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Page 65 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 Appendix 2 Site Aerial and Facility Map EPA Inspection Report - Page 66 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: Braum's Dairy City: Tuttle Site Aerial I County: Grady I State: Oklahoma .. II G-EGD Freestalls EPA Inspection Report - Page 67 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Location: Braum's Dairy City: Tuttle Facility Map I County: Grady I State: Oklahoma Braum's Farm TUTTLE, OKLAHOMA -+ .. .... I! I - EPA Inspection Report - Page 68 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 Appendix 3 Still Photo taken from ODAFF Aerial Footage of 2/28/2024 Discharge off CP W5 into Buggy Creek: ECAD SharePoint Site 2-28-24 Historic Safety pond area D-7 D-5 adjacent..MP4 EPA Inspection Report - Page 69 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 UNITED STATES ENVIRONMENTAL PROTECTION AGENCY Photograph Log Still Photo taken from ODAFF Aerial Footage of 2/28/2024 Discharge off CP W5 into Buggy Creek Location: Braum's Dairy City: Tuttle County: Grady State: Oklahoma CP W5 EPA Sample 1 Buggy Creek EPA Inspection Report - Page 70 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 Appendix 4 Quality Assurance Project Plan EPA Inspection Report - Page 71 of 102 Region 6 - Enforcement & Compliance Assurance Division QUALITY ASSURANCE PROJECT PLAN Braums Dairy and Processing Plant 491 County Street 2880. Tuttle, OK 73089 Project Identifier: OKG010029 Prepared by: Carl E. Wills R6-ECDWT Prepared for: U.S. Environmental Protection Agency, Region 6 Enforcement & Compliance Assurance Division 1201 Elm Street, Suite 500 Dallas, Texas 75270-2102 July 3, 2024 EPA Inspection Report - Page 72 of 102 SECTION A PROJECT MANAGEMENT A.1 Title of Plan and Approval Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 2 Braums Dairy and Processing Plant Quality Assurance Project Plan Prepared by: CARL WILLS Digitally signed by CARL WILLS Date: 2024.07.03 11 :14:42 -05'00' Carl E. Wills, Environmental Geologist, (R6-ECDWT) Date: July 3, 2024 Approvals: ANTHONY LOSTON DigitallysignedbyANTHONYLOSTON Date: 2024.07.03 11 :28:29 -05'00' Anthony Loston, Section Chief, (R6-ECDWT) Paul D. James, Jr., P.G. Digitally signed by Paul D. James, Jr., P.G. Date: 2024.07.03 12:35:52 -05'00' Paul James, Delegated Regional Field Quality Manager (R6-LAS) Date: July 3, 2024 Date: July 3, 2024 EPA Inspection Report - Page 73 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 3 A.2 Table of Contents SECTION A PROJECT MANAGEMENT ..................................................................... 2 A.1 Title of Plan and Approval ................................................................................... 2 A.2 Table of Contents ................................................................................................ 3 A.3 / A.4 Project Organization and Distribution List ................................................... 4 Table A.1: Roles & Responsibilities/Distribution List ........................................... 4 Figure A.1: Project Organization Chart ................................................................ 4 A.5 Problem Definition and Background .................................................................... 5 A.6 Project/Task Description...................................................................................... 5 A.7 Quality Objectives & Criteria................................................................................ 6 A.8 Special Training/Certification ............................................................................... 7 A.9 Documents and Records ..................................................................................... 7 SECTION B DATA GENERATION & ACQUISITION .................................................. 8 B.1 Sampling Process Design (Experimental Design) ............................................... 8 Table B.1 Samples by Matrix................................................................................ 9 B.2 Sampling Methods............................................................................................. 10 B.3 Sampling Handling & Custody ........................................................................... 11 Figure B.3. Official Chain of Custody Example................................................... 12 B.4 Analytical Methods ............................................................................................ 13 Table B.4 Analytical Methods, Preservatives and Containers for Samples ..... 14 B.5 Quality Control................................................................................................... 15 B.6 Instrument/Equipment Testing, Inspection, and Maintenance ........................... 16 B.7 Instrument/Equipment Calibration and Frequency............................................. 16 B.8 Inspection/Acceptance of Supplies & Consumables.......................................... 16 B.9 Data Acquisition Requirements for Non-Direct Measurements.......................... 16 B.10 Data Management ........................................................................................... 16 SECTION C ASSESSMENT AND OVERSIGHT ....................................................... 17 C.1 Assessments and Response Actions ................................................................ 17 C.2 Reports to Management .................................................................................... 17 SECTION D DATA VALIDATION AND USABILITY ................................................. 17 D.1 Data Review, Verification, and Validation.......................................................... 17 D.2 Verification and Validation Methods .................................................................. 18 D.3 Reconciliation with User Requirements ............................................................. 18 APPENDIX A: FACILITY MAP ..................................................................................... 