NC0003417_J15060375F_Speciation_20150805

+ DUKE Analytical Laboratory
ENERGY
13339 Hagers Ferry Road
Huntersville, NC 28078-7929
McGuire Nuclear Complex - MG03A2
Phone:[phone] Fax:[phone]
Order Summary Report
Order Number: J15060375
Project Name: HF LEE PLANT - AB GW ASSESSMENT SPECIATION
Customer Name(s): Tim Hunsucker, Judd Mahan, Kathy Webb, John Toepfer
Customer Address: 1677 Old Smithfield Rd
Goldsboro NC 27530,
Lab Contact: Peggy Kendall Phone:
peggy.kendall@duke-
Report Authorized By: energy.com Date: 6/30/2015
(Signature) 201_5.06.3.0.08-40r40
Peggy Kendall-04'00'
Program Comments:
Please contact the Program Manager (Peggy Kendall) with any questions regarding this report.
Data Flags & Calculations:
Page 1 of 25
Any analytical tests or individual analytes within a test flagged with a Qualifier indicate a deviation from the method quality
system or quality control requirement. The qualifier description is found at the end of the Certificate of Analysis (sample results)
under the qualifiers heading. All results are reported on a dry weight basis unless otherwise noted. Subcontracted data
included on the Duke Certificate of Analysis is to be used as information only. Certified vendor results can be found in the
subcontracted lab final report. Duke Energy Analytical Laboratory subcontracts analyses to other vendor laboratories that have
been qualified by Duke Energy to perform these analyses except where noted.
Data Package:
This data package includes analytical results that are applicable only to the samples described in this narrative. An estimation of
the uncertainty of measurement for the results in the report is available upon request. This report shall not be reproduced, except
in full, without the written consent of the Analytical Laboratory. Please contact the Analytical laboratory with any questions. The
order of individual sections within this report is as follows:
Job Summary Report, Sample Identification, Technical Validation of Data Package, Analytical Laboratory Certificate of Analysis,
Analytical Laboratory QC Reports, Sub -contracted Laboratory Results, Customer Specific Data Sheets, Reports &
Documentation, Customer Database Entries, Test Case Narratives, Chain of Custody (COC)
Certification:
The Analytical Laboratory holds the following State Certifications : North Carolina (DENR) Certificate #248, South Carolina
(DHEC) Laboratory ID # 99005. Contact the Analytical Laboratory for definitive information about the certification status of
specific methods.

Sample ID's & Descriptions:
Collection
Sample ID Plant/Station Date and Time
2015018557
2015018558
2015018559
2015018560
4 Total Samples
Collected By
Sample Description
HF LEE PLANT
09-Jun-15 1:15 PM
Synterra
CW-3
HF LEE PLANT
09-Jun-15 12:07 PM
Synterra
CMW-7
HF LEE PLANT
09-Jun-15 2:12 PM
Synterra
CMW-6R
HF LEE PLANT
09-Jun-15 3:20 PM
Synterra
AMW-6RBC
Page 2 of 25

Page 3 of 25
Technical Validation Review
Checklist:
COC and .pdf report are in agreement with sample totals Yes No
and analyses (compliance programs and procedures).
All Results are less than the laboratory reporting limits. ❑ Yes❑ No
All laboratory QA/QC requirements are acceptable.❑ Yes ❑ No
Report Sections Included:
U Job Summary Report
❑ Sample Identification
n Technical Validation of Data Package
❑ Analytical Laboratory Certificate of Analysis
❑ Analytical Laboratory QC Report
Sub -contracted Laboratory Results
❑ Customer Specific Data Sheets, Reports, & Documentation
❑ Customer Database Entries
66 Chain of Custody
[I/0] Electronic Data Deliverable (EDD) Sent Separately
Reviewed By: Peggy Kendall Date: 6/30/2015

