HomeMy WebLinkAboutDERR-2025-0006331
FACILITY ID# . PETROLEUM STORAGE TANK PERMANENT CLOSURE NOTICE …
State Use Only
Date Processed by
Date Mailed to LHD
LUST ID#
Date to LUST Review
Closure Notice prepared at the request of the owner/operator (identified below) by
of (company name) Phone #
Address City State Zip
TANKS CLOSED
Piping Only Tank #
Please complete for each tank
Type (Steel,FRP,etc.)
Date Installed
Capacity (Gallons)
Substance stored*
Date last operated
Date Closed
Removed/In Place/Change in
Service (CIS)?
*Indicate the specific substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
CLOSURE INFORMATION
Fuel was emptied Sludge was removed Tank was cleaned
Tank was: Purged Inerted Method Used:
Location of Closure Records:
For In-Place Closure: tanks filled with:
For Change-In-Service: Substance to be stored:
FACILITY INFORMATION
Tank Owner Phone #
Address City State Zip
Facility Name
Address City State Zip
Contact person Phone #
Total number of regulated petroleum storage tanks at this site before closure
Total number of regulated petroleum storage tanks at this site after closure
TANK REMOVER Name Cert. # TR Exp. Date
Company Phone #
Address City State Zip
SOIL/GROUNDWATER SAMPLER Name Cert. # GS Exp. Date
Company Phone #
Address City State Zip
Stantec Consulting Services, Inc. (801) 261- 0090
Josie Messersmith
2890 East Cottonwood Parkway, Suite 300 Salt Lake City UT 84121
7-Eleven, Inc.
PO Box 711 (Loc. 0148)Dallas TX 75221-0711
7-Eleven Store No. 25117
287 West 3300 South South Salt Lake UT 84115
3
0
2 31
steel steel steel
4/15/1984 4/15/1984 4/15/1984
10,000 10,000 10,000
GASOLINE GASOLINE GASOLINE
10/22/2024 10/22/2024 10/22/2024
10/10/2024 10/10/2024
REMOVAL REMOVAL REMOVAL
Traci Gee 0464 8/16/2025
ET Technologies 801-977-0731
3110 W. California Ave, Ste D Salt Lake City UT 84104
Steve Yorgason
Stantec Consulting Services, Inc.(801) 261-0090
2890 East Cottonwood Parkway, Suite 300 Salt Lake City UT 84121
dry ice
x x x
Stantec Consulting Services Inc.
NA
NA
4001039
Marc Westfall (214) 415 -0146
(214) 415-0146
10/10/2024
X
1630 4/15/2025
1/16/2025
2
DISPOSAL SITES USED
Location Name Contact Name Phone # Date Amount
Tank(s) Tank #
Product From Tank(s)
Contaminated Water
From Tank Cleaning
Sludge
Contaminated Water
From Excavation
Contaminated Soil
SITE ASSESSMENT
Complete the Facility Site Plat (Closure Notice) and Sample Information Table (Closure Notice) on pages 3 and 4 to show the locations,
depths, and other information on all soil/groundwater samples taken for closure. The samples must be consistently identified by sample ID #
on the site plat, table, and lab analysis report.
Completed Facility Site Plat (Closure Notice) is attached.
The following must be included (enter the distance, and direction (N,S,E,W) from the area of contamination or, where applicable,
use OH for overhead, NP for not present):
Water Line Sewer Line Telephone
Samples were properly: Collected Labeled Packaged Transported
Samples were in sight of the person in custody at all times or in a secured locked place.
I certify under penalty of law that the closure site assessment at this facility was conducted in accordance with 40 CFR
280.52, 40 CFR 280.72, and U.A.C. R311-205, and that any additional samples required by 40 CFR 280.52, 40 CFR 280.72 and
U.A.C. R311-205-2(1)(a) were properly collected.
Signature of Certified Groundwater/Soil Sampler
Full name of Certified Sampler Date
If contamination at the facility is confirmed, any person providing remedial assistance for a fee must be a Certified UST Consultant. The
Certified UST Consultant providing assistance is:
CERTIFIED UST CONSULTANT
Name Cert. #CC Exp. Date
Company Address
City State Zip Phone #
Please explain any unusual circumstances that occurred during the site assessment or closure:
Stantec Consulting Services Inc. 2890 East Cottonwood Parkway, Suite 33
Salt Lake City UT 83279 801-261-0090
Metro Group Office (435) 623-3408 310/22/2024
de minimis --------
NA
NA
NA
--
--
--
--
--
----
--
--
--
--
--
STC Industrial Services Inc Shane Adolf (801) 595-8151
X
250 G10/14/2024
X X X X
X
X
X
X
NP NP NP Natural Gas NP Storm Drain UK
Completed Sample Information Table (Closure Notice) is attached.
Certified lab analytical environmental sample results are attached.
Unified Soil Classification (USC) sample results are attached.
Chain of Custody form is attached.
X
Anna Skinner 0271 12/31/2026
Release identified based on groundwater analytical data. Field screening did not indicate a release. Release
assigned ID OMA to Hong-Lei Tao.
