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HomeMy WebLinkAboutNC0023299_Renewal (Application)_20210602 . F y4, f ROY COOPER /n .)et �/ ; :Governor ,, M 11k DIONNE DELLI-GATTI %; '- „�GUM+ Y.'` Secretory „...—= S.DANIEL SMITH NORTH CAROLINA Director Environmental Quality June 03, 2021 YES AF Utilities EXP, LLC. Attn: Karen Hamilton, Chief Operating Officer 5050 S Syracuse St, STE 1200 Denver, CO 80237 Subject: Permit Renewal Application No. NC0023299 Woodlake MHC WWTP Guilford County Dear Applicant: The Water Quality Permitting Section acknowledges the June 2, 2021 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/perm its-reg u lations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. jricely rq Wren -dfor. Administrative Assistant Water Quality Permitting Section cc: Eric Wyson-Apex ec: WQPS Laserfiche File w/application DECONorth Carolina Department of Environmental Quality I Division of Water Resources Winston-Salem RegionalOfflce 1450WestHonesMillRoad,Suite300 I Wlnston-Salem.NorthCarolIna27105 ro. . m\ /'� 336,776.9800 ' APEX June 1, 2021 Division of Water Resources Water Quality Permitting Section-NPDES Att: Wren Thedford, 9th Floor, Archdale Building 512 N. Salisbury Street Raleigh , NC 27604-1170 RE: Permit Renewal NPDES Permit No. NC0023299 Woodlake Wastewater Treatment Plant 5418 Country Club Drive Greensboro, North Carolina 27406 To whom it may concern: Please find our renewal application within and if you have any questions or concerns regarding this submittal, please do not hesitate to contact the undersigned at ewysong@apexcos.com or at 704-799-6390 ext 4815. Sincerely, Apex Companies, LLC Eric Wysong Project Manager Apex Companies, LLC • 5900 Northwoods Business Parkway Suite 0 • Charlotte, NC 28269 • T 704.799.6390 • F 704.799.6395 • apexcos.com NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Form NPDES NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow the instructions ma result in denial of the 48 lication. SECTION 1. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.21(j)(1) and (9)) •Facility Information 1.1 Facility name Woodlake WWTP Mailing address (street or P.O. box) 5418 Country Club Drive City or town Greensboro State NC ZIP code 27406 Contact name (first and last) Maria Sardo Title Regional Manager Phone number (720) 640-7437 Email address msardo@yescommunities.corr Location address (street, route number, or other specific identifier) 3529 McConnell Road 0 Same as mailing address City or town Greensboro State NC ZIP code 27405 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission ❑ No requirements for new dischargers. Applicant Information 1.3 Is applicant 1 different from entity listed under Item 1.1 above? Yes • No i SKIP to Item 1.4. Applicant Yes name WL Utilities EXP, LLC Applicant 5050 address (street or P.O. box) South Syracuse Street, Suite 1200 City Denver or town State CO ZIP code 80237 Contact Karen name (first and last) Hamilton Title Chief Operating Officer Phone number t303) 483-7302 Email address khamilton@yescommunities.c 1.4 Is the 1 applicant the facility's owner, operator, Owner ■ or both? (Check only one response.) Operator ❑ Both 1.5 To ❑ which entity should the NPDES permitting authority send correspondence? (Check only one response.) Facility ❑ Applicant ❑✓ Facility and applicant (they are one and the same) Existing Environmental Permits 1.6 indicate number below any existing environmental permits. (Check all that apply and print or type the corresponding permit for each.) Existing Environmental Permits p NPDES (discharges to surface water) D RCRA (hazardous waste) ❑ UIC (underground injection control) • PSD (air emissions) ❑ Nonattainment program (CM) 0 NESHAPs (CAA) Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) • Other (specify) Pages NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Collection System and Population Served 1.7 Provide the collection system information requested below for the treatment works. Municipality Served Population Served Collection System Type (indicate percentage) Ownership Status 100 % separate sanitary sewer 0 Own 0 Maintain Private 700 % combined storm and sanitary sewer 0 Own 0 Maintain Community ❑ Unknown 0 Own 0 Maintain % separate sanitary sewer 0 Own 0 Maintain % combined storm and sanitary sewer 0 Own ❑ Maintain ❑ Unknown 0 Own 0 Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own 0 Maintain ❑ Unknown 0 Own 0 Maintain % separate sanitary sewer 0 Own 0 Maintain % combined storm and sanitary sewer 0 Own 0 Maintain Total Population Served 700 ❑ Unknown 0 Own 0 Maintain Separate Sanitary Sewer System Combined Storm and Sanitary Sewer Total percentage of each type of sewer line (in miles) 100 ° �° ° o /o Indian Country 1.8 Is the • treatment works located in Indian Yes Country? 0 No 1.9 Does the facility discharge to a receiving ❑ Yes water that flows through 0 Indian Country? No Design and Actual Flow Rates 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate 0.07 mgd Annual Average Flow Rates (Actual) Two Years Ago Last Year This Year 0.059 mgd 0.059 mgd 0.060 mgd Maximum Daily Flow Rates (Actual). Two Years Ago Last Year This Year 0.107 mgd 0.134 mgd 0.079 mgd Discharge Points by Type 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type. Total Number of Effluent Discharge Points by Type Treated Effluent Untreated Effluent Combined. Sewer Overflows Bypasses Constructed Emergency Overflows 1 0 o 0 0 Page 2 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Outfalls and Other Discharge or Disposal Methods Outfalls Other Than to Waters of the State of North Carolina 1.12 Does the POTW for discharge discharge wastewater to basins, ponds, to waters of the State of North Carolina? or other surface impoundments that do not have outlets 4 SKIP to Item 1.14. ■ Yes IS No 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surface Impoundment Location and Discharge Data Location Average Daily Volume Discharged to Surface Impoundment Continuous or Intermittent (check one) gpd ❑ Continuous 0 Intermittent gpd ❑ Continuous 0 Intermittent gpd 0 Continuous ❑ Intermittent 1.14 Is wastewater applied to land? • Yes 151 No4SKIPtoItem1.16. 