--------------• -• -----

------•

~

lfliGolder \ZPAssociates August 1, 2014

David O'Donnell District Supervisor Michigan Department of Environmental Quality Grand Rapids District 350 Ottawa, NW Grand Rapids, Michigan 49503

RE: FORMER BELDING PRODUCTS SITE, BELDING, MICHIGAN UPDATE ON JULY SITE CHARACTERIZATION ACTIVITIES

Dear Mr. O'Donnell:

(Via Electronic Transmission)

On June 6, 2014, Electrolux representatives met with the Michigan Department of Environmental Quality (MDEQ) to discuss potential additional site characterization work in support of Electrolux's prior request for mixing zone-based groundwater surface water interface (GSI) Criteria for the former Belding Products Facility located in Belding, Michigan. Several members of the MDEQ Remediation and Redevelopment Division GSI Technical and Program Support (TAPS) team were conferenced in during the meeting. The following scope of characterization was agreed to during the meeting:

• Advance two, 45-foot deep borings: one near former catch basin #1 0 (source area), and one at the northwest corner of the site, near the former "North Well."

• Complete the borings as monitoring wells if a "deep" water bearing zone is encountered. A water-bearing zone was encountered at depth in both borings and therefore, the borings were completed as monitoring wells (MW-12 and MW-13).

• Collect groundwater samples from the wells for analysis of the parameters included in previous annual groundwater monitoring events for the site.

Golder Associates conducted these field activities from July 7 through July 10, 2014. Mr. Paul Knoerr and Mr. Matt Gamble of the MDEQ were onsite during advancement of the boreholes and well installation. This letter summarizes the characterization activities, findings, and recommendations.

1.0 CHARACTERIZATION ACTIVITIES

Rotosonic drilling methods were used to advance the two deep borings. The following summarizes the findings in the two borings:

SB-12/MW-12: This boring/well is located near piezometer PZ-1 at the northwest corner of the site near the former North Well. A perched groundwater zone was encountered at approximately 10 feet below the ground surface (bgs). PZ-1 is screened from 7 to 12 feet bgs, within the perched zone. Dense, glacial till described variously as a clayey silt or silty clay (depending on depth) was encountered below the perched zone to a depth of approximately 30 feet bgs. A silty sand was encountered from 30 to 35 feet bgs and coarse sand was encountered from 35 to 36 feet bgs. The remainder of the borehole contained glacial till to a depth of 45 feet bgs. The sand from 30 to 36 feet bgs was saturated and therefore, with the MDEQ's concurrence, a well was set with a screened interval of 31 to 36 feet bgs after backfilling the lower portion of the borehole.

SB-13/MW-13: This boring/well is located immediately north of MW-6 near the former source area. After drilling through fill and a concrete slab at 4.5 feet, the saturated zone that MW-6 is screened in (from 6 to

Golder Associates Inc. 15851 South US 27, Suite 50

Lansing, Ml 48906 USA Tel: (517) 482-2262 Fax: (517) 482-2460 www.golder.com

Golder Associates: Operations in Africa, Asia, Australasia, Europe, North America and South America

Golder, Golder Associates and the GA globe design are trademarks of Golder Associates Corporation

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-• -• -• ----

David O'Donnell Department of Environmental Quality 2

August 1, 2014 Project No. 140182

11 feet bgs) was encountered. A dense glacial till described as clayey silt was encountered from 11 feet to 42 feet bgs. One-foot thick sand seams were encountered from 42 to 43 feet bgs and from 44 to 45 feet bgs. The lower sand seam was saturated. The MDEQ requested setting a well screened across the two sand seams, which was done.

The wells were developed upon completion using a submersible pump with surging. Golder sampled the wells on July 10, 2014 using the low-flow sampling method. Sampling included collection of a blind field duplicate sample from MW-12 (MW-FD). The samples were submitted to TriMatrix Laboratories for analysis of the parameters included in previous annual groundwater monitoring events for the site. The TriMatrix analytical report for the groundwater samples is included in Attachment A

The groundwater analytical results are summarized on Table 1. No volatile organic compounds (VOCs) were detected above the laboratory reporting limits in the sample from MW-12 or in the associated duplicate sample. Three VOCs, cis-1 ,2-dichloroethene, trans-1 ,2-dichloroethene, and trichloroethane (TCE}, were detected at concentrations above the laboratory reporting limits, but well below the generic GSI criteria in the sample from monitoring well MW-13 (former source area).

