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Home My WebLink AboutNCG080178_Monitoring Report_20211005NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCGO80000 Transit and Transportation Click here for instructions Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office. Certificate of Coverage No. NCG08 0178 Person Collecting Samples: Parker Cliatt Facility Name: United Parcel Services - NCCHA Laboratory Name: Eurolins TestAmerica Facility County: Mecklenburg Laboratory Cert. No.: 434 Discharge during this period: Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? rl Yes r1jNo If so, which Tier (I, II, or III)? A copy of this DMR has been uploaded electronically via hh,ttps://edocs.deg.nc.gov/Forms/SW-DMR Y', Yes ❑ No Date Uploaded: Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas —Benchmarks in (Red) Parameter Parameter Out fall 001 Outfall001 Outfall001 Outfall Outfall Code N/A Receiving Stream Class C C C N/A Date Sample Collected MM/DD/YYYY 9/21/2021 9/21/2021 9/21/2021 46529 24-Hour Rainfall in inches 0.35 0.35 0.35 C0530 TSS in mg/L (100 or 50*) 00552 Non -Polar Oil & Grease in mg/L (15) PH in standard units (6.0-9.0 FW, 00400 6.8-8.5 SW) Estimated New Motor/Hydraulic Oil NCOIL Usage in gal/month 164 164 164 * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L FW (Freshwater) SW (Saltwater) Notes (optional): "I certify by my signature below, 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." U&ssa Sp mhs Signature of Permittee or Delegated Authorized Individual Date vassospanos@ups.com 203-503-4300 Email Address Phone Number eurofins Lnvironment Testing America ANALYTICAL REPORT Eurofins TestAmerica, Savannah 5102 LaRoche Avenue Savannah, GA 31404 Tel: (912)354-7858 Laboratory Job ID: 680-204876-1 Client Project/Site: UPS Stormwater NCCHA For: ERM-Southeast, Inc. The Towers at Wildwood Plaza 3200 Windy Hill Road Suite 150OW Atlanta, Georgia 30339 Attn: Abbie Kent Authorized for release by. 101512021 11:20:28 AM Becky Mason, Project Manager II (413)572-4000 Becky.Mason@Eurofinset.com The test results in this report meet all 2003 NELAC, 2009 TNI, and 2016 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 a -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. i Results relate only to the items tested and the sample(s) as received by the laboratory. Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Table of Contents Laboratory Job ID: 680-204876-1 Cover Page .............................................. 1 Table of Contents ......................................... 2 Definitions/Glossary ....................................... 3 Case Narrative ........................................... 4 Detection Summary ........................................ 5 Client Sample Results ...................................... 6 QC Sample Results ........................................ 9 QC Association Summary ................................... 11 Lab Chronicle ............................................ 12 Certification Summary ...................................... 13 Method Summary ......................................... 14 Sample Summary ......................................... 15 Chain of Custody .......................................... 16 Receipt Checklists ......................................... 17 2 Page 2 of 17 Eurofins TestAmerica, Savannah 10/5/2021 Definitions/Glossary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Qualifiers General Chemistry Job ID: 680-204876-1 11 Qualifier Qualifier Description H Sample was prepped or analyzed beyond the specified holding time HF Field parameter with a holding time of 15 minutes. Test performed by laboratory at client's request. J Result is less than the RL but greater than or equal to the MDL and the concentration is an approximate value. Glossary Abbreviation These commonly used abbreviations may or may not be present In this report