19 EPA Inspection Report - Page 74 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 4 A.3 / A.4 Project Organization and Distribution List The individuals participating in the project and their specific roles and responsibilities are shown below. These individuals will receive copies of the approved Quality Assurance Project Plan (QAPP) and subsequent revisions: Table A.1: Roles & Responsibilities/Distribution List Individual(s) Assigned: Responsible for: Authorized to: Juan Ibarra R6-ECDWT 214-665-8493 Paul James R6-LSDLS 214-665-6445 Danny Chance Accurate Labs 800-516-5227, Ext. 113 Lucas Bomar R6-ECDWT 214-665-2182 Paul Juarez R6-ECDWT 214-665-7247 Click here to enter name. Organization Contact Number Click here to enter name. Organization Contact Number Lead Inspector / Project Manager Delegated Quality Assurance Officer Laboratory Point of Contact Inspection/Sampling Team Member(s) Project Decisions, Lead and Assist Team Member(s), Collect and Assess Data Review and Approve QAPP Lab coordination for scheduling, analyses, validation, and deliverables. Inspect / Sample / Collect Data Figure A.1: Project Organization Chart Quality Assurance Offi cer ~ ---- -- Lead Inspector / 11 Project Manager Laboratory Point of Contact ......__ '---- Inspection/Sampling Team For current R6 Organization Chart, click on the following link: https://usepa.sharepoint.com/sites/R6_Development/r6app/keypers/Lists/Organization%20List/AllItems.aspx?__utma=172919287.2 30895279.1551278682.1560952790.1560952937.338&__utmb=172919287.6.9.1560956460225&__utmc=172919287&__utmx=&__utmz=172919287.1527106362.1.1.utmcsr=(direct)|utmccn=(direct)|utmcmd=(none)&__utmv=-&__utmk=55076843 EPA Inspection Report - Page 75 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 5 A.5 Problem Definition and Background Problem(s) to be resolved, decision(s) to be made and/or hypothesis to be tested: The purpose of this QAPP will evaluate the potential for possible ground and surface water contamination. Review the pre-inspection plan for additional details. Historical & background information: In 1968, the Braum's family started their operation in Tuttle, Oklahoma. From there, Braums grew the business today with stores in 5 states, and with the Braums dairy farm and processing plant in Tuttle, Oklahoma, at the heart of the operation. Braums continues to be a family business to this day. In 1993, Braum's construct crews built what is one of the largest milking operations of its kind in the world. This facility consists of a milk barn and 17 freestall barns (covering 35 acres) that house the Braum's private dairy herd of 10,000 cows on approximately 16,500 acres. In 2010, Braum's built a new 240,000 square-foot bakery and warehouse distribution facility adjacent to the processing plant on the Tuttle Farm. A.6 Project/Task Description All sampling efforts will begin the week of July 8 through July 10, 2024. Due to holding times, laboratory sample preparations and travel logistics, the field team will be dropping off samples at the laboratory located in Oklahoma City, OK no later than 2:00 PM of the day of collection. The laboratory will be contacted each morning the day of collection to notify them that samples will be arriving that afternoon, as well as another call when leaving the site of the total number of samples to be delivered. This QAPP has been prepared to address: These samples will provide information to aid in determining if lagoon mismanagement, land application or any other operation at this facility could or have adversely affected ground or surface water quality within Waters of the U.S. The results of the sampling and inspection maybe used to compel the operator into compliance agreement and compliance assistance by the EPA, in cooperation with other State and Federal partners. The potential for future enforcement action is also possible. The work to be performed includes: Objectives include the collection of surface water samples from land application areas, drainage ways, and emergency runoff lagoons, at points that the discharge would potentially impact Waters of the U.S. with nutrients (i.e., nitrogen components and phosphorus) or bacteria. We may also collect contaminated runoff samples that enter a waterway from areas to which manure or wastewater has been improperly applied or improperly stored. EPA Inspection Report - Page 76 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 6 All enforcement wastewater or potentially impacted wastewater samples will be hand delivered by EPA Region 6 staff to Accurate Environmental Laboratories (Lab) 12036 North Pennsylvania Ave, Oklahoma City, OK 73120, 405-751-3132. The Lab will provide proper storage, extraction, analysis, reporting and disposal of the samples provided. List samples/measurements to be collected/made and data to be obtained: All potentially impacted water samples will be performed per the requirements as described in the following: Nitrate as Nitrogen via EPA Method 300.0, Total Phosphorus via EPA Method 365.1, and E coli via SM9223B. During this EPA field mobilization, it is assumed that no more than 10 total samples will be collected and analysed for all three parameters. There will be no more than two E. coli samples submitted for a QA check with one per day of sampling. Special personnel or equipment requirements: Equipment used for sample collection will be EPA sterile bacteria bottles and certified clean containers, or containers provided by the laboratory. Personnel will be Credentialed Inspectors that meet the training requirements for CAFO Inspections, and the Safety Requirements required for field inspection work. Proposed work schedule (dates and time of sample collection): 0700-1400 during the week of July 8 thru 11, 2024. Products to be produced: Laboratory data that is supported by appropriate QA/QC, which will be included into a facility inspection report. A.7 Quality Objectives & Criteria This inspection will be conducted under the authority of Section 308 of the Clean Water Act, and in accordance with 40 CFR 136 40 CFR Part 136 - Guidelines Establishing Test Procedures for the Analysis of Pollutants. To support this requirement, EPA has developed a systematic planning process based on a graded approach for environmental