13
POLLEN ENVIRONMENTAL, LLC. CHAIN OF CUSTODY /WORKORDER FORM 3536 International Street Fairbanks, AK 99701 (907) 479-8368 Phone (907) 452-6853 Fax [email protected] CLIENT INFORMATION Company: Barrow Utilities & Electric Coop. Address: P.O. Box 449 City, State Zip: Barrow, AK 99723 Phone: 907-852-8427 Fax: 907-852-5164 Email: powerplant@bueci .org Project Name: PFC Monitoring Sampled By: --15w\ n r-.-:.. ~a, ll= Contact Person: Jim Murphy Perservatl ve Added WWTP APDES #: PWS ID #: 320078 Send Results to ADEC: v Yes No (/} 0 Purchase Order/Charge Code: 20190015 LL c.. c?0\9-53 <( 0 LL c.. Samole Identification Samole Point ID: Samole Date Samole Time Matrix Lab ID# Sub Lab ID# Raw Water Tao SPIN0001 1t1,rh9 I ~\ 17 .) w ~vf4l0ii, 2 X MG Tank SPTP0001 /Jtrll Ci i4 '. S"'<l w (~rf6t'JJ 2 X Possible Hazard Identification: Sample Co:!{11' Non-Hazardous Flammable D Skin Irritant Unknown Pollen Env Temperature on arr ival: •c Sub Lab Temperature on arrival: _ _ •c Special Instructions/QC Requirements & Comments: Requested Analysis CDC Seal: CDC Seal: ~(nquished by: Comt y: [ Daje ;f ;nq I (' 1, :1 -~fflt lo A tnr\fVNii(ii Company: Pollen Env. "l'i,..,,\, ,, ~- ,(11 GC. Reli o;;»;J:f 7 Compan%// UJ cm/ Date & Ti mei i &, J/00 Ret:elved by : Company: RJ/quis~ by: Company: Date & Time: Received by : Company: Accuracy, Precision, and Professional Service COC# BUECI PFC Page 1 of 1 \ Normal Turnaround D RUSH - day(s) Samole Comments Intact Broken Absent Intact Broken Absent Df1e\ ~f\e q tO)l0 Daile & Time: Date & Time:

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Page 1: Pollen Environmental, LLC

POLLEN ENVIRONMENTAL, LLC. CHAIN OF CUSTODY /WORKORDER FORM 3536 International Street

Fairbanks, AK 99701

(907) 479-8368 Phone (907) 452-6853 Fax

[email protected]

CLIENT INFORMATION

Company: Barrow Utilities & Electric Coop.

Address: P.O. Box 449

City, State Zip: Barrow, AK 99723

Phone: 907-852-8427

Fax: 907-852-5164

Email: [email protected]

Project Name: PFC Monitoring

Sampled By: --15w\ n r-.-:..~a, ll=

Contact Person: Jim Murphy

Perservatlve Added

WWTP APDES #:

PWS ID #: 320078

Send Results to ADEC:

v Yes □ No (/}

0 Purchase Order/Charge Code: 20190015 LL

c..

c?0\9-53 ~ <( 0 LL c..

Samole Identification Samole Point ID: Samole Date Samole Time Matrix Lab ID# Sub Lab ID#

Raw Water Tao SPIN0001 1t1,rh9 I ~ \ 17 .) w ~vf4l0ii, 2 X

MG Tank SPTP0001 /Jtrll Ci i4 '. S"'<l w (~rf6t'JJ 2 X

Possible Hazard Identification: Sample Co:!{11'

□ Non-Hazardous □ Flammable D Skin Irritant □ Unknown Pollen Env Temperature on arrival: •c Sub Lab Temperature on arrival: _ _ •c

Special Instructions/QC Requirements & Comments:

Requested Analysis

CDC Seal:

CDC Seal:

~(nquished by: Comt y: [ Daj e; f ;nq I ( '1, :1 -~ffltloA tnr\fVNii(ii Company: Pollen Env.

