#=CL# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LIMS USE: FR - ERIN SAVAGE LIMS OBJECT ID: 92356244 October 03, 2017 Ms. Erin Savage Appalachian Voices 171 Grand Blvd. Boone, NC 28607 RE: Project: McDowell Well Water Pace Project No.: 92356244 Dear Ms. Savage: Enclosed are the analytical results for sample(s) received by the laboratory on September 21, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC 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, Lorri Patton lorri.patton@pacelabs.com 1(828)254-7176 Project Manager Enclosures cc: Mr. Willie Dodson, Appalachian Voices Mr. Matt Hepler, Appalachian Voices 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 14 #=CP# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 CERTIFICATIONS Project: McDowell Well Water Pace Project No.: 92356244 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 #=SA# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 SAMPLE ANALYTE COUNT Project: McDowell Well Water Pace Project No.: 92356244 Lab ID Sample ID 92356244001 92356244002 Analytes Reported Method Analysts Laboratory Frank Roberts EPA 200.7 SH1 28 PASI-A Melissa Easterling EPA 200.7 SH1 28 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 14 #=AR# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Project: McDowell Well Water Pace Project No.: 92356244 Sample: Frank Roberts Parameters 200.7 MET ICP Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium Chromium Cobalt Copper Iron Lead Magnesium Manganese Molybdenum Nickel Potassium Selenium Silicon Silver Sodium Strontium Thallium Tin Titanium Vanadium Zinc Lab ID: 92356244001 Results Units Collected: 08/30/17 11:14 Report Limit Received: 09/21/17 14:02 DF Prepared Matrix: Water Analyzed CAS No. Qual Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 ND ND ND 684 ND ND ND 54400 ND ND ND 7920 ND 14800 163 ND ND ND ND 6970 ND 24300 831 ND ND ND ND ND ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L 100 5.0 10.0 5.0 1.0 50.0 1.0 100 5.0 5.0 5.0 50.0 5.0 100 5.0 5.0 5.0 5000 10.0 100 5.0 5000 5.0 10.0 5.0 5.0 5.0 10.0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 10/03/17 02:15 7429-90-5 7440-36-0 7440-38-2 7440-39-3 7440-41-7 7440-42-8 7440-43-9 7440-70-2 7440-47-3 7440-48-4 7440-50-8 7439-89-6 7439-92-1 7439-95-4 7439-96-5 7439-98-7 7440-02-0 7440-09-7 7782-49-2 7440-21-3 7440-22-4 7440-23-5 7440-24-6 7440-28-0 7440-31-5 7440-32-6 7440-62-2 7440-66-6 M1 M1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14 #=AR# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Project: McDowell Well Water Pace Project No.: 92356244 Sample: Melissa Easterling Parameters 200.7 MET ICP Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium Chromium Cobalt Copper Iron Lead Magnesium Manganese Molybdenum Nickel Potassium Selenium Silicon Silver Sodium Strontium Thallium Tin Titanium Vanadium Zinc Lab ID: 92356244002 Results Units Collected: 08/30/17 12:44 Report Limit Received: 09/21/17 14:02 DF Prepared Matrix: Water Analyzed CAS No. Qual Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 429 ND 10.9 2120 5.0 ND ND 42600 23.9 5.1 379 127000 20.0 11300 4040 6.5 17.7 ND ND 20900 ND 8320 1440 ND ND 6.9 8.1 289 ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L 100 5.0 10.0 5.0 1.0 50.0 1.0 100 5.0 5.0 5.0 250 5.0 100 5.0 5.0 5.0 5000 10.0 500 5.0 5000 5.0 10.0 5.0 5.0 5.0 10.0 1 1 1 1 1 1 1 1 1 1 1 5 1 1 1 1 1 1 1 5 1 1 1 1 1 1 1 1 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/01/17 14:10 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 03:05 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 03:05 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 10/03/17 02:24 7429-90-5 7440-36-0 7440-38-2 7440-39-3 7440-41-7 7440-42-8 7440-43-9 7440-70-2 7440-47-3 7440-48-4 7440-50-8 7439-89-6 7439-92-1 7439-95-4 7439-96-5 7439-98-7 7440-02-0 7440-09-7 7782-49-2 7440-21-3 7440-22-4 7440-23-5 7440-24-6 