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WQ0004967_Monitoring - 11-2016_20170103 (2)
GW -59A COMPLIANCE REPORT FORM Permit #--WQQ44 q(o 7 (Submit one each monitoring period with GW-59formx) 1 Enter date monitoring results were due.( I Z - 1 Will this monitoring report (GW -69 and GW -59A) YES NO be submitted after the established due date? 2 Was any required Information missing on the GW -59 report forms? YES CO: IF the answer to question 1 or 2 is "YES" list in the space provided below the well identification numbers) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO identification plate, area overgrown, etc.)? yrthe answer is "Yes". contact the Regional ice for guidance. 4 Are any monitored constituents equal to or above the established standards? YES NO ti the answer to question 4 is "NO", skip to section & If the answer to question 4 is "YES"list the affected wells,individually with constituents) and concentration(s) exceeding standards in the space provided below., MtN Z 4580/L 5 For the constituents Identified In question 4 above, have standards been exceeded previously for the YES NO same constituent(s) In the same well(s) in the last two years? If the answer to question 5 is "NO", skip to section S. If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date fqr each occurrence (for the last two }rears). MW - z- 2-ZO1S - 78ao 11.7,016 - y 5$O Il -2Dt5—fofo7Zl 3- zol6 - 2.I 2a T- zolto - 6 6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO H the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? , If the answer to question 7 is NES", describe those actions in the space provided below. H the answer to question 7 is NO" contact the Regional Office within 90 days., an evaluation may required to determine the Impact the waste disposal system is havina at the review and compilertce boundaries surroundina this facility. Failure to i so may subject the permittee to a Notice of Violation. Naas, and/orpenalties. p z ow O m71 y Cwt - c� 8 The person completing this portion (GW -59 itoagg report should sign below and submit this form with GW -59 forms for required wells to eddr4p A"ded at the top of the current GW -59 form. nth tttir►' __ ._. 51 ature of Permute or Authorized Agent) Date GW -59A 12/8/2903 SUBM) I t-UKM UN YtLLUVa I'AI'CK UKLT GROUNDWATER QUALITY MONITORING; r� rt ifAL1 lotkN )Bf�IA r.. . { COMPLIANCE REPORT FORM Certification No. Date sample analyzed: Please PontCleadyorrype FACILITY INFORMATION PERMIT Number: Expiration Date: • O �t A it i'.e PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Non -Discharge W0004CH01 UIC Facility Name: L(C mg/L Nitrite (NO,) as N 00615 NPDES Other Permit Name (if different): Coliform: MF Fecal 31616 /100mL TYPE OF PERMITTED OPERATION BEING MONITORED mg/L Facility Address: g -t b C �e Coliform: MF Total 31504 /100mL g Lagoon ❑ Remediation: Infiltration Gallery nl Z County SO U' fcly; SIm4� Drj (Nate; Use MPN method for Ng* turbid semPbs) ❑ Spray Field ❑ Remediation: Contact Person: /097-ao�3 Telephone#: � - Dissolved Solids:Total 70300 ❑Rotary Distributor E3 Land Application of Sludge At - Aluminum o11o5 No. of wells to be sampled: ' ❑ Water Source Heat Pump ❑ Other: Well Location/Site Name: _ m Pem ° Be - Barium 01007 If WELL SAMPLING INFORMATION n A W 1i Date sample collected: I (' 30 -1 ip FIELD ANALYSES: WAS DR WELL ID NUMBER (from Permit): I v ` in. pH 00400: units Temp. 00010: oC at time of Well Depth: ft. Well Diameter: _ 2546 ft. below measuring point Screened Interval: _ft. to Depth to Water Level 82546:- _ _ft. Spec. Cond. 00094: pMhos sampling. check Measuring Point is ft. above land surface Relative M.P. Elevation: _eft. Odor 000es: here: Volume of water pumped/balled before sampling: gallons Appearance ug/L Samoles for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO mg/L Cu - Copper 01042 LA9URAI UKY [Nt-UKMAI IUK -Laboratory Name: Certification No. Date sample