1.15 Provide the land application site and discharge data requested below. Land Application Site and Discharge Data Location Size Average Daily Volume Applied Continuous or Intermittent (check one) acres gpd ❑ Continuous ❑ Intermittent acres gpd 0 Continuous 0 Intermittent acres gpd ❑ Continuous ❑ Intermittent 1.16 Is effluent transported to another facility for treatment ❑ Yes prior to discharge? 4 SKIP to item 1.21. FA No 1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No 4 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Transporter Data Entity name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address Page 3 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Outfalls and Other Discharge or Disposal Methods Continued 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the receiving facility. Receiving Facility Data Facility name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address NPDES number of receiving facility (if any) ❑ None Average daily flow rate mgd 1.21 Is the not • wastewater disposed of in a manner other than have outlets to waters of the State of North Carolina Yes GI those a (e.g., No ready mentioned in Items 1.14 through 1.21 that do underground percolation, underground injection)? 4 SKIP to Item 1.23. 1.22 Provide information in the table below on these other disposal methods. Information on Other Disposal Methods Disposal Method Description Location of Disposal Site Size of Disposal Site Annual Average Daily Discharge Volume Continuous or Intermittent (check one) acres gpd ❑ Continuous ❑ intermittent acres gp d ❑ Continuous ❑ Intermittent acresgpd ❑ Continuous ❑ Intermittent Variance Requests 1.23 Do Consult ❑ 'A you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. with your NPDES permitting authority to determine what information needs to be submitted and when.) Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section Section 301(h)) 302(b)(2)) Not applicable Contractor Information 1.24 Are any operational or maintenance aspects (related to the responsibility of a contractor? ❑✓ Yes • wastewater treatment and effluent quality) of the treatment works No +SKIP to Section 2. 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information Contractor 1 Contractor 2 Contractor 3 Contractor name (company name) Apex Companies, LLC Mailing address (street or P.O. box) 5900-0 North woods Business F City, state, and ZIP code Charlotte, NC 28269 Contact name (first and last) Eric Wysong Phone number (704} 799-6390 Email address ewysong@apexcos.com Operational and maintenance responsibilities of contractor Operations/Management Page 4 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 SECTION 2, ADDITIONAL INFORMATION (40 CFR 122.21(j)(1) and (2)) North Carolina 0 LT m n Outfa[Is to Waters of the Stated 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? No -3 SKIP to Section 3. • Yes IV 0 c 0 c 2.2 Provide the treatment works' current average daily volume of inflow and infiltration. Average Daily Volume of lnflow and Infiltration gpd Indicate the steps the facility is taking to minimize inflow and infiltration. CP- ttli 0 cri r1g 0 0 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for specific requirements.) El Yea ❑ No Flow Diagram 2.4 Have you attached (See instructions a process flow diagram or schematic to this application that contains all the required information? for specific requirements.) ❑ No • Yes Scheduled Improvements and Schedules of Implementation 2.5 Are improvements to the facility scheduled? ❑ Yes 0 No 4 SKIP to Section 3. Briefly list and describe the scheduled improvements. 1. 2. 3. 4. 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements Scheduled Improvement (from above) Affected Outfatls (list outfall number) Begin Construction (MMIDD/YYYY) End Construction (MM/DDIYYYY) Begin Discharge (MMIDDIYYYY) Attainment of Operational Level (MM/DDNYYY) 1. 2. 3. 4. 2.7 Have appropriate response. permits/clearances concerning other federal/state requirements been obtained? Briefly explain your ❑ No ❑ None required or applicable ■ Yes Explanation: Page 5 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 SECTION 3. INFORMATION 3.1 ON EFFLUENT DISCHARGES (40 CFR 122.21(j)(3) to (5)) Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.) Outfall Number 001 Outfall Number Outfall Number State NC y ;o County Guilford County a 0 City or town Browns Summit s w Distance from shore 1 ft. ft. ft. Depth below surface 0 ft• ft. ft. a Average daily flow rate 0.059 mgd mgd mgd Latitude 35" 58' 116 ' Longitude -79" 47' 41t' o " Seasonal or Periodic Discharge Data 3.2 Do any of the outfalls described ❑ Yes under Item 3.1 have seasona or periodic discharges? ✓❑ No 4 SKIP to item 3.4. 3.3 If so, provide the following information for each applicable outfall. ................. Outfall Number Outfall Number Outfall Number Number of times per year discharge occurs Average duration of each discharge (specify units) Average flow of each discharge mgd mgd mgd Months in which discharge occurs Diffuser Type 3.4 Are • any of the outfalls listed under Item 3.1 equipped with a diffuser? Yes d No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser type at each applicable outfall. Outfall Number Outfall Number Outfall Number Waters of the U.S. 3.6 Does one the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from or more discharge points? Yes ❑ No +SKIP to Section 6. Page 6 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Receiving Water Description 3.7 Provide the receiving water and related information (if known) for each outfall. Outfall Number owl Outfall Number Outfall Number Receiving water name UT of Polecat Creek Name of watershed, river, or stream system Polecat Creek U.S. Soil Conservation Service 14-digit watershed code 030300030107 Name of state management/river basin Cape Fear U.S. Geological Survey 8-digit hydrologic cataloging unit code 03030003 Critical low flow (acute) unknown cfs cfs cfs Critical low flow (chronic) unknown cfs cfs cfs Total hardness at critical low flow mg/L of unknown CaCO3 mg/L of CaCO3 mg/L of CaCO3 Treatment Description 3.8 Provide the following information describing the treatment provided for discharges from each outfall. Outfall Number oos Outfall Number Outfall Number Highest Level of Treatment (check