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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