2.0 FINDINGS AND RECOMMENDATIONS

Golder advanced borings and installed and sampled monitoring wells at the two locations specified by MDEQ. Sampling results from monitoring well MW-12 (North Well area) detected no VOC concentrations in deeper groundwater at this location. Sampling results from monitoring well MW-13 (former source area) detected three VOCs at concentrations well below the generic GSI criteria in deeper groundwater at this location. Based on these findings, and consistent with the approach discussed with the GSI TAPS team at the June 61

h meeting, it is Golder's opinion that no further investigation of the deep water-bearing zones is necessary .

Further, it is Golder's opinion that these sampling results support the previously presented conceptual site model and mixing zone determination. Therefore, Golder has recommended to Electrolux submittal of an updated mixing zone determination incorporating the findings presented in this letter for MDEQ's review.

3.0 CLOSING

Please contact Brad Johnson (517 -318-3250) if you have any questions regarding this letter.

GOLDER ASSOCIATES INC.

~y4-f#~ Bradley S. Johnson, Ph.D. Senior Consultant

...... ~/1{[2-Aiistair Macdonald, C , LSP Program Leader and Principal

Attachments: Figure 1 Table 1 Attachment A

Monitoring Well Locations Groundwater Analytical Results for New, Deep Monitoring Wells TriMatrix Laboratories Analytical report

cc: Andrew Stienecker, Electrolux Home Products, Inc. Carol Parnell, Electrolux Home Products, Inc. Doug Arnold, Alston & Bird LLP

BSJ/APTM/bsj

Belding July 2014 site characterization update.docx cfiGolc!er Associates

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-• -• -• -• -• -• -• ---- TABLE

--• -----• -• --

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August 2014 Project No. 1406182

TABLE 1: GROUNDWATER ANALYTICAL RESULTS FOR NEW, DEEP MONITORING WELLS FORMER BELDING PRODUCTS SITE, BELDING, MICHIGAN

MW-12 MW-FO

MW-13 (MW-12)

Parameter GSI [1] units 7/10/14 7/10/14 7/10/14

Volatile Organic Compounds Benzene 200 (X) ~g/l <1.0 <1.0 Chloroethane 1,100 (X) J.Jg/L <1 .0 <1.0

Chloromethane ID J.Jg/L <1.0 <1.0 1, 1-Dichloroethane 740 J.Jg/L <1 .0 <1 .0

1 , 1-Dichloroethene 130 J.Jg/L <1.0 <1.0 cis -1 ,2-Dichloroethene 620 J.Jg/L <1.0 <1.0 trans -1,2-Dichloroethene 1,500 (X) J.Jg/L <1 .0 <1 .0 2-Butanone (MEK) 2,200 J.Jg/L <5.0 <5.0 T etrach loroethene 60 (X) J.Jg/L <1 .0 <1.0

Toluene 270 J.Jg/L <1.0 <1.0

1,1,1 -Trichloroethane 89 J.Jg/L <1.0 <1.0 1,1 ,2-Trichloroethane 330 (X) J.Jg/L <1 .0 <1.0 Trichloroethene 200 (X) J.Jg/L <1 .0 <1.0 Vinyl Chloride [2] 1,600 J.Jg/L <1 .0 <1 .0

Xylene (Total) 41 J.Jg/L <3.0 <3.0 Field Parameters Dissolved Oxygen NA mg/L 0.72 0.72 Eh NA mV -87.5 -87.5

Conductivity NA mS/cm 2.48 2.48 pH NA s.u. 7.12 7.12 Temperature NA c 13.29 13.29

NOTES: [1] GSI = Groundwater surface water interface criteria (Table 1. Groundwater: Residential and Non-Residential Part 201 Generic Cleanup Criteria and Screening Levels/Part 213 Risk-Based Screening Levels. December 30, 2013). [2] For Vinyl Chloride, a mixing zone-based GSI value of 1 ,600 llg/L, respectively were presented in the July 2013 Revised Mixing Zone Determination for the site (submitted to the MDEQ on July 9, 2013). [3] "NA" criterion not available and "ID" indicates inadequate data to develop a criterion.

