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Proven Results. Analytical Report Fluorochemical Characterization of Aqueous Samples Decatur Outfall 001 FC Monitoring (E06-0503) Exygen Research Laboratory Report No. L0009490 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 J ^ 3 03055f8 Research Drive State College, PA 16801, USA VT: 814.272.1039 F: 814.231.1580 exygen.com PAGE 1 0 F 5 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 L0009490. 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) Perfluorooctanesulfonate (PFOS) Perfluorobutvric Acid Perfluoropentanoic Acid Perfluorohexanoic Acid Perfluoroheotanoic Acid Perfluorooctanoic Acid Perfluorononanoic Acid Perfluorodecanoic Acid Perfluoroundecanoic Acid Perfluorododecanoic Acid Perfluorobutanesulfonamide (PFB Amide) Perfluorooctanesulfonamide 2-(N-methvloerluorobutanesulfonamido)ethvl alcohol Acronvm C4 Sulfonate C6 Sulfonate C8 Sulfonate C4 Acid C5 Acid C6 Acid C7 Acid C8 Acid C9 Add 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 8/29/06 and 8/30/06. Samples were received on 8/31/06. Chain-of-custody information is presented in Attachment C. PAGE 2 OF 5 3 Holding Times Field and laboratory spikes of these fluorochemicals 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 fluorochemicals. Electrospray is generally operated at relatively mild temperatures; molecules are ionized, fragmented, and detected. Ions characteristic of known fluorochemicals 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 and analyzed between 9/1/06 and 9/26/06. 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 same 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 not 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 Instrument 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-level 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 matrix spike samples, the overall accuracy for the analysis is as follows: C5 Acid and C4 Sulfonate screening quality because of high and variable spike recovery C8 Sulfonate and MeFBSE-OH 50% All others 30% All spike recovery data are reported in the data tables. PAGE 4 OF 5 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 Attachment A: Results 7.2 Attachment B: Matrix Spike Recoveries 8.3 Attachment C: Chain of Custody 8.4 Attachment D: Raw Analytical Data Other Lab Members Contributing to Data Chrissy Edwards PAGE5 OF5 Section A Proven Results. Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0503 Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank C4 Acid** Perfluorobutyric Acid 24.2 27.7 26.5 ND ND Analyte Found (ng/mL) C5 Acid C6 Acid Perfluoropentanoic Acid Perfluorohexanoic Acid 2.72 2.70 2.82 2.53 2.71 2.47 ND ND ND ND C7 Acid Perfluoroheptanoic Acid 1.00 1.04 1.02 ND ND Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank C8 Acid Peitluorooctanoic Acid 1.48 1.42 1.51 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 Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank C12 Acid Perfluorododecanoic Acid ND ND ND ND ND Analyte Found (ng/mL) C4 Sulfonate C6 Sulfonate Perfluorobutanesulfonate Perfluorohexanesulfonate 240 ND 253 ND 236 ND ND ND ND ND C8 Sulfonate Perfluorooctanesulfonate 3.19 3.48 3.59 ND ND Analyte Found (ng/mL) Sample ID Outfall 001 Effluent Outfall 001 Effluent* Outfall 001 Effluent Dup Travel Blank Equipment Blank FBSA 37.4 38.0 37.3 ND ND FOSA ND ND ND ND ND Me-FBSE-OH** 50.9 63.9 55.5 ND ND ND = Not detected = Response between 0 and 1 ng/mL. **ND = Not detected = Response between 0 and 4 ng/mL. ` Laboratory Duplicate 000G J ^ 3 035058 Research Drive < # m s Statatte College, PA 16801, USA YJ: 814.272.1039 F: 8 1 4 .2 3 1 .1 5 8 0 exygen.com Section B Proven Results. Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0503 Sample Description Outfall 001 Effluent Low Flold Spike Amount Spiked (ng/mL) C4 Acid* C5 Acid C6 Acid C7 Acid 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 24.2 36.1 119 2.72 26.2 262 2.70 10.4 77 1.00 8.03 70 Outfall 001 Effluent High Field Spike 100 24.2 151 127 2.72 158 158 2.70 78.1 75 1.00 63.7 63 Outfall 001 Effluent Spk C Low Lab Spike 1 24.2 30.5 * 2.72 9.43 943 2.70 3.99 129 1.00 2.11 111 Outfall 001 Effluent Spk D High Lab Spike 100 24.2 135 111 2.72 222 222 2.70 103 100 1.00 111 110 Field Blank Low Field Spike 10 ND 8.80 88 ND 9.85 99 ND 11.1 111 ND 8.85 89 Field Blank High Field Spike 100 ND 79.7 80 . ND 84.3 84 ND 110 110 ND 89.3 89 Sample Description Outfall 001 Effluent Low Field Spike 