Control Sample Dup
Total/NA
Water
8015C
Metals
Prep Batch: 684288
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680.204123-1
Sample
Total Recoverable
Water
200.7- 9994 R4.4
MB 680-684288/1-A
Method Blank
Total Recoverable
Water
200.7-1994 R4.4
LCS 68"84288/2-A
Lab Control Sample
Total Recoverable
Water
200.7-1994 R4.4
Analysis Batch: 684750
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-204123-1
Sample
Total Recovereble
Water
200.7 Rev 4.4
684288
MB 68"84288/1-A
Method Blank
Total Recoverable
Water
200.7 Rev 4.4
684288
LCS 680-684288/2-A
Lab Control Sample
Total Recoverable
Water
200.7 Rev 4.4
684288
General Chemistry
Analysis Batch:684614
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
680-204123.1
Sample
Total/NA
Water
4500H+B-2011
LCS 680-684614/4
Lab Control Sample
Total/NA
Water
4500 H+ 13-2011
680-204123-1 DU
Sample
Total/NA
Water
4500 H+B-2011
Analysis Batch: 684638
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
680-2041231
Sample
Total/NA
Water
2540 D-2011
MB 6SM84638/1
Method Blank
TotaIMA
Water
2540 D-2011
LCS 680-684638/2
Lab Control Sample
Total/NA
Water
2540 D-2011
LCSD 680-68463813
Lab Control Sample Dup
Total/NA
Water
2540 D-2011
Prep Batch: 685074
Lab Sample ID
Client Sample to
Prep Type
Matrix
Method Prep Batch
680-204123-1
Sample
Total/NA
Water
1664A
MB 680-685074/1-A
Method Blank
Total/NA
Water
1664A
LCS 680-685074/2-A
Lab Control Sample
Total/NA
Water
1664A
LCSD 680-685074/3-A
Lab Control Sample Dup
Total/NA
Water
1664A
Analysis Batch: 685150
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-204123-1
Sample
Total/NA
Water
1664A
685074
MB 68MO5074/1-A
Method Blank
Total/NA
Water
1664A
685074
LCS 680-68507412-A
Lab Control Sample
Total/NA
Water
1664A
685074
LCSD 680-685074/3-A
Lab Control Sample Dup
Total/NA
Water
1664A
685074
Eurofins TestAmerica, Savannah
L__
Page 8 of 13 9/17/2021
Lab Chronicle
Client: RPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Client Sample ID: Sample
Date Collected: 09/08/21 12:00
Date Received: 09109/21 10:45
Hatch Batch
Prep Type Type Method
Total/NA Analysis 8015C
Instrument ID: CVGG2
Total Recoverable Prep 200.7-1994 R4.4
Total Recoverable Analysis 200.7 Rev 4.4
Instrument ID: ICPE
Total/NA Prep 1664A
Total/NA Analysis 1664A
Instrument ID: NoEquip
Total/NA Analysis 2540 D-2011
Instrument to: NOEQUIP
Total/NA Analysis 4500 H+ B-2011
Instrument ID: MANTECH
Job ID: 680-204123-1
SDG: 212438/41522
Lab Sample ID: 680-204123-1
Matrix: Water
Dil
Run Factor
Initial
Amount
Final
Amount
Batch
Number
Prepared
or Analyzed
Analyst
Lab
1
684594
09/74/2117:55
EHS
TAL SAV
_-
50 mL
50 mL
684288
09/10/21 09:18
JE
TAL SAV
1
684750
09/13/21 19:23
BCB
TAL SAV
492 mL
500 mL
685074
09/16/21 08:00
JAS
TAL SAV
1
685150
09/1612111:00
JAS
TAL SAV
1
158 mL
1000 mL
684638
09/13/2116:11
PG
TAL SAV
1
684614
09/13/21 13:15
DR
TAL SAV
Laboratory References:
TAL SAV = Eumfrns TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Page 9 of 13
Euroflns TestAmerica, Savannah
9/17/2021
Accreditation/Certification Summary
Client: RPS Group Inc Job ID: 680-204123-1
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO SOG: 212438/41522
Laboratory: Eurofins TestAmerica, Savannah
All accreditations/certifica5ons held by this laboratory are listed. Not all accreditations/certrfications are applicable to this report.
