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^Precise Research. Proven Results. A nalytical Report Fluorochemical Characterization of Aqueous Samples Decatur Outfall 001 FC Monitoring (E06-0094) Exygen Research Laboratory Report No. L0007528 Testing Laboratory Exygen Research 3058 Research Drive State College, PA 16801 Requester Gary A. Hohenstein Environmental Manager, Special Projects, EHS Operations 3M Bldg, 42-2E-27 St. Paul, MN 55133 exygen.com 1 Introduction Results are reported for the analysis of aqueous samples received by Exygen Research (Exygen) from PACE Analytical. The Exygen study number assigned to the project is L0007528. Specific fluorochemical characterization by liquid chromatography / tandem mass spectrometry (LC/MS/MS) was requested for all samples. A total of 8 samples (including field duplicates, blanks, and spikes) were received for analysis. The samples were prepared and analyzed by LC/MS/MS for the following list of fluorochemicals: Table 1: Target Analysis Compound Name Perfluorobutanesulfonate (PFBS) Perfluorohexanesulfonate (PFHS) Perfluoroodanesulfonate (PFOS) Perfluorobutvric Acid Perfluorooentanoic Acid Perfluorohexanoic Acid PerfluoroheDtanoic Acid Perfluorooctanoic Acid Perfluorononanoic Acid Perfluorodecanoic Acid Perfluoroundecanoic Acid Perfluorododecanoic Acid Perfluorobutanesulfonamide (PFB Amide) Perfluorooctanesulfonamide 2-(N-methvloerluorobutanesulfonamido)ethvl alcohol Acronvm 04 Sulfonate C6 Sulfonate C8 Sulfonate C4 Acid C5 Acid C6 Acid C7 Acid C8 Acid C9 Acid C10 Acid C11 Acid C12 Acid FBSA FOSA Me-FBSE-OH The analytical methods used were originally developed for groundwater samples and were validated by Exygen. The validation protocol and results are on file with Exygen. Only the C8 Sulfonate, FOSA, and C8 Acid were included in the original method validation. It should be noted that the quality control elements included in this analysis demonstrate the applicability of the method to the additional analytes. 2 Sample Receipt The water samples were submitted in plastic containers. Samples were received at ambient temperature. Samples were stored at 4C from receipt until analysis. Eight individual containers were received. Field samples were collected on 2/14/06 and 2/15/06. Samples were received on 2/16/06. Chain-of-custody information is presented in Attachment C. PAGE 2 OF5 3 Holding Times Field and laboratory spikes of these fluorochemicais have shown stability for periods greater than 90 days. Samples were analyzed within 60 days of collection. 4 Methods - Analytical and Preparatory 4.1 LC/MS/MS 4.1.1 Sample Preparation for LC/MS/MS Analysis Water samples were initially treated with 200 uL of 250 mg/L sodium thiosulfate solution to remove residual chlorine. Solid phase extraction (SPE) was used to prepare the samples for LC/MS/MS analysis. A 40 mL portion of sample was transferred to a C i8 SPE cartridge. The cartridge was eluted with 5 mL of 100% methanol. This treatment resulted in an eight-fold concentration of the diluted samples prior to analysis. 4.1.2 Sample Analysis by LC/MS/MS In 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 relative to the liquid mobile phase, the analyte is retained for a characteristic amount of time. Following HPLC separation, ES/MS provides a rapid and accurate means for analyzing a wide range of organic compounds, including fluorochemicais. Electrospray is generally operated at relatively mild temperatures; molecules are ionized, fragmented, and detected. Ions characteristic of known fluorochemicais are observed and quantitated against standards. A Hewlett-Packard HP1100 HPLC system coupled to a PE Sciex API 4000 MS/MS was used to analyze the sample extracts. Analysis was performed using selected reaction monitoring (SRM). Samples were extracted on 2/20/06. Samples were analyzed on 3/17/06 and 3/18/06. Raw analytical data is provided in Attachment D. 5 Analysis 5.1 Calibration A 9-level calibration curve was analyzed at the beginning and throughout the analytical sequence for the compounds of interest. The calibration points, were prepared at 0, 25, 50, 100, 250, 500, 1000, 2500, and 5000 ng/L (ppt) for LC/MS/MS analysis. The instrument response versus the concentration was plotted for each point. Using linear regression with 1/x weighting, the slope, y-intercept and correlation coefficient (r) and coefficient of determination (r2) were determined. A calibration curve is acceptable if r >0.985 (r2> 0.970). Calibration standards are prepared using the seme SPE procedure used for samples. All calibration criteria were met for this analysis. 5.2 Blanks Extraction blanks were prepared and analyzed with every extraction batch of samples. The extraction blanks should riot have any target analytes present at or above the concentration of the low-level calibration standard. For these samples, the extraction blanks were compliant. PAGE 3 OF 5 Instalment blanks in the form of clean methanol solvent were also analyzed after every highlevel calibration standard, and after known high-level samples. Again, the blanks should not have any target analytes present at or above the low-levei calibration standard. For the samples presented here the instrument blanks are compliant. 