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Home My WebLink AboutNCS000370_COMPLETE FILE - HISTORICAL_20190827-• ---STORMWATER DIVISION CODING SHEET ,-.. RESCISSIONS. PERMIT NO.. n/D � 0 I" DOC TYPE ---------- lri, COMPLETE PILE, HISTORICAL DATE �l'�I'1 U 3 `�� OF ❑ RE5615510N YYYYMMDD August 19, 2019 North Carolina Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 BRIDGESTONE AMERICAS TIRE OPERATIONS, LLC Wilson Plant P.O. Box 1139 Wilson, North Carolina 27894-1139 RECEIVED AUG 2 7 2019 CEN''-VRAL FILES OWR SECTION Re: Storm water Sampling Year 9, Period 2 Analytical Results Dear Sir or Madam: The BATO-Wilson facility operates under National Pollutant Discharge Elimination System (NPDES) permit number NCS000370. The permit requires semi-annual quantitative sampling of storm water at the facility's two outfalls. The outfalls are named by their geographic locations, South and East. Please find the analytical results and Storm Water Outfall Discharge Monitoring Reports for the Sampling Year 9 Period 2 for the South and East outfalls in the Attachment. The samples were collected on July 23, 2019. The analytical results were received from the laboratory via electronic mail at BATO Wilson on August 5, 2019. As required, the original and one copy are enclosed. If you have any questions concerning this report, please contact Tausha Fanslau at (252) 246-7485. Sincerely, ly�4 ��acl Vergil Norrod Plant Manager BATO — Wilson Plant cc: BATO Wilson Environmental Department p:\My Documents\Water-Stormwater\Filesl9 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000370 FACILITY NAME Bridgestone Americas Tire Operations, LLC PERSON COLLECTING SAMPLE(S) Tausha Fanslau CERTIFIED LABORATORY(S) Pace Analytical Part A. Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR. 2019 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Wilson PHONE NO. { 252 ) 246-7485 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected Total Flow (if app.) Total Rainfall ZINC (t) COD TSS TPH PH moldd/yr MG inches M /L AIi /L MgIL M /L East 07/23/2019 1.09 < 0.01 41.1 8.5 < 5 6.6 South 07/23/2019 1.09 0.146 97.8 167 < 5 5.2 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ` yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date 50050 . 00556 00530: 00400. Total Flow Total. Oil &-.Grease Non -polar; :Total pH: New:Motor No. Sample Collected (if applicable) Rainfall jif'appi) O'BiGITPH : Suspended Oil [3sage _('Method 1664 Solids SG C-HEM), if moldd/ r MG inches m II m /l unit al/mo Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 07/23/2019 Total Event Precipitation (inches): 1.09 Event Duration (hours): _4.0 (only if applicable — see permit.) (if more than one storm event was sampled) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 imprisonment for knowing violations." (Signaturv_df Permittee) (Date) Form SWU-247, last revised 2/2/2012. Page 2 of 2 aceAnalytical *"..Pace,Wb3.WM August 05, 2019 Tausha Fanslau Bridgestone Americas 3001 Firestone Parkway Wilson, NC 27893 RE: Project: SA Stormwater Sampling Pace Project No.: 92438645 Dear Tausha Fanslau: Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on July 25, 2019. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski for Amanda Payne amanda.payne@pacelabs.com (704)875-9092 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 15 aceAnalytrcal www.pac@tffb&com Project SA Stormwater Sampling Pace Project No.: 92438645 Pace Analytical Services, LLC . 9800 Kincey Ave. Suite 100 Huntersviile, NC 28078 (704)875-9092 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 CERTIFICATIONS South Carolina Certification #: 99006001 FloridalNELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 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 VirginiafVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 Eden Certification IDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 15 ace Analytical WWWpecefabs com SAMPLE ANALYTE COUNT Project: SA Stormwater Sampling Pace Project No.: 92438645 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analyses Reported Laboratory 92438645001 SOUTH SM 254OD-2011 SAM1 1 PASI-E EPA 1664E JMS 1 PASI-C EPA 200.7 Rev 4.4 1994 SH1 1 PASI-A EPA 9040C ECH 1 PASI-A SM 5220D-2011 GC 1 PASI-A 92438645002 EAST SM 25400-2011 SAM1 1 PASI-E EPA 16648 JMS 1 PASI-C EPA 200.7 Rev 4.4 1994 SH1 1 PASI-A EPA 9040C ECH 1 PASI-A SM 5220D-2011 GC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in futi, without the written consent of Pace Analytical Services, LLC. rage 3 of 15 (�55neAnalyticale www.Peoelabs.c= ANALYTICAL RESULTS Pace Analytical Sergices, LLC . 