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HomeMy WebLinkAboutNCS000329_Monitoring Reports_20141222(J 4� O o K o. y cn 0 o a' h � o � y ^r O A� o a o c a = 'A a w fQG+ a � o 0 0 � O � C � O t In O 0 0 (t 0 c O _13 owe r1• � H c e m t A C O J H O A �s� � trJHC trJHC � ... o b y+.GeD 15 y W5 Q, A a 'C m p v `M rC A A onrA A O. v CD 'b a *� C m CD co C "Cy n ate-. � :0 CD c�c TQ m 0 y A+ A a. 0 � A A y 0 A O p9 A R ri' A A ty QQ a A C' ry �+ xC y K � a' Q+ O gso rs p FLI - CD �� G V]• A CD Q CD 1 O rFS* CD A A rA y ^* p rn o � w co .d K R, n � 0 0 fD p� y r� Li f11 eb �� oz � D a a vsysyo a o. C O � 0 e K O K 0 0 O o � � K a A � � " 1 0 H O ° y (D AM A A R A A� A � J.,►s a a a. � LzJ O cs C trJ � c n O �,' OtQ y MQ, rc C A F� o A H ^r "'s es n M °j M m 0 ra AR O.M. o A p eD o aCD p �eD A p y b v\ 0CD fD 0 �'tia I 0 CD �� ��� CD ro CD CD �• `� ma ?; eo b CD 1.0 Q' co a� iD CD CD y A O A9 CD k % eD Iry v . eD a eY A9 y y O of EA CD eD M ow O ow D C r. K A� eD C p m January 27, 2015 Attn: Central Files N.C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 �V A ATI R iEf E0 BAN:302015 P.O. Box 5030 2020 Ashcraft Avenue Monroe, NC 28111-5030 Phone: (704) 289-4511 Fax: (704) 290-5194 Email: joe.hinkle(a)atimetals.com Central Files: �� � ������ S N Attached, please filed Aonriwalei inonilo ing data foi Permit No NCS000329. The oilgitials acid one copy are included. The monitoring data is for the following monitoring schedule: Monitoring Period Sample Number Start I End Year 5 — Period 2 10 Se tember 1, 2014 1 Februa 28, 2015 Analytical monitoring includes: • Outfall #01 (B), commingled stormwater • Outfall 402 (B), non -commingled stormwater • Outfall 403 (B), non -commingled stormwater • Non Contact Cooling Water #1 - #8 If you have any questions or need additional information, please contact me at 704-289-4511. Thank you. Sincerely, �t CZU J e Hinkle Environmental Manager T'I _ Bakers Plant Stormwater Monitoring Report Form 4-11 Sample Date: Sample Location: Person Collecting Samples: Laboratory Performing Analysis: Analytical Techniques and Methods: Results of Sample Analysis: Sample Time: r 9 f Stormwater Discharge Outfall #01 (Commingled) Drainage Area = 2,915,470sq. ft. = 69 acres % Impervious = 34% AM m '' OL Jr 10,a,f le- 14&1V 7L 40 CFR Part 136 Parameter Results (mg/1) Benchmark Values (mg/1) BOD 30 COD AD 120 TSS 100 Cadmium 0.001 Chromium, total recoverable 1 Copper, total recoverable ° 0.007 Nickel, total recoverable 0.26 Zinc, total recoverable 0.067 Oil and Grease 20 Temp (effluent) g (deg C) n/a Temp (downstream) (deg C) n/a n/a 0.017 Temp (upstream) (deg C) Total Residual Chlorine pH (std units) 6-9 (std units) Storm Date: a Storm Duration: (Hrs.) Inches of Rainfall: Duration of time preceding rain event exceeding 0.111: (Hrs.) Estimated Flow Calculation: Q=CIA Q(Total) = Q(Pervious Area) + Q(hnpervious Area) Q(tot., cfs) = (.4 x inches rain/12 inches/ft. x 69 acres x .66) + .9 x inches rain/12inches/ft. x 69 x .34) Q(Total, cfs) = 1.5180 x (Inches of rain) + 1.7595 x (Inches of rain) cfs FHC — CW — Mnnitnrina Rc nnrtFnrm — RPv 1 \L. �a c� oL7 y C� Ari U' oz �I a a it O y O � v O z 0 0 C O � 0 0 a a� C o 0 Fri ri � zO�.r�i� ea e�C a oo� � cd w a a � H � U � AEU � oz rz N 4- O N N to a N N Q E 0 0 Allvac - Bakers Plant Stormwater Monitoring Report Form Sample Date: Sample Location: Person Collecting Samples: Laboratory Performing Analysis: Analytical Techniques and Methods Results of Sample Analvsis: Sample Time: Stormwater Discharge Outfall #02 (Non -Commingled) Drainage Area = 212,952sq. ft. = 4.9 acres % Impervious = 12% 40 CFR Part 136 Parameter Results (mg/1) Benchmark Values (mg/1) BOD 30 COD Hy 120 TSS 4 19 e 100 Cadmium 0.001 Chromium, total recoverable 1 Copper, total recoverable 0.007 Nickel, total recoverable �f 0.26 Zinc, total recoverable a 0.067 pH (std units) 6-9 (std units) Storm Date: -N Storm Duration: 114 (Hrs.) Inches of Rainfall: 40, Duration of time preceding rain event exceeding 0.1": S Mrs.) Estimated Flow Calculation: Q=CIA Q(Total) = Q(Pervious Area) + Q(Impervious Area) Q(tot., cfs) _ (.4 x inches rain/12 inches/ft. x 4.9 acres x .88) + .9 x inches rain/12inches/ft. x 4.9 x .12) Q(Total, cfs) = 0.1437 x S (Inches of rain) + 0.0441 x (Inches of rain) 0-1 to 116 q cfs Allvac - Bakers Plant FHR — SW — Mnnitni inv RennrtFnnn — Rev 1 Stormwater Monitoring Report Form Sample Date: / Sample Location: Person Collecting Samples: Laboratory Performing Analysis: Analytical Techniques and Methods: Results of Sample Analysis: Sample Time: Stormwater Discharge Outfall #03 (Non -Commingled) Drainage Area = 336,580sq. ft. = 7.8 acres % Impervious = 15% /1n�/ o/7a �� 44V1_ I �Q, 40 CFR Part 136 Parameter Results (mg/1) Benchmark Values (mg/1) BOD IVA 30 COD NA 120 TSS E / 100 Cadmium 0.001 Chromium, total recoverable AD 1 Copper, total recoverable 0.007 Nickel, total recoverable 0.26 Zinc, total recoverable 0.067 pH (std units) 6-9 (std units) Storm Dale: Storm Duration: --- (Hrs.) inches of Rainfall: Duration of time preceding rain event exceeding 0.111: � (Hrs.) Estimated Flow Calculation: Q=CIA Q(Total) = Q(Pervious Area) + Q(hnpervious Area) Q(tot., cfs) _ (.4 x inches rain/12 inches/ft. x 7.8 acres x .85) + .9 x inches rain/ 1 2inches/ft. x 7.8 x .15) Q(Total, cfs) = 0.2210 x &g e (Inches of rain) + 0.0878 x _ (Inches of rain) 7 ,) cfs F.HC — CW — Mnnitnrinv Re—t F— — Rev t LINK] CD 0 O CD n y CD 0 0 � O O 'G II n o � o� Q � 0o cn C fIq CAI Gi fD mA \ Z Kz,� 'co, o n eD l� fr• P'r 2 rtl MA WDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. http:/Iportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C//(2// Q//// or Certificate of Coverage No.: Facility Name: / County: &Ili&1Z Phone No. yo ` 17 N- �/ Inspector: ,q7,V, Date of Inspection: /y--.3l- % Time of Inspection: _/% Total Event Precipitation (inches): 6, 40 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Vf Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. ..................................... ........ ....._.- - By this signature, I,,gertify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Out21.s&) i Descri] Outfall No. l Receiving Stream: Describe the industrial (pipe, ditch, etc.) ;f 9CZ C;re e e' that occur withjn the putfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: / CAI J14W e- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): d/els e- 4. Clarity: Choose the number which hest describes the clarity of the discharge, whore 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes e 10. Other Obvious Indicators of Stormwater Pollution: List and describe /Veg4e'_ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/�.S/!VICQl ?/j/-j/y/ or Certificate of Coverage No.: N/C Facility Name: County: 1ZA r, Inspector: i A. Date of Inspection: Time of Inspection: _1�:`Z)a ,PAt Total Event Precipitation (inches): Phone No. