epa usepa contract laboratory program r generic chain of … · 2012-12-02 · ~ epa usepa contract...

~ EPA USEPA Contract Laboratory Program !!iii. Generic Chain of Custody

Reference Case: R Client No: R33167

Region: 3 Date Shipped: 312312009 Chain of Custody REiClOrd Sampler 9.e3 ~ Slglature: • project Code:

112G00940.0000.0810 Carrier Name: FedEx Account Code: 112G00940.0000.0810 Alrblll: 797440963716 Relinquished BY (DalelTlme) Received By (Date / Time) CERCLIS 10: PAD002338010 Shipped to: EPA· Region III - ASQAB 1 9.0.~ 1/7.1}0'1 I"J" SpIUID: 701 Mapes Road Sito Nomo/Stete: Havertown PCP DAS 0309A1PA Fort Meade MD 20755 2

project Leader: Hatish Mital (410) 305-2625 3

ActiOn: Long Term Response Sampling Co: Tetta Tech 4

MATRIX/ CONCI ANA!.YSIS/ TAG No.1 STATION SAMPLE COLLECT QC SAMPLE No. SAMPLER TYPE TURNAROUND PRESERVA11VE/ Botti .. LOCATION DAlCmME Typo

HAV-OM-EFF Ground Waterl LlG T Ph (21) 3-21899 (H2S04), 3·21900 HAV-OM-EFF-0309A S: 312312009 10:45 MSIMSD -0309A J.B. Moore (H2SO4), 3-21901 (H2SO4)

(3) HAV-OM-FB- Ground Waterl LtG 0& G (21), T Ph (21) 3-21885 (H2SO4), 3-21886 HAV-OM-FB-0309A S: 312312009 9:00 Field Blank 0309A J.B. Moore (H2S04), 3-21887 (H2SO4),

3-21888 (H2S04) (4)

"'-- ~~-' -r-;~f' fJ/a."k.----~~-~-----'-~-............ -""'-.~

Shipment for Case Complete?Y

Sample(s) to be used for laboratory QC:

HAV-OM-EFF-0309A

Additional Sampler Signature(s): Chain of Custody Seal Number:

Analysis Key: Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C, Grab = G Shipment Iced?

O&G~Oil&Grease, ~ a eno

TRNumber: 3-295386538-032309-0008 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Ser'" Cr"'v tC'! CiaP"''''Je r .. 'I'iln?"'~m .... .,t ('IUjce~ '\ttn· LJe?+"'er P~UE'''--C:~t;'- 1 F.-"90/"rynf ...... enr .... Cp ... ter r"lr" (''''~nt;nVt VA 20-1 61~'f{19' 0ho .... C! 7n~{81 P-420o: Fpy~ ---f2"-5,1.04.c Paqe1_Qf 1

'no It: n· I '-./ "-- '-_./ '--~ '--.../ '------ ~/ /./

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)

Analyte

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Region 3 Environmental Science Center

Office of Analytical Services and Quality Assurance

Site Name: HavertownPCP

Station ID: HA V-OM-EFF-0309A

Sample Matrix: Water

Result

mgIL

701 Mapes Road

Fort Meade, Maryland 20755-5350

Classical Chemistry Parameters

Targets

Flags Quantitation

Qualifiers Limit Dilution Prepared

Project #: DAS R33167

Lab ID: 0903015-01

Date Collected: 03/23/2009

Analyzed MethodlSOP#

Oil & Grease (HEM) u 5.6 03125109 03/25109 10:07 EPA 1664 Rev AlR3QAI63

Analyte

Phenol

Result

uglL

u

Flags

Qualifiers

Targets

Quantitation

Limit

20.0

Dilution Prepared Analyzed MethodlSOP#

04113109 0411510908:22 EPA 420.I1420.4IR3QAI04

0903015 FINAL DAS R33167 042209 902

Page 5 of10

Analyte


Site Name: Havertown PCP

Station ID: HA V-OM-INF-0309A


Result

mglL

Office of Analytical Services and Quality Assurance 701 Mapes Road



Flags

Qualifiers

Targets

Quantitation

Limit Dilution Prepared


Lab ID: 0903015-02

Date Collected: 03/23/2009


Oil & Grease (HEM) 6.0 5.7 03/25/09 03/25/09 10:07 EPA 1664 Rev

AlR3QA163

0903015 FINAL DAS R33167 0422 09 902

Page 60flO

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Analyte


Office of Analytical Services and Quality Assurance


Station ID: HA V-OM-OWE-0309A


Result

mglL

701 Mapes Road Fort Meade, Maryland 20755-5350


Flags

Qualifiers

Targets

Quantitation

Limit Dilution Prepared


Lab ID: 0903015-03

Date Collected: 0312312009

Analyzed Method/SOP#

Oil & Grease (HEM) 7.2 5.7 03/25/09 03/25/09 10:07 EPA 1664 Rev AlR3QAl63

0903015 FINAL DAS R33167 0422 09 902

Page 7 oflO

Analyte



Station ID: HA V-OM-FB-0309A


Result

mgiL


Fort Meade, Marylaod 20755-5350


Targets

Flags Quantitation

Qualifiers Limit Dilution Prepared


Lab ID: 0903015-04

Date Collected: 03123/2009


Oil & Grease (HEM) u 5.7 03/25109 03/25/09 10:07 EPA 1664 Rev

Targets

Result Flags Quantitation

Analyte ugIL Qualifiers Limit

Phenol u 20.0

Dilution

AlR3QAI63

Prepared Analyzed MethodlSOP#

04/13/09 04/15/0908:22 EPA 420.1I420.4IR3QAI04

0903015 FINAL DAS R33167 0422 09 902

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) Site Name: Havertown PCP Project #: DAS R33167

Analyte

! Batch BC92601- Oil and Grease Prep

Blank (BC92601-BLKl)

Oil & Grease (HEM)

LCS (BC92601-BSl)

Oil & Grease (HEM)

Duplicate (BC92601-DUPI)

) Oil & Grease (HEM)

Matrix Spike (BC92601-MSl)

Oil & Grease (HEM)

Reference (BC92601-SRMl)

Oil & Grease (HEM)

Batch BD91601- Phenol Prep water

Duplicate (BD91601-DUPl)

\, Phenol

Matrix Spike (BD9I601-MSI)

Phenol

Reference (BD91601-SRMl)

Phenol

QeD.ta Classical Chemistry Parameters

Quantitation Result Limit Units

U 5.0 mglL

40.6 5.0 mgIL

Source: 0903015-01

U 5.7 mglL

Source: 0903015-01

43.3 5.6 mgIL

21.4 rog

Source: 0903015-01

U 20.0 ugIL

Source: 0903015-01

46.800 20.0 ugIL

2543.00 ugIL

Spike

Level Source

Result %REC %REC

Limits RPD

Prepared: 03125/0909:57 Analyzed: 03/25/09 10:07

Prepared: 03125/09 09:57 Analyzed: 03/25109 10:07

40.000 102 78-114


U


44.444 U 98 78-114

Prepared: 03/25/09 09:57 Analyzed: 03/25109 10:07

20.000 107 57.5-124


U


50.000 U 94 90-110

Prepared: 041l3/09 08:07 Analyzed: 04/15109 08:22

2750.0 92 56-145

0903015 FlNAL DAS R33167

RPD Limit Notes

20

20

0422 09 902

Page 9 oflO


Office of Analytical Services and Quality Assurance '701 Mapes Road


Site Name: Havertown PCP Project #: DAS R33167

Notes and Definitions

NR Not Reported

RPD Relative Percent Difference

U Analyte included in the analysis, but not detected at or above the quantitation limit.

Quantitation Limit: The lowest concentration of an analyte that can be reliably measured within specified limits of precision and accuracy for a specific laboratory analytical method and that takes into account analytical adjustments made during sample preparation and analysis.

SOLID SAMPLE RESULTS -REPORTING PROTOCOL: Solid samples where % Solids (percent dry wt at 105 degrees C) has been perfonned, are analyzed wet and converted to a dry weight result for reporting purposes. This is routine for organics and most inorganic analyses. \¥hen metals and mercury analyses are requested, solid samples are routinely analyzed and reported on a dry weight basis. Solid samples for metals/mercury are prepared for analysis by an initial drying at 60 degree C and homogenization before digestion. Oil·type samples will be analyzed and reported on a wet weight basis for all analyses because of the nature of the sample. Any exceptions to the protocol will be noted with a qualifier

0903015 FINAL DAS R33167 0422 09 902

Page 10 ofiO

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'~_/ - - " - '- - ~' ~' '-./ "-'/ "-./ '-~ ,--/ '.,.-" '-/ '-/" ,

~ EPA USEPA Contract laboratory Program l!iiii' Generic Chain of Custody

Reference Case: R Region: 3 Project Code:

112G940,OOOO,0610 Account COde: 112G940.000M810 CERCLIS 10: PAD002336010 Spill 10: 54 Slta NamefState: Havertown PCP DAS2 0309A1PA Project leader: Hafish Mital Action: Long Term Response Sampling Co: Tetra Tech NUS

MATRIXI CONCI ANALYSIS! SAMPLE No. SAMPLER TYPE TURNAROUND

HAV-LTR-CL Ground Waterl UG Alk (7), TSS (7) E-0309A J.,B. Moore

HAV-L TR-CLI Ground Waterl LIG TSS (7) -0309A J.B. Moore

HAV-LTR-EF Ground Waterl UG Alk (7), Anions OU2 F-0309A J.B. Moore (7), TSS (7)

HAV-LTR-INF Ground Waterl UG Anions OU2 (7) -0309A J,B. Moore

HAV-LTR-SF Ground Waterl UG TSS (7) E-0309A J.B. Moore

-

ShlpmentforCase Complefa?N


Client No: R33166

Date Shipped: 3/23/2009 Chain of Custody Record Sampler .9~ SllJ'Iature: ~. ~

Carrier Name: FedEx Alrblll: 797440917327 Relinquished By (Date 1 Time) Received Ery (Date I Time)

EPA - Region III - ASQAB 1 9-8. tv1t- -Sj,.1/ott Ii"" Shipped to: 701 Mapes Road Fort Meade MD 20755 2 (410) 305-2625

3

4

TAG No.1 STATION SAMPLE COU.ECT QC

PRESERVAT\Vi:I Boilies LOCATION DAlEmME Typ.

