NC0003433_J15060674F_20150902

+ DUKE Analytical Laboratory Page 1of21
ENERGY
Order Number:
Project Name:
Customer Name(s):
Customer Address:
13339 Hagers Ferry Road
Huntersville, NC 28078-7929
McGuire Nuclear Complex - MG03A2
Phone:[phone] Fax:[phone]
Order Summary Report
J15060674
CAPE FEAR - AB GW ASSESSMENT SPECIATION
Tim Hunsucker, Chris Suttell, Kathy Webb, John Toepfer
Lab Contact: Peggy Kendall Phone:
peggy.kendall@du
Report Authorized By: ke-energy.com Date: 8/3/2015
(Signature) 2015.0&03
rt€_
Peggy Kendall
10:15:29-04'00'
Program Comments:
Please contact the Program Manager (Peggy Kendall) with any questions regarding this report.
Data Flags & Calculations:
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:
Page 2 of 21
Sample ID Plant/Station
2015020265 Cape Fear
2015020266 Cape Fear
2 Total Samples
Collection
Date and Time Collected By
Sample Description
17-Jun-15 1:55 PM Kyle Donovan CTMW-2
17-Jun-15 11:18 AM Kyle Donovan MW-2

Page 3 of 21
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: 8/3/2015

Certificate of Laboratory Analysis Page 4 of 21
This report shall not be reproduced, except in full.
Order # J15060674
Site: CTMW-2
Collection Date: 17-Jun-15 1:55 PM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015020265
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 # J15060674
Site: MW-2
Collection Date: 17-Jun-15 11:18 AM
Analyte Result Units Qualifiers RDL DF
Speciation of an Element - (Analysis Performed by Brooks Rand Labs LLC)
Vendor Parameter Complete
Sample #: 2015020266
Matrix: GW WW
Page 5 of 21
Method Analysis Date/Time Analyst
Vendor Method V_BRAND

Page 6 of 21
BRO�©KS
RAND
LABS
MEANINGFUL METALS DATA
July 31, 2015
Peggy Kendall
Duke Energy Analytical Laboratory
Mail Code MGO3A2 (Building 7405)
13339 Hagers Ferry Rd.
Huntersville, NC 28078
980-875-5848
Project: Duke Energy Progress Cape Fear (LIMS# J15060674)
Ms. Kendall,
Attached is the report associated with two (2) aqueous samples submitted for hexavalent
chromium, selenium speciation, arsenic speciation, iron speciation, and manganese speciation
analyses on June 17, 2015. The samples were received in a sealed cooler at -0.3°C on June 18,
2015. Arsenic speciation analyses were performed via ion chromatography inductively coupled
plasma collision reaction cell mass spectrometry (IC-ICP-CRC-MS). 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,
kL7S�--
Jeremy Maute
Project Manager
Brooks Rand Labs, LLC
3958 6th Ave NW • Seattle, WA 98107 • T: 206-632-6206 • F: 206-632-6017 • www.brooksrand.com • [e-mail]

Page 7 of 21
Brooks Rand Labs, LLC
Report prepared for:
Peggy Kendall
Duke Energy Analytical Laboratory
Mail Code MGO3A2 (Building 7405)
13339 Hagers Ferry Rd.
Huntersville, NC 28078
Project: Duke Energy Progress Cape Fear (LIMS# J15060674)
July 31, 2015
1. Sample Reception
Two (2) aqueous samples were submitted for hexavalent chromium, selenium speciation,
arsenic speciation, iron speciation, and manganese speciation analyses on June 17, 2015.
The samples were received in acceptable condition on June 18, 2015 in a sealed container at
a temperature of-0.3°C.
The client instructed Brooks Rand Labs to cancel hexavalent chromium and selenium
speciation analyses for all client samples in this sampling event. The chain of custody form
reflects hexavalent chromium and selenium speciation as target analytes; however, no results
were reported for these parameters in accordance with the client's instructions.
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. Sample fractions
requesting hexavalent chromium, selenium speciation, arsenic speciation, and iron speciation
analyses were field filtered by the client. Two containers were submitted for each client
sample requesting manganese speciation, one field filtered fraction and one unfiltered
fraction.
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

Page 8 of 21
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.
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 Analysis 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-QQQ-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).

Page 9 of 21
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 July 14, 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
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 were analyzed for
Fe(II) quantification on June 18, 2015. The samples were analyzed for total recoverable Fe
on July 14, 2015. All samples were analyzed for Fe speciation 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(II) 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 29, 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.

