Document n9moB9ZD54nvXXNrX7rM4n518

ty Proven Results. Analytical Report Fluorochemical Characterization of Aqueous Samples Decatur Outfall 001 FC Monitoring (E03-0562) Exygen Research Laboratory Report No. L34911 Testing Laboratory Exygen Research 3058 Research Drive State College, PA 16801 Project Lead Jess Eldrldge 3M Environmental Technology and Safety Services 935 Bush Avenue Building 0002-03-E-09 PO Box 33331 St. Paul, MN 55133-3331 .3058 Research Drive .State College, PA 16801, USA PAGE : 800.281.3219 ,F: 814.272.1019 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 L34911. 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: T arget Analysis Compound Name Perfluorobutanesulfonate Perfluorohexanesulfonate Perfluorooctanesulfonate Perfluorobutvric Acid Perfluorooentanoic Acid Perfluorohexanoic Acid Perfluoroheotanoic Acid Perfluorooctanoic Acid Perfluorononanoic Acid Perfluorodecanoic Acid Perfluoroundecanoic Acid Perfluorododecanoic Acid Perfluorobutanesulfonamide Perfluorooctanesulfonamide 2-fN-methvloerluorobutanesulfonamido)ethvl alcohol Acronvm C4 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. All samples were cooled to 4C from time of collection to receipt at the laboratory. Samples were stored at 4C from receipt until analysis. Eight individual containers were received. Field samples were collected on 7/22/03 and 7/23/03. Samples were received on 7/25/03. Chain-of-custody information is presented in Attachment C. PAGE2 OF5 3 Holding Times Field and laboratory spikes of these fluorochemicals have shown stability for periods greater than 90 days. Samples were analyzed within 30 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 portion of sample was diluted to forty-milliliters with Type I water. The dilution was performed prior to extraction in order to lessen the effects of matrix enhancement. This matrix enhancement was observed in earlier samples from this location and from screening runs performed on these samples. The diluted samples were transferred to a C18 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 Micromass Ultima MS/MS was used to analyze the sample extracts. Analysis was performed using selected reaction monitoring (SRM). Samples were extracted on 8/04/03. Initial analysis showed some quality control failures, therefore re-extractions were performed for the C4 Acid, C12 Acid, C8 Sulfonate, FOSA, and MeFBSE-OH were performed on 8/22/03. Samples were analyzed between 8/12/03 and 8/23/03. Raw analytical data is provided in Attachment D. 5 Analysis 5.1 Calibration A 7-point calibration curve was analyzed at the beginning and end of the analytical sequence for the compounds of interest. The calibration points were prepared at 0, 25, 50, 100, 250, 500, and 1000 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. PAGE3 OF5 Calibration check standards were analyzed periodically (every three to five sample injections) throughout the analysis sequence. Compliance is obtained if the standard analyte concentrations are within +/-20% of the actual value. 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. 