NC0038377_J15060885report_20150902

Lab
DUI E Analytical Laboratory APagel1aof36
ENERGY
Order Number:
Project Name:
Customer Name(s):
Customer Address:
Lab Contact:
Report Authorized By:
(Signature)
Program Comments:
13339 Hagers Ferry Road
Huntersville, NC 28078-7929
McGuire Nuclear Complex - MG03A2
Phone:[phone] Fax:[phone]
Order Summary Report
J15060885
MAYO STEAM - AB GW ASSESSMENT WATER
Tim Hunsucker, Jerry Wylie, Kathy Webb, John Toepfer
Mary Ann Oqle
Mary Ann Ogle
mary.ogle@duke- Phone: [phone]
energy.com
2015.07.0716:08:45 Date:
-04'00'
Please contact the Program Manager (Mary Ann Ogle) with any questions regarding this report.
Data Flags & Calculations:
7/7/2015
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
2015021167
2015021168
2015021169
2015021170
4 Total Samples
Collected By
Sample Description
MAYO STEAM
25-Jun-15 12:00 PM
Erin Black
MW-11 BR
MAYO STEAM
25-Jun-15 3:45 PM
Erin Black
ABMW-1
MAYO STEAM
25-Jun-15 10:40 AM
Erin Black
Filter Blank
MAYO STEAM
25-Jun-15 10:40 AM
Erin Black
Equipment Blank
Analytical Lab
Page 2 of 36

Analytical Lab
Page 3 of 36
Technical Validation Review
Checklist:
COC and .pdf report are in agreement with sample totals 0 Yes ❑ No
and analyses (compliance programs and procedures).
All Results are less than the laboratory reporting limits. ❑ Yes 0 No
All laboratory QA/QC requirements are acceptable. 0 Yes ❑ No
Report Sections Included:
E%-'] Job Summary Report
❑� Sample Identification
Technical Validation of Data Package
❑� Analytical Laboratory Certificate of Analysis
❑ Analytical Laboratory QC Report
❑d Sub -contracted Laboratory Results
❑ Customer Specific Data Sheets, Reports, & Documentation
❑ Customer Database Entries
❑� Chain of Custody
❑� Electronic Data Deliverable (EDD) Sent Separately
Reviewed By: Mary Ann Ogle Date: 7/7/2015

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: MW-11 BR
Collection Date: 25-Jun-15 12:00 PM
Analyte
Result
Units
Qualifiers RDL
ALKALINITY - (Analysis Performed by Shealy Labs)
Vendor Parameter
Complete
NITRITE + NITRATE (COLORIMETRIC)
Nitrite + Nitrate (Colorimetric)
< 0.01
mg-N/L
0.01
INORGANIC IONS BY IC
Chloride
16
mg/L
1
Sulfate
14
mg/L
1
MERCURY (COLD VAPOR) IN WATER
Mercury (Hg)
< 0.05
ug/L
0.05
Mercury Dissolved (cold vapor) in Water (Filtered)
Mercury (Hg)
< 0.05
ug/L
0.05
DISSOLVED METALS BY ICP
Aluminum (AI)
0.016
mg/L
0.005
Barium (Ba)
0.046
mg/L
0.005
Boron (B)
< 0.05
mg/L
0.05
Iron (Fe)
< 0.01
mg/L
0.01
Manganese (Mn)
0.073
mg/L
0.005
Strontium (Sr)
0.225
mg/L
0.005
Zinc (Zn)
0.012
mg/L
0.005
UNDIGESTED METALS BY lCP
Calcium (Ca)
49.6
mg/L
0.01
Magnesium (Mg)
11.1
mg/L
0.005
Potassium (K)
5.03
mg/L
0.1
Sodium (Na)
14.3
mg/L
0.05
TOTAL RECOVERABLE METALS BY ICP
Aluminum (AI)
0.080
mg/L
0.005
Barium (Ba)
0.044
mg/L
0.005
Boron (B)
< 0.05
mg/L
0.05
Iron (Fe)
0.115
mg/L
0.01
Manganese (Mn)
0.067
mg/L
0.005
Strontium (Sr)
0.200
mg/L
0.005
Zinc (Zn)
< 0.005
mg/L
0.005
Sample #: 2015021167
Matrix: GW WW
Analytical Lab
Page 4 of 36
DF Method Analysis Date/Time Analyst
Vendor Method
V_SHEALY
1
EPA 353.2
06/26/2015 14:08
LSTARLI
10
EPA 300.0
06/26/2015 16:42
BGN9034
10
EPA 300.0
06/26/2015 16:42
BGN9034
1
EPA 245.1
06/30/2015 10:59
ACPAYNE
1
EPA 245.1
06/30/2015 12:35
ACPAYNE
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:52
MHH7131
1
EPA 200.7
07/01/2015 09:26
MHH7131
1
EPA 200.7
07/01/2015 09:26
MHH7131
1
EPA 200.7
07/01/2015 09:26
MHH7131
1
EPA 200.7
07/01/2015 09:26
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131
1
EPA 200.7
07/02/2015 10:00
MHH7131