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee)pr D Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfa 1 Description: 0utfall No. Structure (pipe, ditch, Receiving Stream: 17e "e is e fe-'f a Describe the industrial activi ies that occur within 2. Color: Describe the color of the (light, medium, dark) as descriptors: _ the,outfall drainage area: basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /m, e- 4. Clarity: Choose the nunthc�r which boo ;t do,,cribes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 .3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 Q 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yeses/ 9. Is there evidence of erosion or deposition at the outfall? Yes CN 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 �� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://portal.ncdenr.org/web/wg,/ws/su,/nl2dessw#tab-4 Permit No.: N/C/`=.e Facility Name: A County: /./Ai"0. Inspector: >c�rt2r, Date of Inspection: Time of Inspection: Total Event Precipitation (inches): 6,, or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Phone No. s// Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). ........................................................ - ........................... ..... Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge frcnn the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. ................................................................... ....................................................... _............................................ .............................................................................................. ....... ............ ...................... .......... ............... ....... .............. ..................................................................... ........__-_--- By this signatyre, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittk or Desigpte) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Out Outfall No. Receiving Stream: Describe the indu: ditch, etc.) cG � es that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: X %/- : ea)"L r 3. Odor: Describe any distinct odors LhaL the discharge inay have (i.e., smells strongly of oil, weak chlorine odor, etc.): 1�rllz _- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 (D 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes nn 10. Other Obvious Indicators of Stormwater Pollution: List and describe /V0/)�f Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 aceAnalytical www.pacelabs.com i December 30, 2014 Mr. Joe Hinkle Allvac RE: Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Hinkle: Enclosed are the analytical results for sample(s) received by the laboratory on December 22, 2014. 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, Laura J Cooper laura.cooper@pacelabs.com Project Manager Enclosures cc: Mr. Preston Baucom, Allvac Mr. Tommy Long, Allvac 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 14 (�IaceAnalytical' wm..pacelabs.com CERTIFICATIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 Charlotte Certification lDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NO030 West Virginia Certification #: 350 North Carolina Drinking Water Certification #: 3/ 112 VlrglnitdVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 14 aceAnalydical www.pacelabs.com SAMPLE ANALYTE COUNT Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92230659001 BAKERS STORMWATER SW01 EPA 1664E CLW 1 PASI-C EPA200.7 SH1 5 PASI-A SM 2540D MDW 1 PASI-A SM 4500-CI G MAB 1 PASI-A SM 5210B MLS 1 PASI-A SM 52201J LW8 I PASI-A 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 14 aceAnalytical www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 Sample: BAKERS STORMWATER Lab ID: 92230659001 Collected: 12/22/14 04:50 Received: 12/22/14 12:30 Matrix: Water SW01 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 12/22/14 16:42 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Cadmium ND ug/L 1.0 1 12/23/14 16:10 12/23/14 22:30 7440 43 0 chrurnlurn NU ug/L 5.0 1 12/23/14 15.10 12/23/14 22.30 /440-41-3 Copper 24.3 ug/L 5.0 1 12/23/14 15:10 12/23/14 22:30 7440-50-8 Nickel ND ug/L 5.0 1 12/23/14 15:10 12/23/14 22:30 7440-02-0 Zinc 15.9 ug/L 10.0 1 12/23/14 15:10 12/23/14 22:30 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 4.6 mg/L 3.6 1 12/26/14 17:10 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.060 mg/L 0.024 1 12/23/14 10:50 7782-50-5 H1 5210E BOD, 5 day Analytical Method: SM 5210B BOD, 5 day 2.6 mg/L 2.0 1 12/23/14 15:45 12/28/14 16:10 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg/L 25.0 1 12/30/14 08:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 14 aceAnalyticai® www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: GCSV/19881 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92230659001 METHOD BLANK: 1358035 Associated Lab Samples: 92230659001 rarameter Units Oil and Grease mp/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 12/22/1416:40 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1358036 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 38.0 95 78-114 MATRIX SPIKE SAMPLE: 1358037 92230565001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 39.0 94 78-114 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 14 aceAnalyticai www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: MPRP/17612 Analysis Method: EPA200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92230659001 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NO 28078 (704)875-9092 METHOD BLANK: 1358768 Matrix: Water Associated Lab Samples: 92230659001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Cadmium ug/L ND 1.0 12/23/14 21:56 Chromium ug/l. ND 5.0 12/23/14 21:56 Copper ug/L ND 5.0 12/23/14 21:56 Nickel ug/L ND 5.0 12/23/14 21:56 Zinc ug/L ND 10.0 12/23/14 21:56 LABORATORY CONTROL SAMPLE: 1358769 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Cadmium ug/L 500 462 92 85-115 Chromium ug/L 500 438 88 85-115 Copper ug/L 500 459 92 85-115 Nickel ug/L 500 462 92 85-115 Zinc ug/L 500 439 88 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358770 MS 92230489001 Spike Parameter Units Result Conc. Cadmium ug/L ND 500 Chromium ug/L 575 500 Copper ug/L 31.9 500 Nickel ug/(. 