Document 823YNKy1B91kyXbQbg5eErGOZ
/ ......*v ^ 4
RESEARCH
Precise Reseearch. Proven Results.
A e n -/14t,
received
rr> p T r - ->
05 APR?6 AHII: 11
M W T?______________________________
Analytical Report
3M Company A nalysis o f P F b A and PFOS in W ater Sam ples from O akdale M unicipality
E 0 5 -0 1 8 4 Exygen Report No. L0004708
Testing Laboratory
Exygen Research 3058 Research Drive State College, PA 16801
Requester
Gary A, Hohenstein Manager, Environmental Operations
EHS Oprations 3M Company
Building 42-2E-27 St. Paul, MN 55106
r-o c /i
"o p n I CO -- i p r ; *T
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X -3058 Research Drive Sterte College, PA 16801, USA
\ J : 800.281.3219 F: 814.272.1019 exygen.com
1 introduction
Results are reported for the analysis of perfluorooctanoate {PFOA) and perfluorooctanesulfonate {PFOS) in water samples received at Exygen as requested by Gary Hohenstain of 3M Company. The Exygen project number assigned to the samples is L0004708. Table I lists the target analytes quantitated for the samples.
Table I. Target Analytes for Quantitation
Fpremeter
Acronym
Formula
Perfluorooctanoate
PFOA or C8 add
CtF i 5COO'
Perfluorooctanesulfonate
PFOS or C8 sulfonate
CflF17S 03'
2 Sample Receipt
Thirty-one samples were received at Exygen in 500 mL white plastic narrow-mouth bottles. At the request of 3M, all samples were analyzed. A copy of all sample log-in information is presented in AttachmentA
The samples were received on 03/01/05 The samples were shipped ambient via UPS. The samples were stored refrigerated from time of receipt until analysis.
3 Methods - Analytical and Preparatory
The Exygen method entitled, "Method of Analysis for the Determination of Perfluorooctane sulfonate (PFOS), Perfluorooctane suffonylamide (PFOSA), and Perfluorooctanoate (POAA) in Water," modified for isomer separation, was used to prepare and analyze the samples. A summary of the sample preparation can be found In Section 3.1 and the modified analysis conditions for isomer separation can be found in Section 3.2.
3.1 W ater Sam ple Preparation
Solid phase extraction (SPE) was used to prepare the water samples for LC/MS/MS analysis. Forty milliliters of the water sample was transferred to a C18SPE cartridge. The cartridge was washed with 5 mL of a 40% methanol: 60% water wash. The cartridge was eluted with 5 mL of 100% methanol. A portion of the extract was transferred to autosampler vials and analyzed using electrospray LC/MS/MS.
PAGE 2 OF 5
3.2 Sam ple Analysis by LC/MS/MS
(n High Pressure Liquid Chromatography (HPLC), an aliquot of extract is injected and passed through a liquid-phase chromatographic column. Based on the affinity of the analyte for the stationary phase in the column rotative to the liquid mobie phase, the analyte is retained for a characteristic amount of time. Following Ktf'LC separation, mass spectrometry provides a rapid and accurate means for analyzing a wide range of organic compounds. Molecules are ionized, fragmented, and detected. The ions characteristic of the compounds are observed and quantitated against extracted standards.
An HP1100 system interfaced to an Applied Biosystems API 4000 was used to analyze the sample extracts for quantitation.
Isomer separation was obtained using a gradient elution through a Thermo Ruophase RP, 50 x 2.1 mm x 5pm column. The sum of the isomers is reported as a single value for each of the analytes.