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: MW-11 BR
Collection Date: 25-Jun-15 12:00 PM
Analyte Result Units Qualifiers RDL
TOTAL RECOVERABLE METALS BY ICP-MS (DISSOLVED)
Antimony (Sb)
1.61
ug/L
1
Arsenic (As)
< 1
ug/L
1
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
1.59
ug/L
1
Cobalt (Co)
< 1
ug/L
1
Copper (Cu)
7.72
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
5.04
ug/L
1
Nickel (Ni)
< 1
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
< 0.2
ug/L
0.2
Vanadium (V) Low Level
2.39
ug/L
0.3
TOTAL RECOVERABLE METALS BY ICP-MS
Antimony (Sb)
1.32
ug/L
1
Arsenic (As)
< 1
ug/L
1
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
1.73
ug/L
1
Cobalt (Co)
< 1
ug/L
1
Copper (Cu)
< 1
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
5.41
ug/L
1
Nickel (Ni)
< 1
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
0.323
ug/L
0.2
Vanadium (V) Low Level
2.69
ug/L
0.3
METHANE - (Analysis Performed by
Shealy Labs)
Methane (CH4)
Complete
SULFIDE - (Analysis Performed by
Element One)
Vendor Parameter
Complete
TOTAL DISSOLVED SOLIDS
TDS
250
mg/L
25
Total Carbon
TOC
1.1
mg/L
0.1
TOTAL SUSPENDED SOLIDS
TSS
< 5
mg/L
5
Sample #: 2015021167
Matrix: GW WW
Analytical Lab
Page 5 of 36
DF
Method
Analysis Date/Time
Analyst
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/01/2015 14:49
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
1
EPA 200.8
07/02/2015 12:38
JAHERMA
Vendor Method V_SHEALY
Vendor Method V_ELE1
1 SM2540C 06/29/201514:38 AGIBBS5
1 SM5310C/EPA9060A 06/29/201513:32 GHUTCHI
1 SM2540D 06/29/2015 07:23 AGIBBS5

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: ABMW-1
Collection Date: 25-Jun-15 3:45 PM
Analyte
Result
Units
Qualifiers RDL
ALKALINITY - (Analysis Performed by Shealy Labs)
Vendor Parameter
Complete
NITRITE + NITRATE (COLORIMETRIC)
Nitrite + Nitrate (Colorimetric)
< 0.01
mg-N/L
M2 0.01
INORGANIC IONS BY IC
Chloride
16
mg/L
1
Sulfate
5.8
mg/L
0.1
MERCURY (COLD VAPOR) IN WATER
Mercury (Hg)
< 0.05
ug/L
0.05
Mercury Dissolved (cold vapor) in Water (Filtered)
Mercury (Hg)
< 0.05
ug/L
0.05
DISSOLVED METALS BY ICP
Aluminum (AI)
0.146
mg/L
0.005
Barium (Ba)
0.850
mg/L
0.005
Boron (B)
4.53
mg/L
0.05
Iron (Fe)
0.483
mg/L
0.01
Manganese (Mn)
2.12
mg/L
0.005
Strontium (Sr)
3.36
mg/L
0.005
Zinc (Zn)
0.014
mg/L
0.005
UNDIGESTED METALS BY lCP
Calcium (Ca)
100
mg/L
0.1
Magnesium (Mg)
51.9
mg/L
0.005
Potassium (K)
24.6
mg/L
1
Sodium (Na)
18.7
mg/L
0.05
TOTAL RECOVERABLE METALS BY ICP
Aluminum (AI)
0.179
mg/L
0.005
Barium (Ba)
0.925
mg/L
0.005
Boron (B)
4.56
mg/L
0.05
Iron (Fe)
1.37
mg/L
0.01
Manganese (Mn)
2.28
mg/L
0.005
Strontium (Sr)
3.49
mg/L
0.005
Zinc (Zn)
< 0.005
mg/L
0.005
Sample #: 2015021168
Matrix: GW WW
Analytical Lab
Page 6 of 36
DF Method Analysis Date/Time Analyst
Vendor Method
V_SHEALY
1
EPA 353.2
06/26/2015 14:04
LSTARLI
10
EPA 300.0
06/26/2015 18:37
BGN9034
1
EPA 300.0
06/26/2015 18:37
BGN9034
1
EPA 245.1
06/30/2015 11:01
ACPAYNE
1
EPA 245.1
06/30/2015 12:37
ACPAYNE
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
1
EPA 200.7
07/01/2015 09:57
MHH7131
10
EPA 200.7
07/01/2015 09:39
MHH7131
1
EPA 200.7
07/01/2015 09:39
MHH7131
10
EPA 200.7
07/01/2015 09:39
MHH7131
1
EPA 200.7
07/01/2015 09:39
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131
1
EPA 200.7
07/02/2015 10:04
MHH7131