193 500 Zinc ug/L 392 500 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358772 MS 92230486001 Spike Parameter Units Result Conc. Cadmium ug/L ND 500 Chromium ug/L ND 500 Copper ug/L 3.2J 500 Nickel ug/L ND 500 Zinc ug/L 4.8J 500 1358771 MSD Spike MS MSD MS MSD % Rec Conc. Result Result % Rec % Rec Limits RPD 500 475 460 95 92 70-130 3 500 1010 974 87 80 70-130 4 500 492 466 92 87 70-130 5 500 636 615 89 84 70-130 3 500 816 804 85 82 70-130 2 1358773 MSD Spike MS MSD MS MSD % Rec Conc. Result Result % Rec % Rec Limits RPD 500 465 458 93 92 70-130 2 500 437 434 87 87 70-130 1 500 464 457 92 91 70-130 2 500 462 457 92 91 70-130 1 500 442 435 87 86 70-130 2 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Qual Qua] Page 6 of 14 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: WET/34994 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92230659001 METHOD BLANK: 1360241 Associated Lab Samples: 92230659001 Parameter Units Total Suspended Solids mg/1 LABORATORY CONTROL SAMPLE: 1360242 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1360243 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1360244 Parameter Units Total Suspended Solids mg/L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2 5 12/26/14 17*08 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 230 92 90-110 92230657001 Dup Result Result RPD Qualifiers 11.1 13.4 19 D6 92230718001 Dup Result Result RPD Qualifiers 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 14 (�IacmnalXica( www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: WET/34933 Analysis Method: SM 4500-CI G QC Batch Method: SM 4500-CI G Analysis Description: 4500CL G Chlorine, Total Residual Associated Lab Samples: 92230659001 METHOD BLANK: 1358408 Associated Lab Samples: 92230659001 Parameter Units Chlorine, Total Residual mg/L SAMPLE DUPLICATE: 1358409 Parameter Units Chlorine, Total Residual mg/L Matrix: Water Blank Reporting Result Limit AnalyLed Qualiters ND 0.024 12/23/1410:60 92230659001 Dup Result Result 0.060 0.058 RPD Qualifiers 3 H1 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersviile, NC 28078 (704)875-9092 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 14 aceAnalyticai® www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: WET/34942 Analysis Method: SM 5210B QC Batch Method: SM 5210B Analysis Description: 5210B BOD, 5 day Associated Lab Samples: 92230659001 METHOD BLANK: 1358934 Associated Lab Samples: 92230659001 Parameter Units BOD, 6 day mg/L LABORATORY CONTROL SAMPLE: 1358935 Parameter Units BOD, 5 day mg/L SAMPLE DUPLICATE: 1358936 Parameter Units BOD, 5 day mg/L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.0 12/28/1416:10 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 198 184 93 84.5-115.4 92230700001 Dup Result Result RPD Qualifiers 3340 2970 12 D6,H3 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 14 (�IaoAnalytical' www.pacetabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 QC Batch: WETA/21408 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92230659001 METHOD BLANK: 1359896 Associated Lab Samples: 92230659001 Parameter Units Ohemie9l Oxygen Domind mg/t LABORATORY CONTROL SAMPLE: 1359897 Parameter Units Chemical Oxygen Demand mg/L Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Matrix: Water Blank Reporting Result Llmit Analyzed Qualifiers ND ?,i 0 121,10114 08,30 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 750 776 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359898 1359899 MS MSD 92230124003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 223 750 750 932 929 95 94 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359900 1359901 MS MSD 92229858002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua] Chemical Oxygen Demand mg/L ND 750 750 768 756 102 101 90-110 2 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: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 14 Pace Analytical Services, Inc. Ave. 100 te aceAnalytical 9800Hulntersvi le, NC128078 www.pacelabs.com (704)875-9092 QUALIFIERS Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 7=13IiIIIL�I;1+? DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. 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 (8270 listed analyte) decomposes to Azobenzene. 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. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. 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-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. 111 Analysis conducted outside the EPA method holding time. H3 Sample was received or analysis requested beyond the recognized method holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 01:51 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 14 (�Iacmnalytica( www.pacdabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: BAKERS STORMWATER SW01 Pace Project No.: 92230659 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92230659001 BAKERS STORMWATER SW01 EPA 1664E GCSV/19881 92230659001 BAKERS STORMWATER SW01 EPA200.7 MPRP/17612 EPA200.7 ICP/15865 92230659001 BAKERS STORMWATER SW01 SM 2540D WET/34994 92230659001 BAKERS STORMWATER SW01 SM 4500-CI G WET/34933 92230659001 BAKERS STORMWATER SW01 SM 5210B WET/34942 SM 5210B WET/34046 92230659001 BAKERS STORMWATER SW01 SM 5220D WETA/21408 Date: 12/30/2014 01:51 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 12 of 14 - e/likiloical" Sample Condition Upon Receii Document Number: F-CH R-CS-003-rev.15 Client Name: /¢-rZ spae r 4.L� �a�ear'ds (A LLVA _ 1 of 2 Issuing Minority: Pace Huntersville Quality Office Courier: ❑ Fed Ex ❑ UPS❑ USPSW Client❑ Commercial❑ Pace Other Custody Seal on Cooler/Box Present: ❑ yes W no Seals intact: ❑ yes ❑ no Packing Material: ❑ Bubble V❑p ❑ Bubble Bags ❑ None [I Other ?PC- Thermometer Used: IR Gun T1401 Type of Ice:rfeb Blue None %Samples on ice, cooling process has begun Tmmn [1nrr&M1nn Fat -Mr T1AA1 Nn (nrt'Ar:tinn Corrected Cooler Temp.: - C Temp should be above freezing to 6°C Biological Tissue is Frozen: Yes No Nta Comments: Date and Initials of per on xamining contents: 1'Z Chain of Custody Present: es ❑No ❑NIA 1. Chain of Custody Filled Out: LWes UNo UN/A 2. Chain of Custody Relinquished: was El No ❑NIA 3. Sampler Name & Signature on COC: (!es ❑No ❑N/A 4. Samples Arrived within Hold Time: Deyes []No ❑NIA 5. Short Hold Time Analysis (<72hr): JoYes ❑No ❑NIA 6. Rush Turn Around Time Requested: moes []No ❑NIA 7. Sufficient Volume: P!Oes ❑No ❑NIA S. Correct Containers Used: -Pace Containers Used: rues ❑No i JCYes []No ❑NIA ❑NIA 9. Containers Intact: es ❑No ❑NIA 10. Filtered volume received for Dissolved tests Aes ❑No ❑N/A 11. Sample Labels match COC: -includes date/time/ID/Analysis Matrix: as ❑No ❑N/A 12. All containers needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, coliform, TOC, O&G, VJI-DRO (water) es []No ZI j%es ❑No JIGYes ❑No ❑NIA ❑NJA 13. Samples checked for dechlorination: Headspace in VOA Vials >6mm : ❑Yes nNo ❑Yes ❑No /A PIA 14. 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if purchased): ❑Yes 0. ❑Yes ❑No UNIA A/A 16. Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: Datefrime: Comments/ Resolution: SCURF Review: W IDate: 12111,44 SRF Review: Date: Z Note: Whenever there is a dis pancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le out of hold, Incorrect preservative, out of temp, 92230659 Incorrect containers) Page 13 of 14 (N/)) loelul soldweS z 0 z O (NJ),) Jaloo0 paleas 00 Z = 0:O 0 z 0 O O o (D 0. CV) Ui APo1so0 00 0 ltl N (NIA) ool Ix uo panleoaa (N/A) auuo140 lenplsou 0 N o, ul dwal 4 C1 =O g 2 Z w m U " o• F M � d I._ L_ Q to a. co 1 ?