Certificate of Laboratory Analysis Page 4 of 25
This report shall not be reproduced, except in full.
Order # J15060375
Site: CW-3
Collection Date: 09-Jun-15 1:15 PM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015018557
Matrix: GW WW
Method Analysis Date/Time Analyst
Vendor Method V_BRAND

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060375
Site: CMW-7
Collection Date: 09-Jun-15 12:07 PM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015018558
Matrix: GW WW
Page 5 of 25
Method Analysis Date/Time Analyst
Vendor Method V_BRAND

Certificate of Laboratory Analysis Page 6 of 25
This report shall not be reproduced, except in full.
Order # J15060375
Site: CMW-6R
Collection Date: 09-Jun-15 2:12 PM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015018559
Matrix: GW WW
Method Analysis Date/Time Analyst
Vendor Method V_BRAND

Certificate of Laboratory Analysis Page 7 of 25
This report shall not be reproduced, except in full.
Order # J15060375
Site: AMW-6RBC
Collection Date: 09-Jun-15 3:20 PM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015018560
Matrix: GW WW
Method Analysis Date/Time Analyst
Vendor Method V_BRAND

Page 8 of 25
BRO�©KS
RAND
LABS
MEANINGFUL METALS DATA
June 29, 2015
Jay Perkins
Duke Energy Analytical Laboratory
Mail Code MGO3A2 (Building 7405)
13339 Hagers Ferry Rd.
Huntersville, NC 28078
[phone]
Project: Duke HF Lee Plant (LIMS# J15060375)
Mr. Perkins,
Attached is the report associated with four (4) aqueous samples submitted for arsenic speciation,
iron speciation, and manganese speciation analyses on June 9, 2015. The samples were received
in a sealed cooler at -0.2°C on June 10, 2015. All samples requesting iron speciation analysis
were analyzed by spectrophotometry. Mn (II) analysis was performed via IC-ICP-CRC-MS.
Mn(IV) analysis were performed via digestion and subsequent analysis by inductively coupled
plasma triple quadrupole mass spectrometry (ICP-QQQ-MS). Any issues associated with the
analyses are addressed in the following report.
If you have any questions, please feel free to contact me at your convenience.
Sincerely,
Russell Gerads
Business Development Director
Brooks Rand Labs, LLC
3958 61h Ave NW • Seattle, WA 98107 • T: 206-632-6206 • F: 206-632-6017 • www.brooksrand.com • [e-mail]

Page 9 of 25
Brooks Rand Labs, LLC
Report prepared for:
Jay Perkins
Duke Energy Analytical Laboratory
Mail Code MGO3A2 (Building 7405)
13339 Hagers Ferry Rd.
Huntersville, NC 28078
Project: Duke HF Lee Plant (LIMS# J15060375)
June 29, 2015
1. Sample Reception
Four (4) aqueous samples were submitted for arsenic speciation, iron speciation, and
manganese speciation analyses on June 9, 2015. All samples were received in acceptable
condition on June 10, 2015 in a sealed container at-0.2°C.
All samples were received in a laminar flow clean hood, void of trace metals contamination
and ultra -violet radiation, and were designated discrete sample identifiers. An aliquot of each
sample submitted for arsenic speciation analysis was filtered (0.45µm) into a polypropylene
centrifuge tube; all filtrates and original bottles were then stored in a secure, monitored
refrigerator (maintained at a temperature of <6°C) until the analyses could be performed.
The sample fractions requesting iron speciation analysis were stored in a secure, monitored
refrigerator (maintained at a temperature of <6°C) until the analyses could be performed.
An aliquot of each filtered sample submitted for manganese speciation analysis was decanted
into a polypropylene centrifuge tube for Mn(II) analysis. These fractions were stored in a
secure, monitored refrigerator (maintained at a temperature of <6°C) until the analyses could
be performed. Subsequently, the original bottles (filtered and unfiltered fractions) intended
for Mn speciation were preserved to pH < 2 with concentrated HNO3 and then stored in a
secure polyethylene container, known to be free from trace metals contamination, until the
digestion could be performed.
2. Sample Preparation
All sample preparation is performed in laminar flow clean hoods known to be free from trace
metals contamination. All applied water for dilutions and sample preservatives are
monitored for contamination to account for any biases associated with the sample results.