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 spikes, laboratory fortified field samples, field blank spikes, and laboratory control spikes, the analytical accuracy of all analytes is + 30% for all compounds except the C4 Acid, C11 Acid, C12 Acid, and MeFBSE-OH. The accuracy for the C11 Acid, C12 Acid, and MeFBSE-OH are given as + 39%, 65%, and + 45% respectively. No data is being reported for the C4 Acid because of multiple QC failures. The statement of accuracy is based on recoveries of field and laboratory spikes. Low recoveries were observed in the field blank spikes for the C5 Acid and the C4 Sulfonate. However, field and laboratory spikes of the sample showed acceptable recoveries, therefore, the field blank spike results are considered an anomaly and were not used in determining the accuracy for these compounds. PAGE4 OF5 6 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. The limit of quantitation for this compound is 4.0 ng/mL. 7 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. 8 Attachments 8.1 Attachment A: Results 8.2 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 Emily Decker Karen Smith ^0 PAGE50F5 SECTION A Analytical ^ kReport Summary of Fluorochemical Residues in Outfall 001 Effluent Sample ID Outfall 001 Effluent-Composite Outfall 001 Effluent-Composite* Outfall 001 Effluent-Composite Dup Field Control/Travel Blank Equipment Blank C5 Acid Perfluoropentanoic Acid 1.13 1.09 1.05 ND ND Analyte Found (ng/mL) C6 Acid C7 Acid Perfluorohexanoic Acid Perfluoroheptanoic Acid 4.94 2.22 4.84 2.21 4.87 2.20 ND ND ND ND Sample ID Outfall 001 Effluent-Composite Outfall 001 Effluent-Composite* Outfall 001 Effluent-Composite Dup Field Control/Travel Blank Equipment Blank C8 Acid Perfluorooctanoic Acid 10.3 10.1 9.99 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 C12 Acid Perfluorododecanoic Acid Outfall 001 Effluent-Composite ND Outfall 001 Effluent-Composite* ND Outfall 001 Effluent-Composite Dup ND Field Control/Travel Blank ND Equipment Blank ND Analyte Found (ng/mL) C4 Sulfonate C6 Sulfonate Perfluorobutanesulfonate Perfluorohexariesulfonate 9.52 2.43 9.91 2.4* 9.32 2.35 ND ND ND ND C8 Sulfonate Perfluorooctanesulfonate 31.4 31.0 30.7 ND ND Analyte Found (ng/mL) Sample ID Outfall 001 Effluent-Composite Outfall 001 Effluent-Composite* Outfall 001 Effluent-Composite Dup Field Control/Travel Blank Equipment Blank PFBAm ide 21.9 22.2 22.2 ND ND FOSA 4.11 4.11 4.15 ND ND M e-F B S E -O H ** ND ND ND ND ND ND = Not detected = Response between 0 and 1 ng/mL. **ND = Not detected = Response between 0 and 4 ng/mL. 'Laboratory Duplicate ^ ^ 3 0,350568 Research Drive < # m s tSatatte College, PA 16801, USA YJ: 814.272.1039 F: 814.231.1580 exygen.com STANDARD TERMS AND CONDITIONS Services provided by Exygen Research are lim ite d to the terms and conditions stated herein, unless otherwise agreed to in a form al contract. CONFIDENTIALITY-- Exygen Research ("Exygen," "us," or " we") maintains the strictest confidentiality in ail of our client interactions, if a signed confidentiality agreement is requiied, we will provide one. If a. regulatory or legal body subpoenas Information, the client will be notified promptly. The client agrees not to use Exygen's name and/or data in any manner that might cause harm to Exygen's reputation or business. Approval must be obtained, In writing, before Exygen's name can be published m any way. CONTRACTS-- contracts are subject to review and approval by Exygen's legal council and must be signed by a corporate officer. 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(KA >>\ sQVsQ * * i * ' x x i 1 'i Quality Assurance Standard Operating Procedures (SOPs). the terms of shall be the exclusive responsibility of the client to confirm that Exygen' work, in the event client desires an alternative to these SOPs, such teqt `'JcWi; f I K fi '< K v M to .o ; ' ' x, \ 'x ' >' .............. SPECIAL REPORTS.. Additional charges may be necessary for custom report formats. t'ti.