"l'i,..,,\ ,,, ~ - ,(11 GC. Relio;;»;J:f ~ 7 Compan%//UJ cm/ Date & Timei i &,

,-r~✓ J/00 Ret:elved by : ~ Company:

RJ/quis~ by: Company: Date & Time: Received by : Company:

Accuracy, Precision, and Professional Service

COC# BUECI PFC

Page 1 of 1

\ Normal Turnaround

D RUSH - day(s)

Samole Comments

□ Intact □ Broken □ Absent

□ Intact □ Broken □ Absent

Df1e\~f\eq tO)l0 Daile & Time:

Date & Time:

Page 2: Pollen Environmental, LLC

Barrow Utilities and Electric Coop. Report Date: 1/29/2019Attn: Jim Murphy Receipt Date: 1/16/2019PO Box 449 Sampled By: Tom Drake IIBarrow, AK 99723Phone: (907) 852-5164Fax: (907) 852-6751E-mail: [email protected]

Project Name: PFOA and PFOS MonitoringSampled By: Tom Drake IIPWS ID: 320078

Sample ID: Pollen Env ID: Eurofins ID: Date: Time:

Raw Water Tap PEF46821 1/15/2019 3:00 PMMG Tank PEF46822 1/15/2019 2:58 PM

Jerry PollenPollen Environmental, LLC - Fairbanks

CERTIFICATE OF ANALYSIS

41774754177476

Pollen Environmental, LLC

Page 3: Pollen Environmental, LLC

LABORATORY REPORT

This report may not be reproduced, except in full, without written approval from EEA.

If you have any questions concerning this report, please do not hesitate to call us at (800) 332-4345 or (574) 233-4777.

Page 1 of 11

=::: e u rofi n s I Eaton Analytical

Page 4: Pollen Environmental, LLC

 

Revision date:  01/02/2018  

STATE CERTIFICATION LIST

State Certification State Certification Alabama 40700 Missouri 880 Alaska IN00035 Montana CERT0026 Arizona AZ0432 Nebraska NE-OS-05-04

Arkansas IN00035 Nevada IN00035 California 2920 New Hampshire* 2124 Colorado IN035 New Jersey* IN598

Colorado Radiochemistry IN035 New Mexico IN00035 Connecticut PH-0132 New York* 11398 Delaware IN035 North Carolina 18700 Florida* E87775 North Dakota R-035 Georgia 929 Ohio 87775 Hawaii IN035 Oklahoma D9508 Idaho IN00035 Oregon (Primary AB)* 4074-001

Illinois* 200001 Pennsylvania* 68-00466 Illinois Microbiology 17767 Puerto Rico IN00035

Illinois Radiochemistry IN00035 Rhode Island LAO00343 Indiana Chemistry C-71-01 South Carolina 95005

Indiana Microbiology M-76-07 South Dakota IN00035 Iowa 098 Tennessee TN02973

Kansas* E-10233 Texas* T104704187-15-8Kentucky 90056 Texas/TCEQ TX207

Louisiana* LA180008 Utah* IN00035 Maine IN00035 Vermont VT-8775

Maryland 209 Virginia* 460275 Massachusetts M-IN035 Washington C837

Michigan 9926 West Virginia 9927 C Minnesota* 018-999-338 Wisconsin 999766900 Mississippi IN035 Wyoming IN035

EPA IN00035 *NELAP/TNI Recognized Accreditation Bodies

Page 2 of 11

·=- eurofins I t Analytical -:.• Ea on

Page 5: Pollen Environmental, LLC

Laboratory Report

Client:

Attn:

Report:

Priority:

Status:

PWS ID:

Pollen Environmental LLC

Jerry Pollen

3536 International Avenue

441145

AK2320078

Standard Written

Final

IN00035Alaska Lab ID #

Fairbanks, AK 99701

110 South Hill StreetSouth Bend, IN 46617Tel: (574) 233-4777Fax: (574) 233-82071 800 332 4345

*NR = The chlorine demand was not performed for this analytical sample, at the request of the client.

EEA ID #

Client ID Method CollectedDate / Time

CollectedBy:

ReceivedDate / Time

4177475 PEF46821 Raw Water Tap 537 01/15/19 15:00 Client 01/18/19 08:30

4177476 PEF46822 MG Tank 537 01/15/19 14:58 Client 01/18/19 08:30

Sample Information

Report Summary

Detailed quantitative results are presented on the following pages. The results presented relate only to the samples provided for analysis.