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: ABMW-1
Collection Date: 25-Jun-15 3:45 PM
Analyte Result Units Qualifiers RDL
TOTAL RECOVERABLE METALS BY ICP-MS (DISSOLVED)
Antimony (Sb)
43.0
ug/L
1
Arsenic (As)
369
ug/L
1
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
< 1
ug/L
1
Cobalt (Co)
5.55
ug/L
1
Copper (Cu)
10.6
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
205
ug/L
1
Nickel (Ni)
4.77
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
2.13
ug/L
0.2
Vanadium (V) Low Level
290
ug/L
0.3
TOTAL RECOVERABLE METALS BY ICP-MS
Antimony (Sb)
38.0
ug/L
1
Arsenic (As)
518
ug/L
5
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
< 1
ug/L
1
Cobalt (Co)
6.09
ug/L
1
Copper (Cu)
< 1
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
213
ug/L
1
Nickel (Ni)
5.45
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
2.47
ug/L
0.2
Vanadium (V) Low Level
314
ug/L
0.3
METHANE - (Analysis Performed by
Shealy Labs)
Methane (CH4)
Complete
SULFIDE - (Analysis Performed by
Element One)
Vendor Parameter
Complete
TOTAL DISSOLVED SOLIDS
TDS
540
mg/L
25
Total Carbon
TOC
2.8
mg/L
0.1
TOTAL SUSPENDED SOLIDS
TSS
6.0
mg/L
5
Sample #: 2015021168
Matrix: GW WW
Analytical Lab
Page 7 of 36
DF
Method
Analysis Date/Time
Analyst
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/01/2015 14:57
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
5
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
1
EPA 200.8
07/02/2015 12:45
JAHERMA
Vendor Method V_SHEALY
Vendor Method V_ELE1
1 SM2540C 06/29/201514:38 AGIBBS5
1 SM5310C/EPA9060A 06/29/201513:32 GHUTCHI
1 SM2540D 06/29/2015 07:23 AGIBBS5

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: Filter Blank
Collection Date: 25-Jun-15 10:40 AM
Analyte
Result
Units
Qualifiers RDL
Mercury Dissolved (cold vapor) in Water (Filtered)
Mercury (Hg)
< 0.05
ug/L
0.05
DISSOLVED METALS BY ICP
Aluminum (AI)
< 0.005
mg/L
0.005
Barium (Ba)
< 0.005
mg/L
0.005
Boron (B)
< 0.05
mg/L
0.05
Iron (Fe)
< 0.01
mg/L
0.01
Manganese (Mn)
< 0.005
mg/L
0.005
Strontium (Sr)
< 0.005
mg/L
0.005
Zinc (Zn)
0.027
mg/L
0.005
TOTAL RECOVERABLE METALS BY ICP-MS (DISSOLVED)
Antimony (Sb)
< 1
ug/L
1
Arsenic (As)
< 1
ug/L
1
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
< 1
ug/L
1
Cobalt (Co)
< 1
ug/L
1
Copper (Cu)
< 1
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
< 1
ug/L
1
Nickel (Ni)
< 1
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
< 0.2
ug/L
0.2
Vanadium (V) Low Level
< 0.3
ug/L
0.3
Sample #: 2015021169
Matrix: GW WW
Analytical Lab
Page 8 of 36
DF
Method
Analysis Date/Time
Analyst
1
EPA 245.1
06/30/2015 12:39
ACPAYNE
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.7
07/01/2015 10:06
MHH7131
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA
1
EPA 200.8
07/01/2015 15:04
JAHERMA