all that apply per outfall) 0 Primary ❑ Equivalent to secondary 0 Secondary 0 Advanced 0 Other (specify) ❑ Primary ❑ Equivalent to secondary 0 Secondary 0 Advanced 0 Other (specify) ❑ Primary ❑ Equivalent to secondary 0 Secondary 0 Advanced 0 Other (specify) Design Removal Rates by Outfall BODS or CBOD5 unknown TSS unknown % % %o Phosphorus 0 Not applicable unknown %a 0 Not applicable %o 0 Not applicable ok Nitrogen ❑ Not applicable unknown % 0 Not applicable ❑ Not applicable Other (specify) la Not applicable %u 0 Not applicable %a ❑ Not applicable % Pagel NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 Effluent Testing Data Treatment Description Continued 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by season, describe below. Outfall Number 001 Outfall Number Outfall Number Disinfection type Effluent chlorination with chlorine contact chamber Seasons used All Dechlorination used? ❑ Not applicable ❑ Not applicable 0 Yes 0 No 0 Not applicable ID Yes • Yes • No • No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? 0 No IA Yes 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑ Yes I No 4 SKIP to Item 3.13. 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's discharges by outfa[I number or of the receiving water near the discharge points. Outfall Number Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic Number of tests of discharge water Number of tests of receiving water 3.14 Does the POTW reasonable potential use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have to discharge chlorine in its effluent? Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine. 0 Yes 4 3.15 Have you completed package? monitoring for all applicable Table B pollutants and attached the results to this application ❑ No Yes 3.18 Have you completed attached the results monitoring for all applicable Table D pollutants required by your NPDES permitting authority and to this application package? ❑ No additional sampling required by NPDES permitting authority. ■ Yes Page 8 NPDES Permit Number NC0023299 Facility Name Woodlake W WTP Modified Application Form 2A Modified March 2021 Effluent Testing Data Continued 3.19 Has the POTW or (2) at least conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application four annual WET tests in the past 4.5 years? ❑ No 4' Complete tests and Table E and SKIP to Item 3.26. • Yes 3.20 Have you previously submitted the results of the above ❑ Yes tests to your NPDES permitting •1 Provide authority? results in Table E and SKIP to INNo Item 3.26. 3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results. Date(s) Submitted {MMIDDIYYYY) Summary of Results 3.22 Regardless of how you provided your WET testing toxicity? ❑ Yes data to the NPDES permitting authority, did any of the tests result in Item 3.26. ■ No 4 SKIP to 3.23 Describe the cause(s) of the toxicity: 3.24 Has the treatment works conducted a toxicity reduction evaluation? ❑ Yes ❑ No -3 SKIP to Item 3.26. 3.25 Provide details of any toxicity reduction evaluations conducted. 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? CI Yes ✓❑ Not applicable because previously submitted information to the NPDES .ermittin+ authorit . Page 9 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Modified Application Form 2A Modified March 2021 SECTION 6. CIECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d)) of Form 2A that you have completed and are submitting with your application. For attachments that you are enclosing to alert the permitting authority. Note that not Checklist and Certification Statement 6.1 In Column 1 below, mark the sections each section, specify in Column 2 any all applicants are required to provide attachments. Column 1 Column 2 ❑ Section 1: Basic Application Information for All Applicants request(s) • w/ variance • wl additional attachments Section 2: Additional ❑ wl topographic map attachments • wl process flow diagram • Information • wl additional • w/ Table A B C • w/ Table D 0 Section 3: Information on 17 wl Table • wl additional attachments Effluent Discharges ❑ wl Table Section 4: Not Applicable Section 5: Not Applicable Section 6: Checklist and 0 NI wl attachments Certification Statement 6.2 Certification Statement I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print or type first and last name) Karen Hamilton Official title Chief Operating Officer Signature Date signed StZ-)z1 - Ate \ tir........3 —,V.\._ 05 \ ry„,(-ZIV"cr", Page 10 NPDES Permit Number NC0023299 Facility Name Woodlake WWTP Oulfall Number 001 Modified Application Form 2A Modified March 2021 TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS Pollutant Biochemical oxygen demand CiIaQRaQr D.CRQR4 re ' ort one Fecal coliform Design flow rate pH (minimum) pH (maximum) Temperature (winter) Temperature (summer) Total suspended solids (TSS) Maximum Daily Discharge Value 27,5 127 0.07 MINN 24 Units MPN/100 mL MGD Su SU Degrees C Degrees C met Average Daily Discharge 0.056 23 3.908 MPN/100 mL MGD Degrees C Degrees C Number of Sam • les Weekly (52} Weekly (52) Daily (365) MEIN Weekly (52) Weekly (52) Analytical Method' 5M52108-2011 IDEXX Colilert 18 ME ML or MDL (indude units) SM2540D-2011 ML <2mg/L mum < i MP E ML 0 MDL c2.8mkt) 1ML 0 MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3). Page 11 EPA Identification Number NPDES Peunit Number NC0023299 Facility Name Woodlake WWTP 0unall Number hdodified Application Form 2A Modified March 2021 TABLE B. EFFLUENT PARAMETERS Pollutant FOR ALL POTWS WITH A FLOW EQUAL Maximum Daily Discharge TO OR GREATER THAN 0.1 MGD Average Daily Discharge Analytical Method ML or MDL (include units) Value Units Value Units Number of Samples Ammonia (as N) 3.02 mg/L 0.52 mg/L weekly (52) SM450ONH3C-2011 ID ML < 0.5 mgo 0 MDL (totaa) residual, TRC)2 e. 0.44 ug/L 0.1d ug/L 2x/week (104) Field Iest RIM < 1b ug/L ©t OL Dissolved oxygen 7.6 mgfL 6.9 mg/L weekly (52) Field Test Unknown 0 MDL Nitratelnitrite 3.9 mg/L 2.345 mg/L quarterly (4) SM4500E-2011 t. < Illmg © MDL Kjeldahl nitrogen 3.58 mg/L 2.125 mg/L quarterly (4) SM4500Norg8-2011 <0.5 mit © MDL Oil and grease NA NA NA NA NA NA NA O MDL Phosphorus 1.4 mg/L 1.0 mg/L weekly (52) SM4500PE-2011 0 ML <0.1 m� 0 MU Total dissolved solids NA NA NA NA NA NA NA 0 