decision making called the Data Quality Objectives (DQO) Process. The DQO Process is the Agencys preferred planning process and provides quality objectives and performance criteria based on the users determination of tolerable error in the results. For details on the DQO Process and guidance on how and when it may be used, see the Guidance on Systematic Planning Using the Data Quality Objectives Process (EPA QA/G-4) (EPA, February 2006). This process has limited applicability to most enforcement inspection activities, since generally only Special Projects lend themselves to development of formal DQOs and defining of error limits, hypothesis testing, etc. EPA Inspection Report - Page 77 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 7 All data collected shall be in accordance with the appropriate EPA methodologies and protocols found in the appropriate regulatory guidance. The data shall be used to determine the following: 1. The potential water quality impact by a CAFO on that is discharging process wastewater to a Water of the U.S. The data must meet the approved method accuracy requirements such as those found in Industry-specific methods (40 CFR 136). All supporting QA/QC information shall be provided. The data may be used to support any future enforcement actions. A.8 Special Training/Certification At a minimum, field personnel have completed the required Health and Safety 24-hour initial and 8-hour annual training that is mandatory under OSHA 29 CFR 1910.120(e)(8) and EPA Order 3500.1 requirements. Under various programs, this training is mandatory to maintain inspector credentials. All non-credentialed personnel (e.g. inspectors in training) must meet the 29 CFR 1910.120(e)(8) requirements, and should be in accompanied by credentialed personnel while inspecting/sampling at the facility/site. Inspection personnel must be familiar with and follow bio-security procedures. Additional Special Training: EPA course on Defensible Sampling and on the job training with senior inspectors. A.9 Documents and Records The records for this project will include miscellaneous correspondence, field notes, laboratory analytical reports, photo logs, and inspection reports. All laboratory reports will be submitted to the EPA Lead Inspector/Project Manager. Field notes will include observations about facility conditions at the site(s) where samples are collected. Any noteworthy deviation from the procedures specified in the QAPP will be recorded in the field activity logs. Laboratory analytical reports will be generated for all the samples received by the laboratory. Each set of samples will include a chain of custody form signed by the samplers and the laboratory recipient. All samples will be delivered by an EPA Field Team Member. The EPA Project Manager will disseminate copies of the QAPP to the people listed in the distribution list once it is approved. Any revisions to the QAPP will be numbered sequentially. It will be the responsibility of the EPA Project Manager to ensure that each person on the distribution list receives copies of any revisions. See Table B.1. All EPA records and documents from this project will be handled according to the following EPA Region 6 Field Activities Quality System Procedures: EPA Inspection Report - Page 78 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 8 Records Management - R6PROC-003 Management of Sampling and Environmental Data - R6PROC-004 Field Documentation - R6PROC-005 Field Equipment Inventory and Management - R6PROC-006 Field Inspections and Investigations - R6PROC-007 Field Activities Report Preparation and Distribution- R6PROC-008 The designated and/or contracted laboratory will manage the testing and original raw data from this project (both hard copy and electronic) in accordance with their established and accredited procedures. Any deviations from these procedures shall be approved by the EPA Project Manager before implementation. SECTION B DATA GENERATION & ACQUISITION B.1 Sampling Process Design (Experimental Design) Describe the experimental data generation or data collection design for the project: The decision on whether or not to collect a sample will be contingent upon the following factors: 1. The potential water quality impact by a CAFO that is discharging process wastewater to a Water of the U.S. Because these samples are to be the result of an inspection and/or a one-time inspection/sampling event, a detail process design is not feasible or appropriate. However, the procedures to be followed from initiation to final report could be described as followed: Step 1: Step 2: Step 3: Step 4: Lead Inspector assembles sampling equipment, chain of custody forms, pre-inspection plan, QAPP, sampling equipment/containers, ice chests, etc. and notifies laboratory to expect samples of a particular matrix for a specific analysis (see Table B.1). Inspection Team proceeds to field for observation, data gathering, and sample collection, if the situation warrants. Inspection Team transports/ships sample(s) along with chain of custody forms to the laboratory for analytical testing. Analytical results received from laboratory, inspector evaluates data, attaches to report along with a QA/QC review, and takes any required action. Types and number of samples required: Sampling network design & rationale for design: To be determined in the field. EPA Inspection Report - Page 79 of 102 Table B.1 Samples by Matrix Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 9 # of Matrix Samples # of Field Blank** # of Trip Blank* # of Blind Duplicate # of MS/MSD Total # of Samples Matrix Analysis Example: TCLP RCRA 8 Metals SW846 6010C/7471 Water s10 2 0 0 *** s12 E coli (SM9223B) Water s10 0 0 0 *** s10 Nitrate-N (EPA 300.0) Water s10 0 0 0 *** s10 Total Phosphrous (EPA 365.1) Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Note: *Trip blanks are for VOC analyses only. ** Field blanks column may also include rinsate blanks. *** Lab will perform MS/MSD as part of their required QA/QC. Typical Analytical Method No. Volatile Organics by GC/MS SW846 - 8260B EPA500 - 524.2 EPA600 - 624 CLP - VOA MC CLP - VOA LC Std. Methods 6210B Std. Methods 