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: Equipment Blank
Collection Date: 25-Jun-15 10:40 AM
Analyte
Result
Units
Qualifiers RDL
ALKALINITY - (Analysis Performed by Shealy
Labs)
Vendor Parameter
Complete
NITRITE + NITRATE (COLORIMETRIC)
Nitrite + Nitrate (Colorimetric)
0.012
mg-N/L
0.01
INORGANIC IONS BY IC
Chloride
< 0.1
mg/L
0.1
Sulfate
< 0.1
mg/L
0.1
MERCURY (COLD VAPOR) IN WATER
Mercury (Hg)
< 0.05
ug/L
0.05
UNDIGESTED METALS BY lCP
Calcium (Ca)
0.030
mg/L
0.01
Magnesium (Mg)
< 0.005
mg/L
0.005
Potassium (K)
< 0.1
mg/L
0.1
Sodium (Na)
< 0.05
mg/L
0.05
TOTAL RECOVERABLE METALS BY ICP
Aluminum (AI)
0.007
mg/L
0.005
Barium (Ba)
< 0.005
mg/L
0.005
Boron (B)
< 0.05
mg/L
0.05
Iron (Fe)
< 0.01
mg/L
0.01
Manganese (Mn)
< 0.005
mg/L
0.005
Strontium (Sr)
< 0.005
mg/L
0.005
Zinc (Zn)
< 0.005
mg/L
0.005
TOTAL RECOVERABLE METALS BY ICP-MS
Antimony (Sb)
< 1
ug/L
1
Arsenic (As)
< 1
ug/L
1
Beryllium (Be)
< 1
ug/L
1
Cadmium (Cd)
< 1
ug/L
1
Chromium (Cr)
< 1
ug/L
1
Cobalt (Co)
< 1
ug/L
1
Copper (Cu)
< 1
ug/L
1
Lead (Pb)
< 1
ug/L
1
Molybdenum (Mo)
< 1
ug/L
1
Nickel (Ni)
< 1
ug/L
1
Selenium (Se)
< 1
ug/L
1
Thallium (TI) Low Level
< 0.2
ug/L
0.2
Vanadium (V) Low Level
< 0.3
ug/L
0.3
Analytical Lab
Page 9 of 36
Sample #: 2015021170
Matrix: GW WW
DF Method Analysis Date/Time Analyst
Vendor Method V_SHEALY
1 EPA 353.2
06/26/2015 14:09
LSTARLI
1 EPA 300.0
06/26/2015 15:53
BGN9034
1 EPA 300.0
06/26/2015 15:53
BGN9034
1 EPA 245.1
06/30/2015 11:04
ACPAYNE
1 EPA 200.7
07/01/2015 09:48
MHH7131
1 EPA 200.7
07/01/2015 09:48
MHH7131
1 EPA 200.7
07/01/2015 09:48
MHH7131
1 EPA 200.7
07/01/2015 09:48
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.7
07/02/2015 10:07
MHH7131
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
1 EPA 200.8
07/02/2015 12:52
JAHERMA
METHANE - (Analysis Performed by Shealy Labs
Methane (CH4) Complete
Vendor Method V_SHEALY

Certificate of Laboratory Analysis
This report shall not be reproduced, except in full.
Order # J15060885
Site: Equipment Blank
Collection Date: 25-Jun-15 10:40 AM
Analyte Result Units Qualifiers RDL DF
SULFIDE - (Analysis Performed by Element One)
Vendor Parameter Complete
TOTAL DISSOLVED SOLIDS
TDS < 25 mg/L 25 1
Total Carbon
Sample #: 2015021170
Matrix: GW WW
Analytical Lab
Page 10 of 36
Method Analysis Date/Time Analyst
Vendor Method
V_ELE1
SM2540C 06/29/201514:38 AGIBBS5
TOC 0.268 mg/L 0.1 1 SM5310C/EPA9060A 06/29/201513:32 GHUTCHI
TOTAL SUSPENDED SOLIDS
TSS < 5 mg/L 5 1 SM2540D 06/29/2015 07:23 AGIBBS5
Qualifiers:
M2 Matrix spike recovery was Low: the associated Laboratory Control Spike (LCS) was acceptable.

Analytical Lab
Page 11 of 36
Elernent One lnc.
6319-D Carolina Beach Rd.
Wilmington, NC 28412
(Tone: 910 793-0128
Fax: [phone]
[e-mail]
REPORT OF ANALYSES
Duke Energy
July 3, 2015
Laboratory Services
Client Project Name AB GW Assessment water (wells) Mayo
13339 Hagers Ferry Road Bld. MG03A Client Project Number J15060885
Huntersville, NC 28078
PO Number
Sample Matrix GW WW
Sample Type Grab Date Received
06/30/2015
Date Analyzed 07/01/2015
Method SM 4500 S2. D Time Received
1630
Delivered by Fed Ex
Received by
LLB
eOne ID Duke Energy ID
Parameter Result Unit Dil DL Date
Sampled
Time
Sampled
25208-1 MW-11 BR
Sulfide < 0.1 mg/L 1 0.1 06/25/15
1200
25208-2*
25208-3
ABMW-1 Sulfide < 1.0 mg/L 10 0.1 06/25/15 1545
Equipment Blank Sulfide < 0.1 mg/L 1 0.1 06/25/15 1040
*Sample spike recovery outside of QA limits of 85-115%; dilution necessary to meet laboratory QA limits.
Ken Smith, Laboratory Director
25208 Duke Report Packet Compiled by
NC Certifications: DW 37788 and DWQ DENR 604

