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From: Michele Ruth To: Rossi, Debra Cc: Weiner, George ; Harris, Michael ; Cavanaugh, Patrick ; Glenn Stuart ; Susanna A. Mays Subject: ARMY CREEK LANDFILL :: GAS VENT LEACHATE SAMPLING Date: Tuesday, May 26, 2015 1:51:34 PM Attachments: ACL Gas Vent Leachate Sampling Letter Report 2015 0526.pdf Hi Debbie: Please find attached the report documenting the sampling and analysis of leachate collected from gas vents at the Army Creek Landfill. You will note that 1,4-dioxane was not detected in any of the leachate samples. Please do not hesitate to contact me if you have any questions. Thanks! Michele _______________________________ Michele C. Ruth, PE Hydrogeologist & Chemical Engineer Ruth Associates, Inc. 8 East High Point Road Stuart, Florida 34996 (772) 631-6533 (cell) AR307023

From: Michele Ruth To: Rossi, Debra Cc: Subject: ARMY ... · From: Michele Ruth To: Rossi, Debra Cc: Weiner, George; Harris, Michael; Cavanaugh, Patrick; Glenn Stuart; Susanna A

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Page 1: From: Michele Ruth To: Rossi, Debra Cc: Subject: ARMY ... · From: Michele Ruth To: Rossi, Debra Cc: Weiner, George; Harris, Michael; Cavanaugh, Patrick; Glenn Stuart; Susanna A

From: Michele RuthTo: Rossi, DebraCc: Weiner, George; Harris, Michael; Cavanaugh, Patrick; Glenn Stuart; Susanna A. MaysSubject: ARMY CREEK LANDFILL :: GAS VENT LEACHATE SAMPLINGDate: Tuesday, May 26, 2015 1:51:34 PMAttachments: ACL Gas Vent Leachate Sampling Letter Report 2015 0526.pdf

Hi Debbie:

Please find attached the report documenting the sampling and analysis of leachate collectedfrom gas vents at the Army Creek Landfill. You will note that 1,4-dioxane was not detected inany of the leachate samples.

Please do not hesitate to contact me if you have any questions.

Thanks! Michele_______________________________

Michele C. Ruth, PEHydrogeologist & Chemical EngineerRuth Associates, Inc.8 East High Point RoadStuart, Florida 34996

(772) 631-6533 (cell)

AR307023

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RUTH  ASSOCIATES,  INC.

8  East  High  Point  Road  –  Stuart,  Florida    34996  (772)  283-­‐0959      Facsimile  (772)  283-­‐0701      Email    [email protected]  

May 26, 2015

Ms. Debra Rossi Remedial Project Manager United States Environmental Protection Agency Region III 1650 Arch Street Philadelphia, Pennsylvania 19103-2029 RE: Army Creek Landfill - New Castle County, Delaware

Leachate Sampling from Gas Vents Dear Ms. Rossi: Ruth Associates, Inc. (RAI) has prepared this document summarizing leachate sampling from gas vents at the Army Creek Landfill. Leachate sampling was performed on April 20 and 21, 2015 in general accordance with the scope of work proposed in our February 18, 2015 letter to you. On April 20, 2015, the depth to liquid and depth to bottom were measured in the following gas vents: GV-48, GV-51, GV-43, GV-58, GV-33, GV-57, GV-60, GV-29, GV-46 and GV-53, the locations of which are shown on the attached figure. The following gas vents contained less than 0.5 ft. of liquid; therefore, no attempt was made to purge and collect samples from them: GV-43, GV-58, GV-33, GV-57 and GV-60. The following vents contained 0.5 ft. or more of liquid: GV-48, GV-51, GV-29, GV-46 and GV-53. Samples were collected from GV-48, GV-51, GV-29 and GV-46. An attempt was made to evacuate the liquid in the well with a peristaltic pump, however, the thick consistency of the liquid and the presence of solids prohibited used of the peristaltic pump. The vents instead were evacuated with a disposable polyethylene bailer. Each of the four vents was bailed until there was less than 0.5 ft. of liquid or three volumes of liquid was purged. Each of the vents was allowed to recharge overnight, and a sample was collected on April 21, 2015. A polyethylene bailer was used to collect a sample and it was poured directly into 40 mL VOAs preserved with hydrochloric acid. The samples were immediately placed on ice and kept under chain of custody until delivered to QC Laboratories the same day. A duplicate sample was collected at GV-51, a Field Blank was collected, and a Trip Blank was included with the samples. Each of the samples was analyzed for 1,4-dioxane via USEPA Method 624. RAI had initially proposed to have these samples analyzed via USEPA Method 8260, however upon receipt and inspection, the laboratory elected to perform the analysis via USEPA Method 624. It was also anticipated that the reporting limit would be approximately 60 micrograms per liter. However, the consistency of the sample matrix and the possible presence of other analytes caused the laboratory to dilute the samples resulting in a higher reporting limit.