� wty` { SISUcr d a C tN/A tISO.LSISA1euyt m W. `\ �a4I0 �°u loue4)aW w a d"`lll £O'SZeN HOeN 2 IOH v °V31IN4 € £ eONH ®OS'H .2' INU o2 o # a a panjasa�du� y SZI3NIV1N00 d0 # ; sus=s F lu j N011031103IV dW3131dNvs - ' Q a a 1 ♦n ° u z $ W 0 E W K F `� w w W < ry F ¢ J0 Z O w a to w ~ O uj i LLL. 4 lU na ti } � t Q 'V� O (dW00=0 sVt1EJ=J) 3dA131dWVs ) N o z° a w (ya�o�sapmppenaas) 3000XI2)1VW �" . pp a o r , t° O d m E � Z0 � �tnr ...1 n a cc O 3 CL U `° a-' x?, 0 v .s J ' d ,^ 0 7 o33a rR'o3di �i v 1e N) N �C w€ V�j o Ww0 N N y U o E Q O S )2 v f U Cr tT # W311 N M �t N tp h c0 m to & U ¢ w v w _ ' Pn— 1A of 1, aceAnalytical www.pecelabs.c= December 30, 2014 Mr. Joe Hinkle Allvac RE: Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Hinkle: Enclosed are the analytical results for sample(s) received by the laboratory on December 22, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TN 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, t aura J Cooper laura.cooper@pacelabs.com Project Manager Enclosures cc: Mr. Preston Baucom, Allvac Mr. Tommy Long, Allvac 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 12 Pace Analytical Services, Inc. aceAnalytical ® 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 www.p&celabs.com (704)875-9092 CERTIFICATIONS Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 f aceAnalXical www.pacelabs.com SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: BAKERS STORMWATER SW02 92230660 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92230660001 BAKERS STORMWATER SW02 EPA200.7 SH1 5 PASI-A SM 2540D MDW 1 PASI-A SM 52108 MLS 1 PASI-A SM 5220D EWS 1 PASI-A 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 12 acmnalXiml www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 Sample: BAKERS STORMWATER Lab ID: 92230660001 Collected: 12/22/14 04:25 Received: 12/22/14 12:30 Matrix: Water SW02 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method: EPA200.7 Preparation Method: EPA200.7 Cadmium ND ug/L 1.0 1 12/23/14 15:10 12/23/14 22:33 7440-43-9 Chromium 15.2 ug/L 5.0 1 12/23/14 15:10 12/23/14 22:33 7440-47-3 Copper 142 ug/t 5.0 1 12/23/14 15:10 12/23/14 22:33 7440-50-8 Nickel 8.5 ug/L 5.0 1 12/23/14 15:10 12/23/14 22:33 7440-02-0 Zinc 182 u0/t 100 1 12/23/14 16 10 12/23/14 22-33 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 22.2 mg/L 6.2 1 12/26/14 17:10 5210E BOD, 5 day Analytical Method: SM 5210B BOD, 5 day 3.5 mg/L 2.0 1 12/23/14 15:45 12/28/14 16:10 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 194 mg/L 25.0 1 12/30/14 08:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 aceAnalytical www.pacelabs.cam QUALITY CONTROL DATA Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 QC Batch: MPRP/17612 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92230660001 METHOD BLANK: 1358768 Associated Lab Samples: 92230660001 Parameter Units Cadmium ug/L Chromium ug/L Copper ug/L Nickel ug/L Zinc ug/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 1.0 12/23/14 21.56 NU 5.0 12/23/14 21:56 ND 5.0 12/23/14 21:56 ND 5.0 12/23/14 21:56 ND 10.0 12/23/14 21:56 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1358769 Spike LCS LOS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Cadmium ug/L 500 462 92 85-115 Chromium ug/L 500 438 88 85-115 Copper ug/L 500 459 92 85-115 Nickel ug/L 500 462 92 85-115 Zinc ug/L 500 439 88 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358770 MS 92230489001 Spike Parameter Units Result Conc. Cadmium ug/L ND 500 Chromium ug/L 575 500 Copper ug/L 31.9 500 Nickel ug/L 193 500 Zinc ug/L 392 500 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358772 MS 92230486001 Spike Parameter Units Result Conc. Cadmium ug/L ND 500 Chromium ug/L ND 500 Copper ug/L 3.2J 500 Nickel ug/L ND 500 Zinc ug/L 4.8J 500 1358771 MSD Spike MS MSD MS MSD % Rec Conc. Result Result % Rec % Rec Limits RPD 500 475 460 95 92 70-130 3 500 1010 974 87 80 70-130 4 500 492 466 92 87 70-130 5 500 636 615 89 84 70-130 3 500 816 804 85 82 70-130 2 1358773 MSD Spike MS MSD MS MSD % Rec Conc. Result Result % Rec % Rec Limits RPD 500 465 458 93 92 70-130 2 500 437 434 87 87 70-130 1 500 464 457 92 91 70-130 2 500 462 457 92 91 70-130 1 500 442 435 87 86 70-130 2 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: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Qual Qual Page 5 of 12 lacmnalytical" www.pacelabs.com Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 QC Batch: WET/34994 QC Batch Method: SM 2540D Associated Lab Samples: 92230660001 METHOD BLANK: 1360241 Associated Lab Samples: 92230660001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 1360242 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1360243 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1360244 Parameter Total Suspended Solids Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result t imit Analyzed Qualifiers ND 2.5 12/26/1417:08 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 250 230 92 90-110 92230657001 Dup Units Result Result RPD Qualifiers mg/L 11.1 13.4 19 D6 92230718001 Dup Units Result Result RPD Qualifiers mg/L 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: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical www.pacelabs.corn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite lo0 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 QC Batch: WET/34942 Analysis Method: SM 5210B QC Batch Method: SM 5210B Analysis Description: 5210E BOD, 5 day Associated Lab Samples: 92230660001 METHOD BLANK: 1358934 Associated Lab Samples: 92230660001 Parameter Units BOD, 5 day ing/L LABORATORY CONTROL SAMPLE: 1358935 Parameter Units BOD, 5 day mg/L SAMPLE DUPLICATE: 1358936 Parameter Units BOD, 5 day mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.0 12/28/1416:10 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 198 184 93 84.5-115.4 92230700001 Dup Result Result RPD Qualifiers 3340 2970 12 D6,H3 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: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 ace AnaiXical tvww.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WETA/21408 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92230660001 METHOD BLANK: 1359896 Matrix: Water Associated Lab Samples: 92230660001 Blank Reporting Parameter Units Result t imit Angly7ed (lualifiers CIlernical Oxygen Demand Ing/L ND 25.0 12/30/14 08.30 LABORATORY CONTROL SAMPLE: 1359897 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 776 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359898 1359899 MS MSD 92230124003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 223 750 750 932 929 95 94 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359900 1359901 MS MSD 92229858002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L ND 750 750 768 756 102 101 90-110 2 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: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 acmnalytical www.pacelabs.com QUALIFIERS Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. 