1 2 3 4 5 ANALYTICAL REPORT 6 10 12 15 - racertrust.org UDS Level 2 Report... · Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of

ANALYTICAL REPORTTestAmerica Laboratories, Inc.TestAmerica Burlington30 Community DriveSuite 11South Burlington, VT 05403Tel: (802)660-1990

TestAmerica Job ID: 200-12779-1TestAmerica Sample Delivery Group: 200-12779Client Project/Site: RACER - Central Foundry Massena NY

For:ARCADIS U.S. IncMassena Facility, Route 37 East56 Chevrolet RoadMassena, New York 13662

Attn: Richard Boelter

Authorized for release by:9/24/2012 10:42:32 AM

Kathryn KellyProject Manager [email protected]

The test results in this report meet all 2003 NELAC and 2009 TNI requirements for accreditedparameters, exceptions are noted in this report. This report may not be reproduced except in full,and with written approval from the laboratory. For questions please contact the Project Managerat the e-mail address or telephone number listed on this page.

This report has been electronically signed and authorized by the signatory. Electronic signature isintended to be the legally binding equivalent of a traditionally handwritten signature.

Results relate only to the items tested and the sample(s) as received by the laboratory.

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Table of Contents

Client: ARCADIS U.S. IncProject/Site: RACER - Central Foundry Massena NY

TestAmerica Job ID: 200-12779-1SDG: 200-12779

Page 2 of 25TestAmerica Burlington

9/24/2012

Cover Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Definitions/Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Case Narrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Detection Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Client Sample Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Surrogate Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

QC Sample Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

QC Association Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Lab Chronicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Certification Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Method Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Sample Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Chain of Custody . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Receipt Checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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Definitions/GlossaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc

SDG: 200-12779Project/Site: RACER - Central Foundry Massena NY

Qualifiers

Air - GC Semi VOA

Qualifier Description

U Indicates the analyte was analyzed for but not detected.

Qualifier

X Surrogate is outside control limits

Glossary

These commonly used abbreviations may or may not be present in this report.

☼ Listed under the "D" column to designate that the result is reported on a dry weight basis

Abbreviation

%R Percent Recovery

CNF Contains no Free Liquid

DL, RA, RE, IN Indicates a Dilution, Reanalysis, Re-extraction, or additional Initial metals/anion analysis of the sample

EDL Estimated Detection Limit

EPA United States Environmental Protection Agency

MDL Method Detection Limit

ML Minimum Level (Dioxin)

ND Not detected at the reporting limit (or MDL or EDL if shown)

PQL Practical Quantitation Limit

QC Quality Control

RL Reporting Limit

RPD Relative Percent Difference, a measure of the relative difference between two points

TEF Toxicity Equivalent Factor (Dioxin)

TEQ Toxicity Equivalent Quotient (Dioxin)

TestAmerica BurlingtonPage 3 of 25 9/24/2012

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Case NarrativeClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-12567-1

Project/Site: RACER - Central Foundry Massena NY SDG: 200-12779

Job ID: 200-12567-1

Laboratory: TestAmerica Burlington

Narrative

CASE NARRATIVE

Client: ARCADIS U.S. Inc

Project: RACER - Central Foundry Massena NY

Report Number: 200-12567-1

With the exceptions noted as flags or footnotes, standard analytical protocols were followed in the analysis of the samples and no

problems were encountered or anomalies observed. In addition all laboratory quality control samples were within established control

limits, with any exceptions noted below. Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of

the method. In some cases, due to interference or analytes present at high concentrations, samples were diluted. For diluted samples,

the reporting limits are adjusted relative to the dilution required.

Calculations are performed before rounding to avoid round-off errors in calculated results.

All holding times were met and proper preservation noted for the methods performed on these samples, unless otherwise detailed in the

individual sections below.

This report has been revised to provide the prep information of 1 puf instead of 1 gram. Results provided in this submittal are from the

revised data set.

RECEIPT

The samples were received on 09/06/2012; the samples arrived in good condition, properly preserved and on ice. The temperature of the

coolers at receipt was 2.0 C.

PCB IN AIR

Samples AIR1B-090512, AIR2A-090512 and AIR3-090512 were analyzed for PCB in Air in accordance with TO-4A. The samples were

prepared on 09/06/2012 and analyzed on 09/07/2012.