The following gradient was performed:
Mobile Phase (A): M ode Phase (B):
Time 0.0 1.0 8.0 10.0 11.0 18.0
2mM Ammonium Acetate in Water Methanol
m
65 35 65 35 25 75 25 75 65 35 65 35
The foflowtng parameters were used for operation of the mass spectrometer:
Parameter Ionization Mode Polarity Transitions Monitored
Gas Temperature Drying Gas (N2)
Setting Electrospray Negative 413->369 (PFOA), 499->80 (PFOS). 415->370 (iaC-PFOA, surrogate spike)
350C 7.0 L/min
4 Analysis
4.1 C alibration A 7-point calibration curve was analyzed Initially and throughout the analytical sequence for PFOA, PFOS and ,JC PFOA The calibration points were prepared at 0,25,50.100,250,500, and 1000 ng/L (ppt) for LC/MS/MS analysis. Calibration standards are prepared using the same SPE procedure used for samples. The instrument response versus the concentration was plotted for each point. Using linear regression with 1/x weighting, the slope, y-intercept
PAQE 3 OF 5
+
and coefficient of determination (r2) were determined. A calibration curve is acceptable If r2 > 0.965.
For the results reported here, calibration criteria were met. The calbratlon curves are included in the raw data in Attachment C.
4.2 Surrogates
13C PFOA (CeFij^CjF^CJOOH) Is used as a surrogate for the water samples. 13C PFOA was added to the empty sample containers before the bottles were sent to the field for sampling. In the field, aH sample and qualify control bottles were filed to a volumetric fit line with the sample.
,3C PFOA recoveries can be found In Attachment B.
4.3 L ab orato ry Control Spikes
Laboratory control spikes in the analytical set were prepared by adding a known concentration of PFOA, 13C PFOA, and PFOS to laboratory reagents. Laboratory control spikes are used to assess method accuracy, The laboratory control spikes must show recoveries between 70130% or the data is rejected. For the results reported here, the laboratory control spikes were within the acceptable range.
4.4 Field M atrix Spikes
A low and a high matrix spike were prepared for every water sample in the field. Compounds were added to the empty sample containers before the bottles were sent to the field for sampling. Matrix spikes are used to assess method accuracy in the matrix. The matrix spikes should show recoveries between 70-130%. For the results reported here, the matrix spices were within the acceptable range, except as noted in Section 6 of this report.
4.5 Sam ple R elated Com m ents
All water samples were collected in duplicate. Duplicate sample results are reported along with the sample results In Attachment B.
5 Data Summary
Please see Attachment B for a detailed listing of the analytical results. The results are reported In parts per billon (ng/mL) for PFOA and PFOS.
6 Statement o f Accuracy
Based on results of laboratory control spates, field matrix spikes, and surrogate spikes, the
analytical accuracy for PFOS and PFOA results for al samples Is 1 30%. Laboratory control
spikes, surrogate spikes and field matrix spikes showed recoveries within these ranges, with the following exceptions:
PAGE 4 OF S
The PFOA and PFOS recovery In O-W8-572608 Low Spike, O-PuWic Works Lunch Pm Sink Low Spike, and 0-W5-1272B7 Lew Spike could not be calculated because the inherent sample concentration in this sample was over 3 times greater than the spiking concentration.
The PFOS recovery for sample O-Public Works Lunch Rm Sink High Spike was 136%.
Specific sample recoveries sre given in Attachment B.
7 Data/Sample Retention
Samples wfll be returned to 3M 60 days after final reporting. All electronic data Is archived on retrievable media and hard copy reports are stored in data folders maintained by Exygen. Hardcopy data Is stored for a minimum of five years. The dtent win be notified 30 days prior to the disposal of hardcopy data.
