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HomeMy WebLinkAboutNCG551052_Chain of Custody_20180403 i ( eAna/ icar Chain of Custodr W O # -, , _ www pacelabs.com Chain of ( 6701 Conference Dnve,Raleigh,NC 27607 Nee-255)05a ph (919)834-4934,fax (919)834-6497 NCWW Cert#67,NCDW Cert#37731 Report Results To Bill To / Company i-.( � ( 4., a)4(..., ProjecReference, 14:19 4 U-b 0 Address C) 1, 11 Project Number RAL(_ cJ,i'vq)Mid i Attn _ Purchase Order# Phone ❑Standard Report Delivery Fax ❑Rush Report Delivery(w/surcharg ) projects are subject to priors by the Sampled by(signature) _ Requested Due Date Ft.. P r�FG 1i(y�tt �mw� •, ��� �' ��. E�l�`�t.a*�,��"r2AAV��,i��kr�€�se,41s�Ae�C�u' "d���$ '� t���'ply' � e y�.v�� g'�j{q�,.e#� ',�1-:."��l4ift t"` s ..xelr,-a MS.Art Title%Mi el nj63 ic_"�V«t a4`..t s,'+z.:lf " A..".� ti .'%,1,4 'v'iP�".. ,,,�z1-:,, ,Iii'cs . "'%.m :53- 1 5"~ s ■80P Y 1 f , 1...)(`fl— 4 l: ( (/ L 11 e. f. t Mil — 0.14,,,;,1; r be 11,,,. VA �►;ter r' Poon Pe mlttng _ s Receipt Conditions,(Lab Use 9nly) DR linquished by( � Rad (signature) C�s� t Time ❑4t2°C jcz,Temp 10, °C A t ��{{ /PI/1 - Z-36 Res Chbnne Relinquished by(signature) Received by(signature) Date Time 0 Absent 0 Present ❑n/a Acid presery <2? Relinquished by(signature) Received by(signature) — Date Time ❑ Yes ❑ No ❑ n/a Base presery>127 ❑ Yes 0N ❑ n/a Page 14 of 14 4- Document Document Name. Document Revised.February 7,2018 s Sample Condition Upon Recelpt(SCUR) Page 1 of 2 .,a aceAnafyticat Document No.' issuing Authority F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office *Check mark top half of box if pH and/or dechlorination is Project# WO � 3306 verified and within the acceptance range for preservation r samples. PH: AN Due Date: 02/28/18 Exceptions VOA,Colifarm,TOC,Oil and Grease,DR0/8015(water)DOC,LLHg CLIENT: 91—BRANTLEY **Bottom half of box Is to list number of bottle L 8 1 r.3 G u u v 2 Z : C3 2, u, v < �, d n m N z 2 Z 2 = _ _ 2 N n _�tJ Z n `� di > n 'D 'o -a a N N 02i r1 . . N a V _ \ .+ I r 91 7 U v d v V 2 W = ,. v iv V 2 2 Q 2 a 1 < . U Z d U m n, m n ,'vC y east a ..c2-. Z z Z Y `° Z -- ° N 1 lJ C m Q m t 2 ,, ar y 44 01 ¢ m d - Z. u Y ry n c c c a 4 2 < O to `a. a c o E Z O z ao 8 e=. Y^ s c c a m > > C S = N Z L C T. N 2 C N a 2 7 f, Q Z o c 0 U N m U 0 u U T O N = y 2 K c M N u G [7 = a. a aa n a a a ate. ° E E 0 E 0 0 4 O O `d', m u v m E c E J d J J ^ E Q C J Q J J > > ! , -N.1 J J J „,, C E E E `S- E E t E 'va ti E `t, E m E - E E .9 r; E E E 0 JE E H N $ r-/ t-1 `N N 1 .-r N ,-, ,,N}A, 0 V S c 9 1 :�°e M ,N., '4 , 000 '';4 Q o v j 5 N 2�' r�.' V 0 N N m Ni ni m m ~ m m 'dr e , N m 0 l0 en I, .4. a N . a % Y. a (4 t5 ca (5 t7 t7 (5 (5 co to o _ ro m m m m m m m 3 a a a ¢ ¢ a n > > ra > > �; so m a '� o 1 \ 1\\ s\, \\,,,\\\ ',\\,. \ LL ')._ \\\ -,-, . 1 , 1 \ 3 \ fi 7 ! ;\\ � 141/ 1 , ,\\-\‘ : 8 \ \ 9N. N \ \ :\\ \,\\\, \\,\\\ 11 \ -- -__ lig \ \ k , _ 12 \ \ \ \1 ' pH Adjustment Log for Preserved Samples Sample ID Type of Preservative pH upon receipt Date preservation adjusted Time preservation Amount of Preservative Lot Ii adjusted added Note Whenever there is a discrepancy affecting North Carolina compliance samples,a copy of this form will be sent to the North Carolina DEHNR Certification Office(i e Out of hold,Incorrect preservative,out of temp,incorrect containers Page 13 of 14 4 Document Name: Document Revised.February 7,2018 fC��a� Imo,° Sample Condition Upon Receipt(SCUR) Page 1 of 2 f a Document No.: issuing Authority: F-CAR-05.033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville❑ Eden Greenwood❑ Huntersville❑ Ralei ill Mechanicsville❑ S.