HomeMy WebLinkAboutNCG080014_DMR_20221228 Discharge Monitoring Report—October-December 2022 (Third Quarter of 2022)
Union Power Cooperative— Monroe Facility
Monroe, Union County, North Carolina
Certificate of Coverage# NCGO81014
Page 2 of 2
The next quarterly sampling event is scheduled to be conducted between January through March 2023 during
a representative rainfall event. Please do not hesitate to contact me at (704) 845-4010, if you have any
questions or comments.
Sincerely,
Joanna Alley, P.E.
Project Manager
cc: Mr. David A. Gross, PE, Union Power Cooperative
Division of Water Resources Central Files, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-
1617
file
enclosures
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone (704) 845-4010 • (888) 870-4133 • Fax (704) 845-4012
APPENDIX A
Stormwater Discharge Outfall Monitoring Report
Kra
En*anmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out thisform,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources!
npdes-stormwater-gps
Permit No.: N_/C/G /0 /8 /0 / 0/ 0/0/ or Certificate of Coverage No.: N/C/G/ 0/ 8/ 1 /0 /1 /4 /
Facility Name: UNION POWER COOPERATIVE - MONROE FACILITY
County: UNION Phone No. (704) 220-0712
Inspector: W17-frir&%d 011-47's-
Date of Inspection: _1/ 3aA---A
Time of Inspection: /O f 3 -7
Total Event Precipitation (inches):
jAll permits require qualitative monitoring to be performed during a"measurable storm event."
If
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pe ee or Designee)
1. Outfall Description:
Outfall No. SDO-1 Structure (pipe, ditch, etc.): OUTFALL OF POND#1- DISCHARGE PIPE
Receiving Stream:
DRY FORK
Describe the industrial activities that occur within the outfall drainage area: A dDAlP_
Page I of 2
SWU-242,Last modified 06/01/2018
2. Color: Describe the color of the discharge using basic colors(red,brown, blue, etc.)and tint
(light, medium,dark)as descriptors: p /lo,__ u�1,� k--*
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor, etc.): ,V'ONe-
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
I (�V 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
l 22 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes G(No.
8. Is there an oil sheen in the stormwater discharge? OYes G No.9. Is there evidence of erosion or deposition at the outfall? O Yes C"/No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SW U-242,Last modified 06/01/2018
K C.
£nwl mental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq,nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G/0 /8/0 /0 /0/ 0/ or Certificate of Coverage No.: N/C/G/0/ 8/ 1 /0 / 1 /4 /
Facility Name: UNION POWER COOPERATIVE-MONROE FACILITY
County: UNION Phone No. (704)220-0712
Inspector: Wo ( �r,%c� Or—+(*Z--
Date of Inspection: /3 D /z 2—
Time of Inspection: /�'C� OL V.—
Total Event Precipitation(inches):
l--
1 All permits require qualitative monitoring to be performed during a "measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
Interval does not apply if the pemtittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the petmittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pe i ee or Designee)
1. Outfall Description:
Outfall No. SDO-2 Structure(pipe, ditch, etc.): OUTFALL OF POND#2-DISCHARGE PIPE
Receiving Stream:
DRY FORK
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
SWU-242,Last modified 06/01'2018
2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium,dark)as descriptors: ��P ll&w is 4''f-
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.): /J (r1/ve-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I L 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
6) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes m'IV .
8. Is there an oil sheen in the stormwater discharge? oYes (3 VVo
9. Is there evidence of erosion or deposition at the outfall? oYes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242,Last modified 06/01/2018
I C. .
Envlronmenral
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/abouVdivisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/G/0 /8 /0/ 0/0/0/ or Certificate of Coverage No.: N/C/G/0/8/ 1 /0 /1 /4 /
Facility Name: UNION POWER COOPERATIVE- MONROE FACILITY
County: UNION Phone No. (704)220-0712
Inspector: W,)10C;�y _
Date of Inspection: //l,377Ir,Z
Time of Inspection: / 19 : S/ et n^-
Total Event Precipitation (inches):
_ -_------
All permits require qualitative monitoring to be perforated during a measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
1 outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pe or Designee)
1. Outfall Description:
Outfall No. SDO-3 Structure (pipe, ditch, etc.): OUTFALL OF POND#3 - DISCHARGE PIPE
Receiving Stream:
DRY FORK
Describe the industrial activities that occur within the outfall drainage area:
�-rifG/ch.r/ _ ✓
Page 1 of
SWU-242,Lmt modified 06/01/2018
2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: '] I Z ? �/-7
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor, etc.): /('-0^-4-7ms
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I 20 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
C , 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
/I) 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes
8. Is there an oil sheen in the stormwater discharge? OYes C'<
9. Is there evidence of erosion or deposition at the outfall? 01"'Yes O No. /,.4 4— -
10. Other Obvious Indicators of Stormwater Pollution: /
List and describe
Note: Low clarity, high solids, and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWI1-242.Last modified 06/01/2018
APPENDIX B
Stormwater Discharge Outfall Qualitative Monitoring Report
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG080000
Transit and Transportation
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regionel`Office.