Part 201 Cleanup Criteria Footnotes: (X) The GSI criterion shown in the generic cleanup criteria tables is not protective for surface water that is used as a drinking water source.

Beld•ng Site characterization summary . Table 1.xtsx

<1 .0 <1.0

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11 <5.0 <1.0

<1.0

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0.52 -81 .7

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TITLE

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·~ PROJECT No. 1406182 FILE No. 1406182A001

DESIGN BPE 2014-07-17 SCALE AS SHOWN

CADD JJS 2014-07·17 FIGURE

CHECK

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--• -• -• -.. ---- ATTACHMENT A

• -------• -• -• -•

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July 16, 2014

Golder Associates, Inc. - MI

Attn: Mr. Brad Johnson

15851 S. US 27, Suite 50

Lansing, MI 48906

Project: Electrolux - Belding

Dear Mr. Brad Johnson,

Enclosed is a copy of the laboratory report for the following work order(s) received by TriMatrix Laboratories:

Work Order 1407178

Received 07/10/2014

Description Laboratory Services

This report relates only to the sample(s) as received. Test results are in compliance with the requirements of the National Environmental Laboratory Accreditation Program (NELAP) and/or one of the following certification programs:

ACLASS DoD-ELAP/IS017025 (#ADE-1542); Arkansas DEP (#88-0730/13-049-0); Florida DEP (#E87622-24); Georgia EPD (#E87622-24); Illinois DEP (#200026/003329); Kansas DPH (#E-10302); Kentucky DEP (#0021); Louisiana DEP (#103068); Michigan DPH (#0034); Minnesota DPH (#491715); New York ELAP (#11776/48855); North carolina DNRE (#659); Texas CEQ (#T104704495-14-4); Virginia DCLS (#460153/2592); Wisconsin DNR (#999472650); USDA Soil Import Permit (#P330-12-00236).

Any qualification or narration of results, including sample acceptance requirements and test exceptions to the above referenced programs, is presented in the Statement of Data Qualifications and Project Technical Narrative sections of this report. Estimates of analytical uncertainties and certification documents for the test results contained within this report are available upon request.

If you have any questions or require further information, please do not hesitate to contact me.

Sincerely,

James D. McFadden Project Chemist

This r:=por: shail 'lOt be reproduced. except 1n fu!l, vvithoL.t ·.-vritten aLtthonzcition ~~·r- TnHatnx Labc;ratones, ~nc Page 1 of 10 lrldlv,dca! sample cesLits reiare on!v ro t:1e sar11ple ~esred

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-• - PROJECT TECHNICAL NARRATIVE(s)

• No Project Narrative is associated with this report. -• -•

• -• -• --

--• --

Th1s report sha!! not be reprodLCA(j, except :n ~t~l1, \hiU"1(JL,l '/!ntten aL·thonzat1on !)f Tnf.tlatnx Labor3L,~;r:es, l:lc Page 2 of 10 inJ;viOL.·cll ;an101"" ,·esL.:ts ce'IJte ;r;ly to the sample tested

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-• +++TR1~~1~H~ - STATEMENT OF DATA QUALIFICATIONS

• All analyses have been validated and comply with our Quality Control Program. - No Qualification is required.

