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Home My WebLink AboutNCG080309_Monitoring Report_20211005NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG080000 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 0309 Person Collecting Samples: Parker Cliatt Facility Name: United Parcel Services - NCNGS Laboratory Name: Eurofins TestAmerica Facility County: Mecklenburg Laboratory Cert. No.: 434 Discharge during this period: E Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes No If so, which Tier (1, 11, or III)? A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes No Date Uploaded: Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas —Benchmarks in (Red) Parameter Parameter Outfall001 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 169 169 169 * 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." UaSSO sra"s Signature of Permittee or Delegated Authorized Individual vassospanosCups.com Email Address Date 203-503-4300 Phone Number LINKS ............ eurofins Environment Testing America ANALYTICAL REPORT Eurofins TestAmerica, Savannah 5102 LaRoche Avenue Savannah, GA 31404 Tel:(912)354-7858 Laboratory Job ID: 680-204875-1 Client Project/Site: UPS Stormwater NCNGS 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 11:11:31 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 NCNGS Table of Contents Laboratory Job ID: 680-204875-1 CoverPage .............................................. 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 Page 2 of 17 Eurofins TestAmerica, Savannah 10/5/2021 Definitions/Glossary Client: ERM-Southeast, Inc. Project'Site: UPS Stormwater NCNGS Qualifiers General Chemistry 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 %R CFL CFU CNF DER oil Fac DL DL, RA, RE, IN DLC EDL LOD too MCL MDA MDC MDL ML MPN MQL NC ND NEG POS PQL PRES QC RER RL RPD TEF TEQ TNTC These commonly used abbreviations may or may not be present in this report Listed under the "D" column to designate that the result is reported on a dry weight basis Percent Recovery Contains Free Liquid Colony Forming Unit Contains No Free Liquid Duplicate Error Ratio (normalized absolute difference) Dilution Factor Detection Limit (DoD/DOE) Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metals/anion analysis of the sample Decision Level Concentration (Radiochemistry) Estimated Detection Limit (Dioxin) Limit of Detection (DoD/DOE) Limit of Quanfitaton (DoD/DOE) EPA recommended "Maximum Contaminant Level" Minimum Detectable Activity (Radiochemistry) Minimum Delectable Concentration (Radiochemistry) Method Detection Limit Minimum Level (Dioxin) Most Probable Number Method Quantitation Limit Not Calculated Not Detected at the reporting limit (or MDL or EDL if shown) Negative / Absent Positive / Present Practical Quantitation Limit Presumptive Quality Control Relative Error Ratio (Radiochemistry) Reporting Limit or Requested Limit (Radiochemistry) Relative Percent Difference, a measure of the relative difference between two points Toxicity Equivalent Factor (Dioxin) Toxicity Equivalent Quotient (Dioxin) Too Numerous To Count Job ID:680-204875-1 I Eurofins TestAmerica, Savannah Page 3 of 17 10/5/2021 Case Narrative Client: ERM-Southeast, Inc. Job ID: 680-204875-1 Project/Site: UPS Stormwater NCNGS Job ID: 680-204875-1 Laboratory: Eurofins TestAmerica, Savannah Narrative Job Narrative 680-204875-1 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 1.20 C. Receipt Exceptions Client updated sample IDs. CDC is incorrect. NCNGS-SDO-001-2021092021 (680-204875-1), NCNGS-SDO-002-2021092021 (680-204875-2) and NCNGS-SDO-003-2021092021 (680-204875-3) The following samples were logged in outside of holding time for TSS due to lab error. NCNGS-SDO-001-2021092021 (680-204875-1), NCNGS-SDO-002-2021092021 (680-204875-2) and NCNGS-SDO-003-2021092021 (680-204875-3). Per client we will run and report. 