Analytical Lab
Page gale
u
(3 A
) \� \
k^
\£
Q < -
�(
�
Ln
7..�§
a
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,
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4&(
t&f
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a
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elementOne SAMPLE SUBMISSION FORM
TAT 5 1311)
Hold Time Expiration 07.02.15 @ 1040
Client: Duke Energy
LIMS No J15060885
Project ID Mayo
Analytical Lab
Lab I[Pgerltlft
Analysis Due Date
07.01.15
Report Due Date
07.03.15
Date Rec:
06.30.15
Time Rec:
1630
Rec By
LLB
H-->9 No
­7
Temp:5 6°C a-e es N o
Ref. Method:
SM4500 S2 D
If No, Re
It& cord
If No, Record
Q0111111AW MWIMIMOLIVII 09 %oU11%;L;L1V11 1[11UU[11dL1UFJ
Lab ID Client ID Collection Date Collection Time AT3_lXsis Requested
1 MW-11BR 06.25.15 1200 ulf* IS6 -If i dd-
2 ABMW-1 06.25.15 1545 ulfid
3 Equipment Blank 06.25.15 1040 Sulfid
NOTE for Sulfide The IVIS/IVISD spike should approximate 2 to 3 times the sample concentration. If no sulfide detected
at 100 pg/L spike the sample to render the final spike concentration at - 500 pg/L

Analytical Lab
Page 14 of 36
METHOD:
SM 4500 S2- D
ELEMENT ONE
ELEMENT ASSAY:
Sulfide
Spectrophotometer
Wave Length 664
UNITS OF ANSWER
ug/mL
DETECTION LIMIT u
1.000
CLIENT:
Duke
SPK LEVEL (ua)
5
Lab ID#
25208
Na2S.9H2O Lot #
40721
IQC
MAX ALIQUOT
10.00
Date:
07/01/15
STANDARD_c_on_c(ppm)
X
Time Analysis Begun
1500
Cal Std Lot: SD-15-3
10
Time Analysis Ended
1640
Std Lot: SD-15-4
10
Analyst:
KAM
ISTID ABSORPTION I
Y
X
Y
a�
ug STD
SOLUTION
STD
ABS
0.sw
07M
0�
0.00
1.00
2.50
5.00
7.50
10.00
0.000
0.094
0.223
0.416
0.633
0.780
0600
ram°
y
-500
0300
-'�
0.2W
0,00
0OD :DO aW 6w 10m 1200
x
SAMPLE
I.D.
SAMP
ABS
ug PER
ALIQUOT
ALI in mL
ANALYZED
PREP
VOL in mL
Sloe - 0.078852747
Correlation 0.998261023
ALI in mL
TAKEN
RESULTS
ug/mL
LESS THAN
% SPK REC
SPIKE
LEVEL
Std. B. 0.00
O.00D
0.0000
10
10
10
<
0.0
Std. B. 1.00
0.092
0.8703
10
10
10
<
87.03%
1.0
Std. B. 2.50
0.211
2.4215
10
10
10
0.242
96.86%
2.5
Std. B. 5.00
0.408
4.9894
10
10
10
0.499
99.79%
5.0
Std. B. 7.50
0.609
7.6095
10
10
10
0.761
101.46%
7.5
Std. B. 10.00
0.768
9.6822
10
10
10
0.968
96.82%
10.0
LRB
0.005
-0.2638
10
10
10
<
0.0
LRB SPK
0.444
5.4587
10
10
10
0.546
109%
5.0
QC
0.448
5.5109
10
10
10
0.551
110%
5.0
25208-1
0.013
-0.1595
10
10
10
25208-1 s k
0.447
5A978
10
10
10
0.550
110%
5.0
25208-2
0.003
-0.2899
10
10
10
<
25208-2 dup
0.005
-0.2638
10
10
10
<
25208-2 s k
0.181
2.0304
10
10
10
0.203
41 %
5.0
25208-3
0.003
-0.2899
10
10
10
Emms
25208-3 spk
0.450
5.5369
10
10
10
0.554
111 %
5.0
25208-2
0.008
-0.2247
10
10
5
<
25208-2 dup
0.002
-0.3029
10
10
5
<
25208-2 s k
0.250
2.9299
10
10
5
0.586
59%
5.0
25208-2
0.002
-0.3029
10
10
2
<
25208-2 dup
0.003
-0.2899
10
10
2
<
25208-2 s k
0.341
4.1161
10
10
2
2.06
82%
5.0
25208-2
0.004
-0.2768
10
10
1
<
25208-2 dup
0.005
-0.2638
10
10
1'
25208-2 s k
0.387
4.7157
10
10
1
4.72
94%
5.0
Blank
0.000
0.0000
10
10
10
<
QC
0.446
5.4848
10
10
10
0.548
110%
5.0
Submitted for QA/QC-
Date: 07/01/15
By: (Print)
KAM (sign):
/z