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 (8270 listed analyte) decomposes to Azobenzene. 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. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services -Asheville ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H3 Sample was received or analysis requested beyond the recognized method holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 11:11 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.pacelabs.corn QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: BAKERS STORMWATER SW02 Pace Project No.: 92230660 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample 1D QC Batch Method QC Batch Analytical Method Analytical Batch 92230660001 BAKERS STORMWATER SW02 EPA200.7 MPRP/17612 EPA200.7 ICP/15865 92230660001 BAKERS STORMWATER SW02 SM 2540D WET/34994 92230660001 BAKERS STORMWATER SW02 SM 5210B WET/34942 SM 5210B WET/34946 92230660001 BAKERS STORMWATER SW02 SM 5220D WETA/21408 Date: 12/30/2014 11:11 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 aceAl><�lyiicaly Sample Condition Upon Receipt (SCUR) Page 1 of 2 Document Number: issuing Authority: r F-CHR-CS-003-rev.16 Pace Huntersvilie Quality Office Client Name: AT3� (AUVA Courier: ❑ Fed Ex ❑ UPS❑ USPSK Client❑ Commercial❑ Pace Other Custody Seal on Cooler/Box Present: ❑ yes M no Seals intact: ❑ yes ❑ no Packing Material: ❑ Bubble VDp ❑ Bubble Bags ❑ None 0 Other *ZPc. t= Thermometer Used: IR Gun T1401 Type of Ice: (_9 Blue None Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.:`2, T -C Biological Tissue is Frozen: Yes No rt Date and Initials of pe on xamining contents:*-r�-- i2 zZ If _ Temp should be above freezing to 6°C Comments: Chain of Custody Present: Dies ❑No ❑NIA 1. Chain of Custody Filled Out: es ❑No ❑NIA 2. Chain of Custody Relinquished: Wes ❑No ❑N/A $, Sampler Name & Signature on COG: *es UNo UN/A 4, Samples Arrived within Hold Time: Aes ❑No ❑N/A 6. Short Hold Time Analysis <72hr : Pes ❑No ❑NIA 6. Rush Turn Around Time Requested: tales ❑No ❑NIA 7. Sufficient Volume: VYes ❑No ❑NIA $, Correct Containers Used: 06s ❑No ❑NIA 9. -Pace Containers Used: t9yes ❑No ❑NIA Containers Intact: es ❑No ❑N/A 10. Filtered volume received for Dissolved tests 06s ❑No ❑N/A 11. Sample Labels match COC: res ❑No ❑N/A 12. -includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. t�'es ❑No ❑N/A ``6 13, All containers needing preservation are found to be in compliance with EPA recommendation. es ❑No ❑N/A exceptions: VOA, coliform, TOC, O&G, VJi-DRO (water) ❑Yes Ro Samples checked for dechlorination: Dyes ❑No */A 14. Headspace in VOA Vials (>6mm): UYes UNo /A 1 b. Trip Blank Present: Dyes �Io ❑N/A 16, Trip Blank Custody Seals Present ❑Yes ❑No VA/A Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: Daterrime: Comments/ Resolution: SCURF Review:1 Mkx Date: I Id, W SRF Review: 1 IDate: 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 ( Le out of hold, incorrect preservative, out of temp, incorrect containers) Page 11 of 12 10 00 -4 0) to ITEM# m bw CIO 6m 0 0 CL n > > Cb z o M m 0 0 D'a m m z C J) -0 0 & 0 U V tt: la IO�>�OWIM In -i ;U r m m ffE. ". d - MATRIX CODE (sea valid codes to 1011) 3 3 e 0 a 0) zm SAMPLETYPEz PILE TYPE (G=GRA13 C=COMP) o 0 Or 0 ;0 ;Q z z m m z z > > Z M 0 --I 0 m J 0 M 0 3: w > 2 z m 0 14L- > P. ig 0 z co (ft M -n m a I X I m m SAMPLE TEMP0 AT COLLECTION C� I OF CONTAINERS a> , 6 m Unpreserved W R1. .1 G) > 0 r- — — — — — — 142—SO. 51 31: -, 0 0 HNO3 0 C HCI m m > z NaOH 0 Na2S203 Methanol — — Z? 0 m Other is Test lAnalys Y1 N > . .... ... (D a r CD (D 0 z- - - - - - - - A -ZV: CL > m 0 ;mU 0 >to m — — — 0). C z a (D — — — = 0 m ;j m PV -j m — — — — — 0 ;UO M Z 0 0 -n y Temp in 'C — — — — — — C z 7 H — Residual Chlorine (Y/N) 9 — — — — — — — — — — — > NO Received on m 00 Ice (YfN) > C, r Custody Sn Sealed Cooler m 0 o0 0 :U (YIN) m X 0 z C> Samples Intact rr (YIN) furl e 12 of 12 ;ac e A na ly tica If www.pw&bs.corn I December 30, 2014 Mr. Joe Hinkle Allvac RE: Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Hinkle: Enclosed are the analytical results for sample(s) received by the laboratory on December 22, 2014. 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, Laura J Cooper laura.cooper@pacelabs.com Project Manager Enclosures cc: Mr. Preston Baucom, Allvac Mr. Tommy Long, Allvac 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 12 aceAnaIXical www.pacelab&com CERTIFICATIONS Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #- 37712 VirginiaNFt AP Certification #: 460222 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 acmnalytical www.pacelabs.com SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: BAKERS STORMWATER SW03 92230666 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92230666001 BAKERS STORMWATER SW03 EPA 200.7 SH1 5 PASI-A SM 2540D MDW 1 PASI-A SM 5210B MLS 1 PASI-A SM 5220D EWS 1 PASI-A 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 12 aceAnalytical www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 Sample: BAKERS STORMWATER Lab ID: 92230666001 Collected: 12/22/14 04:45 Received: 12/22/14 12:30 Matrix: Water SW03 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 Cadmium ND ug/L 1.0 1 12/23/14 15:10 12/23/14 22:39 7440-43-9 Chromium ND ug/1 50 1 12/23/14 15:10 12/2.3/14 22:39 7440-47-3 Copper 51.3 ug/L 5.0 1 12/23/14 15:10 12/23/14 22:39 7440-50-8 Nickel ND tt®/L 5.0 1 12/23/14 15:10 12/23/14 22:39 7440-02-0 Zinc 75.8 ug/L 10.0 1 12/23/14 16.10 12/23/14 22.30 7440-66 6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 11.4 mg/L 2.8 1 12/26/14 17:11 5210E BOD, 5 day Analytical Method: SM 5210B BOD, 5 day ND mg/L 2.0 1 12/23/14 15:45 12/28/14 16:10 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg/L 25.0 1 12/30/14 08:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 (�Iacmnalytical' www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 QC Batch: MPRP/17612 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92230666001 METHOD BLANK: 1358768 Matrix: Water Associated Lab Samples: 92230666001 Blank Reporting Parameter Units Result Limit Analyzed Cadmium ug/L ND 1.0 12/23/14 21:56 Chromium ug/L ND 5.0 12/23/14 21:56 Copper up/L ND 5.0 12/23/14 21:56 Nickel ug/L ND 5.0 12/23/14 21:56 Zinc ug/L ND 10.0 12/23/14 21:56 Qualifiers LABORATORY CONTROL SAMPLE: 1358769 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Cadmium ug/L 500 462 92 85-115 Chromium ug/L 500 438 88 85-115 Copper ug/L 500 459 92 85-115 Nickel ug/L 500 462 92 85-115 Zinc ug/L 500 439 88 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358770 MS 92230489001 Spike Parameter Units Result Cone. Cadmium ug/L ND 500 Chromium ug/L 575 500 Copper ug/L 31.9 500 Nickel ug/L 193 500 Zinc ug/L 392 500 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1358772 MS 92230486001 Spike Parameter