3-21964 (ice OnlY), 3-21965 HAV-LTR-CLE-0309A S: 3/23/2009 9:45 (Ice Only) (2)

3-21963 (Ice OnlY) (1) HAV-L TR-CLI-0309A S: 3/23/2009 9:30

3-21967 (Ice OnlY), 3-21966 HAV-LTR-EFF-0309A S: 3/23/2009 10:45 (Ice Only), 3-21969 (Ice Only) (3) 3-21962 (ice OnlY) (1) HAV-LTR-INF-0309A S: 3/23/2009 9:15

3-21966 (Ice OnlY) (1) HAV-LTR-SFE-0309A S: 3/23/2009 10:00

Te"'f. ~k ---~~

AdditIonal Sampler Signature(s): Chain of Custody Seal Number:

L = Low, M = LowlMedium, H = High Type/Designate: Composite = C, Grab = G Shipment Iced?

mons ;: Ine rae orl e uon e u, ;: oa uspen e 01 S

TR Number: 3-295386538-032309-0004 PR provides preliminary results. Requests for preliminary results will increase analytical costs. ~:~~?.."~~!~: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3619; Phone 703/618-4200; Fax F2VS.1.047 Page 1 of 1





Analyte Result

LabID: 0903013-01

Station ID: HAV-LTR-CLE-0309A

Sample Matrix: Groundwater

Collected: 03/23/2009

Total Suspended Solids 13

Total Alkalinity 354

Lab JD: 0903013-02

Station ID: HAV-LTR-CLI-0309A



Total Suspended Solids 110

LabID: 0903013-03

Station ID: HAV-LTR-EFF-0309A


Conected: 03/23/2009

Total Alkalinity 155

Total Suspended Solids U

Chloride 147

Fluoride U

Nitrate as N 0.321

Nitrite as N U

Sulfate as 804 253


Flags! Quantitation Qualifiers Limit Units Dilution Prepared

10 mgIL 03/25/09

20.0 mgIL 03126/09

10 mgIL 03/25/09

20.0 mgIL 03/26/09

10 mgIL 03/25/09

5.00 mgIL 20 03/24/09

0.100 mgIL 03/24/09

0.150 mgIL 03/24/09

0.050 mgIL 03/24/09

10.0 mgIL 20 03/24/09

0903013 FJNAL

Analyzed Method/SOP#

03126/0915;10 SM2540DIR3QAI06

03/27/09 10;23 SM2320B/R3QAI02

03126/0915:10 SM2540DIR3QAI06

03/27/09 10;39 SM2320BIR3QAI02

03126/0915;10 SM2540DIR3QA106

03124/09 19:31 EPA 300.01R3QA117

03/24/0918:30 EPA 300.01R3QA117

03124/09 18;30 EPA 300.01R3QA117

03124/09 18:30 EPA 300.01R3QA117

03/24/09 19;31 EPA 300.01R3QA117

DAS R33168 05 05 09 1518

Page 4 of9

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UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Region 3 Envirorunental Science Center




Analyte Result

Lab ID: 0903013-04

Station ID: HAV-LTR-INF-0309A

Sample Matrix:: Groundwater


Chloride 95.7

Fluoride U

Nitrate as N U

Nitrite as N U

Sulfate as S04 79.0

Lab ID: 0903013-05

Station ID: HAV-LTR-SFE-0309A



Total Suspended Solids U



5.00 mgIL 20 03124109

0.100 mgIL 03124/09

0.150 mgIL 03124/09

0.050 mgIL 03/24/09

10.0 mgIL 20 03124/09

10 mgIL 03/25/09

0903013 FINAL


03124/0919:47 EPA 300.01R3QA117

03/24/09 18:45 EPA 300.01R3QA1l7

03124/09 18:45 EPA 300.01R3QA1l7

03/24/09 18:45 EPA 300.01R3QA117

03/24/09 19:47 EPA 300.01R3QA1l7

03/26/0915:10 SM2540DIR3QAI06

DAS R33168 05 05 09 1518

Page 5 of9


Analyte

Batch BC92405 - TDS/TSS prep


Total Suspended Solids

Duplicate (BC9240S-DUPI)


Reference (BC9240S-SRMl)






QeData Classical Chemistry Parameters

Quanlitation Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit

Prepared: 03/25/09 11 ;00 Analyzed: 03/26/09 15;10

u 10 mglL

SourCe: 0903013-02 Prepared: 03125109 11 :00 Analyzed: 03126/0915:10

102 10 mg/L 110 8 20

Prepared: 03/25/09 11 :00 Analyzed: 03126/0915:10

84 mg/L 94.900 89 83-111

Notes

Batch BC92503 - Anions Water Prep ESAT


Chloride

Fluoride

Nitrate as N

Nitrite as N

Sulfate as 804

LCS (BC92503-BSl)

Chloride

Fluoride

Nitrate as N

Nitrite as N

Sulfate as S04

Duplicate (BC92S03-DUPl)

Chloride

Fluoride

Nitrate as N

Nitrite as N

Sulfate as 504

U 0.250 mg/L

U 0.100

U 0.150

U 0.050

U 0.500

2.61 0.250 mglL

1.05 D.IOO

1.57 0.150

0.511 0.050

5.20 0.500

Source: 0903013-04

95.7 5.00 mg/L

0.087 0.100

U 0.150

U 0.050

78.7 10.0

Prepared: 03/24/09 11 :23 Analyzed: 03124/0916:43

Prepared; 03124/09 11 ;23 Analyzed: 03/24/09 16:58

2.5000 105 90-110

1.0000 105 90-ll0

l.:5000 105 90-lID

0.50000 102 90-110

5.0000 10. 90-110

Prepared: 03/24/09 11 :23 Analyzed: 03124109 20;02

95.7 0.05

0.096 10

U

U

79.0 0.3

0903013 FllAL DASR33168

20

20

20

20

20

050509 1518

Page 6 of9

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) Site Name: Havertown PCP Project #: DAS R33168

Analyte

Batch BC92S03 - Anions Water Prep ESAT

Matrix Spike (BC92S03-MS1)

) Chloride

Fluoride

Nitrate as N

Nitrite as N

Sulfate as S 04

Reference (BC92S03-SRM1)

/ Chloride

) Nitrate as N

SuJfate as S04

Reference (BC92503-SRM2)

Fluoride

Reference (BC92503-SRM3)

Nitrite as N

\ Batch BC92602 - Alkalinity Prep ESAT

\ Blank (BC9Z60Z-BLKl)

Total Alkal:inity

LCS (BC92602-BSI)

Total Alkalinity

Duplicate (BC92602-DUP1)

Total Alkalinity

)

QCData


Quantitation Spike Source %REC

Result Limit Units Level Result %REC Limits RPD

Source: 0903013-04 Prepared: 03124/09 11 :23 Analyzed: 03124/09 20: 17

147 5.00 mglL 50.000 95.7 102 80·120

1.13 0.100 1.0000 0,096 104 80·120

1.62 0.150 1.5000 U 108 80·120

0.468 0.050 0.50000 U 94 80-120

181 10.0 100,00 79.0 103 80-120

Prepared: 03/24/09 11 :23 Analyzed: 03/24/09 17: 13

3.27 0.250 mgIL 3.2200 101 90-110

7.18 0.150 7.2000 100 90-110

15.7 0.500 15.800 100 90-110

Prepared: 03/24/09 11 :23 Analyzed: 03124/09 17:29

7.50 0.200 mgIL 7.9200 95 90-110

Prepared: 03124/09 11 :23 Analyzed: 03124/09 17:44

103 2.50 mgIL 100.00 103 90·110

Prepared: 03/26/09 10:05 Analyzed: 03127109 10:06

U 20.0 mglL

Prepared: 03/26/09 10:05 Analyzed: 03/27/09 10:10

98.7 20.0 mgIL 100.00 99 85-115

Source: 0903013-01 Prepared: 03126/09 10;05 Analyzed: 03/27109 10:29

362 20.0 mgIL 354 2

0903013 FINAL DAS R33168

RPD Limit Notes

20

05 05 09 1518

Page 7 of9





Analyte

Batch BC92602 - Alkalinity Prcp ESAT

Matrix Spike (BC92602~MSl)

Total Alkalinity

Reference (BC92602-SRMI)

Total Alkalinity

Result

QC Data Classical Chemistry Parameters

Quantitation Limit Units

Spike Level

Source Result %REC

%REC

Limits RPD

Source: 0903013-03 Prepared: 03126/0910:05 Analyzed: 03/27/09 10:34 256 20,0 mg/L JOO,OO 155 100 90-110

Prepared: 03126/09 10:05 Analyzed: 03127/09 10: 19 26.1 mglL 28.400 92 83-121

0903013 FINAL DAS R33168

RPD Limit Notes

05 05 09 1518

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~ Not Reported




REPORTING PROTOCOL FOR SOLID SAMPLE RESULTS: Percent Solids (percent dry wt at 105 degrees C) determinations are '\ routinely performed for most organic and inorganic analyses. Consequently> these samples are analyzed wet and converted to a dry

weight result for reporting purposes. If metals and mercury analyses are requested, they are routinely prepared for analyses by an initial drying at 60 degrees C, homogenized prior to digestion, and are analyzed and reported on a dry weight basis. Oil-type samples are analyzed and reported on a wet weight basis for all analyses because of the nature of the sample matrix. Any exceptions to this protocol will be noted in the narrative.

0903013 FINAL DAS R33168 05 05 09 1518

Page 90f9

&EPA USEPA Contract Laboratory Program Generic Chain of Custody

Region:

Project Code:

Account Code:

CERCLIS 10:

Spill 10:

Site NamelState:

Project Leader:

Action:

Sampling Co:

SAMPLE No.

3

, '2G940.0000.081O "2G940.0000.08' 0

PAD0023380'0

54 Havertown PCP DAS2 0309A1PA

Harish Mital Long Term Response

Tetra Tech NUS

MATRIXI SAMPLER

CONCI TYPE

ANAlYSISI TURWlOUNO

Date Shipped: 514/2009

Carrier Name: FedEx Alrbll1: 7975627770'5

Shlpped'o: EPA - Region 111- ASQAB 70' Mapes Road Fort Meade MD 20755 (4'0) 305-2625

TAGNoJ PRESERVA TIVEI Bol11es

STATION LOCATION

Reference Case: R Client No:

Chain of Custody Record

Relinquished By (Date I Time)

'~~~I?~ 2

3

4

SAMPLE COll.ECT OA1EITlME

R33'68

Sampler 2 Si!J1a.ure: ~Yl1rr-<--Received By (Date I Time)

QC Type

HAV-L TR-FP' Waste! UG % Moist (7) 3-22625 (Ice Only), 3-22626 (Ice Only) (2)

HAV-LTR-FP'-0309A S: 4130/2009 ,2:00 -Q309A J.B. Moore

7e~ g14ro~ ~-

ShipmentforCase Sample(s) to be used for laboratory QC: Additional Sampler Signature(s): Chain of Custody Seal Number. Cornple"?Y

Analysis Key: Concentration: L low, M - Low/Medium, H = High Type1Designate: Composite - C, Grab - G Shipment Iced? .