AR307024

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Gas Vent Sampling Letter Army Creek Landfill May 26, 2015 Page 2 of 2.

The 1,4-dioxane results have been tabulated and are presented in the attached Table 1. The analyte was not detected in any of the leachate samples, the Field Blank or the Trip Blank. Please do not hesitate to contact us if you have any questions. Sincerely, RUTH ASSOCIATES, INC.

Michele C. Ruth, PE President Attachment cc: Michael Harris, NCC George Weiner, BR Patrick Cavanaugh, BR Susanna Mays, Trust

Glen Stuart, ML&B

AR307025

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RUTH ASSOCIATES, INC.

Parameter GV-29 GV-46 GV-48 GV-51 GV-51 (dup) Field Blank Trip Blank

1,4-Dioxane 437 U 437 U 437 U 437 U 437 U 43.7 U 43.7 U

U - Analyte was not detected above the method detection limit.

Elevated Method Detection Limits in Gas Vent samples due to concictency of sample matrix and possible

presence of other analytes.

Table 1

For Samples Collected on April 21, 2015

Summary of 1,4-Dioxane Results from Select Army Creek Landfill Gas Vents

Page 1 of 1 5/18/2015

AR307026

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LEGEND

RW-1 . RECOVERY WELL (SAMPLE LOCATION IN BOX)

22 EJ)

812 0

AWC2

SG-12 •

/GV-1 0

©

-N-

I

"!SlllP4

C4

POTOMAC AQUIFER WELL (SAMPLE LOCATION IN BOX)

COLUMBIA AQUIFER WELL (SAMPLE LOCATION IN BOX)

ARTESIAN WATER CO. WELL, ' POTOMAC AQUIFER

STREAM GAGE

CONRAIL RAILROAD

FENCE LINE

GAS VENT (SAMPLE LOCATION IN BOX)

SURFACE/ SEDIMENT SAMPLE SPOT

_.AWCG3

0

(ADAPTED FROM A TETRA TECH, INC. FILE) SCALE IN FEETAR307027

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1205 Industrial Blvd., P.O. Box 514, Southampton, PA 18966-0514 · Phone: 215-355-3900 · Toll Free: 800-289-8378 · Fax: 215-355-7231 · www.qclaboratories.com

QCL Accreditations: Southampton Div: EPA ID PA00018; NELAP ID's: PA 09-00131, NJ PA166, NY 11223 State ID's: CT PH-0768, DE PA-018, MD 206, SC 89021001; FDA Reg. # : 2515238

Delaware Division: State ID's: DE 00011, MD 138 Vineland Division: State ID: NJ 06005; Reading Div: State ID: PA 06-03543

Wind Gap Division: State ID's: PA 48-01334, NJ PA001 E. Rutherford Division: State ID: NJ 02015

RUTH ASSOCIATES107 OLD CROSSING LANE

ANNAPOLIS,MD 21401

Regarding:

RUTH ASSOCIATES107 OLD CROSSING LANEANNAPOLIS, MD 21401

PROJECT ID:

LABORATORY REPORT NUMBER:

Serialized: 04/29/2015 08:46am QC21

AL0330

L5544088

REVISED REPORT NOTIFICATION

The sample ID for L5544088-4 has been revised.