Due to glassware failure causing solvent evaporation Tetrachloro-m-xylene, Aroclor 1260 and Aroclor-1016 had low recoveries for LCS

200-44528/2-B, Aroclor 1260 and Aroclor-1016. Please refer to the QC report for details.

Samples AIR2A-090512[2X] and AIR3-090512[2X] required dilution prior to analysis. The reporting limits have been adjusted accordingly.

No other difficulties were encountered during the TO-4A analyses.

All other quality control parameters were within the acceptance limits.

Job ID: 200-12590-1


Narrative

CASE NARRATIVE


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Job ID: 200-12590-1 (Continued)

Laboratory: TestAmerica Burlington (Continued)












RECEIPT



PCB IN AIR



Samples AIR1B-090612[2X], AIR2A-090612[10X] and AIR3-090612[10X] required dilution prior to analysis. The reporting limits have been

adjusted accordingly.

No difficulties were encountered during the TO-4A analyses.

All quality control parameters were within the acceptance limits.

Job ID: 200-12609-1


Narrative

CASE NARRATIVE







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RECEIPT



PCB IN AIR



Samples AIR1B-090712[10X], AIR2A-090712[30X] and AIR3-090712[50X] required dilution prior to analysis. The reporting limits have

been adjusted accordingly.

Tetrachloro-m-xylene recovery was outside control limits on the RTX-5 for the following sample: AIR3-090712. The recovery was within

control limits on the RTX-35.



Job ID: 200-12622-1


Narrative

CASE NARRATIVE












RECEIPT


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PCB IN AIR

Samples AIR1B-090712(2), AIR2A-090712(2) and AIR3-090712(2) were analyzed for PCB in Air in accordance with TO-4A. The samples

were prepared on 09/11/2012 and analyzed on 09/12/2012.

Samples AIR1B-090712(2)[2X], AIR2A-090712(2)[5X] and AIR3-090712(2)[20X] required dilution prior to analysis. The reporting limits

have been adjusted accordingly.



Job ID: 200-12635-1


Narrative

CASE NARRATIVE












RECEIPT



PCB IN AIR

Samples AIR1B-091112 (200-12635-1), AIR2A-091112 (200-12635-2) and AIR3-091112 (200-12635-3) were analyzed for PCB in Air in

accordance with TO-4A. The samples were prepared on 09/12/2012 and analyzed on 09/13/2012.

Samples AIR2A-091112 (200-12635-2)[2X] and AIR3-091112 (200-12635-3)[10X] required dilution prior to analysis. The reporting limits




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Job ID: 200-12656-1


Narrative

CASE NARRATIVE












RECEIPT



PCB IN AIR



DCB Decachlorobiphenyl and Tetrachloro-m-xylene failed the surrogate recovery criteria low for AIR3-091212. Refer to the QC report for

details.





Job ID: 200-12678-1


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Narrative

CASE NARRATIVE












RECEIPT



PCB IN AIR

Samples AIR1B-091312, AIR2A-091312 and AIR-091312 were analyzed for PCB in Air in accordance with TO-4A. The samples were


Samples AIR1B-091312[20X], AIR2A-091312[20X] and AIR-091312[40X] required dilution prior to analysis. The reporting limits have been




Job ID: 200-12703-1


Narrative

CASE NARRATIVE





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RECEIPT



PCB IN AIR



Tetrachloro-m-xylene failed the surrogate recovery criteria high for AIR2A-091412. Refer to the QC report for details.





Job ID: 200-12741-1


Narrative

CASE NARRATIVE











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RECEIPT



PCB IN AIR

Samples AIR1B-091412(2), AIR2A-091412(2) and AIR3-091412(2) were analyzed for PCB in Air in accordance with TO-4A. The samples

were prepared on 09/18/2012 and analyzed on 09/19/2012.

Samples AIR1B-091412(2)[2X], AIR2A-091412(2)[10X] and AIR3-091412(2)[20X] required dilution prior to analysis. The reporting limits




Job ID: 200-12757-1


Narrative

Job Narrative

200-12757-1

Comments

No additional comments.

Receipt

The samples were received on 9/19/2012 10:00 AM; the samples arrived in good condition, properly preserved and, where required, on

ice. The temperature of the cooler at receipt was 3.1º C.

Except:

The container label for the following sample(s) did not match the information listed on the Chain-of-Custody (COC): . The container labels

list the samples with a date suffix of 091312. The COC lists the suffix as the date of sampling, 091812, which was used for login.