8 Attachments
7.1 Attachment A Analytical Results 7.2 Attachment B: Spike Recovery Data 7.3 Attachment C: Chain of Custody Forms 7.4 Attachment D: Raw Analytical Data
PAQE50F5
SECTION A
7
1
Sum m ary o f PFO A and PFOS in W ater S am ples E05-Q184
Exygen ID
L4708-1 L4708-2 L4708-5 L4708-6 U 7 0 8-9 L4708-10 L47Q8-13 L4708-14 L4708-17 L4708-18 L4708-21 L4708-22 L4708-25 L4708-26 L4708-29
Sample ID
0-W 5-127287 O-WS-127287 Dup
O-W t -208462 rW 1-208462 Dup
O-W2-208463 0-W2-208463 Dup
0-W 7-463534 0-W7-463534 Dup
O-W8P572608 O-W8-572808 Dup
-W3-28454 0-W3-208454 Dup O-Public Works Lunh Rm Sink O-Public Wortes Lunch Rtn Sink Dup Trip Blank EQ5-0184
Analyte Found (ng/mL)
C8 Acid PFOA
C8 Sulfonate PFOS
Perfluorooetanoate
Periluorooctarweulforato
0.714
0.889
0.761
0.968
0.0892
0.0516
0.0852
0.0541
0.0807
NQ
0.0871
NQ
0.274
0.238
0.305
0.273
0.523
0.687
0,503
0.662
ND ND
ND ND
0,687
0.872
0.709
0.949
ND ND
ND - Not detected at or above 0.025 ng/mL. NQ - Not quantifiable = Measured concentration between 0.Q25 ng/mL and the Limit of
Quantitation (LOQ) which is 0.050 ng/mL.
ooo e
8
l3Q58 Research Drive Coiiese, R M 6801, USA
J : 814,272.1039 F: 814.231.1580 exygH uim
SECTION B
Field Matrix Spike Recovery Summary for PFOA and PFOS in Water E05-0184
Sam ple \ D escription
0 -W 5 -1 27287 Low Spike (LC7SO-3,0,1 p pb S p ik *)
Am ount SpBcad in g /m U
C S A cId PFO A__________________CB S ulfonate PFOS
Amt Found Am ount
Am t Found Amount
in Sam ple R ecovered Recovery In Sam ple R ecovered R ecovery
(n o /m U - jE f liE k l_____ M
(ngfm L) [ng/m L)_____ rtU ___
0.1
0 .7 1 4
0 .8 8 9
0 .8 8 9
1.18
*
0 *W 5 -1 27287 H igh Spike (L 4 7 H -4 , r.p p b S afes)
1
0.714
1 .6 7
96
0 -8 8 9
1.80
91
O -W 1-208462 l o w Spike {L 4 7 M -7 ,0.1 ppb. S o *)
0.1
0 .0 8 9 2
0.186
99
0 .0 5 1 6
0.163
101
0-W 1-208462 High S pike (L474C-4, 1 p pb S p lk *)
1 0.0892 1.08
99 0.0516 1.10 105
O -W 2-208483 Low S pike (L 4 7 0 M 1,0 .1 p pb S p lk *)
0.1
0-0607
0 .1 9 5
114
0 .0 2 9 6
0 .1 5 9
129
0 -W 2 -208463 H igh Spike {L 4 7 M -1 3 ,1 ppb S p flt*)
1
0,0807
1 .1 6
106 0.0296
1.23
120
0 -W 7 -463534 Low Spike (L470S-1S, 0.1 ppb Sptlui>
0.1
0.274
0.383
109
0.238
0.366
128
0 *W 7 -463334 High Spike (L470S-1S. 1 ppb S p lk *)
0 .2 7 4
1.29
102 0.238
1.27
103
O -W 8-572608 Low Spike (L47QS-1B, 0.1 ppb S p ik*)
0.1
0.523
0 .6 2 0
9
0.087
0.801
O -W 8-572608 High S pike (L47O S-20,1 p p b S p lk*)
1
0.523
1.64 112 0.687
1.90
121
O -W 3-208454 Low Spike (U 7 0 4 -3 3 ,0.1 ppb S p lk *)
0-W 3-208454 High Spike (L 4 7 0 W 4 ,1 ppb S p ill*)
0.1
ND\
0.107
107
ND
0.114
114
1
ND
1.12
112
ND
1.20
120
0 -P u b lic W a lk* Lunch Rm S ink Law S p lk*
(L470I-3T , 0.1 ppb S p lk *)