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 Amount Spiked (ng/mL) Amt Found in Sample (ng/mL) C8 Acid Amount Amt Found Recovered Recovery in Sample (ng/mL) (%) (ng/mL) C9 Acid C10 Acid C11 Acid Amount Amt Found Amount Amt Found Amount Recovered Recovery in Sample Recovered Recovery in Sample Recovered Recovery (ng/mL) (%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) 10 1.48 12.4 109 ND 9.51 95 ND 7.54 75 ND 8.42 84 100 1.48 90.4 89 ND 101 101 ND 92.8 93 ND 93.4 93 1 1.48 2.32 84 ND 1,37 137 ND 0.997 100 ND 1.08 108 100 1.48 76.2 75 ND 111 111 ND 76.4 76 ND 87.8 88 10 ND 9.90 99 ND 8.45 85 ND 8.16 82 ND 10.7 107 100 ND 96.3 96 ND 86.8 87 ND 85.7 86 ND 108 108 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 3 times; therefore an accurate recovery cannot be calculated. 0007 3058 Research Drive * m iSStataite College, PA 16801, USA VJ: 814.272.1039 F: 814.231.1580 exygen.com Proven Results. Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent for E06-0503 Continued Sample Description Outfall 001 Effluent Low 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 7.42 74 240 295 ** ND 8.66 87 3.19 16.3 131 Outfall 001 Effluent High Field Spike 100 ND 78.7 79 240 464 224 ND 115 115 3.19 150 147 Outfall 001 Effluent Spk C Low Lab Spike 1 ND 1.21 121 240 326 ** ND 1.26 126 3.19 3.84 - Outfall 001 Effluent Spk D High Lab Spike 100 ND 93.8 94 240 465 225 ND 59.4 59 3.19 74.0 71 Field Blank Low Field Spike 10 ND 10.4 104 ND 7.08 71 ND 8.91 89 ND 8.10 81 Field Blank High Field Spike 100 ND 105 105 ND 74.7 75 ND 78.3 78 ND 90.7 91 Sample Description Outfall 001 Effluent Low Field Spike Outfall 001 Effluent High Field Spike Outfall 001 Effluent Spk C Low Lab Spike Outfall 001 Effluent Spk D High Lab Spike Field Blank Low Field Spike Field Blank High Field Spike Amount Spiked (ng/mL) FBSA FOSA Me-FBSE-OH* Amt Found Amount Amt Found Amount Amt Found Amount in Sample Recovered Recovery in Sample Recovered Recovery In Sample Recovered Recovery (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) 10 37.4 56.2 ** ND 12.5 125 50.9 91.5 ** 100 37.4 155 118 ND . 148 148 50.9 215 164 1 37.4 41.3 ** ND 1.30 130 50.9 55.3 - 100 37.4 93.1 56 ND 60.6 , 61 50.9 133 82 10 ND 10.0 100 ND 10.3 103 ND 11.3 113 100 ND 105 105 ND 122 122 ND 77.7 78 ND = Not detected = Response between 0 and 1 ng/mL. *ND = Not detected = Response between 0 and 4 ng/mL. "Sam ple residue exceeded the spiking level by more than 3 times; therefore an accurate recovery cannot be calculated. 0008 ^ ^ 3 030558i Research Drive m stSatatte College, PA 16801, USA V,T: 814.272.1039 F: 814.231.1580 exygen.com Section C 3058 Research Drive State College, PA 16801 H Phone: 814-272-1039 Fax: 814-231-1580 Loain Login Group: L0009490 Login #: Project: Company Name: Submitted By: Login Type: Started: Date Start: Due Date: Login Initiated*: 9601 P0000522 3M Kent Lindstrom Immediate Receipt of Samples True 08/31/2006 09/10/2006 08/31/2006 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: Outfall 001 Sampling, Decatur A L / ROUTINE Login Notes: Packaae PK0011358 Carton Packages / Containers Date / Condition ShiDDer/ ID Received Date: 8/31/06 10:25 Package & Contents Uncompromised FEDEX 8587 4305 0519 TemD. Control/TemD. None 19.0 Container # C0207083 C0207084 C0207085 C0207086 C0207087 C0207088 C0207089 C0207090 Gross Weiaht dH Container TvDe 601.40 g 500 ml Clear Plastic Narrow 609.10 g 500 ml Clear Plastic Narrow 615.60 g 500 ml Clear Plastic Narrow 244.20 g 500 ml Clear Plastic Narrow 257.10 g 500 ml Clear Plastic Narrow 247.60 g 500 ml Clear Plastic Narrow 258.70 g 500 ml Clear Plastic Narrow 257.30 g 500 ml Clear Plastic Narrow Preservative NONE NONE NONE NONE NONE NONE NONE NONE Mfa. Lot Direction / Handled Bv RECEIVED Ammerman, Mark Mfa. ID 9/1/2006 Login, rpt 0009 Report Version: Jun 9 2006 12:21PM Page 1 of 2 Instance: R0281024 R0281024 SamDle ID L0009490-0001 L0009490-0002 L0009490-0003 L0009490-0004 L0009490-0005 L0009490-0006 L0009490-0007 L0009490-0008 Container C0207083 C0207084 C0207085 C0207086 C0207087 C0207088 C0207089 C0207090 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 Spike Water Outfall 001 Effluent 100 ppb High Spike Water Field Control/Travel Blank Water Field Control/Travel Blank Low Spike (10 ppb) Water Field Control/Travel Blank High Spike (100 ppb ) Date Sampled 08/29/2006 08/30/2006 08/30/2006 08/30/2006 08/30/2006 08/30/2006 08/30/2006 08/30/2006 Date Due 09/10/2006 09/10/2006 09/10/2006 09/10/2006 