/J~ GOLDER. Golder Associates Inc. golder.com. Project No April 25, 2018
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1 GOLDER April 25, 2018 Project No Canadian Pacific Plaza Attn: Aimee Zack 120 South 6th Street Suite 700 Minneapolis, MN RE: SHOREHAM YARD - SOUTHEAST PUMP & TREAT SYSTEM MCES SPECIAL DISCHARGE PERMIT 2289 SELF-MONITORING REPORT ELECTRONIC SUBMITTALS FOR FIRST QUARTER 2018 REPORTING PERIOD INFORMATION AND MARCH 2018 SAMPLE RESULTS INFORMATION Dear Aimee, Enclosed are copies of the Metropolitan Council Environmental Services (MCES) Self-Monitoring Reports (SMRs) and attachments submitted electronically to the MCES on April 25, 2018 for the Southeast Pump & Treat System. The enclosed documents include: Reporting Period Information SMR - Jan-Mar, 2018 Sampling s SMR - March, 2018 Analytical Data from Pace Analytical Services - March, 2018 ph Field Instrument Calibration Record If you have any questions regarding these submittals please contact the undersigned at Sincerely, Golder Associates. Alan Phillips, GIT Project Geologist /J~ Barb Johnson, P.E. Associate adp CC: Claire Mackler, Golder Golder Associates West County Road B, Suite 105 Roseville, Minnesota, USA T: Golder and the G logo are trademarks of Golder Associates Corporation golder.com
2 Metropolitan Council Environmental Services Industrial Waste & Pollution Prevention Section 390 North Robert Street St. Paul, Minnesota Submittal ID: 6251 Submittal Date: 04/25/2018 Permit No: 2289 Reporting Period Information SMR 1. Permittee*: Canadian Pacific Railway *The corporation, proprietorship, government unit or individual that was issued the MCES Permit or Approval Letter. 2. Site Address: 28th Ave NE & Central Ave NE, MINNEAPOLIS, MN Mailing Address Changed? Yes X No Contact Responsibility Contact Address Phone Fax Name Change and Reason Barbara Johnson (Active) Senior Consultant Alan Phillips (Active) Staff Geologist Aimee Zack (Active) Manager Environmental Remediation LeeAnn Thomas (Active) Director, Environmental Accrual Designated Signatory, Environmental Consultant Field, Environmental Consultant 1751 W County Road B, # 105 ROSEVILLE, MN W County Rd B, # 105 ROSEVILLE, MN Signatory Authority 120 S 6th St, #700 MINNEAPOLIS, MN Billing, Primary 120 S 6th St, # 700 MINNEAPOLIS, MN bsjohnson@golder.com aphillips@golder.com aimee_zack@cpr.ca LeeAnn_Thomas@cpr. ca Reporting Period: A. X Jan-Mar, 2018 Apr-Jun, 20 Jul-Sep, 20 Oct-Dec, 20 B. Jan-Dec, 20 C. Short-term Approval: Discharge Start Date: End Date: 4. Discharge Information: Indicate whether the wastewater was discharged on-site and/or hauled during this reporting period, and complete the associated questions. If no wastewater was disposed to MCES during this reporting period, indicate no discharge. No Discharge to MCES during this reporting period. (If no discharge is selected, proceed directly to next Item.) X On-Site Discharge A. Total volume discharged during this reporting period (gallons): B. Total days of discharge during this reporting period (days): 90 C. Average volume discharged per day (gallons/day): 1132 D. Method of volume determination for this period: Meter Reading, Comments: Hauled Discharge 5. I certify that all sampling data that occurred during this reporting period has been submitted to MCES. X Yes No 6. Are the analytical results submitted during this reporting period representative of the wastewater discharged during this reporting period? X Yes No Page 1 of 2
3 7. Have there been any significant process problems/changes during this reporting period? Yes X No 8. Are there any planned or expected future changes that will impact discharge volume or quality? Yes X No 9. Certification Statement: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to ensure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties under law for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print): Barb Johnson Title: bsjohnson@golder.com Phone: General Report Comments and Explanation ATTACHMENT Attachment Name Supporting Documents Submission Method Submitted File Name Attachment Comments Attachment Description Page 2 of 2