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. Eurofins TestAmerica, Savannah Page 4 of 17 10/5/2021 Detection Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCNGS Client Sample ID: NCNGS-SDO-001-2021092021 Analyte Result Qualifier Oil & Grease 3.5 J pH 7.7 HF _Temperature 18.1 HF Client Sample ID: NCNGS-SDO-002-2021092021 Result Qualifier �Analyte Oil & Grease 1..8 J Total Suspended Solids 4.9 H pH 7.4 HF Temperature 17.7 HF Client Sample ID: NCNGSSDO-003-2021092021 Analyte Result Qualifier Oil & Grease 1.3 J Total Suspended Solids 14 H pH 8.0 HF Temperature 19.7 HF This Detection Summary does not include radiochemical test results. Job ID:660-204875-1 Lab Sample ID: 680-204875-1 RL MDL Unit DII Fac D Method Prep Type 4.8 1.3 m9/L 1 1664B TotaUNA SU 1 4500 H+ B-2011 Total/NA Degrees C 1 4500 H+ B-2011 Total/NA Lab Sample ID: 680-204875-2 RL MDL Unlit DII Fac D Method Prep Type 4.6 1.3 mg/L 1 1664E Total/NA 2.5 2.5 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 Lab Sample ID: 680-204875-3 RL MDL Unit DII Fac D Method Prep Type 4.7 1.3 mg/L 1 1664B Total/NA 3.3 3.3 mg/L 1 2540 D-2011 TotaUNA SU 1 4500 H+ B-2011 Total/NA Degrees C 1 4500 H+ B-2011 TotaUNA Eurofins TestAmerica, Savannah Page 5 of 17 10/5/2021 Client Sample Results Client: ERM-Southeast, Inc. Job ID: 680-204875-1 ProjectlSite: UPS Stormwater NCNGS Client Sample ID: NCNGS-SDO-001-2021092021 Lab Sample ID: 680-204875-1 Date Collected: 09/20/21 13:15 Matrix: Water Date Received: 09/23/21 10:30 General Chemistry Analyte Result Qualifier NONE NONE Unit D Prepared Analyzed Dil Fac pH 7.7 HF SU 09/30/2110:03 1 Temperature 18.1 HF Degrees C 09/30/21 10:03 1 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac Oil 8 Grease 3.5 J 4.8 1.3 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 NO H 2.5 2.5 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. Job ID: 680-204875-1 Project/Site: UPS Stormwater NCNGS Client Sample ID: NCNGSSDO-002-2021092021 Lab Sample ID: 680-204875-2 Date Collected: 09/20/21 13:06 Matrix: Water Date Received: 09/23/21 10:30 General Chemistry Analyte Result Qualifier NONE NONE Unit D Prepared Analyzed oil Fac pH 7.4 HF SU 09/30/2109:62 1 Temperature 17.7 HF Degrees C 09/30/21 09:62 1 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Oil 8 Grease 1.8 1 4.6 1.3 mg/L 09/30/21 09:06 09/30/21 11:20 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed DII Fac Total Suspended Solids 4.9 H 2.5 2.5 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. Project/Site: UPS Stormwater NCNGS Client Sample ID: NCNGS-SDO-003-2021092021 Date Collected: 09/20/21 13:35 Date Received: 09/23/21 10:30 General Chemistry Analyte Result Qualifier NONE pH 8.0 HF Temperature 19.7 HF Analyte Result Qualifier RL Oil 8 Grease 1.3 J 4.7 Analyte Result Qualifier RL Total Suspended Solids 14 H 3.3 Job ID:680-204875-1 Lab Sample ID: 680-204875-3 Matrix: Water NONE Unit D Prepared Analyzed oil Fee - SU Degrees C 0913=1 10:47 1 09/30/21 10:47 1 MDL Unit D Prepared Analyzed oil Fee 1.3 mg/L 09130M 09:06 09/30/21 11:20 1 RL Unit D Prepared Analyzed DII Fee 