Page 1 of 11 AR307028

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QC Laboratories Analytical Report

RUTH ASSOCIATES AL0330

P.O. No: Inv. No: 1694262 PIPWSID:

RUTH ASSOCIATES107 OLD CROSSING LANEANNAPOLIS, MD 21401

Regarding:

RUTH ASSOCIATES107 OLD CROSSING LANEANNAPOLIS, MD 21401

SAMPLE SUMMARY

Lab ID Collected Received Matrix Client ID

L5544088-1 04/21/15 07:15 04/21/15 08:55 WASTEWATER 0415GV-29

L5544088-2 04/21/15 07:40 04/21/15 08:55 WASTEWATER 0415GV-48

L5544088-3 04/21/15 08:00 04/21/15 08:55 WASTEWATER 0415GV-51

L5544088-4 04/21/15 08:30 04/21/15 08:55 WASTEWATER 0415GV-46

L5544088-5 04/21/15 04/21/15 08:55 WASTEWATER 0415GV-100

L5544088-6 04/21/15 08:45 04/21/15 08:55 WASTEWATER 0415GV FIELD BLANK

L5544088-7 04/21/15 04/21/15 08:55 WASTEWATER TRIP BLANK

This report is a revision of report number 4544845PIN: 15196 Serial Number: 4545565

Page 2 of 11 AR307029

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QC Laboratories Analytical Report

Sample Description: 0415GV-29Sample Number: L5544088-1 Samp. Date/Time/Temp: 04/21/15 07:15am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 04:30PM Workgroup: 042715FDilution: 10 Analyst: JAD File ID: F93201.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 437 600

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 97 85-115%Dibromofluoromethane 1868-53-7 97 85-115%Toluene-D8 (Surr) 2037-26-5 102 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Because ice is present and the chilling process begun, the sample storage criteria is considered acceptable.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 3 of 11 AR307030

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QC Laboratories Analytical Report

Sample Description: 0415GV-48Sample Number: L5544088-2 Samp. Date/Time/Temp: 04/21/15 07:40am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 06:23PM Workgroup: 042715FDilution: 10 Analyst: JAD File ID: F93207.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 437 600

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 93 85-115%Dibromofluoromethane 1868-53-7 93 85-115%Toluene-D8 (Surr) 2037-26-5 100 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Because ice is present and the chilling process begun, the sample storage criteria is considered acceptable.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 4 of 11 AR307031

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QC Laboratories Analytical Report

Sample Description: 0415GV-51Sample Number: L5544088-3 Samp. Date/Time/Temp: 04/21/15 08:00am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 05:08PM Workgroup: 042715FDilution: 10 Analyst: JAD File ID: F93203.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 437 600

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 96 85-115%Dibromofluoromethane 1868-53-7 96 85-115%Toluene-D8 (Surr) 2037-26-5 101 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Because ice is present and the chilling process begun, the sample storage criteria is considered acceptable.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 5 of 11 AR307032

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QC Laboratories Analytical Report

Sample Description: 0415GV-46Sample Number: L5544088-4 Samp. Date/Time/Temp: 04/21/15 08:30am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 07:01PM Workgroup: 042715FDilution: 10 Analyst: JAD File ID: F93209.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 437 600

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 100 85-115%Dibromofluoromethane 1868-53-7 91 85-115%Toluene-D8 (Surr) 2037-26-5 103 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Because ice is present and the chilling process begun, the sample storage criteria is considered acceptable.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 6 of 11 AR307033

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QC Laboratories Analytical Report

Sample Description: 0415GV-100Sample Number: L5544088-5 Samp. Date/Time/Temp: 04/21/15 00:00am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 05:45PM Workgroup: 042715FDilution: 10 Analyst: JAD File ID: F93205.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 437 600

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 97 85-115%Dibromofluoromethane 1868-53-7 93 85-115%Toluene-D8 (Surr) 2037-26-5 100 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Consult your regulatory agency for further guidance on the use of this data.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 7 of 11 AR307034

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QC Laboratories Analytical Report

Sample Description: 0415GV FIELD BLANKSample Number: L5544088-6 Samp. Date/Time/Temp: 04/21/15 08:45am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 03:15PM Workgroup: 042715FDilution: 1 Analyst: JAD File ID: F93197.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 43.7 60.0

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 97 85-115%Dibromofluoromethane 1868-53-7 98 85-115%Toluene-D8 (Surr) 2037-26-5 102 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Because ice is present and the chilling process begun, the sample storage criteria is considered acceptable.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 8 of 11 AR307035

