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Home My WebLink AboutNCG080837_MONITORING INFO_20190828STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ Iy YYYYMMDD n W10®M -ENVIRONMENTAL August 12, 2019 North Carolina Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: SEMI-ANNUALSTORMWATER DISCHARGE MONITORING REPORT July to December 2019 Saia Motor Freight Line —Charlotte Facility 1101 West Craighead Road Charlotte, Mecklenburg County, North Carolina Dear Stormwater Permit Coordinator: logo OV AUG 2 S 2019 CEN 11tAL I-ILES Dk,VR SECTION On behalf of Saia Motor Freight Line, LLC, GEOS Environmental, Inc. (GEOS) is submitting a signed original and one copy of the Semi -Annual Stormwater Discharge Monitoring Report (DMR) for the above - referenced site. The laboratory analytical report with chain -of -custody documentation is also attached. During the July 23, 2019 sampling event the facility's pH meter malfunctioned, therefore, pH data was not colleted. A new meter has been ordered for the facility. If you have any questions regarding the attached DMR, please do not hesitate to call me at (813) 601- 4205 or contact me at tcook@geosenvironmental.com. I Sincerely,_ A�ffook, omas K.. Sr. Project Manager cc: Lisa Hardgrove, Environmental Compliance Analyst, Safety Department Saia Motor Freight Line, LLC, 11465 Johns Creek Parkway, Suite 400, Johns Creek, GA 30097 GEOS Environmental, Inc. 13014 N. Dale Mabry Hwy, No. 117 Tampa, FL 33618 www.geosenvironmental.com Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted March 20, 2018 CERTIFICATE OF COVERAGE NO. NCGO80837 FACILITY NAME Saia Motor Freight Line COUNTY Mecklenburg PERSON COLLECTING SAMPLES _Gary Maresh_ LABORATORY TestAmerica Lab Cert. # 314 Comments on sample collection or analysis: During the sampling event conducted on July 23, 2019 the facility's pH meter malfunctioned, therefore, pH data was not collected and is reported below as NA (not anal zed) A new meter had been ordered for the facilit SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA RE(-,T=1,✓E® ®Other Class AUG 2 8 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Y Y. CE(v 1 KHL FILES Did this facility perform Vehicle Maintenance Activities using more than 55 gall-onsRof=hew motor oil per month? X yes no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 100 Within 6.0 — 9.0 15 - 001 07/23/2019 15 NA 1.4 U 550 002 07/23/2019 38 NA 1.81 550 003 07/23/2019 13 NA 2.81 550 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit 15 50 or 100 see permit 6.0-9.0 N/A N/A N/A N/A N/A 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date _07/23/2019 (first event sampled) Total Event Precipitation (inches): _.75_ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files - 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imp isonment for knowing violations." 66�e K g (Signature ofj er ttee) (D te) Additional copi4s of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 .............. LINKS ............ Review your project results through Total Access UM Have a Question? 9Ask The G Ex ert Visit us at: www.testa merica i nc.com' tioti eurofins Environment Testing TestAmerica ANALYTICAL REPORT Eurofins TestAmerica, Savannah { 5102 LaRoche Avenue Savannah, GA 31404 Tel: (912)354-7858 d Laboratory Job ID: 680-172078-1 Client Project/Site: Saia Charlotte NC For: GEOS Environmental Inc. 13014 N Dale Mabry Hwy #117 Tampa, Florida 33618 Attn: Thomas Cook J4,.r, G_ Authorized for release by: 81112019 4:41:56 PM Keaton Conner, Project Manager I (813)885-7427 keaton.conner@testamericainc.com Designee for Kathryn Smith, Manager of Project Management (912)250-0275 kathy.smith@testamericainc.com The test results in this report meet all 2003 NELAC and 2009 TNI requirements