3.3 mg/L 09/29/21 14:59 1 Eurofins TestAmerica, Savannah Page 8 of 17 10/5/2021 QC Sample Results Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCNGS Method: 1664E - HEM and SGT-HEM Lab Sample ID: MIS 680-687265/1-A Matrix: Water Analysis Batch:687298 Me Me Analyte Result Qualifier Oil & Grease ND Lab Sample ID: LCS 680.68726512-A Matrix: Water Analysis Batch: 687298 Analyte Oil& Grease Lab Sample ID: LCSD 680.687255/3-A Matrix: Water Analysis Batch: 687298 Analyte Oil &Grease RL MDL Unit 5.0 1.4 mg/L Spike LCS LCS Added Result Qualifier Unit 40.0 39.40 mg/L Spike LCSD LCSD Added Result Qualifier Unit 40.0 38.60 mg/L Job ID:680-204875-1 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch: 687255 D Prepared Analyzed oil Fee 09/30/21 09:06 09/30/21 1120 1 Client Sample ID: Lab Control Sample Prep Type: Total/NA Prep Batch: 687255 %Rec. D %Rec Limits 99 78-114— Client Sample ID: Lab Control Sample Cup Prep Type: Total/NA Prep Batch: 687255 %Rec. RPD D %Rec Limits RPD Limit 96 78 - 114 2 18 Method: 2540 D-2011 -Total Suspended Solids (Dried at 103-1050C) Lab Sample ID: MB 680-687169/1 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 680.687169/2 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch:687169 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %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: 687189 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 Analyte Pill Spike LCS LCS Added Result Qualifier Unit 7.01 7.1 SU %Rec. D %Rec Limits 101 63 -158 Page 9 of 17 Eurofins TestAmerica, Savannah 10/5/2021 QC Sample Results Client: ERM-Southeast, Inc. Job ID: 680-204875-1 Project/Site: UPS Stormwater NCNGS Method: 4500 H+ B-2011 - pH (Continued) Lab Sample ID: 680-204875-3 DU Client Sample ID: NCNGS-SDO-003-2021092021 Matrix: Water Prep Type: Total/NA Analysis Batch: 687296 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit pH 8.0 HF 8.1 SU 1 40 Temperature 19.7 HF 19.7 Degrees C 0.4 40 Eurofins TestAmerica, Savannah Page 10 of 17 10/5/2021 QC Association SLlmmary Client: ERM-Southeast, Inc. Job ID: 680-204875-1 Project/Site: UPS Stormwater NCNGS General Chemistry Analysis Batch: 687169 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch e8a-204875-1 NCNGS-SDO-001-2021092021 Total/NA Water 2540 D-2011 680-204875-2 NCNGS-SDO-002-2021092021 Total/NA Water 2540 D-2011 680-204875-3 NCNGS-SDO-003-2021092021 Total/NA Water 2540 D-2011 MB 680-687169/1 Method Blank Total/NA Water 2540 D-2011 LCS 680-68716912 Lab Control Sample Total/NA Water 2540 D-2011 LCSD 680-687169/3 Lab Control Sample Dup Total/NA Water 2540 D-2011 Prep Batch: 687255 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-204875-1 NCNGS-SDO-001-2021092021 Total/NA water 1664E 680-204875-2 NCNGS-SDO-002-2021092021 Tolal/NA Water 1664E 680-204B75-3 NCNGS-SDO-003-2021092021 Total/NA Water 1664E MB 680-687255/1-A Method Blank Total/NA Water 1664E LCS 680-68725512-A Lab Control Sample Total/NA Water 1664E LCSD 680-687255/3-A Lab Control Sample Dup Total/NA Water 1664E Analysis Batch: 687296 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-204875-1 NCNGS-SDO-001-2021092021 Tbtal/NA Water 4500 H+ B-2011 I 680-204875-2 NCNGS-SDO-002-2021092021 Total/NA water 4500 H+ B-2011 680.204875-3 NCNGS-SDO-003-2021092021 Total/NA Water 4500 H+ B-2011 LCS 680-687296/4 Lab Control Sample Total/NA Water 4500 H+ B-2011 680-204875-3 DU NCNGS-SDO-003-2021092021 Total/NA Water 4500 H+ B-2011 Analysis Batch: 687298 