analyzed: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO,) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P00665 (Nate; Use MPN method for Ng* turbid semPbs) Orthophosphate 7asb!"i0°`��` mg/L ' Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 mg1L At - Aluminum o11o5 mg/C pH (Lab) 00403 units Be - Barium 01007 /L TOC aoeeo mg/L Ca - Calcium oogle JAN V LU Mg/L Chloride oog4o mg/1 Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron oloa5 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oo945 mg/L Hg - Mercury 71goo ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # Total Ammonia costo mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nllrogen: N%as N; Ammonia Nitrogen, Total) Mn - Manganese olo55 ug/L , method # TKN as N 00625 mg/L NI - Nickel 01087 uglL , method # -11 vrv: Ramnvale/ For Remediation Systems Only (Attach Lab Reports): 0 or Authorized AAent) Name and Title- Please Drint or tvoe GW -59 Rev. 812013 Innuent ictal vwa. -- ©' JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCOENRIDWQ-Groundwater section To assign test, label shaded area with sample type (C=composite; G=grab) CHAIN OF CUSTODY LOCATION ALL JUICE COUNTY HENDERSON SPECIAL INFORMATION(S) ONITORING WEL IDI D NO. MW -t (3 WELLS) INITIAL TEMP MARCH I GRAB 0 ,sample time JULY COMP start aam ,time NOV COMP end date/ time laiiiiiiiiiia NMI TEMP @RECEIPT: °C TEMP @RECEIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINERS) WITHIN. FOR ALL CONTAINER(S) WITHIN. AMMONIA SAMPLES PRESERVED WITH HzSOa, pH=<2.0----YES NO— AMMONIA SAMPLES NEUTRALIZED WITH NazS03, C(=<0-1 ----YES NO— FECAL SAMPLES PRESERVED WITH N82S03, Cl=< 0.1 YES NO_ COLLECTED BY: C—L ALL SAMPLES COLLECTED AND PRESERVED AT TIMEOF-COLLECTION IN PLASTIC CONTAINERS UNLESS NOTED OTHERWISE BY., RELINQUISHED BY DATE t TWE RECEIVED BY SPLIT SAMPLE(S) INFO II-30-I � I y rfulliGonni G PH ODOR APPEARANCE WATER LEVE By the abate s:ynature t cw;ty that all idnrmatm is accwte to the bur aP my aawledya. COMMENTS Q means QC not meL Wei I Dr\j c oo(d nOk SOm SUBMIT FORM ON YELLOW PAPER ONLY TER QUALITY MONITORING: E REPORT FORM Facility Name: A -,Mt_i C e Permit Name (if different): Facility Address: e I, marl are/,,n t%:I1.o "rep 1" �- County & O act Person: t:TLLav%Aa :fames Teiephone#:&B'&,47-60(.3 Location/Site Name: No. of wells to be sampled: -3 PERMIT Number: Expiration Date: q-01-13 Non -Discharge WQ004r- 44 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FLING INFORMAI ION L ID NUMBER (from Permit): Date sample collected: II 30- 10 M\1J ' o� Depth: q5 ft. Well Diameter.in. T to Water Level 82546: IZ .q ft. below measuring point Screened Interval: y O ft. to 4 wring Point is ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: gallons 3les for metals were collected unfiltered: ❑ YES 0 - NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: WAS DR` pH 00400a� units Temp. 00010: Ito .O °C at time of Spec. Cord. 00094: µMhos sampling, check Odor 000as: N ON r? here: Appearance 1 e A R 80RATORY INFORMATION as JaWV5 enui �dCe Adgl Certification No. g�_1I y ite sample analyzed: 1(- 3 O - I (� ' i a' S - I - Laboratory Name: ^-� (Lo tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb -Lead 01051 ug/L COD 00335 mg/L Nitrite (NO2) as N ooe15 mg/L Coliform: MF Fecal 3161e <-/100mL Nitrate (NO,) as N 00620 r.} , 3 mg/L 2n -Zinc 01062 mglL Coliform: MF Total 31504 I100ml- Phosphorus: Total as P ooe85 mg/L mg1L Other (Specify Compounds and Concentration Units): (Note: Use MPN meawo for N9h1r Wrolo samples) Orthophosphate 70507 lsolved Solids:Total 70300 mg/L At - Aluminum o11os mglc pH (Lab) 00403 units Be - Barium 01007 ug/L TOC omeo mg/L Ca - Calcium 00916 mg/L Chloride 00940 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L mg/L ORGANICS: (by GC, GC/MS, HPLC) Grease and Oils 00552 mg/L Cu - Copper 01042 Fe Iron L{ S CS ug/L (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 uglL mg/L - 01045 Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Sulfate