Page 10 of 25
Arsenic Speciation Analysis by IC-ICP-CRC-MS An aliquot of each sample was filtered
directly into a sealed autosampler vial. No further sample preparation was performed as a
buffered EDTA solution was provided by Brooks Rand Labs for field -preservation of the
submitted samples.
Iron Speciation Anal sy is by Spectrophotometry No sample preparation was required as a de -
gassed HCL solution was provided by Brooks Rand Labs for field -preservation of the
submitted samples.
Manganese Mn(II) Analysis by IC-ICP-CRC-MS An aliquot of each sample was filtered
(0.45µm) directly into an autosampler vial for Mn(II) analysis. No additional sample
preparation was performed as any chemical alteration of the samples may shift the
equilibrium of the system resulting in changes in speciation ratios.
Manganese Mn(IV) Analysis by ICP-Q0Q-MS Each filtered and unfiltered sample submitted
for Mn speciation analysis was preserved with 1 % HNO3 (v/v) upon sample receipt. Each
sample fraction was then further digested on a hotblock apparatus with aliquots of 50%
HNO3 (v/v) and 50% HCl (v/v), in accordance with the digestion procedure specified in EPA
Method 200.8. All resulting sample digests were analyzed for total manganese via
inductively coupled plasma triple quadrupole mass spectrometry (ICP-QQQ-MS).
3. Sample Analysis
All sample analysis is preceded by a minimum of a five -point calibration curve spanning the
entire concentration range of interest. Calibration curves are performed at the beginning of
each analytical day. All calibration curves, associated with each species of interest, are
standardized by linear regression resulting in a response factor. All sample results are
instrument blank corrected to account for any operational biases associated with the
analytical platform.
Prior to sample analysis, all calibration curves are verified using second source standards
which are identified as initial calibration verification standards (ICV).
Ongoing instrument performance is identified by the analysis of continuing calibration
verification standards (CCV) and continuing calibration blanks (CCB) at a minimum interval
of every ten analytical runs.
Arsenic Speciation Analysis by IC-ICP-CRC-MS Each sample was analyzed for arsenic
speciation via ion chromatography inductively coupled plasma collision reaction cell mass
spectrometry (IC-ICP-CRC-MS) on June 26, 2015. Aliquots of each sample are injected
onto an anion exchange column and eluted isocratically. The eluting arsenic species are then
introduced into a radio frequency (RF) plasma where energy -transfer processes cause
desolvation, atomization, and ionization. The ions are extracted from the plasma through a
differentially -pumped vacuum interface and travel through a pressurized chamber (CRC)
containing a specific collision gas. Polyatomic interferences, due to their inherently larger
size, collide more frequently with the collision gas and therefore may be separated from the
analyte of interest via kinetic energy discrimination (KED). A solid-state detector detects