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QC Laboratories Analytical Report

Sample Description: TRIP BLANKSample Number: L5544088-7 Samp. Date/Time/Temp: 04/21/15 00:00am NA CMatrix: WASTEWATER Sampled by: Customer Satellite Received Temp: 10.0 C Iced (Y/N): YExceeds recommended temperature for chemical testing.Received Temp: 3.1 C Iced (Y/N): Y

GAS CHROMATOGRAPHY MASS SPECTROMETRY; VOLATILES

Analytical Method: EPA 624 Run Date: 04/27/15 03:53PM Workgroup: 042715FDilution: 1 Analyst: JAD File ID: F93199.DUnits: ug/l Instrument: INST. F Basis:

Parameter CAS Result MDL RL*1,4-Dioxane 123-91-1 ND 43.7 60.0

Surrogate CAS Recovery % Limits %4-Bromofluorobenzene 460-004 98 85-115%Dibromofluoromethane 1868-53-7 98 85-115%Toluene-D8 (Surr) 2037-26-5 104 85-115%

Sample Comments:

Samples for chemical testing were received at the laboratory outside of the allowed temperature range of just above 0 to 6 degrees C.Consult your regulatory agency for further guidance on the use of this data.

*=This limit was used in the evaluation of the final result.This report is a revision of report number 4544845

PIN: 15196 Serial Number: 4545565

Page 9 of 11 AR307036

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DEFINITIONS

The following terms or abbreviations are used in this report:

MPN Most probable number PL Customer-specific limit

CFU Colony forming unit DF Dilution Factor (For Microbiology, DF = volume of sample tested)

POS Positive QUAL Qualifier

NEG Negative NTU Nephelometric turbidity units

PRES Presumptive RL Laboratory reporting limit or Limit of Quantitation (LOQ)

MF Membrane Filtration MCL EPA recommended “Maximum Contaminant Level”

TNTC Too numerous to count MDL Method Detection Limit

ND The analyte was not detected at a concentration above the RL / MDL.

J Estimated value > MDL but < RL. Applies to organics and general chemistry results (see below for metals)

Q Indicates this analyte did not meet quality control requirements.

DRY Indicates the result was calculated and reported on a dry weight basis.

TIC Tentatively Identified Compounds (Library Search Compounds); concentrations are estimated values only.

ppm (mg/l) Parts per million: equivalent to 1 milligram per kilogram (mg/Kg) for solids or one milligram per liter (mg/L) for aqueous

samples.

ppb (ug/L) Parts per billion: equivalent to 1 microgram per kilogram (ug/Kg) for solids or one microgram per liter (ug/L) for aqueous

samples.

< Less than: In conjunction with a numerical value, indicates a concentration less than RL / MDL.

> Greater than: In conjunction with a numerical value, indicates a concentration greater than RL / MDL.

Data Qualifiers (EPA CLP Convention)

Organics Metals

B Analyte was detected in the method blank B Value is > MDL and < RL

E Concentration exceeds calibration range E Estimated value due to presence of interference

U Compound not detected above MDL/RL M Duplicate precision for an element outside control limit

N Presumptive evidence of compound in library search N Spike recovery for an element outside control limits

P1 Column precision criteria not met, report lower value U Element not detected above MDL/RL

P2 Column precision criteria not met, report higher value Other Defined in case narrative or data package

Other Defined in case narrative or data package

Warranties, Terms, and Conditions

• Unless otherwise specified in the Parameter field, analyses (excluding “Field Parameters”) were performed at the QCL Southampton Division

(1205 Industrial Boulevard, Southampton, PA 18966). Food, pharmaceutical, and dairy testing were performed the QCL facility in Horsham

(702 Electronic Drive, Horsham, PA 19044).

• The test results meet all TNI or other applicable regulatory agency requirements, including holding times and preservation, unless otherwise

indicated.

• The report shall not be reproduced, except in full, without the written consent of the laboratory.

• All samples are collected as “grab” samples unless otherwise identified.

• The reported results relate only to the sample as tested. QCL is not responsible for sample integrity unless sampling has been performed by a

member of our staff.