v Listed under the "D' column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CFU Colony Forming Unit CNF Contains No Free Liquid DER Duplicate Error Ratio (normalized absolute difference) Dil Fac Dilution Factor DL Detection Limit (DoD/DOE) OL, 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) Loa Limit of Quantitation (DoD/DOE) MCL EPA recommended "Maximum Contaminant Level" MDA Minimum Detectable Activity (Radiochemistry) MDC Minimum Detectable Concentration (Radiochemistry) MDL Method Detection Limit ML Minimum Level (Dioxin) MPN Most Probable Number MQL Method Quantitation Limit NC Not Calculated ND Not Detected at the reporting limit (or MDL or EDL if shown) NEG Negative/Absent Pas Positive / Present PQL Practical Quantitation Limit PRES Presumptive 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) TNTC Too Numerous To Count EUfofinSTestAmehca, Savannah Page 3 of 17 10/5/2021 Case Narrative Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Job ID: 680-204876-1 Laboratory: Eurofins TestAmerica, Savannah Narrative � f 7 7 I �7 [Y:iryZ�L ffLcIIi I Job Narrative 680-204876-1 Receipt The samples were received on 9/23/2021 10:30 AM. Unless otherwise noted below, the samples arrived in good condition, and where required, properly preserved and on ice. The temperature of the cooler at receipt was 0.40 C. Receipt Exceptions The following samples were logged in outside of holding time for TSS: NCCHA-SDO-001-20210920 (680-204876-1), NCCHA-SDO-002-20210920 (680-204876-2) and NCCHA-SDO-003-20210920 (680-204876-3). Per client we will run and report Client updated sample Ids. CDC is incorrect. NCCHA-SDO-001-20210920 (680-204876-1), NCCHA-SDO-002-20210920 (680-204876-2)and NCCHA-SDO-003-20210920(680-204876-3) General Chemistry Methods 1664: Insufficient sample volume was available to perform a matrix spike/matrix spike duplicate/sample duplicate (MS/MSD/DUP) associated with preparation batch 680-687255. Method SM 2540D: The sample duplicate precision for the following sample associated with analytical batch 680-687169 was outside control limits: (680-204930-A-1 DU). The associated Laboratory Control Sample / Laboratory Control Sample Duplicate (LCS/LCSD) precision met acceptance criteria. No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. EurofinsTestAmerica, Savannah Page 4 of 17 10/5/2021 Detection Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Analyte Result Qualifier Oil & Grease 4.3 J Total Suspended Solids 46 H pH 7.2 HF Temperature 19.0 HF Client Sample ID: NCCHASDO-002-20210920 Job ID:680-204876-1 Lab Sample ID: 680-204876-1 RL MDL Unit Oil Fee D Method Prep Type 4.8 1.4 mg/L 1 1664B Total/NA 8.3 8.3 mg/L 1 2540 D-2011 TotaVNA SU 1 4500 H+ B-2011 Total/NA Degrees C 1 4500 H+ B-2011 Total/NA Analyte Result Qualifier RL Oil & Grease 4.2 J 4.9 Total Suspended Solids 20 H 6.0 pH 7.2 HF Temperature 17.5 HF Client Sample ID: NCCHA-SDO-003-20210920 Analyte Result Qualifier RL Oil & Grease 11.2 4.8 Total Suspended Solids 60 H 13 pH 7.7 HF Temperature 17.8 HF This Detection Summary does not include radiochemical test results. Lab Sample ID: 680-204876-2 MDL Unit Dil Foe D Method Prep Type 1.4 mg/L 1 1664E T01911NA 5.0 mg/L 1 2540 D-2011 Total/NA SU 1 4500 H+ B-2011 Total/NA Degrees C 1 4500 H+ B-2011 TotalINA Lab Sample ID: 680-204876-3 MDL Unit Dil Fac D Method Prep Type 1.3 mg/L 1 1664B T0tapNA 13 mg/L 1 2540 D-2011 Total/NA SU 1 4500 H+ B-2011 Total/NA Degrees C 1 4500 H+ B-2011 Total/NA Euroflns TestAmerica, Savannah Page 5 of 17 10/5/2021 Client Sample Results Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Client Sample ID: NCCHA-SDO-001-20210920 Date Collected: 09120/21 12:36 Date Received: 09/23/21 10:30 General Chemistry Analyte Result Qualifier pH 7.2 HF Temperature 19.0 HF Analyte Result Qualifier Oil 8 Grease 4.3 J Analyte Result Qualifier Total Suspended Solids 46 H Job ID:680-204876-1 