GC Semi VOA

Method(s) TO-4A: Tetrachloro-m-xylene recovery was outside control limits on the RTX-5 for the following sample: AIR1B-091812.

No other analytical or quality issues were noted.

Organic Prep

No analytical or quality issues were noted.

Job ID: 200-12779-1


Narrative


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CASE NARRATIVE












RECEIPT



PCB IN AIR



Tetrachloro-m-xylene failed the surrogate recovery criteria high for AIR2A-091912. Refer to the QC report for details.

Samples AIR1B-091912[5X], AIR2A-091912[20X] and AIR3-091912[20X] required dilution prior to analysis. The reporting limits have been





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Detection SummaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Client Sample ID: AIR1B-091912 Lab Sample ID: 200-12779-1

Aroclor 1242

RL

0.0018 ug/m3 PUF

MDL

0.00012

Analyte Result Qualifier Unit Dil Fac D Method Prep Type

TO-4A Total/NA50.020

Client Sample ID: AIR2A-091912 Lab Sample ID: 200-12779-2

Aroclor 1242

RL

0.0062 ug/m3 PUF

MDL

0.00044



Client Sample ID: AIR3-091912 Lab Sample ID: 200-12779-3

Aroclor 1242

RL

0.0065 ug/m3 PUF

MDL

0.00045




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Client Sample ResultsTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Lab Sample ID: 200-12779-1Client Sample ID: AIR1B-091912Matrix: AirDate Collected: 09/19/12 07:53

Date Received: 09/20/12 11:30

Sample Container: PUF

Method: TO-4A - Pesticides and PCBs in Ambient AirRL MDL

Aroclor-1016 0.0018 U 0.0018 0.00011 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5

Analyte Dil FacAnalyzedPreparedUnit DResult Qualifier

0.0018 0.00027 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1221 0.0018 U

0.0018 0.00031 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1232 0.0018 U

0.0018 0.00012 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1242 0.020

0.0018 0.00022 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1248 0.0018 U

0.0018 0.000096 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1254 0.0018 U

0.0018 0.000057 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1260 0.0018 U

0.0018 0.00010 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1262 0.0018 U

0.0018 0.000068 ug/m3 PUF 09/20/12 13:41 09/21/12 11:18 5Aroclor 1268 0.0018 U

DCB Decachlorobiphenyl 90 45 - 125 09/20/12 13:41 09/21/12 11:18 5

Surrogate Dil FacAnalyzedPreparedQualifier Limits%Recovery

Tetrachloro-m-xylene 106 09/20/12 13:41 09/21/12 11:18 530 - 130

Lab Sample ID: 200-12779-2Client Sample ID: AIR2A-091912Matrix: AirDate Collected: 09/19/12 07:04




Aroclor-1016 0.0062 U 0.0062 0.00037 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20


0.0062 0.00095 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1221 0.0062 U

0.0062 0.0011 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1232 0.0062 U

0.0062 0.00044 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1242 0.053

0.0062 0.00078 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1248 0.0062 U

0.0062 0.00034 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1254 0.0062 U

0.0062 0.00020 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1260 0.0062 U

0.0062 0.00036 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1262 0.0062 U

0.0062 0.00024 ug/m3 PUF 09/20/12 13:41 09/21/12 11:42 20Aroclor 1268 0.0062 U



Tetrachloro-m-xylene 137 X 09/20/12 13:41 09/21/12 11:42 2030 - 130

Lab Sample ID: 200-12779-3Client Sample ID: AIR3-091912Matrix: AirDate Collected: 09/19/12 07:38




Aroclor-1016 0.0065 U 0.0065 0.00039 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20


0.0065 0.00099 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1221 0.0065 U

0.0065 0.0011 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1232 0.0065 U

0.0065 0.00045 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1242 0.064

0.0065 0.00082 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1248 0.0065 U

0.0065 0.00035 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1254 0.0065 U

0.0065 0.00021 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1260 0.0065 U

0.0065 0.00038 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1262 0.0065 U

0.0065 0.00025 ug/m3 PUF 09/20/12 13:41 09/21/12 12:07 20Aroclor 1268 0.0065 U


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Client Sample ResultsTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Lab Sample ID: 200-12779-3Client Sample ID: AIR3-091912Matrix: AirDate Collected: 09/19/12 07:38