Page 10 of 21
Manganese Mn(IV) 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 July 3, 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 (Q1), 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.
4. Analytical Issues
No significant analytical issues were encountered. With the exceptions noted below, all
quality control parameters associated with the samples were within acceptance limits.
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.
Total and dissolved manganese results for the client sample, identified as MW-2, were
greater than the value of the associated high calibration standard. A linear range verification
standard was analyzed at 2000 µg/L. The manganese recovery for the linear range
verification standard was acceptable, at 99.5%, demonstrating that the linear range of the
analytical platform extended to 2000 µg/L for manganese. Manganese results for MW-2
were less than 2000 µg/L with the dilutions at the instrument factored in, and thus were
within the linear range demonstrated by the linear range verification standard. No
qualification of data was necessary.
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 values for Fe(II) and total recoverable Fe were set at 5.0 based on the sensitivity
of the instrument.

Page 11 of 21
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.
The dissolved manganese result for the fourth preparation blank, identified as PBW4, is a
statistical outlier according to the Grubb's Test. The value for this sample was omitted from
calculations used to determine the eMDL associated with manganese results.
If you have any questions or concerns regarding this report, please feel free to contact me.
Sincerely,
Jeremy Maute
Project Manager
Brooks Rand Labs, LLC

Page 12 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Sample Results (1)
Unknown As
Sample ID As(III) As(V) MMAs DMAs Species
CTMW-2 0.285 6.38 ND (<0.061) ND (<0.064) ND (<0.061)
MW-2 0.076 ND (<0.076) ND (<0.061) ND (<0.064) ND (<0.061)
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

Page 13 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Sample Results (2)
Sample ID
Fe(II)
Fe(III)*
Mn (II)
Mn(IV)**
CTMW-2
ND (<5.0)
ND (<5.0)
ND (<0.26)
1.74
MW-2
943
19.3
7090
260
All results reflect the applied dilution and are reported in pg/L
ND = Not detected at the applied dilution
*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 14 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Qualitv Control Summary - Preparation Blank Summary 0
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
0.004
0.042
0.20
As(V)
0.000
0.000
0.000
0.000
0.000
0.000
0.008
0.076
0.20
MMAs
0.000
0.000
0.000
0.000
0.000
0.000
0.006
0.061
0.20
DMAs
0.000
0.000
0.000
0.000
0.000
0.000
0.006
0.064
0.21
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
*Please see narrative regarding eMDL calculations

Page 15 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Quality Control Summary - Preparation Blank Summary (2
Analyte (Ng/L) PBW1 PBW2 PBW3 PBW4 Mean StdDev eMDL** eMDL 1x RL 1x eMDL 2x RL 2x
Fe(II) 0.0 0.0 0.0 0.0 0.0 0.0 5.0 5.0 20 10 40
Total Fe 0.0 0.0 0.0 0.0 0.0 0.0 5.0 5.0 20 10 40
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
**Please see narrative regarding eMDL calculations
Quality Control Summary - Preparation Blank Summary (2)
Analyte (pg/L)
PBW1
PBW2
PBW3
PBW4
Mean
StdDev
eMDL* eMDL 10x RL 10x eMDL 25x RL 25x eMDL 100x RL 100x
Mn (II)
-0.23
0.21
-0.14
-0.27
-0.06
0.22
0.026 0.26 5.0 - - 2.6 50
Total Mn
0.06
0.07
0.14
0.07
0.09
0.04
0.005 - - 0.11 1.0 - -
Diss Mn
0.099
0.116
0.065
1.320**
0.094
0.026
0.003 - - 0.077 1.0 - -
eMDL = Estimated Method Detection Limit; RL = Reporting Limit
*Please see narrative regarding eMDL calculations
***Preparation blank is a statistical outlier according to the Grubb's Test. Please see narrative.

Page 16 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Quality Control Summary - Certified Reference Materials (1)
Analyte (lag/L)
CRM
True Value
Result
Recovery
As(III)
LCS
5.000
4.752
95.0
As(V)
LCS
5.000
4.805
96.1
MMAs
LCS
5.073
4.990
98.4
DMAs
LCS
3.625
3.519
97.1
Quality Control Summary - Certified Reference Materials (2)
Analyte (lag/L)
CRM
True Value
Result
Recovery
Fe(II)
ICV
500
514.3
102.9
Total Fe
TMDA-70.2
376
401.7
106.8
Mn (II) LCS 10.00 10.26 102.6
Total Mn TMDA-70.2 312 318.9 102.2