09/10/2006 09/10/2006 09/10/2006 09/10/2006 Login Reviewed By: _ Date/Time: 8/31/2006 Login.rpt 0010 Report Version: Jun 9 2006 12:21PM Page 2 of 2 Instance: R0280944 R0280944 aceAnalytical' /Section A ' Required Client Information: c" , m ' 3 Address m Q T i si Email To: Section B Required Project Information: Report To: Copy To: Purchase Order No.: CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C Invoice Information: Attention: Company Name: Address: Pace Quote Reference: Page: f o f / NPDES UST 1004188 REGULATORY AGENCY GROUNDWATER DRINKING WATER RCRA ^ O th er F C SITE L O C A T I O N GA GIL D IN oh DSC n w i D M I MN QNC ratSHER A t r A R t i m f - Phone Fax Requested Due Date/TAT: Project Name: / bee a Project Number: L * * .. QT<2_ K w to ti. & )$ ~ b $ 0 3 Pace Project Manager: Pace Profile #: Section D Required Client Information SAMPLE ID One Character per box. (A-Z, 0 -9 /.-) Samples IDs MUST BE UNIQUE Valid Matrix Codes MATRIX CODE DRINKING WATER DW WATER WASTE WATER PRODUCT SOIL/SOLID OIL WIPE AIR WT WW P SL OL OTHER TISSUE TS - S . Sg COLLECTED aJ COMPOSITE START DATE TIME COMPOSITE END/GRAB I " I; DATE TIME 0% wf */M Z - U o /O SS iio f wr nos g V o (- II o f Preservatives Project Number Leb 1.0 vr 6 q S' uf i/ o S " 8f o /L ( . n o f I t o S l f y o G II o f fr J t iny * O Wj ur iflfa Additional Comments: c o m p o s iti chfnrJL O Fntt*L~ c h ltn A - c o SEE REVERSE SIDE FOR INSTRUCTIONS W t/SQ 2/s o 'nme: me U . /O Ho CL-x O ./A 0CHt . < ? .0 l R ELINQ UISHED BY /A FF ILIA T IO N j DATE I TIM E I w sm NJ jf f k i ORIGINAL SAM PLER NAME AND SIGNATURE PRINT Name of SAMPLER: SIGNATURE.of S/wPLEI a?7 A C C E P T E D B Y / A F F IL IA T IO N ! D A TE ! T IM E SAMPLE CONDITION *tinL fa r / f a ') DATE Signead (M M /D D /YY'Y) 8/s o fr z y$ J I ICC O= i sCO I ALLQ020rev.3,31 Mar05 Instructions for completing Chain of Custody (COC) ' 1. Section A and B: Complete all Client information at top o f 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 o f 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 o f 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) 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 o f containers; andpreservative used. . . . . r - - . ; J j . t ' \ 7. Mark i f the sample was filtered in the field by marking Y or N in Filtered' row by the Analysis requested. . i :- 8. Requested Analysis: List the required analysis and methods on the lines provided and place acheck in the cplhmri for the salmples requsripg the > analysis. Additional comments should be referenced in the bottom left hand comer or include attachments for extended lists o f parameters. . . 9. The sampler should print their name in the space provided and sign their name* followed by the date o f the sampling event attlw bpttom o f the COC in the spaces designated for `SAMPLERNAME AND SIGNATURE'. . ,, ` , 10. When relinquishing custody o f the samples to a representative o f the laboratory or other organization, indicate the Item Numbers o f 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 eifd,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. .. aceAnalytical* /Section A ' Required Client Information: Company _ _ a m ___ & r Address i s/ Email To: Section B Required Project Information: Report To: Copy To: Purchase Order No.: CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C Invoice Information: Attention: Company Name: Address: Pace Quote Reference: NPDES UST Page: | of / 1004188 REGULATORY AGENCY GROUND WATER RCRA DRINKING WATER ^ O th e r P C - SiTE LOCATION G A O IL noH n s c G IN nwi D M I MN D N C p t t h e r A .A 'V Phone Fax Requested Due Date/TAT: 3Prorje/cft Name: ff / " ! Project Number: . Valid Matrix Codes Section D Required Client Information MATRIX CODE DRINKING WATER DW -- a p* i mm p% S A M P L E ID WATER WASTE WATER PRODUCT WT WW P SOIL/SOLID SL One Character per box. (A-Z, 0-9 / .- ) OIL WIPE ol W P -jffl Samples IDs MUST BE UNIQUE TS O u tf y iu QTg. Tc mow. rto f-p z o z Pace Project Manager: Pace Profile #: q>IOo 5 H - II in COLLECTED LU LU II COMPOSITE START COMPOSITE END/GRAB TIME DATE TIME *Q> /o s S c Uo6 ip i I Xc UOS V, n o b c //os' W y t c , i\o6 c. //o s >o(. / / O S Preservatives Mal j-C J f i U l^'K 3!ftofot. Additional Comments: JLDJ tffk rT rO E C O m P o i/ti cjf (o't P i I9a L~ c h l r tA '* ' w tfse 2/s o tim t IL 9 cyo CL-x 2 s lL ,, o ./g O J&L 0 ,0 1 RELIN Q U ISH ED B Y /A F F IL IA T IO N I DATE ! TIME ssm r \J la y ? ACCEPTED B Y /A FFILIA TIO N 1 DATE t im e ^7 M i n lf/L o r SAMPLE CONDITION z ? zz ?