6210C Std. Methods 6210D Semi-Volatile Organics by GC/MS SW846 - 8270D EPA500 - 525.2 EPA600 - 625 CLP - SVOA - MC CLP - SVOA - LC CLP - PEST - LC Std. Methods 6410 Volatile Organics by GC SW-846 - 8021B EPA500 - 502.2 EPA600 - 601 EPA600 - 602 Std. Methods 6220B Std. Methods 6220C Std. Methods 6230B Std. Methods 6230C Std. Methods 6230D PAH SW846 - 8310 (HPLC) Inorganic Analytes SW- 846 7000 Series (AA) SW- 846 6010C (ICP) SW- 846 6020A (ICP-MS) EPA 200 Series (AA) EPA 200.7 (ICP) EPA 200.8 (ICP-MS) CLP Inorganic Method (ICP) CLP Inorganic Method (AA) Std Methods 3000 Series (AA) Std. Method 3120 (ICP) Herbicides SW846 - 8151A EPA 500 - 515.4 EPA 500 - 515.2 Std. Methods 6640 Pesticides & PCBs SW846 - 8081B SW846 - 8082A EPA500 - 508 EPA600 - 608 CLP-PEST- MC Std. Methods 6630 EPA Inspection Report - Page 80 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 10 Sampling locations & frequency of sampling: The analytical methods, sample containers, holding times, and sample preservation requirements are presented in Table B.4 and apply to EPA Sampling Methods: 40 CFR 136. Sample matrices: See Table B.1. Classification of measurement parameters: Critical For enforcement case development. Validation study information, for non-standard situations: N/A: Standard laboratory validation is required. B.2 Sampling Methods Identify sample collection procedures: Samples will be collected from the production area discharge point into the waterway or location(s) to be determined by EPA Project Manager. Samples will be collected directly into the sample container. Identify sampling methods and equipment: Sampling methods and regulatory citation: The analytical methods, sample containers, holding times, and sample preservation requirements are presented in Table B.4 and apply to EPA Sampling Methods: 40 CFR 136. Sampling equipment available during the inspection/sampling event: None required, as samples will be collected directly into the sample containers at the point of the production area discharge into the waterway (creek, stream, or river). Implementation requirements: Will be based on based on the Lead Inspectors field observations, field conditions, facility operations and/or timing. Sample preservation requirements: See Table B.4 Analytical Methods, Preservatives and Containers for Samples. Decontamination procedures: Decon not required, as we will use disposable PPE and dedicated (One-Time-Use) sampling containers. Any support facilities needed: At this time, no support appears to be needed. Specific performance requirements for the sampling methods: Detection limits are defined in contract laboratorys QA manual. Reporting limits are defined in contract laboratorys QA manual. EPA Inspection Report - Page 81 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 11 These limits will be verified to assure that they will not exceed the regulatory limit of no discharge for CAFOs. If a failure in the sampling or measurement system occurs, the Lead Inspector/Project Manager must be notified. The Quality Assurance Officer and/or Laboratory Point of Contact will act as advisors to the Lead Inspector/Project Manager. The Lead Inspector/Project Manager will be responsible for any decision concerning corrective action. Corrective action in the field or in the laboratory will be documented in the field notes and/or in the final laboratory analytical report based on the action(s) required. B.3 Sampling Handling & Custody The date and time of sample collection will be recorded on the field activity log and on all samples: additionally, that information will be recorded on the Chain of Custody (COC) form. The desired analytical tests to be performed and any preservatives used will also be noted on the COC form. An example COC format is attached in Figure B.3. Prior to shipment, all samples shall be in custody with the inspection/sampling team. Sample team shall keep all samples in an environment that maintain its preservation (e.g., inside cooler(s) with double bagged ice and packing material). In lieu of tied on tags, stick on sample labels may be used if they contain the following information: sampler name, date, time, station location, sampler signature, sample # and analysis requested. Custody seals shall be used on each sample container and sample coolers, unless samples are hand delivered to the designated laboratory by a member of the inspection/sampling team along as the custody chain is not breached. EPA Inspection Report - Page 82 of 102 Figure B.3. Official Chain of Custody Example I I I . i Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 12 I I I I I N co co r- 0 I -I EPA Inspection Report - Page 83 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 13 B.4 Analytical Methods Identify analytical methods to be followed (with all options) & required equipment: See Table B.4 Analytical Methods, Preservatives and Containers for Samples. Specify any specific method performance criteria: The laboratorys NELAC Certification defines all sample parameter performance criteria, as well as the laboratorys QA manual. Provide validation information for non-standard methods: N/A Identify procedures to follow when failures occur: If failure(s) occur during the analysis, the Laboratory Point of Contact will contact the Lead Inspector/Project Manager within 24-hours, and communicate the failure and identify potential corrective remedies. The Lead Inspector/Project Manager will make the determination on the remedy. The failure(s) and corrective remedies will be document via email and cc: the first-line supervisor and the QA Officer. Identify individuals responsible for corrective action and appropriate documentation: Juan Ibarra (EPA Project Manager), and Danny Chance (Laboratory Technical Director). EPA Inspection Report - Page 84 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 14 Table B.4 Analytical Methods, Preservatives and Containers for Samples Sample # of Matrix Samples Analyte / Analyte Sweep Analytical Method No. Holding Time (Days) TCLP Size and Type of Containers Water VI 10 E. coli SM9223B 8-hours 100-mL sterile coliform bottle Water VI 2 E. coli (blank) VI VI