HomeMy WebLinkAboutNCG060409_DMR_20210513NC Department of
Environmental Quality
NCDEQ Division of Energy, Mineral and Land Resources Received
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 MAY 13 2021
Food and Kindred
Winston-Salem Chck here f
Re io
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload 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. NCG06 0409
Person Collecting Samples: Parker Cliatt
Facility Name: Amazon.com Services LLC - GS01
Laboratory Name: Eurofins Test America
Facility County: Guilford
Laboratory Cert. No.: 269
Discharge during this period: ✓❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ 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 0 Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS
N/A
Date Sample Collected MM/DD/YYYY
4/24/2021
46529
24-Hour Rainfall in inches
0.3
C0530
TSS in mg/L (100 or 50")
5.4
00400
1 pH in standard units (6.0-9.0)
7.44
00556
Oil & Grease in mg/L (30)
1.9
31616
Fecal Coliform per 100 ml of
N/A
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
N/A
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
(120)
17
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
I N/A
00552
1 Non -Polar Oil & Grease in mg/L (15)
N/A
r 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
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 informajlor i4cluding the possibility of fines and imprisonment for knowing violations."
or Delegated Authorized Individual
n
Date
Email Address vvvijayk@amazon.com Phone Number (484) 252-1748
urofins
Environment Testing
America
ANALYTICAL REPORT
Eurofins TestAmerica, Savannah
5102 LaRoche Avenue
Savannah, GA 31404
Tel:(912)354-7858
Laboratory Job ID: 680-198096-1
Client Project/Site: Storm Water - Amazon Warehouses (GS01)
For:
ERM-West
1920 Main Street
Suite 300
Irvine, California 92614
Attn: Doug J Wade
Authorized for release by:
5/4/2021 8:33:52 AM
Lauren Evans, Project Manager 1
(615)301-5034
Lauren.Evans@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.
w
Y
Definitions/Glossary
Client: ERM-West Job ID: 680-198096-1 w
Project/Site: Storm Water - Amazon Warehouses (GS01)
Qualifiers
General Chemistry
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.
Glossary
Abbreviation These commonly used abbreviations may or may not be present in this report.
o Listed under the "D" column to designate that the result is reported on a dry weight basis
%R Percent Recovery
CFI- Contains Free Liquid
CFU Colony Forming Unit
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
DII Fac Dilution Factor
DL 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)
I 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
MOL Method Quanlitatlon Limit
NC Not Calculated
ND Not Detected at the reporting limit (or MDL or EDL if shown)
NEG Negative / Absent
POS Positive / Present
PQL Practical Quantitation Limit
PRES Presumptive
QC Quality Control
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 5/4/2021
Sample Summary
Client: ERM-West
Project/Site: Storm Water - Amazon Warehouses (GSO1)
Job ID: 680-198096-1
Lab Sample ID Client Sample ID Matrix Collected Received Asset ID
680-198096-1 GS01_Sample Point 01_20210424 Water 04/24/21 16:42 04/27/21 09:55
Eurofins TestAmerica, Savannah
Page 3 of 13 5/4/2021
Case Narrative
Client: ERM-West Job ID: 680-198096-1
Project/Site: Storm Water - Amazon Warehouses (GS01)
Job ID: 680-198096-1
Laboratory: Eurofins TestAmerica, Savannah
Narrative
Job Narrative
680-198096-1
Comments
No additional comments.
Receipt
The sample was received on 4/27/2021 9:55 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 2.40 C.
General Chemistry
Methods SM 254OD: The sample duplicate precision for the following sample associated with analytical batch 680-666128 was outside
control limits: (680-198102-C-1 DU). The associated Laboratory Control Sample / Laboratory Control Sample Duplicate (LCS/LCSD)
precision met acceptance criteria.
Methods 410.4: The matrix spike / matrix spike duplicate (MS/MSD) recoveries for batch 666299 were outside control limits. Sample matrix
interference is suspected because the associated laboratory control sample (LCS) recovery was within acceptance limits.
Methods 1664A: Insufficient sample volume was available to perform a matrix spike/matrix spike duplicate/sample duplicate
(MS/MSD/DUP) associated with preparation batch 680-666593.