Certificate of Coverage No. NCG081014 Person Collecting Samples:Wil Ortz
Facility Name:Union Power-Monroe Facility Laboratory Name:Waypoint Analytical
Facility County:Union Laboratory Cert. No.:37735/402
Discharge during this period:Q Yes ❑No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes 0 No
If so,which Tier(I, 11,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes Q No
Date Uploaded:
SDu�a`
Analytical Monitoring Requirements for Vehicle&Equipment Maintenance Areas Benchmarks in (Red)
Parameter Parameter Outfall SDO-1 Outfall SDO-1 Outfall SDO-3 Outfall Outfall
Code
N/A Receiving Stream Class Class C Class C Class C
N/A Date Sample CollectedMM/DD/YYYY 11/30/2022 11/30/2022 11/30/2022
46529 24-Hour Rainfall in inches 0.6 0.6 0.6
C0530 TSS in mg/L(100 or 50*) 9.1 21.7 6.1
00552 Non-Polar Oil&Grease in mg/L(15) <3.8 1<3.7 1<3.6
00400 PH in standard units(6.0-9.0 FW, 7.3 7.0 6.9
6.8—8.5 SW)
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional):
"I certify by my signature below,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information
submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false information,including the possibility of fines and impris nment for knowing violations."
Signature of Permitted Det ga Authorized Individual Date
David.Gross@union-power.com 704-220-0712
Email Address Phone Number
APPENDIX C
Laboratory Analytical Report
• 449 Springbrook Rd, Charlotte, NC 28217
Waypoint Main 704.S29.6364
ANALYTICAL www.waypointanalytical.com
12/5/2022
Geological Resources, Inc.
Joanna Alley
3502 Hayes Road
Monroe, NC, 28110
Ref: Analytical Testing
Lab Report Number: 22-335-0002
Client Project Description: Union Power
GRI #6042
Dear Joanna Alley:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 11/30/2022 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
U Of'f
Danyale Love
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
`A,�\/NO' 449 Springbrook Rd, Charlotte, NC 28217
Y Y Y N Main 704.S29.6364
ANALYTICAL www.waypointanalocal.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
North Carolina State Program 37735 07/31/2023
North Carolina State Program 402 12/31/2022
South Carolina State Program 99012 07/31/2023
South Carolina State Program 99012 12/31/2022
Page 1 of 1 00016/22-335-0002
0 Way/NO'�� 449 Springbrook Rd, Charlotte, .5 28217
Y N Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 22-335-0002
Client Project Description: Union Power
GRI #6042
Lab No Client Sample ID Matrix Date Collected Date Received
94460 SDO-1 Aqueous 11/30/2022 10:37 11/30/2022 15:59
94461 SDO-2 Aqueous 11/30/2022 11:06 11/30/2022 15:59
94462 SDO-3 Aqueous 11/30/2022 10:51 11/30/2022 15:59
0.
449 Springbrook Rd, Charlotte, 28217
Waypoint. Main 704.5.529.6364364
ANALYTICAL www.waypointanalytical.com
Summary of Detected Analytes
Project: Union Power
Report Number: 22-335-0002
Client Sample ID Lab Sample ID
Method Parameters Result Units Report Limit Analyzed Qualifiers
SDO-1 V 94460
254OD-2015 Total Suspended Solids 9.1 mg/L 0.9 12/02/2022 10:48
4500H+B-2011 pH 7.3 S.U. 121011202212:30
SDO-2 V 94461
254OD-2015 Total Suspended Solids 21.7 mg/L 0.9 12/02/2022 10:48
4500H+B-2011 pH 7.0 S.U. 12/01/202212:30
S130-3 V 94462
2540D-2015 Total Suspended Solids 6.1 mg/L 0.9 12/02/2022 10:48
4500H+B-2011 pH 6.9 S.U. 12/01/202212:30
0
Wa /NO'nt 449 Springbrook Rd, Charlotte, .5 28217
Way point, Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources, Inc. Project Union Power
Joanna Alley Report Date : 12/05/2022
3502 Hayes Road Information : GRI #6042 Received : 11/30/2022
Monroe , NC 26110
uo" oi-
Report Number :22-335-0002 REPORT OFAN Projec
AL YSIS e Love
Proect Manager
Lab No : 94460 Matrix: Aqueous
Sample ID :SDO-1 Sampled: 11/30/2022 10:37