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SA Stormwater Sampling Pace Project No.: 92438645 Sample: SOUTH La61D: 92438645001 Collected: 07/23/19 16:40 Received: 07/25/19 1020 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Total Suspended Solids 167 mg/L 7.4 1 07/26/19 12:00 D6 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg/L 4.8 1 07/30/19 06:01 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Zinc 146 ug/L 10.0 1 08/01/19 16:08 08/03/19 01:03 7440-66-6 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 5.2 Std. Units 0.10 1 07/28/19 16:05 H3 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 97.8 mglL 25.0 1 07/26/19 15:30 07/29/19 17:13 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/05/2019 05:07 PM without the written consent of Pace Analytical Services, LLC, Page 4 of 15 0 aceAnalytrcal WWW..pace1ab5 corn ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Project: SA Stormwater Sampling Pace Project No,: 92438645 Sample: EAST Lab ID: 92438645002 Collected: 07/23/19 16:15 Received: 07125119 10:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual 25401) Total Suspended Solids Total Suspended Solids 1664 SGT-HEM, TPH Total Petroleum Hydrocarbons 200.7 MET ICP Zinc 9040 pH pH at 25 Degrees C 5220D COD Chemical Oxygen Demand Date: 08/05/2019 05:07 PM Analytical Method: SM 2540D-2011 8.5 mg/L 3.2 1 07126/1912:01 Analytical Method: EPA 1664E ND mg1L 4.8 1 07/30/19 06:01 Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 ND ug/L 10.0 1 08/01/19 16:08 08/03/19 01:06 7440-66-6 Analytical Method: EPA 9040C 6.6 Std. Units 0.10 1 07/28/19 15:59 H3 Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 41.1 mg1L 25.0 1 07/2611915:30 0712911917:13 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 15 (�IacleAnalyficale www.pacelabs.com QUALITY CONTROL DATA Project: SA Stormwater Sampling Pace Project No.: 92438645 QC Batch: 488713 Analysis Method: SM 2540D-2011 OC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92438645001, 92438645002 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersvitle, NC 28078 (704)875-9092 METHOD BLANK: 2637924 Matrix: Water Associated Lab Samples: 92438645001, 92438645002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 07/26/19 11:58 LABORATORY CONTROL SAMPLE: 2637925 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L. 250 240 96 90-110 SAMPLE DUPLICATE: 2637926 92438618001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 162 150 8 D6 SAMPLE DUPLICATE: 2637927 92438645001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 167 139 19 D6 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/05/2019 05:07 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 15 • aceAnalytical w"..paoelebsaom Project: SA Stormwater Sampling Pace Project No.: 92438645 QC Batch: 489147 QC Batch Method: EPA 1664B Associated Lab Samples: 92438645001, 92438645002 METHOD BLANK: 2639914 Associated Lab Samples: 92438645001, 92438645002 Parameter Units Total Petroleum Hydrocarbons mg1L QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 4.8 07/30/19 05:45 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 2639915 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 19.2 20.3 105 64-132 MATRIX SPIKE SAMPLE: 2639916 92437922001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg1L ND 19.2 21.2 110 64-132 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: 08/0512019 05:07 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 15 aceAnalytical. *W..pacefehs.com Project: SA Stormwatcr Sampling Pace Project No.: 92438645 QC Batch: 489798 QC Batch Method: EPA 200.7 Rev 4.4 1994 Associated Lab Samples: 92438645001, 92438645002 METHOD BLANK: 2642750 Associated Lab Samples: 92438645001, 92438645002 Parameter Units Zinc ug/L LABORATORY CONTROL SAMPLE: 2642751 Parameter Units Zinc ug/L Pace Analytical Services, LLC . 