ML 0 MDL Sampling shall be conducted acco ding to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0, See instructions and 40 CFR 122.21(e)(3). z Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not required to report data for chlorine. EPA Farm 3510-2A (Revised 3-19) Page 12 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 05/06/2020 Reported: 05/12/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200506-05-01 Ammonia Nitrogen Eff-WL 3.02 mg/L SM4500NH3C-2011 05/11/2020 CL 200506-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 05/07/2020 CJE 200506-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 05/06/2020 WC 200506-05-01 TSS Eff-WL 5.251 mg/L SM2540D-2011 05/08/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200506-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 A Relinquished by: Ti4� Time ,-7J Cin, pm Date 5 1 to 0') Sampled by: 1. Received by: ,� - Time f■ am pm Date Clie 1,L0 Transported by: /, Relinquished by: WA-------- Time /-`%(- oral, pm Date C1 Il Holding times met: 54, r4 Received by: L a., - Time I U U 5 . pm Date _1c11,- Compliance work: 3' Composite Sampling #1; Time begin{)/pr Siam; pm Date 1 J2c Non-compliance work: _. . r+r1f I/), —1 _ . c. , . ,a. R _ v.H Pa N 7��C?f fC�r� Requisitioned by: rnme onset . m R� ram' n r i m '9 0 0 m ak a x a n aT — f l �1 C CFI . g,. Q IZ al 11 sJt sale Sampled [Gist? onfyl m i Glib C\ ` C \ CARP a �' a s cn in 0 m C. M N t 2.3 ? STATESVILLE ANALYTICAL. " 122 Cart street • P.O. ISm 228 Statesville, NC 2%687 Oil It72-4697 1 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 05/13/2020 Reported: 05/29/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200513-05-01 Ammonia Nitrogen Eff-WL 0.84 mg/L SM4500NH3C-2011 05/18/2020 CJE 200513-05-01 BOD Eff-WL 10.8 mg/L SM5210B-2011 05/14/2020 CJE 200513-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 05/13/2020 WC 200513-05-01 Nitrate/Nitrite Eff-WL 1.68 mg/L SM4500E-2011 05/28/2020 CL 200513-05-01 T. Phosphorous Eff-WL 1.2 mg/L SM4500PE-2011 05/22/2020 CL 200513-05-01 TKN Eff-WL 3.58 mg/L SM4500NorgB-2011 05/27/2020 CL 200513-05-01 TSS Eff-WL <2.732 mg/L SM2540D-2011 05/15/2020 CJE Respectfully submitted, ..,Or -via, joltN7 Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200513-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 l Relinquished by �r ] Time cfr i 401, pm Date 51�� h' Sampled by: Received by: _9/,..._ Time l'J pm Date 'i/A Transported by: Relinquished by: Time .?-7, pm Date-1/3J2--) Holding times met: j{ Received by: �,1 t me I C) :30 ‘m, pm Date �1 LLB Compliance work: :� Ctzmmp9slte Sampling #1_ Time begin A. CL: a o, pm Date sl42l _...)c) Non-compliance work: w rk u 7 i 0 a N =. a � 3 6 v Contact Person: / ,��� ' Phone 1V FAXi a H. n'11IL 4 i C c., (1 1 • 1 T, S4 a ' l� N.,c '\ o coc ?7, '3 Y$a Lab Comments: Gray 1 '• •� Cann 1 m 3 \ \ \ ' i 1 r%'s V - 1 G 3 �. Samples Tfanspnned On Ice: Inili71s: '=TATFSVILI F ANALYTICAL 4111� 122 Court Slrcct • P.() ISna 22X „p Stnicst•illc, NI: 2Hf fi7 (704] X72-097 Chain of Custilxly Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 05/20/2020 05/28/2020 WL Sample Number Parameter Sample ID Result Unit Method STATESVILLE ANALYTICAL Analyzed Analyst 200520-05-01 200520-05-01 200520-05-01 200520-05-01 200520-05-01 200520-05-01 200520-05-01 200520-05-02 200520-05-02 200520-05-02 200520-05-02 Alkalinity Ammonia Nitrogen BOD pH T. Phosphorous TKN TSS Ammonia Nitrogen BOD Fecal Coliforms TSS Respectfully submitted, OP -V' . 1/4M9-t', Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 I nf I nf I nf I nf I nf I nf I nf Eff Eff Eff Eff 100 7.39 118 7.53 3.5 26.88 163.8 1.90 8.30 <1 <3.125 mg/L CaCO3 SM2320B-2011 mg/L mg/L Std. Units mg/L mg/L mg/L mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM4500HB-2011 SM4500PE-2011 SM4500NorgB-2011 SM2540D-2011 SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 05/21/2020 05/26/2020 05/21/2020 05/20/2020 05/22/2020 05/27/2020 05/22/2020 05/26/2020 05/21/2020 05/20/2020 05/22/2020 CL CJE CJE CL CL CL CJE CJE CJE WC CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 3 41 or O. tO :gp eu!Idweg alisadwoO C O. OD 3 m eal up pepodsumi suldweg 3 3 O L : oM AOue11dw03-u0N : OM aaue!Idwoo op • m Aq pogs!nbuireJ =f _{ 3 3 3 3 � m � ib 5 3 3 3 3 a a a a co Fti !� \ N`► P.% N 3 D. :jaw sawn 6uiplpH :Aq papodsuea a a n G PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 1 —I 0 1 0 m co 3 cco cco co 6 m a o co a ce N m rJ ti 3 3 2.7 2 O Co m m 0 :ell up pouodsueil saldwes :110M aiLte IdWOO-uO}IJ m 0 N 3 :)Jam auueildwo3 :lain sawil buiploH :Aq pagsinburloH :Aq pel.Jodsuull :Aq pogsinbuilaa Ci) w b a rc 0 0 p .Lkr G.m M� •C.‘ a ..4 17. 3 :Aq peuowsmbab a 0 a PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 05/27/2020 Reported: 06/02/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200527-05-01 Ammonia Nitrogen Eff-WL 2.46 mg/L SM4500NH3C-2011 06/02/2020 CJE 200527-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 05/28/2020 CJE 200527-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 05/27/2020 WC 200527-05-01 TSS Eff-WL 4 mg/L SM2540D-2011 05/29/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200527-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 3. 3 3 3 51 m LL L L u!Idweg alisodw 3 m I!! IJOM aOuepdwoD-uON 1 :Aq paysinboIaa t C 1 of 3 q aw as 9s Grab i am a 13 o Ai pauowSitlbaa PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 06/03/2020 06/10/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 200603-05-01 Ammonia Nitrogen 200603-05-01 BOD 200603-05-01 Fecal Coliforms 200603-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL 2.80 <2 <1 4.444 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 06/08/2020 CJE 06/04/2020 CJE 06/03/2020 WC 06/05/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200603-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 1 SrArFsvlt_LF lit ANALYTICAL 4 r I„ '. LIrI Sired • l't1 110m 22i1 Nceesville. N(' 2 e lt7 r 70,11 872-0697 Chain of Custody Record .11 g *71 1 ` i n..\,,z,c., I M _ Relinquished by: g Time jL ? 6m,,pm Date (�1 1�{ Sampled by: Received by: Time Gam'.,' m pm Dat ? 