Lab Sample ID: 680-204876-1 Matrix: Water NONE NONE Unit D Prepared Analyzed oil Fee SU Degrees C 09/30/21 10:22 09/30/21 10:22 1 1 RL MDL Unit D Prepared Analyzed oil Fac C8 1.4 mg/L 09/30/21 09:06 09/30/21 11:20 1 RL RL Unit D Prepared Analyzed oil Fee 8.3 8.3 mg/L 09/29/21 14:59 1 Eurofins TestAmerica, Savannah Page 6 of 17 10/5/2021 Client Sample Results Client: ERM-Southeast, Inc. Project'Site: UPS Stormwater NCCHA Client Sample ID: NCCHA-SDO-002-20210920 Date Collected: 09/20/21 12:56 Date Received: 09/23/21 10:30 General Chemistry Job ID:680-204876-1 Lab Sample ID: 680-204876-2 Matrix: Water Analyte Result Quallfler NONE NONE Unit D Prepared Analyzed oil Fac _ pH 7.2 HF SU 09/3012110:11 1 Temperature 17.5 HF Degrees C 09/30/21 10:11 1 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac Oil & Grease 4.2 J 4.9 1.4 mg/L 09/30/21 09:06 09/30/21 11:20 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Oil Fac Total Suspended Solids 20 H 5.0 5.0 mg/L 09/29/21 14:59 1 Eurofins TestAmerica, Savannah Page 7 of 17 10/5/2021 Client Sample Results Client: ERM-Southeast, Inc. ProjecVSite: UPS Stormwater NCCHA Client Sample ID: NCCHA-SDO-003-20210920 Date Collected: 09/20/21 12:46 Date Received: 09/23/21 10:30 General Chemistry Analyte _—_ _ _ Result Qualifier pH 7.7 HF Temperature 17.8 HF Analyte Result Qualifier Oil & Grease 11.2 Analyte Result Qualifier Total Suspended Solids 60 H Job ID:680-204876-1 Lab Sample ID: 680-204876-3 Matrix: Water NONE NONE Unit D Prepared Analyzed DII Fac SU Degrees C 09/30/2110:07 09/30/21 10:07 1 1 RL MDL Unit D Prepared Analyzed DII Fac 4.8 1.3 mg/L 09/30/21 09:06 09/30/21 11:20 1 RL RL Unit D Prepared Analyzed DII Fac 13 13 mg/L 09/2912114:59 1 Eurofins TestAmerica, Savannah Page 8 of 17 10/5/2021 QC Sample Results Client: ERM-Southeast, Inc. Job ID: 680-204876-1 Project/Site: UPS Stormwater NCCHA Method: 1664E - HEM and SGT-HEM Lab Sample ID: MB 680-687255/1-A Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 687298 Prep Batch: 687255 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac Oil & Grease NO 5.0 1.4 mg/L 09/30/21 09:06 09/30/21 11:20 1 Lab Sample ID: LCS 680-68725512-A Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 687298 Prep Batch: 687255 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits Oil & Grease 40.0 39.40 mg/L 99 78 - 114 Lab Sample ID: LCSD 680-68725513-A Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 687298 Prep Batch: 687255 Spike LCSD LCSD %Rec. RPD Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit Oil & Grease 40.0 38,60 mg/L 96 78 - 114 2 18 Method: 2540 D-2011 -Total Suspended Solids (Dried at 103-105°C) Lab Sample ID: MB 680-68716911 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 687169 Me MB Analyte Result Qualifier RL RL Unit D Prepared Analyzed oil Fac Total Suspended Solids ND 2.5 2.5 mg/L 09/29/21 14:59 1 Lab Sample ID: LCS 680-68716912 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 687169 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit 0 %Rec Limits Total Suspended Solids 951 850 mg/L 89 80 - 120 Lab Sample ID: LCSD 680-687169/3 Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 687169 Spike LCSD LCSD %Rec. RPD Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit Total Suspended Solids 951 836 mg/L 88 80 - 120 2 25 Method: 4500 H+ B-2011 - pH Lab Sample ID: LCS 680-687296/4 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 687296 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits pH 7,01 7.1 SU 101 53-158 Eurofins TestAmerica, Savannah Page 9 of 17 10/5/2021 QC Sample Results Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Method: 4500 H+ B-2011 - pH (Continued) Job ID:680-204876-1 Lab Sample ID: 680-204876-1 DU Client Sample ID: NCCHASDO-001-20210920 Matrix: Water Prep Type: Total/NA Analysis Batch: 687296 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit pH 7.2 HF 7.1 SU 0.3 40 