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Home My WebLink AboutNCG060398_Monitoring Report_20211019NCDEQ Division of Energy,_ Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000 OCT 19 ?n7.a Food and Kindred Click here for instructions r 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 0398 Person Collecting Samples: Danin Paine Facility Name: Amazon.00m Services LLC - DLT1 Laboratory Name: Eurofins TestAmerica Facility County: Mecklenberg Laboratory Cert. No.:269 Discharge during this period:U 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 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 QYes MNo Date Uploaded: Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in (Red) Parameter Parameter Outfall001 Outfall002 Outfall Outfall Outfall Code N/A Receiving Stream Class WS-IV WS-IV N/A Date Sample Collected MM/DD/YYYY 9/16/2021 9/16/2021 46529 24-Hour Rainfall in inches 0.16 0.16 C0530 TSSin mg/L(100 or50*) 23 83 00400 PH in standard units (6.0-9.0 FW, 6.6 7.0 6.8-8.5SW) 00556 Oil & Grease in mg/L (30) 2.1 2.1 31616 Fecal Coliform per 100 ml of N/A N/A freshwater (if required) (S000) Enterococci per 100 ml of saltwater 61211 (if required) (500) N/A N/A Chemical Oxygen Demand in mg/L 00340 (120) 41 63 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 NIA N/A 00552 1 Non -Polar Oil & Grease in mg/L (15) 1 N/A I N/A * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmarkTSS 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 inf mation, including tthe. possibility of fines and imprisonment for knowing violations." N�I1�'VI �6 01 24 Signature of Permittee or Delegated Authorized Individual Date paulrwil@amazon.00m (951) 445-7785 Email Address Phone Number urofins Environment Testing America ANALYTICAL REPORT Eurofins TestAmerica, Savannah 5102 LaRoche Avenue Savannah, GA 31404 Tel: (912)354-7858 Laboratory Job ID: 680-204556-1 Client Project/Site: Amazon Stormwater DLT1 For: ERM-Northeast One Beacon Steet 5th Floor Boston, Massachusetts 02108 Attn: Ms. Melissa Pierce Authorized for release by. 913012021 7.24:22 AM Becky Mason, Project Manager II (413)572-4000 Becky. Mason@Eurofinset.corn The test results in this report meet all 2003 NELAC, 2009 TNI, and 2016 TNI requirements for accredited parameters, exceptions are noted in this repot 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 samplet's) as received by the laboratory. Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Laboratory Job ID: 680-204556-1 Table of Contents Cover Page .............................................. � Table of Contents ......................................... 2 Definitions/Glossary ....................................... 3 Case Narrative ........................................... 4 Detection Summary ........................................ 5 Client Sample Results ...................................... 6 QC Sample Results ........................................ 7 QC Association Summary ................................... 9 Lab Chronicle ............................................ 10 Certification Summary ...................................... 11 Method Summary ......................................... 12 Sample Summary ......................................... 13 Chain of Custody .......................................... 14 Receipt Checklists ......................................... 