7440-28-0 7440-31-5 7440-32-6 7440-62-2 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14 #=QC# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Project: McDowell Well Water Pace Project No.: 92356244 QC Batch: 380239 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: METHOD BLANK: 92356244001, 92356244002 2107378 Associated Lab Samples: Matrix: Water 92356244001, 92356244002 Parameter Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium Chromium Cobalt Copper Iron Lead Magnesium Manganese Molybdenum Nickel Potassium Selenium Silicon Silver Sodium Strontium Thallium Tin Titanium Vanadium Zinc Units Blank Result ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L LABORATORY CONTROL SAMPLE: Parameter Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium Reporting Limit ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND 100 5.0 10.0 5.0 1.0 50.0 1.0 100 5.0 5.0 5.0 50.0 5.0 100 5.0 5.0 5.0 5000 10.0 100 5.0 5000 5.0 10.0 5.0 5.0 5.0 10.0 Analyzed Qualifiers 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 10/03/17 01:21 2107379 Units ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L Spike Conc. 5000 500 500 500 500 500 500 5000 LCS Result 4870 484 467 492 495 480 485 4880 LCS % Rec % Rec Limits 97 97 93 98 99 96 97 98 Qualifiers 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 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: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14 #=QC# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Project: McDowell Well Water Pace Project No.: 92356244 LABORATORY CONTROL SAMPLE: 2107379 Parameter Spike Conc. Units Chromium Cobalt Copper Iron Lead Magnesium Manganese Molybdenum Nickel Potassium Selenium Silicon Silver Sodium Strontium Thallium Tin Titanium Vanadium Zinc ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: Parameter 500 500 500 5000 500 5000 500 500 500 5000 500 2500 250 5000 500 500 500 500 500 500 ug/L ug/L ug/L ug/L ug/L Boron Cadmium ug/L ug/L Calcium Chromium ug/L ug/L Cobalt Copper ug/L ug/L Iron Lead ug/L ug/L Magnesium Manganese ug/L ug/L 58.9J 5.6 5.0U 15.1 0.00005 0U mg/L 204 0.00050 U mg/L 109000 0.0025 U mg/L 2.5U 0.0097 mg/L 1020 0.0025 U mg/L 53200 37.9 LCS % Rec 484 487 496 4840 480 4770 485 498 477 4800J 488 2400 242 4820J 493 480 480 480 478 484 2107380 35336652001 Units Result Aluminum Antimony Arsenic Barium Beryllium LCS Result % Rec Limits 97 97 99 97 96 95 97 100 95 96 98 96 97 96 99 96 96 96 96 97 Qualifiers 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 85-115 2107381 MS Spike Conc. MSD Spike Conc. MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual 5000 500 500 500 500 5000 500 500 500 500 4900 484 486 501 493 4780 475 479 488 478 97 96 97 97 99 94 94 95 95 96 70-130 70-130 70-130 70-130 70-130 3 2 1 3 3 500 500 500 500 721 480 702 469 103 96 99 94 70-130 70-130 3 2 5000 500 5000 500 125000 472 121000 461 336 94 256 92 70-130 70-130 3 E,M1 2 500 500 500 500 450 507 441 497 90 99 88 97 70-130 70-130 2 2 5000 500 5000 500 5830 435 5660 426 96 87 93 85 70-130 70-130 3 2 5000 500 5000 500 63300 505 61500 493 202 94 166 91 70-130 70-130 3 M1 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14 #=QC# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Project: McDowell Well Water Pace Project No.: 92356244 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: Parameter 35336652001 Units Result Molybdenum ug/L Nickel ug/L Potassium ug/L Selenium ug/L Silicon Silver ug/L ug/L Sodium Strontium Thallium Tin Titanium Vanadium Zinc ug/L ug/L ug/L ug/L ug/L ug/L ug/L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: Parameter Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium Chromium Cobalt Copper Iron Lead Magnesium Manganese Molybdenum Nickel Potassium Selenium Silicon Silver Sodium 2107380 0.0037J mg/L 0.0031J mg/L 22.0 mg/L 0.0050 U mg/L 5380 0.0025 U mg/L 502000 867 5.0U 2.5U 5.4 2.5U 0.024 