Page 11 of 25
ions transmitted through the mass analyzer on the basis of their mass -to -charge ratio (m/z),
and the resulting current is processed by a data handling system.
Retention times for each eluting species are compared to known standards for species
identification.
Iron Speciation Analysis by Spectrophotometry All samples submitted for Fe speciation
quantification were analyzed on June 10, 2015, and in accordance with the scientifically
accepted method outlined by:
Stookey, L.L., (1970). "Ferrozine - A new spectrophotometric reagent for iron",
Anal.Chem., 42:779-81.
Manganese Mn(LI) Analysis by IC-ICP-CRC-MS All samples for Mn(II) analysis were
analyzed by ion chromatography inductively coupled plasma collision reaction cell mass
spectrometry (IC-ICP-CRC-MS) on June 17, 2015. Aliquots of each sample are injected
onto an anion exchange column and mobilized by an acidic (pH < 7) gradient. An ion
pairing agent provides a dynamic ion exchange mechanism for the cationic manganese
species on the chromatographic column. The differences in the affinity of manganese species
towards the ion pair agent and the column results in separation. The eluting selenium species
are then introduced into a radio frequency (RF) plasma where energy -transfer processes
cause desolvation, atomization, and ionization. The ions are extracted from the plasma
through a differentially -pumped vacuum interface and travel through a pressurized chamber
(CRC) containing a reaction gas which preferentially reacts with interfering ions of the same
target mass to charge ratios (m/z). A solid-state detector detects ions transmitted through the
mass analyzer and the resulting current is processed by a data handling system.
Retention times for each eluting species are compared to known standards for species
identification.
Manganese Mn(I ' Analysis by ICP-QQQ-MS All samples submitted for Mn speciation
quantitation were analyzed by inductively coupled plasma triple quadrupole mass
spectrometry (ICP-QQQ-MS) on June 16, 2015. Aliquots of each sample digest are
introduced into a radio frequency (RF) plasma where energy -transfer processes cause
desolvation, atomization, and ionization. The ions are extracted from the plasma through a
differentially -pumped vacuum interface and travel through an initial quadrupole (Ql), which
filters the target masses prior to their entrance into a second chamber. The second chamber
contains specific reactive gasses or collision gasses that preferentially react either with
interfering ions of the same target mass to charge ratios (m/z) or with the target analyte,
producing an entirely different mass to charge ratio (m/z) which can then be differentiated
from the initial interferences. The ions then exit the collision/reaction cell into and additional
quadrupole (Q2). A solid-state detector detects ions transmitted through the mass analyzer,
on the basis of their mass -to -charge ratio (m/z), and the resulting current is processed by a
data handling system.

Page 12 of 25
4. Analytical Issues
No significant analytical issues were encountered. All quality control parameters associated
with the samples were within acceptance limits with the following exceptions:
The preparation blanks associated with the iron speciation samples were not analyzed. An
equipment blank sample was received with the client samples. The equipment blank sample
yielded negligible Fe(II) and Fe(III) results, demonstrating the absence of any significant iron
contamination due to sampling. The iron speciation results for the equipment blank sample
should be taken into consideration when evaluating the results.
Mn(IV) is quantified by analyzing the water samples for total Mn and dissolved Mn. Mn(IV)
is operationally defined as the difference between the filtered and unfiltered total Mn
concentrations, since it is thermodynamically favored to be in the form of a precipitate.
The eMDL values for arsenite, arsenate, and dimethylarsinic acid are generated using the
standard deviation of replicate analyses of the lowest standard in the calibration curve. The
eMDL for monomethylarsonic acid is calculated from the average eMDL of the three arsenic
species contained in the calibration (i.e., arsenite, arsenate, and dimethylarsinic acid); the
calibration and CCVs do not contain monomethylarsonic acid due to impurities in this
standard which would bias the results for other arsenic species.
The eMDL value for Fe(II) has been generated from replicate analyses of the lowest standard
in the calibration curve. The eMDL value for total recoverable Fe was set at 1/3 the value of
the associated reporting limit since the standard deviation associated with the replicate
analyses of the lowest standard in the calibration curve was zero.
The eMDL for Mn(II) has been generated from replicate analyses of the lowest standard in
the calibration curve.
The eMDL values for Mn(IV) been calculated using the standard deviation of the method
blanks prepared and analyzed concurrently with the submitted samples.
Unknown arsenic species were present in various samples associated with the arsenic
speciation analysis resulting in late elution into following sample injections. The late eluting
peaks did not affect the target arsenic species; however, differentiation between late eluting
peaks and other unknown arsenic species for a given sample could not be accomplished.