% Moist = % Moisture -_.-

TR Number. 3-295386538-050409-0001 REGION COPY PR provides preliminary results. Requests for preliminary results will increase analytical costs.

i

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Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, ,5000 Conference Center Dr., Chantilly, VA 20'5,-38,9: Phone 703/8'8-4200; Fax 703/8'8-4602

FZVS.1.047 Page 1 of 1

"-_/ "-_,, '--..-' "-J ,_--",

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

Site N arne: Havertown PCP

Analyte

Lab ID: Station ID:

Sample Matrix:

Collected:

% Moisture

Result

090500H1

HAV,LTR,Fn0309A

Waste 04/30/2009

69.3

'f1; Regi2J43~vironme Sciep.~tVJ.i""1£"";;-·~

.'. Officlft .• ~al,;~~erv ~t~}"sUlraiice "'

ii1 if,..!; Fj ~1Irylan . 07 -5350



% by Weight 05/05/09



05/06/0908:42 ASTM 02216,98

0905002 DRAFT 05 1409 1152 Page 2 of3

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

teL !II! 'I )..!sur 'ee

-5350 I ----



NR Not Reported




REPORTING PROTOCOL FOR SOLID SAMPLE RESULTS: Percent Solids (percent chy 'WI: at 105 degrees C) determinations are routinely performed for most organic and inorganic analyses. Consequently, these samples are analyzed wet and converted to a dry weight result for reporting purposes. If metals and mercury analyses are requested, they are routinely prepared for analyses by an initial drying at 60 degrees C, homogenized prior to digestion, and are analyzed' and reported on a dry weight basis. Oil~type samples are analyzed and reported on a wet weight basis for all analyses because of the nature of the sample matrix. Any exceptions to this protocol will be noted in the narrative.

0905002 DRAFT 05 1409 1152

Page 3 of3

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~ ~/ ~ -- ~ ~ - -- --- ~- ~- --- ---- -- ~ ~ ~-- '- ~- ~ ~ ~- ~ ~ ~ ~ ~ ,~ '/

mtract Laboratory Program Reference Case: R :hain of Custody Client No:

Region: 3 Date Shipped: 3/23/2009 Chain of Custody Record Project Code:

112G00940,0000,0810 Carrier Name: FedEx Account Code: 112GOO940,00OO,0810 Alrblll: 796452715554 Relinquished By (Date I Time) CERCLISlo: PAD002338010 Shipped to: SGS Environmental 1 c.tll"'- 'jz.'Jfo'i 1310 Spill 10: 5500 Business Drilie Site Nama/Stete: Havertown PCP Dioxin 0309A1PA Wilmington NC 2

Project Leader: Harish Mital 26405-6446 (919) 552-0044 3

Action: Long Term Response Sampling Co: Tetra Tech 4 .... --------

MATRIX/ CONC/ ANALYSIS! TAG No.! STATION SAMPLE COu.Ecr SAMPLE No. SAMPLER TYPE TURNAROUND PRESERVA TJVI;l Bottle. LOCATION DA1EmME

R33166-01 Ground Waterl UG PCDD (21) 3-21902 (Ice Only), 3-21903 HAV-OM-INF-0309A S: 3/23/2009 9:15 J,B, Moore (Ice Only) (2)

R33166-02 Ground Waterl L/G PCDD (21) 3-21904 (Ice Only), 3-21905 HAV-OM-UVEF-0309 S: 3/23/2009 9:45 J,B, Moore (Ice Only) (2)

R33166-03 Ground Waterl UG PCDD (21) 3-21906 (Ice Only), 3-21907 HAV-OM-EFF-0309A S: 3/23/2009 10:00 J,B, Moore (Ice Only), 3-21908 (Ice

Only) (3)

~ ______ ~""\' fllCA-l\K-

Shipment for Case Complel8?Y


R33166-03

Addftlonal Sampler Signature(s):

R33166

Sampler 9-(3 Slglature: • .-~ Received By (Date I Time)

QC Typ.

MS/MSD

-~

Chain of Custody Seal Number:

I I ,

I

J

Analysis Key: Concentration: L = Low. M = Low/Medium, H = HIgh Type/Designate: Composite = C, Grab:: G Shipment loed?

PCDD = Dioxins and Furans

TR Number: 3-295386538-032309-0005 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax 7n::t/R1R...4~n?

F2V5,1,047 Page 1 of 1

Case #: R33166

Site:

Sampling Location

Field QC

Date Sampled:

DATA SUMMARY FORM: PCDDs & PCDFs (2005 WHO TEQ) Water Samples (pg/L)

SDG: R33166-01 Number of Water Samples:

Havertown PCP Lab: SGS

: Prefix of HAV-OM- INF-0309A UVEF-0309 EFF-0309A

3/23/2009 3/23/2009 3/23/2009

09:45 10:00

TEQs are based on 2005 WHO Scheme.

3

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Lockheed Martin Information Technology ESAT Region 3 US EPA Environmental Science Center 701 Mapes Road Ft Meade, MD 20755-5350 Telephone 410-305-3037 Facsimile 4\0-305-3597

DATE: April 16, 2009

SUBJECT: DioxinlFuran Data Validation (M3) DAS R33166, SDG: R33166-01 Site: Havertown PCP

FROM: Kenneth W. Curry~ Senior Data reviewer

MalIboobeh Mecanic&.~ Senior Oversight Chemist

TO: Fredrick Foreman ESAT Region 3 Project Officer

OVERVIEW

-wyf L DC K H E E D MAR TIN We never forget who we're working forN

DAS R33166, Sample Delivery Group (SDG) R33166-01, from the HavertoWll PCP site consisted of three (3) aqueous samples submitted to SGS Environmental Services (SGS) (or determination of total tetra through octa chlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs). The sample set contained no field Quality Control (QC) samples. The analyses were performed by High Resolution Gas ChromatograpJiylHigh Resolution Mass Spectrometry (HRGCIHRMS) in accordance with Contract Laboratory Program (CLP) Statement of Work (SOW) DLM02.0 through the Delivery of Analytical Services (DAS) program.

The Toxicity Equivalents (TEQ) for all samples, based on the 2005 World Health Organization (WHO) Scheme, are summarized on a Data Summary Form (DSF) in Appendix B. All results are equated to 2,3,7,8-TCDD toxicity on the basis of single column detennination except for TCDF which is confirmed on a second column when detected above the Contract Required Quantitation Limit (CRQL). The Data Summary Form summarizes all aqueous sample results in units ofpg/L.

Analytical Methodology Comments

Two (2) ions were monitored for identification of each tetra through octa dioxin and furan. The appropriate dip):tenylether ion was. also monitored for possible interference with the furan identifications.

The laboratory utilized a total offJfteen (15) labeled internal standards for quantitation of native dioxins and furans. Two (2) labeled recovery standards and one (1) labeled cleanup standard were used to determine method (extraction and cleanup procedure) efficiencies.

of2

QAlQCComments

Positive results reported below the CRQL were qualified "J" on the DSF.

The samples were analyzed utilizing a DB-5 column. No confrtmation analyses were perfonned since no 2,3,7,8-TCDF was detected.

The method blank associated with these samples was free of contamination.

All On Going Precision Result/On Going Precision Result Duplicate (OPRlOPRD) and Matrix SpikelMatrix Spike Duplicate (MSIMSD) recoveries and Relative Percent Differences (RPDs) were within control limits.

The dilution factor reported on the DSF reflects sample volumes other than 1000 mL used by the laboratory for the analysis of these samples.

CRQLs reported on the DSFs are based on the lowest calibration standard, a final extract volume of20 ).1.1 and sample volume of 1000 mL. To calculate sample CRQLs multiply CRQL by the dilution factor (DF).

Sample CRQL = (CRQL) (DF)

Attachments

1) Appendix A - Glossary of Data Qualifier Codes (DioxinIFuran) 2) Appendix B - Data Summary Forms. Toxicity Equivalent (TEQ) 3) Appendix C - Chain of Custody (COC) Records 4) Appendix D - Laboratory Case Narrative

DCN: R33166DIO.wpd )

, )

\ . ,

Samples: Matrix: Receipt Dates: Method:

Notes:

5 5 Waters

SDG Narrative SGS Project: G556-165

DAS: R33166 EPA SDG: R33166-01

March 24'h, 2009 DLM02.0

• The submitted sample was accepted into the lab on March 24th, 2009 and extracted on March 251b. 2008 by method 3520C. The sample extract and associated QC extracts were then processed through clean-up by method 3630/3620 and analyzed by HRGC/HRMS for method DLM02.0.

• No analytical issues were encountered.

Ex. Calculations:

An example calculation can be found on the quant report for each sample submitted

Native Concentration (AI,.. + A2,..)(RRF)(Weight)(%Solids)

ES %R = (Ales + A2,..)(#of fractions')(Amount JS) x 100 (AIJS + AIJS )(RRF)(CS Amount)

CS %R = (Ales + A2es)(#of fractlons')(Amount JS) x 100 (AIJS + AIJS )(RRF)(CS Amount)

Extract Concentration (AI,.. + A2es)(RRF)(Final Volume)

(Extract Concentration at LCL)(Final Volume) Reporting Limit = ---===-=..::;=(W=",7"g7h"'t)'=("f<7QS:::'o'.:::Ji"'ds"')=:=";C=="---

1 If an extract was split between spike additions, the split must be taken into account.

Page 4 of 739

Deviations between SGS Labs and DLM02.0:

1. Samples will be prepared and analyzed as per SGS SOP's, which were submitted with the original proposal.

2. Exhibit B: Sec. 2.5.1.1: A DB-5MS is used for the analysis ofnon-confinn data. 3. Exhibit B: Sec 2.9: Extracts will be stored in capped vials at room temperature

indefinitely. 4. Exhibit D: Sec. 2.1.1.1: Continuous Liquid-Liquid Extraction (CLLE) is utilized

for the extraction of aqueous samples, 5. Exhibit D: Secs. 2.1.1.2,10.1.3: Samples containing >1% solids are vacuum

filtered. The aqUeous portion is extracted by CLLE and the extract C\?mbined with the filter for SDS extraction.