• ----• -• -----

---• -•

Page 3 of 10

5560 Corpor·are Exci>ange Court SE + Grand Raprds ~-11 4951:' + 616.975.4500 + Fax 616.942 7463 + r~trnatr:xla bs. corn -

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-• +++ TR1t1~1~,1~ - ANALYTICAL REPORT

• ---• -• -• -----

---• -•

-

Client: Golder Associates, Inc. - MI Work Order: 1407178 Project: Electrolux - Belding Description: Laboratory Services

Client Sample ID: MW-12 Sampled: 7/10/14 11:35 Lab Sample ID: 1407178-01 Sampled By: Brian Eustice Matrix: Water Received: 7/10/14 14:45

Unit: ug/L Prepared: 7/14/14 7:00 Dilution Factor: 1 Analyzed: 7/14/14 17:06 QC Batch: 1406843 Analytical Batch: 4G14040

Volatile Organic Compounds by EPA Method 82608

CAS Number

71-43-2

75-00-3

74-87-3

75-34-3

75-35-4

156-59-2

156-60-5

78-93-3

127-18-4

108-88-3

71-55-6

79-00-5

79-01-6

75-01-4

1330-20-7

Surrogates:

Dibromofluoromethane

1,2-Dichloroethane-d4

Toluene-dB

4-Bromofluorobenzene

Analyte

Benzene

Chloroethane

Chloromethane

1,1-Dichloroethane

1,1-Dichloroethene

cis-1,2-Dichloroethene

trans-1,2-Dichloroethene

2-Butanone (MEK)

Tetrachloroethene

Toluene

1,1, !-Trichloroethane

1,1,2-Trichloroethane

Trichloroethene

Vinyl Chloride

Xylene (Total)

%Recovery

109

105

96 91

Control limits

85-118

87-122

85-113

82-110

Analytical Result

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<5.0

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<3.0

Th1s r~port shall not IJ~ reproduced. ~xu-~pt 1n f:_:li. -Nlthout \Vntten authorization ,Jf ir:f/latr: x. LJth_:w3tOrieS.

Page 4 of 10 IndrvldL.ai sarnpie resL.!ii ~eiate Jniv ro tl1e sarnpk 'eSt"C

By:

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1.0

1.0

1.0

1.0

1.0

1.0

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1.0

1.0

1.0

1.0

3.0

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-• • TRIMATRIX ft L A B 0 R A T 0 R I E S - ANALYTICAL REPORT

• Client: Golder Associates, Inc. - MI Work Order: 1407178 - Project: Electrolux - Belding Description: laboratory Services - Client Sample ID: MW-13 Sampled: 7/10/14 12:55 lab Sample ID: 1407178-02 Sampled By: Brian Eustice Matrix: Water Received: 7/10/14 14:45

Unit: ug/L Prepared: 7/14/14 7:00 By: DLV

Dilution Factor: 1 Analyzed: 7/14/14 17:33 By: DLV -QC Batch: 1406843 Analytical Batch: 4G14040

- Volatile Organic Compounds by EPA Method 82608

- Analytical CAS Number Analyte Result RL

71-43-2 Benzene <1.0 1.0 - 75-00-3 Chloroethane <1.0 1.0

74-87-3 Chloromethane <1.0 1.0

75-34-3 1,1-Dichloroethane <1.0 1.0

75-35-4 1,1-Dichloroethene <1.0 1.0 - 156-59-2 cis-1,2-Dichloroethene 86 1.0

156-60-5 trans-1,2-Dichloroethene 11 1.0

78-93-3 2-Butanone (MEK) <5.0 5.0

127-18-4 Tetrachloroethene <1.0 1.0

108-88-3 Toluene <1.0 1.0

71-55-6 1, 1,1-Trichloroethane <1.0 1.0

''"" 79-00-5 1,1,2-Trichloroethane <1.0 1.0

79-01-6 Trichloroethene 26 1.0

75-01-4 Vinyl Chloride <1.0 1.0 - 1330-20-7 Xylene {Total) <3.0 3.0

Surrogates: %Recovery Control Umits

Dibromofluoromethane 105 85-118 - 1,2-Dichloroethane-d4 105 87-122

Toluene-dB 98 85-113

4-Bromofluorobenzene 94 82-110 -

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-. .+. TR1!'v:t~1~~~~ - ANALYTICAL REPORT

• -• -•

-• -..