Authority
Program
Identification Number
Expiration Date
AFCEE
SAVLAB
Alabama
Stale
41450
06-30.22
Alaska (UST)
State
17-016
09-22-22
ANAB
Dept. of Defense ELAP
L2463
09-22-22
ANAS
ISO/IEC 17025
1-2463.01
09-22-22
Arkansas DEG
State
19-015-0
02-01-22
California
State
2939
06-30-22
Connecticut
State
PH-0161
03-31-23
Florida
NELAP
E87052
06-30.22
Georgia
State
E87052
06-30.22
Georgia (DW)
State
803
06-30-22
Guam
State
19-007R
04-17-22
Hawaii
Stale
<cert No.,
06-30-22
Illinois
NELAP
200022
11-30-21
Indiana
State
C-GA-02
06-30.22
Iowa
State
353
06-30-21 '
Kentucky (UST)
State
NA
06-30-22
Louisiana
NELAP
02011
e6-30-22
Louisiana (DW)
State
LA009
12-31-21
Maine
State
GA00006
09-25-22
Maryland
State
250
12-31-21
Massachusetts
State
M-GA006
06-30.22
Michigan
Stale
9925
03-05-22
Mississippi
State
<cert No.,
06-30-22
Nebraska
State
NE-OS-7-04
06-30-22
New Jersey
NELAP
GA769
08-30-22
New Mexico
State
GA00006
06-30.22
New York
NELAP
10842
04-01-22
North Carolina (DW)
State
13701
07-01-22
North Carolina(WW/SW)
State
269
12-31-21
Pennsylvania
NELAP
68-00474
06-30.22
Puerto Rico
Stale
GA00006
01-01-22
South Carolina
State
98001
06-30.22
Tennessee
State
02961
06-30-22
Texas
NELAP
T1047004185-19-14
11-30-21
Texas
TCEQ Water Supply
T104704185
06-30-22
USDA
US Federal Programs
P330-18-00313
09-03-24
Virginia
NELAP
10509
06-29-22
Washington
State
C805
06-10-22
Wisconsin
State
999819810
08-31-22
Wyoming
State
8TMS-L
06-30.21'
Accreditation/Certification renewal pending - accreditation/certfication considered valid.
Eurofins TestAmerica, Savannah
0
Page 10 of 13 9/17/2021
Method Summary
Client: RIPS Group Inc
Project/Site: #1226 - LKQ SELF SERVICE GREENSBORO
Job ID: 680-204123-1
SDG: 212438/41522
Method Method Description
Protocol
Laboratory
8015C Nonhalogenated Organic using GC/FID (Direct Aqueous Injection)
SW846
TAL SAV
200.7 Rev 4.4 Metals (ICP)
40CFR136A
TAL SAV
1664A HEM and SGT-HEM
1664A
TAL SAV
2540 D-2011 Total Suspended Solids (Dried at 103-105°C)
SM
TAL SAV
4500 H+ B-2011 pH
SM
TAL SAV
1664A HEM and SGT-HEM (Aqueous)
1664A
TAL SAV
200.7-1994 R4.4 Preparation, Total Recoverable Metals
EPA
TAL SAV
Protocol References:
1664A = EPA-821-98-002
40CFR 136A = "Methods for Organic Chemical Analysis of Municipal Industrial Wastewater", 40CFR, Part 136, Appendix A, October 26. 1984 and
subsequent revisions.
EPA = US Environmental Protection Agency
SM = "Standard Methods For The Examination Of Water And Wastewater'
SW846 = "Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And its Updates.