6. Exhibit D: Sec. 2.1.3.1: Tissues are extracted by soxhlet using methylene chloride. 7. Exhibit D: Sec. 9.2.2.1.2: Mfz 330.9792 PFK is used for system toning. 8. Exhibit D: Sec. 9.4.5.2: Absolute retention times from the daily continuing

calibration are used for peak identification. 9. Exhibit D: Sec. 10.2.3.1: Solid samples are mixed with sodium sulfate prior to

extraction. 10. Exhibit D: Sec. 10.3: Extracts are conce~trated by modified heating mantle or by

Turbovap rritrogen blowdown. II. Exhibit D: Sec. 12.1.4.2: A Method Blank is acceptable if there are no PCDDlF's

detected above the 1613 mirrimum levels. If target analytes are above this limit, the associated samples must have concentrations that exceed 10 times the levels detected in the Method Blank.

12. Exhibit D: Sec. 12.2.2: An OPR (On-Going Precision and Recovery; LCS) sample is analyZed with every analytical batch.

13. QC included in the data package will include a LMB and an OPR per batch of20 or fewer samples. Additional QC samples must be specifically requested on the COC or via commurrication with the project manager and are considered billable samples.

14. The instrument identifier is listed on the quant report for each sample. Additionally, instrument conditions do not deviate from those referenced in submitted SOPs.

Page 5 of739

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I certifY that this data package is in compliance with the tenns and conditions of the contract, both technically and for completeness, for other than the conditions detailed above. In addition. I certifY. that to the best of my knowledge and belief; the data as reported are true and accurate. Release of the data contained in this package has been authorized by the Laboratory Manager or his designee. as certified by the following

signature. ~

6tdJ~'~5f2 Date

Page B of 739

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__ IN&IBdta. LOCATION DA 'IEmIIE SAMpLE No. tyPo

CY290 Ground Waler! UG CLPVOA(14) 3-21970 (HCl), 3-21971, HAVol.TR-CW1SS.o3D8 S: 312612009 14:20 MCY290 Vadlm P'eIIov (HCl), 3-21972 (HOl) (3)

CY291 Ground waler! UG CLPVOA(14) 3-21978 (HCl), 3,21877 HAVol.TR-CW14D.o3D8 S: 3/2612009 9:45 MCY291 Vadlrn PatnoY (HCl), 3-21978 (HCl) (3)

CY292 Ground Walerl UG CLPVOA (14) 3-21982 (HCl), 3-21983 HAVol. TR-CWI46-0309 S: 3125/2009 10:28 MCY282 . Vadlm PetroY (HCl), 3-21964 (HCl) (3)

CY2i1~ Ground Walerl UG CLP VOA (14) 3-21988 (HCl), 3-21989 HAVol.TR-CW12D.0309 S: 312612009 11:35 MCY293 Vadlm_ (HCl), 3-21990 (HOl) (3)

CY294 Ground walerl UG CLPVOA(14) 3-21994 (HCL), 3-21995 HAV·LTR-CW12S-OS09 S: 3/2612009 12:35 MCY294 Vadlm Pe1IoY (HOL), 3-21996 (HOl) (3)

CY295 Ground Walerl UG CLP VOA (14) 3-22000 (HCL). 3-22001 HAVol. TR-CW11D.0309 S: 312612009 9:10 MCY295 Vadlm PoIroY (HCl), 3-22002 (HCl) (3)

CY295 Ground waler! UG CLP VOA (14) 3-22006 (HCL), 3-220D7 HAV>l TR-CW11 S-:0309 S: 3/2612009 10:20 MCY298 Vadlm PeIrov (HCl), 3-~ (HOl). (3)

CY297 Ground walerl UG 'CLP VOA (14) 3-22012 (HCl), 3-2201 a HAl(ol. TR-CW80-0309 S: 312612009 11;40 MCY297 MSlMSD Vadlm PoIroY (HOl), 3-22014 r:Cl),

3-2201& (HCll, 22018

Ground Waterl (HCl), 3-22017 (Hel) (8)

CY298 UG CLPVOAtI4) 3-22028 (HCl), 3-22027 HAV>lTR-CWSS-03D8 S: 312612009 11:05 MCY296 Vedlm Pe1IoY (Hel), 3-22028 (HeLl (3)

CY299 Ground Walerl UG CLP SVOA (14), ClP 3-22032 (HCl), 3-22033 HAVol. TR-CW22X-0309 S: 312712009 12:30 MCY299 ;.r. D$Hcate Vadlm Potrov VOA (14) (HOL), 3-22034 (H0l), C; "22.])"

3-22035 (Ice OnlY), 3-22036 008 Only) (5)

8hlpmtjlllcrCaoe Samplo(8)'" be uatdfor-.yQC: AddIIIanaI Bamplor Slgnature(8): Chain .fCUilody Soal Number: CompIa_U

c,Y297 AnaIyaIa Key. CGrlC8:llbaUon: L I:Z lQw, M l:I' LowJMedIum. H II High Type/DeIIIg_: Composl ... 0, Grab • G ShIpment load?

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112G00&40.0000.0810 PAOIlO233S010 54 Havertown OU2 Annual RAS 03091PA Hlr/sh Mllal Long TOlin Raaponae Tati'a Tech NUS

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Chain of cuBtody Record :: .... y~/I.~ .RaIInqu- By (DIIo/Tlmo) .-By

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CY2A1

OY2A2

CV2A3

OY2Ali

OY2AS

8illplilibtlotCloe CompIotl7N

Ground Wawrf IJG CLPVOA(14) V8d1m PeIJOV

Ground Wltsr/ LJG CLPVOA(14) vadlin PaIJOv

Ground Watarf IJG OLP VOA (14) Vldlm PaIJOv

Field QC/ Vadlm PeIJOv

IJG OLPVOA(i4)

Field QC/ IJG CLP VOA (14) Vadlm P&tIov

- ._---- ----

SampIa(1Il to be uoed for 1oIIo.-v Q(;:

CY297

3-2204.1\ (HOl), 3-22046 (HOl), 3-22046 (HOl) (3)

HAV·lTR-CW22S-0309 S: 312712009 11:30 MCY2I\l

3-22050 (HCl):3-22051 HAV-LTR·cW1D-0309 S: 312712009 9:25 MCY2A2 (HeL), 3-22052 (HCl) (3)

3-2208e (HOl), 3-22057 HAV·lTR-CW75-03O!l S: 312712009 10:10 (HOl), 3-22058 (kOl) (3)

MCY2A3

3-2208e (HOl), 3-22088 HAV·lTR-FB1-0309 S: 3/2512009 11:20 MCY2A5 Field Blank (HCl), 3-22087 (HCL) (3)

3-22071 (HCl). 3-22072 HAV·lTR·TB100309 (HCl), 3-22073 (HCl) (3)

S: 312712009 8:00 Tt1p Blank

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ORGANIC MATRW CONC/ AHALYi!ISt TAGNOI STATION SAMPLI! coiLEcr INORCIANIC QC SAMPLE No. 8AIIPLER moE TURWlCUND PAl!SIlRVA 11'/1;/ Bolle. LOCAlICH DA1EI11IIE SAMpLE No. Tl'fII

CY21lO GlOUnd Water' Vadlm Petrov

IJG ClP SVOA (14) a-2197S (loa Only), a-21974 (loa Only) (2)

HAV.lTR-CW15S00009 S: 3i2&1li09 14;20 MCY290

CV2S1 Ground Water/ IJG CLP SVOA (14) 3-21979 (loa OnlY), 3-21980 HAV ... TRoCW14[].00Q9 S: 3/2S12OO9 9:45 MCY291 Vadlm perrov (loa Only) (2)

CV292 Ground Watert Vadlm Petrov

UG CLP SVOA (14) 3-21985 (loa Only), 3-21986 (loa Only) (2)

HAV ... TRoCW1~309 s: 312612009 10:28 MCY292

cY2Ali Field QCI UG ClP SVOA (14) :1-22068 (loa Only), a-22069 HAV ... TR..fBl00009 S; 3/2512009 11;20 MCY2A6 Field Blank Vadlrn Petrov (loa Only) (2)

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8NpmOlllIorCaoa CompIaIl?H

Samplo(o) to bo_lcr~ QC: AddlllonalSampier Slgoalllte(o): Chlln of C'!""'dI' _ Number:

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CY293

CY294

CY295

CY2eil

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GlOund Waleff UG Vadlm PtIIrav

GlOund Waleff UG VadlmpWQv

GlOUnd Wale,' UG VadlmPWQv

ANALYIIISI TUlflAROUND

CLP SVOA (14)

CLP SVOA (14)

CLP SVOA (14)

CLP SVOA (14)

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3-21991 (Ioe OnlY), 3-21~ HAV-LTR-CW12P-0309 s: 312&12009-1,1:35 (Ice Only) (2)

3-21997 gce OnlY), 3-21998 HAV-L TR-CW12S-0309 s: 3/26/2009 12:35 (los Only) (2)

3-22003 (Ice OnlY). 3-22004 HAV-LTR-CW11P-0309 81 3/2612009 9:10 (Ice Only)(2)

3-22000 Oce OnlY). 3-22010 HAV-LTR-CW11~09 s: ~9 10:20 (Ioe Only) (2)

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MCY294

MCY295

MCY296

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8hIpm_forCao 8Ift\pIs(lI} to be UHd lor IEonoImy QC: _1IIonaI Sampler 8Ign"'ra(I~ CIIIIn oICIIItady Seal Number: i ConIpInt?

AnaIy8II Key' -.nuan, L III Low. M 1;1 LowJMedIum"H I: High Type/DtIBfg- Composlle • Co GraI> • 0 8h~_? CLP SVOA = CLP TCL __ "I •• 1..--- .......... ____ .. __ ....... _"'AA ... Aft ..

