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Report (6) Vancouver Analytical Laboratory V5G 0170 2517 E. Evergreen Blvd. BSI( Vancouver,WA98661 7/14/2015 360-750-0055(Main) Associates 360-750-0057(FAX) Engrneer4aboratories COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample Collected County: 07/10/15 12:30 pm Washington o6 if S t.!/ G!2 Type of Water System: ��4 L Group A ❑ Group B © Other: Group A and Group B Systems-Provide Water Facilities Inventory(WFI): ID#: System Name: RC Northwest �kk? '2O its —Op c � - Contact Person:Dustin Gerguson �} Day Phone:(360)957-3701 ext: Cell: Eve.Phone: Fax:360-546-2504 Send results to: RC Northwest Inc. Dustin Gerguson 12404 NE 153rd St,Ste 100,Brush Prairie,WA 98606 Sample Information Sample collected by:Dustin Ferguson Sample location where sample was collected: Special instructions or comments: 4 Building Side of 2"Water Service Job#1925-I Fly Building-I Fly Building Type of Sample(must check only one box of#1 through#4 listed below) GJ ❑1.Routine Distribution Sample 2.Repeat Sampleo-� . =uw Chlorinated: Yes ONo El Distribution System Chlorine Residual: Total: Free: ❑ Source Groundwater Rule(GWR) (Population of 1,000 or less) n 3.Raw Water Source Sample Unsatisfactory routine lab number: ❑E.Coli-GWR source sample ▪Fecal-Surface,GM,some springs Unsatisfactory routine Collect Date. ▪Other: Chlorinated: D Yes EJNo Public systems mu1p°"d source men*hem WFI Chlorine Residual: Total: Free: ©4.Sample Collected for information only Construction/Repairs ❑ Unsatisfactory Total Coliform Present and ©Satisfactory E.Coli-Present E.Coli-Absent Replacement Sample Required: Sample too old(>30 hours) ❑ TNTC Improper container ❑ Turbide culture Bacterial Density Results:Plate Count /ml. E.coli /100m1. Total Coliform /100m1. Fecal Coliform /100m1. Method Code: Date and Time Received: MICR- 07/10/2015 13:40 Date Analyzed: 7110/2015 14:50 JRD Date Reported: 07/11/2015 Sample Number(DOH number plus five digits): Lab Use Only: Reviewed 144-17001 07/13/2015 11:42:30 EMC V5G0170 FINAL 07142015 1303 Printed:07/14/2015 Page 1 of 1 QA-RP-0013-00 WADHO.rpt www.BSKAssociates.com BSK BSK Associates Vancouver V500170 2517 E. Evergreen Blvd. Vancouver,WA98661 7/14/2015 360-750-0055(Main) Associates 360-750-0057(FAX) Invoice:V502261 Engineeraboratories Dustin Gerguson RC Northwest Inc. 12404 NE 153rd St, Ste 100 Brush Prairie, WA 98606 RE: Report for V5G0170 Bacteria Only Dear Dustin Gerguson, Thank you for using BSK Associates for your analytical testing needs. In the following pages,you will find the test results for the samples submitted to our laboratory on 7/10/2015. The results have been approved for release by our Laboratory Director as indicated by the authorizing signature below. The samples were analyzed for the test(s)indicated on the Chain of Custody(see attached)and the results relate only to the samples analyzed. BSK certifies that the testing was performed in accordance with the quality system requirements specified in the 2009 TNI Standard. Any deviations from this standard or from the method requirements for each test procedure performed will be annotated alongside the analytical result or noted in the Case Narrative. Unless otherwise noted,the sample results are reported on an"as received" basis. If additional clarification of any information is required, please contact your Project Manager, Debra Richards-Karlsson , at(360)750-0055. Thanks again for using BSK Associates. We value your business and appreciate your loyalty. Sincerely, Debra Richards-Karlsson, Project