Report (64) U.S„ WATER Service Report
Caliber-Templeton Elementary School Chlorination
Th.,: future of water Tuesday, August 27, 2019 5:48 PlieWit
Mechanical Contractor Report Number: 4076764
Construction Project Recorded By: Ryan Basch
5555, Portland OR 97214 (360)334-1215
(0) - ryan.basch@uswaterservices.com
kr,rt. PLM O 18 -CVOE'3 CA'.; \\N,Ltz.( k..,4.Sk -
Templeton Elementary School - Domestic Water System
Opening Comments
The purpose of this report is to document the chlorination, sample collection, and laboratory analysis of the
domestic water system.
Domestic Water System Online,:
The domestic water system was chlorinated, flushed, and a sterile sample was collected and transported to a
NELAC certified laboratory for testing and analysis.
The attached report indicates that the collected sample was absent of Coliform/E.Coli bacteria.
Closing Signature
Regards,
Ryan Basch
Field Representative
MOBILE (360) 334-1215
EMAIL ryan.basch@uswaterservices.com
LOCAL 2700 Firestone Lane, Vancouver, WA 98660
CORPORATE 12270 43r1 Street NE, St. Michael, MN 55376
www.uswaterservices.com
U.S.Water Services-12270 43rd St NE,Saint Michael MN 55376(763)689-3636
Page 1 of 1
BSK Associates Vancouver
rgreen
Vancouver,eWA 986614
V9H0428
- 360-750-0055(Main) 1
209
ASSOCIATES 360-750-0057(FAX) 8/21/
Invoice: V9027531/ 09
Ryan Basch
US Water Services
10700 Prairie Lakes Drive
Eden Prairie, MN 55344
RE: Report for V9H0428 Standard
Dear Ryan Basch,
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 8/20/2019. 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.
This certificate of analysis shall not be reproduced except in full, without written approval of the laboratory.
If additional clarification of any information is required, please contact your Project Manager,
Debra Karlsson , at(360) 750-0055.
Thank you again for using BSK Associates. We value your business and appreciate your loyalty.
Sincerely,
0./...,-;;;,/,„,/,=-.)--.7,..„___, _
Debra Karlsson, Project Manager
(1----
441"9e, I
Accredited in Accordance with NELAP
ORELAP#WA100008-010
The results in this report apply to the samples analyzed in V9H0428 FINAL 08212019 1727
accordance with the chain of custody document. This
analytical report must be reproduced in its entirety.
www.BSKAssociates.com Page 1 of 6
V9H0428
• Standard
IMMO
ASSOCIATES Case Narrative
ro ecf'and'-eort Detai s'
Client: US Water Services Invoice To: US Water Services
Report To: Ryan Basch Invoice Attn: Billing
Project#: SLS0395811 Project PO#: SLS0395811
Received: 8/20/2019- 15:41
Report Due: 8/23/2019
Sample Receipt Conditions
Cooler: Default Cooler Containers Intact
Temperature on Receipt°C: 12.6 COC/Labels Agree
Received On Blue Ice
Sample(s)arrived at lab on same day sampled.
Packing Material -Other
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:
Ryan Basch MCL.RPT Jennifer.demers@uswaterservices.com
The results in this report apply to the samples analyzed in V9H0428 FINAL 08212019 1727
accordance with the chain of custody document. This
analytical report must be reproduced in its entirety.
Page 2 of 6
www.BSKAssociates.com
V9H0428
Standard
SLS0395811
ASSOCIATES
Certificate of Analysis
Sample ID: V9H0428-01 Sample Date-Time: 08/20/19- 13:55
Sampled By: Ryan Basch Matrix: Drinking Water
Sample Description: Caliber Templeton //US Water Sample Type: Construction/Repair:
BSK Associates Vancouver
Microbiology
Bch' Prepared Analyzed Qual
Coliform,Presence/Absence by Colilert
E.Coli SM 9223B Absent V900948 08/20/19 17:15 08/21/19 11:30
Total Coliform SM 9223B Absent V900948 08/20/19 17:15 08/21/19 11:30
The results in this report apply to the samples analyzed in V9H0428 FINAL 08212019 1727
accordance with the chain of custody document. This
analytical report must be reproduced in its entirety.
Page 3 of 6
www.BSKAssociates.com
6.7 V9H0428
Standard
ASSOCIATES 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.
• Field tests are outside the scope of laboratory accreditation and there is no certification available for field testing.
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 below MRL/MDL CFU: Colony Forming Unit
pg/Kg: Micrograms/Kilogram(ppb) pCi/L: PicoCuries per Liter Absent: Less than 1 CFU/100mLs
%: Percent RL Mult: RL Multiplier Present: 1 or more CFU/100mLs
NR: Non-Reportable MCL: Maximum Contaminant Limit U: The analyte was not detected at or
above the reported sample quantitation
limit.
Please see the individual Subcontract Lab's report for applicable certifications.