4 Metropolitan Council Environmental Services Industrial Waste & Pollution Prevention Section 390 North Robert Street St. Paul, Minnesota Submittal ID: 6202 Submittal Date: 04/25/2018 Permit No: 2289 Monitoring Point: SP-01 Sampling s SMR MCES Industrial Discharge Permit holders must complete this form for each monitoring point specified in their permit. 1. Permittee: Canadian Pacific Railway Permit No: Site Address: 28th Ave NE & Central Ave NE, MINNEAPOLIS, MN Reporting Period: No Discharge/No Sampling Quarterly Reporters: X Jan-Mar, 20 Apr-Jun, 20 Jul-Sep, 20 Oct-Dec, 20 Semi-Annual Reporters: Jan-Jun, 20 Jul-Dec, 20 Annual Reporters: Jan-Dec, Proper Sampling: Were all samples collected and composited according to permit requirements? X Yes No 5. Proper Analysis: Were analyses conducted per permit requirements? X Yes No 6. Representative Discharge: Are the analytical results representative of the wastewater discharged during this monitoring event? X Yes No 7. Compliance Status: Compare the analytical results with the corresponding discharge limits in your Permit. Do any analytical results exceed the corresponding discharge limit(s) in your Permit? Yes X No 8. General comments regarding submission: 9. Certification Statement: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to ensure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties under law for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print): Barb Johnson Title: bsjohnson@golder.com Phone: Page 1 of 6
5 Sample s: Submit one result sheet for each sampling day per monitoring point. Enter daily values for each sampling event from one monitoring point, in accordance with requirements in the Industrial Discharge Permit (Section B). Daily and long-term values shall be compared to Discharge Limitations in Permit Section A.1 for compliance determinations. Attach all laboratory data sheets and supporting calculations. Flow Reading Start Date End Date Discharge Volume Units Comments 3/15/ :00 AM 3/15/2018 3:08 PM 962 GPD Approximate discharge on day of sampling. Sample Start Date & Time: 03/15/ :00 Sample End Date & Time: 03/15/ :00 Daily Data Form Substance Analytical Unit Reporting Limits(mg/L) Analysis Method Sample Method Bottle Container Laboratory Name ph Instantaneous 6.4 S.U. SM 4500-H+ Grab - Single NA Other COD < 13.4 mg/l 13.4 EPA Grab - Single Other Pace Analytical Services Suspended Solids < 0.95 mg/l 0.95 SM 2540D Grab - Single Other Pace Analytical Services Acetone < 3 ug/l 3 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Allyl chloride < 2.2 ug/l 2.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Benzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Bromobenzene < 0.23 ug/l 0.23 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Bromochloromethane < 0.34 ug/l 0.34 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Bromodichloromethane < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Bromoform < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Methyl Ethtyl Ketone < 3 ug/l 3 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services n-butylbenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services sec-butylbenzene < 2.2 ug/l 2.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services tert-butylbenzene < 0.18 ug/l 0.18 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Carbon Tetrachloride < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Chlorobenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Chloroethane < 0.37 ug/l 0.37 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Chloroform < 2.5 ug/l 2.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Chloromethane < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 2-Chlorotoluene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 4-Chlorotoluene < 0.21 ug/l 0.21 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2-Dibromo-3- chloropropane < 2.2 ug/l 2.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Page 2 of 6
6 Daily Data Form Substance Analytical Unit Reporting Limits(mg/L) Analysis Method Sample Method Bottle Container Laboratory Name Dibromochloromethane < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2-Dibromoethane (EDB) < 0.18 ug/l 0.18 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Dibromomethane < 0.43 ug/l 0.43 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2-Dichlorobenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,3-Dichlorobenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,4-Dichlorobenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Dichlorodifluoromethan e < 0.22 ug/l 0.22 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1-Dichloroethane 35.6 ug/l 0.24 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2-Dichloroethane < 0.17 ug/l 0.17 