Coordinator WIA0 <471- Accredited in Accordance with NELAP ORELAP#4021 V5G0170 FINAL 07142015 1303 Printed:07/14/2015 QA-RP-0001-10 Finalrpt www.BSKAssociates.com Page 1.of5 BSI( V5G0170 Associates Bacteria Only Engineertaboratories Case Narrative Project and Report Details Invoice Details Client: RC Northwest Inc. Invoice To: RC Northwest Inc. Report To: Dustin Gerguson Invoice Attn: Dustin Gerguson Project#: Job#1925-I Fly Building Project PO#: - Received: 7/10/2015-13:40 Report Due: 7/15/2015 Sample Receipt Conditions Cooler: Default Cooler Containers Intact Temperature on Receipt°C:26.9 COC/Labels Agree Received with no thermal preservation. Sample(s)arrived at lab on same day sampled. Packing Material-Other Sample(s)were received in temperature range. Initial receipt at BSK-VAL Data Qualifiers The following qualifiers have been applied to one or more analytical results: ***None applied*** Report Distribution Recipient(s) Report Format CC: Dustin Gerguson FINAL.RPT Dustin Gerguson WADOH.RPT V5G0170 FINAL 07142015 1303 Printed:07/14/2015 QA-RP-0001-10 Final.rpt www.BSKAssociates.com ''rPa9e2of%5'1 BsKV5G0170 Associates Bacteria Only Engineer�aboratories Job#1925 I Fly Building Certificate of Analysis Sample ID:V5G0170-01 Sample Date-Time: 07/10/15- 12:30 Sampled By: Dustin Ferguson Matrix: water Sample Description: Building Side of 2"Water Service ll RC Northwest Sample Type: Construction/Repair: BSK Associates Vancouver Microbiology Analyte Method Result Batch Prepared Analyzed Qual Coliform,Presence/Absence by Colilert E.Coli SM 92238 Absent V500959 07/10/15 14:50 07/11/15 16:00 Total Coliform SM 9223B Absent V500959 07/10/15 14:50 07/11/15 16:00 V5G0170 FINAL 07142015 1303 Printed:07/14/2015 Page 3 of 5 QA-RP-0001-10 Final.rpt www.BSKAssociates.com • SI( V5G0170 Bacteria Only Associates Engineeraboratories Certificate of Analysis Notes: The Chain of Custody document and Sample Integrity Sheet are part of the analytical report. Any remaining sample(s)for testing will be disposed of according to BSK's sample retention policy unless other arrangements are made in advance. • All positive results for EPA Methods 504.1 and 524.2 require the analysis of a Field Reagent Blank(FRB)to confirm that the results are not a contamination error from field sampling steps.If Field Reagent Blanks were not submitted with the samples,this method requirement has not been performed. • Samples collected by BSK Analytical Laboratories were collected in accordance with the BSK Sampling and Collection Standard Operating Procedures. • J-value is equivalent to DNQ(Detected,not quantified)which is a trace value.A trace value is an analyte detected between the MDL and the laboratory reporting limit.This result is of an unknown data quality and is only qualitative(estimated).Baseline noise,calibration curve extrapolation below the lowest calibrator,method blank detections,and integration artifacts can all produce apparent DNQ values,which contribute to the un-reliability of these values. • (1)-Residual chlorine and pH analysis have a 15 minute holding time for both drinking and waste water samples as defined by the EPA and 40 CFR 136.Waste water and ground water(monitoring well)samples must be field filtered to meet the 15 minute holding time for dissolved metals. Summations of analytes(i.e.Total Trihalomethanes)may appear to add individual amounts incorrectly,due to rounding of analyte values occurring before or after the total value is calculated,as well as rounding of the total value. • RL Multiplier is the factor used to adjust the