Steve Yorgason 01-15-2025
The original SS-6 sample presented in the Closure Plan was not collected as the piping layout was different
than expected. The SS-6 sample included in this Closure Notice is a duplicate collected at the SS-5 location.
3
Facility Site Plat (Closure Notice)
The site plat must be drawn to an appropriate identified scale. It must show planned sampling locations, substances stored in tanks, and
other relevant information. Tank and sample identification numbers must be consistent with the information given on p. 1 and 4 of the
Closure Notice.
Facility ID: Drawn By: Date:
X = Sample locations (SS-#, WS-#, USC-#) Site Plat Must Indicate Actual Locations Of:
0 = Monitoring Wells (MW-#) √Current & former tanks, piping & dispensers
= Soil boring (SB-#), or Geoprobe Boring (GP-#) √ Location of all samples to be taken
●= Water Wells (domestic, livestock, etc.)√ Buildings, fences, & property boundaries
Slope of Surface Topography: (N,NW,W,SW,S,SE,E,NE)√ Utility conduits (sewers, gas, water, storm drains, electrical, etc.)
Land Use At Site: Residential Commercial Industrial √ Depth to groundwater (if encountered)
Surrounding Land: Residential Commercial Industrial √Excavations, GW monitoring wells & soil stockpiles
North Scale: 1”= Feet
SEE ATTACHED SITE PLAT
4
SAMPLE INFORMATION TABLE (Closure Notice)
Complete table for all samples that were taken for closure. Sample ID numbers on the table must be consistent with the sample ID
numbers given on the site plat and in the lab analysis report.
1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC).2 Final depth (in feet) below grade at which samples were taken.3 Contaminant compound(s) analyzed for each sample (TPH, BTEXN, O&G, etc).
4 Appropriate analysis methods for contaminant compound(s) in each sample
State Certified Laboratory used
Address City State Zip
Contact Person Phone #
I certify under penalty of law that I am the Owner of the tank(s) described above and that I am familiar with the information on this form
and that it is true, accurate and complete and further, that the procedures described herein were followed during tank closure.
Signature of PST owner
Full Name of owner Date
Return completed Closure Notice form, Facility Site Plat and Sample Information Table, Soil/Groundwater sample lab analysis results,
USC sample results, and Chain of Custody form within 90 days of PST Closure to:
Mailing Address:
State of Utah Dept. of Environmental Quality DERR / PST Section P.O. Box 144840 Salt Lake City, Utah 84114-4840
Sample
#
Substance
stored in tank
Sample
type1 Depth2 Compounds3 Analysis method(s)4
Street Address:
Multi Agency State Office Building 195 North 1950 West (First Floor) Salt Lake City, Utah 84116
SS-1
SS-2
SS-3
SS-4
SS-5
SS-6
(SS-5 duplicate)
gasoline
gasoline
gasoline
gasoline
gasoline
gasoline
SS
SS
SS
SS
SS
SS
6.5
6.5
4
4
4
4
MBTEXN and GRO
MBTEXN and GRO
MBTEXN and GRO
MBTEXN and GRO
MBTEXN and GRO
MBTEXN and GRO
8260
8260
8260
8260
8260
ASTM-D2487
ASTM-D2487
8260
8260
ASTM-D2487
Pace National Analytical
12065 Lebanon Road Mt. Juliet UT 37122
Marty Edwards (615) 758-5858
SS-7 gasoline SS 4
MBTEXN and GRO
8260
8260
USC-1
USC-2
USC-3
gasoline and diesel
gasoline and diesel
USC
USC
USC
6.5
4
4 USC
USC
USC
gasoline and diesel
Marc Westfall
GW-1 gasoline SS
GW-2 gasoline SS 6.5
6.5 MBTEXN and GRO
MBTEXN and GRO
1/15/25
UE UE
UE
UE
UE UE UE UE UE UE
CONCRETE
GRASS SIGN
CONCRETE
GRASS
LIGHT
POLE
SIDEWALK
CONCRETE
SIDEWALK
SEWERTRAFFIC
POLE
PP
PP
PP
PP
PPPPPP
PP
PP
PP
C
O
N
C
R
E
T
E
ELEVEN
7-ELEVEN STORE
No.25117
CONCRETE
PARKING
SIDEWALK
PHONES
GR
A
S
S
SI
D
E
W
A
L
K
SI
G
N
CANOPY
LIGHT
POLE
FIRE HYDRANT
30
0
W
E
S
T
330 SOUTH
WATER METER
WATER METER
ELECTRICAL BOX
SI
D
E
W
A
L
K
GAS
METER
LIGHT
ELECTRICAL
PANELS
DUMPSTER
VIC'S
PERFORMANCE
AUTOMOTIVE
LIGHT
POLE
INDUSTRIAL PRODUCTS MFG.