> ? zz IRSE SIDE FOR INSTRUCTIONS SA M PLER NAM E AN D SIGNATURE PRINT Name of SAMPLER: -- rf -- SIGNATUR^ofS/^LE^t: .J V C J H lf * / DATE Signed MM / D ^ m ) A tz *o 3s O3 C9nO 1 1 ALLQ020rev.3,31 Mar05 Instructions for completing Chain of Custody (COC) p q h N 'li j Section A and B: Complete all Client information at top o f 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 KaSh&e, -appearon the report 2, Section C: Invoice hiformatiqn: Billing information is included in this section. This information should include die name and address o f the person * receiving the invoice. " '"k'V.'i :\ i i 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. ; . , * .' A \ ' e ^ .A ' 4- \ Site Location: A separate CfXI must be filled out for each day' o f sample collection. Record the tw o letter postal code for the IJS stiite jp yvhjch the samples \Vere collected1: ' j i\ r -' ' . . vy \ v 5 A ' ' i". 4 l r v-i ! ..i A r 1- > . 5. R egulatory Agency: List thjc program that is guiding the work to ensure proper regulations are lbllowed. 6. Section D: Complete a Sample Description in the "SAMPLT' ID? section as you would like it to ppe&r on the laboratory report. The following information should also be included: the sample tnatiix. sample typeif (grab) or C (composite). When collecting a cqptposite, the stajILtiipe and end time should be documented iii the respective boxes.i The collection time for a grab4.^) sample should be entered in the poxes marked "Composite IlndfGj-ab1), Sample tbixip at fcollection (if reqdirel $y state), the total number d f containers: and jjreWiVWiV^ used. - V1" ' ' r' ' !i i' : !,I;. X i W i . : - ' : .v. ; - e l q.,,X ' >. V c-.-\ : -?'* v.' i 7. Mark if the sample was filterixfin the field by mar^jng Y o rN in Ffiteryd' row byT ^W nalysis requested, J r ' i - , v.\ ! ) . .... / *.pWi.-:;" 8. '\ I1 . I,, ' . . . 1V .. \ .. f . I , ,I . "'yr ^; Requested Analy sis: l i s t thd'required analysis anji methods bn the lilies provided afid place a cheek1in the dQlu&n'lprithe satnples inquiring;the !j analysis. Additional eomme|iis; should be retejenyell ip the-bottom ie|it hand-cornier or include attlichmepts>4u" extended jqstyof pajaiyieters. , ^ j ; ' B?M*Ji;fiV*/*,^iIJi"! ; , .. : j ; 1, " ' , ; ' , | . J v' .i : . .i 9. T hesam pler should print theifnam e in the space provided and sign lheiir name fofiowed by"the date o f the Siumpling e^nf at Ihe ibottoni ofthe/G tlC in rV* the fpijces designated for " S ^ P l T i R NAME ANjEf S G N A IU ^ f;,- ' I goH \ .,r n *6 C 10. Whdn Relinquishing custody p f the samples to a repiesentative o f the laboratory or other organization, indicate the Item Numbers o f those samples being fransferfed; sign relinquished bv, date and tiijie, and include your affiliation. ':I < i: *Important Npte: Standard Turnaround Time is 2 W eeks/] 0 business days. Results will be delivered py eiufoi" busiqe^s:on the.date $lue qtiless other a n ^ g e m e n ts ,... hake been made with your project manager. . ,' i : ^ ; :A 1 j i,' yW;../ -Gy . , . i . , ,, v - " | '* 1"*t ` Special Project Requirements such as Low Level Detection Limits or level of QC reported must be^icRlded on the chain pf Custody ill the Additional ^Comments section. : ! ' p.; - >. ; : , \ j > s . , t-vs -j a - i;:,s CV.T;.Tr..r^-i. 4' ,* i aceAnalytical* /Section A ' Required Client Information: Company Address ^ rrt t . 4 sf Email To: Section B Required Project Information: Report To: Copy To: Purchase Order No.: CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C Invoice Information: Attention: Company Name: Address: Pace Quote Reference: NPDES UST Page: of f 1004188 REGULATORY AGENCY GROUND WATER O DRINKING WATER RCRA p o th e r FC - SITE LOCATION G A Q IL IN noH n sc n w i D M I D-MN DNC i^ t h e r A / l A Phone | Fax Requested Due Date/TAT: Project Name: / S M V f*'" *. Project Number: . A _ .. _ Valid Matrix Codes Section D Required Client Information matrix CODE DRINKING WATER DW ^ . -- - . . . WATER WT S A M P L E ID One Character per box. WASTE WATER PRODUCT SOIL/SOUD o il WW P SL ol (A-Z, 0 - 9 /.-) Samples IDs MUST BE UNIQUE ^ rpe OTHER TISSUE i.