oog4s tecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia ooslo mg/L Mg - Magnesium 00927 mg/L , method # method # (Ammonia Nitrogen; N%as N; Ammonia Nit gan. Touo Mn - Manganese 01055 ug/L , TKN as N 00626 mg/L Ni - Nickel 01057 ug/L method # For Remediation Systems Only (Attach Lab Reports): GW -59 Rev. 812013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by WDENRIDWO-Groundwater section To assign test, label shaded area with sample type (C=composite; G=grab) CHAIN (1F CI LCTnnV LOCATION ALL JUICE COUNTY HENDERSON SPECIAL INFORMATION(S ONITORING WEL ID NO. MW -2 (3 WELLS) INITIAL TEMP PC G C MARCH GRAB sample time JULY NOV COMP start sam Ie time COMP end date/ time " a+ .,5,' + EMP @RECEIPT: 1C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN. TEMP 9RECEIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN, AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2.0 YES NO_ AMMONIA SAMPLES NEUTRALIZED WITH Na2SO3, CI=<0.1 ES NO— FECAL SAMPLES PRESERVED WITH Na2S03, CI=< 0.1 YES NO_ COLLECTED BY: –7 I– `e ALL SAMPLES COLLECTED AND PRESERVED AT TIMI OF COLLECTION W PLASTIC CONTAINERS UNLESS NOTED OTHERWISE BY.. RELINQUISHED BY DATE / TIME RECEIVED BY SPLIT SAMPLE(S) INF cfulloomlG VAT DJ PH ODOR Nome APPEARANCE e A R– WATER LEVE By the above signature I certify that all informationis accurate to the best ofmyrknowledge. Q COMMENTS (Z) means OC not met. `t �� U �� 1 �1 — F7 I m iossrT Mnoss nnr VP1 1 MA[ PAPPP nNt Y DWATER QUALITY MONITORING: IANCE REPORT FORM TY INFORMATION/'cease rant oreany or type N Name: It �1L�C2 Name (if different): Address: e rlor<tSn Ili 11? "1900 N C 287'?z County_ O act Person: laa n) a Ta vyte j Telephone#: Location/Site Name: No. of wells to be sampled: SAWLII4l9 nyryKmAI WN WELL ID NUMBER (from Permit): Well Depth: a5 ft. Depth to Water Level 82546: 13 I ft. below measuring point Measuring Point is ft. above land surface Volume of water pumped/bailed before sampling: Samples for metals were collected unfiltered: ❑ YES ❑ Date sample collected: J 1- 30-1(p Well Diameter. �_ in. Screened Interval: -Vto -15 ft. Relative M.P. Elevation: ft. gallons NO and YES :RMIT Number: Expiration Date: q- Of - 77 in -Discharge W0004CR02 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED 0( Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: pH ooaoo: _.0 units Spec. Cond. 00094: Odor 000e5: _ Appearance _ Temp. 00010:/(P,3 OC at time of µMhos sampling, X LABORATORY INFORMATION 1 �J-1 I of - 5 I% �{ Laboratory Name: T na 6_ d�ag�rtu• � �d L° Ana 1aI.cd ( Certification No. R/g� �b Date sample analyzed: ! PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. ug/L COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 Coliform: MF Fecal 31616 /1 Nitrate (NO3) as N 00820 �- a mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31so4 highlylurblo samples)Orthophosphate 1100mL Phosphorus: Total as P 00685 mg/L mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN method for 70507 issolved Solids:Total 70300 - mg/L Al - Aluminum 01105 mg/LI pH (Lab) 00403 units Be - Barium 01007 ug/L TOC coeso mg/L Ca - Calcium 00916 mg/L VM Chloride oog4o mg1L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils oos52 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol ug/L Fe - Iron o1o4s / ug/L (Specify test and method #. ATTACH LAB REPORT.) 32730 Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # Total Ammonia ooelo mg1L Mg - Magnesium 00927 mg/L method # (ATMNe NKM9811; NHs ae N;Amma�la Nitrogen, Tote[) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # mo/L VOC Removal% For Remediation systems only (Arracn Lao Keporrs): 0 or Authorized Anent) Name and Tlae - Plea4e onnt or GW -59 Rev. 812013 u niurnu iv.ai ...w. C. V �2- JJF.M AQUEOUS SAMPLE COLLECDONJLAB REPORT FORM (NC CERT 482) Regulated by NCDENRIDWQ-Gmundwater section To assign test, label shaded area with sample type (C=composite; G=grab) is :'inrenw� w.: CHAIN OF CUSTODY �• ...