Document oeGRdn0rBeovn7y3o362kwvvg
Underwriters Laboratories Inc.
Drinking Water Laboratory
110 South Hill Street South Bend, IN 46617 TEL: 574.233.4777
600.332.4345 FAX: 574.233.8207 w w w .u l.co m /w ate r
Drinking Water Laboratory Report
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I(8f 0y0o)u3h3a2v-e43a4n5y qorue(s5t7io4n) s23co3n-4c7er7n7i.ng this report, please do not hesitate to call us at This report may not be reproduced, except in full, without written approval from Underwriters Laboratories Inc. ("UL") Drinking Water Laboratory. UL is accredited by the National Environmental Laboratory Accreditation Program ("NELAP").
An I n d e p e n d e n t o r g a n i z a t i o n w o r k i n g l o r a s a l e r w o r l d wi l l ) I n t e g r i t y , p r e c i s i o n a nd k n o w l e d g e .
CROONWFEI/DCEONLTEISAL, SUBJECT TO PROTECTIVE ORDER IN
l
NJAW001376
Underwriters Laboratories Inc.
Laboratory Report
Water Quality Report South BendOtite
110 South Hill Street South Bend, IN46617-2702 USA www.u1.com/watef tek 1574 233 4777 fax: 1 574 233 8207 CustomerService: 1800 332 4345
Client: New Jersey American Water Company
Attn: Laura Vancho 213 Carriage Lane Delran, NJ 08075
Copies to: None
__________________________________________
1 - Beckett PE 3 - Beckett Well #2 5 -Birch Creek Well #6
UL ID #
1492513 1492514 1492515 1492516 1492517 1492518
Client ID
Beckett PE Beckett W ell #3 Beckett W ell #2 Birch Creek PE Birch Creek W ell #8 Birch C reek W ell #4
Report Priority: Status: PWS ID:
169509 Standard Written Final 0809002
Sampling Points
2 - Beckett Well #3 4 - Birch Creek PE 6 - Birch Creek Well #4
Sample Information Method
L400
UOO
L400 L400 L400 L400
Collected Date 1Time
08/29/06 08:15 08/29/06 08:00 08/29/06 09:45 08/29/06 09:00 08/29/06 08:50 08/29/06 09:15
Report Summary'
Collected By:
Client Client Client Client C lie n t Client
Received Date / Time
08/30/06 09:30 08/30/06 09:30 08/30/06 09:30 08/30/06 09:30 08/30/06 09:30 08/30/06 09:30
Detailed quantitative results are presented on the following pages.
We appreciate the opportunity to provide you with this analysis. If you have any questions concerning this report, please do not hesitate to call Jim Vernon at (574) 233-4777.
Note: This report m ay not be reproduced, except in full, without written approval from Underwriters Laboratories (UL). UL is accredited by the National Environmental Laboratory Accreditation Program (NELAP). This report satisfies the requirements o f your project but has not been prepared to comply with NELAP reporting requirements.
RCOOWNFEI/DCEONLTEISAL,
SUBJECT
TO
PROTECTIVE 1
ORDFn
viW E R
IN
Date * 4 ' / i'\ * r Date
NJAW001377
Client Name: New Jersey American Water Company
Report#: 169509
Sampling Point Beckett PE
A n a ly te ID #
2795-39-3 335-67-1
A n a ly te
Perfluorooctane sulfonate (PFOS) Perftuorooctanolc acid (PFOA)
Sampling Point Beckett Well #3
A n a ly te ID #
2795-39-3 335-67-1
A n a ly te
Perfluorooctane sulfonate (PFOS) Pertluorooctanolc Bcld (PFOA)
Sampling Point: Beckett Well #2
A n a ly te ID #
. 2795-39-3 335-67-1
A nalyte
Perfluorooctane sulfonate (PFOS) Pertluorooctanolc a dd (PFOA)
Sampling Point: Birch Creek PE
A nalyte U
A n a ly te
ID* II
2795-39-3 Perfluorooctane sulfonate (PFOS)
335-67-1 Peifluorooctanoic a d d (PFOA)
Sampling Point: Birch Creek Well #6
Analyte I
ID #
A n a ly te
2795-39-3 Perfluorooctane sulfonate (PFOS)
335-87-1 Pertluorooctanolc a d d (PFOA)
PWSID: 0809002
Semi-volatile Organic Chemicals
M ethod Reg li M R L t L im it II
R esult
L400
--
0.005
<0.005
L40
--*
0.05
<0.05
U n its fl P re p a ra tio n || A nalyzed
11 .....11
u g /l 09/07/06 11:20 09/08/06 19:11
ug/L 09/07/06 11:20 09/08/06 19:11
UL ID #
1492513 1492513
PWSID: 0809002
Seml-volatlle Organic Chemicals
I M ethod
Reg L im it
M R Lt J R esult
L400
--
0.005
<0.005
L400
--
0.05
<0.05
U nits J P reparation I Analyzed D ate
ug/L ug/L
09/07/06 11:20 09/07/06 11:20
09/08/0619:39 09/08/06 19:39
UL ID #
1492514 1492514
PWSID: 0809002
Serni-volatile Organic Chemicals
Method K Reg H M R L t I R esult
II L im it H
I
L400
--
0.005
< 0.005
1400 -- 0.05 < 0.05
U nits H P re p a ra tio n || Analyzed
fl Date fl
ug/L 09/07/06 11:20 09/08/06 20:06 ug/L 09/07/06 11:20 09/08/08 20:06
UL ID #
1492515 1492515
PWSID: 0809002
. Semi-volatile Organic Chemicals
| Method
*'
L400
R eg H M R L t U R e s u lt || U n its | P re p a ra tio n
L im it II
1
H H Date
--
0.005
< 0.005
ug/L 09/07/06 11:20
L400
--
0.05
0.07
u g /l 09/07/06 11:20
Analyzed | UL
ID # 09/08/06 20:34 1492516 09/08/06 20:34 1492516
PWSID: 0809002
Semi-volatile Organic. Chemicals
I Method K Reg J M R L t J R esult 1U nits
L im it
W00. 1400
-- _ 0.005' -- ; 0.05
<0.005 0.07
ug/L ug/L
P re p a ra tio n D ate
09/07/06 11:20 09/07/06 11:20
Analyzed
09/08/06 21:01 09/08/06 21:01
UL ID #
1492517 1492517
ES1'Sl,BJECTTOprotect,ve IN
Page 2 of 3
Underwriters Laboratories Ine.,
I
NJAW 001378
Client Name: New Jersey American Water Company
Report#: 169509
Sampling Point Birch Creek Well #4
PWSID: 0809002
A nalyte ID #
2795-39-3 335-67-1
A n a ly te
Perfluorooctane sulfonate (PFOS) Perfluorooctanoic acid (PFOA)
Seml-volatile Organic. Chemicals
JMethod Reg
Um
M R Lf J R esult
L400
--
0.005
<0.005
L400
--
0.05
<0.05
U nits
ug/L ug/L
Preparation I
D ate
|
A n a ly z e d
09/07/0611:20 09/07/0611:20
09/08/06 21:29 09/08/06 21:29
UL ID #
1492518 1492518
t U L h a s dem onstrated it can achieve th e se re po rt lim its in reagent w ater, but can not docum ent them In all sam ple m atrices.