Page 13 of 25
If you have any questions or concerns regarding this report, please feel free to contact me.
Sincerely,
Russell Gerads
Business Development Director
Brooks Rand Labs, LLC

Page 14 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Sample Results (2)
Unknown As
Sample ID
As(III)
As(V)
MMAs
DMAs
Species
CW-3
0.085
ND (<0.028)
ND (<0.053)
ND (<0.083)
NA
CMW-7
0.427
0.140
ND (<0.053)
ND (<0.083)
NA
CMW-6R
22.2
3.71
ND (<0.053)
ND (<0.083)
NA
AMW-6RBC
0.106
ND (<0.028)
ND (<0.053)
ND (<0.083)
NA
All results reflect the applied dilution and are reported in pg/L
ND = Not detected at the applied dilution
MMAs = monomethylarsonic acid
DMAs = dimethylarsinic acid
Unknown As Species = Total concentration of all unknown As species observed by IC-ICP-MS
NA = Not available. Please see narrative.

Page 15 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Sample Results (3
Sample ID
Fe(II)
Fe(III)*
Mn (II)
Mn(IV)**
CW-3
527
ND (<330)
519
ND (<0.13)
CMW-7
7620
4050
458
9.68
CMW-6R
8440
4950
481
19.9
AMW-6RBC
4340
2180
337
ND (<0.13)
All results reflect the applied dilution and are reported in pg/L
ND = Not detected at the applied dilution
NR = Analysis not requested
*Fe(III) operationally defined as the difference between total recoverable Fe and Fe(II)
*Mn(IV) operationally defined as the difference between total and dissolved Mn

Page 16 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Qualitv Control Summary - Preparation Blank Summary (2
Analyte (Ng/L)
PBW1
PBW2
PBW3
PBW4
Mean
StdDev
eMDL*
eMDL 10x
RL 10x
As(III)
0.000
0.000
0.000
0.000
0.000
0.000
0.005
0.049
0.20
As(V)
0.000
0.000
0.000
0.000
0.000
0.000
0.003
0.028
0.20
MMAs
0.000
0.000
0.000
0.000
0.000
0.000
0.005
0.053
0.20
DMAs
0.000
0.000
0.000
0.000
0.000
0.000
0.008
0.083
0.21
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
*Please see narrative regarding eMDL calculations

Page 17 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Quality Control Summary - Preparation Blank Summary (3)
Analyte (Ng/L) PBW1 PBW2 PBW3 PBW4 Mean
StdDev eMDL**
eMDL 1x
RL 1x
eMDL 50x
RL 50x
Fe(II) * * * *
3.6
3.6
20
180
1000
Total Fe * * * *
6.7
6.7
20
330
1000
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
**Please see narrative regarding eMDL calculations
Quality Control Summary - Preparation Blank Summary (3)
Analyte (pg/L)
PBW1
PBW2
PBW3
PBW4
Mean
StdDev
eMDL* eMDL 10x RL 10x eMDL 25x RL 25x
Mn (II)
0.83
0.33
0.55
0.54
0.57
0.21
0.091 0.91 5.0 - -
Total Mn
-0.225
-0.210
-0.197
-0.229
-0.211
0.015
0.002 - - 0.044 1.0
Diss Mn
-0.163
-0.192
-0.163
-0.088
-0.173
0.045
0.005 - - 0.13 1.0
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
*Please see narrative regarding eMDL calculations

Page 18 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Quality Control Summary - Certified Reference Materials (2
Analyte (Ng/L)
CRM
True Value
Result
Recovery
As(III)
LCS
5.00
5.043
100.9
As(V)
LCS
5.00
4.581
91.6
MMAs
LCS
5.07
5.732
113.0
DMAs
LCS
3.63
3.509
96.8
Quality Control Summary
- Certified Reference Materials (3)
Analyte (pg/L)
CRM
True Value
Result
Recovery
Fe(II)
ICV
500.0
522.8
104.6
Total Fe
LCS
500.0
466.9
93.4
Mn (II)
LCS
10.00
10.85
108.5
Total Mn
TMDA-70.2
312
306.7
98.3
Diss Mn
TMDA-70.2
312
292.5
93.7