*1//QV / , ' , ; * - .| ' r . -c ! . , :x x ! m 1* , mo , m* . Q . ., r ' ' >. * ' * *, .. ' Q , ; W - x0 , k ' . kw . m * v s' ' ' N e ! 1 -\ 1 OK. 4 `\ P f \ ` v R 4 . \ C r . , ' i a P. x e . ih m x ** w > x ' i `s * d , v a -x ' - > t< x , x.n i < x< ' a * ' * * ' * * '' x i x v. m a- i i" ** n m. <' t -ku ^ x* v : i ! ' - - - - - " s ; r * j - >u r a> t w a - \ 1g a < ' ' " >. * a ` \ r ;>c i w g b)t s, .. * : - f s' * ' h < -n o m' ! n ' P <- P> i i-i!**,- ' ,s c * v \ a i \ T* s c , w o w * . - ! x,c, a '.*js i 1 x 1 i*' w ** nj,' . ' ' m >*i \ t y N*, s / i' , - > > 'm v > : i ,v.\ 1 f1*v-,V< - ' >` rW s o x iV * s v v ! g s V k ' *!'> ! i V 1 ' I\' h d a, e . 'e g t x - < t, s a t < . : x. v t s > . d * ^ - m * ' i Mj r ` iN U o A \ ia Ip ' O , O ' ' 0 t t**. ' r 1' q x ' ' ,t 1 0 AISfO O S I u - O f f A f r i i n U' s ' i n ' lN r \ c. . - : a *`h x a x )? r o wt h i x ^ ,s , c P t v * ' ' '< f ^ Vx - ' A h m a d ' Vt d ' 1 d `; t . P m *'- .a 'd e - m . w * * 1e \ * a ! *> t m i ' ^ w e< m 1, **' * L f pet 'x ' r S ,ur . 1 m <1 n *m ;m * *> axi'dto,1 ( > 1 . 1' * o p/ mh urn ' ' m * r\ i m or.d ^ V, \ , i a s **{ a r " s*< . n AC C a TAi\C O f PU^LHASt OROiR A - ' l A y e 1! . ' L l * cP k H OO1 V,' A <r ,i ( { x >^ >ii> m >' n ( n r v t - o ' ^ . e- m v i p M \\\ 'i SECTION B Proven Results. Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent Sample Description Outfall 0 0 1 Low Field Spike Amount Spiked (ng/mL) C5 Acid C6 Acid C7 Acid 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 1.13 8.90 78 4.94 12.3 74 2.22 9.97 78 Outfall 001 H igh Field Spike 500 1.13 357 71 4.94 493 98 2.22 522 104 Outfall 0 0 1 Spk C Low Lab Spike 10 1.13 12.0. 109 4.94 15.4 105 2.22 12.8 106 Outfall 001 Spk D H igh Lab Spike 500 1.13 393 78 4.94 534 106 2.22 553 110 Field Blank Low Field Spike 10 ND 1.42 14 ND 8.96 90 ND 10.0 100 Field Blank High Field S pike 500 ND 33.7 7 ND 408 82 ND 558 112 Sample Description Outfall 001 Low Field Spike Amount Spiked fnq/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 10.3 17.9 76 ND 8.10 81 ND 7.71 77 ND 6.12 61 Outfall 0 0 1 High Field Spike 500 10.3 514 101 ND , 493 99 ND 486 97 ND 443 89 Outfall 0 0 1 Spk C Low Lab Spike 10 10.3 20.6 103 ND 10.8 108 ND 10.5 105 ND 10.5 105 O u tfa ll 0 0 1 S p k D High Lab Spike 500 10.3 551 108 ND 568 114 ND 556 111 ND 554 111 Field Blank Low Field Spike 10 ND 9.52 95 ND 9.96 too ND 8.82 88 ND 7.66 77 Field Blank High Field Spike 500 ND 553 111 ND 536 107 ND 532 106 ND 500 100 ND = Not detected = Response between 0 and 1 ng/ml. J ^ 3 035058 Research Drive ^ S tSatatte College, PA 16801, USA VT: 800.281.3219 F: 814.272.1019 exygen.com Proven Results. Recovery Summary of Fluorochemical Residues in Outfall 001 Effluent Continued Sample Description Outfall 0 0 1 Low Field Spike Amount Spiked (ng/mL) C12 Acid 04 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 3.51 35 9.52 17.7 82 2.43 10.4 80 31.4 26.8 -46 Outfall 0 0 1 High Field Spike Outfall 001 Spk C Low Lab Spike Outfall 001 Spk D High Lab Spike Field Blank Low Field Spike Field Blank High Field Spike 500 10 500 10 500 ND ND ND ND ND 434 11.6 87 116 9.52 9.52 598 120 9.52 11.8 118 ND 381 76 , ND 467 20.6 483 4.60 176 91 111 97 46 35 2.43 2.43 2.43 ND ND 555 12.9 547 9.97 557 111 105 109 100 111 31.4 31.4 31.4 ND ND 654 47.2 618 12.0 623 125 