BSK is not accredited under the NELAP program for the following parameters: **NA**
The results in this report apply to the samples analyzed in V9H0428 FINAL 08212019 1727
accordance with the chain of custody document. This
analytical report must be reproduced in its entirety.
Page 4 of 6
ww.BSKAssociates.com
w
IS,, ...
V9H0428
Standard
ASSOCIATES Certificate of Analysis
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
Los Angeles CSD 9254479 NELAP certified 4021-011
State of Nevada CA000792020-2 State of Oregon-NELAP 4021-011
EPA-UCMR4 CA00079 State of Washington C997-19b
Sacramento
State of California-ELAP 2435
San Bernardino
State of California-ELAP 2993 Los Angeles CSD 9254478
NELAP certified 4119-003 State of Oregon-NELAP 4119-003
Vancouver
NELAP certified WA100008-012 State of Oregon-NELAP WA100008-012
State of Washington C824-18b
inI - -
The results in this report apply to the samples analyzed in V9H0428 FINAL 08212019 1727
accordance with the chain of custody document. This
analytical report must be reproduced in its entirety.
Page 5 of 6
www.BSKAssociates.com
rl 2517 Eat t vergreen No-,d.
Turnaround Time Request V9H0428 08/20/2019
4 Vancout or,WA 986G'i IZ Standard 3 business days for P/As USWAT763 3
5 business days for 1x10s 11 �� II gaa p �)
(3E;0)750-0055 _Rush(Surcharge may apply)
ASSOCIATES www.bskassociales.com �({r c I Date needed:
`Required Fields Temp: '�X Page of
Company/Client Name*: Report Attention*: Invoice To*: Phone`: Fax*:
360.334.1215
US Water Services-Ryan Basch Additional cc's:Jennifer dimers@uswaterservices.com PO#:SLS0395811
E-mail*:ryan.basch@uswaterservices.com
Address*: City*: State*: Zip*: County*: How would you like your completed results sent?
ZE-Mail C FAX Mail
Project: Project#: Type of Water System(check only one box): Group A and B systems-Provide from Water Facilities ID(WFI):
SLS0395811 SLS0395811 Group A —Group 8 Other ID#:
System Name:
Sampler Name(Printed 1 , aturll°• All drinking water INA samples will have verbal results available the morning of the second day.A written report will be provided In
Ryan Basch - 3 business days.Other reporting arrangements can be made Inc an additional lee.Al samples submined for compliance with the
�� t �. mtotal coliform rule must include a phone number to a live person,no answering machines or services,
IF SAMPLE IS COLIFO-M •OSITIVE CONTA (Optional)
Repeat Sample Sample
1st Contact Name: 2nd Contact Name: o Routine Distribution Write the unsatisfactory routine lab#and Collected for
u m Sample collect date in the notes section below. Information
of €a, m
1st Phone: 2nd Phone: 1st Phone: 2nd Phone: •GWR=Source Groundwater Rule(S1.000peoartq Only
m
Sampled* 1X10 3X5 Quanti-tray re Chlorinated? ppm ppm s Chlorinated? ppm ppm > -g
--
Sampled*
Sample Description/Location* ir z a B
76 79 t*g ` U U w m m .y 3 m m 6 . e ,-
Date Time PA i F ¢ = n y z° o uP 'o c0 y zo I°— u .s 0 cr O
Caliber Templeton 8/20/19 1355 X X
*Call with Verbals*
-
Notes/Comments
Weekend Fee $150 Rush ainlly $90 Total Due with sample receipt$240
Relinquished by,(Signature:• , Company Date/ (�(D rU9@ v„ Received by:(Signature and Printed Name) Company
Ryan Basch US Water Services//T -'•/j [
Relinquished by(Signature an.Pn ud Name) Company Date Time Received by(Signature and Printed Name) Company
_^calved for Lab by(Signature end Printed N .
� tt Time Container(s)Received: BSK Bottle=120mL Plastic Serial w/NA2S2Or
7 I �(q ��L Otherw
kipping Method ONTRAC UPS ALK-It FED EX Courier: `,,,�/ Payment Received at Delivery: Check / Cash / Card
acking Material Bubble Pape Pape • er Condition of Sample: • eptabl- O r
0 oolingMethod:Wetfir ( None ChillingPrc,,--,sBegun(/ I Cu-••: ' al\Y(N Date: PIA#: Init.
. womb for services render. s n)'Jgd1fherein are doe in tull w in days from tl r 'e Invoice if no so paid,account balances ars deemed del L Delinquent balances are subject to monthly service charge*sod interest specified In BSK1 current Standard Terms end Conditions for Laboratory Services.The person signing for the
ant/Company acknowledges that they are either the Client or thorlead agent a Client,l m"dent agrees to r.r„sponsi le for payment for the services on this Chain of Custody,and agrees to*SK's terms and conditions for laboratory services unless contrectuahy bound otherwise.*SK's current terms and conditions can be found
eww.bsk sasocletes.comliSKLabTermsC onditlons.pdf
VAL-FL-003802