• QCL is not responsible for sampling and/or testing omissions. Note that regulatory authorities may assess substantial fines for testing

omissions. Please track your sample collection schedules and results on a regular basis (e.g. weekly, monthly, or quarterly) to ensure

compliance. QCL’s internet program “LIVE ACCESS” will provide you with real-time access to collection dates and testing results. Please

contact Customer Service for further information.

• The following personnel or their deputies have approved the results of the tests performed by QCL: Nicki Smith (Environmental Chemistry),

Amanda Lukaszewski (Pharmaceutical), Ryan Baker (Dairy), Karen Battista (Food Micro), Jonathan Decenzi (Food Chemistry), Sue Abbott

(QCL Delaware).

QCL Accreditations

Southampton Division EPA ID: PA00018

NELAP IDs: PA 09-00131; NJ PA166; NY 11223

State IDs: CT PH-0768; DE PA-018; MD 206

FDA Reg #: 2515238

Delaware Division State IDs: DE 00011; MD 138 Reading Division State ID: PA 06-03543

Wind Gap Division State IDs: PA 48-01334; NJ PA001 Vineland Division State ID: NJ 06005

East Rutherford Division State ID: NJ 02015

Page 10 of 11 AR307037

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Page 11 of 11

QCL"~ QC I..ARORATOR IE.."> ,,.

1205 Jnduslrial Blvd. -Southampton ,-PA-18966-05 / 4-

Client/Acct. No.

CHAIN OF CUSTODY Page _l___ of ___L

Phone: 215-355-3900 Bi!!to/Reportto:QldJfferent) Fax: 2 /5-355-7231- i-.::.c--"----'--'---'-'-"---'----'---'----------------1

='---'-'-'---'--===------f---------------------------1

· Address .,..._, Sampling Sita Address: Of different) -'-"'---'----'-'"-""----'-''--"'-""'-"4----""'"-'--=-i-======-===L_-----~---------1

City/State/Zip -'---"'--":.,..,1-'<LU."'------"---'--"--"'-'---'=-f----------------'-----'-------------1

Phone/Fax P.O. No. ~...------------f---------------------------1

Client Contact QC Contact

Collection

Lab LIMS No: L5JlNo8'6 LAB USE ONLY:

·#~ -Ascortlic/HCIVials,

# __ Na2S203

# __ Na·OH/Zn acetate pH

#~HCIVials

# __ HN03pH ----------­

# __ H2S04pH ----------~

# __ NaOH pH -----------­

# __ Unpreserved

# __ HclpH

MATRIX CODES

DW: DRINKING WATER

GW: GROUND WATER

WW: WASTEWATER

SO:SOIL

SL: SLUDGE

OIL: OIL

ill: NON SOIL SOLID

Ml: MISCELLANEOUS

X: QTHER

Field pH, Temp (C or F),

(\!Jf---=--'--'---7-'-----''----'-------t--1f------t''----++-H-----t=..-+t--t-t-H-i-+t-t-----+--------t--\~l.-4tf---------l

@~'----'--'-~'--"-------'--'::__----+----1-----+-'-""~+-+-1-+--+-+-+-b-t--a-+++++-----l-----------+-----------j (§

..,\c @ ~ ~1------'-'¥---'-----'-='-----"'---------,-+-------t--+-+-t-+=+-+-t--+--i-+++++-----'---------------+-----------j

[1, '7t-------------t---t-------t----j-t--j-----t---t---t-t----t,----;--;---,----t-------------t-------,

SAMPLED BY: (Name/Company)

RELINQUISHED BY

4

RELINQUISHED BY

5

VerbaVfax data due: Report Format: D Standard D Forms

._H_a_rdco~p~y_d_us~:==========~~-~D_S_t_an_d_aro_+_O_c __ D_N_J_R_e_d_uc_ed __ D_D_ls_k _____ _, Sig:

Please "ca.II for pricing and availability on rush (< 14·21 day) turnaround and on all but standard format.

DATE TIME

TIME

RECEfVEDBY

4

RECEIVED BY

5

DATE TIME

DATE TIME

For example to aid completion, see reverse side.

Hazardous: yes / no

Fie[d Parameters Analyzed-By:

Datefnrne:

AR307038