158 124 120 125 Sample Description Outfall 0 0 1 Low Field Spike Amount Spiked (nq/mL) PFBAmide 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 (nq/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) (ng/mL) (ng/mL) (%) 10 21.9 29.4 75 4.11 8.55 44 ND 5.67 57 Outfall 0 0 1 High Field Spike 500 21.9 488 93 4.11 501 99 ND 727 145 Outfall 0 0 1 Spk C Low Lab Spike 10 21.9 33.0 111 4.11 17.0 129 ND 9.17 92 Outfall 0 0 1 Spk D H igh Lab Spike 500 21.9 531 102 4.11 650 129 ND 669 134 Field Blank Low Field Spike 10 ND 9.05 91 ND 11.1 111 ND 11.2 112 Field Blank High Field Spike 500 ND 501 100 ND 495 99 ND 568 114 ND = Not detected = Response between 0 and 1 ng/mL, *ND = Not detected = Response between 0 and 4 ng/mL. 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J-laa/es" w r 2 f 9 iff V Mr date COLLECTED Q LU wb 2 LU = z ! 0 0 hh:mm a/p # Containers Unpreserved Preservatives CO Tt- O CO 0 Z 0 X 0 0CM CD (0 CO1 X X XZZ Methanol O jC O /O V ? -- 1/ , - > ? --1r tC U i \ 3 3. /f f / / r / l r / /// / /tr/ // / / / / / / / / / / R e m a rk s / L a b ID ' '/ , , / / . > ' vv // V I' ' H / l l <~t 7 _ r= (fM, * - p - s*4 - _L Sos li 7 A ' u -, / 0 5 ) / --' ^ V/ v' /' / /X ---------------- SHIPMENT METHOD SAMPLE CONDITION Temp in C ') L> Received on Ice y /N Sealed Cooler /N Samples Intact Y/N Additional Comp" ''Is f AIRBILL NO. SAMPLE NOTES ~ SHIPPING DATE NO. OF COOLERS ITEM NUMBER RELINQUISHED BY / AFFILIATION DATE \,C j..,0 fc -r ( /flis r ' V o TIME ACCEPTED BY / AFFILIATION 7/ 0 --------------------- / 7^ DATE TIME 7j / * 0 r U 00 I L- Ch t r i *VL T & 8 T f f h Oh tCTr -< - CO'/ O j f SAMPLER NAME AND SIGNATURE ( O*' p O i ,~ti O. 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Required Client inform ation: ReporLTo: _? w iF ss v l d t ^ k Copy To: Section B Page: / V 639393 To Be Com pleted by Pace Analytical and Client Quote Reference: Section C Invoice To: Client Inform ation (Check quote/contract): Requested Due Date: Project Manager: ._Project^ Name: ()<J^ / a UU -90 f f c Project Number: Y0y\ ; `fX*/ ' Turn around tim es less than 14 days subject to laboratory and contractual obligations and may result in z Rush Turnaround Surcharge. ^ Turn Around Time (TAT) in calendar days. IA Project #:. ' O Z - Profile #: 0 ^ 2, Requested Analysis: Section D Required Client Information: Valid Matrix Codes - Preservatives SAMPLE ID Onecharacter per box. (A-Z, 0-9 /.-) Sample IDs MUSTBEUNIQUE TSOWAOIIOITSRILPHISLEEURE Wi SOLL awrp 3*1 TS /-`''S OT; tt- wSbLU ==1 oo hh:mma/p oC/DC\JoCOo X III X oCzCOO e f \ b -ftt ln LU t 1- o OI cX0 F Li if (( :V Zi -F 255.po'- r b L*' v+11 Lp| rb ' L i iP--- km km wT ?/J* Io>~ ?/ r s l*> k)T /OV7-/o*n jtjui ~~ in V7 x I 1] 1 1 j .. ___ Imm ' Vr,(; A V;lU >T\PAr i L/ iiLnU m m LA>? fVzLi -?-ALj J_j J XU t_ p _ U1 5/ H$06 U}7 7/'2-U to io / MAT IRXCODE 3 - DATE ^ COLLECT -< #Containers Unpreserved NaOH Methan lo tOher / "^ / / / / / / / / R em arks / Lab ID t / -, - -, / r"- "........... " /.L :L y \" ( Lj I_ j I____ ____ JI 1____ i___! ___ r i____ i 1 I!____ , _i i i____ 19 " i t, j ___ , r ^1 SAMPLE CONDITION Temp in C Received on Ice Y/N Sealed Cooler Y/N Samples Intact Y/N TAdditional Com'' SAMPLE NOTES f i ( (' S rX I L l / Cb jof> " Vf f f c k t o n -- 0 -/A 1 Com posite O. / / _j 1 !n \ f L~ i H, n-~ M ,ptKi 'L , /Qi _r__ij SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: f/ X X U c. SIGNATURE of SAMPLER): / j j __ , ________ A ' / ,:~ X .A X e ^ DATE Signed: i / DD / YY) v /c s Instructions for completing Chain of Custody (COC) 1. Complete ail Client infotnation at top of sheet: name, address, phone, contact (person to whom report will be sent and contact can be made if questions arise), billing information if different from client, PC#. Project Name and/or Project Number as it will appear on the report. 