ELECTRIC
POLE
CONCRETE
ASPHALT
USTs
AIR
MW-1
MW-2
MW-3
PH-5
PH-8
PH-7
PH-4
PH-6
PH-3
PH-2
PH-1
SS-7
SS-5/SS-6
SS-4/USC-3
SS-3/USC-2
GW-1 SS-2
SS-1/USC-1 GW-2
FOR:
No warranty is made by Stantec Consulting Services Inc. as to the accuracy, reliability, or completeness of these data. Original data were
compiled from various sources. This information may not meet National Map Accuracy Standards. This product was developed
electronically, and may be updated without notification. Any reproduction may result in a loss of scale and or information.
STA/AS AS SY 01/15/25
1SITE PLAN
JOB NUMBER:DRAWN BY:CHECKED BY:APPROVED BY:DATE:
FIGURE:
203724138
ELEVEN
PHONE:
2890 E COTTONWOOD PKWY, STE 300
SALT LAKE CITY, UTAH
(801) 261-0090
7-ELEVEN STORE No.25117
287 WEST 3300 SOUTH
SALT LAKE CITY, UTAH
MW-1 ABANDONED MONITORING WELL LOCATION
PH-4 PROBEHOLE LOCATION
LEGEND
N
0 30 60
APPROXIMATE SCALE IN FEET
SS = CLOSURE SOIL SAMPLE LOCATION
GW = CLOSURE GROUNDWATER SAMPLE LOCATION
USC = UNIFIED SOIL CLASSIFICATION SYSTEM SAMPLE LOCATION
OVERHEAD ELECTRIC LINE
ELECTRIC LINE
GAS LINE
STORM DRAIN
WATER LINE
UNKNOWN UTILITY LINE
PRODUCT RETURN LINEPP
ANALYTICAL REPORT
November 05, 2024
Stantec - 7-11 (Direct)
Sample Delivery Group:L1792023
Samples Received:10/24/2024
Project Number:203724138
Description:7-11#25117 South Salt Lake, UT
Site:25117
Report To:Anna Skinner
2890 E Cottonwood Pkwy
Suite 300
Salt Lake City, UT 84121
Entire Report Reviewed By:
November 05, 2024
[Preliminary Report]
Marty Edwards III
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067 and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
Pace Analytical National
12065 Lebanon Rd Mount Juliet, TN 37122 615-758-5858 800-767-5859 mydata.pacelabs.com
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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November 05, 2024
Marty Edwards III
Project Manager
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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TABLE OF CONTENTS
Cp: Cover Page 1
Tc: Table of Contents 2
Ss: Sample Summary 3
Cn: Case Narrative 5
Sr: Sample Results 6
SS-1 L1792023-01 6
SS-2 L1792023-02 7
SS-3 L1792023-03 8
SS-4 L1792023-04 9
SS-5 L1792023-05 10
SS-6 L1792023-06 11
SS-7 L1792023-07 12
GW-1 L1792023-08 13
GW-2 L1792023-09 14
Qc: Quality Control Summary 15
Total Solids by Method 2540 G-2011 15
Volatile Organic Compounds (GC/MS) by Method 8260B 17
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 18
Gl: Glossary of Terms 21
Al: Accreditations & Locations 22
Sc: Sample Chain of Custody 23
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE SUMMARY
Collected by Collected date/time Received date/time
SS-1 L1792023-01 Solid Steve Y.10/22/24 11:30 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392769 1 10/27/24 11:44 10/31/24 07:48 ADM Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-2 L1792023-02 Solid Steve Y.10/22/24 11:15 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392348 1 10/27/24 11:44 10/30/24 14:39 JAH Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-3 L1792023-03 Solid Steve Y.10/22/24 16:00 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392348 1 10/27/24 11:44 10/30/24 15:00 JAH Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-4 L1792023-04 Solid Steve Y.10/22/24 15:34 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392348 1 10/27/24 11:44 10/30/24 15:21 JAH Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-5 L1792023-05 Solid Steve Y.10/22/24 15:40 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392769 1 10/27/24 11:44 10/31/24 08:09 ADM Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-6 L1792023-06 Solid Steve Y.10/22/24 16:30 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388943 1 10/25/24 13:00 10/25/24 13:10 MT Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392348 1 10/27/24 11:44 10/30/24 15:42 JAH Mt. Juliet, TN
Collected by Collected date/time Received date/time
SS-7 L1792023-07 Solid Steve Y.10/22/24 15:45 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Total Solids by Method 2540 G-2011 WG2388945 1 10/25/24 08:14 10/25/24 08:25 KDW Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2392348 1 10/27/24 11:44 10/30/24 16:03 JAH Mt. Juliet, TN
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE SUMMARY
Collected by Collected date/time Received date/time
GW-1 L1792023-08 GW Steve Y.10/22/24 12:30 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Volatile Organic Compounds (GC/MS) by Method 8260B WG2395246 25 11/05/24 04:40 11/05/24 04:40 ACG Mt. Juliet, TN
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2394648 1 11/03/24 20:46 11/03/24 20:46 ACG Mt. Juliet, TN
Collected by Collected date/time Received date/time
GW-2 L1792023-09 GW Steve Y.10/22/24 11:45 10/24/24 08:00
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 WG2394648 10 11/04/24 01:20 11/04/24 01:20 ACG Mt. Juliet, TN
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data.
[Preliminary Report]
Marty Edwards III
Project Manager
Sample Delivery Group (SDG) Narrative
pH outside of method requirement.