Units Result Cone. Cadmium ug/L ND 500 Chromium ug/L ND 500 Copper ug/L 3.2J 500 Nickel ug/L ND 500 Zinc ug/L 4.8J 500 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers 1358771 MSD Spike MS MSD MS MSD % Rec Cone. Result Result % Rec % Rec Limits RPD ,500 475 460 95 92 70-130 3 500 1010 974 87 80 70-130 4 500 492 466 92 87 70-130 5 500 636 615 89 84 70-130 3 500 816 804 85 82 70-130 2 1358773 MSD Spike MS MSD MS MSD % Rec Cone. Result Result % Rec % Rec Limits RPD 500 465 458 93 92 70-130 2 500 437 434 87 87 70-130 1 500 464 457 92 91 70-130 2 500 462 457 92 91 70-130 1 500 442 435 87 86 70-130 2 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: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Qual Qual Page 5 of 12 aceAnalytical www.pacelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 QC Batch: WET/34994 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92230666001 METHOD BLANK: 1360241 Associated Lab Samples: 92230666001 Parameter Units Total Suspended Solids rng/L LABORATORY CONTROL SAMPLE: 1360242 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 1360243 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1360244 Parameter Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 12/26/1417:08 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 250 230 92 90-110 92230657001 Dup Units Result Result mg/L 11.1 13.4 92230718001 Dup Units Result Result mg/L ND ND RPD Qualifiers 19 D6 RPD Qualifiers 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: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical www.pacelabs.corn Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 QC Ratch, WFT/34942 QC Batch Method: SM 5210B Associated Lab Samples: 92230666001 METHOD BLANK: 1358934 Associated Lab Samples: 92230666001 Parameter Units BOD, b day mg/L QUALITY CONTROL DATA Analysis Method- SM 521 OR Analysis Description: 5210E BOD, 5 day Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers NU 2.0 12/28/1416AU LABORATORY CONTROL SAMPLE: 1358935 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits BOD, 5 day mg/L 198 184 93 84.5-115.4 SAMPLE DUPLICATE: 1358936 92230700001 Dup Parameter Units Result Result RPD Qualifiers BOD, 5 day mg/L 3340 2970 12 D6,H3 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Qualifiers 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: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnaiXical www.pacelabs.com QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 QC Batch: WETA/21408 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92230666001 METHOD BLANK: 1359896 Matrix: Water Associated Lab Samples: 92230666001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 12/30/14 08:30 LABORATORY CONTROL SAMPLE: 1359897 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 776 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359898 1359899 MS MSD 92230124003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[ Chemical Oxygen Demand mg/L 223 750 750 932 929 95 94 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1359900 1359901 MS MSD 92229858002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L ND 750 750 768 756 102 101 90-110 2 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: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 Pace Analytical Services, Inc. ® 9800 Kincey Ave. Suite 100 eAnalytical Huntersville, NC 28078 ac www.pacelabs.com (704)875-9092 QUALIFIERS Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. 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-Dipttenylhydrazine (8270 listed analyte) decomposes toAzobenzene. 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. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. 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 D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. H3 Sample was received or analysis requested beyond the recognized method holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2014 11:12 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS STORMWATER SW03 Pace Project No.: 92230666 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92230666001 BAKERS STORMWATER SW03 EPA 200.7 MPRP/17612 EPA 200.7 ICP/15865 92230666001 BAKERS STORMWATER SW03 SM 2540D WET/34994 92230666001 BAKERS STORMWATER SW03 SM 5210B WET/34942 SM 5210B WET/34946 92230666001 BAKERS STORMWATER SW03 SM 5220D WETA/21408 Date: 12/30/2014 11:12 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 ,PaeeAnalytical' Sample Condition Upon Receipt Document Number: /A///���� ���,,F-CHR-CS-003-rev.15 Client Name: /1' s t,��.fI, 4civg�� Page 1 of 2 Issuing Authority: Pace Huntersville Quality Office Courier: ❑ Fed Ex ❑ UPS❑ USPO Client❑ Commercial❑ Pace Other Custody Seal on Cooler/Box Present: ❑ yes 0 no Seals intact: ❑ yes ❑ no NMI Packing Material: ❑ Bubble V❑ip ❑ Bubble Bags ❑ None V Other W .G- Thermometer Used: IR Gun T1401 Type of Ice: et Blue None Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.: Z` -C Temp should be above freezing to 6°C Biological Tissue Is Frozen: Yes No / g Comments: Date and Initials -,- of p rso examining contents:- rZ zq Chain of Custody Present: es ONo ❑N/A 1. Chain of Custody Filled Out: Ves ONo ❑NIA 2. Chain of Custody Relinquished: toes ONo ON/A 3. Sampler Name & Signature on COC: t90s ONo ❑N/A 4. Samples Arrived within Hold Time: es ONo ❑N/A 5. Short Hold Time Analysis <72hr : es ONo ON/A 6. Rush Turn Around Time Requested: Oyes []No ON/A 7. Sufficient Volume: es ONo ❑N/A $. Correct Containers Used: -Pace Containers Used: 'Yes ONo 06s ONo ❑NIA ON/A 9. Containers Intact: es ❑No ❑NIA 10. Filtered volume received for Dissolved tests es ❑No ONIA 11. Sample Labels match COC: -Includes date/time/ID/Analysis Matrix: �%es ONo ❑NIA 12. All containers needing preservation have been checked. All containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA, coliform, TOC, O&G, WI-DRO (water) I ,es ❑No �es ONo ❑Yes ONO ❑NIA ❑NIA 13. Samples checked for dechlorination: ❑Yes ONo P41A 14. Headspace in VOA Vials (>6mm): UYes UNo O A/A 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if purchased): Dyes q§)o OYes ONo ❑NIA A/A 16. Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Daterrime: Comments/ Resolution: SCURF Review:Date: I SRF Review: �Ci Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( I.e out of hold, incorrect preservative, out of temp, incorrect containers) Place label here WON: 92230'00'466 92230666 Page 11 of 12 0 FD D S r m w � z 1 D c d m D m A z .fie w � z r z m _n a Temp in °C r fJ N Received on Ice (Y/N) K O Custody cn Sealed Cooler v (Y/N) 0 0 Samples Intact (Y/N) 1} ea.. S ru o fo w ^i m - +� w w ITEM # 0 � �°0 3 °i. � � c .n. � N 3 a a r� D i � 0 v,D g �y o J N Fr 2�1� 3�j ` ( p ./'i b DA my ITt n �i ,� m v ®. .. o 'j *1 z ® n m C m // A.