13 1,V Transported by: e 1. Relinquished by: Time (:)(,7 , pm Date 3k9s Holding limes met: Received by: U V k Time I 0 E) �m, m Date LP! ' / 1 — — Compliance work: Composite Sampling 41; Time begi CG' pm Date 1�' J �� Non-compliance work: Samples Transported On Ice: Indtals � U Address: x x LL a b c 0- s U 11 E. F_ � �-° : Lab Comments. i \ \ n 2' - 1 I Q cli .) [n r 111 J cam �8i, LJ PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 06/10/2020 06/17/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 200610-05-01 Ammonia Nitrogen 200610-05-01 BOD 200610-05-01 Fecal Coliforms 200610-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL 1.68 9.42 <1 2.979 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 06/15/2020 CJE 06/11/2020 CJE 06/10/2020 WC 06/12/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200610-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished byTime �(j� ^l, pm Date /�l�v Sampled by: Received by: Si,�"j Time P>;,rCa, pm Date 4 1� 1 Transported by: �� Relinquished by:g.77---/Time /?,7,, apt pm Date/L/ Z Holding times met: eCi(N(, ja /C. Received by: t )/1.( ;16r, j Time (r� `E1r , pm Dater[ 1 X Compliance work: Composite Sampling #1: Time begin4, pm Date /_i_l)-0 Non-compliance work: Customer Sample ID# PO # Requisitioned by: (Time Date) Contact Person: l vil J% , /' Phone # FAX# Address: r o m i Cam, a C (51 0 ..J uj Time Sampled (Grab Only) R t 1(J Date Sampled (Grab Only) Lab Comments: \ Grab \ \ \ Comp. f m \\\\ \ \1 S W Parameters requested for analysis Samples Transported On Ice: Initials: iAtkiAt.rileAL 122 Court Street • P.O. Rox 228 Statesville, NC 28687 (704) 872-4697 '' Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 06/17/2020 Reported: 06/23/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200617-16-01 Ammonia Nitrogen WL-Eff 1.68 mg/L SM4500NH3C-2011 06/22/2020 CJE 200617-16-01 BOD WL-Eff 6.76 mg/L SM5210B-2011 06/18/2020 CJE 200617-16-01 Fecal Coliforms WL-Eff <1 MPN/100 ml IDEXX Colilert 18 MPN 06/17/2020 MD 200617-16-01 TSS WL-Eff 2.983 mg/L SM2540D-2011 06/19/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200617-16-01 Temp on Arrival: 2.7 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 u • _ — t _ R, ezr _ f u au All I'aramcl r rtyucarcd Incarud7iis . ... Relinquished by: 4. Time 0'47 gni, pm Date �f.i� Sampled by: BE Received by: "0, Time f f.) 652 pm Date 6 7i Vic' Transported by: I Relinquished by: /;:it,c______, Time 7atr pm Date �1 Molding times met: r� Received by: �9C Time IV 3 im, pm Date _6 If71' — — Compliance work: I---"7" conipoe_allIpling NI- Time begin QdCOar : pm Date G° jA/ C• Non-compliance work: . _r./r — _ t _ J; i_ ' o H E ,k, , C tJ m Q Contact Person: / % 111,1 12 /( Phone IIFAX0I PO p,,/ A /f Requisitioned by: (rime e) crr_:_ H C 0 E g U d _,co i' r qb}] E ? N. G la Qc ti r •.a _ _ a S un, ..,... __, ,? .,..., ,....._ y L ________--) PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 06/24/2020 06/30/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 200624-05-01 Ammonia Nitrogen 200624-05-01 BOD 200624-05-01 Fecal Coliforms 200624-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL <0.5 7.40 10 <2.703 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 06/29/2020 CJE 06/25/2020 CJE 06/24/2020 WC 06/26/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200624-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: d (121(,r r- Time �slt7 La. pm Date IX1 J Sampled by: Received by: Time dtg-) e pm Date 6 J J0 Transported by: der — Relinquished by: Time /,).) J , pm Date Holding times met: }C Received by: ` 11),Lc Time L' �,�i� m m DateZ 7 j. Compliance work: Composite Sampling #1: Time begindeilL/rrl pm Date _6_//2__P Non-compliance work: 1 i inn a1 Pd ii ]�'� — Requisitioned by: Trim Ewe) re Contact Person: _dt.1_6(h Phone a FAX# a CI = 3 a rtil p) (1 i 3 {�; 1 II z is " 1 i 6 0 3 3 m d. w C. 6rah Cunp i \ \ C c\ A 1 . V i a 8 a. Samples Transported On Ice: Initials: '.TgTFSVli I ,' .1,NALY fICAL 22 Chun Street • P.O.Tina 228 18 Sialcsvillc, NC 28687 1704) 872,1697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 07/01/2020 Reported: 07/08/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200701-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 07/06/2020 CJE 200701-05-01 BOD Eff-WL 6.42 mg/L SM5210B-2011 07/02/2020 CJE 200701-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXXColilert18MPN 07/01/2020 WC 200701-05-01 TSS Eff-WL 8.571 mg/L SM2540D-2011 07/02/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200701-05-01 Temp on Arrival: 2.9 Parameter Schedule: Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 'I—r —I Relinquished by: I t Time go.) > ri,, pm Dale 21_2_/_t. Sampled by: Received by: Time fc:73 arr , pm Date ~71 L 22? Transported by: Relinquished by: i, Time r.7Yi eut', pm Date / ' Holding times met: Received by Li L Time L O.3(, a rl m Dale 2 �_ Compliance work: Qgmposite Sampling at; '��[1Fi, pm Date ! 1- Non-compliance work: Time begin i. _o =-7. . .. i- _, Nro g i F ` at x a f Ti- rJ F c c Url r 5 4 ti _ qq Lab Comments: Grab Eat I _ 3 73 C Samples Transpor1ed On Ice: Initials: STATESVII tr ANALY I ILAL 9r r r 22 Cowl street • PA), Box 2 t Statesville. NC 214ali7 r {7O41872-1(W7 Chain of ' Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 07/07/2020 Reported: 07/14/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200707-37-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 07/13/2020 CJE 200707-37-01 BOD Eff-WL <2 mg/L SM5210B-2011 07/08/2020 CJE 200707-37-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 07/07/2020 WC 200707-37-01 TSS Eff-WL <2.841 mg/L SM2540D-2011 07/08/2020 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200707-37-01 Temp on Arrival: Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: % Time709 i epm Date 1/ / / AO Sampled by: Received by: Time ' am, m Date 7! 7/01/4i Transported by: 4, Relinquished by: i` Time (/,, car?, pm Date/2/Lc�' Holding times met: f n / t„! `o1 y ��, Time j + 3 0 9, pm Date / I s x Received b: Compliance work: Composite Sampling #1: Time begin eaf;k59 pm Date /�/..