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 10.0 08/03/19 00:25 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 500 442 88 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2642752 2642753 MS MSD 92438326001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Zinc ug/L ND 500 500 448 446 89 89 70-130 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2642754 2642755 MS MSD 92438997002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Zinc ug/L ND 500 500 398 410 79 82 70-130 3 Results presented on this page are In the units indicated by the 'Units" column except where an alternate unit Is Presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/05/2019 05:07 PM without the written consent of Pace Analytical Services, L.L.C. Page 8 of 15 to aceAnalytical wrvw.pe0e7ehacom QUALITY CONTROL DATA Project: SA Stormwater Sampling Pace Project No.: 92438645 QC Batch: 488900 Analysis Method: EPA 9040C QC Batch Method: EPA 9040C Analysis Description: 9040 pH Associated Lab Samples: 92436645001, 92438645002 SAMPLE DUPLICATE: 2638848 92438267001 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Sid, Units 6.8 6.7 2 D6,1-13 SAMPLE DUPLICATE: 2638849 92438539001 Dup Parameter Units Result Result RPD Qualifiers pH at 25 Degrees C Std. Units 6.3 6.3 0 H3 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, 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: 08/05/2019 05:07 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15 accAnalytical ~.pacefab&com QUALITY CONTROL DATA Project: SA Stormwater Sampling Pace Project No.: 92438645 Pace Analytical SeryIces, LLC .. 9800 Kincey Ave. Suite 100 Huntersville, NC 2BO78 (704)875-9092 QC Batch: 488769 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92438645001, 92438645002 METHOD BLANK: 2638176 Matrix: Water Associated Lab Samples: 92438645001, 92438645002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 07/29/19 17:13 LABORATORY CONTROL SAMPLE: 2638177 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 743 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2638178 2638179 MS MSD 92438643001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 103 100 100 197 197 95 95 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2638180 2638181 MS MSD 92438444001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 4090 100 100 4340 4400 255 312 90-110 1 M1 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. Date: 08/05/2019 05:07 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 10 of 15 aceAnalyfiical www pecefebs.carr QUALIFIERS Project: SA Stormwater Sampling Pace Project No.: 92438645 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 PQL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270_ The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. H3 Sample was received or analysis requested beyond the recognized method holding time. M1 Matrix spike recovery exceeded QC limits. Hatch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/05/2019 05:07 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15 aceAnalytical www.pocabbs cme QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: SA Stormwater Sampling Pace Project No.: 92438645 Lab ID Sample ID QC Batch Method QC Batch 92438645001 SOUTH SM 254OD-2011 488713 92438645002 EAST SM 2540D-2011 488713 92438645001 SOUTH EPA 1664B 489147 92438645002 EAST EPA 1664E 489147 92438645001 SOUTH EPA 200.7 Rev 4.4 1994 489798 92438645002 EAST EPA 200.7 Rev 4.4 1994 489798 92438645001 SOUTH EPA 9040C 488900 92438645002 EAST EPA 9040C 488900 92438645001 SOUTH SM 5220D-2011 488769 92438645002 EAST SM 5220D-2011 488769 Date: 08/05/2019 05:07 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Analytical Method Batch EPA 2007 Rev 4.4 1994 489937 EPA 200.7 Rev 4.4 1994 489937 SM 5220D-2011 SM 5220D-2011 489099 489099 Page 12 of 15 Document Name: D=rnentRevisedr February 7, 2012 Awl J Sample Condition U on Recef t SCUR Ina 1 of 2 1 """' Document No.: Istufng Authority: FCAR-CS-03"ev.06 Pace Carolinas Quail Office Laboratory receiving samples: 1 Asftevilld ❑ Eden❑ Greenwood r] Htmtersville ❑ RafeMecftanfavIlle❑ Client Name: Project WY# : 92436646 Courier. Nce A5 after Cllerti III 11111111111111111111 ❑ Cpmmerdal 92436645 Custody Seal Present? ❑Yes ,Pf(o Seals Intact? []Yes , JNo r/�� , } Datefrnitlsls Person Examfning contents: Packing Material: QSubble Wrap bble bags []None ❑ Cder Biological Tissue Fj°ren? Thermometer: G/� �'h11Gr.