±mpl ro,h choir ' Client Name: 140 . 923733®6 Upon Receipt .; Project#: Courier ❑ /e3C5 FedEx ❑UPS ❑USPS Client IIIIli I iI it l IIi i11111 0 Commercial ❑Pace ❑Other_ 92373306 L Custody Seal Present? Oyes U. o Seals intact? Dyes ,Jo Date/initials Person Examining Contents' r2-/"�f2? — Packing Material: ❑Bubble Wrap ❑Bubble Bags done ❑ Other Biological Tissue Frozen? `' Thermometer: � ❑yes ❑No /A /4111 Gun ID ., ,'S-3 Viol Type of Ice: ❑.Vet ❑Blue 'None Cooler Temp(°C): l j.2 Correction Factor:Add/Subtract(°C) c,1 Temp should be above freezing to 6°C Cooler Temp Corrected(°C): 1O'I ['Samples out of temp criteria Samples on Ice,cooling process has begun USDA Regulated Soil (N N/A,water sample) Did samples ori:Mate In a quarantine zone within the United States.CA,NY,or SC(check maps)? Did samples originate from a foreign source(Internationally,..�2n.t [fres 4.. including Hawaii and Puerto Rico)?Dyes �INa Comments/Discrepancy: l Chain of Custody Present? Yes Otto ❑N/A 1 Samples Arrived within Hold Time? Yes ONo ❑N/A 2. Short Hold Time Analysis(<72 hr.)? Yes ONo ON/A 3 Rush Turn Around Time Requested? ©Yes No ON/A 4 Sufficient Volume? FJ ONo ON/A 5 Correct Containers Used? ONo ON/A 6. -Pace Containers Used? Yas Duo ON/A Containers Intact? es Duo 1)N/A 7. Dissolved analysis,Samples Field Filtered? Oyes ONora/A S Sample Labels Match COC? WIT_Yes ONo ON/A 9 -Includes Date/Time/ID/Analysis Matrix— "I/ Headspace in VOA Vials(>5.6mm)? ['Yes ONo jJN/A 10. Trip Blank Present? Dyes ONe ON/A 11 Trip Blank Custody Seals Present? ['Yes ONo ON/A COMMENTS/SAMPLE DISCREPANCY Field Data Required? ❑Yes Duo Lot ID of spilt containers: CLIENT NOTIFICATION/RESOLUTION Person contacted. Date/Time; r� { Project Manager SCURF Review: 91,4.,-,L,) Date: i Project Manager SRF Review: 7' _W1 h Date: Page 12 of 14 Pace Analytical Services,L'LC ~ aceAnalytical 6701 Conference DriveRaleigh,NC 27607 wwwpace!abs corn (919)834-4984 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92373306001 Eff SM 2540D 398378 92373306001 Eff SM 5210B 398046 SM 5210B 398363 92373306001 Eff Enterolert 398017 92373306001 Eff Colilert-18 398155 92373306001 Eff SM 4500-Cl G 398980 REPORT OF LABORATORY ANALYSIS Th s report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 11 of 14 .. ', Pace Analytical Services,LLC e 6701 Conference Drive 'aceAnalytical Raleigh,NC 27607 wwwpacelabs con (919)834-4984 QUALIFIERS Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 DEFINITIONS DF-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 TNTC-Too Numerous To Count J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit MDL-Adjusted Method Detection Limit PQL-Practical Quantitation Limit RL-Reporting Limit 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,unrounded data are displayed and have been used to calculate%recovery and RPD values LCS(D)-Laboratory Control Sample(Duplicate) MS(D)-Matnx 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 Chloroethylvinyl ether A separate vial preserved to a pH of 4-5 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 LABORATORIES PASI-A Pace Analytical Services-Asheville PASI-E Pace Analytical Services-Eden PASI-R Pace Analytical Services-Raleigh ANALYTE QUALIFIERS B3 The dissolved oxygen depletion of the dilution water blank exceeded 0 2 mg/L D6 The precision between the sample and sample duplicate exceeded laboratory