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1-Dichloroethene 12.6 ug/l 0.41 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services cis-1,2-dichloroethene 23 ug/l 0.26 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Trans-1, 2- Dichloroethene < 0.26 ug/l 0.26 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Dichlorofluoromethane < 0.21 ug/l 0.21 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2-Dichloropropane < 0.23 ug/l 0.23 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,3-Dichloropropane < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 2,2-Dichloropropane < 0.48 ug/l 0.48 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1-Dichloropropene < 0.44 ug/l 0.44 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services cis-1,3-dichloropropene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Trans-1, 3- Dichloropropene < 0.23 ug/l 0.23 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Ethyl Ether < 2.2 ug/l 2.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Ethyl Benzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Hexachlorobutadiene < 2.1 ug/l 2.1 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Isopropylbenzene (cumene) < 0.14 ug/l 0.14 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services p-isopropyltoluene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Methylene Chloride < 0.23 ug/l 0.23 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 4-Methyl-2-pentanone (MIBK) Methyl Tertiary Butyl Ether (MTBE) < 2.1 ug/l 2.1 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services < 0.17 ug/l 0.17 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Naphthalene < 2.5 ug/l 2.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services n-propylbenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Styrene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Page 3 of 6
7 Daily Data Form Substance Analytical Unit Reporting Limits(mg/L) Analysis Method Sample Method Bottle Container Laboratory Name 1,1,1,2- Tetrachloroethane 1,1,2,2- Tetrachloroethane < 0.18 ug/l 0.18 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services < 0.25 ug/l 0.25 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Tetrachloroethene 156 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Tetrahydrofuran < 2 ug/l 2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Toluene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2,3-Trichlorobenzene < 2.1 ug/l 2.1 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2,4-Trichlorobenzene < 2.2 ug/l 2.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1,1-Trichloroethane 60.6 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1,2-Trichloroethane < 0.2 ug/l 0.2 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Trichloroethene 9.6 ug/l 0.33 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Trichlorofluoromethane < 0.18 ug/l 0.18 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2,3-Trichloropropane < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,1,2- Trichlorotrifluoroethane < 0.81 ug/l 0.81 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,2,4-Trimethylbenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services 1,3,5-Trimethylbenzene < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Vinyl Chloride < 0.18 ug/l 0.18 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services m&p-xylenes < 1 ug/l 1 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services o-xylenes < 0.5 ug/l 0.5 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Substance Sample Col. Method Sample Col. Method Reason Sample(s) Collected By Sample(s) Composited By Compositing Method Compositing Method Reason ph Instantaneous Manually Grab samples Other COD Manually Grab samples Other Suspended Solids Manually Grab samples Other Acetone Manually Grab samples Other Allyl chloride Manually Grab samples Other Benzene Manually Grab samples Other Bromobenzene Manually Grab samples Other Bromochloromethane Manually Grab samples Other Bromodichloromethane Manually Grab samples Other Bromoform Manually Grab samples Other Methyl Ethtyl Ketone Manually Grab samples Other n-butylbenzene Manually Grab samples Other sec-butylbenzene Manually Grab samples Other Page 4 of 6