0.1
0.667
6 ,7 9 8
#
0 .8 7 2
0.961
O -P ublic W ork* Lun ch Rm S ink High S p lk* (L4TD8-20,1 p pb S p lk*)
1
0.687
1.95
126 0.872
2 .2 2
135
T rip B lank EOS-01 B4 Low Spk
I
t
(L4704-M , 0.1 ppb S plk)
0.1
ND
0,123
123
ND
D.119
119
Trip B lank E03-0184 High Spk
8-4700-31,1 ppb S p lk*)
1
ND
0.940
94
ND
1.03
103
` Sample residue exceeds the spiking level significantly: therefore, an accurate recovery value cannot be calculated ND * Not detected at or above 0.026 ngimL. NQ > Not quantifiable = Measured concentration between 0.029 rK^mL and the Um il of
Quantitation (LOQ) which Is 0.050 ng/m L
000
/O
X \-3056 Research Drive
jw ^kSStatalte College, PA 16601, USA
T: BOO.281.3219 F: 814.272.1019
exyiien.com
Surrogate Spike Recovery Summary for 13C-PFOA in W ater E05-0184
Exygen ID \
Semple Description
Amount Spiked tefl/m L)
13c -f f o a
Amount Recovered
(ng/m L)
Recovery <%)
14708*1 ' L4708-2 L4708-3 L4708-4
O W 5-127287 O-W5-127287 Dup 0-W 5-127287 Low Spk 0-W5-127287 High Spk
0.5 0.487 0.5 0.520 0,5 0.546 0.5 0.465
97 104 109 93
L4708-5 L4708-6 L4708-7 14708-8
O -W 1-208462 O-W 1-208462 Dup 0-W 1-208462 Low Spk OrW1-208462 High Spk
0.5 0.545 0.5 0.497 0.5 0.517 0.5 0.506
109 99 103 102
L4708-9 L4708-10 L4708-11 L4708-12
O-W2-208463 O-W2-208463 Dup O-W2-208463 Low Spk O-W2-208463 High Spk
0.5 0.536 0.5 0.603 0.5 0.563 0.5 0.552
107 121 117 110
L4708-13 L4708-14 L4708-16 L4708-16
O-W7-463534 0-W7-463534 Dup 0-W7-463534 Low Spk 0-W7-463534 High Spk
0.5 0.540 0.5 0.608 0.5 0.571 0.5 0.529
108 122 114 106
L4708-17 L4708-18 L4708-19 L4708-20
O-W8-572608 O-W8-572608 Dup O-W8-572608 Low Spk O-W8-572608 High Spk
0.5 0.586 0.5 0.529 0.5 0.617 0.5 0.551
117 106 123 110
L4708-21 L4708-22
L4708-23 L4708-24
O-W3-208454 O-W3-208454 Dup
0-W3-208454 Low Spk O-W3-208454 High Spk
0.5 0.596 0.5 0.581
0.5 0.537 0.5 0.635
119 116
107
127
L4708-25 L4708-26 L4708-27 L4708-28
O-Public Works Lunch Rm Sink O-Public Works Lunch Rm Sink Dup O-Public Works Lunch Rm Sink Low Spk O-Publlc Works Lunch Rm Sink High Spk
0.5 0.5 0.5 0-5
0.487 0.488 0.483 0.575
97 98 97 115
L4708-29 L4708-30 L4708-31
Trip Blank E05-0184 Trip Blank E05-0184 Low Spk Trip Blank E05-0184 High Spk
0.5 0.524 0.5 0.522 0.5 0.504
105 104 101
000R
//
h Drive M State C o l ?, PA 16B01, USA
^ T :T8: 080a0.281.3219 I F F:: 881t^4,272.1019 exygen.com
SECTION C
3058 Research Drive Stte College, P A 16801
Phone: 814-272-1039 Fax: 814-231-1580
I L o a in
Login Group: L000470
Login #: Project:
4818 P0001275
Company Name: 3M
Submitted By: KENT LINDSTROM
Login Type;
Immediate Receipt of Samples
Started:
True
Date Start:
03/01/2005
Due Date:
03/11/2005
Received Date: 03/01/2005
Received By.