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 5/4/2021
Client Sample Results
Client: ERM-West Job ID: 680-198096-1
Project/Site: Storm Water - Amazon Warehouses (GS01)
Client Sample ID: GS01_Sam ple_Point_01_20210424
Lab Sample ID: 680-198096-1
Date Collected: 04/24121 16:42
Matrix:
Water
Date Received: 04/27/21 09:55
General Chemistry
Analyte Result Qualifier
RL
MDL
Unit
D Prepared Analyzed
DII Fac
HEM (Oil 8 Grease)
1.9 1
4.8
1.3
mg/L
04/30/21 08:23 04/30/21 10:34
1
Total Suspended Solids
5.4
2.5
2.5
mg/L
04/27/21 14:14
1
Chemical Oxygen Demand
17
10
5.0
mg/L
04/28/21 13:10
1
Eurofins TestAmerica, Savannah
Page 5 of 13 5/4/2021
QC Sample Results
Client: ERM-West Job ID: 680-198096-1
Project/Site: Storm Water - Amazon Warehouses (GS01)
Method: 1664A - HEM and SGT-HEM
Lab Sample ID: MB 680-66659311-A
Matrix: Water
Analysis Batch: 666656
Client Sample ID: Method Blank
Prep Type: Total/NA
Prep Batch: 666593
MB MB
Analyte Result Qualifier
RL MDL Unit
D Prepared
Analyzed Dil Fac ,-
HEM (Oil & Grease) <1.4
5.0 1.4 mg/L
04/30/21 08:23
04/30/21 10:34 1
Lab Sample ID: LCS 680-666593/2-A
Client Sample ID:
Lab Control Sample
Matrix: Water
Prep Type: Total/NA
Analysis Batch: 666656
Prep Batch: 666593
Spike
LCS LCS
%Rec.
Analyte Added
Result Qualifier
Unit D %Rec
Limits
HEM (Oil & Grease) 40.0
34.80
mg/L 87
78-114
Lab Sample ID: LCSD 680-666693/3-A Client Sample ID: Lab Control Sample Dup
Matrix: Water Prep Type: Total/NA
Analysis Batch: 666656 Prep Batch: 666593
Spike LCSD LCSD %Rec. RPD
Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit
HEM (Oil & Grease) 40.0 34.00 mg/L 85 78 -114 2 18
Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-1050C)
Lab Sample ID: MB 680-666128/1 Client Sample ID: Method Blank
Matrix: Water Prep Type: Total/NA
Analysis Batch: 666128
Analyte
Total Suspended Solids
Lab Sample ID: LCS 680-666128/2
Matrix: Water
Analysis Batch: 666128
Analyte
Total Suspended Solids
Lab Sample ID: LCSD 680-666128/3
Matrix: Water
Analysis Batch: 666128
MB MB
Result Qualifier RL MDL Unit
<2.5 2.5 2.5 mg/L
Spike LCS LCS
Added Result Qualifier
951 906
D Prepared Analyzed Dil Fac
04/27/21 14:14 1
Client Sample ID: Lab Control Sample
Prep Type: Total/NA
%Rec.
Unit D %Rec Limits
mgll 95 80 -120
Client Sample ID: Lab Control Sample Dup
Prep Type: Total/NA
Spike LCSD LCSD %Rec. RPD
Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit
Total Suspended Solids 951 932 mg/L 98 80- 120 3 25
Method: 410.4-1993 R2.0 - COD
Lab Sample ID: MB 680-666299/3
Matrix: Water
Analysis Batch: 666299
Client Sample ID: Method Blank
Prep Type: Total/NA
MB MB
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac
Chemical Oxygen Demand <5.0 10 5.0 mg/L 04/28/21 13:10 1
Eurofins TestAmerica, Savannah
Page 6 of 13 5/4/2021
QC Sample Results
Client: ERM-West
Project/Site: Storm Water - Amazon Warehouses (GS01)
Method: 410.4-1993 R2.0 - COD (Continued)
Lab Sample ID: LCS 680-666299/4
Matrix: Water
Analysis Batch: 666299
Analyte
chemical Oxygen Demand
tt1771�A:i:ItSl�i:itkI:t31
Client Sample ID: Lab Control Sample
Prep Type: Total/NA
Spike LCS LCS %Rec.