reporting limit(RL)due to variations in sample preparation procedures and dilutions required for matrix interferences. Due to the subjective nature of the Threshold Odor Method,all characterizations of the detected odor are the opinion of the panel of analysts. The characterizations can be found in Standard Methods 2170B Figure 2170:1. • The MCLs provided in this report(if applicable)represent the primary MCLs for that analyte. Definitions mg/L: Milligrams/Liter(ppm) MDL: Method Detection Limit MDA95: Min.Detected Activity mg/Kg: Milligrams/Kilogram(ppm) RL: Reporting Limit:DL x Dilution MPN: Most Probable Number pg/L: Micrograms/Liter(ppb) ND: None Detected at RL CFU: Colony Forming Unit pg/Kg: Micrograms/Kilogram(ppb) pCi/L: Picocuries per Liter Absent: Less than 1 CFU/100mLs %: Percent Recovered(surrogates) RL Mult: RL Multiplier Present: 1 or more CFU/100mLs NR: Non-Reportable MCL: Maximum Contaminant Limit Please see the individual Subcontract Lab's report for applicable certifications. BSK is not accredited under the NELAC program for the following parameters: **NA** Certifications: Please refer to our website for a copy of our Accredited Fields of Testing under each certification. Fresno State of California-ELAP 1180 State of Hawaii 4021 State of Nevada CA000792015-1 State of Oregon-NELAC 4021 EPA-UCMR3 CA00079 State of Washington C997-15 Sacramento State of California-ELAP 2435 Vancouver State of Oregon-NELAC WA100008 State of Washington C824-14a V5G0170 FINAL 07142015 1303 Printed:07/14/2015 Page 4 of 5 QA-RP-0001-10 Final.rpt www.BSKAssociates.com V5G0I70 RCNor2502 07/10/2015 3 APARTOF AddyLab,2517 E.Evergreen Blvd, Type ofSample(mustcheckonlyoneb IIII/I1/IIIj1/IIIIIflhII Vancouver,WA 360 750-0055 �+ Add Lab BSI( 1.❑Routine Distribution Sample Ass gates Chlorinated:Yes No �``�°oi'°"� COLIFORM BACTERIA ANALYSIS ❑Distribution System rn Chlorine Residual:Total Free_ ❑Source Groundwater Rule(GWR) a Date Sample Collected Time Sample County (Population of 1,000 or less) \ J ' Collected 0 4,4/x' Sr O Unsatisfactory routine lab number: S�+iKg w Month Year : M 3.Raw Water Source Sample —— _—— —— .E.coil-GWR source sample j� J J. ° Type of Water System(check only one box) Unsatisfactory routine collect date: 3 ❑Group A ❑Group B ❑Other ❑Fecal Surface,GWI,same sprirgs / / r ;PIGroup A and Group B Systems-Provide from Water Facilities ❑fir Chlorinated:Yes No ! Inventory(WA): I S I I I Chlorine Residual:Total_Free (, ID# V v `V Pansri�s not nn.Aeamennbaivn NM a System Name: t it n _ Lc- CY H Contact Person. r 'M 4.0 Sample Collected for Information Only ..0 J )usncv r Q ie v' ` Investigative . Construction!Repairs Other _ (J 1 a WY Pima(3� .q 7-3, Phone:( ) e LX DRINKING WATER RESULTS LAB USE ONLY �Jf v L o Eve.Phone:( ) F"x:( ) 0 Unsatisfactory Total Coliform Present and ('(O N 0 Li o SAMPLE INFORMATION �i* ❑E.coilpresent ❑E.coliabsent 0 3 ❑Fecal coliform•esent ❑Fecal coliform absent 1 ) m Sample collected by(name):DUST-W F e. uss� Replacement Sample Required: D t 5 Specific location where sample Special instructions or comments: ❑Sample too old(>30 hours) El TNTC ❑ eJ m collected(address or site): ❑Improper Container w El Turbid culture �wlt 5te �.. \ L ,_ l I F1� Bacterial Density Results:Plate Count /ml. E.coli /100m1. t„VAL, �p4CfA Total Coliform /100m1. Fecal Coliform 1100m1. Method Code: Date and Tine Received: Se.124I Pc , MICR- __ F(� r Date Analyzed: Date Reported: } q `, Sample Number(OOH number puc five*as) DOH tuna C.31-320 5 *` I \ Lab Use Only. OH(revmed Nil) , .2b■Cl c 1 4 4 . — DP CENTER COPY Page 5 of 5