2. Quote Reference, iCojeci Manager, Project No. and Profile No. will be completed by Pace, -3. A separate COC must be filled out for each day of sample collection. 4. Sampler should prim their name in the space provided and sign their name followed by the date of the sampling event, . - ; 5. Complete Sample Description as it will appear on the laboratory report; include time of sampling, sample matrix, no, of containers and preservative used, ' 6. Analysis Requested: Complete analysis on the lines provided and place a check in the column for the samples requiring the analysis. It may be necessary to use the space provided for additional comments or include attachments for extended lists of parameters. 7. Submission of samples to laboratory: Indicate Item Number of those samples being transferred; sign relinquished by, and include your affiliation, * IMPORTANT NOTE: Standard Turnaround Time is.2_weeks. If this does not satisfy your requirements, arrangements must be made prior to samples being submitted to the laboratory. Contact your project manager. Special Project Requirements such as Low Level Detection Limits or level of QC reported must be indicated on the chain of custody. (Use Additional Comments Section.) , . - CHAIN-OF-CUSTODY/Analytical Request Document PaceAnalytical " www.pacelabs.com Required Client Inform ation: Company Address XV Section A Required Client Information Report To: wr Copy To: - '/ t o Invoice To: The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B __ ______ 639393 Page: / of / Section CTo Be C om pleted by Pace Analytical and C lient Quote Reference: Client Inform ation (Check quote/contract): Requested Due Date: 'TAT: Project Manager: P.O . .m o n e i' - ') T O ->^ ' Section D Project Name: V t, - ii- V T /' / 1- ; u Project Number: i f c o n ? ? I <-/ D N ' j m e, Required Client Information: Valid Matrix Codes ------- * Turn around times less than 14 days subject to laboratory and contractual obligations and may result in a Rush Turnaround Surcharge. * Turn Around Time (TAT) in calendar days. . _____ FProject 4 C ' 3 "* Profile #: Requested Analysis: & 2- Preservatives M ATR IX C O D E # Containers Unpreserved 1 HCI Methanol O ther S iA M P L E 1D 0 ne character per box. (A-Z, 0-9 / - ) Sampl e IDs MUST BE UNIQUE W ATtM SOIL OIL W IP E AIR TISSUE OTHER vv 1 SL OL WP AR 3 " TS OT M b Od o o w5 S LU i= = i o o mm / dd / yy hh:mm a/p o CO co O 2 XX CO q I 0 CO 03 Z2 / / / / / / / / / / R em arks / Lab ID 11(__ k jL l _ 0 0 1 r l i ' l l A L } /Y \ P fV . r b - L l i f 1 i- c o S' 1 4 ; ys V j d i ( 1 f j,1 * ri _ A T O '* 1 pt n . i h ____ A ! ( t * \ L _ ------ ^ .. , Ys s i. L 10 TO M Adm to i7 /? -.;/f4 ) ! 