13339 Hagers Ferry Road

Huntersville, NC 28078-7929

McGuire Nuclear Complex - MG03A2

Phone: 980-875-5245 Fax: 980-875-4349

Order Summary Report

Analytical Laboratory

Order Number: J10100089

Lab Contact: Therona T James

Date: 10/21/2010

Customer Address: 13225 Hagers Ferry Rd

Customer Name(s): Sherry Andrews, Bill Foris, John Williamson, Norman Stambaugh

Mail Code: MND03

Huntersville,NC 28078-8985

Phone: 704-875-4795

Report Authorized By:

(Signature)

Program Comments:

MNS Fouling/Pond (June thru October)

Data Flags & Calculations:

Any analytical tests or individual analytes within a test flagged with an "X" or "1" indicate a deviation from the method quality 

system or quality control requirement. All results are reported on a dry weight basis unless otherwise noted.

Data Package:

This data package includes analytical results that are applicable only to the samples described in this narrative. An estimation of 

the uncertainty of measurement for the results in the report is available upon request. This report shall not be reproduced, except 

in full, without the written consent of the Analytical Laboratory. Please contact the Analytical laboratory with any questions. The 

order of individual sections within this report is as follows:

Job Summary Report, Sample Identification, Technical Validation of Data Package, Analytical Laboratory Certificate of Analysis,

Analytical Laboratory QC Reports, Sub-contracted Laboratory Results, Customer Specific Data Sheets, Reports & 

Documentation, Customer Database Entries, Test Case Narratives, Chain of Custody (COC)

Certification:

The Analytical Laboratory holds the following State Certifications : North Carolina (DENR) Certificate #248, South Carolina 

(DHEC) Laboratory ID # 99005. Contact the Analytical Laboratory for definitive information about the certification status of 

specific methods. 

Analytical Lab 

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Sample ID's & Descriptions:

Sample ID Plant/Station

Collection 

Date and Time Collected By Sample Description

2010008969 MCGUIRE 04-Oct-10 5:20 PM BEN LASTRA 1.9 10.0 M 

1 Total Samples

Analytical Lab 

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COC and .pdf report are in agreement with sample totals 

and analyses (compliance programs and procedures).

All Results are less than the laboratory reporting limits.

All laboratory QA/QC requirements are acceptable.

The Vendor Laboratories have been qualified by the 

Analytical Laboratory

Yes No

Technical Validation Review

Checklist:

Yes No

Yes No

Report Sections Included:

Job Summary Report Sub-contracted Laboratory Results

Sample Identification Customer Specific Data Sheets, Reports, & Documentation

Technical Validation of Data Package Customer Database Entries

Analytical Laboratory Certificate of Analysis Test Case Narratives

Analytical Laboratory QC Report Chain of Custody

Reviewed By: Jenny A Herman Date: 10/19/2010

Yes

Electronic Data Deliverable (EDD) Sent Separately

Analytical Lab 

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Certificate of Laboratory Analysis

This report shall not be reproduced, except in full.

Order # J10100089

2010008969

Collection Date: 04-Oct-10 5:20 PM

Site: 1.9 10.0 M 

Matrix: OTHER

Analyte Result Units Qualifiers RDL Method Analysis Date/Time

Sample #:

Analyst

DISSOLVED METALS BY ICP

Iron (Fe) 0.033 mg/L EPA 200.7 10/5/2010 3:49:00 PM 0 0.01 MHH

Manganese (Mn) 0.412 mg/L EPA 200. 0 0.005 MHH 7 10/5/2010 3:49:00 PM

Analytical Lab 

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Analytical Lab 

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