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HomeMy WebLinkAboutNCG060413_Monitoring Report_20220121NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 Food and Kindred Click here for instructions Complete, sign, scan and submit the DMR via the 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. NCGO6 0413 Person Collecting Samples: Parker Cliatt Facility Name: Amazon-com Services LLC - DLT3 Laboratory Name: Euroffns TestAmerica, Savanna Facility County: Cabarrus Laboratory Cart. No.: 269 Discharge during this period: © Yes ❑ No Cf 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 (1, 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 Outfafts with Industrial Activities -Benchmarks In (Red) Parameter Code Parameter OutfaR Outfall Outfall Outfall OutfaR N/A Receiving Stream Class 001 002 003 N/A Date Sample Collected MM/DD/YYYY 12/08/2021 12/08/2021 12/08/2021 46529 24-Hour Rainfall in inches 0.41 0.41 0.41 C0530 TSS in mg/L (100 or 50•) 5.6 3.3 9.7 00400 PH in standard units (6.0-9.0 FW, 7 4 7.46 8.7 6.8 - 8.5 SW) 31616 Fecal Coliform per 100 ml of N/A N/A N/A freshwater (if required) (1000) 61211 Enterococci per 100 ml of saltwater N/A N/A N/A (if required) (500) Chemical Oxygen Demand in mg/L 00340 (120) 1 <5.0 1 <5.0 16 Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average Estimated New Motor/Hydraulic Oil N/A N/A N/A NCOIL Usage in gal/month 00552 Non -Polar Oil & Grease in mg/L (15) 1 <0.71 10.75 1 1.5 . Outfalls to outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS omit of 50 mg/L. AS other water classifications have a benchmark of 100 mg/L (Freshwater) (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 iation, including the possibility of fines and imprisonment for knowing violations." 54 W uQ 10 zZ Signature of Permittee or Delegated Authorized Individual Date paulrwil@amazon.com 951-445951-445-77855 Email Address Phone Number urofins Environment Testing America ANALYTICAL REPORT U , Eurofins TestAmerica, Savannah m ° z �' (f► 5102 LaRoche Avenue o G Savannah, GA 31404 0>� N O Tel: (912)354-7858 8 Laboratory Job ID: 680-208669-1 Laboratory SDG: 413 Goodman Rd, Concord, NC 28027 Client Project/Site: Storm Water - Amazon Warehouses DLT3 For: ERM-West 1920 Main Street Suite 300 Irvine, California 92614 Attn: Doug J Wade Roxa�vu. G�iS/ierns Authorized for release by: 1212612021 11:57.23 AM Roxanne Cisneros, Senior Project Manager (615)301-5761 roxanne.cisneros@Eurofinset.com The test results in this report meet aI120D3 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. 0 Definitions/Glossary Client: ERM-West Job ID: 680-208669-1 Project/Site: Storm Water - Amazon Warehouses DLT3 SDG: 413 Goodman Rd, Concord, NC 28027 Qualifiers General Chemistry Qualifier Qualifier Description F1 MS and/or MSD recovery exceeds control limits. J Result is less than the RL but greaterthan or equal to the MOIL 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) Oil 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 Quanttation (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 PCs 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 15 12/26/2021 Sample Summary Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Lab Sample ID Client Sample ID Matrix Collected Received 680-208669-1 DLT3 Sample Point 03 20211208 Water 12/08/21 07:31 12110/21 11:10 680-208669-2 DLT3_Sample Point 01 20211208 Water 12/08/21 07:46 12/10/21 11:10 680-208669-3 DLT3 Sample_Point 02 20211208 Water 12/08/21 07:54 12/10/21 11:10 Eurofins TestAmerica, Savannah Page 3 of 15 12/26/2021 Case Narrative Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Job ID: 680-208669-1 Laboratory: Eurofins TestAmerica, Savannah Narrative Job Narrative 680-2086694 Comments No additional comments. Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Receipt The samples were received on 12/10/2021 11:10 AM. Unless otherwise noted below, the samples arrived in good condition, and where required, properly preserved and on ice. The temperature of the cooler at receipt was 2.90 C. General Chemistry No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Eurofins TestAmerica, Savannah Page 4 of 15 12/26/2021 Client Sample Results Client: ERM-West Job ID: 680-208669-1 ProjectlSite: Storm Water - Amazon Warehouses DLT3 SDG: 413 Goodman Rd, Concord, NC 28027 Client Sample ID: DM- Sample —Point 03_20211208 Lab Sample ID: 680-208660-1 Date Collected: 12108/21 07:31 Matrix: Water Date Received: 12110/21 11:10 General Chemistry Analyte Result Qualifier RL MM Unit 0 Prepared Analyzed DLL Fac Oil & Grease (HEM) 1.5 J 2.6 0.73 mg1L 12r23/21 06:00 121231211151 1 Chemical Oxygen Demand 16 10 5.0 mgrL 19120121 13:03 1 Total Suspended Solids 9.7 2.5 2.6 mg/L 12/15/21 14:47 1 Eurofins TestAmerica, Savannah Page 5 of 15 12/26/2021 Client Sample Results Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Client Sample ID: DLT3_Sample_Point_01_20211208 Date Collected: 12/08/21 07:46 Date Received: 12/10121 11:10 Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Lab Sample ID: 680-208669-2 Matrix: Water General Chemistry Analyte Resultyualifie RL MDL Unit D Prepared Analyzed OU Fan Oil & Grease (HEM) <0.71 2.5 0.71 mg/L 1223/21 06:00 12/23/21 11:51 1 Chernical Oxygen Demand <5.0 10 5.0 mg/L 12/202120:01 1 Total Suspended Solids 6.6 2.5 2.5 mg/L 12/1521 14:47 1 Eurofins TestAmerica, Savannah Page 6 of 15 12/26/2021 Client Sample Results Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Client Sample ID: DLT3_Sample_Point 02_20211208 Date Collected: 12108121 07:64 Date Received: 12110121 11:10 Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Lab Sample ID: 680-208669-3 Matrix: Water General Chemistry Analyte Result Qualifier RL MDL unit D Prepared Analyzed DllFaa Oil & Grease (HEM) 0.75 J 2.7 0.75 mg/L 12/23/21 06:00 12123/21 11:51 1 Chemical Oxygen Demand <5.0 F1 10 5.0 mg/L 121=120:01 1 Total Suspended Solids 3.3 2.5 2.5 mg/L 12/15121 14:47 1 Eurofins TestAmerica, Savannah Page 7 of 15 12/26/2021 QC Sample Results Client: ERM-West Project/Site: Stone Water - Amazon Warehouses DLT3 Method: 1664B - HEM and SGT-HEM Lab Sample ID: MB 680-70039211-A Matrix: Water Analysis Batch: 700525 MB MB Analyte Result Qualifier Oil & Grease (HEM) <1.4 Lab Sample ID: LCS 680-70039212-A Matrix: Water Analysis Batch: 700525 Analyte Oil & Grease (HEM) Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch:700392 RL MDL Unit D Prepared Analyzed oil Fac - 5.0 1.4 mg/L 12/2312106:00 12/2312111:51 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Prep Batch: 700392 Spike LCS LCS %Rec. Added Result Qualifier Unit D %Rec Limits 40.0 39.80 mg/L 99 78-114 Method: n20D-2011 - Chemical Oxygen Demand Lab Sample ID: MB 680.69987713 Matrix: Water Analysis Batch: 699877 Me MB Anatyte Result Quefifier Chemical Oxygen Demand <5.0 Lab Sample ID: LCS 680-699877/4 Matrix: Water Analysis