Tetrachloro-m-xylene 125 09/20/12 13:41 09/21/12 12:07 2030 - 130


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Surrogate SummaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Method: TO-4A - Pesticides and PCBs in Ambient AirPrep Type: Total/NAMatrix: Air

Lab Sample ID Client Sample ID (45-125) (45-125) (30-130) (30-130)

DCB1 DCB2 TCX1 TCX2

90 82 106 91200-12779-1

Percent Surrogate Recovery (Acceptance Limits)

AIR1B-091912

99 89 137 X 95200-12779-2 AIR2A-091912

94 88 125 90200-12779-3 AIR3-091912

84 87 91 94LCS 200-45190/2-B Lab Control Sample

81 82 99 99MB 200-45190/1-B Method Blank

Surrogate Legend

DCB = DCB Decachlorobiphenyl

TCX = Tetrachloro-m-xylene


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QC Sample ResultsTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Method: TO-4A - Pesticides and PCBs in Ambient Air

Client Sample ID: Method BlankLab Sample ID: MB 200-45190/1-B

Matrix: Air Prep Type: Total/NA

Analysis Batch: 45248 Prep Batch: 45191

RL MDL

Aroclor-1016 0.10 U 0.10 0.0060 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1

MB MB

Analyte Dil FacAnalyzedPreparedDUnitResult Qualifier

0.10 U 0.0150.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1221

0.10 U 0.0170.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1232

0.10 U 0.00700.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1242

0.10 U 0.0130.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1248

0.10 U 0.00540.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1254

0.10 U 0.00320.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1260

0.10 U 0.00580.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1262

0.10 U 0.00380.10 ug/m3 PUF 09/20/12 13:41 09/21/12 10:30 1Aroclor 1268

DCB Decachlorobiphenyl 82 45 - 125 09/21/12 10:30 1

MB MB

Surrogate

09/20/12 13:41

Dil FacPrepared AnalyzedQualifier Limits%Recovery

99 09/20/12 13:41 09/21/12 10:30 1Tetrachloro-m-xylene 30 - 130

Client Sample ID: Lab Control SampleLab Sample ID: LCS 200-45190/2-B

Matrix: Air Prep Type: Total/NA

Analysis Batch: 45248 Prep Batch: 45191

Aroclor-1016 1.00 0.878 ug/m3 PUF 88 65 - 125

Analyte

LCS LCS

DUnitResult Qualifier %Rec

Spike

Added

%Rec.

Limits

Aroclor 1260 1.00 0.875 ug/m3 PUF 87 65 - 125

DCB Decachlorobiphenyl 45 - 125

Surrogate

87

LCS LCS

Qualifier Limits%Recovery

94Tetrachloro-m-xylene 30 - 130


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QC Association SummaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Air - GC Semi VOA

Prep Batch: 45191

Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch

Air 3540C200-12779-1 AIR1B-091912 Total/NA

Air 3540C200-12779-2 AIR2A-091912 Total/NA

Air 3540C200-12779-3 AIR3-091912 Total/NA

Air 3540CLCS 200-45190/2-B Lab Control Sample Total/NA

Air 3540CMB 200-45190/1-B Method Blank Total/NA

Analysis Batch: 45248

Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch

Air TO-4A 45191200-12779-1 AIR1B-091912 Total/NA

Air TO-4A 45191200-12779-2 AIR2A-091912 Total/NA

Air TO-4A 45191200-12779-3 AIR3-091912 Total/NA

Air TO-4A 45191LCS 200-45190/2-B Lab Control Sample Total/NA

Air TO-4A 45191MB 200-45190/1-B Method Blank Total/NA


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Lab ChronicleClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-12779-1


Client Sample ID: AIR1B-091912 Lab Sample ID: 200-12779-1Matrix: AirDate Collected: 09/19/12 07:53


Prep 3540C 09/20/12 13:41 MLT45191 TAL BUR

Type

Batch Batch

MethodPrep Type LabAnalystRun

Prepared

or Analyzed

Batch

Number

Dilution

Factor

Total/NA

Analysis TO-4A 5 45248 09/21/12 11:18 SLD TAL BURTotal/NA

Client Sample ID: AIR2A-091912 Lab Sample ID: 200-12779-2Matrix: AirDate Collected: 09/19/12 07:04