• /1t�LJYIIiC COUNTY HENDERSON SPECIALINFORLIATIONs ONITORING WEL iD t�i0. MW (3 WELL INITIAL TEMP MARCH GRAB ;y ; ,_ '�"Ji'1! sam leeime JULY COMP start sam a timeV COMP and datel time EMP @RECEIPT:4 : i °C TEMP @RECEIPT: o C NOTE: THE ABOVE TEMP INDICATES THE TEMP. NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINERJS) WITHIN. FOR ALL CONTAINER(S) WITHIN. AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2.0 �S NO— SAMPLES NEUTRALIZED WITH Na2SOa, Ci=< 0.1 FECAL SES NO_ FECAL SAMPLES PRESERVED WITH NazSOa C1=< 0.1 YES NO_ COLLECTED BY: ALLSAMPLESCOLLECTEDANDPRESERVEDA TI EOFCOLLECTIONINPLASTICCONTAINERSUNLESS NOTEDOTNERWISEBY: RELINQUISHED BY DATE T TIME RECEIVEp BY SPLIT SAMPLE(5j INF n J n G Lt PH ODOR O e APPEARANCE C WATER LEVE 3 By Me abase signature I certify that alt information is accurate to the best of my knowledge. COMMENTS ® — i e b �r = 2 Mans not met QC James & James Environmental Management 3801 Asheville Hwy., Hendersonville, NC 28791 OFFICE: (828) 6974NW FAX: (828) 697-0065 NC Certified Laboratory NC wastewater #482 NC Drinking Water #37763 All Juice Food & Beverage 352 Jet Street Hendersonville, NC 28792 Enclosed are the results of the analysis performed by our staff on your samples dated November 30, 2016. The analysis performed conform to Standard Methods 20m Edition. Sample ID Analysis Method Result Units MDL Units Date Run Analyst MW -2 K3016 FECAL 9222D <4.0 c/100mL <1 c/100ml, 11-30-16 HT/DJ MW -3K3016 FECAL 9222D <4.0 c/100mL <1 c/100mL I1-30-16 HT/DJ If you have any questions regarding these results please feel free to contact me at the lab. Thank you, C:9::P-4-t 4 Trish Bryan for Juanita James Lab Manager hemi@bellsouth.net ceAnaly kWe wnepcNetis.mn i December 07, 2016 Ms. Juanita James James & James Env. Mgmt. 3801 Asheville Hwy. Hendersonville, NC 28791 RE: Project: All Juice 11/30 Pace Project No.: 92321373 Dear Ms. James: Pace Analytical Services, LLC 2225 Riverside Or. Asheville, NC 28804 (828)254-7178 Enclosed are the analytical results for sample(s) received by the laboratory on November 30, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Endosures r�� REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wntten consent of Pace Analytical Services, LLC. Page 1 of 12 IceAnaa&*.al a Project: All Juice 11/30 Pace Project No.: 92321373 Asheville Certification IDs Pace Ana"cal services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinldng Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analyfical Services, I.I.C. Page 2 of 12 W�4f12�1ICB�e weses'-0rorhbamrs SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7178 Project: Pace Project No.: All Juice 11/30 92321373 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92321373001 Ill EPA 200.7 SER 1 PASI-A EPA 353.2 WRC 2 PASI-A 92321373002 MW -3 EPA 200.7 SER 1 PASI-A EPA 353.2 WRC 2 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 12 awepKshpt:mm ANALYTICAL RESULTS Pau Analytical services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)2547176 Project: All Juice 11/30 Pace Project No.: 92321373 Sample: MW -2 Lab ID: 92321373001 Collected: 11/30/1610:00 Received: 11/30/1615:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Iron 4580 ug/L 50.0 1 12/01/1618:50 12/05/1622:12 7439-89-6 353.2 Nitrogen, NO2/NO3 DW Analytical Method: EPA 353.2 Nitrogen, Nitrate 4.3 mg/L 0.020 1 11/30/1618:29 Nitrogen, Nitrite 0.035 mg/L 0.020 1 11/30/1618:29 Date: 12/07/2016 11:10 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 4 of 12 An*&,N* aws-0eoei"M ANALYTICAL RESULTS Pace Analytical Services, LLL 2225 Riverside Dr. Asheville, NC 28804 (828)254-7178 Project: All Juice 11/30 Pace Project No.: 92321373 Sample: MW -3 Lab ID: 92321373002 Collected: 11/30/1609:40 Received: 11/30/1615:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Iron 132 ug/L 50.0 1 12/01/1618:50 12/05/1622:15 7439-8M 353.2 Nitrogen, NO2/NO3 DW Analytical Method: EPA 353.2 Nitrogen, Nitrate 3.2 mg/L 0.020 1 11/30/1618:24 