Reg Limit Type: Symbol:
MCL *
SMCL *.
AL I
CROONWFEI/DCEONLTEISAL, SUBJECT TO PROTECTIVE ORDER IN
Page 3 of 3
Underwriters Laboratories Inc.
I
NJAW001379
U n derw riters ' V l Laboratories Inc.
www.ehl.cc
110 S. Hilt Street South Bend, IN 46617 (800) 332-4345 fax (574) 233-4777
REPORTTtt
D anielle Van S a n t 213 Carriage Ln O e lran , NT 0 8 0 7 5
NT AW
BILLTtt
Shared Services C enter 131 W oodcrest Road
Chenrv H ill, fO 08034
SAMPLER(Signature)
u o > Yes COMPLIANCEMONITORING X
LABNumber
COLLECTION DATE TIME AN PN
SAMPLINGSITE
1 Auq 29 OS 8:15 X Beckett PE
2 A u g 29 OS S:0O X B eckettW ell 3
3 '`lQ Q - k & l z V C l A u g 29 05 9:46 X Beckett W ell 2
4 E M W f f i M M I A u g 29 IB 9:00 X Birch Creek PE
5 A u g 29 OS 8:50 X B irch Creek WeWS
6 A u g 29 (B 9:15 X B irch Creek W e lff 4
7 f, s ;_
JS:
8
9
10 M S ffl B M
11 & Vi S` L'.?.`-L '&
12 i ,r.cVi
?.
13 14
STATEW sampleoriniti)
NJ
No POPULATION SOWED m
PWSID# SOURCEWATER
PFOA PFOA PFOA PFOA PFOA PFOA
TESTNAME
B , . - piti-- printWMy, ________ _____ ____ ________ __ . M
PROJECT NAME
of PO#
fe
zU?J
SANPLE REMARKS
*
CHLORINATED
YES NO
X X X
X X X
1 8
fe
%
1 OW
2 GW
2 GW
1 DW
3 GW
sw sw sw sw sw
3 OW SW
RELINQUISHED BY:(SJgnature) NQUISHEDBXJ
REUNQUISHED BY:(Signature)
MATRIX COOES:
DW-DRINKING WATER RW-REAGENT WATER GW-GROUNO WATER EW-EXPOSURE WATER SW-SURFACE WATER
PwWw--PWOAO<LrrWEAWTAETRER
DATE TIME RECEIVEDBY:(Slgnatufe) (L'.tP
iviJd! AI^PN DATE TIME RECEIVEDBY:(SIgnature)
A^PN DATE TIME RECEIVEDFORLABORATORYBY:
DATE TIME LAB RESERVESTHERK3HTTORETURNUNUSEOPORTIONSOF NONAQUEOUS SAMPLESTO CLIENT
t l V i
Aldpt; DATE TIME
'N t
}PV
fm - __\
DATE TIME CONDmITIOoNSSUuP*ONRECEIPT!
^Tem perature
Im
1
km
AA^PN
a n t e PN
i \ Iced-Wet/BueVt
TURN-ARQUND TIME (TAT) - SURCHARGES
SW - Standard W ritten: (15 working days) 0%
IV * * Immediate Verbal; (3 working days)
RV* * Rush Verbal: (5 Working days) RW * Rush W ritten; (5 working days)
50% 75%
I\V * Immediate W ritten: (3 working days) SP* Weekend, Holiday
-Pleasecall, Expeditedservicenotavailablefaralltesting
STAT* m Less than 48 hours
I - Ambent fr CUpcri'Rece.ot _
fi/rtv
100% 125% CALL CALL
Samplesreceivedunannouiced
S h ip p in g
wllhlesslhan48liotirahotdlngtlme UL-SBN-SHIP-F-002-0'1
remalnlig may besubjectto
Effective Date-
additional chargas________________ 1/4/2 qqS
MATRIX CODE TURNAROUNDTIME
C O N FID EN TIAL, SUBJECT TO PRO TECTIVE ORDER IN R O W E /C O LE S
O
00 <n H
aO
o
is
