NCG020354_2016 Analytical Results Wastewater_20160331

aceAnalytical
wxwpacelebscom
March 31, 2016
Glenn Amey
Charrah
330 S Tryon St
Suite 510
Charlotte, NC 28202
RE: Project: Wastewater Discharge -march
Pace Project No.: 92291594
Pace Analytical Services, Inc.
2225 Riverside Or
Asheville, NC 28804
[phone]
IV & &__0a_v3sy
R NED
31 w 1
CENT RAL FILES
CWR SECTION
Dear Glenn Amey:
Enclosed are the analytical results for sample(s) received by the laboratory on March 28, 2016. The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the 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,
Chris Derouen
[e-mail]
Project Manager
Enclosures
cc: Collin Murnmert, Charah Inc
REPORT OF LABORATORY ANALYSIS
This report shall not 6e reproduced, except in full,
without the written consent of Pace Analytical Services, Inc
Page 1 of 19

aceAna ytica "
www.pacetab&com
Project: Wastewater Discharge -march
Pace Project No.:: 92291594
Raleigh Ceilification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Eden Certification Ids
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 633
UrginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Pace Analytical Services, Ina.
2225 Riverside Dr
Asheville, NC 28804
[phone]
Page 2 of 19

_ ;a'ceAnalytical'
www.pacelabs.com
SAMPLE ANALYTE COUNT
Project: Wastewater Discharge -march
Pace Project No. 92291594
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92291694001 WW Discharge SM 2130B
CHM
1
PASI-E
SM 2540D
KCE
1
PASI-E
SM 254OF
CHM
I
PASI-E
EPA 9040
DWJ
1
PASI-E
SM 9222D
RC
1
PASI-R
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc. Page 3 of 19

�_;a7ceAnalyticalo
a wwpace4ftcnm
Project: Wastewater Discharge -march
Pace Project No: 92291594
Lab Sample ID
Client Sample ID
Method
Parameters
92291594001
WW Discharge
SM 2130B
Turbidity
SM 2540D
Total Suspended Solids
EPA 9040
pH
Result Units
33.3 NTU
23.9 mg/L
6.5 Std. Units
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc .
Pace Analytical Services, Inc'.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Report Limit Analyzed Qualifiers
0.50 03/29/1610:50
2.5 03/29/1611:14
0.10 03/29/1611:00 H6
Page 4 of 19

aceAnalXical
www.pacelabscom
PROJECT NARRATIVE
Project: Wastewater Discharge -march
Pace Project No.: 92291594
Method: SM 2130B
Description: 2130B Turbidity EDN
Client: Charah
Date: March 31, 2016
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
General Information:
1 sample was analyzed for SM 2130B. All samples were received in acceptable condition with any exceptions noted below or on the
chain -of custody and/or the sample condition upon receipt form (SCUR) attached at the end of this report.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below
Internal Standards:
All internal standards were within QC limits with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc . Page 5 of 19

acemalytical'
rj www.paceisbs.com
PROJECT NARRATIVE
Project: Wastewater Discharge -march
Pace Project No. 92291594
Method: SM 2540D
Description: 2540D Total Suspended Solids
Client: Charah
Date: March 31, 2016
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
General Information:
1 sample was analyzed for SM 2540D. All samples were received in acceptable condition with any exceptions noted below or on the
chain -of custody and/or the sample condition upon receipt form (SCUR) attached at the end of this report.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below,
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below,
Internal Standards:
All internal standards were within QC limits with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
QC Batch: EDEN/22282
D6: The precision between the sample and sample duplicate exceeded laboratory control limits.
• DUP (Lab ID: 1696856)
• Total Suspended Solids
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc Page 6 of 19

aceAnalyticaI
www.pacalabs com
PROJECT NARRATIVE
Project: Wastewater Discharge -march
Pace Project No 92291594
Method: SM 254OF
Description: 2540F Total Settleable Solids
Client: Charah
Date: March 31, 2016
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
General Information:
1 sample was analyzed for SM 254OF. All samples were received in acceptable condition with any exceptions noted below or on the
chain -of custody and/or the sample condition upon receipt form (SCUR) attached at the end of this report.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below.
Internal Standards:
All internal standards were within QC limits with any exceptions noted below,
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc Page 7 of 19