•� ri1 RR rJ ! J o �S P 4 oN R G G Q '-s pp A1G C1G NC •'�.,' et N C p H (0 _� !0 D»ry.CC . .. .. N x % C? 0 n H b .i oai> °r�9 z z m m Kl o a` o i a 3 mMATRIX CODE (see valid cedes to left) 3 a �� 0 3 W f� P �" R' { I SAMPLE TYPE (G=GRAB C=COMP) m a D r r 1 u, c� a ") j � m O r g r m ,, o m -ni ��`: Y .l �$ 7 40 m z a° °` y 1 CS a ; i '� SAMPLE TEMP AT COLLECTION y m � D V1 r co ? `s # OF CONTAINERS m d u 8 , $ oc9i D n m t3 0 m o i; s ° ; $ Unpreserved HZSO4 HNO b # .. o 0 0 HCI m t ^j z r NaOH w (�' y c�i Ne2SZ03 ti ® D m Methanol d (� o Other :); < d Analysis Test j Yr N j m b 'n p N 1 ,� o(D ��� N p m i �• Z u� m a N N N N -Dt y o .y C z -i 0 m i® m l�i o' m O �1 i � � a V G 3 m A O +m O A z 2 C n '� ' z 0 Residual Chlorine (Y/N) D m A e o) 9 O 1D y 7 0 z {\,a W 4 p `° O O = ta^9 e�. "" o z @�. O Z O m z z.- O �C a m 'v � 12 of 12 aceAnalytical www.pw&bs.com January 14, 2015 Mr. Joe Hinkle Allvac RE: Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Hinkle: Enclosed are the analytical results for sample(s) received by the laboratory on January 08, 2015. 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, Laura J Cooper laura.cooper@pacelabs.com Project Manager Enclosures cc: Mr. Preston Baucom, Allvac Mr. Tommy Long, Allvac �pCCRFO �eOpRi�� 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 18 lacmnalyficale www.pacelabs.com Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NLLAP Certification #: E87648 Massachusetts Cortification #: M-NC030 North Carolina Drinking Water Certification #. 37712 CERTIFICATIONS Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Cortification #: 366 Virginia/VELAP Cortification #. 460222 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. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Page 2 of 18 (�IacleAnalyfical" www.pacelabs.com SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: BAKERS NON CONTACT COOLING 92232628 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92232628001 BAKERS NON CONTACT #1 EPA1664B CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628002 BAKERS NON CONTACT #2 EPA 1664B CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628003 BAKERS NON CONTACT #3 EPA 1664E CLW 1 PASI-C SM 4600 CI G MAB 1 PASI A 92232628004 BAKERS NON CONTACT #4 EPA 1664E CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628005 BAKERS NON CONTACT #5 EPA 1664E CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628006 BAKERS NON CONTACT #6 EPA 1664E CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628007 BAKERS NON CONTACT #7 EPA 1664E CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 92232628008 BAKERS NON CONTACT #8 EPA 1664B CLW 1 PASI-C SM 4500-CI G MAB 1 PASI-A 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 18 (�Iacmnalytical" mm..pacelabs.com ANALYTICAL RESULTS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: BAKERS NON CONTACT Lab ID: 92232628001 Collected: 01/07/15 08:30 Received: 01/08/15 17:30 Matrix: Water #1 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 01/14/15 08:36 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.14 mg/L 0.024 1 01/09/16 14:16 7782 50.6 H3 Date: 01/14/2015 03:48 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 18 aceAnalytical www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 hluntersville, NC 28078 (704)875-9092 Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Sample: BAKERS NON CONTACT Lab ID: 92232628002 Collected: 01/07/15 09:00 Received: 01/08/15 17:30 Matrix: Water #2 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 01/14/15 08:37 4600CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0,027 mg/L 0 024 1 01/09/15 14:15 7782-50-5 113 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/14/2015 03:48 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 18 (�Iacmnalyticaf' www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Sample: BAKERS NON CONTACT Lab ID: 92232628003 Collected: 01/07/15 09:30 Received: 01/08/15 17:30 Matrix: Water #3 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 01/14/15 08:37 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0,059 mg/L 0024 1 01/09/15 14:15 7782-50-5 H3 Date: 01/14/2015 03:48 PM 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 18 acmnalX cal www.pamlabs.com ANALYTICAL RESULTS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: BAKERS NON CONTACT Lab ID: 92232628004 Collected: 01/07/15 09:40 Received: 01/08/15 17:30 Matrix: Water #4 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 01/14/15 08:37 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.24 mg/L 0.024 1 01/09/15 14-15 7782-50-5 H3 Date: 01/14/2015 03:48 PM 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 18 Pace Analytical Services, Inc. aceAnalytical ® 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 www.pacelabs.com (704)875-9092 ANALYTICAL RESULTS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Sample: BAKERS NON CONTACT Lab [D: 92232628005 Collected: 01/07/15 10:00 Received: 01/08/15 17:30 Matrix: Water #5 Parameters Results Units Report Limit DF HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.10 mg/L 0.024 1 Date: 01/14/2015 03:48 PM Prepared Analyzed REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 01/14/15 08:38 CAS No. Qua] 01/09/1514:15 7782-50-5 H3 Page 8 of 18 aceAnalX cal 1 www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Sample: BAKERS NON CONTACT Lab ID: 92232628006 Collected: 01/07/15 10:20 Received: 01/08/15 17:30 Matrix: Water #6 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 4500CL G Chlorine, Residual Analytical Method. SM 4500-CI G Chlorine, Total Residual 0 12 mg/L 0.024 1 Date: 01/14/2015 03:48 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 01/14/15 08:38 01/09/1514:15 7782-50-5 H3 Page 9 of 18 aceAnalytical www.pacelabs.corn ANALYTICAL RESULTS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: BAKERS NON CONTACT Lab ID: 92232628007 Collected: 01/07/15 10:40 Received: 01/08/15 17:30 Matrix: Water #7 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 01/14/15 08:39 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.82 mg/L 0.12 5 01/09/15 14:15 7782-50-5 H3 Date: 01/14/2015 03:48 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 10 of 18 laoAnalytical" www.pacelabs.c= ANALYTICAL RESULTS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: BAKERS NON CONTACT Lab ID: 92232628008 Collected: 01/07/15 11:00 Received: 01/08/15 17:30 Matrix: Water #8 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 01/14/15 08:39 4500CL G Chlorine, Residual Analytical Method: SM 4500-CI G Chlorine, Total Residual 0.062 mg/L 0.024 1 01/09/15 14:15 7782-50-5 H3 Date: 01/14/2015 03:48 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 11 of 18 laneAnalytical" www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: GCSV/20059 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92232628001, 92232628002, 92232628003, 92232628004, 92232628005, 92232628006, 92232628007, 92232628008 METHOD BLANK: 1369584 Matrix: Water Associated Lab Samples: 92232628001, 