Loading...
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 Page 13 of 13 9/17/2021