*** TS - t f c __ _ 0 T<C P t HtaR. fo g -fr O 3 Pace Project Manager: Pace Profile #: lu5 0p.oO of -jOII COLLECTED i COMPOSITE START COMPOSITE END/GRAB DATE TIME DATE TIME E f- 6 ' 0 0 g tof & Ou f i t li- i . <? o T/-- f f 00 / c )l4 oo i ( 3 / 0 f Ft Ou H -t - i70 [ 1r f f tr i O }u A M- CO i f :f T (<% L JX Q 0 0 co 2 wr o 3c L*T c LDl Co n V >1 f-n UI ftl A<Ju ' i f r v>( at/< 1 8 0o o0 5 vr U W fi'SS //O i> IpS nos no //O S / / O S W ?jo(, lt o IX * 'if 1 i Vl i ffrt v/f j V ip, o 0 ? ivr $($>{<%, ----- -- - ..- Additional Comments: 'r'" , / y - /n /ftfr l' iff hr .... C OmpoS/tr F i t n i ~ c h i* * 1''*' |d *ts Time tteo B /io HiO HoS oHo j O./0 o.ot# O.o'i t, IRSE SIDE FOR INSTRUCTIONS RELINQ UISHED B Y /A F F IL IA T IO N I DATE j TIME m w m la y ACCEPTED B Y /A FFILIA TIO N I DATE ! TIME AIL SAMPLE CONDITION ?z SA M PLER NAME A ND SIGNATURE PRINT Name of SAMPLER: ~A ? ] C_________________ ^ -J * ______________ _< 4 Q SIGNATURE of SAMPLE^: f i AC . (h r* / DATE Signed CMM/DD/YY) if /St> z? Z >. 01 11 I" *2 ALLQ020rev.3,31 Mar05 Instructions for completing Chain of Custody (COC) P P k A lp Section A and B: Complete all Client information at top of sheet:' company name, address, phone, fax'c&fitact (the person to contact if there are C >J. P U U -|ucstjons atl{j wh0 wjii 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 o f 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 S Pace Analytical Services. J *~ 4. \ Site Location: A -separate C PC must be filled out for each day o f sample collection. Record the'two letter postal code for the US state in which the samples were collected 1 . I ; 5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are allowed. _ * . .* / 1' 1' 1 v : 1 1 ' 11 ^ * 1. ; ;; ? . = f 1 * - >, " , .a 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 siamele jn|Urix. sample type (G (grab) or C (compsite).* When collecting a composite, the stq^tinie and end time spould be documented ih the respeetive boxCsJ The collection time for a grab (G) sample sljjould be entered in the boxes marked `Composite ; Entj/Grab'). Sample temp at Collection (if require*.! bv state), the total number f containers, and prekervativp used. ->> " i ~ H ;; ' I I : ' ' .' A ;f q. . . ; - u . ! J ... , i- - . - ^ ? : 7. Mark jf the sample was tlteid in the field by marking Y or N in Filtered' row by the Aiialysis liequested. c> . ' ; . . ; > f . ' i . : ' ' I* '- ` ,. 1 , 1" - ' i>' ; :y: ,. 8. Requested Analysis: :List th l required analysis and imethods on the lines provided and plac a cheek in die oeluinri for the shhrples req uiring the analysis. Additional coinmejits should be referenced in the-bottom left hand corner or include attachments or ee.xtended .lists ,of parameter^. !.. - -, v- i ,... \ l it,, r .1 ; Try 9. The sampler should print theirirmname in the space fntwided and sign their name followed by the date o f t{ie Sampling event at the,bottom o f the CtbC in the spaces designated for `SAMPLER NAME Al^lJ SIGNATURE'. -- ' 'J 10. W hemrelinquishing custody p f the samples to a representative o f the laboratory or other organization, indicate the Item Numbers o f those Samples beiiig transferred; sign relincjuished by, date and tiifie, and include your affiliation. iS M ]: ' ? "Important Note: i ! !i Standard Turnaround Time is.2 Weeks/10-business. days. Results will he delivered by end o f business,on the date due unless other arrangements have been made with your project manager. , j , ? \ .. *"' ;, . ; ; ' ' ' ~ .` i , ; - i r -' * ` ' : ' ' ; " ' 1 / - Special P roject R equirem ents such as Low Level Detection Limits or level of QC reported must bodncftided on the chain of custody in the Additional Comments section. f.-m meAnalytical* /Section A ' Required Client Information: Company ____________________ 3 Address m __________ s r . Section B Required Project Information: Report To: Copy To: Email To: Purchase Order No.: Phone Fax Project Name: ; "2 / v 7 h e r Requested Due Qate/TAT: Project Number: L * 6 V ___________________ k _________________________________ Valid Matrix Codes Ssectii o n D Required Client Information MATRIX . CODE " DRINKING WATER DW f \ S A JVIPL E ID WATER WASTE WATER PRODUCT WT WW P ... SOIL/SOLID SL One Character o e r box. OIL OL O 'f C CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C Invoice Information : Attention: Company Name: Address: Pace Quote Reference: F p to n . Pace Project Manager: Pace Profile #: ' NPDES UST Page: j of j 1004188 REGULATORY AGENCY GROUND WATER RCRA DRINKING WATER p o th e r f G SITE LOCATION G A IL D IN oh nsc nwi Ml MN NC T O ther A KA**A Additional Comments: D W -TirnC \ c i > ... l ( th r u s t. ~ T f ~ HZO O.tfi C DmPo$ j t f ' c k h '1* 4 s //t> l O .O