-Ip❑Yes ❑Np,jN/A OIA Gun im _J_! LDO D Type of Ica; of ❑Blue ❑None r Cooler Temp CC): 5�- Correction factor. Add/Subtract (•C) "'D STerylp Mould he above.freezing to 6•C Cooler Temp Corrected ('C): � []Samples out of tamp criteria. Samplses an Ice, cooling process has begun USDA Regulated Sall (❑ N/A, water sample) Did samples o�ri7ginate In a quarantine zone within tite United States: CA, NY, or SC (check maps)? Did samples ortIrLate from a foreign source (lnternatlonally, LI nYes NO IndudhwHauailznd Puerto Rfcol? riYes rlNo Comments/Discrepant : Chain Of Custody Present? es No 0 N A L SampfesArrived wfthlnHold Time? o QNo UNIA 2. Short Hold rime An 02hr.j7 QY. o N/A 3. Rush Turn Around Time Reg ue3ted7 es ARK, EINIA 4. SufficientVoluma7 es EINa N/A 5. a Correct Containers Used? -pace Containers Used? ONO No 0141A QN/A 61 Containers Intact? //er 4es Na N/A 7. Dissolved analysis: Samples Field Flltered? Yes , o N/A & -Includes Date�me%ID/Analysis Matrix- 9. Headspace In VOA Vials (>5-6mm)? rs ❑No , /A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes ❑Yes ❑No nNo A EK/A 11. COMMEM/SAMPLE DISCREPANCY Lot ID of ylit contahlers, CLIENT NOTIFICATION/RESOLUTION Person contacted: Date/rime! Feld Data Required? []Yes []No Project Manager SCURF RWo%v: gate: V L� Prolact Manager SRF Rovlow: _�g _ _ - _ Date: L{g? Page 13 of 15 Document I Document No,: *Check mark top half of box If pH and/or dechlorinatlon Is verified and within the acceptance range for preservation samples, Emptform VOA, Coliforrn, TOC, off and Grease, (IRO/W15 (Canter) DOC, Lft "Bottom half of box Is to Ilst number of bottle ed: February 7,202 aloft Autharfty: Project 1; WO# : 92438648 PM: AP Due Date: 08/05/19 CLIENT: 92-BFUSA pH Adjustment Log for Preserved Samples Sample 1D Type of Preservative pH upon receipt Date prnservatfon adjusted Ttma presemtlon adjusted Amount of Rmnatfva added tot s nott: wnenever Snare is a cuscr-poney affecting North C.eronna complfence samwet, a copy or tnrs orM-Nm ae seer .a rna rrorol camera ucnnn urnnraoae VMSJ1.a. Out of hold, incorrect graservatme, out of camp, tntvrrecr containers. Page 14 of 15 V. SOCUM A RJegrrred Ciak Nlorrr atkm: CHAIN -OF -CUSTODY / Analytical Request Document The Chaln-of-Cuslody Is a LEGAL DOCUMENT. All relevant fields muss he rompt ted acxirately. smlion C Reatdr a Prvrert trAarmatlen: byvv" Amerios Rapart Tw TaAna Fanstau . AAsntlon; 300t Froitarr Capp To: Ccmpa:fy Npme: vvgbm NC 27633 ryfj. _ _ _ _ _ vx`- •ere�ilf$�. EraaiF. lonclocRaia ,eem - Pterluea Ofdert Ouore: P1gry: 4674W 117nn. PmjOd Nome: SA Storwatnr Sampllncl ew Prepa Ma.-W. ATO-d&ppyrepea2LAabSLmm. Roq.eswo Due Da . Propa ff-. Palo Pro(de C TBD NC �taiU Atrril ila: _'-rr�= '�}i'iy y:. ��-�.- - ice'-J%�`�•wsd rurraa cmF COLLECTED � preservatives W SAMPLE ID swwzs Y S O START END q7 01 p� Oka Ct ractaf per b— vv . uA Ar AN 0 a 9 w m: w o �,,, or Swnpm re. m .as b.• a k*m r a c`a �.. .a R 3i ~ i S rn " DATE TIN¢ DATE TIME ." : _ _ u o. b rr ` 1 t ' a 5+! S x 11,111 �.a., ' I''11' �Lf"8^.^5 _ry.e .� GY7iTi .�. y; '~x --i+ r..• _ _.._ B1/J AFfiLIA .t,.r,s _ - .. �7-�OA7ld'' •ii�YlieEr .-. �- - ¢+".� �.x��.r �.-...Ry ....-. - �- :•�.r-+ii,.. I�AI�vlwTloN. FFAT�'. TWEE` .•:F:_..,...., �.a� Y:w1Q� .-„ .._..._.-. .,h r•;• jy; �• :t.=ram_ �=R9�..aYd>trJiFD � c�R`l1r. .: •+�Y.Y?_r-T�-'.'.'i:r-sk'2.� n$:wTJ. ri��r.i�;,f d.:�:GCi-%'n= ,�Qe. +;s .T� r. ��i .i5.-�:,: •.� _+.: -�-}:..::. - 'viw3 rAMPL£R�IAME,'PNDS�IGNAUR£�CI✓' _:.x��r.:. .r,: l...t..:. a•.. L4 _ ''-_=w._ _ ��i•.:is :c'.j;yy'-'_--.«- Sir_y�- j' �• MINE ci V 57 Name o! $.4YPi@FY us cL. vl S n 3 —c"I GNATURE sA7L DATE 9Wred:.� iA