Page 19 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Quality Control Summary - Matrix Duplicates (2)
Analyte (pg/L)
Sample ID
Rep 1
Rep 2
Mean
RPD
As(III)
Batch QC
0.352
0.411
0.382
15.6
As(V)
Batch QC
0.116
0.123
0.120
6.0
MMAs
Batch QC
ND (<0.053)
ND (<0.053)
NC
NC
DMAs
Batch QC
ND (<0.083)
ND (<0.083)
NC
NC
ND = Not detected at the applied dilution
NC = Value was not calculated due to one or more concentrations below the eMDL

Page 20 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Qualitv Control Summary - Matrix Duplicates (3
Analyte (pg/L)
Sample ID
Rep 1
Rep 2
Mean
RPD
Fe(II)
Batch QC
11250
11370
11310
1.1
Total Fe
Batch QC
11560
11560
11560
0.0
Mn (II)
Batch QC
25.50
25.19
25.35
1.2
Total Mn
AMW-6RBC
301.9
296.9
299.4
1.7
Diss Mn
AMW-6RBC
302.3
303.7
303.0
0.4

Page 21 of 25
Speciation Results for Duke Energy
Project Name: Duke HF Lee Plant
Contact: Jay Perkins
LIMS# J15060375
Date: June 29, 2015
Report Generated by: Russell Gerads
Brooks Rand Labs, LLC
Quality Control Summary - Matrix Spike/Matrix Spike Duplicate (2)
Analyte (lag/L)
Sample ID
Spike Conc
MS Result
Recovery
Spike Conc
MSD Result
Recovery
RPD
As(III)
Batch QC
20.00
19.31
96.5
20.00
19.69
98.5
2.0
As(V)
Batch QC
20.00
18.97
94.9
20.00
19.37
96.8
2.1
DMAs
Batch QC
20.98
19.33
92.1
20.98
19.40
92.4
0.4
Quality Control Summary - Matrix Spike/Matrix Spike Duplicate (3
Analyte (lag/L)
Sample ID
Spike Conc
MS Result
Recovery
Spike Conc
MSD Result
Recovery
RPD
Fe(I1)
Batch QC
25000
36920
102.4
25000
36920
102.4
0.0
Total Fe
Batch QC
25000
35250
94.8
25000
35130
94.3
0.3
Mn (II)
Batch QC
50.00
80.07
109.5
50.00
80.26
109.8
0.8
Total Mn
AMW-6RBC
1000
1272
97.3
1000
1274
97.5
0.1
Diss Mn
AMW-6RBC
1000
1278
97.5
1000
1236
93.3
3.3

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188134 \orzhcreek T'arkv.,ac Affikji2F!1}3-3300
Bothell, WA 98011 Fax [phone]
(:om�::n� Actru: wn t'erra
BRL Project Mana en jerem-''%Iaute
BY subnutting of samples the client agrees to all terms and conditions set forth
in the quotation provided by the BRL project manager. If you are not fanuhar
with the term and conditions associated with your project, please contact yesur
Bltt_ representative as soon as possible [phone].
Phone Number. M4-430 1.1.i5
lax \u��tber:
Requested Turn Around Time:
Method of Sam le Delivery:
lis7t;u1 _Auclrc�>:
1'ro+,ect \ame:
1l f Lec
Courier Tracking Number:
Project Number:
Confirmation of Sample Reception: � Yes ® No
Pr;r \un�bcr: 121%tiUB
Santplc IU
Bottle ID
Date and Time
Nlatrix
Volume
Preservative
Initials
Requested Analvtes and Methods
Comments
W - 3r3
3 5-
�' 15 i3i5
_-1 rd
_ }
_.. i ._ _._
_Lai
EDTA - 1
-1
%
As Spec
Ct ft --
field filtered
field filtered
field filtered
field filtered
:)jegassed HO
Fe Spec_
' 06 t�U
_.
None —
.�_.. _
None _ _
-
�
-^_ _
- -
Mn Spec
t3 3 0 - `I
_— _ _--
Mn Spec
_ _--
unfiltered
__--
None
_ �
� �
M. Peeh
field filtered
W '
3 5 'I `I
G �j . S i 2p
1
.. . , -
EDTA -'
As Spec
field filtered
f H40MtMH4 t04'
-
- -
field filtered
13'369 17
_
-fie assed HCl
None
Fe Spec —_ _ _
Mn Spec
field filtered _ ^
field filtered
unfiltered
field filtered
—
is 1741
None
--__Mn Spec ��--,
-tv-spee-
Relinquished by: (sign)
Received by (si
int)
(print)
a(,! ��-
DatefTime:
Date/Time: f ' Co
Comments:
1
Temp,
Retinqutshed by. (sign)
Received by (sign)
(print)
(print)
Date/Time:
Date[Time:
Comments:
Temp:
�ra�e are<ntn: for each sample bottle as a seper:ue line item for verification purposes
tissue (PS),product (11 , uthrr (( ))
Y�ac� gnat sa�wru cZVOk i � W Z% 'JWabcte d av% b OA-kU, 10 reads "tg 3 945�-21
j
S' Y\UVV-O- { ly1 h �✓Y1L t, t 6 51 b"5`1t (, W 3 �C S'r�t Goa fit a:� St+hv+rJj . !� fz t t (April 21N)5}
J / 1 (�•,y•ls