5.3 Surrogates Surrogate spikes are not a component of the LC/MS/MS analytical methods. 5.4 Matrix Spikes Field and laboratory spikes were prepared using all compounds of interest. Field spikes were prepared by adding a measured volume of field sample to a container spiked with the target analytes by the laboratory prior to shipping containers for sample collection. Laboratory spikes consisted of aliquots of un-spiked field samples that were fortified at the laboratory at the time of extraction. Field blank spikes consisted of laboratory water fortified at the laboratory and shipped with the sample containers to the field and back to the laboratory for analysis. Laboratory control spikes (see section 5.6) are samples of laboratory water spiked at the time of extraction. Each type of spike provides information needed to assess analyte stability, extraction efficiency, and matrix effects that may impact analytical results. Matrix spike recoveries are given in Attachment B. Please see Section 5.7 for additional discussion of matrix spike recoveries. 5.5 Duplicates Field and laboratory duplicates were prepared for each field sample. Duplicate results are given along with the sample results in Attachment A. 5.6 Laboratory Control Samples For LC/MS/MS analyses, Milliq water was spiked with all compounds of interest at 100 and 500 ng/mL during each extraction set. All recoveries for all compounds were between 70 130% in each LCS. Results are given along with the raw data in Attachment D. 5.7 Statement of Accuracy Based on results of field blank spikes and laboratory control spikes, the analytical method accuracy for all analytes is 30%. Based on the results of field and laboratory matrix spike samples, the overall accuracy for the analysis is as follows: C12 Acid and Me-FBSE-OH 40% C4 Sulfonate 50% C4 Acid and C5 Acid are considered as screening quality because of high and variable spike recoveries All others 30% All spike recovery data are reported in the data fables. PAGE4 OF5 5.8 Data Summary Please see Attachment A for a detailed listing of the analytical results. Results are reported in parts per billion (ppb) (ng/ml_). Please note that the limit of quantitation is 1.0 ng/mL for all compounds except MeFBSE-OH and C4 Acid, which have a quantitation limit of 4.0 ng/mL. 6 Data/Sample Retention Samples are disposed of one month after the report is issued unless otherwise specified. All electronic data is archived on retrievable media and hard copy reports are stored in data folders maintained by Exygen. 7 Attachments 7.1 AttachmentA Results 7.2 Attachment B: Matrix Spike Recoveries 8.3 Attachment C: Chain of Custody 8.4 Attachment D: Raw Analytical Data 9 Signatures Other Lab Members Contributing to Data C hrissy Edwards PAGE 5 OF5 Section A Report^ Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0094 Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank , \ \ \ \ C4 A cid" Perfluorobutyric Acid 17.6 22.1 19.7 ND ND Analyte Found (ng/mL) C5 Acid C6 Acid Perfluoropentanoic Acid Perfluorohexanolc Acid 1.91 2.00 1.62 ND ND 2.40 2.30 2.33 ND ND C7 Acid Perfluoroheptanoic Acid 1.22 1.19 1.17 ND ND Sam ple ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank C8 Acid Perfluorooctanolc Acid . 2.12 2.11 2,12 ND ND Analyte Found (ng/mL) C9 Acid C10 Acid Perfluorononanoic Acid Perfluorodecanoic Acid ND ND ND ND ND ND ND ND ND ND C11 Acid Perfluoroundecanoic Acid ND ND ND ND ND C12 Acid Perfluorododecanoic Acid ND . ND ND ND ND Analyte Found (ng/mL) C4 Sulfonate C6 Sulfonate Perfluorobutanesulfonate Perfluorohexanesulfonate 87.0 95.2 ND ND 79.9 ND \ ND ND ND ND 0 8 Sulfonate Perfluorooctanesulfonate 8.17 8.06 8.61 ND ND Analyte Found (ng/mL) Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank FBSA 10.4 11.3 10.2 ND ND FOSA ND ND ND ND . ND , Me-FBSE-OH** 15.0 14.1 12.2 ND ND ND = Not detected = Response between 0 and 1 ng/mL. **ND = Not detected = Response between 0 and 4 ng/mL. ' Laboratory Duplicate 0006 J ^ 3 03055i8 Research Drive -# ^ k S Statate College, PA 16801, USA VT: 800.281.3219 F: 814.272.1019 exygen.com Section B CH Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0094 Sample Description Outfall 001 Effluent Low Field Spike C4 Acid* C5 Acid C6 Acid C7 Acid Amount Amt Found Amount Amt Found Amount Amt Found Amount Amt Found Amount Spiked in Sample Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery (ng/mL) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%> (ng/mL) (ng/mL) (%) 10 17.6, 49.9 323 1.91 28.1 262 2.40 13.0 106 1.22 10.8 96 Outfall 001 Effluent High Field Spike 100 17.6 . 214 196 1.91 197 195 2.40 75.0 73 1.22 83.8 83 Outfall 001 Effluent Spk C Low Lab Spike 1 17.6 21.4 ** 1.91 7.73 582 2.40 3.41 101 1.22 2.16 94 Outfall 001 Effluent Spk O High Lab Spike 100 17.6 485 \ 467 1.91 494 494 2.40 135 133 1.22 129 128 Field Blank Low Field Spike 10 ND 10.2 , 102 ND 10.3 103 ND 10.3 103 ND 12.0 120 Field Blank High Field Spike 100 ND 101 101 ND 119 119 ND 99.9 100 ND 114 114 Sample Description Outfall 001 Effluent Low Field Spike Outfall 001 Effluent High Field Spike Outfall 001 Effluent Spk C Low Lab Spike O utfall 001 Effluent Spk O High Lab Spike Field Blank Low Field Spike Field Blank High Field Spike Ct Acid C9 Acid C10 Acid C11 Acid Amount Amt Found Amount Amt Found Amount Amt Found Amount Amt Found Amount Spiked in Sample Recovered Recovery ih Sample Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery (ng/mL) (ng/mL) (ng/mL) (V.) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) <%) (ng/mL) (ng/mL) (%) 10 2.12 12.1 100 ND 10.9 109 ND 10.3 103 ND 9.63 96 100 2.12 81.2 79 ND \ 92.4 92 ND 94.0 94 ND 83.6 84 1 2.12 2.87 75 100 2.12 95.2 93 ND ,1.09 109 ND 119 119 ND ND 1.02 102 ND 0.943 94 114 114 ND 121 121 10 ND 10.8 108 ND 10.6 \ 106 ND 9.17 92 ND 11.2 112 100 ND 100 100 ND 105 105 ND 97.6 98 ND 111 111 ND = Not detected = Response between 0 and 1 ng/mL. *ND = Not detected = Response between 0 and 4 ng/mL. . "Sample residue exceeded the spiking level by more than 4 times; therefore an accurate recovery cannot be calculated. 0007 J&303055S8 Research Drive iT m S tSatatte College, PA 16801, USA YJ: 800.281.3219 F: 814.272.1019 exygen.com CH Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0094 Continued Sample Description Outfall 001 Effluent Low Field Spike Outfall 001 Effluent High Field Spike Amount Spiked (ng/mL) C12 Acid C4 Sulfonate C6 Sulfonate C8 Sulfonate Amt Found Amount Amt Found Amount Amt Found Amount Amt Found Amount in Sample Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL)____ (%) (ng/mL) (ng/mL) (%) 10 ND , 6.00 60 87.0 113 ** ND 12.6 126 8.17 19.6 114 100 ND , 65.8 66 87.0 266 179 ND 98.2 98 8.17 112 104 Outfall 001 Effluent Spk C Low Lab Spike 1 ND 0:863 86 87.0 92.8 ** ND 1.58 158 8.17 9.47 ** Outfall 001 Effluent Spk D High Lab Spike 100 ND 103 \ 103 87.0 231 144 ND 92.9 93 8.17 111 103 Field Blank Low Field Spike 10 ND 10.1 \ 101 ND 9.59 96 ND 12.0 120 ND 9.75 98 Field Blank High Field Spike 100 ND 101 11 ND 98.5 99 ND 111 i n ND 111 111 Sample Description Outfall 001 Effluent Low Fiald Splka Outfall 001 Effluent High Field Spike Outfall 001 Effluent Spk C Low Lab Spike Outfall 001 Effluent Spk O High Lab Spike Field Blank Low Field Spike Field Blank High Field Spike FBSA FOSA Me-FBSE-OH* Amount Amt Found Amount Amt Found Amount Amt Found Amount Spiked in Sample Recovered Recovery in.Sample Recovered Recovery in Sample Recovered Recovery (ng/mL) (ng/mL) (ng/mL)____ <%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL)____ (%) 10 10.4 20.3 99 N. 11.3 113 15.0 21.4 64 100 10.4 102 92 ND . 94.1 94 15.0 77.4 62 1 10.4 12.1 ** ND ,1.69 169 15.0 17.0 ** 100 10.4 105 95 ND 93.8, 94 15.0 132 117 10 ND 10.4 104 ND 9.08 \ 91 ND 10.3 103 100 ND 106 106 ND 86.1 86 ND 81.5 82 ND = Not detected = Response between 0 and 1 ng/mL. . *ND = Not detected = Response between 0 and 4 ng/mL. "Sample residue exceeded the spiking level by more than 4 times; therefore an accurate recovery cannot be calculated. 0008 J^30,35058 Research Drive v rm s tSatatte College, PA 16801, USA YJ: 800.281.3219 F: 814.272.1019 exygen.com Section C 3058 Research Drive State College, PA 16801 Phone: 814-272-1039 Fax: 814-231-1580 Lopin Login Group: L0007528 Login #: Project: Company Name: Submitted By: Login Type: Started: Date Start: Due Date: Login Initiated*: 7639 P0000522 3M Kent Lindstrom Immediate Receipt of Samples True 02/16/2006 02/26/2006 02/16/2006 Conform COC Sample: Conform COC: Conform Sample: Conform Request: True True True True * Dates entered into "Login Initiated" field prior to 1/5/06 reflect dates of receipt. The field was formerly called "Received Date" Received By: Ammerman, Mark Spread Sample: Label: Exygen SD/PI: Risha, Karen Project Title/Type: Groundwater Sampling, Decatur AL / ROUTINE Login Notes: Packaae PK0008674 Carton Packages / Containers Date / Condition ShiDDer/ ID Received Date: 2/16/06 10:28 Package & Contents Uncompromised FEDEX 8540 9649 0291 Temo. Control/TemD. None 20.0 Direction / Handled Bv RECEIVED Ammerman, Mark Container # C0151093 C0151094 C0151095 C0151096 C0151097 C0151098 C0151099 C0151100 Gross Weiaht dH Container TvDe 602.00 g 500 ml Clear Plastic Narrow 601.50 g 500 ml Clear Plastic Narrow 611.50 g 500 ml Clear Plastic Narrow 250.00 g 500 ml Clear Plastic Narrow 250.50 g 500 ml Clear Plastic Narrow 258.80 g 500 ml Clear Plastic Narrow 260.10 g 500 ml Clear Plastic Narrow 256.70 g 500 ml Clear Plastic Narrow Preservative NONE NONE NONE NONE NONE NONE NONE NONE Mfa. Lot Mfa. ID 2/16/2006 Login.rpt Report Version: Feb 13 2006 2:43PM Page 1 of 2 Instance: R0229193 R0229193 Sample ID L0007528-0001 L0007528-0002 L0007528-0003 L0007528-0004 L0007528-0005 L0007528-0006 L0007528-0007 L0007528-0008 Container C0151093 C0151094 C0151095 C0151096 C0151097 C0151098 C0151099 C0151100 Matrix LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID Login Fraction Water Samples Sample Equipment Blank Water Outfall 001 Effluent Water Outfall 001 Effluent Dup Water Outfall 001 Effluent 10 ppb Low Sp. Water Outfall 001 Effluent 100 ppb High Sp. Water Field Control/ Travel Blank Water Field Control/ Travel Blank Low Sp. (10 ppb) Water Field Control/ Travel Blank High Sp. (100 ppb) Date Sampled 02/14/2006 02/15/2006 02/15/2006 02/15/2006 02/15/2006 Date Due 02/26/2006 02/26/2006 02/26/2006 02/26/2006 02/26/2006 02/26/2006 02/26/2006 02/26/2006 Login Reviewed By: Date/Time: 9 /$ ^ 2/16/2006 Login.rpt 0010 Report Version: Feb 13 2006 2:43PM Page 2 of 2 Instance: R0229193 R0229193 ace Analytical /S e c tio n A ' Required Client Information: Company I i y ) Address t J s* Email To- < t . K r totf\a.ST*tw \ Ph ni 5 l - m - & 5 X Fax Requested Due Date/TAT: cow \ CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. S e c tio n B Required Project Information: Report To: ., .. W l * . K e . 