Lab Sample ID Project Sample ID Method
L1792023-08 GW-1 8260B, 8260B/8260B/OA1
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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Marty Edwards III
Project Manager
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 01
L1792023
SS-1
Collected date/time: 10/22/24 11:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 81.4 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction 1.56 0.500 1 10/31/2024 07:48 WG2392769
Benzene 0.00122 0.00100 1 10/31/2024 07:48 WG2392769
Toluene ND 0.00500 1 10/31/2024 07:48 WG2392769
Ethylbenzene 0.00693 0.00100 1 10/31/2024 07:48 WG2392769
Xylenes, Total ND 0.00300 1 10/31/2024 07:48 WG2392769
Methyl tert-butyl ether ND 0.00100 1 10/31/2024 07:48 WG2392769
Naphthalene 0.0286 0.00500 1 10/31/2024 07:48 WG2392769
(S) Toluene-d8 104 75.0-131 10/31/2024 07:48 WG2392769
(S) 4-Bromofluorobenzene 94.3 67.0-138 10/31/2024 07:48 WG2392769
(S) 1,2-Dichloroethane-d4 124 70.0-130 10/31/2024 07:48 WG2392769
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 02
L1792023
SS-2
Collected date/time: 10/22/24 11:15
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 90.7 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/30/2024 14:39 WG2392348
Benzene ND 0.00100 1 10/30/2024 14:39 WG2392348
Toluene ND 0.00500 1 10/30/2024 14:39 WG2392348
Ethylbenzene ND 0.00100 1 10/30/2024 14:39 WG2392348
Xylenes, Total ND 0.00300 1 10/30/2024 14:39 WG2392348
Methyl tert-butyl ether ND 0.00100 1 10/30/2024 14:39 WG2392348
Naphthalene ND 0.00500 1 10/30/2024 14:39 WG2392348
(S) Toluene-d8 106 75.0-131 10/30/2024 14:39 WG2392348
(S) 4-Bromofluorobenzene 103 67.0-138 10/30/2024 14:39 WG2392348
(S) 1,2-Dichloroethane-d4 118 70.0-130 10/30/2024 14:39 WG2392348
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 03
L1792023
SS-3
Collected date/time: 10/22/24 16:00
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 81.6 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/30/2024 15:00 WG2392348
Benzene 0.00113 0.00100 1 10/30/2024 15:00 WG2392348
Toluene ND 0.00500 1 10/30/2024 15:00 WG2392348
Ethylbenzene 0.00180 0.00100 1 10/30/2024 15:00 WG2392348
Xylenes, Total 0.0266 0.00300 1 10/30/2024 15:00 WG2392348
Methyl tert-butyl ether ND 0.00100 1 10/30/2024 15:00 WG2392348
Naphthalene 0.0308 0.00500 1 10/30/2024 15:00 WG2392348
(S) Toluene-d8 104 75.0-131 10/30/2024 15:00 WG2392348
(S) 4-Bromofluorobenzene 104 67.0-138 10/30/2024 15:00 WG2392348
(S) 1,2-Dichloroethane-d4 114 70.0-130 10/30/2024 15:00 WG2392348
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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SAMPLE RESULTS - 04
L1792023
SS-4
Collected date/time: 10/22/24 15:34
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 88.9 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/30/2024 15:21 WG2392348
Benzene 0.00142 0.00100 1 10/30/2024 15:21 WG2392348
Toluene ND 0.00500 1 10/30/2024 15:21 WG2392348
Ethylbenzene ND 0.00100 1 10/30/2024 15:21 WG2392348
Xylenes, Total ND 0.00300 1 10/30/2024 15:21 WG2392348
Methyl tert-butyl ether ND 0.00100 1 10/30/2024 15:21 WG2392348
Naphthalene ND 0.00500 1 10/30/2024 15:21 WG2392348
(S) Toluene-d8 104 75.0-131 10/30/2024 15:21 WG2392348
(S) 4-Bromofluorobenzene 103 67.0-138 10/30/2024 15:21 WG2392348
(S) 1,2-Dichloroethane-d4 119 70.0-130 10/30/2024 15:21 WG2392348
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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SAMPLE RESULTS - 05
L1792023
SS-5
Collected date/time: 10/22/24 15:40
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 84.9 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/31/2024 08:09 WG2392769
Benzene ND 0.00100 1 10/31/2024 08:09 WG2392769
Toluene ND 0.00500 1 10/31/2024 08:09 WG2392769
Ethylbenzene ND 0.00100 1 10/31/2024 08:09 WG2392769
Xylenes, Total ND 0.00300 1 10/31/2024 08:09 WG2392769
Methyl tert-butyl ether ND 0.00100 1 10/31/2024 08:09 WG2392769
Naphthalene 0.0146 0.00500 1 10/31/2024 08:09 WG2392769
(S) Toluene-d8 107 75.0-131 10/31/2024 08:09 WG2392769
(S) 4-Bromofluorobenzene 111 67.0-138 10/31/2024 08:09 WG2392769
(S) 1,2-Dichloroethane-d4 117 70.0-130 10/31/2024 08:09 WG2392769
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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SAMPLE RESULTS - 06
L1792023
SS-6
Collected date/time: 10/22/24 16:30
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 82.1 1 10/25/2024 13:10 WG2388943