1 L4li,.Ct'a '3-<
t '7nt,am � u1�c: ti n 1 erra
t
18804 Northcreek Parkway 9Rc��tQ � 83 33(K)
Bothell, VG'A 98011 Fax [phone]
BRL Pro ect Manager: Jeremv Maute
' t,aci Pc,.� �r7.
Richard lacol's
By submitting of samples the client agrees to all terms and conditions set forth
in the quotation provided by the BR1. project manager. If you are not familiar
with the term and conditions associated with your project, please contact your
BRL representative as soon as possible [phone],
\ddrvs 1.18 Rive r St. y LE 227
<;recw" Ile, S(: 29001
1'hc'.1C \un.bcr. 864-430-1475
pro,(l-iddre„
lcei
Requested Turn Around Time:
Method of Sample Delivery:
�i1na`'
Prolect \timber:
1'O Number:
iI F LeeCourier
121"1
Trackin Number:
Confirmation of Sample Reception: Yes
13 NO
�'t12�S�1e' 113
Bottle ID
Date and Time
Matrix*
Volume
Preservative
Initials
Requested Analvtes and Methods
Comments
i l r iyl
/ 5
EDTA - 1
As Spec
field filtered
NH4OH/NH4SO4
_
Cr(VI)
field filtered
fs'3p7�
-r-15 ly" /L
--
J.
_
Deassed HCI
Fe Spec _ _
_-- --
Mn Spec
Mn Spec
Se Spec
field filtered
1339 621
None
None
__ --_-- -
field filtered
unfiltered
field filtered
None
L3 3 S V 6, 5
G - 7 is 5'
EDTA - 1
As Spec
field filtered
field filtered
field filtered
field filtered
unfiltered
field filtered
NH4OH/NH4SO4
Cr(VIZ_ _
Fe Spec
IS 3
Degassed HCI
b39
None
None
_
Mn Spec _ _
Mn S ec
Se Spec
None
------------------
Relinquished by (sign) / (print)
Received by (sig L_ (print)
DatelTime:
Date/Time: t+ 1 �1 Q
Comments:
Temp:
Relinquished by (sin
9)
Received by (sign)
(print}
(print)
DatelTime:
Date/Time:
Comments:
Temp:
«-cvum IM (,en "ample bottle as a seperate line item for verification purposes.
ht%itr?x: A��. I nc<h�reror ; FA,.', >caw a tr !S\X ;�, },ruufi�luatrr !('SAC", waacwatc•r \C/\X'j, stnl (til �, sedunrnt (till), tissue (1 S), pr<xiuct (P), other (t))
Kv% 1.1 (April 21x15j