control limits H1 Analysis conducted outside the EPA method holding time REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 10 of 14 Pace Analytical Services,LLC aceAnalytical 6701 Conference Drive / Raleigh,NC 27607 wwwpace/abs corn (919)834-4984 QUALITY CONTROL DATA Project 2619 Ellis Rd Durham-Halle Com Pace Project No 92373306 QC Batch 398980 Analysis Method SM 4500-CI G QC Batch Method SM 4500-CI G Analysis Description 4500CL G Chlorine,Total Residual Associated Lab Samples 92373306001 METHOD BLANK 2212953 Matrix Water Associated Lab Samples 92373306001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chlorine,Total Residual mg/L ND 0 024 02/21/18 03 00 SAMPLE DUPLICATE 2212954 92373887001 Dup Parameter Units Result Result RPD Qualifiers Chlorine,Total Residual mg/L 0 084 0 051 49 D6,H1 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 9 of 14 Pace Analytical Services,LLC 6701 Conference Dnve aceAnalytical Raleigh,NC 27607 / wwwpacelabsccm (919)834-4984 t QUALITY CONTROL DATA Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 QC Batch 398155 Analysis Method Colilert-18 QC Batch Method Colilert-18 Analysis Description Colilert-18 Fecal Coliform-RAL Associated Lab Samples 92373306001 SAMPLE DUPLICATE 2208255 92373426002 Dup Parameter Units Result Result RPD Qualifiers Fecal Coliforms MPN/100mL ND ND Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 8 of 14 Pace Analytical Services,LIC aceAnalytical 6701 Conference Dnve Raleigh,NC 27607 www pacelabs cram (919)834-4984 QUALITY CONTROL DATA Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 QC Batch 398017 Analysis Method Enterolert QC Batch Method Enterolert Analysis Description Enterococci-EDN Associated Lab Samples 92373306001 METHOD BLANK 2207487 Matnx Water Associated Lab Samples 92373306001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Enterococci MPN/100mL ND 10 02/14/18 11 17 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 7 of 14 r r" Pace Analytical Services,LLC 6701 Conference Drive 15aceAnalytical Raleigh,NC 27607 wwwpacelabs corn (919)834-4984 1 E QUALITY CONTROL DATA Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 QC Batch 398046 Analysis Method SM 5210B QC Batch Method SM 5210B Analysis Description 5210B BOD,5 day EDN Associated Lab Samples 92373306001 METHOD BLANK 2207714 Matnx Water Associated Lab Samples 92373306001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers BOD,5 day mg/L ND 2 0 02/19/18 13 42 B3 LABORATORY CONTROL SAMPLE 2207715 Spike LCS LCS %Rec Parameter Units Conc Result %Rec Limits Qualifiers BOD,5 day mg/L 198 172 87 84 6-115 4 B3 SAMPLE DUPLICATE 2207716 92373120003 Dup Parameter Units Result Result RPD Qualifiers BOD,5 day mg/L 57 0 57 0 0 B3 Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 6 of 14 Pace Analytical Services,LLC ' 'aceAnalytical 6701 Conference Drive Raleigh,NC 27607 wwwpacelabscum (919)834-4984 t n QUALITY CONTROL DATA Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 QC Batch 398378 Analysis Method SM 2540D QC Batch Method SM 2540D Analysis Description 2540D Total Suspended Solids Associated Lab Samples 92373306001 METHOD BLANK 2209585 Matrix Water Associated Lab Samples 92373306001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2 5 02/16/18 10 34 LABORATORY CONTROL SAMPLE 2209586 Spike LCS LCS %Rec Parameter Units Conc Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 246 98 90-110 SAMPLE DUPLICATE 2209587 92373120003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 24 2 25 5 5 