D l ch f& ****' 8 / s .j j 0 H0 O. O' l \ -RSE SIDE FOR INSTRUCTIONS 4 RELINQUISHED BY /AFFILIATION j DATE j TIME I M ACCEPTED BY / AFFILIATION ! DATE TIME SAMPLE CONDITION z? Z? SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: _________________ SIGNATURE of SAMPLER: /if f il A '.i DATE Signed flVIM /DD/YY) X/J& >. O JI O's =o 3 O 05 ALLQ020rev.3,31Mar05 Instructions for completing Chain of Custody (COC) r, n 1. Section A and B: Complete all Client information at top o f 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 Infonnation: Billing information is included in this section. This information should include the name and address o f 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 o f 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 Deseription 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 Lnd/Grab'). Sample temp at collection (if required by state), the total number o f 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 o f the sampling event at the bottom o f the COC in the spaces designated for `SAMPLER NAME AND SIGNATURE'. ' 10. W hen relinquishing custody o f the samples to a representative o f the laboratory' or other organization, indicate the Iterii Numbers o f 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 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. -, ($r 8/16/2006 Project: E06-0503 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Page 1 of 4 Requester: Schnobnch, Dana M (223-1N-08) Department: 530711 Project Number: 0022674449 Date Received: 8/16/2006 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 Sam ple N u m b er______ S am pled D ate Sample Description E06-0S03-001 8/29/2006 O utfall 001 Effluent - Com posite LAB EXYGEN Analytical Method LCMS Com D onents Result RL Qualifier 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____________________________________________________________________ E06-0503-002 8/29/2006 O utfall 001 Effluent - Com posite Duplicate 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 Result RL Qualifier 0012 8/16/2006 3M ENVIRONMENTAL LABORATORY Prelim inary/Unauthorized Report Page 2 of 4 Project: E06-0503 (cont.) 3M Sam ple N um ber______ S am pled D ate______ Sam ple D escription E06-0503-003 8/29/2006 O utfall 001 Effluent Comp -1 0 PPB Low Spike LAB EXYGEN Analytical Method LCMS Components PFOS Result RL Qualifier PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid C ll acid _________________________________________ C12 acid________________________________________________________________ E06-0503-004 8/29/2006 O utfall 001 Effluent Comp -100 PPB High Spike 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 Result RL Qualifier E06-0503-005 8/29/2006 Field Control/Travel Blank LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA Result RL Qualifier 0 013 8/16/2006 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E06-0503 (cont.) 3M Sam ple N u m b er_____ S am pled D ate______ Sam ple D escription__________________ E06-0503-005 (cont.) 8/29/2006 Field Control/Travel Blank LAB EXYGEN Analytical Method LCMS (cont.) Components C9 acid CIO acid C ll acid C12 acid Result E06-0503-006 8/29/2006 Field Control/Travel Blank Low Spike 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 Result E06-0503-007 8/29/2006 Field Control/Travel Blank High Spike LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid Cl acid PFOA C9 acid CIO acid C ll acid C12 acid Result E06-0503-008 8/29/2006 Equipm ent Blank LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide Result 0014 Page 3 of 4 RL Qualifier RL Qualifier RL Qualifier RL Qualifier 8/16/2006 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E06-0S03 (cont.) 3M Sam ple N um ber______ S am pled D ate______Sam ple D escription_________________________________ E06-0503-008 (cont.) 8/29/2006 Equipm ent 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 RL Page 4 of 4 Qualifier 0015 John Qualtieri - Decatur NPDES FC - 3Q06 Upload Files.csv Page 1 Sample. Sample_Number,Test.Test_Number,Test. Replicate_Count,Test. Analysis, Result. Name, Result. Re suitJType,Result. Entry,Result.Attribute_1,Result. Units,Result.Attribute_2,Result.Has_Attributes 101307.1002378.1, LCMS_WW,C6 acid,N,,,NG/ML,, 101307.1002378.1, LCMS_WW, C7 acid, N,,, NG/ML,, 101307.1002378.1, LCMS_WW,PFOA,N,,,NG/ML,, 101307.1002378.1, LCMS_WW, C9 acid, N ,,,NG/ML,, 101307.1002378.1, LCMS_WW,C10 acid.N,,,NG/ML,, 101307.1002378.1, LCMS_WW,C11 acid,N,,,NG/ML,, 101307.1002378.1, LCMS_WW,C12 acid,N,,,NG/ML,, 101307.1002378.1, LCMS_WW, PFOS, N ,,,NG/ML,, 101307.1002378.1, LCMS_WW,PFHS,N,,,NG/ML,, 101307.1002378.1, LCMS_WW,PFBS,N,,,NG/ML,, 101307.1002378.1, LCMS_WW, FOSA, N,,, NG/M L,, 101307.1002378.1, LCMS_WW, PFBAmide, N,,,NG/ML,, 101307.1002378.