Water 10 Nitrate-N Water 10 Total Phosphorus Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Typical Analytical Method No. SM9223B EPA 300.0 EPA 365.1 8-hours 48hours 28 100-mL sterile coliform bottle 500-mL polyethylene 500-mL polyethylene Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. # of Containers per Sample 1 1 1 1 VI VI VI VI Preservatives Sodium Thiosulfate/Ice ( 6C) Sodium Thiosulfate/Ice ( 6C) Ice ( 4C) H2SO4/Ice ( 4C) Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Volatile Organics by GC/MS SW846 - 8260B EPA500 - 524.2 EPA600 - 624 CLP - VOA MC CLP - VOA LC Std. Methods 6210B Std. Methods 6210C Std. Methods 6210D Volatile Organics by GC SW-846 - 8021B EPA500 - 502.2 EPA600 - 601 EPA600 - 602 Std. Methods 6220B Std. Methods 6220C Std. Methods 6230B Std. Methods 6230C Std. Methods 6230D Semi-Volatile Organics by GC/MS SW846 - 8270D EPA500 - 525.2 EPA600 - 625 CLP - SVOA - MC CLP - SVOA - LC CLP - PEST - LC Std. Methods 6410 PAH (HPLC) SW846 - 8310 Inorganic Analytes SW- 846 7000 Series (AA) SW- 846 6010C (ICP) SW- 846 6020A (ICP-MS) EPA 200 Series (AA) EPA 200.7 (ICP) EPA 200.8 (ICP-MS) CLP Inorganic Method (ICP) CLP Inorganic Method (AA) Std Methods 3000 Series (AA) Std. Method 3120 (ICP) Herbicides SW846 - 8151A EPA 500 - 515.4 EPA 500 - 515.2 Std. Methods 6640 Pesticides & PCBs SW846 - 8081B SW846 - 8082A EPA500 - 508 EPA600 - 608 CLP-PEST- MC Std. Methods 6630 EPA Inspection Report - Page 85 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 15 B.5 Quality Control Identified below are a few quality control samples that will be collected. Trip Blanks Number of Blank(s): Example: A field blank will be collected each day of sampling in lieu of any trip blanks. Trip Blank Type: NA Describe Preparation: NA Field Blanks Number of Blank(s): Example: One field blank per day of sampling with a maximum of two. Field Blank Type: E coli will be evaluated on the sample(s) collected. The sample will consist of deionized (DI) water from the DI dispenser located in Room 104 at the Addison COOP location. Describe Preparation: Type II reagent grade water from the R6-Addison sample prep room (104) and will be placed in sample containers appropriate for the analytes of interest with appropriate preservation. Equipment Rinsate Blanks NA Rinsate Type: NA Describe Preparation: NA Blind Replicate or Duplicate Samples NA Sample Matrix: NA Location: NA Matrix Spike (MS) / Matrix Spike Duplicate (MSD) Samples MS/MSD samples will be selected by the laboratory for their QC analysis as required by their QA program and protocols and selected at their choosing. EPA Inspection Report - Page 86 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 16 Sample Matrix: Water Location: To be determined by the laboratory QA Manager. B.6 Instrument/Equipment Testing, Inspection, and Maintenance EPA field personnel will not utilize any field instruments during this inspection. B.7 Instrument/Equipment Calibration and Frequency Identify all tools, gauges, instruments, and other sampling, measuring, and test equipment used for data generation or collection activities affecting quality that must be controlled and calibrated: None. Describe or reference how calibration will be conducted using certified equipment and/or standards with known valid relationships to nationally recognized performance standards. If no such nationally recognized standards exist, document the basis for the calibration: None. B.8 Inspection/Acceptance of Supplies & Consumables The EPA Project Manager will be responsible for inspecting sample containers prior to leaving for the inspection. Only new sample containers accompanied by the manufacturers certification of pre-cleaning will be used. The sample containers will be inspected for cracks, ill-fitting lids, or other defects prior to use and will be discarded if defects are found. B.9 Data Acquisition Requirements for Non-Direct Measurements Records may be collected during the inspection/sampling event to document activities at the facility. Documents may be requested for a period of up to five years prior to the inspection/sampling event. These records will be used for determining the facilitys compliance with the requirements of CWA. B.10 Data Management Data for this project will be produced both onsite and at the designated/approved Laboratory. Laboratory data will be submitted to the EPA Project Manager and will be included in the subsequent inspection report. Data collected during the inspection may be designated as Confidential Business Information (CBI) by representatives of CRS. For any information for which a CBI claim is made that information will be handled in accordance with the provisions specified for CWA CBI. All records and documents generated during this project will be handled in accordance with EPAs Standard Operating Procedures for Record and Information Management. EPA Inspection Report - Page 87 of 102 SECTION C ASSESSMENT AND OVERSIGHT Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 17 C.1 Assessments and Response Actions Documentation and analytical results collected during this project will be evaluated to determine the compliance status as it applies to the facilitys requirements under CWA. Results of this evaluation will determine what action, if any, the Agency should take in response to any Areas of Concern identified during the inspection. The magnitude and breadth of any concerns identified will determine the appropriate response on the part of the Agency which includes but is not limited to the issuance of administrative orders, administrative penalty orders, or judicial referral. C.2 Reports to Management This project will result in the generation of an inspection report which will include an inspection narrative, a photographic log, documents collected during the inspection, and analytical reports for all samples collected, if any. SECTION D DATA VALIDATION AND USABILITY D.1 Data Review, Verification, and Validation Data will be accepted if they meet the following criteria: 1. Field logs are complete. 