'O T u m d S T r D v n Copy To: S e c tio n C Invoice Information: Attention: Company Name: Address: Purchase Order No.: Pace Quote Reference: Project Name: r U C d to T ttA , 0 |a5 w Project L-L* O O l W e v A O A Pace Project ManagerPace Profile #: .. NPDES UST P age: / of j 0945966 REGULATORY AGENCY GROUND WATER DRINKING WATER n RCRA JCOther SITE LOCATION GA DIL noH n s c D IN DM I MN DNC n w i ^ o t h e r A l a B *j iA _ Valid Matrix Codes S e c t i o n D Required Client Information MATRIX code DRINKING WATER DW * .. . , _ ._ WATER WT SA M P LE ID WASTE WATER PRODUCT WW P S O Il/S O L ID SL One Character per box. ((Mk-Z7., 0U-y9//. J^ o il WA|IRPE ol 4) | f \ aWr Pi tr/'s$ Samples IDs MUST BE UNIQUE OTHER OT TISSUE TS CL .O $ g \fvncvv 131 B 2 w r COLLECTED COMPOSITE START COMPOSITE END/GRAB | O LU LU CoO: 'k zLU i Oo DATE TIME Ahflb<, P re s e rv a tiv e s (DtcV-l-AU1 Q\ Ei-PTtwer V 0vrt--/A V .u ft U * fV iX y i O vV J a v u oo \ i 5f#: O T E LfloS it H7: f5 ww WW r o * + s tftsloip togs L/'i/. su !< ? O iltiA V U OC I '= r looB B V J ik ^ W >1L V/W a//V/at? /<3vr Ar/ofe ! * / ip u o C ^ v i Vrc W W T A /r> h<*> .I *p i E l J >___ C q > 4 v i l t "i V l tfr J $(> 9 l i ^ w r AJ/s~bu X ijo jiiL ? w t i_ s wr A Additional Comments: R E L IN Q U IS H E D B Y / A F F IL IA T IO N A C C E P T E D B Y / A F F IL IA T IO N n DATE T IM E SAMPLE CONDITION '' /r-o ^ 4a (<K<*X = 0 . 0 SL cJ t - f o d z Ft^o 0 *0 ^ Ve\VL kGO* / Lh 4 SEE REVERSE SIDE FOR INSTRUCTIONS ORIGINAL S A M P L E R N A M E A N D S IG N A T U R E PRINT Name of SAMPLER: rr_ (7 SIGNATURE of SAMPLER: ,V is \ <3 ^ ' A ft -------- -- DATE Signed (MM / DD / YY) .-- . ^ t^ C r, Z? ALLQ020rev.3,31 Mar05 Instructions for completing Chain of Custody (COC) 1. Section A and B: Complete all Client information at top of sheet: company name, address, phone, tax, contact (the person to contact if there are questions, and who will receive the final report.), e-mail address (if available), PO#, Project Name and/or Project Number as you would like to see it appear on the report. 2 Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person receiving the invoice. 3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. 4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code for the US state in which the samples were collected. 5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are followed. 6. Section D: Complete a Sample Description in the "SAMPLE ID' section as you would like it to appear on the laboratory report. The following information should also be included: the sample matrix, sample type (G (grab) orC (composite). When collecting a composite, the start time and end time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked "Composite End/Grab'), Sample temp at collection (if required by state), the total number of containers, and preservative used. ' 7. Mark if the sample was filtered in the field by marking Y or N in `Filtered' row by the Analysis requested. 8. Requested Analysis: lis t the required analysis and methods on the lines provided and place a check in the, column for the samples requiring the analysis. Additional comments should be referenced in the bottom left hand comer or include attachments for extended lists of parameters. 9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in the spaces designated fo r`SAMPLER NAME AND SIGNATURE'. ' ', ,. 10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples being transferred; sign relinquished by, date and time, and include your affiliation. *Important Note: Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arrangements have been made with your project manager. f Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional Comments section. vce Analytical* /Section A ' Required Client Information: Company _ 3 /n Address / * CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B Required Project Information: Report To: M *. Copy To: , K p y jr .. L m d s T ro m Section C Invoice Information: Attention: Company Name: NPDES UST Page: / of j 0945966 REGULATORYAGENCY GROUNDWATER RCRA DRINKING WATER & Other Address: Email To- i v . s r Iia c L s V o w \ ( 8 >yitnft1. c o m Phone _ - _ ,, Fax l 5 l- T ? 8 -5 3 5 * Requested Due Date/TAT: Section D Required Client Information SAMPLE ID One Character per box. (A-Z.p-9/.-) Samples IDs MUST BE UNIQUE Purchase Order No.: Project Name: r fe e c a itA A O u ' t A L U 001 ProjectN^ m0b^ - O 0 ^ d Valid Matrix Codes MATRIX CQDE DRINKING WATER DW WATER WT WASTE WATER WW PRODUCT R SOIL/SOliD oil ' WIPE air OTHER ` SL - o t-a rrt WP W ARL \1tt& OT V TISSUE TS UQ.jOS U-jOII ji Pace Quote Reference: 'fcieYPace Project Manager: , F C VY\ o * \ S **rH A Pace Profile #: ^T<" COLLECTED COMPOSITE START COMPOSITE END/GRAB DATE *- Z 2H SITELOCATION GA OIL noH nsc GIN CIMI MN CNC nwi Ntother A l A&a<*><4 Preservatives u < X v\V v r Al>f)ou I A * m m M.'V A W V - 0 0 \ m u ww 0v.