Temperature 18.0 HF 18.6 Degrees C 2 40 14 Eurofins TestAmerica, Savannah Page 10 of 17 10/5/2021 QC Association Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA General Chemistry Analysis Batch:687169 Lab Sample to Client Sample ID 680-204876-1 NCCHA-SD0-001-20210920 680-204876-2 NCCHA-SDO-002-20210920 680-204876-3 NCCHA-SDO-003-20210920 MB 680-687169/1 Method Blank LCS 680-68716912 Lab Control Sample LCSD 680-68716913 Lab Control Sample Dup Prep Batch: 687255 Lab Sample ID Client Sample ID 680-204876-1 NCCHA-SDO-001-20210920 680-204876-2 NCCHA-SDO-002-20210920 680-204876-3 NCCHA-SDO-003-20210920 MB 680-687255/1-A Method Blank LCS 680-687255/2-A Lab Control Sample LCSD 680-687255/3-A Lab Control Sample Dup Analysis Batch: 687296 Lab Sample ID Client Sample ID 680-204876-1 NCCHA-SDO-001-20210920 680-204876-2 NCCHA-SDO-002-20210920 680-204876-3 NCCHA-SDO-003-20210920 LCS 680-68729614 Lab Control Sample 680-204876-1 DU NCCHA-SDO-001-20210920 Analysis Batch: 687298 Lab Sample ID Client Sample ID 680-204876-1 NCCHA-SDO-001-20210920 680-204876-2 NCCHA-SDO-002-20210920 680-204876-3 NCCHA-SD0-003-20210920 MB 680-687255/1-A Method Blank LCS 680-687255/2-A Lab Control Sample LCSD 680-687255/3-A Lab Control Sample Dup Prep Type TotaUNA Total/NA Total/NA Total/NA Total/NA Total/NA Prep Type Total/NA Total/NA Total/NA Total/NA Total/NA Total/NA Matrix Water Water Water Water Water Water Matrix Water Water Water Water Water Water Job ID:680-204876-1 Method Prep Batch 2540 D-2011 2540 D-2011 2540 D-2011 2540 D-2011 2540 D-2011 2540 D-2011 Method 1664E 1664E 1664E 1664E 1664B 1664E Prep Batch I Prep Type Matrix Method Prep Batch TotapNA Water 4500 H+ B-2011 TotapNA Water 4600 H+ B-2011 Total/NA Water 4500 H+ B-2011 Total/NA Water 4500 H+ B-2011 Total/NA Water 4500 H+ 6-2011 Prep Type Matrix Method Prep Batch Total/NA Water 1664B 687255 Total/NA Water 1664B 687255 Total/NA Water 1664B 687255 Total/NA Water 1664B 687255 ToteUNA Water 16648 687255 TbtaVNA Water 1664B 687255 Eurofins TestAmerica, Savannah Page 11 of 17 10/5/2021 Lab Chronicle Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Client Sample ID: NCCHA-SDO-001-20210920 Date Collected: 09/20/21 12:36 Date Received: 09/23/21 10:30 Batch Batch Prep Type Type Method Run TotaUNA Prep 16648 Total/NA Analysis 1664B Instrument ID: NoEquip Total/NA Analysis 2540 D-2011 Instrument ID: NOEQUIP Total/NA Analysis 4500 H+B-2011 Instrument ID: MANTECH Client Sample ID: NCCHA-SDO-002-20210920 Date Collected: 09/20/21 12:56 Date Received: 09/23/21 10:30 Batch Batch Prep Type Type Method Run Total/NA Prep 1664E Total/NA Analysis 1664B Instrument ID: NoEquip Total/NA Analysis 2540 D-2011 Instrument ID: NOEQUIP TotaVNA Analysis 4500 H+B-2011 Instrument ID: MANTECH Client Sample ID: NCCHA-SDO-003-20210920 Date Collected: 09/20/21 12:46 Date Received: 09123121 10:30 Job ID:680-204876-1 Lab Sample ID: 680-204876-1 Matrix: Water DII Initial Final Batch Prepared Factor Amount Amount Number or Analyzed Analyst Lab 517 mL 500 mL 687255 09/30/21 09:06 JAS TAL SAV 1 687298 09/30/21 11:20 JAS TAL SAV 1 300 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV 1 687298 09/30/2110:22 DR TAL SAV Lab Sample ID: 680-204876-2 Matrix: Water DII Initial Final Batch Prepared Factor Amount Amount Number or Analyzed Analyst Lab 506 mL 50 0 mL 687255 09/30/21 09:06 JAS TAL SAV 1 687298 09/30/21 11:20 JAS TAL SAV 1 500 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV 1 687296 09/30/21 10:11 DR TAL SAV Lab Sample ID: 680-204876-3 Matrix: Water Prep Type Batch Batch Type Method Run DII Factor Initial Amount Final Amount Batch Number Prepared or Analyzed Analyst Lab Tow" Prep 1664B 525 mL 500 mL 687255 09/30/21 09:06 JAS TAL SAV Total/NA Analysis 1664E 1 687298 09/30/21 11:20 JAS TAL SAV Instrument ID: NoEquip TotaVNA Analysis 2540 D-2011 1 200 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV Instrument