Ammerman, Mark
Spread Sampie:
Label:
Exygen SD/Pl: Risha, Karen
Project Title/Type: Cottage Grove Residential Water Sampling / ROUTINE Login Notes:
Conform Notes:
Conform COC Sample: Conform COC: Conform Sample: Conform Request:
True True True True
'
PKO0O5558
C a rto n
Packages / C ontainers
D a te/C o n d itio n
$hiEtpyr/ IP
Login Date: 3/1/2005 11:11:51AM Package S Contents Uncompromised
UPS 1Z57955E0142913994
Temp. Control/Temo.
None 2 2 .3
Container #
COO83066 C063057 C0063058 C 0063059 C006306 C00630S1 C0063062 C0953063 C00030G4 C0063Q65 C00630SB C0053057 C00630S8 CO063069
G ross W e ia h t dH
C o n ta in e r T v o e
260.50 g
500 ml Clear Plastic Narrow
267.30 g
500 ml Clear Plastic Narrow
256.90 g
500 ml Clear Plastic Narrow
257.70 g 2 S 6 .8 0 g
500 ml Clear Plastic Narrow
50Q ml Clear Plastic Narrow
266.80 g
500 ml Clear Plastic Narrow
252.90 6
500 ml Clear Plastic Narrow
259.B0 g
500 ml Clear Plastic Narrow
254.10 g
500 ml Clear Plastic Narrow
245.90 g
500 ml Clear Plastic Narrow
248.40 g
500 ml Clear Plastic Narrow
240.90 g
500 ml Clear Plastic Narrow
249.30 g
500 ml Clear Pisetic Narrow
251.10 0
500 ml Clear Piastic Narrow
Preservative
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
M fa. Lot
D irection t Handled By R E C E IV E D
Ammerman, Mark Mfa, |p
.
3/1/2005 Login.rpt
a0na Report Version: Feb 22 2005 9:53AM ^ "
Page 1 of 5
Instance:
R0149332
Login Group: L0004708
Login #: Project:
Company Name: Submitted By:
4818 P0001275 3M KENT LINDSTROM
Conform COC Sample: Conform COC: Conform Sample: Conform Request:
Login Type:
Immediate Receipt of Samples
Started:
True
Date Start: Due Date:
03/01/2005 03/11/2005
Received Date: 03/01/2005
Received By:
Ammerman, Mark
Spread Sample:
Label:
Exygen SD/PI: Risha, Karen
Project Title/Type: Cottage Grove Residential Water Sampling / ROUTINE Login Notes:
Conform Notes:
True True True True
Packaoe PK005558
C arton
Packages / C ontainers
f PynsHtian
S h ip p e r/ ID
Login Date: 3/1/2006 11:11:51AM Package & Content* Uncompromieed
UPS 1Z57955E0142913994
Tem o. Control/Tem p.
None 2 2 .3
n ta in e fff C0063070 C0063071 C0063072 C0063073 C0063074 CQD6375 CO063076
C0O 63077 C00Q3078 C0063079 CO063OBO C00930B1 C00630B2
PK0005559
G ross W etoht &
C ontainer,.Typs,
248.00 g
500 ml Clear Plastic
Narrow
252.60 g
500 ml Clear Plastic Narrow
246.10 g
5DO ml Clear Plastic Narrow
255.20 g
500 ml Clear Plastic Narrow
266.10 g 251.60 g
500 ml Clear Plastic Narrow
500 m( Clear Plastic Narrow
261.30 g 2 4 9 .2 0 g
500 ml Clear Plastic Narrow
500 mt C le a r P la s tic Narrow
253.00 g
500 ml Clear Plastic Narrow
248.90 g
500 ml Clear Plastic Narrow
265.30 g
500 ml Clear Plastic Narrow
259.40 Q
500 ml Clear Plastic Narrow
256.90 g
500 ml Clear Plastic Narrow
Login Date: 3/1/2005 11:16:07AM Package & Contents Uncompromiaed