Page 17 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Quality Control Summary - Matrix Duplicates (1)
Analyte (pg/L)
Sample ID
Rep 1
Rep 2
Mean
RPD
As(III)
Batch QC
0.304
0.305
0.305
0.3
As(V)
Batch QC
ND (<0.076)
ND (<0.076)
NC
NC
MMAs
Batch QC
ND (<0.061)
ND (<0.061)
NC
NC
DMAs
Batch QC
ND (<0.064)
ND (<0.064)
NC
NC
ND = Not detected at the applied dilution
NC = Value was not calculated due to one or more concentrations below the eMDL

Page 18 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Qualitv Control Summary - Matrix Duplicates (2
Analyte (pg/L)
Sample ID
Rep 1
Rep 2
Mean
RPD
Fe(II)
Batch QC
185.7
195.2
190.5
5.0
Total Fe
Batch QC
247.3
247.3
247.3
0.0
Mn (II)
Batch QC
1792
1843
1817
2.8
Total Mn
MW-2
7311
7140
7225
2.4
ND = Not detected at the applied dilution
NC = Value was not calculated due to one or more concentrations below the eMDL

Page 19 of 21
Speciation Results for Duke Energy
Project Name: Duke Energy Progress Cape Fear
Contact: Peggy Kendall
LIMS# J15060674
Date: July 31, 2015
Report Generated by: Jeremy Maute
Brooks Rand Labs, LLC
Quality Control Summary - Matrix Spike/Matrix Spike Duplicate (1)
Analyte (lag/L)
Sample ID
Spike Conc
MS Result
Recovery
Spike Conc
MSD Result
Recovery
RPD
As(III)
Batch QC
20.00
19.29
94.9
20.00
19.07
93.8
1.2
As(V)
Batch QC
20.00
18.85
94.2
20.00
18.50
92.5
1.9
DMAs
Batch QC
20.98
19.69
93.9
20.98
19.65
93.7
0.2
Qualitv Control Summary - Matrix Spike/Matrix Spike Duplicate (2
Analyte (lag/L)
Sample ID
Spike Conc
MS Result
Recovery
Spike Conc
MSD Result
Recovery
RPD
Fe(II)
Batch QC
500.0
714.3
104.8
500.0
721.4
106.2
1.0
Total Fe
Batch QC
500.0
717.1
93.9
500.0
719.4
94.4
0.3
Mn (II)
Batch QC
500.0
2290
94.7
500.0
2288
94.1
0.8
Total Mn
MW-2
1000
8401
117.6
1000
8197
97.2
2.5

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Page 10 of 21

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kddress:
Phone Number:
Lax Number.
pivuw� V)2483-3300
18804 Northereek Parkway f;ax [phone]
Bothell, WA 98011
1 Pro ect Nlsn2iter
submitting of samples the client agrees to all terms and conditions ns set forth
the quotation provided by the BRI, project manager. I f you are not familiar
th the term and conditions associated with your Project, Please contact your
ZL representative as soon as ssible 425 483-3300.
nested Turn Around Time:
ethod of Sam IS Deliv
ouner Trackin Number:
® No
Ismail
Address:
Confirmation of Sample Reception: Ica
Pro ect Narrte:
Pro ect Number:
1217608
Initials Requested Anal tes and Methods
Comments
PCB Number'
5 Bottle ID Date and Time Matrix Volume Preservative
1
As S
field filtered
Sample ID
EDTA -
Cr
field filtered
.
t �, _
NH4OH/NH4SO4
Fe Spec
field filtered
r
� '� " ��"
assed HCI
� �
Mn S c
field filtered
`
None
Mn S c
unfiltered
-
None
Se S
field filtered
None
As S
- field filtered
. v -
.. EDTA- 1
1-
Cr VI
field filtered
NH4OHINH4SO4
Fe S c
field filtered
De ssed HCl
Mn S c
Feld filtered
C.
None
Mn S ec
unfiltered
None
Se S
field filtered
n
None
t:
- Date/Time:_-
- Wi`tU G C�
Relinquished by' of C;
(si9ni ,ram O"fe
! (prinq ( T
Received by: (sign Comments:
DaterTime:
(Print) Temp:
Relinquished by: (sign) Dawime:
Received b : (sign)
(print)
Please account for each sample bottle as a seperate line item for verification purposes- soil
(p,sediment (SID), tissue US' product (�}+ other (0)
Matrix: Air, Freshwater (I , srawater (SW), groundwater (GVi�, wastewater (VUW), 5
Itcr 1.1 (Aped 2W5)