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/30/2024 15:42 WG2392348
Benzene ND 0.00100 1 10/30/2024 15:42 WG2392348
Toluene ND 0.00500 1 10/30/2024 15:42 WG2392348
Ethylbenzene ND 0.00100 1 10/30/2024 15:42 WG2392348
Xylenes, Total 0.00491 0.00300 1 10/30/2024 15:42 WG2392348
Methyl tert-butyl ether ND 0.00100 1 10/30/2024 15:42 WG2392348
Naphthalene 0.0119 0.00500 1 10/30/2024 15:42 WG2392348
(S) Toluene-d8 108 75.0-131 10/30/2024 15:42 WG2392348
(S) 4-Bromofluorobenzene 106 67.0-138 10/30/2024 15:42 WG2392348
(S) 1,2-Dichloroethane-d4 116 70.0-130 10/30/2024 15:42 WG2392348
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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SAMPLE RESULTS - 07
L1792023
SS-7
Collected date/time: 10/22/24 15:45
Total Solids by Method 2540 G-2011
Result Qualifier Dilution Analysis Batch
Analyte %date / time
Total Solids 89.8 1 10/25/2024 08:25 WG2388945
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
TPH (GC/MS) Low Fraction ND 0.500 1 10/30/2024 16:03 WG2392348
Benzene ND 0.00100 1 10/30/2024 16:03 WG2392348
Toluene ND 0.00500 1 10/30/2024 16:03 WG2392348
Ethylbenzene ND 0.00100 1 10/30/2024 16:03 WG2392348
Xylenes, Total ND 0.00300 1 10/30/2024 16:03 WG2392348
Methyl tert-butyl ether ND 0.00100 1 10/30/2024 16:03 WG2392348
Naphthalene ND 0.00500 1 10/30/2024 16:03 WG2392348
(S) Toluene-d8 105 75.0-131 10/30/2024 16:03 WG2392348
(S) 4-Bromofluorobenzene 105 67.0-138 10/30/2024 16:03 WG2392348
(S) 1,2-Dichloroethane-d4 120 70.0-130 10/30/2024 16:03 WG2392348
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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SAMPLE RESULTS - 08
L1792023
GW-1
Collected date/time: 10/22/24 12:30
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/l mg/l date / time
TPH (GC/MS) Low Fraction 10.4 0.500 1 11/03/2024 20:46 WG2394648
Benzene 0.0737 0.00100 1 11/03/2024 20:46 WG2394648
Toluene 0.942 0.0250 25 11/05/2024 04:40 WG2395246
Ethylbenzene 0.674 0.0250 25 11/05/2024 04:40 WG2395246
Xylenes, Total 4.06 0.0750 25 11/05/2024 04:40 WG2395246
Methyl tert-butyl ether ND 0.00100 1 11/03/2024 20:46 WG2394648
Naphthalene 0.684 0.125 25 11/05/2024 04:40 WG2395246
(S) Toluene-d8 102 80.0-120 11/03/2024 20:46 WG2394648
(S) Toluene-d8 109 80.0-120 11/05/2024 04:40 WG2395246
(S) 4-Bromofluorobenzene 106 77.0-126 11/03/2024 20:46 WG2394648
(S) 4-Bromofluorobenzene 103 77.0-126 11/05/2024 04:40 WG2395246
(S) 1,2-Dichloroethane-d4 121 70.0-130 11/03/2024 20:46 WG2394648
(S) 1,2-Dichloroethane-d4 114 70.0-130 11/05/2024 04:40 WG2395246
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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SAMPLE RESULTS - 09
L1792023
GW-2
Collected date/time: 10/22/24 11:45
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/l mg/l date / time
TPH (GC/MS) Low Fraction 13.6 5.00 10 11/04/2024 01:20 WG2394648
Benzene 0.0573 0.0100 10 11/04/2024 01:20 WG2394648
Toluene 0.764 0.0100 10 11/04/2024 01:20 WG2394648
Ethylbenzene 0.571 0.0100 10 11/04/2024 01:20 WG2394648
Xylenes, Total 3.36 0.0300 10 11/04/2024 01:20 WG2394648
Methyl tert-butyl ether ND 0.0100 10 11/04/2024 01:20 WG2394648
Naphthalene 0.636 0.0500 10 11/04/2024 01:20 WG2394648
(S) Toluene-d8 105 80.0-120 11/04/2024 01:20 WG2394648
(S) 4-Bromofluorobenzene 103 77.0-126 11/04/2024 01:20 WG2394648
(S) 1,2-Dichloroethane-d4 122 70.0-130 11/04/2024 01:20 WG2394648
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2388943
Total Solids by Method 2540 G-2011 L1792023-01,02,03,04,05,06
Method Blank (MB)
(MB) R4137972-1 10/25/24 13:10
MB Result MB Qualifier MB MDL MB RDL
Analyte %%%
Total Solids 0.000
L1792023-04 Original Sample (OS) • Duplicate (DUP)
(OS) L1792023-04 10/25/24 13:10 • (DUP) R4137972-3 10/25/24 13:10
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte %%%%
Total Solids 88.9 85.4 1 4.03 10
Laboratory Control Sample (LCS)
(LCS) R4137972-2 10/25/24 13:10
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte %%%%
Total Solids 50.0 50.0 100 90.0-110
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2388945
Total Solids by Method 2540 G-2011 L1792023-07
Method Blank (MB)
(MB) R4137957-1 10/25/24 08:25
MB Result MB Qualifier MB MDL MB RDL
Analyte %%%
Total Solids 0.00100
L1792054-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1792054-01 10/25/24 08:25 • (DUP) R4137957-3 10/25/24 08:25
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte %%%%
Total Solids 92.5 92.8 1 0.284 10
Laboratory Control Sample (LCS)