P reservative NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
UPS 1257955E0140875806
Mfa- Lot
None 22.3
Container #
CO063083
C0063084
G ross W eight fiH
Container Type
264.40 g
500 ml Clear Plastic Narrow
262.80 g
500 mi Clear Plastic Narrow
Ercrercative
NONE
NONE
Mfo. Lot
Direction / Handled Bv R E C E IV E D
Ammerman, Mark M fa-tO
R E C E IV E D Ammerman, Mark
MfaJD
3/1/2005 Login.rpt
0 0 :0 Report Version: Feb 22 2005 9:53AM
Page 2 of 5
Instance:
R0149332
Login
Login Group: L0004708
Login #: Project:
Company Name: Submitted By:
4818 P0001275
3M KENTLINDSTROM
Conform COC Sample: Conform COC: Conform Sample: Conform Request:
Login Type: Started: Date Start:
Immediate Recent of Samples True 03/01/2005
Due Date: Received Date; Received By: Spread Sample:
03/11/2005 03/01/2005 Ammerman, Mark
Label:
Exygen SDfPI: Rlsha, Karen Project Title/Type: Cottage Grove Residential Water Sampling / ROUTINE Login Notes:
Conform Notes:
True True True True
P acket PKG005559
S fiO S Q
P e te /C o n d itio n
Packages / C ontainers
S h ip p e r/ tD
Login Date; 3/1/2005 11:16:07AM Package & Contents Uncompromised
UPS 1Z57955E0140875306
Tem o. Controi/Tem o.
None 22.3
Container U
00063005
C006306
G ross W e k ih t d H
C o ntainer T vo e
264.10 g
500 mi Clear Plastic Narrow
253.90 g
500 ml Clear Plastic Narrow
Preservative
NONE
NONE
M fa- Lot
D irection / Handled Bv R E C E IV E D
Ammerman, Mark
Mfg. ID
!
*
Iji
3/1/2005 Logln.rpt
fi
!
i-
i
00 Report Version: Feb 22 2005 9;53AM
Page 3 of 5
'' 4
IS
Instance:
R0149332 n iiiiiiiii
S im ple ID LQQ04708-0001 10004708-0002 L0004708-0003 L00D4708-0004 L0004708-0005 L0004708-0006 L00047D8-0007 LOQQ4708-0008 L0004708-0009 10004708-0010 L0004708-0011 LQ004708-Q012 10004708-0013 L0004708-014 L 0 0 0 4 7 0 8 -0 0 15 L0004708-0016 L0004708-0017 L0004708-001 L0004708-0019 L0004708-0020 10004708-0021 L0004708-0022 L0004708-0023
Container C0Q63056 C 0063057 C0063058 00063059 C0063060 C0063061 CO063062 C0063063 C0063064 C0063065 C0063066 C0063067 00063068 C0063069 C0063070 C0063G71 C0063072 C0063073 00063074 C0063075 C0063076 C0063077
Matrix L IQ U ID L IQ U ID L IQ U ID L IQ U ID L IQ U ID L IQ U ID UQ UID L IQ U ID L IQ U ID LIQ U ID U Q U ID UQ UID UQ UID L IQ U ID L IQ U ID U Q U ID L IQ U ID L IQ U ID UQ UID UQ UID LIQ U ID U Q U ID UQ UID
3 /1 /2 0 0 5
U g *.rp t
Login
fa s te n W ater
Sam ples
Sample 0-W 5-127287
Pate Sampled Date Looped In
Due
02/28/2005 03/01/2005 03/11/2005
i
W ater
0-W 5-DUP (127287)
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 5-127287-Low Spike
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 5-127287-High Spite
02/26/2005 03/01/2005 03/11/2005
W ater
0 -W 1 -208462
02/28/2005 03/01/2005 03/11/2005
W ater
O -W l -208462-Dup
02/28/2005 03/172005 03/11/2005
W ater
0-W 1-208462-Low Spike