8 tert-butylbenzene Manually Grab samples Other Carbon Tetrachloride Manually Grab samples Other Chlorobenzene Manually Grab samples Other Chloroethane Manually Grab samples Other Chloroform Manually Grab samples Other Chloromethane Manually Grab samples Other 2-Chlorotoluene Manually Grab samples Other 4-Chlorotoluene Manually Grab samples Other 1,2-Dibromo-3- chloropropane Manually Grab samples Other Dibromochloromethane Manually Grab samples Other 1,2-Dibromoethane (EDB) Manually Grab samples Other Dibromomethane Manually Grab samples Other 1,2-Dichlorobenzene Manually Grab samples Other 1,3-Dichlorobenzene Manually Grab samples Other 1,4-Dichlorobenzene Manually Grab samples Other Dichlorodifluoromethan e Manually Grab samples Other 1,1-Dichloroethane Manually Grab samples Other 1,2-Dichloroethane Manually Grab samples Other 1,1-Dichloroethene Manually Grab samples Other cis-1,2-dichloroethene Manually Grab samples Other Trans-1, 2- Dichloroethene Manually Grab samples Other Dichlorofluoromethane Manually Grab samples Other 1,2-Dichloropropane Manually Grab samples Other 1,3-Dichloropropane Manually Grab samples Other 2,2-Dichloropropane Manually Grab samples Other 1,1-Dichloropropene Manually Grab samples Other cis-1,3-dichloropropene Manually Grab samples Other Trans-1, 3- Dichloropropene Manually Grab samples Other Ethyl Ether Manually Grab samples Other Ethyl Benzene Manually Grab samples Other Hexachlorobutadiene Manually Grab samples Other Isopropylbenzene (cumene) Manually Grab samples Other p-isopropyltoluene Manually Grab samples Other Methylene Chloride Manually Grab samples Other 4-Methyl-2-pentanone (MIBK) Methyl Tertiary Butyl Ether (MTBE) Manually Grab samples Other Manually Grab samples Other Naphthalene Manually Grab samples Other n-propylbenzene Manually Grab samples Other Styrene Manually Grab samples Other Page 5 of 6
9 1,1,1,2- Tetrachloroethane 1,1,2,2- Tetrachloroethane Manually Grab samples Other Manually Grab samples Other Tetrachloroethene Manually Grab samples Other Tetrahydrofuran Manually Grab samples Other Toluene Manually Grab samples Other 1,2,3-Trichlorobenzene Manually Grab samples Other 1,2,4-Trichlorobenzene Manually Grab samples Other 1,1,1-Trichloroethane Manually Grab samples Other 1,1,2-Trichloroethane Manually Grab samples Other Trichloroethene Manually Grab samples Other Trichlorofluoromethane Manually Grab samples Other 1,2,3-Trichloropropane Manually Grab samples Other 1,1,2- Trichlorotrifluoroethane Manually Grab samples Other 1,2,4-Trimethylbenzene Manually Grab samples Other 1,3,5-Trimethylbenzene Manually Grab samples Other Vinyl Chloride Manually Grab samples Other m&p-xylenes Manually Grab samples Other o-xylenes Manually Grab samples Other Sample Start Date & Time: 03/16/ :00 Sample End Date & Time: 03/16/ :00 Daily Data Form Substance Analytical Unit Reporting Limits(mg/L) Analysis Method Sample Method Bottle Container Laboratory Name Bromomethane < 2.4 ug/l 2.4 EPA 8260 Grab - Single Vial - 40 ml clear Pace Analytical Services Substance Sample Col. Method Sample Col. Method Reason Sample(s) Collected By Sample(s) Composited By Compositing Method Compositing Method Reason Bromomethane Manually Grab samples Other Page 6 of 6
10 #=CL# LIMS USE: FR - ALISON ZOLL LIMS OBJECT ID: March 28, 2018 Alison Zoll Golder Associates. 744 Broad Street 25th Floor Newark, NJ RE: Project: CP-SHOREHAM YARD Pace Project No.: Dear Alison Zoll: Enclosed are the analytical results for sample(s) received by the laboratory on March 16, The results relate only to the samples included in this report. s 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, Laurie Woelfel laurie.woelfel@pacelabs.com Project Manager Enclosures cc: Kat Smith, Golder without the written consent of. Page 1 of 20
11 #=CP# CERTIFICATIONS Project: Pace Project No.: CP-SHOREHAM YARD Green Bay Certification IDs 1241 Bellevue Street, Florida/NELAP Certification #: E87948 Illinois Certification #: Kentucky UST Certification #: 82 Louisiana Certification #: Minnesota Certification #: New York Certification #: North Dakota Certification #: R-150 Virginia VELAP ID: South Carolina Certification #: Texas Certification #: T Wisconsin Certification #: Wisconsin DATCP Certification #: USDA Soil Permit #: P Federal Fish & Wildlife Permit #: LE51774A-0 without the written consent of. Page 2 of 20
12 #=SS# SAMPLE SUMMARY Project: Pace Project No.: CP-SHOREHAM YARD Lab ID Sample ID Matrix Date Collected Date Received Water 03/15/18 08:00 03/16/18 08: SE EFFLUENT Water 03/15/18 15:00 03/16/18 08:35 without the written consent of. Page 3 of 20