We appreciate the opportunity to provide you with this analysis. If you have any questions concerning this report, please do not hesitate to call Traci Chlebowski at (574) 233-4777.

Note: This report may not be reproduced, except in full, without written approval from EEA.

Client Name:

Report #:

Pollen Environmental LLC

441145

Authorized Signature Title Date

01/29/2019

Page 1 of 3

Page 3 of 11

=:~ eurofins I Eaton Analytical

Page 6: Pollen Environmental, LLC

Client Name: Report #: 441145Pollen Environmental LLC

Sampling Point: PWS ID:PEF46821 Raw Water Tap AK2320078

EEA Methods

AnalyteID #

Analyte Method RegLimit

MRL† Result Units Preparation Date

AnalyzedDate

EEAID #

417747501/24/19 01:3701/23/19 07:30ng/L812.0---537Perfluorooctanesulfonic acid (PFOS)1763-23-1

417747501/24/19 01:3701/23/19 07:30ng/L7.22.0---537Perfluorooctanoic acid (PFOA)335-67-1

Sampling Point: PWS ID:PEF46822 MG Tank AK2320078

EEA Methods

AnalyteID #

Analyte Method RegLimit

MRL† Result Units Preparation Date

AnalyzedDate

EEAID #

417747601/24/19 01:5401/23/19 07:30ng/L< 2.02.0---537Perfluorooctanesulfonic acid (PFOS)1763-23-1

417747601/24/19 01:5401/23/19 07:30ng/L< 2.02.0---537Perfluorooctanoic acid (PFOA)335-67-1

Reg Limit Type:

Symbol:

MCL SMCL AL

* ^ !

† EEA has demonstrated it can achieve these report limits in reagent water, but can not document them in all sample matrices.

Page 2 of 3Page 4 of 11

B I I

B I I

Page 7: Pollen Environmental, LLC

Client Name: Report #: 441145Pollen Environmental LLC

Lab Definitions

Continuing Calibration Check Standard (CCC) / Continuing Calibration Verification (CCV) / Initial Calibration Verification Standard (ICV) / Initial Performance Check (IPC) - is a standard containing one or more of the target analytes that is prepared from the same standards used to calibrate the instrument. This standard is used to verify the calibration curve at the beginning of each analytical sequence, and may also be analyzed throughout and at the end of the sequence. The concentration of continuing standards may be varied, when prescribed by the reference method, so that the range of the calibration curve is verified on a regular basis. CCL, CCM, and CCH are the CCC standards at low, mid, and high concentration levels, respectively.

Internal Standards (IS) - are pure compounds with properties similar to the analytes of interest, which are added to field samples or extracts, calibration standards, and quality control standards at a known concentration. They are used to measure the relative responses of the analytes of interest and surrogates in the sample, calibration standard or quality control standard.

Laboratory Duplicate (LD) - is a field sample aliquot taken from the same sample container in the laboratory and analyzed separately using identical procedures. Analysis of laboratory duplicates provides a measure of the precision of the laboratory procedures.

Laboratory Fortified Blank (LFB) / Laboratory Control Sample (LCS) - is an aliquot of reagent water to which known concentrations of the analytes of interest are added. The LFB is analyzed exactly the same as the field samples. LFBs are used to determine whether the method is in control. FBL, FBM, and FBH are the LFB samples at low, mid, and high concentration levels, respectively.

Laboratory Method Blank (LMB) / Laboratory Reagent Blank (LRB) - is a sample of reagent water included in the sample batch analyzed in the same way as the associated field samples. The LMB is used to determine if method analytes or other background contamination have been introduced during the preparation or analytical procedure. The LMB is analyzed exactly the same as the field samples.

Laboratory Trip Blank (LTB) / Field Reagent Blank (FRB) - is a sample of laboratory reagent water placed in a sample container in the laboratory and treated as a field sample, including storage, preservation, and all analytical procedures. The FRB/LTB container follows the collection bottles to and from the collection site, but the FRB/LTB is not opened at any time during the trip. The FRB/LTB is primarily a travel blank used to verify that the samples were not contaminated during shipment.

