NCG030429 DMR SW (not on req'd form)

Chain of Custody Record (COC)
NPDES#:
oxboro Phone: ta . S'98'. 4%'J+
Client: Caw,3 prtaehnc. — 233
Address: 0400 D►.tyl�m (Zot Fax: 6.1A4
T;rnberl�lre, tic X583 Email: aml. htAghes C 8J ndWvt11ne. cam
Project:
P.O.#:
ht� Turn Around Time*
*RUSH work needs prior approval.
How would you like your report sent?
Circle all that apply: E(pref red), Fax, Mail Std s) 3 5 Da vs 24I �s
It �� II —O—nly
MER ITE C H INC.
1
ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]:
www.meritE)ch-labs.com
Sample Location and/or ID #
Sampling Dates & Times
Person Taking Sample (Sign/Print):
Lab Use
Start
End
Comp?
Grab?
#of
Cont.
Test(s) Required
0 Ice?
Yes No
pH OK?
Cl OK?
Date
Time
Date
Time
TSS 0 CQQ2m teal nc OH a
es
c
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f'o8'p
Csl
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Temperature Upon
Receipt: t4
1 1 a
Method of
Shipment:
"' Dechlorination
(<0.5 m) of Ammonia, Cyanide, Phenol and TKN
samples must be done in the field prior to preservation.
Comments:
Compositor #
Jug #
❑ UPS
❑ Fed Ex
Are these results for regulatory purposes? Yes ❑ No ❑
Report results in: mg/L ❑ mg/kg ❑ ug/L ❑
❑ Hand Delivery
Relinquished by: Date: Time:
Received by: Date: Time:
❑ Other
Relinquished by: Date: Time:
Received by: Date: Time:
Rel' uis d Date: Time: � ��
Z e Oc'f ��
Rec ' b: , te: ! Time:

Meritech, Inc.
T Environmental Laboratory
Laboratory Certification No. 165
N0V 191015
ENR -LAND
STORMWATER pQUgLITy
Contact: Amy Hughes Report Date: 11 J3 fOh�3
Client: GKN Driveline
6400 Durham Road
Timberlake, NC 27583 Date Sample Rcvd: 10/28/2015
Meritech Work Order # 10281522 Sample: #5 Grab 10/27/15
Parameters Results Analysis Date Reporting Limit Method Qualifig�
Total Suspended Solids
<2.5 mg/L
10/30/15
2.5 mg/L
SM 2540 D
Copper, total
0.002 mg/L
11/4/15
0.002 mg/L
EPA 200.7
Lead, total
<0.010 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Zinc, total
0.071 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
<5 mg/L
11/3/15
5 mg/L
EPA 1664A
pH
12.1 S.U.
10/29/15
1.0 -14.0 S.U.
SM 4500 -HB Q1
Meritech Work Order # 10281523 Sample: #7 Grab 10/27/15
trameters Results Analysis Date Reporting Limit MetMethqd qualifier
Total Suspended Solids
34 mg/L
10/30/15
2.5 mg/L
SM 2540 D
Copper, total
0.011 mg/L
11/4/15
0.002 mg/L
EPA 200.7
Lead, total
<0.010 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Zinc, total
0.120 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
<5 mg/L
11/3/15
. 5 mg/L
EPA 1664A
pH
8.5 S.U.
10/29/15
1.0 -14.0 S.U.
SM 4500 -HB Q1
Meritech Work Order # 10281524 Sample: #7 Grab 10/27/15
Parameters Results Analysis Date Reporting Limit Method Qualifier
Total Suspended Solids
29 mg/L
10/30/15
2.5 mg/L
SM 2540 D
Copper, total
0.011 mg/L
11/4/15
0.002 mg/L
EPA 200.7
Lead, total
0.010 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Zinc, total
0.162 mg/L
11/4/15
0.010 mg/L
EPA 200.7
Oil & Grease (HEM)
<5 mg/L
11/3/15
5 mg/L
EPA 1664A
pH
7.9 S.U.
10/29/15
1.0 -14.0 S.U.
SM 4500 -HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]