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CY287 Ground WafJarl IJIi CLP SVOA (14) 3-22018 (Ice ~' ~22019 HAV-L TR-CWS[)'()309 S: 3J28I20D9 11:40 MCY297 . MSlMSD VadlmPWov ~ Only), 3- 0 ~ce

Iy~ 3-22021 (Ice Only), 3-22022 (Ice OnlY), 3-22023

CY298 (Ice Only) (6)

Ground Waler/ IJG CLP SVOA (14) 3-22029 (Ice OnlY), 3-22030 HAV-LTR-cW8S-0308 S: 3J28I2009· 11:05 MCY298 Vadlm Petrov (Ice OnlY) (2)

T~ 'l?14I11c

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CLP SVOA = CLP TeL """'YOIa.",,, I ,

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Shipped III: A4 Sci.ntific,·lnc. IlL .ff. - .q:p.j.:..; 3/-n /0'1 In SpIlIID: 54 1544 SaWdust Road SHe Namelstata! Havertown 0U2 Annual RAS 03091PA Sufie 505 2 Pra)ecI Loader: HariBh Mfial The Woodlands 1X n380

(281) 292-52n 3 AcUon: Long Tenn Response 8ampIJng Co: Tatra Tech NUS 4

-ORGANIC MAlRJXJ CONeI ANlLYSISI TAGNoJ SlA1IOO SAIfPI.S OOILECf INORGANIC QC SAMPLE No. SAMI'IBI TYPE lURlAROOND PReSERVAlI'IfI Bolt., lOCAllDN OAlCIIiME SAMPLE No. 1)po CY2AO Ground Water! lJG CLP SVOA (14) 3-22041 (Ica Only), 3-22042 HAV·LTRoCW220-0309 S: 312712009 12:15 MCY2AO Vadim Patrov (Ice Only) (2) CY2Al Ground Water! lJG CLP SVOA (14) 3-22047 (lea Only), 3-22048 HAV-LTR.cw22S-0309 S: 312712009 11:30 MCY2Al Vadlm Petrov (lea Only) (2) CY2A2 Ground Walerl lJG CLP SVOA (14) 3-22053 (lea Only), 3-22054 HAV·L TRoCW7D-03D9 S: 312712009 9:25 MCY2A2 Vadim Poirov (lea Only) (2) CY2A3 Ground Ws"'r! lJG CLP SVOA (14) 3-22059 (Ice Only), 3-22060 HAV-LTRoCW78-0309 S: 312712009 10:10 MCY2A3 Vadim Petrov (lea Only) (2) - Ekdc ~ l-etltf

lihlpmonl fore .. , Complo"'1.~

Somple(s) III be used for labomory QC: Additional Sampler Signature{s}= ehaln of Custody Seal Number:.

An,lyel. Kay: CohCelltration: L = Low, M = LowIMedlum. H = High TypelDesJgnata: COmposite -= C, Grab = G Shlpmant Iced1 CLP SVOA = CLP TCL emlVOlaIll8S

RNumber: 3-295386538-032709-0005 REGInNC··~· O-cpy PR pI'OYfdaa preDminary MUIts. Requests for prvnmlll8Jyr&8ulta wiD Increase anaf¥Ucaf~. -.- -' '~, .. ' , Send Copy 10: Sample Management Office, Attn: Heather Baue" CSC, l5DOC Confiorence Can"', Dr., ChanOIIy, VA 20151-3819; Phone 7031818-4200; Fait F2VS.l.047 Pagel of 1 703/818-4602

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oEPA USEPA Contract Laboratory Pr:ogi'am .. C8seNo: 38316 R .' .'. Organic Traffic Report. OIall'l of Custody Record DASNo:

RigIO'" 3 Data Shlppod' 41112009 .. . Chain attiisi:Ody Rbrd ·Somplo. I!..L~ lil!lr!' Projac\ CO!Io:

CT.4497 .CanIar Nama: FedEl< .. Slp!IIVre: .... ,'. ~>"', ., "_ntCaclo, 112G00940.0ooo.0810 '_11, 797468110470 Rellnqulehed BY IDa""'!'irne) . R8CaIwd By . .. , . (D ... I11 ... ) ,. CERCUS 10, PAOD0233B010 Shlppodlo, A4 ScientHlc, Inc. 1 li/;Jtc A ;()Ll lilifrt'f' .... . .......... I.. 15m> . BpIIIID, 54 1644 SaWdust Rolli aH8~' Ha\l8rtown 002 Annual RAS D3D91PA SuH8505 2

--" " projtott.ileder. Hertah Mllal The Woodlande 1)( 773BD ... I (281) 292-5277 3 ,ActIon, Long Term Reeponll8 I

sampling Co, Tetra Toc:h NUS 4 .-..... ~.--- ._--.... ~

ORGANIC MA1IIIXJ CONCI ANALY81S1 TAGNoJ STAlioH SAMPI.E COllECT tNORGANIC QC SAlI'IPLE ND. SAllIU! TYPE lUlIWIOUHD PRESERVA 11VII BotIIea ~QC"llOII DA1EIItIE SAMPLEND. Tjpe

CY2A7 Ground Water! UG CLPWiA(14) 3-22080 (HCLl, 3-22081 HAVo.l.TFI-CW10D-03D9 S: 3I3OI2D09 12:10 MCY2A7 Vedlm petrpv /HCL.), 3-22082 /HCL.) (3)

CY2A& Ground Waterl Vedlm Petrov

UG CLP VOA (14) 3-22086 (HCL), 3-22087 (HCL.), 3-22088 (HCL.) (3)

HAV..\.TFI-CW1QS.03D9 5: 3/3DI2009 11:25 MCY2AB

CY2A9 Ground Waterl UG CLPVOA(14) 3-22092 (HCL), 3-22093 HAV..\. TFI-CW9o.0309 S: 3/3DI2OD9 10:30 MCY2A9 Vedlrn Petrov (HCL.), 3-22094 (HCL.) (3)

CY2B1 Ground Water! UG CLPVOA(14) Vadlrn PelroV

3-22101 (HCl), ~102 /HCL.), 3-22103 (HCl) (3)

HAV-L TFl0CW9S.Q3D9 5: 3/3DI2009, 9:35 MCY2B1

CY2e2 Ground Weterl UG CLP VOA (14) 3-22107 (HCl), 3-22108 HAVo.l.TFl-CW13D-03D9 S: 313112009 11:015 MCY2B2 Vadlm Petrov (HCL.), 3-22109 (HCL.) (3)

CY283 Ground Water! UG CLP VOA (14) 3-22113 (HCL), 3-22114 HAVo.l.TFl-CW1~309 s: 3/30J2009 14:015 MCY283 Vedlrn Petrov /HCL.), 3-22115 (HCL.) (3)

CY2B4 Ground Water! UG CLP VOA (14) 3-22119 /HCl), 3-22120 HAVo.l. TFI-CW23D-03D9 S: 313112009 10:30 MCY2B4 Vedlm Petrov (HCl), 3-22121 (Hel) (3)

CY2B6 Ground Water! UG CLP VOA (14) 3-22125 (HOl), 3-22126 HAV-LTR-R4-03OS S: 3131J2009 9:40 MCY2B5 Vadlm. Potrov (HCL.), 3-22127 (HCl) (3)

.. CY2B6 Field QCI UG CLPVOA(14) 3-22131 (HeL),3-22132 HAV·\. TR-FB2-Q309 S: 3131J2009 14:00 MCY2B6 Field Blank

Dennla (HCL.), 3-22133 (HCl) (3) Ande .. on

CY2B7 Ground Water! UG CLPVOA(14) 3-22137 (HCl), 3-22138 HAVo.l. TFI.cWl!OD-0309 S: 313112009 15:00 MCY2B7 Dennie (HCL), 3-22139 (Hell (3) Anderaon

Shlpmllbt forCooe &ample(l) II> be uoed lor ~ QC, AdU &amp"" 8191lllUl'O(8)'_ ~. ., Chain .1 CUOIody Seal Number:

COInpIUI?N

. ..,:.... 0 (), I.'A CY2C2

AnIIpIe Kay, --, LI: Low.-M 1:1 LowIMiidIurn. H.=t H\;Ih ~, ~aC,GrabaG ShIpment Iced?

CLP SVOA = CLP Tel oemlVDl8D ... , V~ .~ = ULt' IU. VOIOU,..

TR Number: 3-295386538-040109-0001@~~'lfn..11M'!' .r:O···Pv. PRprovtdaspoaltmllWY_ Roq_lorprolfmlnary_wml ........ anaIytIc8I_ ,~.Ibii't;;!~"'~~'Itl· '''"! ... ' 4[ Send COpy to: Sample Miln89omenIOfflce, AIIn: Heathe, Bauer, esc, 15000 CO_nce cantilr Dr., ChanOlIy, VA 2015103819; Phone 703l81f1.42OO; Fax F2YUOO Pagel 013 703181f1.4802 ..

A EPA USEPA Contract Laboratory Program Case No: 38316 R 0' Qrganlc Traffic Report .. Olain of Custody Record DASN.:

Region: 3 Data 8111pped, 41112009 Chain of CuSlDdy RecDnI ==. V~ fiJi-V Pn>j9ct Coda:

~.OOOO.OB10 ClarrIer Nama, FedEl< Account Coda, AlIIIIII. 797468110470 Relinqul8hod By , (Da1o 111"" -By (Data", ... ,

_1810, PA000233B010 SIIlpptll to, M Scientific, Inc. 11~f-ltalwlf!l/~ IStJo SpIII]D: 54 1544 S_usl Roaij 8I1a __ , Havertown 0112 Annual RAS O309IPA SUiteB05 2

PnIJOCII.eador1 Hadsh Mllal • The Woodlands lX n3BO (2B1) 292-5277 3 -, Long Term Response

aampllng CO: Tella Tach NUS 4 ~ .. -~ --- ~-

ORGANIC IlAlRIXI COHCI AIW.Y8181 TAGNoJ STAIlCN SAMPLI! ClOWiCI INORGANIC QC SAMPLE No. _PU!R moE _NIl PRESERVATM!IBoIIe. LOCA11ON DA1I!I11ME SAMPLE No. TJpa

rnB5 I I t22145 (HeL), 3-22144

I Gmund Waterl LiG 'OLPVOA (14) HAV-I.lRoCW205-0309 s: 313112009 14:00 MCY2B8 DeMI. (HOl). 3-22145 (HCl) (3) AndllllOll

OY2B9 Ground W.1eI1 UG CLPVOA(104) 3-22149 (HCl) .. 3-22150 HAV-I.lR-CW1BD-OB09 S: 313112009 10:26 MCY2B9 Dennis (HOl). 3-22151 (HOL) (3) -OY2CO GroundWaIeI1 UG OLPVOA(14) 3-2215& (1iCL). 3-2215& HAV-I.lR-CW5D-03OG S: 313112009 12:00 MCY2C0 DeMIB (HOL). 3-22157 (HeL) (3) AncIa!&On

OY201 GroundWaIeI1 UG CLPVOA(14) 3-22181 (HeL). ~182 HAV-llRoCW5HJ3OG S: 41112000 9:10 MOY2Cl Vedlm Petrov (HOL). 3-22183 (HOL) (3)