mg/L MSD Spike Conc. ND ND ND 684 ND ND ND 54400 ND ND ND 7920 ND 14800 163 ND ND ND ND 6970 ND 24300 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual 500 500 492 482 98 96 70-130 2 500 500 438 431 87 86 70-130 2 5000 5000 29400 28400 148 128 70-130 4 M1 500 500 478 477 96 95 70-130 0 2500 250 2500 250 8400 247 8180 241 121 98 112 96 70-130 70-130 3 2 5000 500 500 500 500 500 500 5000 500 500 500 500 500 500 553000 1450 402 449 486 480 481 537000 1410 400 440 476 468 478 1020 117 80 90 96 96 91 688 108 80 88 94 94 91 70-130 70-130 70-130 70-130 70-130 70-130 70-130 3 E,M1 3 1 2 2 3 1 2107382 92356244001 Units Result ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L ug/L 2107381 MS Spike Conc. 2107383 MS Spike Conc. 5000 500 500 500 500 500 500 5000 500 500 500 5000 500 5000 500 500 500 5000 500 2500 250 5000 MSD Spike Conc. 5000 500 500 500 500 500 500 5000 500 500 500 5000 500 5000 500 500 500 5000 500 2500 250 5000 MS Result 4580 457 455 1110 463 472 456 56800 455 449 468 12000 442 18600 608 471 438 6460 462 8880 230 27700 MSD Result MS % Rec 4680 466 466 1150 474 481 464 59100 463 457 475 12400 450 19100 620 482 446 6610 474 9220 233 28800 91 91 91 86 93 92 91 46 91 90 94 82 88 77 89 94 88 89 92 76 92 67 MSD % Rec 93 93 93 94 95 93 93 93 92 91 95 90 90 87 91 96 89 92 95 90 93 89 % Rec Limits RPD 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 70-130 Qual 2 2 2 4 2 2 2 4 M1 2 2 2 4 2 3 2 2 2 2 2 4 2 4 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. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 #=QC# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Project: McDowell Well Water Pace Project No.: 92356244 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: Parameter Strontium Thallium Tin Titanium Vanadium Zinc 2107382 92356244001 Units Result ug/L ug/L ug/L ug/L ug/L ug/L 831 ND ND ND ND ND 2107383 MS Spike Conc. 500 500 500 500 500 500 MSD Spike Conc. 500 500 500 500 500 500 MS Result 1260 438 451 459 456 452 MSD Result MS % Rec 1310 450 462 466 463 461 86 87 90 92 91 90 MSD % Rec 95 90 92 93 93 92 % Rec Limits RPD 70-130 70-130 70-130 70-130 70-130 70-130 Qual 4 3 2 2 2 2 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 #=QL# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALIFIERS Project: McDowell Well Water Pace Project No.: 92356244 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. PQL - Practical Quantitation Limit. RL - Reporting Limit. 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 of Acrolein 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 ANALYTE QUALIFIERS E Analyte concentration exceeded the calibration range. The reported result is estimated. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 #=CR# Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: McDowell Well Water Pace Project No.: 92356244 Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92356244001 92356244002 Frank Roberts Melissa Easterling EPA 200.7 EPA 200.7 380239 380239 EPA 200.7 EPA 200.7 380381 380381 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/03/2017 04:18 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 14 f? Document Name: Document Revised: July 25, 2017 . a Sample Condition Upon Page 1 of 2 1/ Document No.: Issuing Authority: F-CAR-cs-oaa-Revos Pace Quality or?ce Laboratory receiving samples: Ashevillgg/Edenm Greenwood El Huntersville Raleighlj MechanicsvilleE] u0#:92356244 a as? Wt? 92355244 Custody Seal Present? Dole/Seals Intact? Elites (a if .1 Date/Initials Person Examining Con ent Packing Material: EIBubble rap [:IBubble Bags one Other BiologicalTissuW :Ialue Eng DYes Thermometer: [j IR Gun ID: Type of Ice: 'Iul-I- Correction Factor: Cooler Temp Corrected PC): Temp should be above freezing to DSamples out of temp criteria. Samples on ice, cooling process -- has begun USDA Regulated Soil water sample) Did samples origina In a quarantine zone within the United States: CA, NY, or SC {check maps]? Did samples originate from a foreign source (internationally, EYES DNO including Hawaii and Puerto Rico}? [:IYes Comments/Discrepancy: Chain of Costody Present? DNIA 1. Samples Arrived within Hold Time? ?irt-f- EINJA 2. Short Hold Time Analysis {<72 [:IYes 3. Rush Turn Around Time Requested? DYes 1:]an 4. Sufficient Volume? [No [:1an 5. Correct Containers Used? ?gs Dido DNA 6. -Pace Containers Used? ms Elmo DNKA Containers Intact? 