for accredited parameters, exceptions are noted in this report. This report may not be reproduced except in full, and with written approval from the laboratory. For questions please contact the Project Manager at the e-mail address or telephone number listed on this page. This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature. Results relate only to the items tested and the sample(s) as received by the laboratory. Definitions/Glossary Client: GEOS Environmental Inc. Project/Site: Sala Charlotte INC Qualifiers General Chemistry Qualifier Qualifier Description I The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit. U Indicates that the compound was analyzed for but not detected. Glossary Abbreviation These commonly used abbreviations may or may not be present in this report. o Listed under the" D' column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CNF Contains No Free Liquid DER Duplicate Error Ratio (normalized absolute difference) Dil Fac Dilution Factor DL Detection Limit (DoD/DOE) DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample DLC Decision Level Concentration (Radiochemistry) EDL Estimated Detection Limit (Dioxin) LOD Limit of Detection (DoD/DOE) LOQ Limit of Quantitation (DoD/DOE) MDA Minimum Detectable Activity (Radiochemistry) MCC Minimum Detectable Concentration (Radiochemistry) MDL Method Detection Limit ML Minimum Level (Dioxin) NC Not Calculated NO Not Detected at the reporting limit (or MDL or EDL if shown) PQL Practical Quantitation Limit QC Quality Control RER Relative Error Ratio (Radiochemistry) RL Reporting Limit or Requested Limit (Radiochemistry) RPD Relative Percent Difference, a measure of the relative difference between two points TEF Toxicity Equivalent Factor (Dioxin) TEQ Toxicity Equivalent Quotient (Dioxin) Job ID:680-172078-1 Eurofins TestAmerica. Savannah Page 2 of 12 8/1 /2019 Sample Summary Client: GEOS Environmental Inc. Project/Site: Saia Charlotte NC Job ID* 680-172078-1 Lab Sample ID Client Sample ID Matrix Collected Received Asset ID 680-172078-1 Outfall No. 001 Water 07/23/19 03:30 07/24/19 09:10 680-172078-2 Outfall No. 002 Water 07/23/19 03:00 07/24/19 09:10 680-172078-3 Outtall No. 003 Water 07/23/19 03:15 07/24/19 09:10 Eurofins TestAmerica, Savannah 0 3 0 0 0 0 12 Page 3 of 12 8/1/2019 Case Narrative❑ Client: GEOS Environmental Inc. Job ID: 680-172078-1 Project/Site: Saia Charlotte NC ❑ 51) Job ID: 680-172078-1 Laboratory: Eurofins TestAmerica, Savannah , Narrative CASE NARRATIVE Client: GEOS Environmental Inc. IC Project: Saia Charlotte NC Report Number: 680-172078-1 With the exceptions noted as flags or footnotes, standard analytical protocols were followed in the analysis of the samples and no problems were encountered or anomalies observed. In addition all laboratory quality control samples were within established control limits, with any exceptions noted below. Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of the method. In the event of interference or analytes present at high concentrations, samples may be diluted. For diluted samples, the NQ reporting limits are adjusted relative to the dilution required. U�i � RECEIPT The samples were received on 0712412019; the samples arrived in good condition, properly preserved and on ice. The temperature of the �G1 cooler at receipt was 5.60 C. CCSS Receipt Exceptions The Chain -of -Custody (COC) was incomplete as received and/or improperly completed. Analyses were listed on COC, but individual samples were not designated for specific analyses. OIL AND GREASE AND TPH Samples Outfall No. 001 (680-172078-1), Outfall No. 002 (680-172078-2) and Outfall No. 003 (680-172078-3) were analyzed for Oil and Grease and TPH in accordance with EPA Method 1664A. The samples were