Test Results Units MDL MOL OF Date/Time By Analytical
Analyzed Method
HEM: Oil and Grease <3,8 mg/L 3.8 6.4 1 12/02/22 11:00 SLO 1664B
pH 7.3 S.U. 1 12/01/2212:30 CLB 4500H+B-2011
Total Suspended Solids 9.1 mg/L 0.9 3.5 1 12/02/22 10:48 CMJ 254OD-2015
Qualifiers/ OF Dilution Factor MQL Method Quantitation Limit
Definitions
0
Waypoint 449 Springbrook Rd, Charlotte, .5 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources, Inc. Project Union Power
Joanna Alley Report Date : 12/05/2022
3502 Hayes Road Information : GRI #6042 Received : 11/30/2022
Monroe , NC 28110
QO�.��2c��
Danyale Love
Report Number:22-335-0002 REPORT OF ANAL r515 Project
Proj Manager
Lab No : 94461 Matrix: Aqueous
Sample ID :SDO-2 Sampled: 11/30/2022 11:06
Test Results Units MDL MOL OF Date/Time By Analytical
Analyzed Method
HEM: Oil and Grease <3.7 mg/L 3.7 6.2 1 12/02/22 11:00 SLO 1664E
pH 7.0 S.U. 1 12/01/2212:30 CUB 4500H+B-2011
Total Suspended Solids 21.7 mg/L 0.9 3.5 1 12/02/22 10:48 CMJ 2540D-2015
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
0
449 5pringbrook Rd, Charlotte, 28217
Waypoint. Main 704.5.529.6364364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Union Power
Joanna Alley Report Date : 12/05/2022
3502 Hayes Road Information : GRI #6042 Received : 11/30/2022
Monroe , NC 28110
Danyale Love
Report Number:22-335-0002 REPORT OFANAL YSIS Project
Pro Manager
Lab No : 94462 Matrix: Aqueous
Sample ID :SDO-3 Sampled: 11/30/2022 10:51
Test Results Units MDL MOL OF Date/Time By Analytical
Analyzed Method
HEM: Oil and Grease <3.6 mg/L 3.6 6.0 1 12/02/22 11:00 SLO 1664B
pH 6.9 S.U. 1 12/01/2212:30 CUB 4500H+B-2011
Total Suspended Solids 6.1 mg/L 0.9 3.5 1 12/02/22 10:48 CMJ 254OD-2015
Qualifiers/ OF Dilution Factor MQL Method Quantitation Limit
Definitions
Wa\ /�O'�� 449 Springbrook Rd, Charlotte, NC 28217
Y Main 704,529,6364
ANALYTICAL www.waypointanalyiical.com
Quality Control Data
Client ID: Geological Resources, Inc.
Project Description: Union Power
Report No: 22-335-0002
QC Analytical Batch: V27158
Analysis Method: 1664E
Analysis Description: Oil and Grease
Lab Reagent Blank LRB Matrix: AQU
Associated Lab Samples: 94460, 94461, 94462
Blank MDL MQL Analyzed
Parameter Units Result
HEM:Oil and Grease mg/L <3.0 3.0 5.0 12/02/22 11:00
Ongoing Precision and Recovery OPR
Spike OPR % Analyzed %Rec Qualifie
Parameter Units Conc. Result Recovery Limits
HEM:Oil and Grease mg/L 40.0 37.3 93.0 12/02/22 11:00 78-114
Duplicate V 94289-DUP
Result DUP RPD Max RPD Analyzed
Parameter Units Result
HEM:Oil and Grease mg/L < 5.4 <5.4 0.0 18.0 12/02/22 11:00
Matrix Spike V 94458-MS
MS Spike MSD MS Result MSD MS "/oRec Max
Parameter Units Result Conc. Spike Result %Rec Limits RPD
Conc.
HEM: Oil and Grease mg/L < 3.6 49.3 48.2 98.0 78-114
Date: 12/05/2022 04:48 PM Page 1 of 3
/1/aypoi n t49 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalyLical.com
Quality Control Data
Client ID: Geological Resources, Inc.
Project Description: Union Power
Report No: 22-335-0002
QC Analytical Batch: V27159
Analysis Method: 2540D-2015
Analysis Description: Total Suspended Solids
Lab Reagent Blank LRB Matrix: AQU
Associated Lab Samples: 94460, 94461, 94462
Blank MDL MQL Analyzed
Parameter Units Result
Total Suspended Solids mg/L <0.7 0.7 2.5 12/02/22 10:48
Laboratory Control Sample LCS
Spike LCS LCS%Rec %Rec
Parameter Units Conc. Result Limits
Total Suspended Solids mg/L 477 433 91.0 90-110
Duplicate V 94564-DUP
Result DUP RPD Max RPD Analyzed
Parameter Units Result
Total Suspended Solids mg/L 2920 2900 0.6 10.0 12/02/22 10:48
Date: 12/05/2022 04:48 PM Page 2 of 3
Waypoint '`� ' 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Quality Control Data
Client ID: Geological Resources,Inc.