13 #=SA# SAMPLE ANALYTE COUNT Project: Pace Project No.: CP-SHOREHAM YARD Lab ID Sample ID Method Analysts Analytes Reported Laboratory EPA 8260 MDS 71 PASI-G SE EFFLUENT EPA 8260 MDS 71 PASI-G SM 2540D JMN 1 PASI-G EPA TJJ 1 PASI-G without the written consent of. Page 4 of 20
14 #=AR# ANALYTICAL RESULTS Project: CP-SHOREHAM YARD Pace Project No.: Sample: Lab ID: Collected: 03/15/18 08:00 Received: 03/16/18 08:35 Matrix: Water Parameters s Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Analytical Method: EPA 8260 Acetone <3.0 ug/l /20/18 19: Allyl chloride <2.2 ug/l /20/18 19: Benzene <0.50 ug/l /20/18 19: Bromobenzene <0.23 ug/l /20/18 19: Bromochloromethane <0.34 ug/l /20/18 19: Bromodichloromethane <0.50 ug/l /20/18 19: Bromoform <0.50 ug/l /20/18 19: Bromomethane <2.4 ug/l /20/18 19: Butanone (MEK) <3.0 ug/l /20/18 19: n-butylbenzene <0.50 ug/l /20/18 19: sec-butylbenzene <2.2 ug/l /20/18 19: tert-butylbenzene <0.18 ug/l /20/18 19: Carbon tetrachloride <0.50 ug/l /20/18 19: Chlorobenzene <0.50 ug/l /20/18 19: Chloroethane <0.37 ug/l /20/18 19: Chloroform <2.5 ug/l /20/18 19: Chloromethane <0.50 ug/l /20/18 19: Chlorotoluene <0.50 ug/l /20/18 19: Chlorotoluene <0.21 ug/l /20/18 19: ,2-Dibromo-3-chloropropane <2.2 ug/l /20/18 19: Dibromochloromethane <0.50 ug/l /20/18 19: ,2-Dibromoethane (EDB) <0.18 ug/l /20/18 19: Dibromomethane <0.43 ug/l /20/18 19: ,2-Dichlorobenzene <0.50 ug/l /20/18 19: ,3-Dichlorobenzene <0.50 ug/l /20/18 19: ,4-Dichlorobenzene <0.50 ug/l /20/18 19: Dichlorodifluoromethane <0.22 ug/l /20/18 19: ,1-Dichloroethane <0.24 ug/l /20/18 19: ,2-Dichloroethane <0.17 ug/l /20/18 19: ,1-Dichloroethene <0.41 ug/l /20/18 19: cis-1,2-dichloroethene <0.26 ug/l /20/18 19: trans-1,2-dichloroethene <0.26 ug/l /20/18 19: Dichlorofluoromethane <0.21 ug/l /20/18 19: ,2-Dichloropropane <0.23 ug/l /20/18 19: ,3-Dichloropropane <0.50 ug/l /20/18 19: ,2-Dichloropropane <0.48 ug/l /20/18 19: ,1-Dichloropropene <0.44 ug/l /20/18 19: cis-1,3-dichloropropene <0.50 ug/l /20/18 19: trans-1,3-dichloropropene <0.23 ug/l /20/18 19: Diethyl ether (Ethyl ether) <2.2 ug/l /20/18 19: Ethylbenzene <0.50 ug/l /20/18 19: Hexachloro-1,3-butadiene <2.1 ug/l /20/18 19: Isopropylbenzene (Cumene) <0.14 ug/l /20/18 19: p-isopropyltoluene <0.50 ug/l /20/18 19: Methylene Chloride 0.33J ug/l /20/18 19: Methyl-2-pentanone (MIBK) <2.1 ug/l /20/18 19: Date: 03/28/ :06 AM without the written consent of. Page 5 of 20
15 #=AR# ANALYTICAL RESULTS Project: CP-SHOREHAM YARD Pace Project No.: Sample: Lab ID: Collected: 03/15/18 08:00 Received: 03/16/18 08:35 Matrix: Water Parameters s Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Analytical Method: EPA 8260 Methyl-tert-butyl ether <0.17 ug/l /20/18 19: Naphthalene <2.5 ug/l /20/18 19: n-propylbenzene <0.50 ug/l /20/18 19: Styrene <0.50 ug/l /20/18 19: ,1,1,2-Tetrachloroethane <0.18 ug/l /20/18 19: ,1,2,2-Tetrachloroethane <0.25 ug/l /20/18 19: Tetrachloroethene <0.50 ug/l /20/18 19: Tetrahydrofuran <2.0 ug/l /20/18 19: Toluene <0.50 ug/l /20/18 19: ,2,3-Trichlorobenzene <2.1 ug/l /20/18 19: ,2,4-Trichlorobenzene <2.2 ug/l /20/18 19: ,1,1-Trichloroethane <0.50 ug/l /20/18 19: ,1,2-Trichloroethane <0.20 ug/l /20/18 19: Trichloroethene <0.33 ug/l /20/18 19: Trichlorofluoromethane <0.18 ug/l /20/18 19: ,2,3-Trichloropropane <0.50 ug/l /20/18 19: ,1,2-Trichlorotrifluoroethane <0.81 ug/l /20/18 19: ,2,4-Trimethylbenzene <0.50 ug/l /20/18 19: ,3,5-Trimethylbenzene <0.50 ug/l /20/18 19: Vinyl chloride <0.18 ug/l /20/18 19: m&p-xylene <1.0 ug/l /20/18 19: o-xylene <0.50 ug/l /20/18 19: Surrogates 4-Bromofluorobenzene (S) 94 % /20/18 19: HS Dibromofluoromethane (S) 101 % /20/18 19: Toluene-d8 (S) 96 % /20/18 19: Date: 03/28/ :06 AM without the written consent of. Page 6 of 20
16 #=AR# ANALYTICAL RESULTS Project: CP-SHOREHAM YARD Pace Project No.: Sample: SE EFFLUENT Lab ID: Collected: 03/15/18 15:00 Received: 03/16/18 08:35 Matrix: Water Parameters s Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Analytical Method: EPA 8260 Acetone <3.0 ug/l /20/18 21: Allyl chloride <2.2 ug/l /20/18 21: Benzene <0.50 ug/l /20/18 21: Bromobenzene <0.23 ug/l /20/18 21: Bromochloromethane <0.34 ug/l /20/18 21: Bromodichloromethane <0.50 ug/l /20/18 21: Bromoform <0.50 ug/l /20/18 21: Bromomethane <2.4 ug/l /20/18 21: Butanone (MEK) <3.0 ug/l /20/18 21: n-butylbenzene <0.50 ug/l /20/18 21: sec-butylbenzene <2.2 ug/l /20/18 21: tert-butylbenzene <0.18 ug/l /20/18 21: Carbon tetrachloride <0.50 ug/l /20/18 21: Chlorobenzene <0.50 ug/l /20/18 21: Chloroethane <0.37 ug/l /20/18 21: Chloroform <2.5 ug/l /20/18 21: Chloromethane <0.50 ug/l /20/18 21: Chlorotoluene <0.50 ug/l /20/18 21: Chlorotoluene <0.21 ug/l /20/18 21: ,2-Dibromo-3-chloropropane <2.2 ug/l /20/18 21: Dibromochloromethane <0.50 ug/l /20/18 21: ,2-Dibromoethane (EDB) <0.18 ug/l /20/18 21: Dibromomethane <0.43 ug/l /20/18 21: ,2-Dichlorobenzene <0.50 ug/l /20/18 21: ,3-Dichlorobenzene <0.50 ug/l /20/18 21: ,4-Dichlorobenzene <0.50 ug/l /20/18 21: Dichlorodifluoromethane <0.22 ug/l /20/18 21: ,1-Dichloroethane 35.6 ug/l /20/18 21: ,2-Dichloroethane <0.17 ug/l /20/18 21: ,1-Dichloroethene 12.6 ug/l /20/18 21: cis-1,2-dichloroethene 23.0 ug/l /20/18 21: trans-1,2-dichloroethene <0.26 ug/l /20/18 21: Dichlorofluoromethane <0.21 ug/l /20/18 21: ,2-Dichloropropane <0.23 ug/l /20/18 21: ,3-Dichloropropane <0.50 ug/l /20/18 21: ,2-Dichloropropane <0.48 ug/l /20/18 21: ,1-Dichloropropene <0.44 ug/l /20/18 21: cis-1,3-dichloropropene <0.50 ug/l /20/18 21: trans-1,3-dichloropropene <0.23 ug/l /20/18 21: Diethyl ether (Ethyl ether) <2.2 ug/l /20/18 21: Ethylbenzene <0.50 ug/l /20/18 21: Hexachloro-1,3-butadiene <2.1 ug/l /20/18 21: Isopropylbenzene (Cumene) <0.14 ug/l /20/18 21: p-isopropyltoluene <0.50 ug/l /20/18 21: Methylene Chloride <0.23 ug/l /20/18 21: Methyl-2-pentanone (MIBK) <2.1 ug/l /20/18 21: Date: 03/28/ :06 AM without the written consent of. Page 7 of 20
17 #=AR# ANALYTICAL RESULTS Project: CP-SHOREHAM YARD Pace Project No.: Sample: SE EFFLUENT Lab ID: Collected: 03/15/18 15:00 Received: 03/16/18 08:35 Matrix: Water Parameters s Units PQL MDL DF Prepared Analyzed CAS No. Qual 8260 MSV Analytical Method: EPA 8260 Methyl-tert-butyl ether <0.17 ug/l /20/18 21: Naphthalene <2.5 ug/l /20/18 21: n-propylbenzene <0.50 ug/l /20/18 21: Styrene <0.50 ug/l /20/18 21: ,1,1,2-Tetrachloroethane <0.18 ug/l /20/18 21: ,1,2,2-Tetrachloroethane <0.25 ug/l /20/18 21: Tetrachloroethene 156 ug/l /20/18 21: Tetrahydrofuran <2.0 ug/l /20/18 21: Toluene <0.50 ug/l /20/18 21: ,2,3-Trichlorobenzene <2.1 ug/l /20/18 21: ,2,4-Trichlorobenzene <2.2 ug/l /20/18 21: ,1,1-Trichloroethane 60.6 ug/l /20/18 21: ,1,2-Trichloroethane <0.20 ug/l /20/18 21: Trichloroethene 9.6 ug/l /20/18 21: Trichlorofluoromethane <0.18 ug/l /20/18 21: ,2,3-Trichloropropane <0.50 ug/l /20/18 21: ,1,2-Trichlorotrifluoroethane <0.81 ug/l /20/18 21: ,2,4-Trimethylbenzene <0.50 ug/l /20/18 21: ,3,5-Trimethylbenzene <0.50 ug/l /20/18 21: Vinyl chloride <0.18 ug/l /20/18 21: m&p-xylene <1.0 ug/l /20/18 21: o-xylene <0.50 ug/l /20/18 21: Surrogates 4-Bromofluorobenzene (S) 93 % /20/18 21: Dibromofluoromethane (S) 103 % /20/18 21: Toluene-d8 (S) 96 % /20/18 21: D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids <0.95 mg/l /19/18 16: COD Analytical Method: EPA Preparation Method: EPA Chemical Oxygen Demand <13.4 mg/l /27/18 10:32 03/27/18 13:00 Date: 03/28/ :06 AM without the written consent of. Page 8 of 20
18 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD QC Batch: QC Batch Method: EPA 8260 Associated Lab Samples: , Analysis Method: Analysis Description: EPA MSV METHOD BLANK: Associated Lab Samples: , Parameter Units Blank Matrix: Water Reporting Limit MDL Analyzed 1,1,1,2-Tetrachloroethane ug/l < /20/18 16:39 1,1,1-Trichloroethane ug/l < /20/18 16:39 1,1,2,2-Tetrachloroethane ug/l < /20/18 16:39 1,1,2-Trichloroethane ug/l < /20/18 16:39 1,1,2-Trichlorotrifluoroethane ug/l < /20/18 16:39 1,1-Dichloroethane ug/l < /20/18 16:39 1,1-Dichloroethene ug/l < /20/18 16:39 1,1-Dichloropropene ug/l < /20/18 16:39 1,2,3-Trichlorobenzene ug/l < /20/18 16:39 1,2,3-Trichloropropane ug/l < /20/18 16:39 1,2,4-Trichlorobenzene ug/l < /20/18 16:39 1,2,4-Trimethylbenzene ug/l < /20/18 16:39 1,2-Dibromo-3-chloropropane ug/l < /20/18 16:39 1,2-Dibromoethane (EDB) ug/l < /20/18 16:39 1,2-Dichlorobenzene ug/l < /20/18 16:39 1,2-Dichloroethane ug/l < /20/18 16:39 1,2-Dichloropropane ug/l < /20/18 16:39 1,3,5-Trimethylbenzene ug/l < /20/18 16:39 1,3-Dichlorobenzene ug/l < /20/18 16:39 1,3-Dichloropropane ug/l < /20/18 16:39 1,4-Dichlorobenzene ug/l < /20/18 16:39 2,2-Dichloropropane ug/l < /20/18 16:39 2-Butanone (MEK) ug/l < /20/18 16:39 2-Chlorotoluene ug/l < /20/18 16:39 4-Chlorotoluene ug/l < /20/18 16:39 4-Methyl-2-pentanone (MIBK) ug/l < /20/18 16:39 Acetone ug/l < /20/18 16:39 Allyl chloride ug/l < /20/18 16:39 Benzene ug/l < /20/18 16:39 Bromobenzene ug/l < /20/18 16:39 Bromochloromethane ug/l < /20/18 16:39 Bromodichloromethane ug/l < /20/18 16:39 Bromoform ug/l < /20/18 16:39 Bromomethane ug/l < /20/18 16:39 Carbon tetrachloride ug/l < /20/18 16:39 Chlorobenzene ug/l < /20/18 16:39 Chloroethane ug/l < /20/18 16:39 Chloroform ug/l < /20/18 16:39 Chloromethane ug/l 0.52J /20/18 16:39 cis-1,2-dichloroethene ug/l < /20/18 16:39 cis-1,3-dichloropropene ug/l < /20/18 16:39 Qualifiers s 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. Date: 03/28/ :06 AM without the written consent of. Page 9 of 20