+- A L U 6JTI Dap lykl AV-L- o o \ iS ff. o r 05 i-a oSj i S 3 wui O iiJ rA oc i 2 ]|M WW v s - a/ ` ? /o (p toH 5 o u <=>Vsr Ai/ou m iL / V i~ \oh5 a/rsb(o \ o H $ L -O 2 n ^ oL / B E y > J !L L/TTdVi .k . U td E iP t CjQ. rUb v l fTTi\/tl B U L iv r wr wr xb s } t * A r/.'o w *//r,b u X X Additional Comments: c. h I oa A t ' o -il ' cl* I') r ,A t 0 *0 ^ m \VL SEE REVERSE SIDE FOR INSTRUCTIONS RELiNQL'ISHED BY / AFFILIATION 1 ^ 3-/ISOV SAMPLER NAME AND SIGNATURE PRINT Name o f SAMPLER: SIGNATURE o f SAMPLER: V DATE Signed (M M /D D /Y Y ) _______ 2 /-5~ i ( n ALLQ020rev.3.31 Mar05 Instructions for completing Chain of Custody (COC) 1. Section A and B: Complete all Client information at top of sheet: company name, address, phone, fax, contact (the person to contact if there are questions, and who will receive the final report.), e-mail address (if available), PC)#. Projeet Name and/or Project Number as you would like to see it appear on the report. , 2. Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person receiving the invoice. 3. Quote Reference should be completed if a quotation was provided by Pa^jj; Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. ' 4c'*' '' ' ' . .' -.' '3 '. 4. Site Location: A separate COC must be filled out for each day ofsigriple'collection. Record the two letter postal code for the US state in which the samples were collected. ', 5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are followed. 6. Section D : Complete a Sample Description in the "SAMPLE ID' section as you would like it to appear on the laboratory report. The following information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time and end - time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked 'Composite End/Grab'), Sample temp at collection (if required by state), the total number of containers, and preservative used. ' 7. Mark if the sample was filtered in the field by marking Y or N in 'Filtered' row by the Analysis requested. . 8. Requested Analysis: List the required analysis and methods on the lines provided and place a check in the column for the samples requiring the analysis. Additional comments should be referenced in the bottom left hand comer or include attachments for extended lists of parameters. . 9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in the spaces designated for `SAMPLER NAME AND SIGNATURE'. ' '` . 10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples being transferred; sign relinquished by, date and time, and include your affiliation. : *Important Note: j Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end o f business on the date due unless other arrangements have been made with your project manager. \ . . : , Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional Comments section. CHAIN-OF-CUSTODY / Analytical Request Document ace Analytical' /Section A ' Required Client Information: Section B Required Project Information: The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed^ccurately. Section C Invoice Information: Page: ( of ] 0945966 Company --. 3m Address , Report To: f r j i i __________ fY L . 1 Copy To: P O T L u n d s T ro m Attention: Company Name: NPDES UST REGULATORY AGENCY GROUNDWATER DRINKING WATER RCRA & Other Email To- i i i ,, n t li^ o < V o w c o v r\ Purchase Order No.: Address: Pace Quote Reference: SITE LOCATION GA D IL G IN GMI MN GNC OH GSC GW I V^oTHER A t - A B A * / ? PhoneU 5 i - l l d ~ S__i_5,A Fax Requested Due Date/TAT: Project Name: r Pace Project Manager: ,. f e c c a W O u H a L U 001 F C -W to m , T t c Y S w n t-IA Project N^mb^r: ,, ^ Pace Profile #: ^ S e c t i o n D Required Client Information SAMPLE ID One Character per box. (A-Z,p-9/.-) : Samples IDs MUST BE UNIQUE Valid Matrix Codes MATRIX CODE DRINKING WATER DW WATER WT WASTE WATER WW PRODUCT P SOIL/SOLlD . SL o il > o i-^ rr t WIPE WP 3 AIR AR i ^ | j OTHER OT Y TISSUE TS 4 * ' >*v e> o h- ti mO COLLECTED 5 LU h I- O LU y COMPOSITE START COMPOSITE END/GRAB DATE * h y/oc, i ^ v A Ou-V A WW o o \ a vu 0>l i l l u *-n O vft jp -v u O O \ 1r f f . 0 1 E 5 DU 0 oc I ioO p?ib V^k I ID C W :T ra .v l B l,c k _ B FU> u0 * ' w, Vi St B f ill (>Vf I h U V = ,H p tyUj ?337? W U 2 2 WW f WT 7 2 3 ( UfT ; v s >//<')VO U i v r = A v l<9Q / V i a/'rr/oc A/.y to /o u 5 MMB iw S V /V / i * h s h & ->/'5' oie ItSk'OKe >% 0 ( / Additional Comments: c h J&/. A t , ' 0 h 'o v S s &><nb it RELINQUISHED BY/AFFILIATION DATE TIME I tl'.oO iiim im iiu m AACCCCEEPPTTED BY / AFFILIATION \ DATE | TIME 02/'-'< / i n c U 'tK .M : 0 . 