Batch: 699877 Analyte Chemical Oxygen Demand Lab Sample ID: MB 680-699940/3 Matrix: Water Analysis Batch: 699940 MB MB Analyte Result Qualifier Chemical Oxygen Demand <5.0 Lab Sample ID: LCS 680-699940/4 Matrix: Water Analysis Batch: 699940 Analyte Chemical Oxygen Demand Lab Sample ID: 680-208669-3 MS Matrix: Water Analysis Batch: 699940 Client Sample ID: Method Blank Prep Type: Total/NA RL MDL Unit D Prepared Analyzed Da Fac 10 5.0 mg/L 12/20/21 13:03 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCs %Rec. Added Result Qualifier Unit D %Rec Limits 50.0 47.0 mg/L 94 90-110 Client Sample ID: Method Blank Prep Type: Total/NA RL MDL Unit D Prepared Analyzed oil Fac 10 5.0 mg/L - - - - - - -_-- 12120/21 20:01 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCs LCS %Rec. Added Result Qualifier Unit D %Rec Limits 50.0 49.0 mg/L 98 90 -110 Client Sample ID: DLT3_Sample_Point_02_20211208 Prep Type: Total/NA Sample Sample Spike MS Ms Analyte Result Qualifier Added Result Qualifier Unit Chemical Oxygen Demand <5.0 Ft 50.0 55.8 F1 mg/L %Rec. D %Rec Limits 12 90-110 Eurofins TestAmerica, Savannah Page 8 of 15 12/26/2021 QC Sample Results Client: ERM-West Job ID: 680-208669-1 Project/Site: Storm Water - Amazon Warehouses DLT3 SDG: 413 Goodman Rd, Concord, NC 28027 Method: 5220D-2011 - Chemical Oxygen Demand (Continued) Lab Sample ID: 680-208669-3 MSD Client Sample ID: DLT3_Sample_Point_02_20211208 Matrix: Water Prep Type: TotallNA Analysis Batch: 699940 Sample Sample Spike MSD MSD %Rea RPD Analyte Result Qualifier Added Result Qualifier Unit D %Rec Limits RPD Limit Chemical Oxygen Demand 15.0 Ft 50.0 so F1 mglL 114 90_110 2 30 Y Method: SM 2540D - Solids, Total Suspended (TSS) Y Lab Sample ID: MB 680-69905611 Matrix: Water Analysis Batch: 699056 Client Sample ID: Method Blank Prep Type: Total/NA MB MB Analyte Result Qualifier RL Mot. Unit D Prepared Analyzed oil Fee Total Suspended Solids <2.5 2.5 2.5 mglL 12/15121 14,47 1 Lab Sample ID: LCS 680-69905612 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 699056 Spike Los LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits Total Suspended Solids 951 828 mg/L 87 80-120 Lab Sample ID: LCSD 680-69905613 Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 699056 Spike LCSD LCSD %Rec. RPD Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit Total Suspended Solids 951 848 mg/L 89 80-120 2 25 Eurofins TestAmerica, Savannah Page 9 of 15 12/26/2021 Client: ERM-West Project/Site: Storm Water General Chemistry Analysis Batch: 699056 QC Association Summary Job ID: 680-208669-1 Amazon Warehouses DLT3 SDG: 413 Goodman Rd, Concord, NC 28027 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-208669-1 DLT3_Sample_Point 03_20211208 TotaVNA Water SM 2540D 680-208669-2 003 Sample —Point 01_20211208 TotaVNA Water SM 25400 680-208669-3 DLT3_Sample_Point_02_20211208 TotaVNA Water SM 2540D MB 68059905611 Method Blank Totat/NA Water SM 25400 LCS 680-699056/2 Lab Control Sample TotaVNA Water SM 2540D LCSD 680-69905613 Lab Control Sample Dup TotaMA Water SM 25400 Analysis Batch: 699877 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-208669-1 DLT3_Sample2oint 03_20211208 TotaVNA Water 5220D-2011 MB 680-69987713 Method Blank TotaVNA Water 5220D-2011 LCS 680-699B7714 Lab Control Sample TotaUNA Water 522OD-2011 Analysis Batch: 699940 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-208669-2 DLT3 Sample_Point01_20211208 