1]an 7. Dissolved analysis: Samples Field Filtered? arrow [:1wa Sample Labels Match .4315 Elm -Inciudes Date/Time/ID/Analvsis Matrix: [Pl Headspace in vm vials Elm 10. Trip Blank Present? DNO JWA 11. Trip Blank Custody Seals Present? DYes CLIENT Field Data Required? DYes ?ue Person Contacted: Date/Time: Comments/Sample Discrepancy: i- Project Manager SCURF Review: 1? ll Date: l) 7 7 . Project Manager SRF Review: ,1 Date: C7 )3 1 Note: Wheneverthere is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office Out of hold, incorrect preservative, out of temp, incorrect containers) Page120f14 Page13of14 SamplelD Type of Preservative pH upon receipt Date preservation adjusted Time preservation adjusted Amount of Preservative added Lot ll pH Adjustment Log for Preserved Samples 12 11 10 ltemtl BEAU-125 mL Plastic Unpreserved (Cl-j BP3U-250 mL Plastic Unpreserved BPZU-SOO mL Plastic Unpreserved liter Plastic Unpreserved I mL Plastic H2504 (pH 2} BP3N-250 mL plastic HN03 (pH 2) BPBZ-ZSO mL Plastic ZN Acetate 8; BPSC-ZSO mL Plastic {pH 12) WGFU-Wide-mouthed Glass jar Unpreserved liter Amber Unpreserved (WA) {Cl?j liter Amber {pH 2) AGBU-ZSO mL Amber Unpreserved (Cl-j liter Amber H2504 {pH 2] AGSS-ZSO mL Amber H2504 {pH 2) neaAroeam-zso mL Amber DGQH-4O mL VOA HCI VGBT-4O mL VOA N32SZO3 VGQU-40 mL VOA Unp DGQP-4O mL VOA H3PO4 (NKA) VOAK (6 vials per kin?5035 kit VIGK (3 vials per kitl-VPH/Gas kit (MIA) SP5T-125 mL Sterile Plastic lab) I SP2T-250 mL Sterile Plastic lab) BP3A-250 mL Plastic [9.3417] Cubitainer mL Scintillation vials GN is verified and within the acceptance range for *Check mark top half of box if pH and/or dechlorination ?Bottom half of box is to list number of bottles PM: LJP Due Date: CLIENT: 93-RPP VOICE 92356244 10/05/17 Project ii aceAna/yti'ca/ -: Sample Condition Upon Document No.: Document Name: Pace Quality Office Document Revised: July 25, 2017 Page 2 of 2 Issuing Authority: '4 CHAIN-OF-CUSTODY I Analytical Request Document - - The Chain?of?Custody is 3 LEGAL DOCUMENT. All relevant fields must be completed accurately. Pace Ana/yt/ca. Pag 14of14 Section A Section Section Required Client Information: Required Project lnlormation: Invoice Information; Company:/l Atlention: . . ReporlTo: . . a ?lei Cop).r To: REGU LATO RY AGENCY -. I '1 1.1. I?ll Address: fl 5 at; Milan A ,1?34?5 CompanyNamei./ Address: NPDES GROUND WATER WATER E'rnail .1 -, Purchase Order No.: Pace Quote UST RCRA OTHER J. can"; I- t-?b ., Relerencel Phone: Fax: Projecl Namea, d: Pace Project . . a ii, 3 .5 -. ?girl r6? Manager: 5th Locatlon Requested Due Project Number: Pace Pro?le it: Requested Analysis Filtered (YIN) Section Matrix Codes a: 2 Required Client Intormation #3 2 COLLECTED Preservatives Drinking Water DW 8 2 Water WT COMPOSITF 3 Waste Water WW T. Product 3 ?mm SoilfSolid SL 33 [5 5? SAMPLE ID 0" 0L :2 {5 .. Wipe Sample IDs MUST BE IUE Tissue T8 0 5 I 7K Other DATE TIME DATE 00 W: .p I Pace Prolect No"l Lab LD. 6 ?t 52?. It ?x 00-40101an 1U 11 12 ADDITIONAL IMENTS l?RELINQUISHED BY AFFILIATION ACCEPTED BY AFFILIATION SAMPLE CONDITIONS new?? A. hi SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: 5/ ., . .- V, ?33: g; . SIGNATURE of SAMPLER: _,re DATE I9 ., ?Importanl Note: By signin I this form you are accepting Pace?s NET 30 day payment terms and agreemg to late charges of 1.51-Lper month tor any invoices not paid within 30 days. F-ALL-Q-OQUFEVD7. 15-May?2007