7 ! f . / , A> 7 AA? / A .' V1 ?t 1q r p A ' A l l L0"' j U Z A i / 1X -r- X - /1 --- - -- P" < )' . / // . i-- nJ___ J1 SHIPMENT METHOD i AIRBILL NO. SAMPLE CONDITION Temp in C Received on Ice Y/N Sealed Cooler Y/N Samples Intact Y/N Additional C om r' SAMPLE NOTES 'v F ou 1 TO i Jj1___ 1 j 1 ! i SHIPPING DATE NO. OF COOLERS ITEM NUMBER RELINQUISHED BY / AFFILIATION DATE 7 '//.i / if . TIME / n {'!. J^ A` I//Oi L - ( 4 /ts ft r'-M T 1 ACCEPTED BY / AFFILIATION ............... _ DATE TIME c k t o st r ^ -- CO^ p o <>~t ( I f I f ' . o. // jU 'A SAMPLER NAME AND SIGNATURE PRINT Name of SAMPL.ER: ^- ' 0 A A U r, SIGNATURE of SAMPLEif r m , / f T^ ' n ; DATE Signed1 T O ^ M / D D / Y Y ) ; IT O ; L- I Instructions for completing Chain of Custody (COC) 1. Complete all Client Information at top of sheet: name, address, phone, contact (person to whom report will be sent and contact can be made if questions arise), billing information if different from client, PO#, Project Name and/or Project Number as it will appear on the report. 2. Quote Reference, Project Manager, Project No. and Profile No. will be completed by Pace. 3. A separate COC must be filled out for each day of sample collection. 4. Sampler should print their name in the space provided and sign their name followed by the date of the sampling event. 5. Complete Sample Description as it will appear on the laboratory report; include time of sampling, sample matrix, no. of containers and preservative used. 6. Analysis Requested: Complete analysis on the lines provided and place a check in the column for the samples requiring the analysis. It may be necessary to use the space provided for additional comments or include attachments for extended lists of parameters. 7/ Submission of samples to laboratory: Indicate Item Number of those samples being transferred; sign relinquished by, and include your affiliation. * IMPORTANT NOTE: Standard Turnaround Time is 2 weeks. If this does not satisfy your requirements, arrangements must be made prior to samples being submitted to the laboratory. Contact your project manager. Special Project Requirements such as Low Level Detection Limits or level of QC reported must be indicated on the chain of custody. (Use Additional Comments Section.) it 6/26/2003 Project: E03-0562 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Requester: Schnobrich, Dana M (223-1N-08) Department: 530711 Project Number: 0022674449 Date Received: 6/26/2003 Project Description: Decatur Outfall 001 FC Monitoring Quarterly Comments: Completion Date: Project Lead: Jess S. Eldridge Phone Number: 651 -778-5233 Email Address: jseldridge@mmm.com 1 of 2 Project Results/Activitv Pace Field Sampling Event 3M Sample Number Sampled Date E03-0562-49802 7/2</2fo3 1A> LAB Analytical Method EXYGEN LCMS E03-0562-49803 7/>f/^()()3 LAB EXYGEN Analytical Method LCMS E03-0562-49804 7/2/2003 LAB Analytical Method Sample Description Outfall 001 Effluent - Composite Comnonents PFOS PFHS PFBS Result FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid Cl 1acid C12 acid OutfaU 001 Effluent - Composite Duplicate Comnonents PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid CIO acid Cl 1 acid C12 acid Field Control/Travel Blank Result Components Result RL Qualifier RL Qualifier RL Qualifier 6/26/2003 3M ENVIRONMENTAL LABORATORY Preliminary/Unauthorized Report Project: E03-0562 (cont.) 3M Sample Number_______ Sampted Date_______Sample Description_______ E03-0562-49804 (cont.) 7Z24?lo03 LAB Analytical Me7th*od EXYGEN LCMS Field Control/Travel Blank 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 E03-0562-49805 7H72003 Equipment Blank Result LAB EXYGEN Analytical Method LCMS Components PFOS PFHS PFBS FOSA PFBAmide MeFBSE-OH C4 acid C5 acid C6 acid C7 acid PFOA C9 acid Result 2 of 2 EL Q ualifier RL Q ualifier 3058 Research Drive State College, PA 16801 Phone: 800-281-3219 Fax: 814-272-1019 Laboratory