Nitrogen, Nitrite ND mg/L 0.020 1 11/30/1618:24 Date: 12/07/2016 11:10 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 12 QUALITY CONTROL DATA Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: All Juice 11/30 Pace Project No.: 92321373 QC Batch: 338882 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92321373001, 92321373002 METHOD BLANK: 1879178 Matrix: Water Associated Lab Samples: 92321373001, 92321373002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Iron ug/L ND 50.0 12/05/1621:34 LABORATORY CONTROL SAMPLE: 1879179 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Iron ug/L 5000 4800 96 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879180 1879181 MS MSD 92321259001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Iron ug/L 331 5000 5000 5070 5010 95 94 74130 1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1879182 1879183 MS MSD 92321374005 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Iron ug/L 2.6 5000 5000 7050 7120 89 91 74130 1 mg/L Rewlla pms@m1ad on this page am In the unka Indicated 0y Me'Unks' column except where an aRemate unh Is presented to Me right of the reauk. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/07/201611:10AM without the written consent of Pace Analytical Services,LLC. Page 6 of 12 QUALITY CONTROL DATA Project: Al Juice 11/30 Pace Project No.: 92321373 QC Batch: 338849 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrogen, NO2/NO3 DW Associated Lab Samples: 92321373001, 92321373002 METHOD BLANK: 1878953 Matrix: Water Associated Lab Samples: 92321373001, 92321373002 Blank Reporting MSD Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Nitrate mg/L NO 0.020 11/30/1618:13 Nitrogen, Nitrite mg/L NO 0.020 11/30/1618:13 Pau Anatytiul Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)2547178 LABORATORY CONTROL SAMPLE: 1878954 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Nitrate mg/L 2.5 2.4 98 90-110 Nitrogen, Nitrite mg/L 1 1.0 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1878955 1878956 MS MSD 92321171001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Nitrate mg/L ND 2.5 2.5 2.4 2.5 95 98 90-110 3 Nitrogen, Nitrite mg/L NO 1 1 1.2 1.3 125 126 90-110 1 J(M1) Results prevented an this page are in the units Indicated by the "Unna" column except whem an alternate unit Is, pne saxes! to Its right of the maul REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 12/07/2016 11:10 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 12 awrpsphbs:exa QUALIFIERS Project: All Juice 11130 Pace Project No.: 92321373 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. RL- Reporting Limit. Pace Analytical services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)2547178 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvi%l ether. A separate vial preserved to a pH of 45 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville ANALYTE QUALIFIERS J(M1) Estimated Value. Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 12/0712016 11:10 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 12 mvw.peroleDe.tan QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (826)254-7176 Project: Pace Project No.: All Juice 11/30 92321373 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92321373001 MW -2 EPA 200.7 338882 EPA 200.7 339067 92321373002 MW -3 EPA 200.7 338882 EPA 200.7 339067 92321373001 MW -2 EPA 353.2 338849 92321373002 MW -3 EPA 353.2 338849 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/07/2016 11:10 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 12 Laboratory receiving sa les: Asheville Eden Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ " I Client Name:,i C i �O# Name:.92321373 )c eS. 0" J4 fJ C' EAV Pro)eR q: Courier: LJW Ex OUPS OUSPS Client ❑ Commercial Mpace []Other:_ O U1373 Custody seal Present? ❑Yes n No Seals tact? ❑Yes ❑NO Data/midals Person examining Wntertts:G� Packing Material, []Bubble Wrap ubble Bags ❑None ❑Other:__- •13, �'' Thermometer: f [ et ❑glue ❑None ❑samples on ie, cooling process Na 1k, IRGun ID: J Typo of lee: Correction Factor: Cooler Temp Corrected ('C): Biological Tissue Frozen? ❑Yes []NO ❑N/A Temp should be above freezing to 6'C USDA Regulated Sall (❑ N/A, water sample) NY nrqr!