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Duke Energy
13339 Hagers Ferry Rd
Bldg 7405
Huntersville, NC 28078
Attention: Mary Ann Ogle
Project Name: AB GW Assessment Water - Mayo
Project Number:J15060885
Lot Number:QF30012
Date Completed:07/02/2015
Grant Wilton
Project Manager
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist.
Shealy Environmental Services, Inc. Page: 1 of 19
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Duke Energy
Lot Number: QF30012
Project Name: AB GW Assessment Water - Mayo
Project Number: J15060885
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page
Shealy Environmental Services, Inc. Page: 2 of 19
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Duke Energy
Lot Number: QF30012
Project Name: AB GW Assessment Water - Mayo
Project Number: J15060885
Sample Number
Sample ID
Matrix
Date Sampled
Date Received
001
2015021167
Aqueous
06/25/20151200
06/30/2015
002
2015021168
Aqueous
06/25/20151545
06/30/2015
003
2015021170
Aqueous
06/25/20151040
06/30/2015
(3 samples)
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
Duke Energy
Lot Number: QF30012
Project Name: AB GW Assessment Water - Mayo
Project Number: J15060885
Sample Sample ID
Matrix Parameter Method
Result Q
Units
Page
001 2015021167
Aqueous Alkalinity SM 2320B-
160
mg/L
5
001 2015021167
Aqueous Bicarbonate Alkalinity SM 2320B-
160
mg/L
5
002 2015021168
Aqueous Alkalinity SM 2320B-
450
mg/L
7
002 2015021168
Aqueous Bicarbonate Alkalinity SM 2320B-
450
mg/L
7
(4 detections)
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Inorganic non-metals
Client: Duke Energy Laboratory ID: QF30012-001
Description: 2015021167 Matrix: Aqueous
Date Sampled:06/25/2015 1200 Project Name: AB GW Assessment Water -
Date Received: 06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Alkalinity) SM 2320B-2011 1 06/30/2015 2256 HMA 78533
1 (Bicarbonate ) SM 2320B-2011 1 06/30/2015 2256 HMA
1 (Carbonate Al) SM 2320B-2011 1 06/30/2015 2256 HMA
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Alkalinity
SM 2320B-20
160
10
mg/L
1
Bicarbonate Alkalinity
SM 2320B-20
160
10
mg/L
1
Carbonate Alkalinity
SM 2320B-20
ND
10
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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Methane
Client: Duke Energy Laboratory ID: QF30012-001
Description: 2015021167 Matrix: Aqueous
Date Sampled:06/25/2015 1200 Project Name: AB GW Assessment Water -
Date Received:06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 RSK - 175 1 07/01/2015 1737 JJG 78641
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Methane 74-82-8 RSK - 175 ND 10 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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Inorganic non-metals
Client: Duke Energy Laboratory ID: QF30012-002
Description: 2015021168 Matrix: Aqueous
Date Sampled:06/25/2015 1545 Project Name: AB GW Assessment Water -
Date Received: 06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Alkalinity) SM 2320B-2011 1 06/30/2015 2305 HMA 78533
1 (Bicarbonate ) SM 2320B-2011 1 06/30/2015 2305 HMA
1 (Carbonate Al) SM 2320B-2011 1 06/30/2015 2305 HMA
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Alkalinity
SM 2320B-20
450
10
mg/L
1
Bicarbonate Alkalinity
SM 2320B-20
450
10
mg/L
1
Carbonate Alkalinity
SM 2320B-20
ND
10
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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Methane
Client: Duke Energy Laboratory ID: QF30012-002
Description: 2015021168 Matrix: Aqueous
Date Sampled:06/25/2015 1545 Project Name: AB GW Assessment Water -
Date Received:06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 RSK - 175 1 06/30/2015 1657 DCS 78512
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Methane 74-82-8 RSK - 175 ND 10 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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Inorganic non-metals
Client: Duke Energy Laboratory ID: QF30012-003
Description: 2015021170 Matrix: Aqueous
Date Sampled:06/25/2015 1040 Project Name: AB GW Assessment Water -