15 Page 2 of 15 Eurofins TestAmerica Savannah 9/ 0/2021 Definitions/Glossary Client: ERM-Northeast Job ID: 680-204556-1 Project/Site: Amazon Stormwater DLT1 Qualifiers - - General Chemistry Qualifier Qualifier Description F3 Duplicate RPD exceeds the control limit 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. a Listed under the "D" 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 DL Detection Limit (DoD/DOE) DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis ofthe 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 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 3 of 15 9/30/2021 Case Narrative Client: ERM-Northeast Project/Site: Amazon Stonnwater DLT1 Job ID: 680-204666-1 Laboratory: Eurofins TestAmerica, Savannah Narrative Job Nanative 680-204556-1 Job ID: 680-204556-1 Receipt The samples were received on 9/17/2021 10:00 AM. Unless otherwise noted below, the samples arrived in good condition, and where required, property preserved and on ice. The temperature of the cooler at receipt was 4.00 C. General Chemistry Methods SM 254OD: The sample duplicate precision for the following sample associated with analytical batch 680-686073 was outside control limits: (680.204556-C-2 DU). The associated Laboratory Control Sample / Laboratory Control Sample Duplicate (LCS/LCSD) precision met acceptance criteria. 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 15 9/30/2021 Detection Summary Client: ERM-Northeast ProjectISite: Amazon Stormwater DLT1 Job ID: 680-204556-1 Client Sample ID: DLT1-Sample-Point-01-20210916 Lab Sample ID: 680-204556-1 Analyte Result Qualifier RL Mot. Unit DIIFsc D Method Prep Type Oil & Grease 2.1 J 4.7 1.3 mg/L 1 1664B TotaVNA Total Suspended Solids 23 5.0 5.0 mg/L 1 2540 D-2011 TotaVNA Chemical Oxygen Demand 41 10 5.0 mg/L 1 410.4-1993 R2.0 TotaVNA _ -- Client m Saple ID: DLT1Sample-Point-Sam-20210916 _ - - - - -- -. Lab Sample ID: 680-204556-2 Analyte Result Qualifier RL MDL Unit DII Fac D Method Prep Type Oil & Grease II J 4.9 1 A mg/L 1 1664E Total/NA Total Suspended Solids 83 5.0 5.0 mg/L 1 2540 D-2011 Total/NA Chemical Oxygen Demand 28 10 5.0 mg/L 1 410.4-1993 R2.0 T0taVNA This Detection Summary does not include radiochemical test results. Eurofins TestAmerica, Savannah Page 5 of 15 9/30/2021 Client Sample Results Client: ERM-Northeast Project/Site: Amazon Stonnwater DLT1 Job ID: 680-204556-1 Client Sample ID: DLT1-Sample -Point-01-20210916 Lab Sample ID: 680-204556-1 Date Collected: 09116/21 09:06 Matrix: Water Date Received: 09/17/21 10:00 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dit Fee Oil & Grease Chemical Oxygen Demand 2.1 J 41 4.7 10 1.3 5.0 mg/L mg/L 09/23/21 08:56 09123/21 11:14 09/29/21 09:45 1 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids 23 5.0 5.0 mg/L 0922121 77:28 1 Client Sample ID: DM-Sample-Point-02-20210916 Lab Sample ID: 680-204556-2 Date Collected: 09116121 09:27 Matrix: Water Date Received: 09/17/21 10:00 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac Oil & Grease 2.1 J 4.9 1.4 mg/L 09/23/21 08:56 0923/21 ll:14 1 Chemical Oxygen Demand 28 10 5.0 mg/L 0929M 09:45 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids 83 5.0 5.0 mg/L 092221 17:28 1 Eurofins TestAmedca, Savannah Page 6 of 15 9/30/2021 QC Sample Results Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Method: 1664E - HEM and SGT-HEM Lab Sample ID: MB 680-68613211-A Matrix: Water Analysis Batch: 686178 MB MB Analyte Result Qualifier LOil & Grease ND Lab Sample ID: LCS 680-686132/2-A Matrix: Water Analysis Batch: 686178 Analyte Oil & Grease RL MDL Unit 5.0 1.4 mg/L Spike