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Home My WebLink AboutNCG020354_2016 Analytical Results Wastewater_2016060346!Analytical www.pacelabs.com i June 03, 2016 Glenn Amey Charrah 330 S Tryon St Suite 510 Charlotte, NC 28202 RE: Project: 5/31 WW Discharge 5/31 Pace Project No.: 92299554 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 � r-,G, oc-�-b -3,!5y RECEIVED BAN 31 201? CE'N'TrVV 1 FI LeS DWfr SrE'C`i ION Dear Glenn Arney: Enclosed are the analytical results for sample(s) received by the laboratory on May 31, 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 christopher.derouen@pacelabs.com Project Manager Enclosures cc: Collin Mummert, Charah Inc REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc. Page 1 of 19 aceAnlylical o warapacetabscom Project: 5/31 WW Discharge 5131 Pace Project No.: 92299554 Raleigh Certification IDs 6701 Conference Drive, Raleigh, NC 27607 North Carolina Wastewater Certification #: 67 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 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 #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 Virginia/VELAP 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, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 Page 2 of 19 r r /'ZAI1alyt cal s ';pacafabs.com Project: 5/31 W V Discharge 5131 Pace Project No 92299554 Lab ID Sample ID 92299554001 5131 WW GRAB SAMPLE ANALYTE COUNT Method SM 2540D SM 2540F EPA 9040 SM 9222D EPA 180.1 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 (828)254-7176 Analysts Analyses Reported Laboratory KCE 1 PASI-E KCE 1 PASI-E KCE 1 PASI-E RC 1 PASI-R DMN 1 PASI-A Page 3 of 19 4 ; _aceAnatyfical' rwaaw cam Project: 5131 WW Discharge 5/31 Pace Project No. 92299554 Lab Sample ID Client Sample ID Method Parameters 92299554001 5131 WW GRAB SM 2540D Total Suspended Solids EPA 9040 pH SM 9222D Fecal Coliforms EPA 180.1 Turbidity SUMMARY OF DETECTION Result Units 6.6 mg/L 6.4 Std. Units 164 CFU/100 mL 8.5 NTU 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 (828)254-7176 Report Limit Analyzed Qualifiers 2,5 06/01/1614:24 0.10 06/01/1617:40 1-11.1-16 1.0 05/31/1616:07 1.0 06/01/16 22:30 Page 4 of 19 aeAnalytical w"pscelabs.c= PROJECT NARRATIVE Project: 5/31 WW Discharge 5/31 Pace Project No. 92299554 Method: SM 2540D Description: 2540D Total Suspended Solids Client: Charah Date: June 03, 2016 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 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 iequiremenls with any exceptions nuted beluw. 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/22981 D6: The precision between the sample and sample duplicate exceeded laboratory control limits. • DUP (Lab ID: 1746097) • 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 5 of 19 ace Analytical( i www com PROJECT NARRATIVE Project: 5131 WN Discharge 5/31 Pace Project No.: 92299554 Method: SM 2540F Description: 2540F Total Settleable Solids Client: Charah Date: June 03, 2016 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 General Information: 1 sample was analyzed for SM 2540F. 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 critedai were within method requirements with any exceptiuus 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. 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 t�ctrJ" nalXical "' r �- wwwpacelabscom PROJECT NARRATIVE Project: 5/31 WW Discharge 5/31 Pace Project No 92299554 Method: EPA 9040 Description: 9040 pH Client: Charah Date: June 03, 2016 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 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 111: Analysis conducted outside the EPA method holding time. • 5/31 VWV GRAB (Lab ID: 92299554001) 116: Analysis initiated outside of the 15 minute EPA required holding time. • 5/31 WNGRAB (Lab ID: 92299554001) 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: (828)254-7176 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc Page 7 of 19 aceAnalyticalc www.pacekib&corn PROJECT NARRATIVE Project: 5/31 WW Discharge 5/31 Pace Project No.: 92299554 Method: SM 9222D Description: MBIO 9222D Fecal Coliform RAL Client: Charah Date: June 03, 2016 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 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 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: R13I0/6172 D6: The precision between the sample and sample duplicate exceeded laboratory control limits. • DUP (Lab ID: 1745707) • Fecal Coliforms 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 /! aceAnalytical wwwpacelabs com PROJECT NARRATIVE Project: 5/31 VWV Discharge 5/31 Pace Project No., 92299554 Method: EPA 180.1 Description: 180.1 Turbidity Client: Charah Date: June 03, 2016 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 General Information: 1 sample was analyzed for EPA 180.1. 