02/28/2005 03/01/2005 03/11/2005
W ater
Q-W 1-208462-High Spike
02/28/2005 03/01/2005 03/11/2005
W ater
O-W 2-208463
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 2-208463-Dup
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 2-208463-Low Spike
02/28/2005 03/01/2005 03/11/2005
W ater
O-W 2-206463-High Spike
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 7-463534
02/26/2005 03/01/2005 03/11/2005
W ater
0-W 7-463534-Dup
W ater
0-W 7-463534-Low Spike
W ater
0-W 7-463534-High Spike
02/26/2005 03/01/2005 03/11/2005 02/28/2005 03/01/2005 03/11/2005 02/28/2005 03/01/2005 03/11/2005
W ater
O -W 8-57260B
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 8-5726C8-Dup
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 8-572C08-Lovr Spike
02/28/2005 03/01/2005 03/11/2005
W ater
Q-W 8-572608-High Spite
02/28/2005 03/01/2005 03/11/2005
W ater
O-W 3-208454
02/28/2005 03/01/2005 03/11/2005
W ater
0-W 3-20B454-DUP
02/28/2905
W ater
O-W3-2084544.QW Spike
O O ilt
R eport Version; F eb 2 2 2 0 0 5 9:53A M
Page 4 of 5
02/26/2005 In s ta n c e :
03/01/2005 03/11/2005 03/01/2005 03/11/2005
R0149332
IH SlilH IV II
l
/
L0004708-0024 L0004706-0025 L0004706-002G L0004706-0027 L0004708-0028 L0004708-0029 LOO04708-0030 L0004708-0031
C0063078 C0063079 C0053083 C0063084 C0063085 C0063086 C0063080 C0063081 C0063082
L IQ U ID L IQ U ID U Q U ID UQUtO LIQ U ID LIQ U ID U Q U ID Q U ID
Login
W ater
O -W 3-20M 54-Hlgh Spike
02/28/2005 03/01/2005 03/11/2005
W ater
O-PubBcWork* Lunch Rm Sink
0 2 /2 8 /2 0 0 5
03/01/2005
03/11/2005
W ater
O-Publlc Works Lunch Rm Sink Dup
02/28/2005 03/01/2005 03/11/2005
W ater
0-Publlc Works Lunch Rm Sink Low Spike
02/26/2005 03/01/2005 03/11/2005
W ater
O-Publlc W ork* Lunch Rm Sink High Spite
02/28/2005 03/01/2005 03/11/2005
W ater
Trip Blank E05-0184
03/01/2005 03/11/2005
W ater
Trip Blank EOS-0184 Lew Spike
03/01/2005 03/11/2005
W ater
Trip Blank E05-01S4 High S p ite
03/01/2005 03/11/2005
Login Reviewed By: i c
D a te /T im e :
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3/1/2005 Login,rpt
00 t
Report Version: Feb 22 2005 9:53AM Page 5 of 5
Instance:
inumiliR0149332
Environ mental Laboratory Chain of Custody /Request for Laboratory Analytical
Form 3977-9VX)
08517
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2/28/2005 Project: E05-0184
CONTRA3CMT ELNAVBOIRROANTMOERNYTWAOL RLKABOORRDAETROBRYYSAMPLE Contract Lab(s): EXYGEN
Page 1 of 3
Requester, Hohenstein, Gary A (0042-02E-27) DPPDrreaoopljjeaeerccRtttmeDNceeeunistmvc:er5bdi3pe:0tr2i7o0/12n015:2/O2260a70k45d4a4le9Municipal Well FCs HI
Completion Date: PEPhmrooajneielctAN1duJdmtardeb:sesrK:: ek6nr5lt1inL-d7ins7td8rso-t5mro3@m52inmni.com
Ship Date: P / l
Comments: Pace field samling.
Trip blanks filled by Exygen & transported w/bottle order. GGJ, 2/28/05.