CY2C2 Gmu"" Walel1 LiG CLP VOA (14) 3-22187 (HeL). 3-22188 HAV-llR-cwss.o3OG s:~ 13:55 MOY2C2 MS/MSD Vadlm Petrov (HeL). 3-22189 (HCL). 3/3-1 'cfl 3-22170 (HeL). 3-22171

(HOL). 3-22172 (HCl) (8) HAV-I.lR-ew4D-03OG S: 41112000 OY203 Grou"" W.te~ LtG OLP VOA (14) 3-22181 (1iCL),3-22182 11:55 MOY2C3

VadlmP_v (!tOl), 3-22183 (HOL) (3)

CY2C4 Ground Walel1 LJG CLP VOA (14) 3-22187 (HCL), 3-221BB HAV-LlR-CW41-0B09 S: 41112009 11:10 MCY2C4 Vedlm Palrov (HCL), 3-22189 (HCL) (3)

CY2C5 Ground Walel1 Vadlm Petrov

LiG. CLP VOA (14) 3-22193 (HOl), 3-22194 (HCL). 3-22195 (HeL) (3)

HAV-L lR-!:W4S-0B09 S: 41112009 10:30 MCY2C5

CY2C8 Field QCI LtG ClPVOA(14) 3-22199 (HeL), 3-22200 HAV-L lR-TB2-03OG S: 41112000 B:oo Trip Blank Dennla (HCL), 3-22201 (Hel) (3) AndslllOll

CY2C7 Ground WaIel1 LtG CLP vt:A (14) 3-22202 (HeL), 3-22203 HAV-L TR-cw3D-0B09 S: 41112009 11:10 MCY2C7 Dennla. (HOl). 3-22204 (kCL) (3)

J:XI 't/ZI fo 9 AndalllOll

IIblpmllhlfllrCioa Sampll{ll to be _lor Iobond<IIy QC:

AddD~.~(t:~ C_ 01 c.-y Seal NumI>er:

~?N OY2C2

AnIoIyoloKay: - L*" Low, I'd" Lown.1edIum, H II: HIgh l'ypWeaIgnalr. Composlte= C, Grab =- G IIIIIpn1ent Iaad? I

OLP SVOA = CLP TOl . ~."'"' '~"r' ..... 0180108

TR Number: 3-295386538~401.09-O001- ---- --~- --'-~---'-- P'!t::G'ii'(''ftr.~C-'''O·~V PR_ .... lmlnary ...... , R_Ior,...umlntloy .... ltawlll_ .. IiyllcalCOIIa. it",!!; .!dJ!, .... ~''ll ~ '-\' Sand copy 10: Sample Mallligemani 0fIIce. A\1n: HeaDIer Be"",. eso. 15000 Confaninca Canter Dr •• ChQntilly, VA 20151-3819; PhonIo 7031818-4200; Fax F2V5.1.D47 Paga 2 0/ 3 7031818-4602

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.,

Raglan, 3 Date ShIpped. 41112009 Chain 01 CUIlllOdV RecIoni :;::.: t6LA.~W ProIkI Code, CT44s7 CanferN .... ' FadEx

-'nlCode, 112G00940.0DOQ.0810· _It 79748813n20 RallnquIBI\Id By (Dale I nmo) RocioIved By (Date 11Imo)

CERcusiD. PAD002338010 Shipped to, A4 SaienUflc, Inc. 1 f,,6t.;.1I.1(Jw l{/t!~ I >U'I SplUID, 54 1544 Sawduat Road --, Havertown 0U2 Annual RAS O309IPA SUIla505 2

Prolkll.llllcleli Hallah Mllal The WOdtllandB1X n3BO (281) 292-52n 3

AttIIm. Long Term Raapon .. Sampling Co, Tetra TIICh NUS 4

------ . -- -~--.- L.. oRGANIc M4TR1X1 COHC/ ANALY&181 TAGNoJ STATION 8AMPIJ! OOW!CT INORGANIC QC SAMpLE No. SAIIFLaI TYPE 1URIAROUIID PRfSSlVA'Il'IEII!QIIeB LOCATION . DA1EIIIIiIE SAMPLE No. 1)pa

cY'iA".-- Giiliind Water/"' 'UG"CLP SVOA (14) 3-22083 (Ice Onl\l), :H2OB4 HAV-LTR'CWt 00'0309'S: 3130/2009 12:10 MCY2A1 - ' Vadlm Plotrov (1GB Only) (2)

Ground Water/ UG Vadlm_

CLP SVOA (14) 3-22089 OGB Onl\l), 3-22090 HAV-LTR-CW1()S.{1309 S: 3J3O/2009 11:25 (loa Only) (2)

iVlCY2A8 CY2A8

CY2A9 Ground Water/ UG Vadlm P$trov

CLP SVOA (14) 3-2209& (IDB Only), ~0SlI HAV-I.TR-CW9o.0309 S: 3130/2009 10:30 (IDB Only) (2)

MCY2A9

GIOund Watarl UG VadlmP$trov

CLP SVOA (14) 3-22104 (lea Onl\l), 3-22.105 HAV-LTR-CW98-0309 S: 3130/2009 9:35 (1GB Only) (l!)

CY2Bl MCY2S1

~ - ~fJ ~/4"t ..--

1lll1pi11101t1orC ... ISaniplo(to) II> be _lor IBbo-.y QC, Addlllonal8amplar Blgnatunl(l): Chain 01 Cuotody1leo1 Numbor: COmpIoOl?N

AnaIjIlo 110)" _:

l =- Low, M ~ Low/MecUum, H = High T)Ipe/IIo8lgna1e: Compoalta ~ C. Grab 1= G Shlpment_?

CLP SVOA : Cl.P TOL , -- . . 3,295386538.:040109.:0002-·- , _._- t--tEGIONCOPY PH ~ praIImlnary ..... 1I8. Req.-Ior pnJImlmuy ..... 1I8 WID Inc ..... anaJyllcal_ ., 5end COpy 10: Sample Mal18llomant Oflioe, Attn: Heather Bauer, esc, 15000 Conl'enlnce center Dr., Chantilly, VA 20151-3819; Phone 7031818-4200; Fax F2V8.1.D47 PIIge 1 al1 7031818-4802

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oEPA USEPA COntract LabOlatoI 'I Program R Case No: 38316 .. Or9a.n1c Traffic Report. atain of CUDdy Record

DASNO: RegIon: 3 Date 1Ib1ppod: 41112009 [ataln of Cu-.xly R4!cDrd : ~J!, f?I.-,-Pro(iclt COde:

CT4497 Corrier Name: FadEl< _ntCGde: 112G00940.0000.0810 AIrIlIII: 79848Ql0329D RaIInqufohed By (DIIa 111me) -By (DIIalnmo) CERCU8ID: PAD0023118010 IIIIlppad 10: A4 ScientIfIc, Inc. ll1n.../.- .1,({d>..J If 1/l1'l ISbD 8J>1I11Jl 54 1 i544 Sawdust Road 811& __ :

Ha_ OU2 Annual RAS O309IPA Sult8505 2 ProJ8et~ Hatish Mllal The Woodlands1X 77380

(281) 292-5277 3 ActtOn: Long Term Reopon .. Sampling Co: Telta Tech NUS 4 -- ---- --- --- -----< -~ ----'---- .~.- ... ~----- '-- .. --- --- - ..

ORGANIC .- CCNC/ ANJl.Y81S1 TAGNOJ STATION iAMPU! COIJ.sCT INORGANIC QC SAMPLE No. &AlII'\.&! TYPE 1'uRWIOUND PREBERVA'IMI_ LOCATION DAlElIIIE SAMPLE No. 1')118 CY2S2 Ground Wats,/ UG CLP INOA (14) 3-22110 (loa only), 3-22111 HAttLlR-CW13D-0309 S: 313112009 11:45 MCY2B2 Vadlm Pstrov Ooe Only) (2) CY2B3 Ground Wafs'/ UG CLP SVOA (14) a.22116 (loa only), :>22117 HAV"L lR-CW1J1S.0309 S: 3130/2009 14:45 MCY2B3 Vsdlm Pstrov (Joe Only) (2) CV2B4 Ground Wafsli UG CLP SVOA (14) ~22122 (Joa only), 3-22123 HAVo.l.lR-CW23l).l)309 S: 313112009 10:30 MCY2B4 Vadlm Petrov Ooa Only) (2) CY2B5 Ground Wafs,1 UG CLP SVOA (14) 3-22128 (Ice Only), :>22129 HAV-LTR-RoI-0309 S: 313112009 9:40 MCY2B3 Vadlm P_ Ooa on Iy) (2)

.-.-- .

tf(~/G --~

!.e~f -------

8II\1IIl1li rarcait CGmpII_?N

IlamplO(il) til be _ forfallotllGly QC: Addltlonallllmpler S/gnatura(a): Chain 01 CuatocIy Seal N ... beo

AnaJyei8KB,l .~: L ~ low, M = l.cwJMedlum, H 1:1 Hlgh ~ ComposJtesc, Grab:= G ~1cacI? CLP SVOA ~ CLP TOL .

TR Number: 3-295386538;.040109~003· ----~··--·-Hc~~I-Or-:;R-C'· nny:-PRJIftI'IdaB proIlmlnary_ ~fol' ..... -.y _WOI_ onaIyIIcaI-. ~,-" '>.;ii, - "" ,Vii"" Send Copy to: Sample Management Offlce, AtIn: HeaIIIer Bauer, esc, 15000 Conl8nlnce Cente, Dr., ChantllJy, VA 20151-3819; Phone 7031818-4200; Fax FM.I.047 P_1 of 1 703I818-4E02

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,ftEPA USEPA Contract Labc)ratory Program Case No: 38316 R • ,- '-'" Organic Traffic Repoit ... Chain of Custody Record DASNo:

Region: 3 Dale BhIppad: 41112009 Chain of CullllOdV Rean'll ........ ' Proj8ctCOdo:

C~ CanfarNlmel FedEx SlIJI81""" thA".~ t:1 . ....I r'" _Coda: 11 0,0000.0810 AlrllllI: 797<168225362 fII!!!!CIutal1ed BY (Oatal~. -By (Oata I rtm.) CEJlCU8ID: PAOOo2~B010 ShlppedfD: A4 ScIen1IfIc, Inc. 1;.'}. '.({l.o,,, 'tl/I~()~ 8p1HID: 64 1644 SawduBi Rued

2 __ 18:

Havertown OU2 Annual RAS O309IPA SulteB05 Proj8ct Laadort Harlsh Milal The Woodlsnda1X n3BO

(281) 292-52n 3 -. Long Tem Raaponoe 8ampIina Co: Tetta Tech NuS " . . ~........---. _.- ----~-- ---- _.- ----~ ----