(LCS) R4137957-2 10/25/24 08:25
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte %%%%
Total Solids 50.0 50.0 100 90.0-110
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2395246
Volatile Organic Compounds (GC/MS) by Method 8260B L1792023-08
Method Blank (MB)
(MB) R4142079-4 11/04/24 23:15
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/l mg/l mg/l
Toluene U 0.000278 0.00100
Ethylbenzene U 0.000137 0.00100
Xylenes, Total U 0.000174 0.00300
Naphthalene U 0.00100 0.00500
(S) Toluene-d8 110 80.0-120
(S) 4-Bromofluorobenzene 102 77.0-126
(S) 1,2-Dichloroethane-d4 121 70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R4142079-1 11/04/24 21:50 • (LCSD) R4142079-2 11/04/24 22:11
Spike Amount LCS Result LCSD Result LCS Rec.LCSD Rec.Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/l mg/l mg/l %%%%%
Toluene 0.00500 0.00523 0.00539 105 108 79.0-120 3.01 20
Ethylbenzene 0.00500 0.00471 0.00475 94.2 95.0 79.0-123 0.846 20
Xylenes, Total 0.0150 0.0143 0.0147 95.3 98.0 79.0-123 2.76 20
Naphthalene 0.00500 0.00612 0.00631 122 126 54.0-135 3.06 20
(S) Toluene-d8 107 107 80.0-120
(S) 4-Bromofluorobenzene 102 103 77.0-126
(S) 1,2-Dichloroethane-d4 121 124 70.0-130
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2392348
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 L1792023-02,03,04,06,07
Method Blank (MB)
(MB) R4140454-4 10/30/24 14:11
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/MS) Low Fraction U 0.183 0.500
Benzene U 0.000375 0.00100
Toluene U 0.00123 0.00500
Ethylbenzene U 0.000300 0.00100
Xylenes, Total U 0.000500 0.00300
Methyl tert-butyl ether U 0.000350 0.00100
Naphthalene U 0.00498 0.00500
(S) Toluene-d8 111 75.0-131
(S) 4-Bromofluorobenzene 102 67.0-138
(S) 1,2-Dichloroethane-d4 106 70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R4140454-1 10/30/24 10:52 • (LCSD) R4140454-2 10/30/24 11:50
Spike Amount LCS Result LCSD Result LCS Rec.LCSD Rec.Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg %%%%%
Benzene 0.0250 0.0261 0.0243 104 97.2 70.0-123 7.14 20
Toluene 0.0250 0.0228 0.0217 91.2 86.8 75.0-121 4.94 20
Ethylbenzene 0.0250 0.0232 0.0216 92.8 86.4 74.0-126 7.14 20
Xylenes, Total 0.0750 0.0676 0.0635 90.1 84.7 72.0-127 6.25 20
Methyl tert-butyl ether 0.0250 0.0286 0.0264 114 106 66.0-132 8.00 20
Naphthalene 0.0250 0.0215 0.0206 86.0 82.4 59.0-130 4.28 20
(S) Toluene-d8 109 108 75.0-131
(S) 4-Bromofluorobenzene 106 104 67.0-138
(S) 1,2-Dichloroethane-d4 111 112 70.0-130
Laboratory Control Sample (LCS)
(LCS) R4140454-3 10/30/24 13:08
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/MS) Low Fraction 5.00 4.31 86.2 52.0-154
(S) Toluene-d8 106 75.0-131
(S) 4-Bromofluorobenzene 110 67.0-138
(S) 1,2-Dichloroethane-d4 108 70.0-130
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2392769
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 L1792023-01,05
Method Blank (MB)
(MB) R4140720-2 10/31/24 02:52
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TPH (GC/MS) Low Fraction U 0.183 0.500
Benzene U 0.000375 0.00100
Toluene U 0.00123 0.00500
Ethylbenzene U 0.000300 0.00100
Xylenes, Total U 0.000500 0.00300
Methyl tert-butyl ether U 0.000350 0.00100
Naphthalene U 0.00498 0.00500
(S) Toluene-d8 107 75.0-131
(S) 4-Bromofluorobenzene 96.4 67.0-138
(S) 1,2-Dichloroethane-d4 110 70.0-130
Laboratory Control Sample (LCS)
(LCS) R4140720-1 10/31/24 01:49
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
TPH (GC/MS) Low Fraction 5.00 5.16 103 52.0-154
(S) Toluene-d8 108 75.0-131
(S) 4-Bromofluorobenzene 113 67.0-138
(S) 1,2-Dichloroethane-d4 113 70.0-130
Laboratory Control Sample (LCS)
(LCS) R4140720-3 10/31/24 06:59
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg %%
Benzene 0.0250 0.0213 85.2 70.0-123
Toluene 0.0250 0.0200 80.0 75.0-121
Ethylbenzene 0.0250 0.0194 77.6 74.0-126
Xylenes, Total 0.0750 0.0582 77.6 72.0-127
Methyl tert-butyl ether 0.0250 0.0243 97.2 66.0-132
Naphthalene 0.0250 0.0180 72.0 59.0-130
(S) Toluene-d8 113 75.0-131
(S) 4-Bromofluorobenzene 107 67.0-138
(S) 1,2-Dichloroethane-d4 111 70.0-130
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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QUALITY CONTROL SUMMARYWG2394648
Volatile Organic Compounds (GC/MS) by Method 8260B/8260B/OA1 L1792023-08,09
Method Blank (MB)
(MB) R4141747-3 11/03/24 16:54
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/l mg/l mg/l
TPH (GC/MS) Low Fraction U 0.108 0.500
Benzene U 0.0000941 0.00100
Toluene U 0.000278 0.00100