Sample Log-in Sheet (Environmental) Complete upon sample receipt: Client and/or Project Name Method of Delivery Walk-in Trackina#: Pick-up UPS ^ 7y/ >'2 ^RI^edEx. Air Borne . Other fexDlain) Chain of Custody Temperature Preservation Custody Seals: DfesSnt, & intact / broken (explain) ja<absent Thermometer ID: Cooler ID: Cooler ID: Cooler ID: Cooler ID: CoolertemD: Cooler temD: Cooler temp: Cooler temD: Chairjxif Custody Record: ^present f absent Samples Received: - Q C P p n ice C C ` C * d i n ice melt with ice pack none Explanation Completed by Slanature: Date (Time): Complete during1 sample log-in: . LIMS Log-In # 6 ftv tf Physical Condition Samples intact? No (explain) Chain of Custody Samples received agree with COC record? ^ P ^ e s No (explain) Analysis Request Analysis request clear? JP'^es No (explain) Preservation Sample containers appropriate? Chemical preservation appropriate? Samples received within holding time? Sample volume/mass adequate? Yes No (explain) Yes No (explain) Yes No (explain) Yes No (explain) f /v ' Explanation Completed by Sianature: / ^ --------' Complete followina resolution of anv nonconformances: Client Contacted Yes Client: No Resolution Date: / c~ l( / ^ Date (Time): ' ' * Completed by Sianature: Lab Sx Log-in Sheet -Ex Date: 11-5-01/0 LOGIN CHAIN OF CUSTODY REPORT (InOl) Jul 25 2003, 01:11 pm Login Number: L34911 Account: 2046 3M ENVIRONMENTAL LABORATORY Laboratory Sample Number Client Sample Number L34911-1 OUTFALL 001 EFFLUENT-COMPOSITE 2 3 -JUL-03 25- JUL- 03 L34911-2 OUTFALL 001 EFFLUENT-COMPOSITE 2 3 -JUL-03 2 5 -JUL-03 COMPLETE ID READS OUTFALL 001 EFFLUENT-COMPOSITE LOW SPK (10 P P B ) . L34911-3 .C OUTFALL 001 EFFLUENT-COMPOSITE 2 3 -JUL-03 25-JUL-03 COMPLETE ID READS OUTFALL 001 EFFLUENT-COMPOSITE HIGH SPK (500 P P B ) . L34911-4 OUTFALL 001 EFFLUENT-COMPOSITE 2 3 -JUL-03 25-JUL-03 COMPLETE ID READS OUTFALL 001 E FFLUENT-COMPOSITE D U P . L34911-5 FIELD CONTROL/TRAVEL BLANK 25-JUL-03 L34911-6 : - 3 : FIELD CONTROL/TRAVEL BLANK 25-JUL-03 COMPLETE ID READS FIELD CONTROL/TRAVEL BLANK LOW SPK (10 P P B ) . L34911-7 FIELD CONTROL/TRAVEL BLANK 25-JUL-03 COMPLETE ID READS FIELD CONTROL/TRAVEL BLANK HIGH SPK (500 P P B ) . L34911-8 EQUIPMENT BLANK 22-JUL-03 25-JUL-03 Page 1 Signature : Date : P actegfisup;.' i6* Sendees Name__ f. 4a E x p re Pach 9 fvufedE*PTM,,tVOvetn'gl IjlQiS" '1''"'TM 1 M-ih,'..'." - - 1' FedEx ExptessSiwe< ihn6t>u^es?sv 3 0 } d z y ^ r11- - ------ - ~~ 0 j -- ^*-+ r~ 4b Express freight Setw r , FedE*'DayF'M'"* ^ FedEx ?Oay F-TMi'd 1 i^0<-txiu1t>'l''l"FS- V 1' PackagesaverW tt* f,,dtx JOatEtfiigW'i,, |..rc!tuS^&s -' * . ,' P a fj 2 > o u \ ^ * c < ry ts S ZS ^ 1' - 1 ' .....T *_ CalHorConr-inxaW- (p5dMr. ' j i*aekafin9 ` iFcdExPaE' , Mt, u a a FedExEnvelope* iJ-U .e.'E g spec'3' Han(9'n^ SAUJROWDettvciV a S ^ -s s s r " ,,dziecm r 1$$" ' Not 3v.vh)llp f(>r W fct.'StO.d"]TM ,ltdanaos9w!s'! HOlDbnturday i'latM E '-L o c^ n , s g & s x -*setetA'* n,,s I~ i onWC8'A3.l'N"x'W'xrS Q CwgA^anOnhi ]t ^ i ^ ,S.w1,,rnr^,vliTrnnl^c3'<a'1i^""'>e^ ^ ^,,fcdExpa^B1"11_______ c<' cCro" 6l,is|,'` "1" --- -- t liry ii..> * , lL ] v - ' ' i )Casl;,C!ieck ftddress d V -S|--B.tlfFed*w"'TM">''y' ____ _______ ^ " 7/ sB nt amrR --,p^""` t ' w O m SBlSSSSmBSSsG^19-^ ^ i Xotl Charges ( (jeclwddValue flackaS6* 5W 7 ,oo 1 D^ id- c^irw- 1' State BP U ____ --- ..u *.- Y '4' n i ----- ' - 4 ., -"..vii X," ?/ " L .kVMtnS?V* JgM0.Oo<^ * , ,4.-:.nWo,lK>T-fllWlC_''ItV,,,c-i, * iV-xrS'lS^tlDC? _V-i-