TotalINA Water 5220D-2011 680-208669-3 DLT3_Sample_Point_02_20211208 TotaVNA Water 5220D-2011 MB 68"99940/3 McNrod Blank Total/NA Water 5220D-2011 LCS 680-699940/4 Lab Control Sample TotaVNA Water 5220D-2011 680-208669-3 MS DLT3_Sample2oint 02_20211208 Tota4/NA Water 5220D-2011 680-208669-3 MSD DLT3_Sample_Point 02_20211208 TotaVNA Water 5220D-2011 Prep Batch: 700392 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-208669-1 DLT3_ Sample_Point_03_20211208 TotaVNA Water 1664B 680-208669-2 DLT3_Sample_Point 01_20211208 TotaVNA Water 1684B 680-208669-3 DLT3_Sample_Point 02_20211208 TotaVNA Water 1664E MB 6aQ-700392/1-A Method Blank TotaVNA Water 1664E LCS 680-700392/2-A Lab Control Sample TotaVNA Water 16648 Analysis Batch: 700525 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-208669-1 DLT3_Sample_Point 03_20211208 TotaYNA Water 1664B 700392 680-208609-2 DLT3_Sample_Point01_20211208 TotaVNA Water 1664B 700392 680-208669-3 DLT3_Sample_Point 02_20211208 TotaVNA Water 1664B 700392 MB BBG-70039211-A Method Blank TotalINA Water 1664B 700392 LCS 680-7003922-A Lab Control Sample TotaVNA Water 1664E 700392 Eurofins TestAmerica, Savannah Page 10 of 15 12/26/2021 Lab Chronicle Client: ERM-West Job ID: 680-208669-1 Project/Site: Storm Water - Amazon Warehouses DLT3 SDG: 413 Goodman Rd, Concord, NC 28027 Client Sample ID: DLT3_Sample_Point_03_20211208 Lab Sample lb: 680408669-1 Date Collected: 12/08/21 07:31 Matrix: Water Date Received: 12/10121 11:10 Batch Batch DII Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab TotaVNA Prep 1664E 953 mL 500 mL 700392 12/23/21 06:00 PB TAL SAV TotaVNA Analysis 1604E 1 700525 12232111:51 PB TAL SAV Instrument ID: NoEquip TotaVNA Analysis 522OD-2011 1 2 mL 2 mL 699877 122021 13:03 ALG TAL SAV TotaVNA Instrument ID: SPC7 Analysis SM 2640D 1 1000 mL 1000 mL 699056 1211521 14:47 PG TAL SAV Instrument ID: NOEQUIP Client Sample ID: DLT3_Sample_Point 01_20211208 Lab Sample ID: 686-208669-2 Date Collected: 12/08/21 07:46 Matrix: Water Date Received: 12/10/21 11:10 Batch Batch DII Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab TotaVNA Prep 1664E 985 mL 600 mL 700392 122321 06:00 PB TAL SAV TotaVNA Analysis 1664B 1 700525 12/23/2111:51 PB TAL SAV Instrument ID: NoEquip TotaltNA Analysis 5220D-2011 1 2 mL 2 mL 699940 122021 20:01 ALG TAL SAY Instrument ID: SPC7 TOtaVNA Analysis SM 2540D 1 1000 mL 1000 mL 699056 12/15/21 14:47 PG TAL SAV Instrument ID: NOEQUIP Client Sample ID: DLT3_Sample_Point 02_20211208 Lab Sample D. 680-208669-3 Date Collected: 12/08/21 07:64 Matrix: Water Date Received: 12/10/21 11:10 Batch Batch DII Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab TotaVNA Prep 16648 935 mL 500 mL 700392 122321 06:00 PB TAL SAV TotaVNA Analysis 1664E 1 700525 122321 11:51 PB TAL SAV Instrument ID: NoEquip TotaVNA Analysis 5220D-2011 1 2 mL 2 mL 699940 1212021 20:01 ALG TAL SAV Instrument ID: SPC7 TotaVNA Analysis SM 2540D 1 1000 mL 1000 mL 699056 1211521 14:47 PG TAL SAV Instrument ID: NOEQUIP Laboratory References: TAL SAV = Eumhns TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Eurofins TestAmerica, Savannah Page 11 of 15 12/26/2021 Accreditation/Certification Summary Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Laboratory: Eurofins TestAnnerica, Savannah The accreddationslcertifications listed below are applicable to this report. Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Authority program Identtfication Number Expiration Date North Carolina(WW/SM State 269 12-31-21 0 Eurofins TestAmerica, Savannah Page 12 of 16 12/26/2021 Method Summary Client: ERM-West Project/Site: Storm Water - Amazon Warehouses DLT3 Method Method Description 1664B HEM and SGT-HEM 5220D-2011 Chemical Oxygen Demand SM 2540D Solids, Total Suspended (TSS) 16646 HEM and SGT-HEM (Aqueous) Protocol References: 1664E = EPA-821-98-002 SM = "Standard Methods For The Examination Of Water And Wastewater Job ID: 680-208669-1 SDG: 413 Goodman Rd, Concord, NC 28027 Protocol Laboratory 1664B TAL SAV SM TAL SAV SM TAL SAV 1664B TAIL SAV Laboratory References: TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Eurofins TestAmerica, Savannah Page 13 of 15 12/26/2021 N N N Eurofins TestAn erica, Savannah 5102 LaRoche Avenue Savannah, GA 31404-6019 Phone 1919ns - SR Pw 1G121 i5J-n1R5 Chain of Custody Record eurofins En �omen Tea ng Tesulmer ca Client Infoation rm Lab PM Evans, Lauren nier Tratltln9N ): COC No : ed Comae: Phone: E- eps Doug Wade 1704 -T77-S3 Lauren,Evan estamencainc.com Page 1 of 1 Cdnpwy Jab W. ERM-west Analysis Requested Addro.: 0ue We Requested: -, Preservation Codes 1920 Man Street Sude 300 A-HCL M-N 6-NoOHZnm N-one TAT RequeebdrdMi Irvine M C-2nAmtae O-AvNSNe02 D NNe Add P-Na204S Iseus. CA, 92614 E-NeH304 O-Namm F-MOON R-Na23203 O-Arndda 3-H25Ca Pllond PO P. g43Al2-0046(TeQ Purchase Order Requested m y _ s H-Axddc Add T•TSP DodecahydmW -Ice U-Aretcne al. w04: doug wade®erm corn 04 o n R E O `1 O < < J-01YWter V-MCAA N -EDTA W-PH4-5 L -EDA Z-d��r(spedh) 'Odema N Project . Amazon (NC) Warehouses Srormwater 24024260 r; O lu � c Omer: % © `o E — Sample Matrix Type Sample (C=comp, Sam le lden00radon Sample Date Time G= reb) m. cn•u S ccial Instructions/Note: _ ... .. .:. bon Code: 6 Water N I I Z P°^{--O3-Z-�Z Zcr Z ('Lilt, % 3(Jl %2 - xf Of - za' 2� i 7 -Ao19 G W-i N a 2 rf 9�j- i F_uz-%a r12Lr 12 P7-I S9/1 G fu lJ 1 1 Z IIIIII Illlilll III�IIII�I 580-208669 Chain of Custody Il lilll Possible Hazard Identification Sam le Disposal (A fee may be assessed ff samples are re:lned longer than 1 month) I = Non -Hazard Flammable �SWn frritant = Poeson il = Unimown � Radrol 'cal �Retum TO Client =Disposal ilLab � ArMI" Fa Months Deliverable Requested I, H Ill N, Other (specify) Special Instn'cbonsfOC Requirements. Empty M Relinquished by Dare. e. Meuntl ofsttlpnent W vet rr Ome>eM Rena DaNnma 4 YJ � " d rs? �e 41( t aGrq�utrod /H+ f/1 7/ / Co Relalved by rqa f 1 �r I {% Can9a�r Relinqumw by DsIeMne: Cmsdry Received by DeWnmx Congem CustrWy Seals Intact CuslotlySDI No CoderTempeaierpi'C are Mer Remarks A Yes A No vet plllalLV Y Login Sample Receipt Checklist Client: ERM-West Login Number: 208669 List Number. 1 Creator: Padayao, Abigail Questilm Job Number: 680-208669.1 SDG Number: 413 Goodman Rd, Concord, NC 28027 List Source: Eurofins TestAmerica, Savannah Ansvmr Comment Radioactivity wasn't checked or is </= background as measured by a survey meter_ NIA The cooler's custody seal, if present, is intact. True Sample custody seats, if present, are- intact. True The cooler or samples do not appear to have been compromised or True tampered witi,�. 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 SarnpWs name present orr 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. True 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 II Eurofins TestAmerica, Savannah Page 15 of 15 12/26/2021