(rhack=psJ? Did samples Originate from a forei n source intematbnal Including Hawaii and Puerto Rleo)2 as No C] YV Document Name: Document Revised: Sept, 21, 2016 Sample Condition Upon Recel t SCUR Pae 1 of2.. Document No.: Issuing Authority: A F-CAR-CS-033-Rev.01 Pace Qualltv Office Laboratory receiving sa les: Asheville Eden Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ " I Client Name:,i C i �O# Name:.92321373 )c eS. 0" J4 fJ C' EAV Pro)eR q: Courier: LJW Ex OUPS OUSPS Client ❑ Commercial Mpace []Other:_ O U1373 Custody seal Present? ❑Yes n No Seals tact? ❑Yes ❑NO Data/midals Person examining Wntertts:G� Packing Material, []Bubble Wrap ubble Bags ❑None ❑Other:__- •13, �'' Thermometer: f [ et ❑glue ❑None ❑samples on ie, cooling process Na 1k, IRGun ID: J Typo of lee: Correction Factor: Cooler Temp Corrected ('C): Biological Tissue Frozen? ❑Yes []NO ❑N/A Temp should be above freezing to 6'C USDA Regulated Sall (❑ N/A, water sample) NY nrqr!(rhack=psJ? Did samples Originate from a forei n source intematbnal Including Hawaii and Puerto Rleo)2 as No C] YV comments/Discrepancy: Chain of Custody Present? No A 1. Samples Arrived within Hold Time? es N/A 2. Short Hold Time Analysis (02 hr.)? es N N A 3. Ala Rush Turn Around Time Re uested?Y J& ONJA 4. Sufficient Volume? Y No ON/A 5. Correct Containers Used? -Pace Containers Used? es ❑N o ❑N/A ON/A 6. Containers Intact? Yes No ONJA 7. Samples Field Filtered? Y o ON/A B. Note if sediment is visible In the dissolved comairter Sample labels Match COC? -Includes Date/11me/tD Anal is Matrix: EfYes 1N [IN, ❑N/A 9. Heads ace in VOA Vials (>5.6mm)? Oyes ONO A 10. Trip Blank Present? T BlankealsPe ❑Yes Yes ONO nN. Gfi#11. /A CLIENT NOTIFICATION/RESOWTION Person Contacted: Comments/Sample Discrepancy: Project Manager SCURF Review: Project Manager SRF Review: Field Data Regaueor UTes UNo Date/Time: Date: (AJtI(a Date: lSfrri Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina OEHNR Certification Office (i.e. Out of hold, Incorrect preservative, out of temp, incorrect containers) Page 10 of 12 *Check mark top half of box if PH and/or dechlorination Project p 'W #:92321373-' is verified and within the acceptance range for PH: Col preservation samples. Due Batu 12/07/1® CLIENT: 97—J8J **Bottom half of box is to list number of bottles Document Name: Document Revised: Sept. 21, 2016 6,N . o� Sample Condition U Recei SCUR P 2.0f 2 Document No.: Issuing Authority: F-CAR-CS-033•Rev.01 Pace Quality Office *Check mark top half of box if PH and/or dechlorination Project p 'W #:92321373-' is verified and within the acceptance range for PH: Col preservation samples. Due Batu 12/07/1® CLIENT: 97—J8J **Bottom half of box is to list number of bottles pH Adjustment Log for Preserved Samples Sample to Type of Presemadve PH upon receipt Date preservation adlusted Time preservation adjusted Amount of Preservative added tot N j `MFURE MEM DER ii iiii►iiii ©O 'NMENN.►\M ► \►'111.�MMM���MENNEt Oak SEEDOMMEME on MEMNON MEMO■Et7EMM\\N\ 0 M\MMME ©NEEM \\EMM►M1\.\\' MMOMMEM MEMEME NOMME on NONE M EMEN► E► MME BEEN ����� MEMEMO EMEME 01 on MOMMM►`N►MMEM►N►������ WOMENEENNOMEM►► 0 ONE ®►M■MON►EMO►MENMEN��iii►iii ®EN■M►NNOMME�►�►0 EMM pH Adjustment Log for Preserved Samples Sample to Type of Presemadve PH upon receipt Date preservation adlusted Time preservation adjusted Amount of Preservative added tot N Page 11 of 12 *2eAnalytfcal- CHAIN-OF-CUSTODY If Ana"cal Request Document The Chamo+-Cuelady p a LEGAL DOCUMENT. AS relemit faMa m be camdeted accwat* `o •i•wa.,Naa Byaer�e uis+o.nn-.•eaapbq rao.t Nermaa n.m..e.m. ,pwyewawa..a,sx c.eu+n wan.p.aw�wo.a.ew mays. 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