-

-

--• -• -• -... -

Client: Golder Associates, Inc. - MI Work Order: 1407178 Project: Electrolux- Belding Description: Laboratory Services

Client Sample ID: MW-FD Sampled: 7/10/14 0:00

Lab Sample ID: 1407178-03 Sampled By: Brian Eustice

Matrix: Water Received: 7/10/14 14:45

Unit: ug/L Prepared: 7/14/14 7:00 Dilution Factor: 1 Analyzed: 7/14/14 17:59

QC Batch: 1406843 Analytical Batch: 4G14040

Volatile Organic Compounds by EPA Method 82608

CAS Number

71-43-2

75-00-3

74-87-3

75-34-3

75-35-4

156-59-2

156-60-5

78-93-3

127-18-4

108-88-3

71-55-6

79-00-5

79-01-6

75-01-4

1330-20-7

Page 6 of 10

Surrogates:

Dibromofluoromethane

1,2-Dichloroethane-d4

Toluene-dB

4-Bromofluorobenzene

Analyte

Benzene

Chloroethane

Chloromethane

1,1-Dichloroethane

1,1-Dichloroethene

cis-1,2-Dichloroethene

trans-1,2-Dichloroethene

2-Butanone (MEK)

Tetrachloroethene

Toluene

1,1, 1-Trichloroethane

1,1,2-Trichloroethane

Trichloroethene

Vinyl Chloride

Xylene (Total)

%Recovery

105

105

97

92

Control Limits

85-118

87-122

85-113

82-110

Analytical Result

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<5.0

<1.0

<1.0

<1.0

<1.0

<1.0

<1.0

<3.0

By:

By:

RL

1.0

1.0

1.0

1.0

1.0

1.0

1.0

5.0

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1.0

1.0

1.0

1.0

1.0

3.0

DLV

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5560 Coroorate Exchar.ge Coc~rt SE • Gr·und Ruolds, fv1I -+951:' • 616 9754500 • Fax 615 94.27-+63 • ,,;w t:-n;atrrxlabscom

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-• +++ T~~r-1~1~,~~ - QUALITY CONTROL REPORT

• Volatile Organic Compounds by EPA Method 82608 - Sample Spike Spike Control RPD - Analyte Cone. Qty. Result %Rec. Umits RPD Umits RL

QC Batch: 1406843 5030B Aqueous Purge & Trap/USEPA-8260B -Method Blank Analyzed: 07/14/2014 By: DLV - Unit: ug/L Analytical Batch: 4G14040

Benzene <1.0 1.0

Chloroethane <1.0 1.0 - Chloromethane <1.0 1.0

1,1-Dichloroethane <1.0 1.0 - 1,1-Dichloroethene <1.0 1.0 - cis-1,2-Dichloroethene <1.0 1.0

trans-1,2-Dichloroethene <1.0 1.0

2-Butanone (MEK) <5.0 5.0

Tetrachloroethene <1.0 1.0 - Toluene <1.0 1.0

1,1,1-Trichloroethane <1.0 1.0

1,1,2-Trichloroethane <1.0 1.0 - Trichloroethene <1.0 1.0

Vinyl Chloride <1.0 1.0

Xylene (Total) <3.0 3.0

Surrogates: - Dibromofluoromethane 103 85-118

1,2-Dich/oroethane-d4 100 87-122

Toluene-dB 96 85-113 - 4-Bromofluorobenzene 96 82-110

Laboratory Control Sample Analyzed: 07/14/2014 By: DLV

Unit: ug/L Analytical Batch: 4G14040 - Benzene 40.0 41.9 105 84-119 1.0

Chloroethane 40.0 41.2 103 76-124 1.0

Chloromethane 40.0 42.3 106 73-125 1.0 - 1,1-Dichloroethane 40.0 42.2 106 80-118 1.0

1,1-Dichloroethene 40.0 41.5 104 77-123 1.0

cis-1,2-Dichloroethene 40.0 42.2 105 84-119 1.0

trans-1,2-Dichloroethene 40.0 41.2 103 76-126 1.0 - 2-Butanone (MEK) 40.0 38.9 97 52-142 5.0 Tetrachloroethene 40.0 37.7 94 81-117 1.0 Toluene 40.0 42.1 105 85-118 1.0 -