LCS LCS Added Result Qualifier 40.0 35.80 Job ID: 680-204556-1 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch: 686132 D Prepared Analyzed Dil Fac 09123121 08:56 09/23/21 11:14 1 Client Sample ID: Lab Control Sample Prep Type: TotalINA Prep Batch: 686132 %Rec. Unit D %Rec Umits mg/L 90 78-1 44 — --- Lab Sample ID: LCSD 680-686132/3-A Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: TotaUNA Analysis Batch: 686178 Prep Batch: 686132 Spike LCSD LCSD %Rec. RPD LAnalyta Added Result Qualifier Unit D %Rec Limits RPD Limit Oil & Grease 40.0 34.40 mg/L 86 78-114 4 18 Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-105°C) Lab Sample ID: MB 680-68607311 Matrix: Water Analysis Batch: 686073 Me MIS Analyte Result Qualifier Total Suspended Solids NO Lab Sample ID: LCS 680-686073/2 Matrix: Water Analysis Batch: 686073 Analyte Total Suspended Solids Lab Sample ID: LCSD 680-68607313 Matrix: Water Analysis Batch: 686073 Analyte Total Suspended Solids Lab Sample ID: 680-204556-2 DU Matrix: Water Analysis Batch: 686073 Sample Sample Analyte Result Qualifier Total Suspended Solids 83 Client Sample ID: Method Blank Prep Type: Total/NA RL RL Unit D Prepared Analyzed oil Fac 2.5 2.5 mg/L 09/22/21 17:28 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Rec. Added Result Qualifier Unit D %Rec Limits 951 812 mg/L 85 80 - 120 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 961 822 mg/L 86 80 _ 120 i 25 Client Sample ID: DLT1-Sample-Point-02-20210916 Prep Type: Total/NA DU DU RPD Result Qualifier Unit D RPD Limit 111 F3 mg/L 29 5 Eurofins TestAmerica, Savannah Page 7 of 15 9/30/2021 QC Sample Results Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Method: 410.4-1993 R2.0 - COD Lab Sample ID: MB 680-68706613 Matrix: Water Analysis Batch: 687065 Me Me Analyte Result Qualifier Chemical Oxygen Demand ND Lab Sample ID: LCS 680-687065/4 Matrix: Water Analysis Batch:687065 Analyte iLchemical Oxygen Demand Job ID:680-204556-1 Client Sample ID: Method Blank Prep Type: Total/NA RL MDL Unit D Prepared Analyzed oil Fee 10 5.0 mg/L 09/29R109:45 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Rec. Added Result Qualifier Unit D %Rec Limits 50.0 50.2 mg/L 100 90-110 Eurofins TestAmerica, Savannah Page 8 of 15 9/30/2021 QC Association Summary Client: ERM-Northeast Job ID: 680-204556-1 Project/Site: Amazon Stormwater DLT1 General Chemistry Analysis Batch: 686073 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-204556-1 DLT1-Sample-Point-01-20210916 TotaVNA Water 2540 D-2011 680-204556-2 DLT1-Sample-Point-02-20210916 Total/NA Water 2540 D-2011 MB 680-686073/1 Method Blank TotaVNA Water 2540 D-2011 LCS 680-68607312 Lab Control Sample TotaVNA Water 2540 D-2011 LCSD 680-686073/3 Lab Control Sample Dup TotaVNA Water 2540 D-2011 680-204556-2 DU DLT1-Sample-Point-02-20210916 TotaVNA Water 2540 D-2011 Prep Batch: 686132 a Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 660-204556-1 DLT1-Sample-Point-01-20210916 TotaVNA Water 16646 680-204666-2 DLT1-Sample-Point-02-20210916 TotaVNA Water 1664E MB 680-686132/1-A Method Blank TotaVNA Water 1664B LCS 680-68613212-A Lab Control Sample Total/NA Water 1664E LCSD 680-686132/3-A Lab Control Sample Dup TotaVNA Water 1664E Analysis Batch: 686178 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 660-204556-1 DUlSampie-Point-01-20210916 TotaVNA Water 16648 686132 680-204556-2 DLT1-Sample-Point-02-20210916 TbtaVNA Water 16648 686132 MB 680-68613211-A Method Blank TotaVNA Water 1664E 686132 LCS 