ORGANIC 1IA'!1IIXI CQHC/ AJUl..Y81S1 TAG"",, &TAllON ilAIIIPLE QJlLEcr INORGANIC QC

SAIiIIPLE No. IIADP\.SI TVPE lURNAROUOO ' PRal'eRVATIV&I_. LCCAlION DA 'II!IlIiIE SAMpLE No. ljpe

CY2B8 Field QCI LJG CLPS~A(14) 3-22134 (Ice Only), 3-22135 HAV-LTR.f'BM309 I

S: 313112OD9 14:00 MCY2B8 Field Blank Dennla Andal80n

Oea Only) (2)

CY2B7 Grqund Water! LlG CLP SVOA (14) 3-22140 Oea Only), a,22141 HAV-LTR~309 S: 313112009 16:00 MCY2B7 Dennia (lea Only) (2) Andal80n

CY288 Ground Wate,' LlG CLP SVOA (14) 3-22145 (Ice Only), 3-22147 HAV-L TR-CW20S.Q309, S: 313112009 14:00 MCY288 Dennl, (lea Only) (2) Andal1lOn

CY2B9 Ground Waterl LJG CLP SVOA (14) 3-22152 (Ice Only), 3-22163 HAV-LTR-CW1S[)"()309 S: 313112009 10:25 MCY2B9 Dennla (Ico Only) (2) Andalllon

CY2CO Ground Watert LJG CLP SVOA (14) 3-22158 (Ice Only), 3-22159 HAV..J.. TR-CW5[)..()3QQ S: 313112009 12:00 MCY2CO Dennia (lea Only) (2) Anderoon

~-"-_-----~ /J/~ ---__ ~

1IIIlpmlliltlorCaae Bamplo(l)1D I)e _ for -.y QC: Additional SamplerSIgnIllUra(a): Cho.ln 01 CuStody _ Numbor. CoqII8It?N

AnsIyoIa,Koy: ~: L = Low, M = LowJMedlum, H = High Typa/DaIIIlJllatit: CompoSite. 0, Grab = G 8hlpmontloed? CLP SVOA = CLP TeL

rRNumber: ~_29S386638~0109~OO4 ~~K.~ff!;,,\~ i"O-DV PR provIdea preliminary raau1t8. RequeMa for praUmlnary re4Uha wID Increaaa anslytlc:al ~ Sand Copy"': Sample Maneo.manl Office. Attn: Hoalher SoUl', esc, 15000 COnference Cenler Dr .. Chantilly, VA 20151-3&19; Phona 703181804200; Fax 703181_02 '

., FZV6.1.04T Page 1 of1

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.EPA USEPA Contract Laboratory Program Case No: 38316 R .... , 'Organic Traffic Report" Qatn ofCustDdy Record OASNa:

Railon: 3 _shipped: 41112009 Chain of Cu$lOdy ReCord :=.. lIaL;1.~ Projact Code, CT4497 CarrIer N<tft1Q: FedEx . _Code, I 12GOO940.0000.oal0 -= 7_,93791 RoI\oquIIMd By (Oatol11ll101 -By lDote/TlmeI CERcUS/D, PAD002338010 . Shipped 10: A4 Sclentmc, Inc. II/"I.' .iJ,ew 4itfDrl, I~ 8t>III1D: 54 1544 Sawduat Road lite Nanl ft_l Havertown QU2 Annual RAS 0309/PA Suite 505 2

I'rDJICI LHdIr. Hatlsh MItIII . The Woodland. TX 77380 (281) 292-6277 3 I -'" Lattg Tann Response

BampIIng Co: TeITa Tach NUS 4 ---,---=---_. --~------------ ,------ ----- . ORGANIC .1IA11UlII COlIC! AlmY8181 fA'"'.' OTAT1OH 8All1U c:oW!cr INORGANIC QC SAMPLE No. 1WoIP\.SI Tl'l'E l\JRWICUND PREOEllVA1IYEIBaIIe. lOCA11CN DA12I11IU5 SAMPLE No. T)po

CY2Cl Ground Warl LlG CLP SVOA (14) 3-22154 (lea OnlY), 3-22185 HAV-LTR-CW5J..0309 S: 41112009 9:10 MCY2CI Vadlm PlIttaY (lea Only) (2) CY2C2 Ground Wets" LJG CLP SVOA (14) 3-22173 (Ice OnlY), 3-22174 HAV·LTR-CW5~ S ..... '1J2W9; IS:55 MCY2C2 MSiMSD Vedlm PlIttaY (Ice 01]1)1), 3-22176 (lea

;;:J/~ IV ~r/o9 Only), 3-22178 {/ceoOnl)l), 3-22177 (Ice OnlY), 3-22178

CY2C3 Ground Watsr/ l:/G ClP SVOA (14) (Ica Only) (e) 3-22154 (lea Only), 3-22185 HAV-LTR-CW4~309 S: 4111200& 11:85 MCY2C3 Vadlm Petrav (lea Only) (2)

---------------------- J;~ TJ(~L-G

IIhIpmIlhlIorCao. Bamp/I(8) III be ..... for -.y Qc, . AddItI .... 1 sampler SIg-.re(al' ChoIn ofCuolDdy _ Number. ~?H CY2C2

AnIIya/o Key: - L II Low, M. lDwIMecIiIutn, H ... TypoIDao/gnato: Composite II: C, Grab. G Shlpmant Iliad? , ClP SVOA = ClP TCL

'rRNumber: ::l..2Afii!lRRS!lR-040109-..0005 REGION -COpy PR.....- ",""""owy...un.;:-R.q..;.iOior~n..uIt8w1I1I_ ... ~ ...... Send Copy 10: Sample Management Office, AIIn: Heather Bauer, esc, 15000 ConfanInea Contsr Dr., Chantilly, VA 20151~19; Phone 7031818-4200; Fax 703/818-4802

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.oEPA USEPA Contract Laboratory Program Cas"No: 38316 R " Organic Traffic Report .. 0181n of Custody Record DASNo:

Region: 3 Oafa8hlppod: 41112009 Chain of CpstOdy Record samp"r /41!:- ;1. ~ p"'JIoct Code: 81l1li110... •

CT4497 C8n1erNamo: FadEl< AcoOurit Code: 112000940.0000.0810 AhI>III' 797468~79318

RoIlnqullhed By (Da18111mel -By (Oatatnmel CERCUSID' PADo02338010 Shlppodb>' A4 Sclenttfle, Inc. 1 /I ... f.' .4~ 4/1fu'lISlSU !

8pII11D: 54 1544 SaWdust Roaij 811a_' Havertown OU2 Annual RAS 0309IPA Suite 505 2

Proj8ct I.JIeder. Hallah Mttal The Woodlands TX 77380 (281) 292·5:m 3 -, Long Term Reapon .. .

sampling 'Co: Tetra Tech NUS ... ---- ~----- ' -

ORGANIC IIATRIXI CONCI ANAI.YS18/ TABNoJ STATIOI\ BAIII'LI! COlLEcr INORCANIC QC

SAMPLE No. SAMIUR 1'/PE tultlARCUND PRESERVA'IM!IBotl1e. LOCA11ON DA~E SAIIIPLE No. flp.

CY2C4 Ground Water! IJG CLP SVOA (14) 3-22190 (lea OnlY), 3-22191 HAV·L1R'-CW41-0309 S: 41112009 '11:10 MCY2C4 Vadim PGtrov \Iea Only) (2)

"CY2C5 Ground Waterl IJG CLP SVOA (14) 3-22196 (lea Onl\l), 3-22197 HAV-L 1R-CW~309 S: 41112009 10:30 MCY2CS Vadlm Patrov (I!" Only) (2)

CY2C7 Ground Waleil IJG CLP SVOA (14) 3-22206 (lea Onl\l), 3-22208 HAV-LTR-Cw3D-0309 S: 41112009 11:10 MCY2C7 Dennis "(lea Only) (2) Anderson

CY2C8 Ground Waterf IJG CLP SVOA (14) 3-22211 (lea Onl\l), 3-22212 HAV·L1R-CW3I-0309 S: 41112009 10:20 MCY2CS Oannls (Ice Only) (2) Andorson

-7;Mf7· tz?;e<.. k ~ ----

=;~caa. eampiell) b> be - ""lalJoralDry QC, AddJll'!!!"l ~ ~.l' \\ J A Chaln.f CU6b>dy Seal Nu_ ll\. .u_A:01 MI\XIV '-

,AnaIy8I8 Key: Co __ , L ~ LoW, M= LowlMedlum, H • HIQt! 1'1 f!etDas1~' Composite = C. Grab. G Shipment Iced?

CLP SVOA = CLP Tel oem

TRNumber: 3.295386538-04010$f.oo06 ~-,~--- ---- --W.:H!:::~'li'ON-CO!f'jy-PR provIdoII Pf8llmlnary ..... 1\8. Rtq_ ""'pnllimlnary ~Ia will 1_ ana\ytlc<l_. i"al;;:: "' .. i.O. >, '" r Sand Copy In: Sample Monogement OIfIoa, Attn: Heather Bauer, esc, 15000 Conferenco Csntllr Dr" Chantilly, VA 20151-3818; Phone 7031816-4200; Fax FZV5,1.041 PIIgo1 of 1 7031818-4602

U.S. EPA Region III Analytical Request Form Revision 1).06

Date: 03103109 [ Site Activity: L TRA .