Added Result Qualifier Unit D %Rec Limits
50.0 50.7 mg/L 101 90 -110
Eurofins TestAmerica, Savannah
Page 7 of 13 5/4/2021
QC Association Summary
Client: ERM-West
Project/Site: Storm Water - Amazon Warehouses (GS01)
General Chemistry
Analysis Batch: 666128
Job ID: 680-198096-1
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-198096-1
GSOt_Sample_Polnt_01_20210424
TotaVNA
Water
2540 D-2011
MB 680-666128/1
Method Blank
Total/NA
Water
2540 D-2011
LCS 680-666128/2
Lab Control Sample
TotaUNA
Water
2540 D-2011
LCSD 680-66612813
Lab Control Sample Dup
Total/NA
Water
2540 D-2011
Analysis Batch: 666299
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-198096-1
GS01_Sample_Point_01_2021 G424
Total/NA
Water
410.4-1993 R2.0
MB 680-666299/3
Method Blank
Total/NA
Water
410.4-1993 R2.0
LCS 680-666299/4
Lab Control Sample
Total/NA
Water
410.4-1993 R2.0
Prep Batch: 666593
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method Prep Batch
680-198096-1
GS01_Sample_Point _01_20210424
TbtaVNA
Watar
1664A
MB 680-666593/1-A
Method Blank
TotaUNA
Water
1664A
LCS 680-666593/2-A
Lab Control Sample
TotaUNA
Water
1664A
LCSD 680-66659313-A
Lab Control Sample Dup
Total/NA
Water
1664A
Analysis Batch: 666656
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
680-198096-1
GSOt_Sample_Point_01 _20210424
Total/NA
Water
1664A
666593
MB 680-666593/1-A
Method Blank
Total/NA
Water
1664A
666593
LCS 680-666593/2-A
Lab Control Sample
Total/NA
Water
1664A
666593
LCSD 680-66659313-A
Lab Control Sample Dup
Total/NA
Water
1664A
666593
Eurofins TestAmerica, Savannah
Page 8 of 13 5/4/2021
Lab Chronicle
Client: ERM-West
Project/Site: Storm Water - Amazon Warehouses (GS01)
Job ID:680-198096-1
Client Sample ID: GS01_Sample_Point_01_20210424 Lab Sample ID: 680-198096-1
Date Collected: 04124/21 16:42 Matrix: Water
Date Received: 04/27/21 09:55
Batch Batch
oil
Initial
Final
Batch
Prepared
Prep Type
Type Method
Run Factor
Amount
Amount
Number
or Analyzed
Analyst
Lab
Total/NA
Prep 1664A
525 mL
500 mL
666593
04/30/21 08:23
JAS
TAL SAV
Total/NA
Analysis 1664A
1
666656
0413012110:34
JAS
TAL SAV
Instrument ID: NoEquip
TotaVNA
Analysis 2540 D-2011
1
1000 mL
1000 mL
666128
04/27/21 14:14
PG
TAL SAV
Instrument ID: NOEQUIP
Total/NA Analysis 410.4-1993 R2.0 1 2 mL 2 mL 666299 04/28/21 13:10 MCL TAL SAV
Instrument ID: SPC7
Laboratory References:
TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
Eurofins TestAmerica, Savannah
a
Page 9 of 13 5/4/2021
Accreditation/Certification Summary
Client: ERM-West Job ID: 680-198096-1
Project/Site: Storm Water - Amazon Warehouses (GSO1)
Laboratory: Eurofins TestAmerica, Savannah
The accredllations/certiflcations listed below are applicable to this report.
Authority Program Identification Number Expiration Date
North Carolina(WW/SW) State 269 12-31-21
0
Eurofins TestAmerica, Savannah
Page 10 of 13 5/412021
Method Summary
Client: ERM-West
Project/Site: Storm Water - Amazon Warehouses (GS01)
Job ID: 680-198096-1
Method Method Description Protocol Laboratory
1664A HEM and SGT-HEM
2540 D-2011 Total Suspended Solids (Dried at 103-105°C)
410.4-1993 R2.0 COD
1664A HEM and SGT-HEM (Aqueous)
1664A
TAL SAV
SM
TAL SAV
MCAWW
TAL SAV
1664A
TAL SAV
Protocol References:
1664A = EPA-821-98-002
MCAWW = "Methods For Chemical Analysis Of Water And Wastes", EPA-600/4-79-020, March 1983 And Subsequent Revisions.
SM = "Standard Methods For The Examination Of Water And Wastewater"
Laboratory References:
TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858
In
Eurofins TestAmerica, Savannah
Page 11 of 13 5/4/2021
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Eurofins TestAmerica, Savannah
5102 LaRoche Avenue
Savannah. GA 31404
Phone (9121 354-7858 Fax (912) 352.0165
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240-78217.31058
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Doug Wade
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ERM-West
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Purchase Order Requested
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Pmleat Name
Storm Water - Amazon Warehouses ( )
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Sample Identification
Sample Date
Sample
Time
Sample
Type
(C=c P.
G= rab)
Matnxe
(o� ..
n.1'.,A—
Spacial Instructions/Note:
Preservation Code:
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Possible Hazard Identification
C71 Nor.Hazard =Flammahte (-�Skrn Irnlant U Poason B Unknown n Radiol ,cal
Sample Disposal ( A fee may be assessed it samples are retained longer than 1 month)
U Helum ro Chant n Dt5905o/ By Lao E7 Archrve For Months
Delh rrable Requested I. h. III IV. Other (specdy)
Special Instruct onsfOC Requirements
Empty Kd Relinquished by Ddle Time k4troa t! sno� •_�
Nehmusnen er
mmmme
Comoanr
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Custody Seals Intact
b Yes .1 No
Custody Seal No
Coder iemperalurenl' ene Oeier Banes
,� 3 ./. LJ
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Login Sample Receipt Checklist
Client: ERM-West Job Number: 680-198096-1
Login Number: 198096
List Number:1
Creator: Sims, Robert D
Question
List Source: Eurofins TestAmerica, Savannah
Answer Comment
Radioactivity wasn't checked or is </= background as measured by a surrey
NIA
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.
NIA
There is sufficient vol. for all requested analyses, incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble is
True
<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 13 of 13 5/4/2021