>b Non-compliance work: ! A Customer Sample ID# PO # /d jat„ Requisitioned by: (Time Date) Contact Person: Z Phone # FAX# Q Q N N Client: tp r, �j -4 , g v * Time Sampled (Grab Only) 'V V i Date Sampled (Grab Only) Lab Comments: Grab C Comb \ \'k' m c\\ x r�z W U 'cv Q Parameters requested For analysis Samples Transported On Ice: Initials: 41 `;r ANIAL0 FBCKL lI' 122 Court Street • P0. liox 228 Statesville, NC 28687 (7114) 872-4697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 07/15/2020 Reported: 07/22/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200715-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 07/20/2020 CJE 200715-05-01 BOD Eff-WL 7.41 mg/L SM5210B-2011 07/16/2020 CE 200715-05-01 Fecal Coliforms Eff-WL 127 MPN/100 ml IDEXX Colilert 18 MPN 07/15/2020 WC 200715-05-01 TSS Eff-WL <2.793 mg/L SM2540D-2011 07/17/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200715-05-01 Temp on Arrival: 2.9 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Time ,f7-,; atn. pm Date Et —' Sampled by: Received by: jr Time 1 f t (m) pm Dale 7 1'] /20 Transported by: Relinquished by: 17 Time f4S VI. pm Date 7 dj 2 `' Holding limes met: }! Received �jf Time a pm Dale 7 Compliance work: ampasite SsmplingJ1; Time beginOC• CC eel, pm Dale 71 '11 ' Non-compliance work: fti PO% / f]f — Requisitioned by: fir"'° Dale) Contact Person: Phone q FAX# crept: -4' 0 01 w1 N i z r m 3 m 4 Grab Corar 1 * i r i Samples Transported On Ice Initials: lJ/ STATESVII I £ ANALYTILAL 1.2 r•,nn',Imo • 'Jr Rnx 228 `1 al c7! 14 . l2-1 17 r ]!Id 1 ri72-Sh�i7 a Chain or Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 07/22/2020 Reported: 07/28/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200722-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 07/27/2020 CJE 200722-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 07/23/2020 CJE 200722-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 07/22/2020 WC 200722-05-01 TSS Eff-WL <2.874 mg/L SM2540D-2011 07/24/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200722-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by _ ; Time r/J aril. pm Date 'JT-�1? ' Sampled by: Received by: l� Time i/---2 e pm Date _7_/��1 Transported by: Relinquished by: Time /•'�� alili, pm Date /I�a Balding limes met: Received by: WC- lime t 02 LJ pm Date ? IL 4 Lip K Compliance work: Compost Sl mmpliny #1: Time begin c% r darn, pm Date T 1.7JI�i Non-compliance work: C = a • (Ewa Duei) :Aq peuoglsinbel z fa_ "-Pi7P( I# Od Contact Person: Phone # FAX Client: rN NJ ti b LTA Q 9 ii Q y Q m s j Z r c 3 a m Cart. i E in 1 1 L x i "J Samp os Transporled On Ice. Iniltals: STATESVILLE ANALYTICAL I.'..'. i own Send • PA.13ox 228 sencsvellr, NC 28687 rim 8724697 Y, Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 07/29/2020 Reported: 08/05/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200729-05-01 Ammonia Nitrogen WL-Eff <0.5 mg/L SM4500NH3C-2011 08/04/2020 CJE 200729-05-01 BOD WL-Eff <2 mg/L SM5210B-2011 07/30/2020 CJE 200729-05-01 Fecal Coliforms WL-Eff <1 MPN/100 ml IDEXX Colilert 18 MPN 07/29/2020 WC 200729-05-01 TSS WL-Eff <2.841 mg/L SM2540D-2011 07/31/2020 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200729-05-01 Temp on Arrival: 1.7 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Jf r 1. . - -��1 Time kaC>" $n', pm Date 71•:-f1-2‘' Sampled by: Received by: Time ,CUP— �af), pm Date 2 1� �f� Transported by: �f Relinquished by: Time 'c j_, en, pm Date ? /Ale•' l !-folding times met: Received by: ZeiTime am, pm Date ar II•-bie2 Compliance work: Composite Sampling #1; Time beairl' --CC ain, pm Date 1/�-2c' Non-compliance work: \.,. D 3, m a 2 2 a ro e 9 i > am n , c---.--._... l I.v Q o 01 O 11 ` N• Z1 r c 3 F ' Gran Cay. * F 2_ Samples Transparled On Ice: lnMals: STATESVlLLE . ANALYTICAL d 22 CLAMSI!wxca • P.O. Box SIi1ilie. NC 28687 (7e41872-4697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 08/05/2020 Reported: 08/11/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200805-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 08/10/2020 CJE 200805-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 08/06/2020 CJE 200805-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 08/05/2020 WC 200805-05-01 TSS Eff-WL <2.841 mg/L SM2540D-2011 08/07/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200805-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: r . 1 Time acJJ efii, pm Date -J�' Sampled by: Received by: Time CTJair1 pm Date J J ° ' Transported by: 7 Relinquished by: %� - Time f t 3 v er ; pm Date fk-/ &...0 Holding times met: 4 I I /� F' �, Received by: 4 � i ; J1Ttme [ Q 0 *Im, pm Date _/J W Compliance work: X. Composite Sarno! ng #1: Time beair (' L el: Om Date 1 `71 0 Non-compliance wank: t 3 Client::`Alb l k_ Address/ a _y Contact Parson: Phone # FAX# PD # / {Time ❑siell �1 Requisitioned by: %t't l ,t:I - r c— .31 g Q iSN Time sampled (Groh Only) ti V Dale Sampled (Grab Only) Lab Comments: Grab COMO d 1 1 1 . 1 L r I Samples Transported On Ice: Inrbals: �� STATFSVILLE ANALYTICAL I2: Coin Street • P.O. Box 228 SIatesville, NC' 28687 1784)872-647 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 08/12/2020 Reported: 08/18/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200812-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 08/17/2020 CJE 200812-05-01 BOD Eff-WL 6.66 mg/L SM5210B-2011 08/13/2020 CJE 200812-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 08/12/2020 WC 200812-05-01 TSS Eff-WL <2.778 mg/L SM2540D-2011 08/12/2020 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200812-05-01 Temp on Arrival: 3.2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by:. Received by: Relinquished by: Received by: t� Qomposite Sampljiu #1: Time beain 04-(.'(am'. nrn Date , 1// I • G' 1\2-tom v F2 a a i g -T, Contact Person: ` Se r' Phone # FAO a g (7-) Z' a a pg $ i 3 Time 12- pm Date 81I), Time 4•> 6ar , pm Date :I /)I Time/ -' a gr�jtl', pm Date r IfI� 2. Time L30 fr m Date /-. Grab '' a -Z ,,t, ,n _ll Cl 1 y m i p n7 m STATES VILLE A NALYTICA 1. 