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML,, 101307.1002378.1, LCMS_WW,C4 acid,N,,,NG/ML,, 101307.1002378.1, LCMS_WW,C5 acid,N,,,NG/ML,, 101308.1002379.1, LCMS_WW, PFOS,N,,,NG/ML 101308.1002379.1, LCMS_WW,PFHS,N,,,NG/ML 101308.1002379.1, LCMS_WW, PFBS,N,,,NG/ML 101308.1002379.1, LCMS_WW,FOSA,N,,,NG/ML 101308.1002379.1 ,LCMS_WW, PFBAmide, N,,,NG/ML 101308.1002379.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML 101308.1002379.1, LCMS_WW,C4 acid.N,,,NG/ML 101308.1002379.1 ,LCMS_WW,C5 acid, N,,, NG/ML 101308.1002379.1, LCMS_WW,C6 acid, N,,,NG/ML 101308.1002379.1, LCMS_WW,C7 acid, N,,, NG/ML 101308.1002379.1, LCMS_WW,PFOA,N,,,NG/ML 101308.1002379.1, LCMS_WW,C9 acid, N,,,NG/ML 101308.1002379.1, LCMS_WW,C10 acid.N,,, NG/ML 101308.1002379.1, LCMS_WW,C11 acid.N,,,NG/ML 101308.1002379.1, LCMS_WW,C12 acid.N,,,NG/ML 101309.1002380.1, LCMS_WW,PFOS,N,,,NG/ML 101309.1002380.1, LCMS_WW,PFHS,N,,,NG/ML 101309.1002380.1, LCMS_WW,PFBS,N,,,NG/ML 101309.1002380.1, LCMS_WW, FOSA, N ,,,NG/ML 101309.1002380.1, LCMS_WW,PFBAmide,N,,,NG/ML 101309.1002380.1, LCMS_WW, MeFBSE-OH, N ,,,NG/ML 101309.1002380.1, LCMS_WW,C4 acid,N,,,NG/ML 101309.1002380.1, LCMS_WW,C5 acid.N,,,NG/ML 101309.1002380.1, LCMS_WW, C6 acid, N,,,NG/ML 101309.1002380.1, LCMS_WW,C7 acid,N,,,NG/ML 101309.1002380.1, LCMS_WW,PFOA,N,,,NG/ML 101309.1002380.1, LCMS_WW,C9 acid,N,,,NG/ML 101309.1002380.1, LCMS_WW,C10 acid,N,,,NG/ML 101309.1002380.1, LCMS_WW,C11 acid,N,,,NG/ML 101309.1002380.1, LCMS_WW,C12 acid, N ,,,NG/ML 101310.1002381.1, LCMS_WW,PFOS,N,,,NG/ML 101310.1002381.1, LCMS_WW,PFHS,N,,,NG/ML 101310.1002381.1, LCMS_WW,PFBS,N,,,NG/ML 101310.1002381.1, LCMS_WW,FOSA,N,,,NG/ML 101310.1002381.1, LCMS_WW,PFBAmide,N,,,NG/ML 101310.1002381.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML 101310.1002381.1, LCMS_WW,C4 acid,N,,,NG/ML 101310.1002381.1, LCMS_WW,C5 acid.N,,,NG/ML 101310.1002381.1, LCMS_WW,C6 acid.N,,,NG/ML 0016 John Qualtieri - Decatur NPDES FC - 3Q06 Upload Files.csv 101310.1002381.1, LCMS_WW,C7 acid,N,,,NG/ML 101310.1002381.1, LCMS_WW, PFOA,N,, ,NG/ML 101310.1002381.1, LCMS_WW,C9 add,N,,,NG/ML 101310.1002381.1, LCMS_WW,C10 add,N,,,NG/ML 101310.1002381.1, LCMS_WW,C11 add,N,,,NG/ML 101310.1002381.1, LCMS_WW,C12 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,PFOS,N,,,NG/ML 101311.1002382.1, LCMS_WW,PFHS,N,,,NG/ML 101311.1002382.1, LCMS_WW,PFBS,N,,,NG/ML 101311.1002382.1, LCMS_WW,FOSA,N,,,NG/ML 101311.1002382.1, LCMS_WW,PFBAmide,N,,,NG/ML 101311.1002382.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML 101311.1002382.1, LCMS_WW,C4 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C5 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C6 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C7 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,PFOA,N,,,NG/ML 101311.1002382.1, LCMS_WW,C9 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C10 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C11 add,N,,,NG/ML 101311.1002382.1, LCMS_WW,C12 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,PFOS,N,,,NG/ML 101312.1002383.1, LCMS_WW,PFHS,N,,,NG/ML 101312.1002383.1, LCMS_WW,PFBS,N,,,NG/ML 101312.1002383.1, LCMS_WW,FOSA,N,,,NG/ML 101312.1002383.1, LCMS_WW,PFBAmide,N,,,NG/ML 101312.1002383.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML 101312.1002383.1, LCMS_WW,C4 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C5 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C6 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C7 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,PFOA,N,,,NG/ML 101312.1002383.1, LCMS_WW,C9 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C10 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C11 add,N,,,NG/ML 101312.1002383.1, LCMS_WW,C12 add,N,,,NG/ML 101313.1002384.1, LCMS_WW,PFOS,N,,,NG/ML 101313.1002384.1, LCMS_WW,PFHS,N,,,NG/ML 101313.1002384.1, LCMS WW,PFBS,N,,,NG/ML 101313.1002384.1, LCMS_WW,FOSA,N,,,NG/ML 101313.1002384.1, LCMS_WW,PFBAmide,N,,,NG/ML 101313.1002384.1, LCMS_WW, MeFBSE-OH, N,,, NG/ML 101313.1002384.1, LCMS_WW,C4 add,N,,,NG/ML 101313.1002384.1, LCMS_WW, C5 add, N,,,NG/ML 101313.1002384.1, LCMS_WW,C6 add, N,,,NG/ML 101313.1002384.1, LCMS_WW, C7 add, N,,,NG/ML 