3~3/(o

Site Name: HAVERTOWN PCP Street Address: 900 NORTH EAGLE ROAD

City: HAVERTOWN State: PA A.I Latitude: ~ongitude:

Program: SUPERFUND Acct. #: 2009 T 03,)V 302 DD2C 0354LR02 CERCLlS #: PADOt)2338010

Site ID: S4 Spill ID:· Operable Unit: OUZ

Site Specific QA Plan Submitted: U No 0Yes I Title: Sampling & Analysis Plan dated March 2.003 I Date Approved:

I EPA Project Leader. JILL LOWE Phone#: 215-814-3123 Cell Phone #: E-mail: [email protected]

Request Preparer: ERIC WA TJ' Phone#: 302-738-7551 Cell Phone #:. 302-542-2982 E-mail: [email protected]

Site Leader: HARlsH MITAL Phone#: 302-73s;' 7551 Cell Phone #: 302-547-8752 E-mail: [email protected]

Contractor: Tetra Tech 'NUS EPACOIPO: ANDREWBLAlNEYIELAINE SPIEWAK

#Samples 100 Matrix: water-non potable Parameter: VOA . A- '-I Method: SOM01.2 - Low Water .3 O.:l-c, tJ #Samples 90 Matrix: water-non potable Parameter: ·SVOA It- Method: SOM01.2 - Low Water 3IJ,2t. .(' #Samples 90 Matrix: water-non potable Panimeter: ICP-AES TAL (Total Metals + Hg) C.;./E,IJ1 Method: ILM05.4 t3n ~{.(.., #SampleS Matrix: Parameter: Method:

#Samples Matrix: Parameter: Method:


#Samples . Matrix: Parameter: Method:



Ship Date From: ·03123/2009 I Ship Date To: 0412412009 Organic Validation Level Ml I Inorganic Validation Level IM1

Unvalidated nata Requested: 0 No o Yes lfYes, TAT Needed: 014days 07days 072hrs 048hrs o 24hrs 0 Other (SpecitY) (f'/?!~ k-.~sd

Validated nata Package Due: 042 days o 30 days ii1I 21days 014 days o Other (Specify) II/-/.:J-,

'Electronic Data Deliverables Required: 0 No 0' Yes (EODs will be .provided in Region 3 EDD Format) ( Special Instructions: 1. Monitoring Wen Samples: Full Validation Required 2. EDD: Superset in Excel

_._.

FORMARF- 10/06 Revision 1.1

,_/ _/ '---" ,.~ ~.

~~

"

oEM USEPA Contract L8boratory Program ..

R C.¥No: 38316 ...• '. ·.Organic Traffic RepCl,rt Ii Otain of CusIDdy Record

DASNo: .. .. . .... , .. '" :R8gion,'" ..... 3 ~ 8IIlptI8d: 41112009 · thaln of CuQtody R!!Cord .. .::.:..1(;Ld .P./.r: ""'leot Cod.:

CT<\497 Conior Name: FedEx '_ole .... : 112G00940.0000.0810 CERCLI8ID: PAOOo2338010 8p11,1D: • 54 8IIa Namel8tato: Havertown OU2 Annual RAS 03C9IPA Project Loaden Hal18l1 Mllel _:

Long Term ROeponaa Sam!'llll1l Col . Telia.Tech NUS .

ORGANIC IIA'I1IIXI CONC/ ANALY&IIJ/ SAMPLE No. IlAJllPUII nPE lIJlllAROUND

_I: 797468110470 Shlptl8d 10: A4 Sclen\lflc. Inc.

1544 Sawdust Road Sulle 505 The WooiIl.nd. TX 77380

. (281) 292-5277

.. TAGNO.i

I'REIIERVA11VEIBoIIe. STATION

LOCATION

· RoIInqUllhad By . (Data/TIme) .. -By

'IViJ.J;~,Pd;..r<llllqy /9'>: . ' ...

2

3

4 · .

IlAIIPI..!! GDu.ecr DA 'IEIIIIIE

..

. . INORGANIC SAMPi..ENo.

CY2C8' Ground Waterl UG CLP VOA (14) a:.222Q8 (HCl), ~08 (Hel), ~10 (HeL) (3)

HAV4.rR-CW3I.IJ3098: 41112009 10:20 MCY2C8

CY2C9

CY2DO

Dennis AndelIIon I Ground Waterl UG Dennis AndalIIon

CLP SVOA·(14l, CLP ~22214 (HeL), ~22215 VOA (14) (HCl), ~22216 (HCl),

HAV-LTR..cW:\S-03D9 S: 41112009 12:00

Ground WaIerl Dennis Anderson

J ~22217 (loa Only), ~18 ~oa Only) (5)

UG CLP SVOA (14), CLP ~22220 (HCll, 3-22221 VOA (14) (HCl). ~22222 (HeLl,

~2223 (loa Only), ~4 Ooa Only) (5)

HAV-LTR-CW60.03C9 S: 41112009 9:16

~~t 7l!r. .... k- ...-

MCY2C8

MCY2DO

.

(Dolo / TImo) . .

"",

QC 1)pe

.

", .. -

..,..nfcrea.e &ample(a) 10 be _lor IaboraIDry QC: Add

i I"'A'~~ Chaht oICuo1Ddy _ Number:

CompIt."H CY2C2

AnIIyoIa Key: Con_: L tz Low. M III LowJMedIum. H II: HIgh 'l)pe/Dt8lgna1e: COmposite =- C, Grab.l:; G

CLP SVOA = CLP Tel ,~.~g"U' ,~ •• _~

RNumber: . l 3;'295386 --- _ .. _ ... _ ... --_ ... PH"-" prallmInart ........ Req_ for prsIlmJnary ... u118 wit ......... onlliytfcal ...... . Sand Copy Ir>: Sample Managament Office, AIIn: Heather Bauer. CSC, 15000 Con18 ... nce canter Dr., Chantilly, VA 20151-3819; Phone 7031818-4200; Fax 703IB1B-48D2

:'- -t- •. .:...- --'. ~"'- ..... ::. " .. ~ ..;' '", ..• - ;-0-.... - .'~"--:~

8JI/pmoI1t Iced?

~'IlI.<It< .!"~ !Jt=.t.·''1l'n~ij .1i""(-) If\.W;; ~~ A. ~~~ !i .l~. \tm . \1. • F2VB.l.047 Page 3 of 3

... 'EPA USEPA COntract Laboratory Program C_No: 38316 R. • Organic Traffic Report a. OIain of Custody ReQ)rd IJAS No:

RqIon: 3 DIIt8 8IIIppod: -4I3l2OO9 Chain aI CulltOdy Record Somple, .

PrvjGct Code:

W&'ODOO.0810 Co_Nome: FedEx 8I-O ..... ~ D. JfJ./JI/i

Aooou,!,Codel AIrIIIIt: 796487671291 Rei ' BY (Data/~ R<icalved By (Datamme)

Cl!RCUSID: PAb002338010 Shipped": A4 ScIentific, Inc. It r>W, 11 \.1), ouiLit 8p111lD: 54 1544 Sawdust Road 811&N_ H .... rtawn OU2 Annual RAS D309IPA SuRe 505 2

PrvjGct Leeden Harlsh Mllal The WoOdlands 1')( n380 (281).292-52n 3 _:

Long T8/m Response 8ompllllll, Co: Tolla Tech NUS 4

... ~

ORGANIC IlAlRlXI CONCI AHA/.,YSfSI TAQNOJ &TAllON SAllPIJ: coiucr INORGANIC QC SAliPlENo. eAIIPLER moE TUAWlOUND PREIIERVA'lMl1IoIIoa LOCATIlN 0A1EIIIi£ SAMPLE No. '1\1>0

• CY201 GIoIindWatert LJG CLPVOA(14) 3-22238 (HCl), 3-22239 HAV-l. TR-CW61-D3D9 S: 4I2I2D09 9:05 MCY2Dl Vadlm perrov (HCl), 3-22240 (IiCL) (3)

CY2D2 Ground Wa"'rI UG CLPVOA (14) VadlmPelrov

3-22244 (HCL), 3-22245 (HeL), 3-22245 (HCL) (3)

HAV-LlR-CW6S-D3D9 s: 4I2I2D09 9:55 MCY2D2

CY2D3 GroUndW_1 UG CLP VCA (14) 3-22250 (HCl), 3-22251 HAV-llR-CWI9X~3D9 S: <4I2I2DD9 11:00 MCY2Q3 Field Duplicate q t Vadlm P8Irov (HeL), 3-22252 (HeL) (3) t:;, '(101{

CY2D4 Ground Wa,l liadlm P8tr0v

UG CLP vOA (14) 3-22256 (HeL), 3-22257 (HCL), 3-222S8 (HeL) (3)

HAV-l1R-cW19~ S: <4I2I2DD9 10:45 MCY2D4

CY2D5 Ground WalsJri UG CLPVCA(f4) 3-222S2 (Hell, 3-22263 HAV·lTR-MW3-0009 S: 4I2I2D09 12:00 MCY2D5 VadimPelrov (HCI.), 3-22254 (HeL) (3)

CY2D6 FIeld QCt LJG OLl'.SVCA (14), CLP 3-22258 (HCl), 3-22289' HAV-llR-FB3-0309 S: <4I2I2DD9 9:15 MCY208 Field Blank Qennls VOA (14) (HCL), 3-22270 (HCl), Andel8an . . 3-22271 (Ice OnlY), 3-22272

Oce Only) (5) CY207 Ground Wa",,1 UG CLP SVCA (14), CLP 3-22274 (HOL), 3-22275 HAV-l'fR.CW1~ S: <4I2I2DD9 12:25 MCY2D7

Dennis VOA (14) (HCl), 3-22276 (HCL), Anderaon 3-22277 (Ice Only), 3-22278

uG OceOnIY) (5)

CY2D$ Ground Wart CLP SVCA (14), CLP 3-2228Q'(HCL),3-22281 HAV-l1R-CW11-D3D9 S: 4I2l2OO9 11:30 MCY2D8 Dannls VOA (14) (HCL), 3-222a2 (HCL), AndenIon 3-22283 (Ice Only), 3-22284

gce OnlY) (5) CY2D9 GIoIind Wart UG OLP SVCA (14), CLP 3-22256 (HCl), 3-22287 HAV·lTR,CW1~309 s: 4I2l2OO9 10:40 MCY2D9

Dannls VOA (14) (HCl), 3-22256 (HeL), Andal80n 3-222811 (loa OnlY), 3-22290

(loa Only) (5)

-".'crcaao 8ompla(.) 10 be -~--i QC': -~8772~ ChoInolC-, __

C"",,"II?H

~Kay: COI~ltIatlol.: L. Low. M = I.owII.Iediwn, H • HIuh Typo/DstIIgnoIa: Compoa/ta = e, Grab = G ShIpment IOed?

ClP SVpA = CLP TeL " ....... VUA a " .... ,\,0" "0 ......

TR Number: 3-295386538-040309:.0001 P..E~'rr6"i;Iiil.~-CO: .n" PR"'-" prOIJinlnaly _ ~ for 1II'1IImIna'Y ,..ullo wIII...-0I1I1IytIcaI ooots.' . . . '\3;.\11. """,,11 1!l . r ~ SenclCOpyto: Sample ManagementOfllca,AtIn: _,Baue" CSC,I5OOD Confimlnce Cente,D,., Chantilly, VA20151-3819; PhaRO 7031818-4200; Fax F2V6.I.Q:I1 PllSt1 of2 7031818-451)2 .,'

,,' ~ ,../ '----

epa usepa contract laboratory program r generic chain of … · 2012-12-02 · ~ epa usepa contract...

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