--• -•

Continued on next page -Page 7 of 10 - 5560 :=wuorate Ex,=hange Court SE + Grand Rap!ds, f\1I 4951:' • 616.975 4500 • Fax 616 942.-''1-63 • .\ t~·~'llatnxlaos corn -

-• ••• TR1t1~1~,1~ - QUALITY CONTROL REPORT

• -• -•

--------------• -• -•

•

-

Volatile Organic Compounds by EPA Method 82608 (Continued)

Analyte Sample Cone.

Spike Qty. Result

Spike %Rec.

QC Batch: 1406843 (Continued) 5030B Aqueous Purge & Trap/USEPA-82606

Laboratory Control Sample (Continued) Unit: ug/L

1,1,1-Trichloroethane 40.0 41.5 104

1,1,2-Trichloroethane 40.0 42.2 106

Trichloroethane 40.0 37.6 94

Vinyl Chloride 40.0 42.2 106

Surrogates:

Dibromofluoromethane 100

1,2-Dich/oroethane-d4 104

Toluene-dB 102

4-Bromofluorobenzene 103

Control Umits RPD

Analyzed:

Analytical Batch:

81-122

83-121

82-119

77-123

85-118

87-122

85-113

82-110

RPD Umits RL

07/14/2014

4G14040

1.0

1.0

1.0

1.0

By: DLV

---------------·-·--------------- ---------·--

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__ , __________________ 1-------+----J---1-t---t---·- ··-1-----l--1--+--1----,,f--. ---l--1----- -------------1

1o,

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Gofder-E~ectroluK 070914 COC

I I I I I I I t

--------------+----------[

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n..te

• /r;c- i It Dato

ORIGINAL- LABORATORY

I I I I I I I

--+----+-4___j~-+-+-------

l ----1--+-+---1--+----1--+----+---

lime 2. Refooq_uishad ~~~ oato Time

141/r ---Tllll$ r2. Rettti.-ed a,

I

COPY- FIELD/SAMPLER

719Jl0'14

I I I I f I I I f I I I

(ilif!?)j!!MW"!l- t~ .,.,.,......*"'-'-~"""<~,_,d'tJ!!i"", .. '-1 ,..,U .. , l ... ll ... tliO!'Jill\01!11!,,.4 -------1101 ,,... J .. 8_0_1Mil!J __________ lb .. l __ ._.a#!!O!Otlll!lllllll ____ ... i ...... , .. tt"'i,,_ ____ .. H .. U!l-! ----

-• - SAMPLE RECEIVING I LOG-IN CHECKLIST ,

• ...+ ... TRIMATRIX ~ Ut;_JcfL,!)- . c~~,~0 ,.·:_c::_~_,Lill1Ui.V-----I .......... l A B 0 8 A T 0 R I E S ~Aeoo«l"'1191!1l.ine• "'/~2 _ ;;_ 2_ .. J a'Ji_l54Jn;~Us -

• -• -• -• -• -• -• -

0 Pte:s.nt I Ntn Intact

Coolsm Type:

g...I.QOM' l:(e

/" llaOged Ice a alueice 0 None

Coolan~ LDCillion:

Oi!pened I Tllf;l I Ml~ I Bottom

Temp Blank Present 0 Yes~ If Prnent, Tompetab:iA!Slank I..OCSilcn is:

0 Rapre- 0 Nlli!R~~ OilS_, I~ I Aetuai'C

·c ' Fst=Or •c i

0 f'nlslml/ Not Intact

Coolant Type: 0 lii(Nie l,c;e 0 Baggedlce 0 Blua Ice

0 No..-.e CoeiaM l.ocatioo:

I

Dilipiii'MCI I Top I Middle I Bot1om Temp Eillallk Pment 0 Yes- 0 No If PtesoRt.. Ternpore1we Blank location is:

0 AellreMnlaH~e 0 N:x Re~teliv" ' .. ''. ,..;_:~E Ob!ol!flled c--. I

~:-;~~,]~,~' ·c Fac!Of ·c Acrus -c

T_ .......