Date Received: 06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Alkalinity) SM 2320B-2011 1 06/30/2015 2309 HMA 78533
1 (Bicarbonate ) SM 2320B-2011 1 06/30/2015 2316 HMA
1 (Carbonate Al) SM 2320B-2011 1 06/30/2015 2309 HMA
CAS Analytical
Parameter
Number Method
Result Q
PQL
Units
Run
Alkalinity
SM 2320B-20
ND
10
mg/L
1
Bicarbonate Alkalinity
SM 2320B-20
ND
10
mg/L
1
Carbonate Alkalinity
SM 2320B-20
ND
10
mg/L
1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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Methane
Client: Duke Energy Laboratory ID: QF30012-003
Description: 2015021170 Matrix: Aqueous
Date Sampled:06/25/2015 1040 Project Name: AB GW Assessment Water -
Date Received:06/30/2015 Project Number: J15060885
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 RSK - 175 1 06/30/2015 1716 DCS 78512
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Methane 74-82-8 RSK - 175 ND 10 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
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QC Summary
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Inorganic non-metals - MB
Sample ID: QQ78533-001 Matrix: Aqueous
Batch:78533
Analytical Method: SM 2320B-2011
Parameter Result Q Dil PQL Units Analysis Date
Alkalinity ND 1 10 mg/L 06/30/2015 2205
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
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Inorganic non-metals - LCS
Sample ID: QQ78533-002 Matrix: Aqueous
Batch:78533
Analytical Method: SM 2320B-2011
Spike
Amount Result % Rec
Parameter (mg/L) (mg/L) Q Dil % Rec Limit Analysis Date
Alkalinity 100 99 1 99 90-110 06/30/2015 2211
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
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Methane - MB
Sample ID: QQ78512-001 Matrix: Aqueous
Batch:78512
Analytical Method: RSK - 175
Parameter Result Q Dil PQL Units Analysis Date
Methane ND 1 10 ug/L 06/30/20151255
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
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Methane - LCS
Sample ID: QQ78512-002 Matrix: Aqueous
Batch:78512
Analytical Method: RSK - 175
Spike
Amount Result % Rec
Parameter (ug/L) (ug/L) Q Dil % Rec Limit Analysis Date
Methane 150 120 1 82 70-130 06/30/20151233
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
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Methane - LCSD
Sample ID: QQ78512-003 Matrix: Aqueous
Batch:78512
Analytical Method: RSK - 175
Spike
Amount Result % Rec % RPD
Parameter (ug/L) (ug/L) Q Dil % Rec % RPD Limit Limit Analysis Date
Methane 150 120 1 80 2.7 70-130 30 06/30/20151244
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
Shealy Environmental Services, Inc. Page: 16 of 19
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Methane - MB
Sample ID: QQ78641-001 Matrix: Aqueous
Batch:78641
Analytical Method: RSK - 175
Parameter Result Q Dil PQL Units Analysis Date
Methane ND 1 10 ug/L 07/01/20151727
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
Shealy Environmental Services, Inc. Page: 17 of 19
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Methane - LCS
Sample ID: QQ78641-002 Matrix: Aqueous
Batch:78641
Analytical Method: RSK - 175
Spike
Amount Result % Rec
Parameter (ug/L) (ug/L) Q Dil % Rec Limit Analysis Date
Methane 150 110 1 76 70-130 07/01/20151649
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
Shealy Environmental Services, Inc. Page: 18 of 19
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Methane - LCSD
Sample ID: QQ78641-003 Matrix: Aqueous
Batch:78641
Analytical Method: RSK - 175
Spike
Amount Result % Rec % RPD
Parameter (ug/L) (ug/L) Q Dil % Rec % RPD Limit Limit Analysis Date
Methane 150 110 1 74 2.0 70-130 30 07/01/20151711
PQL = Practical quantitation limit P = The RPD between two GC columns exceeds 40 % N = Recovery is out of criteria
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL + = RPD is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
Note: Calculations are performed before rounding to avoid round -off errors in calculated results
Shealy Environmental Services, Inc. Page: 19 of 19
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

