NCG080331_OUTFALL SAMPLE INFO_20230315

Way
QM mington
ENVIRONMENTAL CHEMISTS, INC OFFIICE' 9 ©ice 2-02 3fIFAX910- 92-44245
Analytical &Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Ezzell Trucking
PROJECT NAME: Storm Water
REPORT NO: O d'0,11/
ADDRESS:
CONTACT NAME: Alan Darr, Ezzell
PO NO: P t // /
REPORT TO:
PHONEIFAX: 71a 71- y% 3
d r `lJ
COPY TO•
lemail: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
E
sr
m
o f
2
"
m
z
PRESERVATION
ANALYSIS REQUESTED
Date.
Time
Tam
x
S
o
x
Q
o
outfall
C
P
7g3�
X
TSS, pH
G
G
S.
F%
C
P
X
Oil & Grease
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Dateffime
Received By:
Daterrime,
1.
.2 !
2.
Temperature when Received "C• c! Accepted: " ejected: Resamplq Requested:
Delivered By: .�, �,J�1 Received By: Date: 5' Time:
Comments: TURNAROUND:

I
Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windrniil'fila f
Wilmington, NC 28405
Sample Receipt Checklist 910,392-0223
2023
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r riCL.L Ist of �rf7I,)le:-~ ir.l-1, r�—�--�.`-.. ..
= r. lei
' =a r❑ Ctin,�`.-
t❑ ; c5 it t NO t ^r j �-- - ! a 3 F"'�ser•'.:�;, ti;� coui� — — __
a 1`L;A 2 :`c:J]!`�d;` seals :'fern c
priinal t mperature ui�o^ receipt =C p'esc lit, t• re the, i'7
How temperature trr4en: }� Corrected tern, __._ _-._;`
Ten)roeratt:re i:lMnr perature upsrt receifst-
IR Gun lD: Thomas Traceable SIN 21t}88b8fi9 Against Bottles
YES ❑ NO IR Grrn Correction Factor'C: D,0----
3. If temperature of Cooler exceeded 6`C, v:as Project Mgr.JQA notifred?
YES © NO 4. Were proper custody procedures relin uishe /
YES ❑ NO 5. Were sample Us listed on tl7e COCA � d received) folloWed7
YES ❑ NO 5. Were samples ip's listed on sample Contai
YES ❑ NO 7. Were collection date and tame listed on thners?
Ig YES_ ❑ No COC?
8. Were tests to be performed listed on the CoC?
JK YES ❑ NO 9. Did samples arrive in proper containers for eac€7 test?
YES ❑ t{`O 110. Did sam l�
( YES ❑ 1y+0 P -s arrive it, good condition for each test?
11, Was adequate sample volume availabieT
YES ❑ 12- Were samples received within proper holding time for requested tests?�
YES ❑ Nd 13. Were acid preserved samples received at a pH of cZ?
❑ YES ❑ NO -4. Were cyanide samples received at a pH >12?
❑ YES ❑ NO 15, Were sulfide samples received at a pli >9?
❑ YES ❑ NO 16, Were NH3/TKN/Phenol received at a ch1A ' n , r ❑ YES ❑ NO 17. Alere grin res due: o, cd-5
YES ❑ NO SulfidJCyapnide received at a chlorine residual 18. Were ortho hos hate samples filtered in the hnrd�ua tl'fr D 5 rf1if ?
.�� rT1if�Jt�S?
kid«te M :I7:1^ yna'}'si; ar-;
CF10 ire at0I
�+�r�-' analy-"sane«M• '�-
C.n�
Sample Preservation., l
(�viu;t be corr7pleted for any sampes j incorrectly -- - f
sample's) s) ,preserved or %v=th headspacei l
by addle= 'car a H,SO were received incorrectly preserved and ��fere adjr�sted a -«ordinal
NCI NaOHY
T+m� of preserve'ion:
if morn Ulan one preservatrfe is Pee e
?10' '7 =G3rT rt�; is 1J2iO6V
�tolatfl?$ sample(s)•
.j'ere received 1.170 headspa«e
COMi�rii<h1TS:
i OC- QA.002 Ref 1