19 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD METHOD BLANK: Associated Lab Samples: , Parameter Units Blank Matrix: Water Reporting Limit MDL Analyzed Dibromochloromethane ug/l < /20/18 16:39 Dibromomethane ug/l < /20/18 16:39 Dichlorodifluoromethane ug/l < /20/18 16:39 Dichlorofluoromethane ug/l < /20/18 16:39 Diethyl ether (Ethyl ether) ug/l < /20/18 16:39 Ethylbenzene ug/l < /20/18 16:39 Hexachloro-1,3-butadiene ug/l < /20/18 16:39 Isopropylbenzene (Cumene) ug/l < /20/18 16:39 m&p-xylene ug/l < /20/18 16:39 Methyl-tert-butyl ether ug/l < /20/18 16:39 Methylene Chloride ug/l < /20/18 16:39 n-butylbenzene ug/l < /20/18 16:39 n-propylbenzene ug/l < /20/18 16:39 Naphthalene ug/l < /20/18 16:39 o-xylene ug/l < /20/18 16:39 p-isopropyltoluene ug/l < /20/18 16:39 sec-butylbenzene ug/l < /20/18 16:39 Styrene ug/l < /20/18 16:39 tert-butylbenzene ug/l < /20/18 16:39 Tetrachloroethene ug/l < /20/18 16:39 Tetrahydrofuran ug/l < /20/18 16:39 Toluene ug/l < /20/18 16:39 trans-1,2-dichloroethene ug/l < /20/18 16:39 trans-1,3-dichloropropene ug/l < /20/18 16:39 Trichloroethene ug/l < /20/18 16:39 Trichlorofluoromethane ug/l < /20/18 16:39 Vinyl chloride ug/l < /20/18 16:39 4-Bromofluorobenzene (S) % /20/18 16:39 Dibromofluoromethane (S) % /20/18 16:39 Toluene-d8 (S) % /20/18 16:39 Qualifiers LABORATORY CONTROL SAMPLE: Parameter Units Spike Conc. LCS LCS % Rec % Rec Limits 1,1,1-Trichloroethane ug/l ,1,2,2-Tetrachloroethane ug/l ,1,2-Trichloroethane ug/l ,1,2-Trichlorotrifluoroethane ug/l ,1-Dichloroethane ug/l ,1-Dichloroethene ug/l ,2,4-Trichlorobenzene ug/l ,2-Dibromo-3-chloropropane ug/l ,2-Dibromoethane (EDB) ug/l ,2-Dichlorobenzene ug/l Qualifiers s 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. Date: 03/28/ :06 AM without the written consent of. Page 10 of 20
20 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD LABORATORY CONTROL SAMPLE: Parameter Units Spike Conc. LCS LCS % Rec % Rec Limits 1,2-Dichloroethane ug/l ,2-Dichloropropane ug/l ,3-Dichlorobenzene ug/l ,4-Dichlorobenzene ug/l Benzene ug/l Bromodichloromethane ug/l Bromoform ug/l Bromomethane ug/l Carbon tetrachloride ug/l Chlorobenzene ug/l Chloroethane ug/l Chloroform ug/l Chloromethane ug/l cis-1,2-dichloroethene ug/l cis-1,3-dichloropropene ug/l Dibromochloromethane ug/l Dichlorodifluoromethane ug/l Ethylbenzene ug/l Isopropylbenzene (Cumene) ug/l m&p-xylene ug/l Methyl-tert-butyl ether ug/l Methylene Chloride ug/l o-xylene ug/l Styrene ug/l Tetrachloroethene ug/l Toluene ug/l trans-1,2-dichloroethene ug/l trans-1,3-dichloropropene ug/l Trichloroethene ug/l Trichlorofluoromethane ug/l Vinyl chloride ug/l Bromofluorobenzene (S) % Dibromofluoromethane (S) % Toluene-d8 (S) % Qualifiers MATRIX SPIKE & MATRIX SPIKE DUPLICATE: MS Spike Parameter Units Conc. MSD Spike Conc MS MSD MS % Rec MSD % Rec Max % Rec Limits RPD RPD 1,1,1-Trichloroethane ug/l < ,1,2,2-Tetrachloroethane ug/l < ,1,2-Trichloroethane ug/l < ,1,2-Trichlorotrifluoroethane ug/l < ,1-Dichloroethane ug/l < ,1-Dichloroethene ug/l < Qual s 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. Date: 03/28/ :06 AM without the written consent of. Page 11 of 20
21 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD MATRIX SPIKE & MATRIX SPIKE DUPLICATE: MS Spike Parameter Units Conc. MSD Spike Conc MS MSD MS % Rec MSD % Rec Max % Rec Limits RPD RPD 1,2,4-Trichlorobenzene ug/l < ,2-Dibromo-3- ug/l < chloropropane 1,2-Dibromoethane (EDB) ug/l < ,2-Dichlorobenzene ug/l < ,2-Dichloroethane ug/l < ,2-Dichloropropane ug/l < ,3-Dichlorobenzene ug/l < ,4-Dichlorobenzene ug/l < Benzene ug/l Bromodichloromethane ug/l < Bromoform ug/l < Bromomethane ug/l < R1 Carbon tetrachloride ug/l < Chlorobenzene ug/l < Chloroethane ug/l < Chloroform ug/l < Chloromethane ug/l < cis-1,2-dichloroethene ug/l < cis-1,3-dichloropropene ug/l < Dibromochloromethane ug/l < Dichlorodifluoromethane ug/l < Ethylbenzene ug/l < Isopropylbenzene (Cumene) ug/l < m&p-xylene ug/l < Methyl-tert-butyl ether ug/l < Methylene Chloride ug/l < o-xylene ug/l < Styrene ug/l < Tetrachloroethene ug/l < Toluene ug/l 23.3J trans-1,2-dichloroethene ug/l < trans-1,3-dichloropropene ug/l < Trichloroethene ug/l < Trichlorofluoromethane ug/l < Vinyl chloride ug/l < Bromofluorobenzene (S) % Dibromofluoromethane (S) % Toluene-d8 (S) % Qual s 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. Date: 03/28/ :06 AM without the written consent of. Page 12 of 20