SAMPLE DUPLICATE 2209588 92373306001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 18 8 19 4 3 Results presented on this page are in the units indicated by the"units"column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 5 of 14 Pace Analytical Services,LLC o 6701 Conference Drive aceAnalytical Raleigh,NC 27607 wwwpacelabs corn (919)834-4984 1 ANALYTICAL RESULTS Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 Sample Eff Lab ID 92373306001 Collected 02/14/18 07 56 Received 02/14/18 08 30 Matrix Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual 2540D Total Suspended Solids Analytical Method SM 2540D Total Suspended Solids 18 8 mg/L 6 2 1 02/16/18 10 40 5210B BOD,5 day EDN Analytical Method SM 5210B BOD,5 day 3 6 mg/L 2 0 1 02/14/18 16 17 02/19/18 13 42 B3 Enterococci EDN Analytical Method Enterolert Enterococci ND MPN/100mL 10 1 02/14/18 11 17 Cohlert-18 Fecal Coliform RAL Analytical Method Colilert-18 Fecal Coliforms 2420 MPN/100mL 1 0 1 02/14/18 14 45 4500CL G Chlorine,Residual Analytical Method SM 4500-CI G Chlorine,Total Residual ND mg/L 0 024 1 02/21/18 03 00 7782-50-5 H1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date 02/21/2018 11 13 AM without the written consent of Pace Analytical Services,LLC Page 4 of 14 Pace Analytical Services,L•LC-- " aceAnalytical 6701 Conference Dme Raleigh,NC 27607 J www pacelabs com (919)834-4984 SAMPLE ANALYTE COUNT Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92373306001 Eff SM 2540D RAY 1 PASI-E SM 5210B WCP 1 PASI-E Enterolert SAM1 1 PASI-E Colilert-18 BWJ 1 PASI-R SM 4500-CI G MVC 1 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 14 Pace Analytical Services,LLC 6701 Conference Dnve aceAnalytical Raleigh,NC 27607 wwwpacelabs corn (919)834-4984 CERTIFICATIONS Project 2619 Ellis Rd Durham-Halle Com Pace Project No 92373306 Raleigh Certification IDs 6701 Conference Drive,Raleigh,NC 27607 North Carolina Bioassay Certification 4 16 North Carolina Wastewater Certification 4 67 North Carolina Drinking Water Certification 4 37731 Asheville Certification IDs 2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification# 40 Florida/NELAP Certification 4 E87648 South Carolina Certification 4 99030001 Massachusetts Certification# M-NC030 Virginia/VELAP Certification# 460222 North Carolina Drinking Water Certification 4 37712 Eden Certification IDs 205 East Meadow Road Suite A,Eden NC 27288 North Carolina Wastewater Certification# 633 North Carolina Drinking Water Certification# 37738 Virginia/VELAP Certification 4 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full without the written consent of Pace Analytical Services,LLC Page 2 of 14 Pace Analytical Services,LLC '7aceAnalytical 6701 Conference 7 Raleigh,NC 27607607 www pacala4seom (919)834-4984 February 21, 2018 Dave Welsh DAVID BRANTLEY& SONS 37 PINE RIDGE RD, Zebulon, NC 27597 RE Project 2619 Ellis Rd Durham-Halle Corn Pace Project No 92373306 Dear Dave Welsh Enclosed are the analytical results for sample(s) received by the laboratory on February 14, 2018 The results relate only to the samples included in this report Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted If you have any questions concerning this report, please feel free to contact me Sincerely, Angela Baioni angela baioni@pacelabs corn (704)875-9092 Project Manager Enclosures cc Cory Brantley,DAVID BRANTLEY&SONS REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, without the written consent of Pace Analytical Services,LLC Page 1 of 14