Prep 3540C 09/20/12 13:41 MLT45191 TAL BUR

Type

Batch Batch


Prepared

or Analyzed

Batch

Number

Dilution

Factor

Total/NA


Client Sample ID: AIR3-091912 Lab Sample ID: 200-12779-3Matrix: AirDate Collected: 09/19/12 07:38


Prep 3540C 09/20/12 13:41 MLT45191 TAL BUR

Type

Batch Batch


Prepared

or Analyzed

Batch

Number

Dilution

Factor

Total/NA


Laboratory References:

TAL BUR = TestAmerica Burlington, 30 Community Drive, Suite 11, South Burlington, VT 05403, TEL (802)660-1990


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Certification SummaryClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-12779-1


Laboratory: TestAmerica BurlingtonAll certifications held by this laboratory are listed. Not all certifications are applicable to this report.

Authority Program EPA Region Certification ID Expiration Date

ACLASS 10-22-12ADE-1492DoD ELAP

Connecticut State Program 1 PH-0751 09-30-13

DE Haz. Subst. Cleanup Act (HSCA) State Program 3 NA 02-24-13

Florida NELAC 4 E87467 06-30-13

Louisiana NELAC 6 176292 06-30-13

Maine State Program 1 VT00008 04-17-13

Minnesota NELAC 5 050-999-436 12-31-12

New Hampshire NELAC 1 200610 12-18-12

New Jersey NELAC Primary AB 2 VT972 06-30-13

New York NELAC 2 10391 04-01-13

Pennsylvania NELAC 3 68-00489 04-30-13

Rhode Island State Program 1 LAO00298 12-30-12

USDA Federal P330-11-00093 02-17-14

Vermont State Program 1 VT-4000 12-31-12

Virginia NELAC 3 460209 12-14-12


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Method SummaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Method Method Description LaboratoryProtocol

EPATO-4A Pesticides and PCBs in Ambient Air TAL BUR

Protocol References:

EPA = US Environmental Protection Agency

Laboratory References:

TAL BUR = TestAmerica Burlington, 30 Community Drive, Suite 11, South Burlington, VT 05403, TEL (802)660-1990


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Sample SummaryTestAmerica Job ID: 200-12779-1Client: ARCADIS U.S. Inc


Lab Sample ID Client Sample ID ReceivedCollectedMatrix

200-12779-1 AIR1B-091912 Air 09/19/12 07:53 09/20/12 11:30

200-12779-2 AIR2A-091912 Air 09/19/12 07:04 09/20/12 11:30

200-12779-3 AIR3-091912 Air 09/19/12 07:38 09/20/12 11:30


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Page 23 of 25 9/24/2012

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Page 24 of 25 9/24/2012

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Login Sample Receipt Checklist

Client: ARCADIS U.S. Inc Job Number: 200-12779-1

SDG Number: 200-12779

Login Number: 12779

Question Answer Comment

Creator: Gagne, Eric

List Source: TestAmerica Burlington

List Number: 1

N/ARadioactivity wasn't checked or is </= background as measured by a survey

meter.

Lab does not accept radioactive samples.

TrueThe cooler's custody seal, if present, is intact. 585488 & 585489

N/ASample custody seals, if present, are intact.

TrueThe cooler or samples do not appear to have been compromised or

tampered with.

TrueSamples were received on ice.

TrueCooler Temperature is acceptable.

TrueCooler Temperature is recorded. 3.3ºC IR GUN ID 181. CF +0.3

TrueCOC is present.

TrueCOC is filled out in ink and legible.

TrueCOC is filled out with all pertinent information.

TrueIs the Field Sampler's name present on COC?

FalseThere are no discrepancies between the containers received and the COC. IDs on containers do not match the COC.

Logged in per COC.

TrueSamples are received within Holding Time.

TrueSample containers have legible labels.

TrueContainers are not broken or leaking.

TrueSample collection date/times are provided.

TrueAppropriate sample containers are used. Refer to Job Narrative for details.

TrueSample bottles are completely filled.

TrueSample Preservation Verified.

TrueThere is sufficient vol. for all requested analyses, incl. any requested

MS/MSDs

N/AContainers requiring zero headspace have no headspace or bubble is

<6mm (1/4").

N/AMultiphasic samples are not present.

N/ASamples do not require splitting or compositing.

N/AResidual Chlorine Checked.


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Documents

1 2 3 4 5 ANALYTICAL REPORT 6 10 12 15 - racertrust.org UDS Level 2 Report... · Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of