2T/r2ip8/b0l5a.nks for E05-Q184 also used for E05-0186 per direction from Kem Lindstrom. Samples traveled together. AC, PLF,
3M Sample Number Sampled Date Sample Description
E05-0184-79849 Analysis Codf PFOA PFOS
2/78/2005 Analytical
Method
O-W1-2084C6o2mponent
PFOA . PFOA
PFOS by ESMS
PFOS
Antlvsi Due Date 3/15/2005 3/15/2005
E05-0184-79850 Anniiab Cgtit PFOA PFOS
2/28/2005 O-Wi-208462 Dun
Analytical Method
Component
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/157005 3/15/2005
E05-0184-79851 AItalyih Cade PFOA PFOS
2/28/2005 0-W2-2Q8463
Analytical Method
Companonfr
PFOA PFOA
PFOS by ESMS
PFOS
AnaKai Due Date 3/15/2005 3/15/2005
E05-0184-79852 Analvs Code PFOA PFOS
2/28/2005 Aaalvtkal
-MethodO-W2-2084C6o3mDfiufldDtBtt
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/L5/2G05 3/15/2005
E05-U184-79853 Analysis Code PFOA PFOS
2/28/2005 0-W3-208454
Analytical Method
Components
PFOA PFOA
PFOS by ESMS
PFOS
AmlyriiPtic Put* 3/15/2005 3/15/2005
E5-0184-79854
278/2005 <0-W3-208454 Dud
0 0 :i 8
' 2,18/2005
CONTRA3CMT ELNAVBOIRROANTMOERNYTWAOLRLKABOORRDAETROBRYYSAMPLE
Page 2 of 3
Project: E05-184 (cost)
Contract Lab(s): EXYGEN
3M Sample Number Sampled Date Sample Description
E0S-0I84-79854 (cont) APFnOalYArigpifo PFOS
2/28/2005 O-W3-208454 Dim
Analytical Method1
Components
PFOA PFOA
PFOSbyESMS
PFOS
3A/n1n5l/y2i0b0.D5iM P itt 3/15/2005
E05-0184-7985S Analysis Code PFOA PFOS
2/28/2005 0-W5-127287
AimtYttail Mtthrt!
pmppnpnfy
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Pne Pate 3/15/2005 3/15/2005
E05-0184-79856 Analysis Code PFOA PFOS
2/28/2005 0-W5-127287 Duo
Analytical Method
pmppnfnti
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Pate 3/15/2005 3/15/2005
E05-0184-79857 Analysis Code PFOA PFOS
2/28/2005 0-W7-463534
Analytical Method
Componenti
PFOA PFOA
PFOSbyESMS
PFOS
Analysis Due Pate 3/15/2005 3/15/2005
E05-0184-79858 Analysis Code PFOA PFOS
2/28/2005 0-W7-463534 Dup
Analytical Method
Component!
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/15/2005 3/15/2005
E05-0184-79859 Analysis Code PFOA PFOS
2/28/2005 Analytical
Method
O-W8-572608 Componenti
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/15/2005 3/15/2005
E05-0184-79860 Analysis Code PFOA PFOS
2/28/2005 0-W8-5 72608 Duo
Analvtiffll E M M
Comnoncnts
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/15/2005 3/15/2005
E05-0184-79865 APFlOiaAli^ W ie PFOS
2/28/2005 Public Works Bldg
Analytical Method
Componenti
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Date 3/15/2005 3/15/2005
E05-0184-79866 Analysis Code PFOA PFOS
2/28/2005 Public Works Bldg Duo
Analytical Method
Component!
PFOA PFOA
PFOS by ESMS
PFOS
Analysis Due Dale 3/15/2005 3/15/2005
00., 9
<33
2/28/2005
CONTRA3CMT ELNAVBOIRROANTMOERNYTWAOL RLKABOORRDAETROBRYYSAMPLE
Page 3 of 3
Project; 05-0184 (cont.J
Contract Lab(s):EXYGEN
3M Sample Number Sampled Date Sample Description
AEn0a5ly-0s1is8C4-o7d9e867 PFOA PFOS
2/28/2005 Trio Blank
Analytical Method
CwiwnfllB
PFOA PFOA
PFOS by ESMS
PFOS
Analvab Due Date
3/15/2005
3/15/2005
oo:o