92232628002, 92232628003, 92232628004, 92232628005, 92232628006, 92232628007, 92232628008 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease ing/L NU b.0 01/14/15 08:31 LABORATORY CONTROL SAMPLE: 1369585 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Oil and Grease mg/L 40 36.0 90 78-114 MATRIX SPIKE SAMPLE: 1369586 35170500002 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Oil and Grease mg/L 5.7 47.6 48.8 90 78-114 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: 01/14/2015 03:48 PM without the written consent of Pace Analytical Services, Inc.. Page 12 of 18 acmnalytical www.pacelabs.com QUALITY CONTROL DATA Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: WET/35166 Analysis Method: SM 4500-CI G QC Batch Method: SM 4500-CI G Analysis Description: 4500CL G Chlorine, Total Residual Associated Lab Samples: 92232628001, 92232628002, 92232628003, 92232628004, 92232628005, 92232628006, 92232628007, 92232628008 METHOD BLANK: 1366954 Matrix: Water Associated Lab Samples: 92232628001, 92232628002, 92232628003, 92232628004, 92232628005, 92232628006, 92232628007, 92232628008 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chlorine, lotal Residual mg/L NU 0.024 01/09/15 14:15 SAMPLE DUPLICATE: 1366955 92232628001 Dup Parameter Units Result Result RPD Qualifiers Chlorine, Total Residual mg/L 0.14 0.14 2 H3 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: 01/14/2015 03:48 PM without the written consent of Pace Analytical Services, Inc.. Page 13 of 18 aceAnalytical www.pmefabs.c= QUALIFIERS Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. 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 Surrogato 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. 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. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS H3 Sample was received or analysis requested beyond the recognized method holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/14/2015 03:48 PM without the written consent of Pace Analytical Services, Inc.. Page 14 of 18 acmnalj4ical www.pacel6bs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: BAKERS NON CONTACT COOLING Pace Project No.: 92232628 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92232628001 BAKERS NON CONTACT #1 EPA 1664B GCSV/20059 92232628002 BAKERS NON CONTACT #2 EPA 1664E GCSV/20059 92232628003 BAKERS NON CONTACT #3 EPA 1664B GCSV/20059 92232628004 BAKERS NON CONTACT #4 EPA 1664E GCSV/20059 92232628005 BAKERS NON CONTACT #5 EPA 1664B GCSV/20059 92232628006 BAKERS NON CONTACT 00 EPA 1004B GCSV/20059 92232628007 BAKERS NON CONTACT #7 EPA 1664B GCSV/20059 92232628008 BAKERS NON CONTACT #8 EPA 1664B GCSV/20059 92232628001 BAKFRS NON CONTACT #1 SM 4500-CI G WET/35166 92232628002 RAKFRS NON CONTACT #2 SM 4600• Cl G WCT/35166 92232628003 BAKERS NON CONTACT #3 SM 4500-CI G WET/35166 92232628004 BAKERS NON CONTACT #4 SM 4500-CI G WET/35166 92232628005 BAKERS NON CONTACT #5 SM 4500-CI G WET/35166 92232628006 BAKERS NON CONTACT #6 SM 4500-CI G WET/35166 92232628007 BAKERS NON CONTACT #7 SM 4500-CI G WET/35166 92232628008 BAKERS NON CONTACT #8 SM 4500-CI G WET/35166 REPORT OF LABORATORY ANALYSIS Analytical Batch This report shall not be reproduced, except in full, Date: 01/14/2015 03:48 PM without the written consent of Pace Analytical Services, Inc.. Page 15 of 18 (�1700AIVIX1081- Document Name: Condition Upon Rec F-CHR-CS-003-rev.16 Document Revised: September 22. 2(114 Page 1 of 2 Issuing Authority: Pace Huntersville Qualitv Office Courier: ❑ Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial[] ec Other Custody Seal on Cooler/Box Present: (3;myes❑ no Seals intact: ❑ yes ❑ no Packing Material: ❑ Bubble 1Dp ,Bubble Baggy ❑ None ❑ Other Thermometer Used: IR Gun el 0-4`> Type of Id�- Wets Blue None *' Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.:_ =r •C Biological Tissue is Frozen: Yes No /�' T l 5 Date and Initial of person Qxamining f 7 Temp should be above freezing to 6°C Comments: contents: Chain of Custody Present: I es ❑No ❑NIA 1. Chain of Custody Filled Out: EWees ❑No ❑NIA 2. Chain of Custody Relinquished: 19Yes ❑No ❑NIA 3, Sampler Name & Signature on 000: tares nNo nNIA 4. Samples Arrived within Hold Time: 110(le"s ❑No ❑NIA 5. y i Short Hold Time Analysis <72hr : �/, Wes- �>q bNIA r �} Rush Turn Around Time Requested: ❑Yes 0t% ❑NIA 7. Sufficient Volume: 0Y" s ❑No ❑NIA 8, Correct Containers Used: Byes ❑No ❑NIA 9. -Pace Containers Used: [Yes ❑No ❑NIA Containers Intact: es ❑No ❑NIA 10. Filtered volume received for Dissolved tests ❑Yes ❑No ®/A 11. Sample Labels match COC: lAs ❑No ❑N/A 12. -Includes date/timellD/Analysis Matrix: All containers needing preservation have been checked. ❑Yes ❑No ONIA 13. All containers needing preservation are found to be in ❑Yes ❑No i t�rtiA compliance with EPA recommendation. 62Yes exceptions: VOA, coliform, TOC, ORG, Wl-DRO (water) ❑No Samples checked for dechlorination: ❑Yes ❑No 19N'1A 14. Headspace in VOA Vials >6mm): ❑Yes ❑No gW1A 15. Trip Blank Present: l7lYes nNo 5341A 16. Trip Blank Custody Seals Present ❑Yes []No N A Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: Datefrime: Comments/ Resolution: SCURF Review: IDate: IJ o SRF Review: I Date: cll l5 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 ( Le out of hold, incorrect preservative, out of temp, incorrect containers) Page 16 of 18 tiI -n 1 :6 Tomp in *c r6) Received on C) Ice (YIN) Custody Sealed Cooler 9: (Y/N) Samples Intact r 0 O 0 0 m 5 Im 00 m m 0 u UD 0 z ITEM # > 3 0 V3 GO . I; %t-- 0 ct 3 0 Q, i > e 0 C -9 rn rg C m -'0 U ajA p A g. O> �0 V Ja m 0 C 0 qq z z 9 0 0) MATRIX CODE (see valid codes to left) 3a n riz, SAMPLE TYPE (G=GRAB C=CoMP) z 0 m P A m m 0 -4 J �0 m > 61 m SAMPLE TEMP AT COLLECTION # OF CONTAINERS > 0 Z Unpreserved 0 H,SO, z 60 05 HCI NaOH Na2S203 Methanol Other Analysis Test Res, Wu el. 15'r Residual Chlorine (Y/N) > re 0 0 z 0 z z p Q) or b 0 -W, m > z > CL X Y/Nj ;U m C m Q1 m a > = (D .0 r ID 8 (n 0 , i ;U Ile 'n 10 Z -u m @ 2! EF V � i -C: U) 1 0 m U) 0 9 (D > z 0 m z 0 0 C z < A cx) 0 ;D ;0 z m X 17 of 18 a o o 0 r 5 0 3. m H QQo t$ O_ U b1J b C u 3 j� a > z CC 2 c O CU n � ur ro o A ;U p Z C z � v �2 M m D (� m o o N N V z v � �V o m m -ZZ v M d m o a �f o � m �3 -$ �{ z �r j m D Temp In °C C� N Received on -..• O m (YIN) coIce D 5 o 3 v V Custody rn Seated Cooler p (Y/N) z �' C. (a Samples Intact (Y/N) ITEM # � a o O D D r m Ili z A m O_tPO�v��v ^ ^� a 3a N fD a gg0 U w MATRIXCODE (see valid codes to left) SAMPLE TYPE (G=GRAB C=COMP) V m t m -1 �q Z1 m m 8 m m o n n m m 09 m m SAMPLE TEMP AT COLLECTION # OF CONTAINERS HNO3 HCI m NaOH w Na2S20a Methanol y Other lAnalysis Test b Iw Residual Chlorine (YIN() \ tli n m .D X/ z N0 d v tl z p J 0 m ii z a ♦ J N A m Cn _», -q C r c � 1 m z -i :1 CL C c �(D o� 3 rt v 8 m � �m y �a _�_ N CL N m 1 C Z G) .t m � p 0) D m n z (� z o n m .� 00 I ) x Z A 0) W ,a 18 of 18