101313.1002384.1, LCMS_WW,PFOA,N,,,NG/ML 101313.1002384.1, LCMS_WW, C9 add, N,,,NG/ML 101313.1002384.1, LCMS_WW,C10 add,N,,,NG/ML 101313.1002384.1, LCMS_WW,C11 add,N,,,NG/ML 101313.1002384.1, LCMS_WW,C12 add,N,,,NG/ML 101314.1002385.1, LCMS_WW,PFOS.N,,,NG/ML 101314.1002385.1, LCMS_WW,PFHS,N,,,NG/ML 101314.1002385.1, LCMS_WW,PFBS,N,,,NG/ML 101314.1002385.1, LCMSJ/VW,FOSA.N,,,NG/ML 101314.1002385.1, LCMS_WW,PFBAmide,N,,,NG/ML 0017 Page 2 [ John Qualtieri - Decatur NPDES FC - 3Q06 Upload Files.csv 101314.1002385.1, LCMS_WW,MeFBSE-OH,N,,,NG/ML 101314.1002385.1, LCMS_WW,C4 acid,N,,,NG/ML 101314.1002385.1, LCMS_WW,C5 acid,N,,,NG/ML 101314.1002385.1, LCMS_WW,C6 acid,N,,,NG/ML 101314.1002385.1, LCMS_WW,C7 acid,N,,,NG/ML 101314.1002385.1, LCMS_WW,PFOA,N,,,NG/ML 101314.1002385.1, LCMS_WW, C9 acid, N,, ,NG/ML 101314.1002385.1, LCMSJ/WV, C10 acid, N,,,NG/ML 101314.1002385.1, LCMS_WW,C11 acid,N,,,NG/ML 101314.1002385.1, LCMS_WW,C12 acid,N,,,NG/ML Page 3 I 0018 o o O USAirbill Express FedEx Tracking Number S7 4305 osn Recipient s Copy 4a Express Package Service PtckagmuptalSDH*. X [3 0 / o u/. I^Sender's Neme T- U Company V U P / W j f l - r ' A 1 Phone S-t; ( H Z V 'f FedEx Priority Overnight Next business morning* Friday shipmentswill be dekvared on Monday unless SATURDAY Delivery is selected. FedEx Stender Overnight Next business afternoon* Saturday Delivery NOTavailable. ,-- | FedEx 2Day Second business day* Thursdey 1-----* sshhiinpmmaemntfse wuuiiHl bhoe delivered' on "M"onday unless SATURDAY Delivery is selected. FedEx Express Saver Third business day* Saturday Delivery NOT available. - FedEx Envelope rate not available, Minimum charge: One-pound rate. 4b Express Freight Service i-- i FedEx First Overnight I___I Earliest next business morning deliveryto select locations.* Saturday DekveryNOT available. Packagesovert SOlbs. Address C- j G j O U \ f ] ( f>i j , \ w v i u e . 10 0 Dept/Roor/Suite/Room FedEx 1Day Freight* Next business day.** Fnday shipments will be delivered on Monday unless SATURDAY Delivery is sc * Ca# for Confirmation: . ,-- i FedEx 2Day Freight I Second business day. Thursday '-- sshhipipmmeennttsswwiillllbbeeddeelilviveerreeddoonnMMooinday unless SATURDAYDeliveryis selected. FedEx3Dav Freight Third business aay.** Saturday Delivery NOTavailable. City ! J o t v r W s v i l U . 2 Your Internal Billing Reference C, State ZIP V i Z H -0 C: . ' 5 Packaging I I FedEx Envelope* FedEx Pak* FedEx Includes FedEx Small Pak, Qgx FedEx targe Pak, and FedExSturdyPak. FedEx i X LOother Tube / ' ____________* Declared value limitCOO. 6 Special Handling Include FedEx address m Section 3. 3 To Recipient's Name f flt f 3 o h v i P M ' v J Phone 3^ !1 |--J SATURDAY Delivery Not availablefor FedEx Standard Overnight FedExFirst Overnight, FedEx Express Saver, or FedEx 3Diy Freight [--i HOLDWeekday at FedExLocation Not available for FedEx First Overnight I-- i HOlD Satuntey at FedEx Location Available ONLYfoeFedEx Priority Overnight and FedEx20ay to select locations. Company Recipient's Address 30 5 We cannot deliver to P.0, boxes or P.0. ZIP codes. 3 Address (V 1, Does this shipment contain dangerous goods? VrNo One box m ust be checked. I ] Yes I | Yes I I-- I As per attached l-- i Shipper's Declaration Shipper's Declaration. notrequired. * Danogerrous goods (Including dry Ice) cannot be shipped in FedEx packaging. I I Dry Ice I-- I Drvrca. 9. llf> I I Cargo Aircraft Only \r\ o / v i K L Dept/Roor/Suite/Fkxxn 7 /Payment muto: - Ente r F^dEx A c c t Wo. o r C re ditC ard N o. below . - Sender e t No. in Jectionlwl I I Recipient Q Third Party d j Credit Card be Mied. ObtainRecip.j 1 A n n t N o '-- ' Q Cash/Check To request a package be heldirt 8 specific FedEx focatton, print FedEx address here. a. S f o k <c-U,'-i<2 f AState ZIP /t)2 l Tote Packages Total Weight Total Declared Vatuet Told Charges $ .00 *0 u r liability is limited to $100 unless you declare a higher value. See back te r details. 8 NEW Residential Delivery Signature Options Ifyou require a agnature, check Director Indirect L 8587 4305 0519 No Signature Required Package mayM ie n wanout obtaining a signature fordekvery. Direct Signature Anyone at recipiente address may sign for deliveiy. Feeaflpdiex i-- , Indirect Signature I | If no one is aveMeat -- 1 recipient's eddress, anyone at a neighboring address may signfordekvery, A r e * * # . Rev. Date fi/05Part #158281*1994-2005 FedEx*PRINTED IN U.SA SRY nu fedex.com 1.800.GoFedEx 1.800.463.3339