accAnalytical
www.pacalabscom
PROJECT NARRATIVE
Project: Wastewater Discharge -march
Pace Project No,: 92291594
Method: EPA 9040
Description: 9040 pH
Client: Charah
Date: March 31, 2016
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
General Information:
1 sample was analyzed for EPA 9040, All samples were received in acceptable condition with any exceptions noted below or on the
chain -of custody and/or the sample condition upon receipt form (SCUR) attached at the end of this report..
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
1­16: Analysis initiated outside of the 15 minute EPA required holding time.
• WW Discharge (Lab ID: 92291594001)
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below.
Internal Standards:
All internal standards were within QC limits with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 8 of 19

aceAnaljfta!e
www.pecolabs.com
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
PROJECT NARRATIVE
Project: Wastewater Discharge -march
Pace Project No.: 92291594
Method: SM 9222D
Description: MBIO 9222D Fecal Coliform RAL
Client: Charah
Date: March 31, 2016
General Information:
1 sample was analyzed for SM 9222D. All samples were received in acceptable condition with any exceptions noted below or on the
chain -of custody andfor the sample condition upon receipt form (SCUR) attached at the end of this report.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration:
All criteria were within method requirements with any exceptions noted below.
Internal Standards:
All internal standards were within QC limits with any exceptions noted below
Surrogates:
All surrogates were within QC limits with any exceptions noted below
Method Blank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below.
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below.
Additional Comments:
This data package has been reviewed for quality and completeness and is approved for release.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc Page 9 of 19

accAnalytical
wwmtp8ogbbs,own
ANALYTICAL RESULTS
Project: Wastewater Discharge -march
Pace Project No., 92291594
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Sample: WW Discharge
Parameters
Lab ID: 92291594001 Collected: 03/28/16 12:00
Results Units Report Limit DF
Received: 03/28/16 16:05 Matrix: Water
Prepared Analyzed CAS No. Qual
2130E Turbidity EDN
Analytical Method: SM 2130B
Turbidity
33.3 NTU
0.50
1
03129/1610:50
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
23.9 mg/L
2.5
1
03/2911611:14
254OF Total Settleable Solids
Analytical Method: SM 254OF
Total Settleable Solids
ND mVL/hr
0.10
1
03/29/16 09:30
9040 pH
Analytical Method: EPA 9040
pH
6.5 Std. Units
0.10
1
03/2911611:00 H6
MBIO 9222D Fecal Coliform RAL
Analytical Method: SM 9222D
Fecal Coliforms
ND CF11/100 mt
1 0
1
03/28/16 16-28
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc. Page 10 of 19

aceAnalytical
wwwpacslabscom
Project: Wastewater Discharge -march
Pace Project No 92291594
QC Batch: EDEN/22283
QC Batch Method: SM 2130B
Associated Lab Samples: 92291594001
METHOD BLANK: 1696876
Associated Lab Samples: 92291594001
Parameter
Turbidity
QUALITY CONTROL DATA
Analysis Method: SM 2130B
Analysis Description: 2130B Turbidity EDN
Matrix: Water
Blank Reporting
Units Result Limit Analyzed Qualifiers
NTU ND 0.50 03/29/16 10:50
SAMPLE DUPLICATE: 1696877
92291594001 Dup
Parameter Units Result Result
Turbidity NTU 33,3 32.3
RPD Qualifiers
Pace Analytical Services, Inc,
2225 Riverside Dr.
Asheville, NC 28804
[phone]
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: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc.
Page 11 of 19

ljceAnalytical"'
www.pacelabs.com
Project: Wastewater Discharge -march
Pace Project No.: 92291594
QC Batch. EDEN/22282
QC Batch Method: SM 2540D
Associated Lab Samples: 92291594001
METHOD BLANK: 1696854
Associated Lab Samples: 92291594001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE: 1696855
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 1696856
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Analysis Method: SM 2540D
Analysis Description 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2 5 W03129/16 11:08
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 226 90 90-110 �., ,m ...._..
92291547001 Dup
Result Result RPD Qualifiers
28.6 31.2 9 D6
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: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc Page 12 of 19