Project Description: Union Power
Report No: 22-335-0002
QC Analytical Batch: V27117
Analysis Method: 4500H+B-2011
Analysis Description: pH
Laboratory Control Sample LCS
Spike LCS LCS%Rec o/a Rec
Parameter Units Conc. Result Limits
pH S.U. 6.8 6.8 100 3.54-101 z
Laboratory Control Sample LCS21
Spike LCS LCS%Rec %Rec
Parameter Units Conc. Result Limits
pH S.U. 6.8 6.8 100 3.54-101f
Duplicate V 94414-DUP
Result DUP Criteria Analyzed
Parameter Units Result
pH S.U. 7.2 7.2 +/- 0.1 12/01/22 12:30
Date: 12/05/2022 04:48 PM Page 3 of 3
(2)
WaypOl■ ■� 449 Springbrook Rd, Charlotte, .5 28217
64
Main 704.529.63
64
A N A LYT I C A L www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 00087
Customer Name: Geological Resources, Inc.
Report Number: 22-335-0002
Shipping Method
0 Fed Ex 0 US Postal 0 Lab 0 Other :
0 UPS * Client 0 Courier Thermometer ID: IRT-15 0.3C
Shipping container/cooler uncompromised? * Yes 0 No
Number of coolers/boxes received F 1
Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present
Custody seals intact on sample bottles? 0 Yes 0 No Not Present
Chain of Custody(COC) present? Yes 0 No
COC agrees with sample label(s)? Yes 0 No
COC properly completed Yes 0 No
Samples in proper containers? Yes 0 No
Sample containers intact? Yes 0 No
Sufficient sample volume for indicated test(s)? Yes 0 No
All samples received within holding time? Yes 0 No
Cooler temperature in compliance? Yes 0 No
Cooler/Samples arrived at the laboratory on ice. Q Yes 0 No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes 0 No 0 N/A
Water-VOA vials free of headspace 0 Yes 0 No N/A
Trip Blanks received with VOAs 0 Yes 0 No N/A
Soil VOA method 5035—compliance criteria met 0 Yes 0 No N/A
High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) F_ Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Angelo Norvell Date &Time: 12/01/2022 09:22:07
Client Name/Address Client Project Manager/Contact Billing Information For Laboratory Use Only
GRI Joanna Alley Same
Cust #87
Project Description Project/Site Location(City/State) RUSH Arlinnonal charges apply Method of Shipment Mal Rey
Sper,al llnler Uon Llm,t(5) �rngla
Union Power Monroe Facility Dalc R,%uh,Needed �Cr,lnr- git1 1 0-011
omen . .. .
Project Number Project Manager Phone It Project Manager Email Purchase Order Number Site/Facibty ID R
7 04-84 5-4 010 ira@geologicalresourcesinc.com
W A Cool-IOC Na2S203(Micro Only)
„- En B Cool•=bC
Waypoint � � " @ C N2504pH•2
` x R. D None,Requited
ANAL,T IAL z S E F NaDH pH>IO
449 SpnnBhro m
nF Ruld a,b.0 noted,all ntani" per U = 0'ZS G MCCItH,2 r H2
/^ pH•2
C M1admn ru I: I.HIIe Inf4OCFR Part 116 z O = vJ _ H 1-13PO4 pHn2
ph,'.: ^ L
Fa' .. E n 2 S.f. r O 1 Cool•=fir NA2S203
Date rl,ne Sample IdenL V hcalion Required Analysis/Preservative Comments/Notes
Hi�y ia37 SDO-1 4 WVV G
l68/ 1I.•o y,llIt SDO-2 4 ww G ✓
/630/ SDO-3 4 ww G I ✓ ✓
II�IIIIIIIIIIIIIINIII�IIINIIIIIIIIIIINIII�II�IIIIIIi� '12 , °°�
Geolooieal Resnucr�. Inr i9 19 13
Union Poyvn,
For Laboratory Use Only Sampled by(Name-Print) Client Remarks/Comments
Icn Custody Lab Comments
Seals W {mod
y/N Relinquished by:(SIGNATURE) Date Time Received by:(SIGNATURE) I,.,la Tim,
B�la\nk/Cooler Temp Relinquished by:(SIGNATURE) Date Time Received by:(SIGNATURE) Date Time
V �s Relinquished by:(SIGNATURE) Date Time Receivedby.'(SIGNA7 )�• Oae Time