22 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD QC Batch: QC Batch Method: SM 2540D Associated Lab Samples: Analysis Method: Analysis Description: SM 2540D 2540D Total Suspended Solids METHOD BLANK: Associated Lab Samples: Parameter Units Blank Matrix: Water Reporting Limit MDL Analyzed Total Suspended Solids mg/l < /19/18 16:44 Qualifiers LABORATORY CONTROL SAMPLE: Parameter Units Spike Conc. LCS LCS % Rec % Rec Limits Total Suspended Solids mg/l Qualifiers SAMPLE DUPLICATE: Parameter Units Dup Total Suspended Solids mg/l RPD Max RPD Qualifiers SAMPLE DUPLICATE: Parameter Units Dup Total Suspended Solids mg/l R1 RPD Max RPD Qualifiers s 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. Date: 03/28/ :06 AM without the written consent of. Page 13 of 20
23 #=QC# QUALITY CONTROL DATA Project: Pace Project No.: CP-SHOREHAM YARD QC Batch: QC Batch Method: EPA Associated Lab Samples: Analysis Method: Analysis Description: EPA COD METHOD BLANK: Associated Lab Samples: Parameter Units Blank Matrix: Water Reporting Limit MDL Analyzed Chemical Oxygen Demand mg/l < /27/18 12:58 Qualifiers LABORATORY CONTROL SAMPLE: Parameter Units Spike Conc. LCS LCS % Rec % Rec Limits Chemical Oxygen Demand mg/l Qualifiers MATRIX SPIKE & MATRIX SPIKE DUPLICATE: MS Spike Parameter Units Conc. MSD Spike Conc MS MSD MS % Rec MSD % Rec Max % Rec Limits RPD RPD Chemical Oxygen Demand mg/l 21.3J Qual MATRIX SPIKE & MATRIX SPIKE DUPLICATE: MS Spike Parameter Units Conc. MSD Spike Conc MS MSD MS % Rec MSD % Rec Max % Rec Limits RPD RPD Chemical Oxygen Demand mg/l < Qual s 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. Date: 03/28/ :06 AM without the written consent of. Page 14 of 20
24 #=QL# QUALIFIERS Project: Pace Project No.: CP-SHOREHAM YARD 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 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. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 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-G Pace Analytical Services - Green Bay ANALYTE QUALIFIERS HS R1 s are from sample aliquot taken from VOA vial with headspace (air bubble greater than 6 mm diameter). RPD value was outside control limits. Date: 03/28/ :06 AM without the written consent of. Page 15 of 20
25 #=CR# QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: CP-SHOREHAM YARD Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch EPA SE EFFLUENT EPA SE EFFLUENT SM 2540D SE EFFLUENT EPA EPA Date: 03/28/ :06 AM without the written consent of. Page 16 of 20
26 pany Name: Project Contact: Phone: Project Number: Project Name: *'Preservation Codes A=None B=HCL C=H2S04 D=HN03 E=DI Water F=Methanol G=NaOH H:::Sodlum Bisulfate Solution c!=sodium Thiosulfate J=Other UPPER MIDWEST REGION MN: WI: ~ Quote#: Mail To Contact: Mail To Company: Mail To Address: <? 11 Page of Page 17 of 20 Project State: FILTERED? (YES/ND) Sampled By (Print): PRESERVATION (CODE)* Invoice To Contact: Sampled By (Sign): Invoice To Company: PO#: Regulatory Program: Invoice To Address: PACE LAB# &o I oo.l MS/MSD On your sample (billable) NOT needed on your sample A=Air B Biota C""' Charcoal O=Oi! 1' I Invoice To Phone: CLIENT COMMENTS LAB COMMENTS Use Only) Profile fl. Rush Turnaround Time Requested Prelims (Rush TAT subject to approval/surcharge) Date NAe111aa: (complete what
27 ,,l.,,~,,,-, ' Pace Analytical Document Name: Revised Date: 28Sep2016 Minneapolis Cooler Transfer Check List Page 1 of 1 Document Number: Issuing Authority: F-MN-C-214-Rev.01 Pace Minnesota Quality Office Minneapolis Service Center Cooler Transfer Check List Client lfd I lij lttotf~ Destination Lab: Received with Custody Seal: Yes Custody Seal Intact Yes No Temp Read Corrected Temp Correction Factor Temperature C: 12 IRGun: ii'samples on ice, cooling process has begun Rush/Short Hold: Containers Intact: No Re-packed and Re-Iced: Temp Blank luded: Shipped By/Date: / I Notes: Page 18 of 20
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