2. Prior to releasing the analytical data, the laboratory staff well review both the sample and QC data to verify sample identity, instrument calibration, quantitation limits, dilution factors, numerical computations, accuracy of transcriptions, and chemical interpretations. In addition, the QC data are tabulated, and the results reviewed to ascertain whether they were within the project-required limits for accuracy and precision. Any non-conforming data will be discussed in the data package case narrative. If necessary, qualifiers are applied based on this information. The laboratory staff review will consist of a Peer review, a Senior Chemist review, a Point of Contact review, and a QA Officer review. The review will follow the US EPA National Functional Guidelines for Organic Methods Data Review (SOM02.2), US EPA National Functional Guidelines for Inorganic Data Review (ISM02.2). 3. Field data is reviewed to ensure that they are complete; that sample collection information is thoroughly documented; and that any deviations from the QAPP are noted. EPA Inspection Report - Page 88 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 18 4. Actual sampling locations is documented in the inspection logbook. Locations were determined using GPS instrumentation, linear measurements, and/or photographic references. 5. Sample handling procedures are documented on chain of custody forms. Any deviations from the QAPP are to be reported in the field logs. The Lead Inspector/Project Manager will verify the contents of these logs. If the data fails to meet the criteria, they will be flagged as estimated. Any flagged data will be discussed with management to determine if the data point will be rejected, and re-sampling done. D.2 Verification and Validation Methods Field data will be validated by the Lead Inspector/Project Manager, and any problems identified during this project will be documented in the field logs. The laboratory supervisor will validate laboratory data according to methods established in their QA Plan. The Lead Inspector/Project Manager will review and verify field logs and analytical data reports. Any problems or deviations identified will be discussed with the project team and the first-line supervisor to determine corrective action measures. D.3 Reconciliation with User Requirements The designated laboratory will provide a final laboratory report along with the supporting electronic data in a usable spreadsheet format. All laboratory bench sheets, and equipment calibrations will be maintained by the designated laboratory and will be available upon request. The data will be used to support any future enforcement actions or litigation. EPA Inspection Report - Page 89 of 102 Braums Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 19 APPPEENNDD~IXX A: FAC~ILl~ITY MAP EPA Inspection Report - Page 90 of 102 Braums Farm Pivot Map Braum's Farm TUTTLE, OKLAHOMA I 1 I l Braum's Dairy and Processing Plant OKG010029 Version 1 July 3, 2024 Page 20 r.J .,.,tr/~ ''---1,..,. ff tl := --- : --~ l ~ ---- I 0 ..... .,...,JJ -~- -o --- - Ii ~ ~ ~ I ~ ~ ~ ~ ~ ~ I EPA Inspection Report - Page 91 of 102 EPA Inspection Report - Page 92 of 102 W.H.B. Cattle, LP / Braum's Dairy Inspection Date 07/9-10/2024 Appendix 5 Site Sampling Analytical Data EPA Inspection Report - Page 93 of 102 July 17, 2024 Client: EPA 1445 Ross Ave Suite 1200 Dallas, TX 75202 Requested By: Juan Ibarra National Environmental Laboratory Accreditation Program ODEQ TNI Certified Sample Project Name: Date Samples Received: Matrix: Lab Log Numbers: Work Order: Report # EPA Lab ID#'s: Oklahoma Certification: Kansas Certification: Method Reference: Analysis Reference: Braum's Dairy July 09, 2024 Time: 15:59 sample temp upon arrival at lab = 10.20C - On Ice Water GG09165-01 GG09165-05 GG09165 GG09165-0717240958 GG09165-02 GG09165-06 GG09165-03 GG09165-07 GG09165-04 Stillwater OK00092 Tulsa OK00983 OKC OK00129 ICR OK 001 Stillwater NELAP WasteWater, ODEQ 8316/ Drinking Water, DEQ D9602 NELAP Tulsa WasteWater, ODEQ 9905 / Drinking Water, DEQ D9901 Oklahoma City NELAP WasteWater ODEQ 7202 / Drinking Water, DEQ D9937 Stillwater NELAP CERT # E-10219 40 CFR 136, 141, and 261 Methods for Chemical Analysis of Water and Wastes EPA-600/4-79-020, March 1983. Test Methods for Evaluating Solid Wastes, SW-846, Final Update VI. Standard Methods 2005 (21st Edition), Standard Methods 2011 (22nd Edition), Standard Methods 2017 (23rd Edition) for the Examination of Water and Wastewater. If qualifiers present in "Prep Info" or "Analysis Info", then analysis performed as follows: @= Tulsa Lab and * = OKC Lab. If no qualifiers present, then analysis performed at Stillwater Lab. Accurate Environmental Laboratories certify that the test results performed meet all requirements of TNI. Any exceptions to this can be found in the report notes, Quality Control section, or Method/Parameter section of the report. - No cert. = Laboratory does not carry certifcation for this method/analysis. - Non-TNI = Laboratory has state certification but method does not fall under TNI certification. This report is to only be replicated in its entirety. Revised or Amended reports supersede all previous reports. Accurate Environmental sampling protocol was followed for any sampling performed by Accurate Field Services. Field accreditation certification only applies to wastewater analysis. Field analysis for drinking water methods are not offered as part of the ODEQs field certification program. 