122 t'Dral Slreel • P.O- [lox 228 Sialcsritk. NC 28687 (700 872-1697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 08/19/2020 Reported: 08/28/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200819-05-01 Ammonia Nitrogen WL-Eff <0.5 mg/L SM4500NH3C-2011 08/24/2020 CJE 200819-05-01 BOD WL-Eff 5.82 mg/L SM5210B-2011 08/20/2020 CJE 200819-05-01 Fecal Coliforms WL-Eff <1 MPN/100 ml IDEXX Colilert 18 MPN 08/19/2020 MD 200819-05-01 Nitrate/Nitrite WL-Eff 0.6 mg/L SM4500E-2011 08/26/2020 CL 200819-05-01 T. Phosphorous WL-Eff 1.1 mg/L SM4500PE-2011 08/28/2020 CL 200819-05-01 TKN WL-Eff 1.68 mg/L SM4500NorgB-2011 08/26/2020 CL 200819-05-01 TSS WL-Eff <2.825 mg/L SM2540D-2011 08/21/2020 CJE Respectfully submitted, ..,Or -via, joltN7 Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200819-05-01 Temp on Arrival: 3.0 pH on Arrival: <2 pH on Arrival: <2 pH on Arrival: <2 pH on Arrival: <2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Parameter Schedule: TKN Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: Nitrate/Nitrite Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: T. Phosphorous Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STbTF viLLE ANAL? i[ICAL 122 Court Sired - E!fl, Box 228 Statesville, NC 28n87 17841 1172.4(97 Chain or Custody Record s Relinquished by: Time j p 7 erfi, pm Date rrGG/-gam Sampled by: Received by:/i57.__...-----Time A.A. aar;prn Date 11�1t4� Transported by: I� Relinquished by: f Time/ ----A) am? pm Date f.f! �--' Holding times met: Received by: , Zall---' Time/000 c)pm Date .lr4/4 `` fJ Compliance work: Comp Site Sampling #1: Time begin (%C`C� ; pm Date :f /,11 .2� Non-compliance work: Samples Transported On Ice: Initials:%- t . x U- 2 o 0. Z rd z • �� 1 PQ �/ /C l; Requisitioned by: Irmo Date) bi E v \\\\ 3 1 tea\ \ \ cluAa 1 a� s E g9 ,. 1 1)"^ 1.1 (20 3 Cr. nL q\L8i•N) PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 08/26/2020 Reported: 09/01/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200826-08-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 08/31/2020 CJE 200826-08-01 BOD Eff-WL 10.0 mg/L SM5210B-2011 08/27/2020 CJE 200826-08-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 08/26/2020 WC 200826-08-01 TSS Eff-WL <2.841 mg/L SM2540D-2011 08/28/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200826-08-01 Temp on Arrival: 2.1 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 pac>aini Apoisn3 ilk i1) lll8to Li, )I -ZLR I t41L1 4 Lx•N, . )N • lI! IG1s ,:z %oil n,l • als Jnu3 EI I '+IIA1HNV 4i _ 1 I IIlS31li',llS \^ r. Relinquished q 4 hY:��� � �� ,�.Time �d� am pm Date IJ 1,XICU Sampled by: Received by: , Time c?!"err pm Dale g_o&i10 Transported by: Relinquished by: g1/ - Time /4j.) ark pm Date �i2'te Holding limes met: Received by: 'I, /6(2.[.,—, Time Om)020 Dat�. p �[] Compliance work: Composite Sampling #1: Time begin t.: i, pm Date _g/.1 Non-compliance work: 8 8 3 I E m 4 a 1+1 m g. 45 Contact Person: �J I' Phone # FAX# r�ahi (�C PC # c 7�{„�,Q e Requisitioned by: {Time Dew k -1 t U \ \ \ \ iT sg. a4 12. in Lr D St zt V PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 09/02/2020 Reported: 09/09/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200902-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 09/08/2020 CJE 200902-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 09/03/2020 CJE 200902-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 09/02/2020 WC 200902-05-01 TSS Eff-WL <2.778 mg/L SM2540D-2011 09/04/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200902-05-01 Temp on Arrival: 3.2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Time '- 0, pm Date rl !-261 Sampled by: L -3 Received by: ,..9Time �a_9.] am rn Date 9 1 1 Transported by: Relinquished by: (.......7„/" Time /uY-? �n1, pm Date �� 1? Holding times met: j( Received by: J C Time .011 n)/m Dale 11 -l• ,( Compliance work: Composite SAmplinQ 1_. Time begin66:i 6 Mitt. pm Date f! / Non compliance work: =.\ . k ---z, o >,, a x u • Ltifient: C) N oi a, N z ca ca gc ii ?a ♦ ,.\ @ y QEI m il m 1 H 1Lme \ N. N, Cams * \ \ l i �,k I s m 3 w a g I a R W gTATESVILLE Ar ANALYTICAL 1 \ ' mut StrrcI r.u. I3ox 228 70.1I r " 16a17 -,r ('1r1in of Custody' Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 09/09/2020 Reported: 09/16/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200909-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 09/14/2020 CJE 200909-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 09/10/2020 CJE 200909-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 09/09/2020 WC 200909-05-01 TSS Eff-WL <2.732 mg/L SM2540D-2011 09/11/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200909-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STATESVii-LF ;� ANALYTICAL > � I22 Cow Sow • P.O. Boa 228 AliStaresvifle, NC 28687 i7441872.4697 Chain of Custody Record c. 1 3 v.� N). ll'' Relinquished by:- r24(A/62. iI� ? 'A Time _7/J q en, pm Date I 1 yl?' Sampled by: Received by: Time c(.� Manx, pm Date ! 191J Transported by: r.! Relinquished by: Time /,7., 40, pm Date % ! 4 ] Holding limes met: A Received by: L 0C , Time 1 00 pm Date q.,.9 Compliance work: ix c_omposLte S$mplingJl: Time begins!C12 ea, pm Date j/ F121' Non-compliance work: Sarnples Transported On Ice: Initials: g on to Contact person:H ( / ./ 7 Phone It FAXIV -R- E E .g' fa cr 2 E r \ \ _,I t: A iE muni \ \ cp t2 l N LYW E U g 1 V V_ _O lam �� PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 09/16/2020 Reported: 09/22/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200916-14-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 09/21/2020 CJE 200916-14-01 BOD Eff-WL <2 mg/L SM5210B-2011 09/17/2020 CJE 200916-14-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 09/16/2020 WC 200916-14-01 TSS Eff-WL 4.134 mg/L SM2540D-2011 09/18/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200916-14-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Time IVtll) ice, pm Date I! /6 i? Sampled by: Received by: Time kin (; pm Date LI/( J,' Transported by: Relinquished by: Time am. pm Date ____1___!___ Holding times met: Received by: Time am. pm Date _i_1 Compliance work: v CompooiIAmplirng #1; Time begin0� 64-' pm Date / / /s x' Non-compliance work: V A O I a g f s Contact Person: t��.-c��- Phone i FAXAI f' Client 2- J a 8 11 n `'N �r 3$ Lab Comments: 1 1 \ 1 -. s 4 a . \ \ \! N 2 2. 5. d I. 1 a a 3 N 0 0 0 a a 0 n 0 STATESVILLE \NALYTi(-At. ,r • �,. i, ..air. N[ 'y,•x lbw chainul' i'utitud► Rceord PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 09/23/2020 Reported: 09/30/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200923-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 09/28/2020 CJE 200923-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 09/24/2020 CJE 200923-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 09/23/2020 WC 200923-05-01 TSS Eff-WL 6.222 mg/L SM2540D-2011 09/25/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200923-05-01 Temp on Arrival: 6.