SHEALY ENVIRONMENTAL SERVICES,
INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

SHEALY ENVIRONMENTAL SERVICES, INC.
ShcaLy Catvum Tnantar 9cn-iaes, hi*,
Dmudw-aNurraher. F-A"16
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LPL =3 Dale: 1107r1$
Ef-celiac Dale. 4913WI5
Sample Receipt Checklist (SRC)
Client; _ 4'ay. fl e.�q _ , Cooler Inspected by?date: ' ' ? 6. 5 Ut'+: 1<�L-
M=5 of rccaeipt; J2 SESl ❑ Client ❑ LIPS ❑ FedEx ❑ Airborne Exp L�r-other
Y
N
l . Wc= custodv seals presfflt On the cooler?
Yea L1
I Na Ll
I NA a
12, If custody s+cals wove prebcni, wrrc thcy intact and unbroken'?
Cooler II]iOnginal telalper+ature ulakrn rcuciptiDerivc.d (crested) tempffatuit upon receipt;
3 A Fi5 r e °C � ,' aC of r
Mcthod: ❑ Tenippratt= Plank Azainst Bottles Ili Gun ID; IR C-lln Cccrection. Factor. °C
Iklethod of coolant: Oct lec Blue Ice ® Ice 'Notre
Y El
h o El
NA
. If temperaWe. of ally 000ler mccc:dW CI.0'C:, was FTCq. ect Manager notified?
PM rludficd by SRC, phone, note (circle ono), other —
(Frar coolers .received via cornmurcial t wirier, PMs are l0 he notified
ilxtONdiatel '.
'es
❑
No ❑
Td,A
4. Is the co_nrt_,memial courier's packing slip attached to this fo7m?
No ❑
. Were 3'€a r owskod rucc�dures (rrll ishe:dlreceiveJ Followed?
o ❑
NA
aa� Wuru -iranl lcs reli shed b client to commercial courier'?
No ❑
G. Were sa l�c IDs listed can the C (X7->
_No ❑
7, �� = Sample IIls listed on all s m le c mtairks?
'0 ❑
8. Wns collection date & time listed oa the COC?
9. Was collection date & dune liswd on all sam lc CQntaluers?
kYes
-No ❑
�ti o ❑
10, Did aLl ntatlier label ullurmaticm TD, date, time} a e isith the COC"a
Q
11. Were tests to be o icd Listed an the COC?
'o ❑
12,ad x111 sam lcs arrive in the ro r contaltkebrs tar each test?
13. Dd all c€antairim arrive Inmoodcondition aurr>xml~erilids c� �c.l?
o
No
1 14. Was adequate sample volume available?
Yes ❑
Nod
15. Wcre all samples received within 1A the holding tinge or 48 )louts. whichever
comes first?
Yes ❑
'No '
16. Wcm any samples okmtairrm missing7
No
ka
17. Were there any excess san les 1101 listed Un CvpC;�
h1A
I . Fcrc bulahl ri'Re,It�` a_S12Ell('A—or +Smin in diameter) in VOA Vt
❑
FYYL
.tro ❑
W
19. Were all inetalI�°C�c?��'aAHENVatariont sa lcs received at a ll of<2:f
❑
wo ❑
NA
2€ , Wcre all anide tand'0r s�ullidc a itz rmraiverd at a H �-] 2?
❑
t s� ❑
NA
21. Were all applicable 1JH3�`1-1 Jg,1cyanide,'pWno11<0.'21arg1Lj sEuaples free of
residual chlorine"?
Yeas ❑
No ❑
NA
22. Were rs011exA ion tcm arum do'mnxated 0a the C `U. for NC sam 1cs?
yes ❑
No ❑
1d.4
23, Were client remarksirrqucsts (i_c. rcquestcd dilutions, M&MSD desipations,
cw...) crmrctly trariacri bed $one the COC into the omnment section in LIMS?
Y
n
24_ Was the quW auaml*ff used taken from the contaiuler label?
cualuple Presenmtion IMust be wrnp4:tcd fbT any w :imple(s) incorrectly pre`smed or with headspacc)
Samplc(j - were mce:ved incorrectly prrservcd and wcrcAdjusted
ly 1n sample receiving with } O,l,FlN0.;,HC1,Na0Q using SR-N
Sam I s) wuTc rn,-il"W ►t'llh huhbles >6 mlm irk dl iarneter
1cord
S I E) WCTC received with TRC >0.2 L If #21 i3 No)
SC Drinking Water Project Sample(s) pH veriticd to 1-se by _ Mite:
9fimple(s)were neat receNredat a 144 k7f--21and werr adjusted a—Dwrdingly usin SRC
Snnr le labels applied by: Ver fka t., Datc: -? I
Comments,
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST
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