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 1 of 5 Fax: 405-372-5396 GG09165-0717240958 EPA Inspection Report - Page 94 of 102 Sample: W5 at E. Road Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: W5 at E. Road MPN Blank Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: W5 at E. Road Collection Type: Grab Method/Parameter Phosphorus (P), Total - EPA 365.1 Test Phosphorus Sample: W5 at E. Road Collection Type: Grab Method/Parameter Nitrate EPA 300.0 Test Nitrate as N Sample: Confl. at Buggy Creek Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: Confl. at Buggy Creek Collection Type: Grab Method/Parameter Phosphorus (P), Total - EPA 365.1 Test Phosphorus Sample: Confl. at Buggy Creek Collection Type: Grab Method/Parameter Nitrate EPA 300.0 Test Nitrate as N Sample Time: Location Code: 7/9/24 12:34 PWSID#: Lab Log# GG09165-01 Result 16.9 MPN/100mL Notes PQL# Prep Info Analysis Info 1.0 07/09/24 16:28 *BSW 07/10/24 16:40 *BSW Sample Time: Location Code: 7/9/24 12:34 PWSID#: Lab Log# GG09165-02 Result BPQL MPN/100mL Notes PQL# Prep Info Analysis Info 1.0 07/09/24 16:28 *BSW 07/10/24 16:40 *BSW Sample Time: Result 0.881 mg/L Location Code: 7/9/24 12:39 PWSID#: Lab Log# GG09165-03 Notes PQL# Prep Info Analysis Info 0.025 07/11/24 09:35 KRH2 07/16/24 15:41 KRH2 Sample Time: Result BPQL mg/L Location Code: 7/9/24 12:43 PWSID#: Lab Log# GG09165-04 Notes PQL# Prep Info Analysis Info 0.50 07/11/24 11:00 KMK 07/11/24 13:35 KMK Sample Time: Location Code: 7/9/24 13:31 PWSID#: Lab Log# GG09165-05 Result 43.7 MPN/100mL Notes PQL# Prep Info Analysis Info 1.0 07/09/24 16:28 *BSW 07/10/24 16:40 *BSW Sample Time: Result 0.668 mg/L Location Code: 7/9/24 13:46 PWSID#: Lab Log# GG09165-06 Notes PQL# Prep Info Analysis Info 0.025 07/11/24 09:35 KRH2 07/16/24 15:42 KRH2 Sample Time: Result BPQL mg/L Location Code: 7/9/24 13:42 PWSID#: Lab Log# GG09165-07 Notes PQL# Prep Info Analysis Info 0.50 07/11/24 11:00 KMK 07/11/24 13:58 KMK 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 2 of 5 Fax: 405-372-5396 GG09165-0717240958 EPA Inspection Report - Page 95 of 102 Notes and Definitions MCL Analyte concentration may exceed Maximum Contaminant Limit (MCL) for EPA Primary or Secondary Drinking Water Regulations. ### Analyte concentration may exceed regulatory limit. Practical Quantitation Limit - the method reporting limit (MRL) adjusted for any dilutions or other changes made to the sample to deal with PQL interferences/matrix effects BPQL Below Practical Quantitation Limit (if applicable). The "Prep Date" of the QC analysis coincides with the characters of the appropriate QC Lab ID. (Example: 19 A 02 15 - BLK = 2019, Jan 2, Batch #15 - Blank) Lab Manager 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 3 of 5 Fax: 405-372-5396 GG09165-0717240958 EPA Inspection Report - Page 96 of 102 Quality Control Data Test results performed meet all method and TNI requirements unless otherwise noted. Blank Data QC Lab # 24G1142-BLK1 Test Group Phosphorus (P), Total - EPA 365.1 Test Phosphorus Result BPQL mg/L PQL 0.025 24G0959-BLK1 24G1180-BLK1 E Coli IDEXX QuantiTray SM9223B Nitrate EPA 300.0 Escherichia Coliform Nitrate as N BPQL MPN/10 1.0 0mL BPQL mg/L 0.50 Laboratory Control Sample Data Lab QC# 24G1142-BS1 24G1180-BS1 Test Group Phosphorus (P), Total - EPA 365.1 Nitrate EPA 300.0 Test Name Phosphorus Nitrate as N LCS Result 0.490 10.2 Spike Level 0.5000 10.00 % Units Rec. mg/L 98 mg/L 102 Control Limits 90 - 110 90 - 110 Flags Flags 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 4 of 5 Fax: 405-372-5396 GG09165-0717240958 EPA Inspection Report - Page 97 of 102 ENVIRONMENTAL PROTECTION AGENCY OFFICIAL CHAIN OF CUSTODY RECORD .l PROJ. NO. PROJECT NAME Ara t,M'r SAMPLERS: (SifMtu,.J ~ (7(-iJIJ/{S a.: 1111 ,: < STA. NO. DATE TIME 0 a: 0 C, ~a-,i-~ / ----- --- STATION LOCATION NO. OF CON TAINERS ~ ' J ' . l \\ , \ ~ .I '7. " 2r/ 1;1.~~ I /( , f I II l "'-1'1 I t/ l2'-1:f ~ I I / 7.~/ :2 ,, /Bt/~ 1. t( IJ'l.1 ,, x- /1/ < /ii} A',../ I -- - )I(' Ir a /I , I ">< ,, - Ml I )('" .,, /Ji d I X /'..,- -~-'-- ~ .l r-~A.fi &- A,1w:1.. /~ I )( I( ~ IC & f'(':/ If 'x /( I( c ,, ,, ---1- !x r X X ~ V X ' ,< ft REMARKS J Relinquished by: (SigMturJ Ll ~ ~ -~.A y.,,,rl Relinquished by: (SifMturJ Date /Time l-<t-~'I I/S"J1 Dterme Received by: (SigMturJ ~fn waoJY'VYf Received by: (SignturJ [fOv tD.{ Relinquished by: (SiflllturJ Relinquished by : (SignaturJ Relinquished by: (SignaturJ Date fTime Received for Laboratory by: (SifflturJ Shipped by: Airbill Number: EPA 7500-53 ,,,,oi:\ Distribution: White Accompanies Shipment; Pink to Coordinator Field Files; Green to Report, Yellow Returns with Warrant Date /Time I Remarks JIA'-11'. Cf II Date /Time Received by: (SignarurJ IDate /Time Received by: (SignaturI I &) 7 ~ ~ii- SY'1 I _Iv~,., //a,,,-,,t .t.'/#' /!. t' ~11- l'i''fl/tiJ 1lv;,rq, jv~n (iJtO;~~ ~t?V . . 6 - 08114 EPA Inspection Report - Page 98 of 102 July 19, 2024 Client: EPA 1445 Ross Ave Suite 1200 Dallas, TX 75202 Requested By: Juan Ibarra National Environmental Laboratory Accreditation Program ODEQ TNI Certified Sample Project Name: Date Samples Received: Matrix: Lab Log Numbers: Work Order: Report # EPA Lab ID#'s: Oklahoma Certification: Kansas Certification: Method Reference: Analysis Reference: July 10, 2024 Time: 16:00 sample temp upon arrival at lab = 3.30C - On Ice Water GG10199-01 GG10199-05 GG10199-09 GG10199 GG10199-0719240935 GG10199-02 GG10199-06 GG10199-10 GG10199-03 GG10199-07 GG10199-04 GG10199-08 Stillwater OK00092 Tulsa OK00983 OKC OK00129 ICR OK 001 Stillwater NELAP WasteWater, ODEQ 8316/ Drinking Water, DEQ D9602 NELAP Tulsa WasteWater, ODEQ 9905 / Drinking Water, DEQ D9901 Oklahoma City NELAP WasteWater ODEQ 7202 / Drinking Water, DEQ D9937 Stillwater NELAP CERT # E-10219 40 CFR 136, 141, and 261 Methods for Chemical Analysis of Water and Wastes EPA-600/4-79-020, March 1983. Test Methods for Evaluating Solid Wastes, SW-846, Final Update VI. Standard Methods 2005 (21st Edition), Standard Methods 2011 (22nd Edition), Standard Methods 2017 (23rd Edition) for the Examination of Water and Wastewater. If qualifiers present in "Prep Info" or "Analysis Info", then analysis performed as follows: @= Tulsa Lab and * = OKC Lab. If no qualifiers present, then analysis performed at Stillwater Lab. Accurate Environmental Laboratories certify that the test results performed meet all requirements of TNI. Any exceptions to this can be found in the report notes, Quality Control section, or Method/Parameter section of the report. - No cert. = Laboratory does not carry certifcation for this method/analysis. - Non-TNI = Laboratory has state certification but method does not fall under TNI certification. This report is to only be replicated in its entirety. Revised or Amended reports supersede all previous reports. Accurate Environmental sampling protocol was followed for any sampling performed by Accurate Field Services. Field accreditation certification only applies to wastewater analysis. Field analysis for drinking water methods are not offered as part of the ODEQs field certification program. 