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Page 11 of 13
Eurofins TestAmerica, Savannah
9/17/2021
(G
CD
N
0
W
7]
IV
0
N
Eurofins TestAmerica, Savannah
;02 LaRocheAveriue
Savannah GA 31404
Phone.912-354-7858 Fax 912-352-0165
Chain of Custody Record 244- ATLANTAS
Sampler 11 n Lab
Client Information L1(`t:4. ` , C.—, Knapp
Clbnt Contact Pho„e _
Seth Atbff E'er
�pany �� SI0 Jim
PW51D
RPS Group Inc
Addles Due Date Requested:
3525 Piedmont Rd NE Suite 520 Bldg 6
PM Trac* Nols1
Jim D
Stare -
Knapp@Eurofinset com
Analysis Requested
o
Z
16
0 a
-q `$, i �
3
COO Cal u
.0 of Cc I O
i V i in0.
t` �i p ! 1 Z
1 ! a
1 ►°
D IN N S
:0C No
680-126071.44017 1
Page t of 1
.lob if
Preservation Codes:
A ►! _ _ Y "exam
B NaOH N • None
C - Zn Acetate 0 ASNz01
D Wric Acid P Na204SE NaHSO4 p NM03
F - McOM R . Nts2S203
G ft"Mor s H2so4
H - AscoMoc Acid T - TSP Dodecahydrate
Acetone
1 DI Water v AC
aAA
•. {J
L . EDA z otner ISRooty,
Other.
CRY
Atlanta
TAT Requested (days):
State Zip
GA. 30305
corttpliance Project: ►yes Iko
Phone
404-812-ONI(Tel)
PO a
TBDOOO/
Emed
Setts Ailif @rpsgroup coat
yy10 x
"ICMACI Name
01226 - LKO SELF SERVICE GREENSBORO
wo,r•t rJ
68023243
5ile
Ssr :.t
Sample Identification
Sample Date
Sample
Time
Sample (W-0m,
Type o �.ai�,ou
(Cacomp� er.n.,w.
G= rab)liar,
Code
Special Instructions/Note:Presenrabon
Water
02
O�
.0 .---- -
r.
a -----
_
I
rrdd
�iJ �V�\
tiv — S
a. 3
4 Ij 1
��Z 4
rl'A;c, 01,k(
Lit
W
I
Possible Hazard Identification
M Non -Hazard � Flammable � tr Skin leal C� Poison B O Unknown Radiological
Deliverable Requested 1. 1! 'u, IV. Other (specify)
le Disposal (A fee may b assessed if samples are retained longer than f month)
So ar
Retum To Client Disposal By Lab Archive For Months
Special InstructionslOC Requirements
Empty Kit Relinquished by [Time Wiodor Shpimo
ReictaZwshed by Date/rlme Corn"" Reoaned by Dmerrmte Cornpany
LPL
Rehnqu Dafe/Trrse Compm y Reserved by (t�aterrar,e Company
y 7 Rece�.•�d r�; ;yet:- • .r,.. �j ` � Com , old Custody SOWS Intact Custody Seal No. Coder Temperature(S) _ and trs other Remm
1 Yes \ No S.0 �_Ot
Fl
LL .
Ver 11 01 2020
Login Sample Receipt Checklist
Client: RPS Group Inc
Login Number: 204123
List Number: 1
Creator: Tyler, Matthew M
Question
Job Number: 680-204123-1
SDG Number: 212438/41522
List Source: Eurofins TestAmerica, Savannah
Answer Comment
Radioactivity wasn't checked or is </= background as measured by a survey
N/A
meter.
The cooler's custody seal, if present, is intact.
True
Sample custody seals, if present, are intact.
True
The cooler or samples do not appear to have been compromised or
True
tampered with.
Samples were received on ice.
True
Cooler Temperature is acceptable.
True
Cooler Temperature is recorded.
True
COC is present.
True
COC is filled out in ink and legible.
True
COC is filled out with all pertinent information.
True
Is the Field Sampler's name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time (excluding tests with immediate
True
HTs)
Sample containers have legible labels.
True
Containers are not broken or leaking.
True
Sample collection date/times are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
Tare
Sample Preservation Verified.
N/A
There is sufficient vol. for all requested analyses, Incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble is
N/A
<6mm (1/4').
Multiphasic samples are not present.
True
Samples do not require splitting or compositing.
True
Residual Chlorine Checked.
N/A
Eurofins TestAmenca, Savannah
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