Matrix Spike Duplicate Sample (MSD) / Laboratory Fortified Sample Matrix Duplicate (LFSMD) - is a sample aliquot taken from the same field sample source as the Matrix Spike Sample to which known quantities of the analytes of interest are added in the laboratory. The MSD is analyzed exactly the same as the field samples. Analysis of the MSD provides a measure of the precision of the laboratory procedures in a specific matrix. SDL, SDM, and SDH / LFSMDL, LFSMDM, and LFSMDH are the MSD or LFSMD at low, mid, and high concentration levels, respectively.

Matrix Spike Sample (MS) / Laboratory Fortified Sample Matrix (LFSM) - is a sample aliquot taken from field sample source to which known quantities of the analytes of interest are added in the laboratory. The MS is analyzed exactly the same as the field samples. The purpose is to demonstrate recovery of the analytes from a sample matrix to determine if the specific matrix contributes bias to the analytical results. MSL, MSM, and MSH / LFSML, LFSMM, and LFSMH are the MS or LFSM at low, mid, and high concentration levels, respectively.

Quality Control Standard (QCS) / Second Source Calibration Verification (SSCV) - is a solution containing known concentrations of the analytes of interest prepared from a source different from the source of the calibration standards. The solution is obtained from a second manufacturer or lot if the lot can be demonstrated by the manufacturer as prepared independently from other lots. The QCS sample is analyzed using the same procedures as field samples. The QCS is used as a check on the calibration standards used in the method on a routine basis.

Reporting Limit Check (RLC) / Initial Calibration Check Standard (ICCS) - is a procedural standard that is analyzed each day to evaluate instrument performance at or below the minimum reporting limit (MRL).

Surrogate Standard (SS) / Surrogate Analyte (SUR) - is a pure compound with properties similar to the analytes of interest, which is highly unlikely to be found in any field sample, that is added to the field samples, calibration standards, blanks and quality control standards before sample preparation. The SS is used to evaluate the efficiency of the sample preparation process.

Page 3 of 3Page 5 of 11

Page 8: Pollen Environmental, LLC

Page 6 of 11

E NVIRONMENTAL, LLC. 3536 International Street

Fairbanks, AK 99701

(907) 479-8368 Phone (907) 452-6853 Fax

[email protected]

CLIENT INFORMATION

Company: Barrow Utilities & Electric Coop.

Address: P.O. Box 449

City, State Zip: Barrow, AIC 99723

Phone: 907-852-8427

Fax: 907-852-5164

Contact Person : Jim Murphy

WWTP APDES # :

PWS ID #: 320078

Send Results to ADEC:

v Yes D No

4~\\~s CHAIN OF USTO Y /WORKORDE FORM

3-e; I 012. c:oc ur:c1 p c

Requested Analysis

Page 1 of 1

Perservative Added

\ Normal Turnaround

U) 0

Email: [email protected] Purchase Order/Charge Code: 20190015 LL. D RUSH --day(s) c..

Project Name: PFC Monitoring J0\9·-53 cxS <(

Sampled By: -- . 0 l-8w\ 1Jr-.:..~ll- rJ: LL.

c.. Sample Identification Samnle Point I D: Samnle Date Samnle Tim• Matrix Lab ID# Sub Lab I D# Samnle Comments

Raw Water Tao SPIN0001 i /L')IL9 I >'·o .1 w -PvfAij?ii\ 411,41c; 2 xl ) C '-A .... i\ MG Tank SPTP0001 J/1rl1.C1 i'-1 '. i'l w i W\\ntfL1 L-frn 1.J.11 .. 2 xl ) (!_ '-It )ss1 1ttt

Possible Hazard Identification: Sample Co% W

□ Non-Hazardous D Flammable D Skin Irritant D Unknown Pollen Env Temperature on arrival: _ °C COC Seal : □ Intact D Broken D Absent

Sub Lab Temperature on arrival : I 0c coc Seal : ( i ntact D Broken D Absent

Special Instructions/QC Requirements & Comments:

Relinquished by: l'i"''i)r-,A:,/J_ u:,_

Com1«1ny: \S,1,, Gt I

Dati & T!LJe: I J(' .le, ,c1 ~ -~M~ ~foA ti)(j/VMVi1

Company: Pollen Env. Df1e\t l~°b\ - l01IO Rell"fp}'Jt)1~ 7 Companf(}/; rn11 Date & Tlmei i (B_ //()0

Re~ ve ~' Q.,( ~ Compan~G/.J- oar-,. Pl,~ Ot80 0 Ul /-- /7- .,,. >5 ,., I

RJ/quls"(f by: Company: Date & Time: Recelv~ u Company: Date & Time:

Accuracy, Precision, and Professional Service

Page 9: Pollen Environmental, LLC

Eurofins Eaton AnalyticalRun Log

Run ID: 254373 Method: 537

Sample SiteSample IdType Instrument ID Calibration FileAnalysis DateMatrix

CCL 4180605 FL 012319M537a-FL-PFC-Ext.mdb01/23/2019 19:40OS

LRB 4180592 FL 012319M537a-FL-PFC-Ext.mdb01/23/2019 20:14RW

FBL 4180595 FL 012319M537a-FL-PFC-Ext.mdb01/23/2019 20:48RW

CCM 4180606 FL 012319M537a-FL-PFC-Ext.mdb01/24/2019 00:29OS

FS 4177475 PEF46821 Raw Water Tap FL 012319M537a-FL-PFC-Ext.mdb01/24/2019 01:37DW

FS 4177476 PEF46822 MG Tank FL 012319M537a-FL-PFC-Ext.mdb01/24/2019 01:54DW

CCH 4180609 FL 012319M537a-FL-PFC-Ext.mdb01/24/2019 03:52OS

0.00

Page 1 of 3 EEA Run ID 254373 / EEA Report # 441145

Page 7 of 11

=::: e u rof i n s I Eaton Analytical

Page 10: Pollen Environmental, LLC

QC

Su

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EE

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N/A

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L1

82

40

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---

---

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50

- 1

50

10

01

82

40

1

01

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19

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:33

01

/23

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19

19

:40

Fals

e

SS

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tFO

SA

A-d

5537

N/A

CC

L2

01

.51

20

ng

/L1

.04

18

06

05

---

---

---

70

- 1

30

10

12

00

0

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30

1/2

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01

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2537

N/A

CC

L9

9.7

98

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/L1

.04

18

06

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---

---

---

70

- 1

30

10

01

00

0

1/1

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0:3

30

1/2

3/2

01

9 1

9:4

0F

als

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SS

-PF

HxA

-13C

2537

N/A

CC

L4

9.4

67

2ng

/L1

.04

18

06

05

---

---

---

70

- 1

30

99

50

.0

01

/14

/20

19

10

:33

01

/23

/20

19

19

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Fals

e

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oct

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lfonic

aci

d (

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2.0

CC

L2

.00

75

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50

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50

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:33

01

/23

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19

19

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Fals

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2.0

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L1

.91

52

ng

/L1

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---

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50

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96

2.0

0

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IS-N

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AA

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537

N/A

LR

B1

01

38

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.91

41

80

59

2--

---

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-5

0 -

15

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91

02

33

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1/2

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FO

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2537

N/A

LR

B1

79

87

50

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41

80

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---

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-5

0 -

15

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81

83

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IS-P

FO

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3C

4537

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LR

B3

87

83

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---

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-5

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15

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40

6

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19

07

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19

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N/A

LR

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80

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-5

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15

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N/A

LR

B1

63

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50

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/L0

.91

41

80

59

2--

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-7

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2537

N/A

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B8

7.4

81

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.91

41

80

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2--

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-7

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SS

-PF

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2537

N/A

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B4

4.9

65

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.91

41

80

59

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-7

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FB

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73

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95

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:37

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Page 8 of 11

~ ~

D D DJ D

□□□□--□□--□--□ DODD □--□--□□--□--□

Page 11: Pollen Environmental, LLC

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Page 3

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Page 9 of 11

l R DD D

JODI

JD□

-□□--□□- -□--□ DODD DD

Page 12: Pollen Environmental, LLC

Sa

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Page 10 of 11

Page 13: Pollen Environmental, LLC

END OF REPORT

Page 11 of 11