0 > c o~pci4/ c k lo r.w t - SEE REVERSE SIDE FOR INSTRUCTIONS r . . .0 ii/rS O'* e j 3 SAMPLER NAME AND SIGNATURE JPRINT Name of SAMPLER: or. V , ih e /] i /. rf,1 SIGNATURE of SAMPLER: \ ... .v V I WA_ - W --------- ----------------------- -r; --------------------- DATE Signed (M M /D D /Y Y ) -^ 5 /DCo MPLE CONDITION z ? z <D o csr =o >o. O-o ALLQQ20rev.3,31Mar05 Instructions for completing Chain of Custody (COC) 1. Section A and B: Complete all Client information at top of sheet: company name, address, phone, fax, contact (the person to contact if there are questions, and who will receive the final report.), e-mail address (if available), PO#, Project Name and/or Project Number as you would like to see it appear on the report. 2. Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person receiving the invoice. 3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. 4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code for the US state in which the samples were collected. 5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are followed. 6. Section D: Complete a Sample Description in die ` SAMPLE ID' section as you would like it to appear on the laboratory report. The following information should also be included: the sample matrix, sample type (G (grab) orC (composite). When collecting a composite, the start time and end time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked 'Composite End/Grab'), Sample temp at collection (if required by state), the total number of containers, and preservative used. 7. Mark if the sample was filtered in the field by marking Y or N in `Filtered' row by the Analysis requested. 8. Requested Analysis: List the required analysis and methods on the lines provided and place a check in the column for the samples requiring the analysis. Additional comments should be referenced in the bottom left hand comer or include attachments for extended lists of parameters. 9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in the spaces designated for `SAMPLER NAME AND SIGNATURE '. ' 10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples being transferred; sign relinquished by, date and time, and include your affiliation. Important Note: Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arrangements have been made with your project manager. Special Project Requirements such as Low' Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional Comments section. ace Analytical- /Section A ' R e q u ire d Client Information: Company fr jj^ Address iC r W tV n com Phone /5 1 . , , , , -, Fax R e q u e s te d D u e Date/TjT: v "W \ - S A IV ^P U E ID *\ One Character per box. \ , 4% (Ar/.<?-9M ` TV; Sarripfes IDs MUST BE UNIQUE E F phui A ''S lA n Y - CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B R e q u ir e d Project Information: Report To: 1 f> 1 v. L B * V T Copy To: 1 t1 U iy '^ s ir o m Section C Invoice Information: Attention: Company Name: Address: Purchase Order No.: Pace Quote Reference: Project Name: r Pace Project Manager' f e jc r iW v O B 'A L L - O O l V c W t 0 *a Project ' Valid Matrix Codes MATRIX CODE DRINKING WATER DW WATER WT WASTE WATER PRODUCT SOIL/SOLI0 OIL V WIPE AIR OTHER TISSUE WW P v SL ' OL `Z r f S WP ^ AR u t r & t sT & < - Pace Profile #: So $ COLLECTED 8top COMPOSITE START COMPOSITE END/GRAB TIME DATE ., 2 t--o 3O li? o< o o 73! >82 v r Or, y' .v-o-vli NPDES UST Page: / of f 0945966 REGULATORY AGENCY GROUND WATER RCRA D R IN K IN G W ATE R M o th e r S IT E L O C A T IO N G A D IL noH nsc D IN nwi D M I MN D N C B other A l a e a ^ A P re s e rv a tiv e s Project Number Lab I.D O s fr f> \V O CO l U P /, A L U oo\ E f i u <"V1 Pup o c \ t l lOVpe CcuS ) A \ O i l I E f t M PPp V-iqi> .7M S u*w o ^ s n .m i r . r i i M U C- /-a v ;; w w * //< / 1' ' 0^> QMA. J ' <> H k, I \o h 5 tons _EI c B rj. B f uO D o H 4 TLor t SI. k _ l i T V s/e 1 -I ru I f r r A t/t l . WrA < ? ? ? ? VvT wr "V'T B is r, \ ----- 1______ 1______ 1______ 1______ 1______ i-- __1______1 1 1-----1___ L 1 -1 1 -1 Additional Comments: c M t ' . /U r , /- Z1 1- 1 C> ( a 0 ! ; >' !; O RELINQUISHED BY/AFFILIATION DATE! TIME C*f. : Vj C {/I ' t j - 0 . c o ^ p o iiV ^ \V j i i V C -H u ; ACCEPTED BY / AFFILIATION / --------- I DATE I TIME 7------------ ------- V/ (//!(. - / '- SAMPLE CONDITION zZ >? zz ?> z , z ?? zz >? z ? z ? z ? z > Temp in C Received on Ice Custody Sealed Cooler Samples Intact - OC `. I l - ]r . S ' ' y ' Cj ,> SAMPLER NAME AND SIGNATURE 1PRINT Name o f SAMPLER: \ // s -1 ~~~X ; j / ^- -- * _____ W ^ ' c v . L . / ' / =. SEE REVERSE SIDE FOR INSTRUCTIONS SIGNATURE of SAMPLER: \ / v O. . / S -V -- ..... DATE Signed (MM / DD / YY) -- "i 1 ALLQQ20rev.3,3t Mar05 Instructions for completing Chain of Custody (COC) i 1. Section A and B: Complete all Client information at top of sheet: company name, address, phone, fax, contact (the person to contact if there are questions, and who will receive the final report.), e-mail address (if available), PO#. Project Name and/or Project Number as you would like to see it appear on the report. 2 Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person receiving the invoice. 3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. 4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code tor the US state in which the samples were collected. 5. Regulatory Agency: List the program that is guiding the work to ensifre proper regulations are followed. , .