aceAnalytical
wwwpacelabs.com
Project:
Wastewater Discharge -march
Pace Project No
92291594
QC Batch:
EDEN/22280
QC Batch Method:
SM 254OF
Associated Lab Samples: 92291594001
METHOD BLANK:
1696736
Associated Lab Samples: 92291594001
Parameter Units
Total Settleable Solids mUUhr
SAMPLE DUPLICATE: 1696737
Parameter Units
Total Settleable Solids m mUUhr
QUALITY CONTROL DATA
Analysis Method: SM 2540F
Analysis Description: 2540F Total Settable Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 03/29/16 09:30
92291594001 Dup
Result Result RPD Qualifiers
ND ND
Pace Analytical Services, Inc.
2225 Riverside Dr,
Asheville, NC 28804
[phone]
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: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc.
Page 13 of 19

acaAnalytical
www.pacelabscom
Project: Wastewater Discharge -march
Pace Project No.: 92291594
QC Batch: EDEN/22284
QC Batch Method: EPA 9040
Associated Lab Samples: 92291594001
SAMPLE DUPLICATE: 1696945
Parameter Units
pH
Std. Units
QUALITY CONTROL DATA
Analysis Method: EPA 9040
Analysis Description: 9040 pH EDEN
92291594001 Dup
Result Result RPD Qualifiers
6.5 6.5 0 H6
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
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: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc.
Page 14 of 19

?!2ceAnalyticale
www.pacetabs.com
Project: Wastewater Discharge -march
Pace Project No. 92291594
QC Batch: RBIO/6053
QC Batch Method: SM 9222D
Associated Lab Samples: 92291594001
METHOD BLANK: 1696802
Associated Lab Samples: 92291594001
Parameter Units
Fecal Coliforms CFU/100 mL
SAMPLE DUPLICATE: 1696803
Parameter
Fecal Coliforms
QUALITY CONTROL DATA
Analysis Method: SM 9222D
Analysis Description: 9222D MBIO Fecal Coliform - RAL
Matrix: Water
Blank Reporting
Result Limit Analyzed
ND 1.0 03/28/1616:28
Qualifiers
92291597001 Dup
Units Result Result RPD Qualifiers
CFU/100 mL 82,0 82.0 0
Pace Analytical Services, Inc.
2225 Riverside Dr
Asheville, NC 28804
[phone]
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: 03131 /2016 03:00 PM without the written consent of Pace Analytical Services, Inc
Page 15 of 19

aceAnalytical
wwwpacelabs.com
Pace Analytical Services, Inc:
2225 Riverside Dr
Asheville, NC 28804
[phone]
QUALIFIERS
Project: Wastewater Discharge -march
Pace Project No : 92291594
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
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) - 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 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
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 anaiyte 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-E Pace Analytical Services - Eden
PASI-R Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/31/2016 03:00 PM without the written consent of Pace Analytical Services, Inc Page 16 of 19

c7CBAnalyticaI
1 wwwpacelabs.cum
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Wastewater Discharge -march
Pace Project No 92291594
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
92291594001
WW Discharge
SM 2130B
EDEN/22283
92291594001
WW Discharge
SM 2540D
EDEN/22282
92291594001
WW Discharge
SM 2540F
EDEN/22280
92291694001
WW Discharge
EPA9040
EDEN/22284
92291594001
WW Discharge
SM 9222D
R13I0/6053
Date: 03/31/2016 03:00 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Analytical
Batch
Page 17 of 19