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-204875-1 NCNGS-SDO-001-2021092021 Total/NA Water 1664E 687255 680-204875-2 NCNGS-SDO-002-2021092021 Total/NA Water 1664E 687255 680-204875-3 NCNGS-SDO-003-2021092021 To1al/NA Water 16648 687255 MB 680-687255/1-A Method Blank TOtauNA Water 1664E 687255 LCS 680-687255/2-A Lab Control Sample Total/NA Water 1664E 687255 LCSD 680-68725513-A Lab Control Sample Dup TbtaVNA Water 1664B 687255 Eurof ns TestAmerica, Savannah Page 11 of 17 10/5/2021 Lab Chronicle Client: ERM-Southeast, Inc. Job ID: 680-204875-1 Project/Site: UPS Stormwater NCNGS Client Sample ID: NCNGS-SDO-001-2021092021 Lab Sample ID: 680-204875-1 Date Collected: 09/20/21 13:15 Matrix: Water Date Received: 09/23/21 10:30 Batch Batch oil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab TotapNA Prep 1664B 520 mL 500 mL 687255 09/30/21 09:06 JAS TAL SAV Total/NA Analysis 1664B 1 687298 09/30M 11:20 JAS TAL SAV Instrument ID: NoEquip Total/NA Analysis 2540 D-2011 1 1000 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV InstmmentlD: NOEOUIP Total/NA Analysis 4500 H+ B-2011 1 687296 09/30/21 10:03 DR TAL SAV InstmmentlD: MANTECH Client Sample ID: NCNGS-SDO-002-2021092021 Lab Sample ID: 680-204875-2 Date Collected: 09/20/21 13:06 Matrix: Water Date Received: 09/23/21 10:30 Batch Batch oil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Prep 1664B 546 mL 500 mL 687255 09/30/21 09:06 JAS TAL SAV Total/NA Analysis 1664B 1 687298 09/30/21 11:20 JAS TAL SAV InstmmentlD: NoEquip w/ Total/NA Analysis 2540 D-2011 1 1000 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV Instrument ID: NOEOUIP Total/NA Analysis 4500 H+ B-2011 1 687296 09/30/21 09:52 DR TAL SAV Instrument ID: MANTECH Client Sample ID: NCNGS-SDO-003-2021092021 Lab Sample ID: 680-204875-3 Date Collected: 09/20/21 13:35 Matrix: Water Date Received: 09/23/21 10:30 Batch Batch Dii Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total/NA Prep 1664B 528 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 Total/NA Analysis 2540 D-2011 1 750 mL 1000 mL 687169 09/29/21 14:59 PG TAL SAV Instrument 10: NOEOUIP Total/NA Analysis 4500 H+ B-2011 1 687296 09/30/21 10:47 DR TAL SAV InshmmentlD: MANTECH Laboratory References: TAL SAV = Eurofins TestAmenca, Savannah, 5102 LaRoche Avenue, Savannah, GA 31404, TEL (912)354-7858 Eurofins TestAmerica, Savannah Page 12 of 17 10/5/2021 Accreditation/Certification Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCNGS Laboratory: Eurofins TestAmerica, Savannah The accreditadons/certificetions listed below are applicable to this report. f Authority Program North Carolina (WW/SW) State Job ID: 680-204875-1 Identification Number Expiration Date 269 12-31-21 N Eurof ns TestAmerica, Savannah Page 13 of 17 10/5/2021 Method Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCNGS Method Method Description 1664B HEM and SGT-HEM 2540 D-2011 Total Suspended Solids (Dried at 103-1050C) 4500 H+ B-2011 pH 1664B HEM and SGT-HEM (Aqueous) Protocol References: 1664B = 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 a� Job ID: 680-204875-1 Protocol Laboratory 1664B TAL SAV SM TAL SAV SM TAL SAV 1664B TAL SAV Eurofins TestAmerica, Savannah Page 14 of 17 10/5/2021 Sample Summary Client: ERM-Southeast, Inc. Project/Site: UPS Stormwater NCNGS Lab Sample ID Client Sample ID 680-204875-1 NCNGS-SDO-001-2021092021 680-204875-2 NCNGS-SDO-002-2021092021 680-204875-3 NCNGS-SDO-003-2021092021 Matrix --__-_- Water Water Water Collected Received 09/20/2113:15 