Ethylbenzene U 0.000137 0.00100
Xylenes, Total U 0.000174 0.00300
Methyl tert-butyl ether U 0.000101 0.00100
Naphthalene U 0.00100 0.00500
(S) Toluene-d8 106 80.0-120
(S) 4-Bromofluorobenzene 103 77.0-126
(S) 1,2-Dichloroethane-d4 122 70.0-130
Laboratory Control Sample (LCS)
(LCS) R4141747-1 11/03/24 15:51
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte mg/l mg/l %%
Benzene 0.00500 0.00467 93.4 70.0-123
Toluene 0.00500 0.00515 103 79.0-120
Ethylbenzene 0.00500 0.00472 94.4 79.0-123
Xylenes, Total 0.0150 0.0142 94.7 79.0-123
Methyl tert-butyl ether 0.00500 0.00523 105 68.0-125
Naphthalene 0.00500 0.00646 129 54.0-135
(S) Toluene-d8 105 80.0-120
(S) 4-Bromofluorobenzene 105 77.0-126
(S) 1,2-Dichloroethane-d4 128 70.0-130
Laboratory Control Sample (LCS)
(LCS) R4141747-2 11/03/24 16:12
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte mg/l mg/l %%
TPH (GC/MS) Low Fraction 5.00 4.63 92.6 66.0-132
(S) Toluene-d8 105 80.0-120
(S) 4-Bromofluorobenzene 106 77.0-126
(S) 1,2-Dichloroethane-d4 127 70.0-130
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
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GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On-Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
MDL Method Detection Limit.
ND Not detected at the Reporting Limit (or MDL where applicable).
RDL Reported Detection Limit.
Rec.Recovery.
RPD Relative Percent Difference.
SDG Sample Delivery Group.
(S)
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U Not detected at the Reporting Limit (or MDL where applicable).
Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Dilution
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
Limits
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample The non-spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
Qualifier
This column provides a letter and/or number designation that corresponds to additional information concerning the result
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
Result
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state “ND” (Not Detected) or “BDL”
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)Confidence level of 2 sigma.
Case Narrative (Cn)
A brief discussion about the included sample results, including a discussion of any non-conformances to protocol
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
Summary (Qc)
This section of the report includes the results of the laboratory quality control analyses required by procedure or
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
Sample Chain of
Custody (Sc)
This is the document created in the field when your samples were initially collected. This is used to verify the time and
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
Sample Results (Sr)
This section of your report will provide the results of all testing performed on your samples. These results are provided
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
The remainder of this page intentionally left blank, there are no qualifiers applied to this SDG.
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN 37122
Alabama 40660 Nebraska NE-OS-15-05
Alaska 17-026 Nevada TN000032021-1
Arizona AZ0612 New Hampshire 2975
Arkansas 88-0469 New Jersey–NELAP TN002
California 2932 New Mexico ¹TN00003
Colorado TN00003 New York 11742
Connecticut PH-0197 North Carolina Env375
Florida E87487 North Carolina ¹DW21704
Georgia NELAP North Carolina ³41
Georgia ¹923 North Dakota R-140
Idaho TN00003 Ohio–VAP CL0069
Illinois 200008 Oklahoma 9915
Indiana C-TN-01 Oregon TN200002
Iowa 364 Pennsylvania 68-02979
Kansas E-10277 Rhode Island LAO00356
Kentucky ¹ ⁶KY90010 South Carolina 84004002
Kentucky ²16 South Dakota n/a
Louisiana AI30792 Tennessee ¹ ⁴2006
Louisiana LA018 Texas T104704245-20-18
Maine TN00003 Texas ⁵LAB0152
Maryland 324 Utah TN000032021-11
Massachusetts M-TN003 Vermont VT2006
Michigan 9958 Virginia 110033
Minnesota 047-999-395 Washington C847
Mississippi TN00003 West Virginia 233
Missouri 340 Wisconsin 998093910
Montana CERT0086 Wyoming A2LA
A2LA – ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789
A2LA – ISO 17025 ⁵1461.02 DOD 1461.01
Canada 1461.01 USDA P330-15-00234
EPA–Crypto TN00003
ACCREDITATIONS & LOCATIONS
¹ Drinking Water ² Underground Storage Tanks ³ Aquatic Toxicity ⁴ Chemical/Microbiological ⁵ Mold ⁶ Wastewater n/a Accreditation not applicable
* Not all certifications held by the laboratory are applicable to the results reported in the attached report.
* Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace Analytical.
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
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The analyses presented on this report were performed in accordance with the
National Environmental Laboratory Accreditation Program (NELAP) unless
noted in the comments, flags, or case narrative. If the report is to be used for
regulatory compliance, it should be presented in its entirety, and not be
altered.
Client Service Contact: 801.262.7299
Stantec Consulting Inc.
Attn: Anna Skinner
2890 East Cottonwood Parkway, Suite 300
Salt Lake City, UT 84121
Work Order: 24J1978
Project: 203724139
11/5/2024
Approved By:
Mark Broadhead, Project Manager
9632 South 500 West Sandy, Utah 84070
Serving the Intermountain West since 1953
801.262.7299 Main 866.792.0093 Fax www.ChemtechFord.com
Page 1 of 6
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:(801) 262-7299 F: (866) 792-0093
www.ChemtechFord.com
Stantec Consulting Inc.
Anna Skinner
2890 East Cottonwood Parkway, Suite 300
Salt Lake City, UT 84121
PO#:
Receipt:
Date Reported:
Project Name:
203724139
10/23/24 10:56 @ 20.2 °C
11/5/2024
203724139
Sample ID: USC - 1
Lab ID: 24J1978-01Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 10/22/24 11:30
Preparation
Date/Time
Sampled By: Steve Yorgason
Minimum
Reporting
Limit MethodResult
Inorganic
-10/31/2410/31/24ASTM D2487-ModSWUnited Soil Classification [USC]
Project Name: 203724139 CtF WO#: 24J1978
www.ChemtechFord.com
Page 2 of 6Page 2 of 6
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:(801) 262-7299 F: (866) 792-0093
www.ChemtechFord.com
Stantec Consulting Inc.
Anna Skinner
2890 East Cottonwood Parkway, Suite 300
Salt Lake City, UT 84121
PO#:
Receipt:
Date Reported:
Project Name:
203724139
10/23/24 10:56 @ 20.2 °C
11/5/2024
203724139
Sample ID: USC - 2
Lab ID: 24J1978-02Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 10/22/24 16:00
Preparation
Date/Time
Sampled By: Steve Yorgason
Minimum
Reporting
Limit MethodResult
Inorganic
-10/31/2410/31/24ASTM D2487-ModSWUnited Soil Classification [USC]
Project Name: 203724139 CtF WO#: 24J1978
www.ChemtechFord.com
Page 3 of 6Page 3 of 6
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:(801) 262-7299 F: (866) 792-0093
www.ChemtechFord.com
Stantec Consulting Inc.
Anna Skinner
2890 East Cottonwood Parkway, Suite 300
Salt Lake City, UT 84121
PO#:
Receipt:
Date Reported:
Project Name:
203724139
10/23/24 10:56 @ 20.2 °C
11/5/2024
203724139
Sample ID: USC - 3
Lab ID: 24J1978-03Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 10/22/24 15:34
Preparation
Date/Time
Sampled By: Steve Yorgason
Minimum
Reporting
Limit MethodResult
Inorganic
-10/31/2410/31/24ASTM D2487-ModSWUnited Soil Classification [USC]
Project Name: 203724139 CtF WO#: 24J1978
www.ChemtechFord.com
Page 4 of 6Page 4 of 6
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:(801) 262-7299 F: (866) 792-0093
www.ChemtechFord.com
Stantec Consulting Inc.
Anna Skinner
2890 East Cottonwood Parkway, Suite 300
Salt Lake City, UT 84121
PO#:
Receipt:
Date Reported:
Project Name:
203724139
10/23/24 10:56 @ 20.2 °C
11/5/2024
203724139
Report Footnotes
Abbreviations
ND = Not detected at the corresponding Minimum Reporting Limit (MRL).
1 mg/L = one milligram per liter or 1 mg/kg = one milligram per kilogram = 1 part per million.
1 ug/L = one microgram per liter or 1 ug/kg = one microgram per kilogram = 1 part per billion.
1 ng/L = one nanogram per liter or 1 ng/kg = one nanogram per kilogram = 1 part per trillion.
On calculated parameters, there may be a slight difference between summing the rounded values shown on the report
vs the unrounded values used in the calculation.
Project Name: 203724139 CtF WO#: 24J1978
www.ChemtechFord.com
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