* m 6. Section D: Complete a Sample Description in the "SAMPLE ID' section as you would like it to appear on the laboratory' report. The following . information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time atxd end time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked "Composite End/Grab'), Sample temp at collection (if required by state), the total number of containers, and preservative used. ( 7. Mark if the sample was filtered in the field by marking Y or N in Filtered' row by the Analysis requested. 8. Requested Analysis: Last the required analysis and methods on the lines provided and place a check in the column tor the samples requiring the analysis. Additional comments should be referenced in the bottom left hand comer or include attachments for extended lists of parameters. 9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in the spaces designated for `SAMPLER NAME AND SIGNATURE'. ' 10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples being transferred; sign relinquished by, date and time, and include your affiliation. ^Important Note: Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arrangements have been made with your project manager. Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional Comments section. 2/1/2006 Project: E06-0094 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Page 1 of 4 Requester: Schnobrich, Dana M (223-1N-08) Department: 530711 Project Number: 0022674449 Date Received: 1/31/2006 Project Description: Decatur Outfall 001 FC Monitoring Quarterly Comments: Completion Date: Project Lead: Kent Lindstrom Phone Number: 651-778-5352 Email Address: krlindstrom@mmm.com Statement o f Accuracy: _____________________________________________ Project Results/Activitv Pace Field Sampling Event 3M Sample Number_____ Sampled Date______Sample Description_____________________________________ E06-0094-93375 2/14/2006 Outfall 001 Effluent - Composite LAB EXYGEN Analytical Method LCMS E06-0094-93376 2/14/2006 Components PFOS Result PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Outfall 001 Effluent - Composite Duplicate RL Qualifier LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C l acid PFOA C9 acid CIO acid C ll acid C12 acid Result RL Qualifier 0012 2/1/2006 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E06-0094 (cont.) 3M Sample Number_____ Sampled Date______Sample Description_________________________ E06-0094-93377 2/14/2006 Outfall 001 Effluent Comp -1 0 PPB Low Spike LAB EXYGEN Analytical Method LCMS E06-0094-93378 2/14/2006 Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Result Outfall 001 Effluent Comp -100 PPB High Spike RL LAB EXYGEN Analytical Method LCMS E06-0094-93379 2/14/2006 Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Field Control/Travel Blank Result RL LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA Result RL 0013 Page 2 of 4 Q ualifier Q u alifier Qualifier 2/1/2006 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E06-0094 (cont.) 3M Sample Number_____ Sampled Date______Sample Description_________________ E06-0094-93379 (cont.) 2/14/2006 Field Control/Travel Blank LAB EXYGEN Analytical Method LCMS (cont.) E06-0094-93380 2/14/2006 Components C9 acid CIO acid C ll acid Result C12 acid Field Control/Travel Blank Low Spike LAB EXYGEN Analytical Method LCMS E06-0094-93381 2/14/2006 Components PFOS PFHS Result PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Field Control/Travel Blank High Spike LAB EXYGEN Analytical Method LCMS E06-0094-93382 2/14/2006 LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Equipment Blank Components PFOS PFHS PFBS FOSA PFBAmide Result Result 0014 Page 3 of 4 RL Qualifier RL Qualifier RL Qualifier RL Qualifier 2/1/2006 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E06-0094 (cont.) 3M Sample Number______ Sampled Date______Sample Description E06-0094-93382 (cont.) 2/14/2006 Equipment Blank LAB EXYGEN Analytical Method LCMS (cont.) Components MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid C12 acid Result Page 4 of 4 RL Qualifier 0015 Sam ple.SaTest.Test_ Test.Replie Test.Analy! ResultNan Result.Res Result.Entr Result.Attri Result.Unit 93375 985370 1 LCMS WVPFOS N NG/ML 93375 985370 1 LCMS_WV PFHS N NG/ML 93375 985370 1 LCM SJ/W PFBS N NG/ML 93375 985370 1 LCMS_WV FOSA N NG/ML 93375 985370 1 LCMS_WV PFBAmide N NG/ML 93375 985370 1 LCMS_WV MeFBSE-C N NG/ML 93375 985370 1 LCMS WV C4 acid N NG/ML 93375 985370 1 LCMS_WV C5 acid N NG/ML 93375 985370 1 LCMS_WV C6 acid N NG/ML 93375 985370 1 LCMS_WV C7 acid N NG/ML 93375 985370 1 LCMS WVPFOA N NG/ML 93375 985370 1 LCMS_WVC9 acid N NG/ML 93375 985370 1 LCMS WVC10 acid N NG/ML 93375 985370 1 LCMS_WVC11 acid N NG/ML 93375 985370 1 LCMS_WV C12 acid N NG/ML 93376 985371 1 LCMS_VW PFHS N NG/ML 93376 985371 1 LCMS WV PFBS N NG/ML 93376 985371 1 LCMS WV FOSA N NG/ML 93376 985371 1 LCMS WV PFBAmide N NG/ML 93376 985371 1 LCMS_WV MeFBSE-C N NG/ML 93376 985371 1 LCMS_VWC4 acid N NG/ML 93376 985371 1 LCMS_WV C5 acid N NG/ML 93376 985371 1 LCMS_WVC6 acid N NG/ML 93376 985371 1 LCMS_WV C7 acid N NG/ML 93376 985371 1 LCMS_WV PFOA N NG/ML 93376 985371 1 LCMS_VW C9 acid N NG/ML 93376 985371 1 LCMS_WV C10 acid N NG/ML 93376 985371 1 LCMS_WVC11 acid N NG/ML 93376 985371 1 LCMS VWC12 acid N NG/ML 