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. 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 OU 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 Y V !;alceAnalyticalo WmpacewAcom ANALYTICAL RESULTS Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 Project: 5/31 WW Discharge 5/31 Pace Project No.: 92299554 Sample: 5131 WW GRAB Lab ID: 92299554001 Collected: 05/31/16 11:00 Received: 05/31/16 15:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.6 mg/L 2,5 1 06/01/16 14:24 2648F Total Settleable Solids Analytical Method: SM 254OF Total Settleable Solids ND mL/L/hr 0,10 1 06/01/16 17:10 9040 pH Analytical Method: EPA 9040 pH 6.4 Std Units 0.10 1 06101/1617:40 H1,H6 MBIO 9222D Fecal Coliform RAL Analytical Method: SM 9222D Fecal Coliforms 164 CFU/100 mL 1.0 1 05/31/16 16:07 180.1 Turbidity Analytical Method: EPA 180.1 Turbidity 8.5 NTU 1.0 1 06/01/1622:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc Page 10 of 19 accAnalylical" wwpacewmcom Project: 5/31 WW Discharge 5/31 Pace Project No 92299554 QC Batch: EDEN/22981 QC Batch Method: SM 2540D Associated Lab Samples: 92299554001 METHOD BLANK: 1746094 Associated Lab Samples: 92299554001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 1746095 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1746096 Parameter Units Total Suspended Solids mg/L QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 06/01/1614:20 Spike Cone. 250 92299480001 Result 174 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 LCS LCS % Rec Result % Rec Limits Qualifiers 264 106 90-110 Dup Result RPD Qualifiers 169 3 SAMPLE DUPLICATE: 1746097 92299527003 Dup Parameter Units Result Result Total Suspended Solids mg/L 753 83.0 RPD Qualifiers 10 D6 Results presented on this page are in the units indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc Page 11 of 19 a 0 I�ZAnalyticalc can Project: 5/31 WW Discharge 5/31 Pace Project No.: 92299554 QC Batch: EDEN/22992 QC Batch Method: SM 254OF Associated Lab Samples: 92299554001 METHOD BLANK: 1746505 Associated Lab Samples: 92299554001 Parameter Units Total Settleable Solids mUL/hr QUALITY CONTROL DATA Analysis Method: SM 2540F Analysis Description: 254OF Total Settable Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers � ND 0.10 0610111617:10 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 Results presented on this page are in the units indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc Page 12 of 19 IJOAna,(Xicalo cwn QUALITY CONTROL DATA Project: 5/31 WW Discharge 5131 Pace Project No.: 92299554 QC Batch: EDEN/22995 Analysis Method: EPA 9040 QC Batch Method: EPA 9040 Analysis Description: 9040 pH EDEN Associated Lab Samples: 92299554001 SAMPLE DUPLICATE: 1746763 92299554001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 6.4 � 6.4 0 H1,H6 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 {828}254-7176 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the tight of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc. Page 13 of 19 t 1�2ceAnalyticafo wwwpacwabscom Project: 5/31 WW Discharge 5/31 Pace Project No.: 92299554 QC Batch: RBIO/6172 QC Batch Method: SM 9222D Associated Lab Samples: 92299554001 METHOD BLANK: 1745706 Associated Lab Samples: 92299554001 Parameter Fecal Coliforms SAMPLE DUPLICATE: 1745707 Parameter Fecal Coliforms QUALITY CONTROL DATA Analysis Method: SM 9222D Analysis Description- 9222D MBIO Fecal Coliform - RAL Matrix: Water Blank Reporting Units Result Limit Analyzed Qualifiers CFU/100 mL ND 1.0 05/31/16 16:07 92299554001 Dup Units Result Result RPD Qualifiers CFU/100 mL 164 109 40 D6 Pace Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 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: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc. Page 14 of 19 t2aceAnalytical' can QUALITY CONTROL DATA Project: 5/31 V\/W Discharge 5/31 Pace Project No.: 92299554 QC Batch: WET/45278 Analysis Method: EPA 180 1 QC Batch Method: EPA 180.1 Analysis Description: 180.1 Turbidity Associated Lab Samples: 92299554001 METHOD BLANK: 1746596 Matrix: Water Associated Lab Samples: 92299554001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Turbidity NTU ND 1.0 06/01/16 22:30 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 1746597 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Turbidity � NTU 10 10 100 90-110 SAMPLE DUPLICATE: 1746598 92299534001 Dup Parameter Units Result Result RPD Qualifiers Turbidity NTU ND ND Results presented on this page are in the units indicated by the "Units" column except where an altemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc Page 15 of 19 aceAnalylical e www.pacelabs.com QUALIFIERS Project: 5/31 WW Discharge 5/31 Pace Project No : 92299554 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. Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 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 - R@Iative- 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 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 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. H1 Analysis conducted outside the EPA method holding time. 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: 06/03/2016 08:56 AM without the written consent of Pace Analytical Services, Inc Page 16 of 19 aceAnalyfical e bsccm QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 5/31 VVW Discharge 5/31 Pace Project No 92299554 Pace Analytical Services, Inc. 2225 Riverside Dr Asheville, NC 28804 (828)254-7176 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92299554001 5/31 WIN GRAB SM 2540D EDEN/22981 92299554001 5131 WW GRAB SM 2540F EDEN/22992 92299554001 5/31 WW GRAB EPA9040 EDEN/22995 92299554001 5/31 WW GRAB SM 9222D RB10/6172 92299554001 5131 WW GRAB EPA 180.1 WET/45278 Date: 06/03/2016 08:56 AM 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 vU UIIIC 11t IYOIIIC. ✓V1.U1 MIll. IV, LULV iV nditlon Upon Receipt(S; UFtj Page 1 of 2 Document No.: Issuing Authority; RAL-Ca-001-rev:05 Pace Raleigh Quality Office a oft MIN NALCA Client Name: Protect Courier; UFed Ex DUPE ❑LISPS Ctlent ' III I Ii I III i 1111111 ❑ Commercial ❑Pace []Other_ 92299554 Custody Seal Present? ❑Yes 4No Seals Intact? QYes VNo 11 Date/initials Person Examining Contents: +� �� G Le Packing Material: ❑Bubble Wrap (Bubble Bags None ❑Other: Thermometer: IR SN;1220S53g7 ❑IR SN:122065371 Typ of Ice:[]Blue ❑None []Samples on ice, coolingprrcess ha; hegun Correction Factor:PO'C Cooler Temp Corrected CC): Owet Biological Tissue Frozen? []Yes EINo ,L�ljy,/A Temp should be above fr ezing to 6'C USDA Regulated Soil ( 0 N/A, water sample) Did sampl s originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (intern tionally, ElYes 7INo Including Hawaii and Puerto Rico)? QYes (4o COMMENTS: Chain of Custody Present? 95Yes ONO N/A 1. Chain of Custody Filled Out? 4JYes Na N/A 2. Chain of Custody Relinquished? es ❑No UNLA 3. Sampler Name and/or Si attire on COC? Yes ONO N/A 4. Samples Arrived within Hold Time? Yes ONo N/A S. Short Hold Time Analysis q2 hr ? Yes QN, N/q 6- b '\ Rush Turn Around Time Requested? Yes PINo N/A 7. r Sufficient Volume? ZYes No N/A B. Correct Containers Used? l 'es ❑No ❑N/A 9. -Pace Contalners Used? PYes ONO N A Containers Intact? E& ON, EIN/A 10. Festered Volume Received for Dissolved Tests? Yes No N/A 11. Note Ifsediment is visible In the dWolved container Sample labels Match COC? Yes ❑No [3N/A 12. -includes Date/rme/ID/Ana sls Matrix: All containers needing acid/base preservation have beerr 13 checked? Yes ONO ❑N/A All containers needing preservation are found to be in compliance with EPA recommendation? ZlYes (HNO3, HtSO4, HCk2; NaOH >9 Sulfide, NaOH>12 Cyanide) ❑No ❑N/A Exceptions: VOA, Coliform, TOC, Oil and Grease, wyls DRO/8015 (water) DOCLUig ONO, N A Samples checked for dechlorination Yea to ❑N/A 14. -HeadsRace In VOA Vfals >5.6mm}? OYes ONo N/A IS. Till) Blank Present? []Yes ®No I /A 16, Trip Blank Custody Seals Present? []Yes ONO N/A Pace Trip Blank_Lot #1 [it purchased). CLIENT NOTIFICATION/RESOLUTION Field Data Required? Dyes ❑Na Person Contacted: Date/Time: Comments/Resolution: Project Manager SCURF Review: s y Date: ' r 7 r Project Manager 5RF Review: Date: ='o A 6 Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the ortfi Carolina DEHNR CertfFlation Office (Le. Out of hole, Incorrect preservathre, out of temp, Incorrect containers) Page 18 of 19 2 uAnaljNcal , www,pacelabt.com 16701 Conference Drive, RoJeo, NC 27607 ph: (919) 834-4984, fax: (919) 834-6497 NCWVV CerM7, NGDW CeM37731 Report Results To: Chain of Custody Company; 4 Address: (-7 on its —4/V Attn: Phone: Fax: Sampled by (signature): Bill To: Project Reference; V.31 W.loJ C— Project Number. Purchase Order #: • Standard Report Delivery • Rush Report Delivery (w/surcharge) -Rush pMocte are subject to Ow approval by the laboratory Requested Due (sate: M0CGIpILXMWi0nStL u uny) 0 4±20C 13 Res. Chlorine: 0 Absent 0 Present 0 n1a Add preset . <2 7 0 Yes 0 No 0 rVa Base presery. >1 2? 0 Yes 13 No 0 n/a Page 19 of 19