ID: NOEQUIP Total/NA Analysis 4500 H+ 8.2011 1 687296 09/30/21 10:07 DR TAL SAV Instrument ID: MANTECH Laboratory References: TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Page 12 of 17 Eurofins TestAmerica, Savannah 10/5/2021 Accreditation/Certification Summary Client: ERM-Southeast, Inc. ProjectlSite: UPS Stormwater NCCHA Laboratory: Eurofins TestAmerica, Savannah The accreditations/certlficalions listed below are applicable to this report. Authority Program Identification Number Expiration Date North Carolina(WW/SW) Stale 269 12-31-21 Job ID:680-204876-1 11 Eurofins TestAmehca, Savannah Page 13 of 17 10/5/2021 Method Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA Method Method Description 1664E HEM and SGT-HEM 2540 D-2011 Total Suspended Solids (Dried at 103-105"C) 4500 H+ B-2011 pH 1664B HEM and SGT-HEM (Aqueous) ti Job ID: 680-204876-1 Protocol Laboratory J 1664E TAL SAV SM TAL SAV SM TAL SAV 1664E TAL SAV Protocol References: 1664E = EPA-821-98-002 SM = "Standard Methods For The Examination Of Water And Wastewater" Laboratory References: TAL SAV = Eurofins TestAmerica, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Page 14 of 17 Eurofins TestAmerica, Savannah 10/5/2021 Sample Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCCHA 680-204876-1 NCCHA-SDO-001-20210920 680-204876-2 NCCHA-SDO-002-20210920 680-204876-3 NCCHA-SDO-003-20210920 Matrix - -- Water Water Water Collected Received 09/20/2112:35 09/23/2110:30 09/20/2112:56 09/23/2110:30 09/20/2112:45 09/23/2110:30 Job ID: 680-204876-1 Page 15 of 17 Eurofins TestAmedca, Savannah 10/5/2021 N C) m rn 0 v O N Eurofins TestAmerica, Savannah 5102 LaRoche Avenue Savannah, GA 31404-6019 PhOne M2) 354.7858 Fax (912) 352-0165 Chain of Custody Record unanotte zzu curufins Cf1eh11MOfIRatlOe fi,eMy� 4ficWl' �, �.4� n. Becky Mason. Maso M comas ERM a -%ar 06-T77'S-141 EN Ar.Av m bason(®eurofmge(mm page a ERM Northeast Analysis Requested .. (Jit.za 222 South 9111 Street. Suite 2900 Doe Deb lft l a: O m v = � 3 I h _ `— A d 8 _ Pm"I'valion smite: A. W. V M... N a NO N Nine c Ln A.Wl O A~2 n MKAcid P N:r2Oas E NaKSOJ N.2903 T NbON R wS2O3 c. Amwy - M2S N ASWM.A d T 15P DOdxanydaN' I(p U ACelenO .L DIWww V Nf.AA K.FDTA W-PH2 olf.SPC:Jv:. W MinneapMs TAT R"..te 44.ya) ibb by MN 55402 Prone 1 952-297-7325 HE)0 Purchase Order Requested e4 W FRM CRRC UPS enwronmemalservltes10Yrm cnm NOl Pbnc Name CBRFIUPS Pmpct. 24024260 S Fr•L; y (n f NGG P O s 48027191 0 (Gaeta Mom Eurofins TostArneJtra) avlwe eldenlificaeon Sam le DateG= Sample Type Tab Matrix aM. .rr.,....-,,, } = 5 ecial lnstnectlons/Note: k5ampleIG=c—P,Sam Preservation Code:G Mile,•SDo- svZ ' >-o P G j 1 1 S a ''o s' q: o (Z'�W G LJ I t � { 1111111�411{III 680.204876 � 1181IN Chain I I PIII�II�IIIIIIIIIIII'�Ill 1�1 III II of Custody Possible Hayard IdenOtkaUon I� =Non Ha"d �FlaJtrmoole I — —Km bnlaol =PnATnri B �IlJ:kmlmt—FraJlror I Sample Disposal f A fee may be assessed N samples are retained longer than 1 month) =Rctwn To Client cwlc .sal By Cab PArtnrvn Fa Mwabs DeMerable Requested. I, II, Ur N, Other (specify) Special InstruchonsiQC Requirements Empty Kit kelinwisived by Daly rme insam wren HUY,:Juaa.j br � bTyA. I 1 J-C Cmmpnr Nr.1Mwa � r ��.�.L.. `. `'j Cata.'r .arwnr HOMIVuzIAtlby i j, (Iri . p i iDD cwpmv Racamdey &11eAf m TM'l f, k.byuzlW tly Dalai a ".P.y Re .OD' oY'l Canpeny Custody Seals Infect: d Yes A No Custody beat .. Coifliw Twnpaee.ei VC aMOer. R.mwta /, V, 011*6 01" 1J Login Sample Receipt Checklist Client: ERM-Southeast, Inc. Login Number: 204876 List Number:1 Creator: Sims, Robert 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. Answer NIA True True True True True True True True True True True True True True True True True N/A True True True True N/A Job Number: 680-204876-1 List Source: Eurofins TestAmerica, Savannah Comment Eurofins TestAmerica, Savannah Page 17 of 17 10/5/2021