93376 985371 1 LCMS WVPFOS N NG/ML 93377 985372 1 LCMS_WV PFOS N NG/ML 93377 985372 1 LCMS_WV PFHS N NG/ML 93377 985372 1 LCMS_WV PFBS N NG/ML 93377 985372 1 LC M SJ/W FOSA N N G /M L 93377 985372 1 LCMS WV PFBAmide N NG/ML 93377 985372 1 LCMS_WV MeFBSE-C N NG/ML 93377 985372 1 LCMS_WV C4 acid N NG/ML 93377 985372 1 LCMS_WV C5 acid N NG/ML 93377 985372 1 LCM SJ/W C6 acid N NG/ML 93377 985372 1 LCMS_VW C7 acid N NG/ML 93377 985372 1 LCMS WVPFOA N NG/ML 93377 985372 1 LCMS_WVC9 acid N NG/ML 93377 985372 1 LCM SJ/W C10 acid N NG/ML 93377 985372 1 LCMS VWC11 acid N NG/ML 93377 985372 1 LCMS VWC12 acid N NG/ML 93378 985373 1 LCMS WVPFOS N NG/ML 93378 985373 1 LCMS WV PFHS N NG/ML 93378 985373 1 LCM SJ/W PFBS N NG/ML 93378 985373 1 LCM SJ/W FOSA N NG/ML 93378 985373 1 LCMS WV PFBAmide N NG/ML 93378 985373 1 LCMS VW MeFBSE-C N NG/ML 93378 93378 93378 93378 93378 93378 93378 93378 93378 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93379 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93380 93381 93381 93381 93381 93381 93381 93381 93381 93381 93381 93381 93381 93381 985373 985373 985373 985373 985373 985373 985373 985373 985373 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985374 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985375 985376 985376 985376 985376 985376 985376 985376 985376 985376 985376 985376 985376 985376 1 LCMS_WV C4 acid N 1 LCMS WV C5 acid N 1 LCMS_WV C6 acid N 1 LCMS_WV C7 acid N 1 LCMSJWV PFOA N 1 LCMS WV C9 acid N 1 LCMS_VW C10 acid N 1 LCMS_WV C11 acid N 1 LCMS_WV C12 acid N 1 LCMS_WV PFOS N 1 LCMS WVPFHS N 1 LCMS_VW PFBS N 1 LCMS_WV FOSA N 1 LCMS WV PFBAmide N 1 LCMS_WV MeFBSE-C N 1 LCMS WV C4 acid N 1 LCMS_WV C5 acid N 1 LCMS_WV C6 acid N 1 LCMS_WV C7 acid N 1 LCMS WV PFOA N 1 LCMS WV C9 acid N 1 LCMS WV C10 acid N 1 LCMS VWC11 acid N 1 LCMS WV C12 acid N 1 LCMS_WV PFOS N 1 LCMS_WV PFHS N 1 LCMS_WV PFBS N 1 LCMS_WV FOSA N 1 LCMS_WV PFBAmide N 1 LCMS_WV MeFBSE-C N 1 LCMS_VW C4 acid N 1 LCMS WV C5 acid N 1 LCMS_WV C6 acid N 1 LCMS_WV C7 acid N 1 LCMS WV PFOA N 1 LCMS WV C9 acid N 1 LCMS_WVC10 acid N 1 LCMS_WV C11 acid N 1 LCMS WV C12 acid N 1 LCMS_WV PFOS N 1 LCMS WVPFHS N 1 LCMS_WV PFBS N 1 LCMS_WV FOSA N 1 LCMS_WV PFBAmide N 1 LCMS_WV MeFBSE-C N 1 LCMS_WV C4 acid N 1 LCMS_WV C5 acid N 1 LCMS_WV C6 acid N 1 LCMS_VW C7 acid N 1 LCMS_WV PFOA N 1 LCMS_WV C9 acid N 1 LCMS WVC10 acid N 0017 NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML N G /M L NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML 93381 93381 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 93382 985376 985376 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 985377 1 LCMS_WVC11 acid N 1 LCMS_WV C12 acid N 1 LCMS_WV PFOS N 1 LCMS_WV PFHS N 1 LCMS WVPFBS N 1 LCMS WVFOSA N 1 LCMS WV PFBAmide N 1 LCMS_WV MeFBSE-C N 1 LCMS_WV C4 acid N 1 LCMS_WV C5 acid N 1 LCMS WV C6 acid N 1 LCMS_WV C7 acid N 1 LCMS_WV PFOA N 1 LCMS WV C9 acid N 1 LCMS WVC10 acid N 1 LCMS_WV C11 acid N 1 LCMS WVC12 acid N NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML NG/ML Result.Attri Result.Has Attributes 0019 0020 0021 1 From USAirbill Express Date 3 / K I O ( & 540 DETl Recipient's Copy 4a Express Package Service To add SATURDAY D e lh e iv .n a S a c tio n S . Packagesup to 150lbs. * f t M M locations. dEx Priority Overnight .Next business morning* [" I FedEx Standard Overnight 1-- 1 Next business afternoon* I 1 FedEx FirstOvernight 1-- I EEaarrlileiessttnneexxtbt buussinineessssmmoomrniningg deliveryto select locations * Name8" 5 Company X . ( 0 ^ , ^ l \ l g V______________ Phone .? 0 S 'P A i F . A t i ^ 1,^ H (r. \ .r-M \h( r s c ._______ Address I DO V a UA city 2 YourInternal Billing Reference i jA \ )P V \U t . :r State A l Q ZIP ,b Oept/Hoer/Suite/Room 2 6^ 3 To Recipient's Name 1 *0 k F lq k P r ^ Phone O ? I- Company yy jjrv i Recipient's Address 3p5 8 We cannot deliver to P.0I.. boSC er P.0, ZIP c o d e s > ^ __ H l w -p Dept/Fkwr/Suite/Room m iU lQ M To request a package be held at ai specific FedEx location, print FedEx address here. efe ,' > 4 a V -- * ^ -j State P A ZIP i l ^ - g o i ' L 8540 9649 0291 SSSSL^ S & Saver FedEx Envelops rate not available. 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Declaration /\ Shipper's Dectorrion. not required, ^a n g e ro u s goods (including dry ice) cannotbe shipped in FedEx packaging. I I Dry Ice I-- 1 Dryviicce,.99.,1UN 1845 - I I Cargo Aircraft Only 7 Payment Biuta: - EuterFedExAcciNo.orCreditCardNo.below. te tfe CU Recipient Q Third Party Q CreditCard Obtain Recip.l I AeM kli-i ^------ 0 CastyCheck m Total Packages \ - ' - TeelW wght . TotalDoctaredV oter Total Charges 1 ------------------------------------ -------------------------- c---------- $ .00 tQur liability is limited to $100 unless you declare a higher value. See back fo r details. 1 Credit Card Auth. 8 NEW Residential Delivery Signeture Options If you requirea signature, check Director Indirect I-- , No Signature , Direct Signature !-- , Indirect Signature RfiOUired Anyone at recipient's at| If no one is available I-----' Package may be left with `---- i ardirdireasusIYm1aAyVssiugmn ffonrrHdealivuemryv.. 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