09/23/2110:30 09/20/2113:06 09/23/2110:30 09/20/2113:35 09/23/2110:30 E' Job ID: 680-204875-1 Page 15 of 17 Eurofins TestAmerica, Savannah 10/5/2021 Euroiins TestAmerica, Savannah 5102 LaRoche Avenue Savannah. GA 31404.6010 Phone (912) 354.7858 Fax, (912) 352-0165 Charlotte 229 * COrtlfins Chain of Custody Record Client Information C-1 1t -)f Mason, Becky -4ox Cwpsu ERM Piave r D (p ' l % " .S?cf FNrI Lejiky rriasunaaeumlm. I -: m yagp Page 1 of t r:wa+r �m • ERM-Narmeasl Analysis Requested 222 South 9m Street, 8wte 2900 A _ HCL M Hexane0"TAI a NWH H Nore " Ragm•b4 itlrysl' iMaineapobs C ZA Aeewte 0-ALNa02 D 1bec ACE P NWS b G ZV N 55102 [ Nn150+ o Na2so3 F .h(hl R Na25XIa iYpre np • 1952-297-7325 PulMas, Order Rerµleste0 o G AmcNv ly]aq n Asenba Ame T TSP OPCacihVdF&e Ka u Aralve • ERM CBRF PS nvn n l m Hgame z q _ n j m Warr V. IACAA K. FDTA W. PH414 Name BRE10PS 24024260 P a _ f • � EDA Z NW 0+ 1 (a(S -mot C 40" AA.a'rx, jG. P 0 e 48023191- 0 tOume fiom E= TeslAmerrca) E » anee Sample Matrix a E Type Sample (C=comp, 3 ; Sam IelaenllBcation Sample Date Time G= rab ar.n.....A-.. n 8 $ bC�al In Sb uctiunslNale' FMWNBV011 code. l —O C) p C Zo 1 Is'Jax G Water ,j 1 I I S Co- na2.- V w 1-zfP G 1-j 3, s SjJo O Za I.3SP IN1Jf IIIII1rIII1�1811IIHlllf Illlllllll�l�llllllll�ll�lllll 680-204875 Cfwn of Custody Possible Hazard identification Semple Disposal (A fee may be assesseo n samples are relward longer than 1 manlh/ M `� 1:3Helum Lia-wsal C-3*01.a �f1wfurvaMe �SkM �PaSWB �thlAaowl c4wea Nor, Hazard lrM.vll G'il In Cbani By Lab For Mivabs Deliverable Rsqun~ I, II, III, IV. Omar (Specily) j5pecal IrotrwANxlarOC Requsements Fmply 16t Rel+iq nhed by plate T-me umira a s+u,.epr HaNquxMaM , '"m.VH , 1 A q 1 Al at` 'S�O 41" \ O� es.WO w M" C*Aip r Nerenea by pgenme ,ii a S u t y �a 3v iL Rauxp "w WWT Cww+a.r HANIm to UrtMme anparry Custody Seals Intact Custody Seal No 1 M* TWIXIaNalai'C..W Cesar Rgmmk• L A Yes A 140 / - Vv it 11,?11117 u Login Sample Receipt Checklist Client: ERM-Southeast, Inc. Job Number: 680-204875-1 Login Number: 204875 List Number: 1 Creator: Sims, Robert D Question List Source: Eurofins TestAmerica, Savannah Answer Comment Radioactivity wasn't checked or is </= background as measured by a survey NIA meter. The cooler's custody seal, if present, is intact. True Sample custody seals, if present, are intact. True The cooler or samples do not appear to have been compromised or True tampered with. Samples were received on ice. True Cooler Temperature is acceptable. True Cooler Temperature is recorded. True COC is present. True COC is filled out in ink and legible. True COC is filled out with all pertinent information. True Is the Field Sampler's name present on COC? True There are no discrepancies between the containers received and the COC. True Samples are received within Holding Time (excluding tests with immediate True HTs) Sample containers have legible labels. True Containers are not broken or leaking. True Sample collection date/times are provided. True Appropriate sample containers are used. True Sample bottles are completely filled. True Sample Preservation Verified. N/A There is sufficient vol. for all requested analyses, incl. any requested True MS/MSDs Containers requiring zero headspace have no headspace or bubble is True <6mm (1/4"). Multiphasic samples are not present. True Samples do not require splitting or compositing. True Residual Chlorine Checked. N/A ,annah Page 17 of 17 10/5/2021 'J �' L