prepared and analyzed on 08/01/2019. No analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. TOTAL SUSPENDED SOLIDS Samples Outfall No. 001 (680-172078-1), Outfall No. 002 (680-172078-2) and Outfall No. 003 (680-172078-3) were analyzed for total suspended solids in accordance with SM 2540D. The samples were analyzed on 07/2512019. No analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. Eurofins TestAmerica, Savannah Page 4 of 12 8/1/2019 Client Sample Results Client: GEOS Environmental Inc. Project/Site: Saia Charlotte NC Job ID:680-1.2078-1 Client Sample ID: Outfall No. 001 Lab Sample ID: 680-172078-1 Date Collected: 07123/19 03:30 Matrix: Water Date Received: 07/24119 09:10 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac HEM (Oil & Grease) 1.4 U 4.9 1.4 mg/L 08/01/19 0901 08/01/19 1232 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids 15 2.0 2.0 mg/L 07125/19 15:04 1 Client Sample ID: Outfall No. 002 Lab Sample ID: 680-172078-2 Date Collected: 07/23119 03:00 Matrix: Water Date Received: 07/24/19 09:10 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac HEM (Oil & Grease) 1.8 1 5.5 1.6 mg/L 08/01/19 0901 08/01/191232 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids 38 5.0 5.0 m9/L 6712511 114:49 1 Client Sample ID: Outfall No. 003 Lab Sample ID: 680-172078-3 Date Collected: 07/23/19 03:15 Date Received: 07124/19 09:10 Matrix: Water General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac HEM (Oil & Grease) 2.8 1 4.7 1.3 mg/L 08/01/19 09.01 58/01/19 12.32 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids 13 5.0 5.0 mg/L 07/25/19 15:21 1 Eurofins TestAmerica, Savannah 5 i 0 11 12 Page 5 of 12 8/1 /2019 QC Sample Results Client: GEOS Environmental Inc. Job ID: 680-172078-1 Project/Site: Saia Charlotte INC Method: 1664A - HEM and SGT-HEM Lab Sample ID: MB 680-580451/1-A Matrix: Water Analysis Batch: 580533 MB MB Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch:580451 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac HEM (Oil & Grease) 1.4 U 5.0 1A mg/L 08/01/1909:01 08/01/1912:32 - 1 Lab Sample ID: LCS 680-580461/2-A Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 580533 Prep Batch: 580451 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits HEM (Oil & Grease) 40.0 35.00 mg/L 88 78. 114 Lab Sample ID: LCSD 680-680451/3-A Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 580533 Prep Batch:580451 Spike LCSD LCSD %Rec. RPD Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit HEM (Oil & Grease) 40.0 35.40 mg/L 88 78 - 114 1 18 Method: 2540 D-2011 - Total Suspended Solids (Dried at 103-105°C) Lab Sample ID: MB 680-57960011 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 579600 MB MB Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac Total Suspended Solids 1.0 U 1.0 1.0 mg/L 07/25/19 14:10 1 Lab Sample ID: LCS 680-57960012 Matrix: Water Analysis Batch: 579600 A nalyte LTotal Suspended Solids Lab Sample ID: LCSD 680-579600/3 Matrix: Water Analysis Batch: 679600 Analyte Total Suspended Solids Client Sample ID: Lab Control Sample Prep Type: Total/NA Spike LCS LCS %Rec. Added Result Qualifier Unit D %Rec Limits 20.0 19.0 mg/L 95 80-120 Client Sample ID: Lab Control Sample Dup Prep Type: Total/NA Spike LCSD LCSD %Rec. RPD Added Result Qualifier Unit D %Rec Limits RPD Limit 20.0 22.5 mg/L 113 80-120 17 25 Eurofins TestAmerica, Savannah Page 6 of 12 8/1/2019 QC Association Summary Client: GEOS Environmental Inc. Project/Site: Saia Charlotte INC Job ID: 680-172078-1 ❑ General Chemistry Analysis Batch: 579600 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch Q ❑ 680-172078-1 Outfall No. 001 Total/NA Water 2540 D-2011 680-172078-2 Outfall No. 002 Total/NA Water 2540 D-2011 680-172078-3 Outfall No, 003 Total/NA Water 2540 D-2011 