680-6861322-A Lab Control Sample Total/NA Water 1664B 686132 LCSD 680-68613213-A Lab Control Sample Dup TotaVNA Water 1664E 686132 Analysis Batch: 687065 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-204558-1 DLT1-Sample-Point-01-20210916 TotaVNA Water 410.4-1993 R2.0 680-204556-2 DLT1Sample-Point-02-20210916 TotaVNA Water 410.4-1993 R2.0 MB 680-68706513 Method Blank Tot8VNA Water 410.4-1993 R2.0 LCS 680-687065/4 Lab Control Sample TotaVNA Water 410.4-1993 R2.0 Eurofins TestAmerica, Savannah Page 9 of 16 9/30/2021 Lab Chronicle Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Client Sample ID: DLT1-Sample-Point-01-20210916 Date Collected: 09/16/21 09:06 Date Received: 09/17/21 10:00 Batch Batch oil Initial Prep Type Type Method Run Factor Amount TotaVNA Prep 1664E 528 mL TotaVNA Analysis 1664B 1 Instrument ID: NoEquip TotalfNA Analysis 2540 D-2011 1 500 mL Instrument ID: NOEQUIP TctaVNA Analysis 410.4-1993 R2.0 1 2 mL Instrument ID: SPC7 Client Sample ID: DLT1-Sample-Point-02-20210916 Date Collected: 09/16/21 09:27 Date Received: 09/17/21 10:00 Batch Batch DII Initial Prep Type Type Method Run Factor Amount TctaVNA Prep 1664E 515 mL TctaVNA Analysis 1664E 1 Instrument 10: NoEquip TotaVNA Analysis 2540 D-2011 1 500 mL Instrument ID: NOEQUIP TctaVNA Analysis 410.4-1993 R2.0 1 2 mL Instrument ID: SPC7 Job ID:680-204556-1 Lab Sample ID: 680-204556-1 Matrix: Water Final Batch Prepared Amount Number or Analyzed Analyst Lab 500 mL 686132 09/23121 08:56 JAB TAL SAV 686178 09/23/21 11:14 JAS TAL SAV 1000 mL 686073 09/2221 17:28 PG TAL SAV 2 mL 687065 09/2921 09:46 ALG TAL SAV Lab Sample ID: 680-204656-2 Matrix: Water Final Batch Prepared Amount Number or Analyzed Analyst Lab 500 mL 666132 092321 08:56 JAB TAL SAV 686178 09123M 11:14 JAB TAL SAV 1000 mL 686073 092221 17:28 PG TAL SAV 2mL 687065 09292109:45 ALG TAL SAV Laboratory References: TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Eurofins TestAmerica, Savannah Page 10 of 15 9/30/2021 Accreditation/Certification Summary Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Laboratory: Eurofins TestAnnerica, Savannah All accreditation/certifications held by this laboratory are listed. Not all acc red itations/certifications are applicable to this report. Job ID:680-204556-1 Authority Program Identification Number Expiration Date AFCEE SAVLAB Alabama state 41450 06-30-22 Alaska (UST) State 17-016 09-22-22 ANAB Dept. of Defense ELAP L2463 09-22-22 ANAB ISO/IEC 17025 L2463.01 09-22-22 At Kansas DEQ Stale 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 043-30-22 Georgia (DW) State 803 06-30-22 Guam State 19-007R 04-17-22 Hawaii State <can No.> 06-30-22 YWII 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 <cert 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{WW/SW) State 269 12-31-21 Pennsylvania NELAP 68-00474 0630-22 Puerto Rico State GA00006 01-01-22 South Carolina State 98001 06-30-22 Tennessee State 02961 06-30-22 Texas NELAP T1047004185-19-14 1130-21 Texas TCEQ Water Supply T104704185 06-30-22 USDA US Federal Programs P330-18-00313 09-03-24 Virginia NELAP 10509 05-29-22 Washington State C805 06-10-22 Wisconsin State 999819810 08-31-22 Wyoming State 8TMS-L 06-30-22 Eurofins TestAmerica, Savannah Page 11 of 15 9/30/2021 Method Summary Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Job ID: 680-204556-1 Method Method Description Protocol Laboratory 1664B HEM and SGT-HEM 1664E 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 1664B HEM and SGT-HEM (Aqueous) 1664B TAL SAV Protocol References: 1664B = 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 Eurofins TestAmerica, Savannah Page 12 of 15 9/30/2021 Sample Summary Client: ERM-Northeast Project/Site: Amazon Stormwater DLT1 Job ID: 680-204556-1 Lab Sample ID Client Sample ID Matrix Collected Received 680-204556-1 DLT1-Sample-Point-01-20210916 Water 09/16/2109:06 09/17/2110:00 680-204556-2 DLT1-Sample-Point-02-20210916 Water 09/16/2109:27 0911712110:00 Page 13 of 15 Eurofins TestAmerica, SDI®t1 Eurofins TestAmerica, Pittsburgh 301 Alpha Dnve RIOC Park Chain of Custody Record •:-•eurofins Pittsburgh PA 15238 Phone 412-963-7058 Fax 412.963 2468 Samge, _., ry CcCW.. Client Information r'7 v y ? Mason Becky C — — 480. 157388-34644 1 cteM Lanrxr Pnorc ' 1 ryry q L, ``Y �1' E 4au - P. Zee-eassedY v �[� J ` Becky Mason@EuruLnset com Page I of 1 P�v.pan WMD Ja c ERM-Nombessl Analysis Requested AMrnxx Due Dale fx.w.M4. Prmemalion Codes: 17761 Street NW Suite 200 cay A Ncl M Ne.ane a fhi M N NpN TAT Re4Pest"(chi"I: W]Sninglon w L Ln Ar u* O .sW07 suit! Cp 7= D NYK Aw P NiHJ.s eamplunce Rgeec \ Y. 1 N. DC. 20006 r E NNt O. Na7503 Pmne e Wor R Na2S203 POa 672.347-7876(Tep Purchase Order Requested 'e 1-0 C Amchkx 5 N2s(:a N Axcmbc AW T TSP D arhya - u Aee Emar a Q 9 0wWe, V.Mf L EDAM z ale, opuly) IY.MU Nam' UPS Slormwaler P"" 48023287 54^e SSOWa E O E V chbe- \/ t w 9 Sample Matrix Type € 5 Sample IC=temp, o•..s.. 33 0 Sample Identification Sample Date Time G= rab) .�, k°. S tied Instructions/Note Press ion Code S N N ' 2021 Gq `� ' () Water a DLT 1-m t nt- - l _ _ _ _ _ _ _ _ _ IIIIII�IIIII�IIIIIIII�iIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 680.204556 Chain of Custody Possible Hazard Identification Sample Disposal (A fee may be assessed if samples are retained longer than 1 month) = 0 M EDRefum Non-H"Wel Flammabls Skm Inrlanl Poison a Unknown Rad ¢af To Chenf Disposal By Lab Archive For, _ Months Deliverable Requested I. ll. III, IV, Other (specify) Special InsbuclionsIOC Requirements Empty Kit Relinquished by Uale Time Mr• 4+umr+.r neYrpuf MU ev cut .a IC' .a ,vry Racb OalaRme ^•gayr Rai ik oy f DaM' , Company Reunro by �J , / w1 CO�iwnq �-I � L� /Dr:CJ RE.,..b, 13.4,1— cv.' RtGrvM by palWivne C� Custody Seals Intact Custody Seal No eoaei Temgi.wraly"c wa glri Remark. y O b Yes A No ! I Pei II it'wn Login Sample Receipt Checklist Client: ERM-Northeast Job Number: 680-204556-1 Login Number: 204556 List Number. 1 Creator: Sims, Robert D Question List Source: Eurofins TestAmerica, Savannah Answer Comment Radioactivity either was not measured or, if measured, is at or below NIA background The cooler's custody seal, if present, is 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 Samplers name present on COC? True There are no discrepancies between the sample iDs on the containers and True the COC. 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 datettimes 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 VOA sample vials do not have headspace or bubble is <6mm (1/4') in True diameter. If necessary, staff have been informed of any short hold time or quick TAT True needs Multiphasic samples are not present. True Samples do not require splitting or compositing. True Sampling Company provided. True Samples received within 48 hours of sampling. True Samples requiring field filtration have been filtered in the field. True Chlorine Residual checked. N/A Eurofins TestAmerica, Savannah Page 15 of 15 9/30/2021