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 1 of 5 Fax: 405-372-5396 GG10199-0719240935 EPA Inspection Report - Page 99 of 102 Sample: D6 runoff into RO Pond Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: D6 Runoff into RO Pond MPN Blank Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: D6 runoff into RO Pond Collection Type: Grab Method/Parameter Phosphorus (P), Total - EPA 365.1 Test Phosphorus Sample: D6 Runoff into RO Pond Collection Type: Grab Method/Parameter Nitrate EPA 300.0 Test Nitrate as N Sample: Wetland @ Silage Bunkers Collection Type: Grab Method/Parameter E Coli IDEXX QuantiTray SM9223B Test Escherichia Coliform Sample: Wetland @ Silage Bunkers Collection Type: Grab Method/Parameter Phosphorus (P), Total - EPA 365.1 Sample: Wetland @ Silage Bunkers Collection Type: Grab Method/Parameter Nitrate EPA 300.0 Test Phosphorus Test Nitrate as N Sample Time: Location Code: 7/10/24 10:18 PWSID#: Lab Log# GG10199-01 Result 2420 MPN/100mL Notes A-05# ## PQL# Prep Info I 1.0 I07/10/24 16:32 *BSW Analysis Info 07/11/24 17:22 *BSW Sample Time: Location Code: 7/10/24 10:16 PWSID#: Lab Log# GG10199-02 Result BPQL MPN/100mL Notes PQL# Prep Info Analysis Info 1.0 07/10/24 16:32 *BSW 07/11/24 17:22 *BSW Sample Time: Result 9.79 mg/L Location Code: 7/10/24 10:18 PWSID#: Lab Log# GG10199-03 Notes PQL# Prep Info Analysis Info 0.250 07/13/24 13:09 AJH 07/17/24 11:27 KRH2 Sample Time: Result BPQL mg/L Location Code: 7/10/24 10:18 PWSID#: Lab Log# GG10199-04 Notes PQL# Prep Info Analysis Info 0.50 07/11/24 11:00 KMK 07/12/24 02:29 KMK Sample Time: Location Code: 7/10/24 10:58 PWSID#: Lab Log# GG10199-05 Result 2420 MPN/100mL Notes A-05# ## PQL# Prep Info I 1.0 I07/10/24 16:32 *BSW Analysis Info 07/11/24 17:22 *BSW Sample Time: Location Code: 7/10/24 10:58 PWSID#: Lab Log# GG10199-06 Result 7.62 mg/L Notes PQL# Prep Info Analysis Info 0.250 07/13/24 13:09 AJH 07/17/24 11:28 KRH2 Sample Time: Result BPQL mg/L Location Code: 7/10/24 10:58 PWSID#: Lab Log# GG10199-07 Notes PQL# Prep Info Analysis Info 0.50 07/11/24 11:00 KMK 07/12/24 02:53 KMK 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 2 of 5 Fax: 405-372-5396 GG10199-0719240935 EPA Inspection Report - Page 100 of 102 Sample: HSP NNW of D7 Collection Type: Grab Method/Parameter Test I I E Coli IDEXX QuantiTray SM9223B Escherichia Coliform Sample: HSP NNW of D7 Collection Type: Grab Method/Parameter I I Phosphorus (P), Total - EPA 365.1 Test Phosphorus Sample: HSP NNW of D7 Collection Type: Grab Method/Parameter INitrate EPA 300.0 Test I Nitrate as N Location Code: PWSID#: Sample Time: Result I 517 MPN/100mL 7/10/24 11:36 Lab Log# GG10199-08 Notes ### PQL# Prep Info Analysis Info II I 1.0 I I 07/10/24 16:32 *BSW 07/11/24 17:22 *BSW Sample Time: Result I 2.78 mg/L Location Code: PWSID#: 7/10/24 11:36 Lab Log# GG10199-09 Notes PQL# Prep Info Analysis Info II I I 0.250 07/13/24 13:09 AJH I07/17/24 11:29 KRH2 Sample Time: Result I BPQL mg/L Location Code: PWSID#: 7/10/24 11:36 Lab Log# GG10199-10 Notes PQL# Prep Info Analysis Info II I I I 0.50 07/11/24 11:00 KMK 07/12/24 03:16 KMK Notes and Definitions A-05 MCL The bacteria value is greater than 2419.6 MPN/100ml. Analyte concentration may exceed Maximum Contaminant Limit (MCL) for EPA Primary or Secondary Drinking Water Regulations. ### Analyte concentration may exceed regulatory limit. Practical Quantitation Limit - the method reporting limit (MRL) adjusted for any dilutions or other changes made to the sample to deal with PQL interferences/matrix effects BPQL Below Practical Quantitation Limit (if applicable). The "Prep Date" of the QC analysis coincides with the characters of the appropriate QC Lab ID. (Example: 19 A 02 15 - BLK = 2019, Jan 2, Batch #15 - Blank) Lab Manager 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 3 of 5 Fax: 405-372-5396 GG10199-0719240935 EPA Inspection Report - Page 101 of 102 Quality Control Data Test results performed meet all method and TNI requirements unless otherwise noted. Blank Data QC Lab # 24G1314-BLK1 Test Group Phosphorus (P), Total - EPA 365.1 Test Phosphorus Result BPQL mg/L PQL 0.025 24G1041-BLK1 24G1180-BLK1 E Coli IDEXX QuantiTray SM9223B Nitrate EPA 300.0 Escherichia Coliform Nitrate as N BPQL MPN/10 1.0 0mL BPQL mg/L 0.50 Laboratory Control Sample Data Lab QC# 24G1180-BS1 24G1314-BS1 Test Group Nitrate EPA 300.0 Phosphorus (P), Total - EPA 365.1 Test Name Nitrate as N Phosphorus LCS Result 10.2 0.506 Spike Level 10.00 0.5000 % Units Rec. mg/L 102 mg/L 101 Control Limits 90 - 110 90 - 110 Flags Flags 505 S. Lowry Street Stillwater, OK 74074 405-372-5300 Page 4 of 5 Fax: 405-372-5396 GG10199-0719240935 EPA Inspection Report - Page 102 of 102 PROJ. NO. PROJECT NAME ENVIRONMENTAL PROTECTION AGENCY OFFICIAL CHAIN OF CUSTODY RECORD 4rt?f//11J ./},;//"I/ SAMPLERS: ISi1natu,wJ - ~ ~1/ r.,GJOJCi4 '#'~ W~ . " STA. NO. DATE TIME .r IL Ill :I < 0 IX (.) STATION LOCATION -ol '"? 1-;p-;,1, /(}//., X /0 ' /'1//ft!?IT 1;# ,ec1h ~ ~J., .) /1 /0/t )<_ {{ /t IC (( ,, ...t3 3 II /~I[ ~ " tr v I' -0', ~ I I /tlfl )(' IC /I // ~~5 t/ .....J6 t,I ~)1 I./ ,1 /OS~ {( /t75g I/ /(?_s-g )( llJ,-,H11,..,/ r.J f,l,,,u J'!,,/,,. J.~_,r )<' /I /4D lf" I ( - ,, )( I( /4) I t - ~ ,.,..--0'; < /I /13 ,, //J.t 'X ft-f~----.-H- AIIV ,/ ,t'J '7 x ,, V n p.f- II ,,-p ) II //3t X' /I " #{- /( NO. OF CON TAINERS l ~ '<: ~ ~' < ~ ~{ I ~I )( '/. ~ X X )( x )(_ ')( x ) REMARKS Relinquished by: /Si1ntur,J 4~~//~ Rf'nquished by: (SignaturJ Date /Time 7 - 1 f l ~.Z'/1 I /6()(} Date /Time Received by: (Si,naturJ ~fn WooJtv-~f Received by: ISignturJ Relinquished by: /SignaturJ Relinquished by: (SignturJ Relinquished by: (SignturJ Shipped by: I Date /Time I Received for Laboratory by: (Si,nturJ Airbill Number: EPA 7500-53 (11/96) Distribution: White Accompanies Shipment; Pink to Coordinator Field Files; Green to Report, Yellow Returns with Warrant Date /Time I Remarks Date /Time IDate /Time Received by: (Sign~turJ Received by: (SigmirurJ _j//l;t I //q;,r cu( ~;7., tfitJ---- S-l/lfl {'fl CA-I-. 5.3l 6 - 08115