MB 680-579600/1 Method Blank Total/NA Water 2540 D-2011 V LCS 680-579600/2 Lab Control Sample Total/NA Water 2540 D-2011 LCSD 680-579600/3 Lab Control Sample Dup Total/NA Water 2540 D-2011 Prep Batch: 580451 e Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-172078-1 Outfall No. 001 Total/NA Water 1664A n �J 680-172078-2 Outfall No. 002 Total/NA Water 1664A 680-172078-3 Outfall No. 003 Total/NA Water 1664A CIO MB 680-580451/1-A Method Blank Total/NA Water 1664A U LCS 680-580451/2-A Lab Control Sample Total/NA Water 1664A LCSD 680-58045113-A Lab Control Sample Dup Total/NA Water 1664A Analysis Batch: 680533 9� Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-172078-1 Outfall No. 001 Total/NA Water 1664A 580451 680-172078-2 Outfall No. 002 Total/NA Water 1664A 580451 680-172078-3 Outfall No. 003 Total/NA Water 1664A 580451 MB 680-580451/1-A Method Blank Total/NA Water 1664A 580451 LCS 680-580451/2-A Lab Control Sample Total/NA Water 1664A 580451 LCSD 680-580451133-A Lab Control Sample Dup Total/NA Water 1664A 580451 Eurofins TestAmerica, Savannah Page 7 of 12 8/1 /2019 Lab Chronicle Client: GEOS Environmental Inc. Job ID: 680-172078-1 Project/Site: Saia Charlotte INC Client Sample ID: Outfall No. 001 Lab Sample ID: 680-172078-1 Date Collected: 07/23/19 03:30 Matrix: Water Date Received: 07124/19 09:10 Batch Batch oil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Prep 1664A 509 mL 500 mL 580451 08/0 1119 09.01 LMK TAIL SAV Total/NA Analysis 1664A 1 580533 08/01/19 12:32 LMK TAIL SAV Instrument ID: NOEQUIP Total/NA Analysis 2540 D-2011 1 500 mL 1000 mL 579600 07/25/19 15:04 JEB TAIL SAV Instrument ID: NOEQUIP Client Sample ID: Outfall No. 002 Lab Sample ID: 680-172078-2 Date Collected: 07/23/19 03:00 Matrix: Water Date Received:07124/19 09:10 Batch Batch Dil Initial , Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Prep 1664A 451 mL 500 mL 580451 08/01/19 09:01 LMK TAL SAV Total/NA Analysis 1664A 1 580533 08/01/1912: 32 LMK TALSAV Instrument ID: NOEQUIP Total/NA Analysis 2540 D-2011 1 200 mL 1000 mL 579600 07/25/19 14:49 JEB TAIL SAV Instrument ID: NOEQUIP Client Sample ID: Outfall No. 003 Lab Sample ID: 680-172078-3 Date Collected: 07123/19 03:15 Matrix: Water Date Received:07124/19 09:10 Batch Batch oil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Prep 1664A 533 mL 500 mL 580451 08/01/19 09:01 LMK TAL SAV Total/NA Analysis 1664A 1 580533 08/01/19 12:32 LMK TAL SAV Instrument ID: NOEQUIP Total/NA Analysis 2540 D-2011 1 200 mL 1000 mL 579600 07/25/19 15:21 JEB TAL SAV Instrument ID: NOEQUIP Laboratory References: TAIL SAV = Eurofns TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7658 Eurofns TestAmerica, Savannah 0 Q M a fl a n" R212 Page 8 of 12 8/1/2019 Accreditation/Certification Summary Client: GEOS Environmental Inc. Project/Site: Saia Charlotte NC Laboratory: Eurofins TestAmerica, Savannah The accreditations/certifications listed below are applicable to this report. Job ID: 680-172078-1 Futhority Program EPA Region Identification Number Expiration Date LAlabama State Program 4 41450 06-30-19' Laboratory: Eurofins TestAmerica, Tampa The accredilations/certifications listed below are applicable to this report. Authority Program EPA Region Identification Number Expiration Date Florida NELAP 4 E84282 06-30-20 Accreditation/Certification renewal pending - accreditation/certification considered valid. Eurofins TestAmerica, Savannah Page 9 of 12 8/1 /2019 Method Summary Client: GEOS Environmental Inc. Project/Site: Saia Charlotte NC Job ID:680-172078-1 Method Method Description Protocol Laboratory 1664A HEM and SGT-HEM 1664A TAL SAV 2540 D-2011 Total Suspended Solids (Dried at 103-105°C) SM TAL SAV 1664A HEM and SGT-HEM (Aqueous) 1664A TAL SAV Protocol References: 1664A = EPA-821-98-002 SM = "Standard Methods For The Examination Of Water And Wastewater" Laboratory References: TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Eurofins TestAmerica, Savannah Page 10 of 12 8/1/2019 a TestAmekaTarnpa 6712 Benjamin Road Suile'100 Tampa, A 03034 11rhone(a 13) 985.7427, Fax(813) 885-7049 Chain"of Custody Record lestAmerica sa�sT� .