• ,.i-0 CQOier ID on COC? 0 Cooklr ID on COC?

0 VOC Trip 81ank recel11e~ 0 VOC Trip Blank recei'IBCI1

---• ·- ---·

• Check COC for Accuracy ~~a No ~ 0 Malysi$ Rllqlll&tad?

~ ~Sa~ 10 millC/l&&· COC?

~ Sa~ Date and Time ma!Ches COC1

~ ContairiA!r type mmpleted oo ¢0C?

[J2J a All OO(l\aillflr typal lnclrcaled Bnt reoaived?

-• - Sampfe Condition Summary

• N/A Yes

-• -•

Page 10 of 10 - ,.,..,.""" •u•ceivln!l t.~ In FOI'tmJds- RIIC8iving.Log-ln_Checlcli,.

JZ IR Gun (#202) D See Addilional C()()ler Thermomecer t,Jael{' 0 Oigi1al Themtometer {ti54} lnform\tliO!I Fom'l

Cooler#

Custotly Seals.·

0 NOT>"

0 OUter(# J

0 Pres&n! i lnlad

0 Presen11 N¢1 lnttct COOlant T)'Pt:

0 Loose ice 0 Sagged~

0 Blue Ice a None

Cool\!lm Lo~liCifl Di$persed I Top J Middl8 I Bottom

Tamp Blank. Prll$-ent. 0 Yes. 0 No If Presal'lt. Temper.alu~ Slank l.ocalfon iSc

0 Rep~livo 0 No~ ~ialive

' ' '

3 Sample Awne- •c: __ _ 0 Cooler 10 on COC? 0 voc T(.p Blank rooeivod?

Check Sample Preaervatl:on N.IA No

CoateoriJ ;Time

Cusb:xly SNJsc

ONcne 0 Preent/llllal;t

a ~sent I NOt 1111a<:t

CGolallt TYJ141: Cl Loo&.e lOll 0 Baggecttce a Slue !ell

0 None Coolar:~.e Loc:atiOo:

.rutlperaed I Top I MlddJe I Bottom Temp Blank Present a Yes 0 No

If P-l i)tmpetakn Blank l,.~tiOn i&:

a R11pN&M- 0 NotR~ve :• ' . '. OlilleM!d ! ~ c•''· "C j FactCr"C ~t"C .

I I 1""t>llink i

I

$oln1if0 •:

i .,.

SlmtAr:i:

' Som;ilo3: I

i

1----1----t---+--·--..

0 COOiet ID on COC? 0 VOC Trip Blank rec:eM!d?

+ 0 Temperarut& BlllnkOR owerege umpla t&J~i9treture, 1:6'· C?

0 If either is :a:e• C. Wl$lMtmll pi'Motvalion requitlrd?

a a a 0

a

If "Yes". Proj..et ChemiSt Approvallnilia:. ____ _

II "Yes" Completed !'{On Con Coele:r- COtlt lnvenrory Form?·

COI'IIJ)leled Sample Pre&etv.!ltio!l V•rilication Form? a Samples che~ Jlte$el\'e<l QO!l'edly?

If "1'{0•. addiiKI orange !Bg?

,t{ Received pre.p.reseNed VOC s.oNs~ a MaOH 0 N~SO.

Check for Short Hold-Time Prep/Analysn 0 ElacteriotogOcal 0 AirB&gs AFTEilHQUR$0NLY:

a EnCores 1 Me.!hanol Pre-Ptes.erve<l CgF'IES O!l' COC iO LAS AAEA(S)

0 Formaldehydiii.Aldellyde- a/'NONE RECEIVED

CJ Greefi.taggee! conlaif)el$ 0 RECEIVED. coca TO lAB(S)

0 Yellovt/Y\Ibile-ta(jged 1 L ami:M& (SV PnJHab)

Notes

Yes I No

'

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