Document Name: Document Kevised: LbhI:bZU10
Sample Condition Uporr Receipt(SCtiR}� Page 1 of 2
{
) Analytical _ __' Document No.: Issuing Authority:
F-RAL•CS-001-rev,05 Pace Raleigh Quahly Office
Page 2 of 2 for tAtemal Use ONLY
I; r� � � . �'• Client Name:
' • - • n ! ��� � Project # WO#•g r
❑ C1594
ommercial []Fed
de x ❑UPS QOther: usps �CUent 1111111111111
922�f5�t4
Custody Seal Present? Des �No Seals intact? ❑Yes [No
Date/Initials Person Examining Contents:y 1 I, f,
Packing Material: []Bubble Wrap [—]Bubble Bags 111NOIle ❑Other:
Thermometer. A'C
IR SN:122065397 QIR SN:12206$371 Type of Ice: Wet ❑Blue ❑None ❑Samples on ice, cooling prccess has begun
Correctloll Factor: Cooler Temp Corrected ('C): d) , Biological Tissue frozen? ❑Yes ❑No E*A
Temp should be above fr e ingto 6'C
USDA Regulated Soil ( NIA, Seater sample)
Did sample originate Ina quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Inter tlanally,
MY— Xfn including Hawaii and Puerto Rico)? [)Yes No
_
COMMENTS:
Chain of Custody Present?
yes
[]No
ra/A
1.
Chain of Custody Filled Out?
es
©No
QN/A
2.
Chain of Custody Relinquished?
cos
[]No
QN/A
3.
Sampler Name and/or SlgnatureonCOC?
Yes
No
ON/A
4.
Arrived within Hold Time?
Yes
QNo
QN/A
5.
.Samples
Short Hold Time Analysis (02 hr)?
Yes
tdo
C]N/A
J00.
Rush Turn Around Time Requested?
Yes
tNo
UN/A
7.
Sufficient Volume?
Yes
DNo
QN/A
g•
Correct Containers Used?
Yes
QNo
❑N/A
9.
-Pace Containers Used?�,Xes
ONo
QN/A
Containers Intact?
Yes
No
N/A
10.
Filtered Volume Received for Dissolved Tests?
Dyes
ENO
4NIA.
11. Note if sediment is visible in the dissolved container
Sample labels Match COC?
0Yes
[]No
❑N/A
12.
•Includes Date/Time/ID/Analysis Matrix:
13.
All containers needing acid/base preservation have been
checked?
, /
LAYes
❑No
❑N/A
All containers needing preservatlolt are found to be In
T
compliance with EPA recommendation?
(HNC)3, H250e, HCI<2; NaOH >9 SuMde, NaOH>12 Cyanide)
Yes
❑No
[]N/A
Exceptions: VOA, Coliform, TOC, Oil and Grease,
DRO[8035 (water) DOC,LLHg
es
INo_
QN/A
Samples checked for dechlorinatton
Yes
(]No
ONIA
14,
HeadspaceinVOA Vials (>5-6mm)?
[]Yes
QNa
N/A
15•
Tap Blank Present?
[]Yes
®No
N/A
16,
Trip Blank Custody Seals Present?
❑Yes
©No
N/A
Pace Trip Blank lot 8 (if eurchase#
CLIENT NOTIFICATION/RESOLUTION
Peron Contacted:
Comments/RePlutior;
Project Manager SCJRF Review:
Projed Manager SRF Review:
Note: Whenever there Is a discrepancy affecting North Carolina compllar,
Out of hold, incorrect preservattve,rout of temp, Incorrect containers)
Field Data Required? LjYes No
y of :is form ant to the f j rile C roi 'EhNR C • iI ration Office (I
Page 18 of 19

aneAnalyfical"
6701 Conference Dflve, Raleigh, NC 27607
ph: (919) &34-4 9Mtax: [phone]
NCWW Cen#67, NCDW CoW7731
Report Results To:
Company: -4�
Address:
4L.- _e_- lllkolwald
Attn:
Phone:
Fax:
Sampled by (signature):
Chain of Custody
Bill To:
W.O. #
Project Reference:
J
Project Number:
Purchase Order #:
0 Standard Report Delivery
0 Rush Report Delivery (w/surcharge)
"Rush projacts are subject to Privi awroval by
the laboratory
Requested Due Date:
ReRnquis!)o by (signature)re)
ate
lime
R4by (signature)
Received by (sigrtatu)
at.
Time
Relinquisheci by (signaftse)
Recetvad by (signaturs)
Date
Time
Receipt Conditions (La
lt VOnly)
11 0 4t2°C ❑ Temp: j- 0C
Res. Chlorine:
[]Absent OPresent Onfa
Acid present. <2?
0 Yes 13 No 0 n/a
Base praserv. >1 27
D Yes n No 0 We
Page 19 of 19