•--^^-^�-mores - 1a 1I - - LBORyp Ca-irxbnp ❑c•si COJ nO: Client InfOrma[I00 Jones. Matt 56"1331.26155.1 CA:AConUit` - Plwle EAtai: Pago- Joseph Fuhr _ matt Jones@teslamericainc,com,- PaSe'I of _ GEOS Ehvironlnemal Inc- BEDS .Analysis Requested _ a6yew IWe Dab ReOueWe: I((. Preservaepn COtl e> 13014. N Dale Mabnr Hwy:.el 17 _ r3 v Nit a-N.UH Tot ReBbeMetl (daYvL' al� Tampa'. _ I c:Zn'4eue 0-wb02 D-Writ, aces P-na20as subb, Zip, FL: 33618, , 1 E'NaH50a 0-Nx2S03 F-MeOH R: NaZS103 G-Ammkx 5-H250A Phoncl w. Purchase Order not required Cq uireC 0 I _ H.AstLeoK ACU C. TSPDbd0C8n !e I-¢e U:}�laro Ernst' - - MN: 2 �• 11Uhr®JCp4COVIroplllCplal.eOm _ : > 2. 'a' v _I ' J�-DI'Na`b V. MCAA %-EDTA .'N-ph a5, Name; Pre'� e, Sala Charlotte NC - Saiia 6600pmw 66004325 . Ein � Y � L-EDA Z-ixm (rpepry) Sae: s60Wv; v S in ^ u 0 E Sample .Matrix (op Sample (C?como. Sam Ili ldenlllida[lod. - Sample Date Time G- rob n..,...... LL n - _ _ a � :� Special lnsiruc[ionsWolC:". __ _ - 'Preservation Code:'" 3. H.- - Oudall NO 001 1 6 Water Outlet No, 0023>a wa 7-1 �Y A OuOall N6,003 Weser It i L Possible Hazard Identification Sample Disposal (A fee maybe assessed it samples are retained longer than -I month)'_ �Skinlrriitant C�3pdison9_ =Return =Disposal =ArcniVe Non Hazaid:ED Flammable. Unknown:.Radiological To Clem' By Lab For Months: Deliverable Requested:1. It. III, ri/j Omer (speaty)' Special Insbucbons/0C Requirements? Empty_, Kit Relinquished by:' Date: - Time. I InvVedcl ShbnM• _ _ - R .aa by: .. DalO ae, Cbnpeny NeTerv00 py: _- Daldr,me' Company :Z7.. o - - _ I Rem0u3red by Company R.,Iyo by' Dalenme: _ COmpanY RebUtbrbe by; Dalallme. Company R - W rtme, Company •Custody Seals lntam Custody Seal Not S.,Coot Tempmplurelal'C Omer RennxT: � S Yes, Ur NO ,_ �. Vcq US,Wr201h Login Sample Receipt Checklist Client: GEOS Environmental Inc. Login Number: 172078 List Number: 1 Creator: Laughlin, Paul D Question Radioactivity wasn't checked or is </= background as measured by a survey meter. The cooler's custody seal, if present, is intact. Sample custody seals, if present, are intact. The cooler or samples do not appear to have been compromised or tampered with. Samples were received on ice. Cooler Temperature is acceptable. Cooler Temperature is recorded. COC is present. COC is filled out in ink and legible. COC is filled out with all pertinent information. Is the Field Sampler's name present on COC? There are no discrepancies between the containers received and the COC. Samples are received within Holding Time (excluding tests with immediate HTs) Sample containers have legible labels. Containers are not broken or leaking. Sample collection date/times are provided. Appropriate sample containers are used. Sample bottles are completely filled. Sample Preservation Verified. There is sufficient vol, for all requested analyses, incl. any requested MS/MSDs Containers requiring zero headspace have no headspace or bubble is <6mm (1/4"). Multiphasic samples are not present. Samples do not require splitting or compositing. Residual Chlorine Checked. Job Number: 680-172078-1 List Source: Eurofins TestAmerica, Savannah Answer Comment N/A True True True True True True True True False N/A True True True True True True True N/A True N/A True True N/A Analyses listed on COC; individual samples not designated for specific analyses Eurofins TestAmerica, Savannah Page 12 of 12 8/1/2019