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 q'rATFgVf11 F ANAL' t II AL p, t 122 rowSIrt I • 1'.n. Bus 22K Statesville. NC .2861 7 S711d1 8724N0/7 Chain of Custody Record i k E CNC% r Relinquished by: y(.,4 ' .r l• —e: Time 5/ Siam Date 9 1i1 -• Sampled by: Received by: ig Time rre,._ a , pm Date -31 s? Z Transported by: Relinquished by: )7 Time 7ayr col, pm Date C. Q-7 P-) Holding times met: }" Received by: JCI Time 10 -15 Oim Date c 12- Compliance work: X composite Sampling #1: Time begin pm Date ��.11Z Non-compliance work: . f1'r_r'r 1 .... 62 .LZ . ,:- Samples Transported On Ice Inflials: /�/ c al- g x LL . C PO LcRequisitioned by: (Tim Deea1 C 0 E 3 j ft se., k -1(,. , ig E2 rSr11 V r `p ii f} PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 09/30/2020 Reported: 10/07/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 200930-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 10/06/2020 CJE 200930-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 10/01/2020 CJE 200930-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 09/30/2020 WC 200930-05-01 TSS Eff-WL <2.732 mg/L SM2540D-2011 10/02/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 200930-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 7 Relinquished hy: e� � Time �.7 j —On pm sale g ! 1 Sampled by: Received by: /?7Time k..-K— .m bate Transported by: Relinquished by: jeiTime %.9��, pmDale � � a � �f(J2Holding times met: ,e. Received by: Time 1020 m Date 1 Compliance work: r Composite Sampling tf; Time beginC ea, (id:1), pm Date 7 / C' Non-compliance work: - 1 P4 L teJC_ _ _%CIXe T Requisitioned by: fry Dela1 Contact Person: A a die,' / , Jl Phone N FAXN N S 01 i ii r] ms ig 1 Er Li.b 1 c I i F 7 I 1. i 5. Samples Transported On Ice: • Initials: IV T'ATESV l Il F • ANAL1111.AL • l?I court street • PA) Um 228 1c4tai Au titatrsvilk, NC 28687 (704)8724647 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 10/07/2020 Reported: 10/14/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201007-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 10/12/2020 CJE 201007-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 10/08/2020 CJE 201007-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 10/07/2020 WC 201007-05-01 TSS Eff-WL 2.983 mg/L SM2540D-2011 10/09/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201007-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: %, ,(../ /J Time f uJ aed pm Date �7/ -c-' Sampled by: Received by: %' Time t4.,)-7 i, pm Date V/_nd° Transported by: /p Relinquished by: r r Time /,3a am, pm bate//% t' Holding limes net: Received+ 7 by: ��JL Time � � �� a�p.�pm Date � O! �1 /� Compliance work: Composite Sampling #1: Time be in.r7/e{ m m Date L/. / , Non-compliance work: 9 -�• P f� r n � PD p �ia �r Requisitioned by: �T ��t 2 3 P r rs �1 N z x a x � y• q � .I', .3 d 1 t) '1i c, s. g o Qrl1 0 �w Q SN Gmb a \\\ \ nl . iu1ir xg paxwnlw uawwnund STATESVILLE ,ir ANALYTICAL if 4 r 122 Court Straal • P.O. Hone 228 Sfatrsvillo,NC 28687 Chain or Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 10/12/2020 Reported: 10/19/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201012-15-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 10/12/2020 CJE 201012-15-01 BOD Eff-WL <2 mg/L SM5210B-2011 10/12/2020 CJE 201012-15-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 10/12/2020 MD 201012-15-01 TSS Eff-WL <2.793 mg/L SM2540D-2011 10/16/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201012-15-01 Temp on Arrival: 3.1 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STATESVILLE �;. ❑NA!''TICAI. 122.i...1 M1irc.o • i'i I. Ei t 228 Sdaicsviilc, NC !K 17 Aar T 0041i812-4697 Chain of Custody Record r CI n L Relinquished by: '/ i Time J m, m Date fclLr,[. Sampled by: Received by. Time dos ' 9pmmDate �I L7 Transported hy:Relinquished by: Timerj ) OD] pm Date , /a-/Z Holding times met: Received by: •IOto-� Time rl pm Date ID I /ZZO Compliance work: agmpva#}e mpiittp HI; _ L� Time beginCi6G 1 arn,'pm Date/O 1. i 1 / IC: Non-compliance work: , . _-r-7'1 _ . .... . 8 8 8 r i . E a Carelsct Person: I1 ai i3 e !' — Phone p FAXI PO 11 I l_ _ yr fa r/e ' Requisitioned by: Slime hare] Let) Comrnenls: i \ \ \ \ s11 a� Zt 5 e N a o II N U } PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 10/20/2020 10/28/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 201020-22-01 Ammonia Nitrogen 201020-22-01 BOD 201020-22-01 Fecal Coliforms 201020-22-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL <0.5 <2 <1 <2.762 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 10/27/2020 CJE 10/21/2020 CJE 10/20/2020 MD 10/23/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 Condition of Receipt Sample Number 201020-22-01 Temp on Arrival: 2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 10/28/2020 11/04/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 201028-05-01 Ammonia Nitrogen 201028-05-01 BOD 201028-05-01 Fecal Coliforms 201028-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL <0.5 <2 <1 <2.793 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 11/03/2020 CJE 10/29/2020 CJE 10/28/2020 WC 01/00/1900 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201028-05-01 Temp on Arrival: 3.2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 11/02/2020 Reported: 11/09/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201102-07-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 11/03/2020 CJE 201102-07-01 BOD Eff-WL <2 mg/L SM5210B-2011 11/02/2020 CJE 201102-07-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 11/02/2020 WC 201102-07-01 TSS Eff-WL <2.778 mg/L SM2540D-2011 11/06/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201102-07-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 I Relinquished by: lee /' Time YrA" atn, pm Date 2 1 ' Sampled by: Received by: f r— Time C�¢� (am, pm Date _ / �-) Transported by: Relinquished by: /1------ Time ro-0 , pm Dated/ Z 1 7 a Holding times met: Received by: `�\IT, . Time S CO pm Date II 1 1��5.' Compliance work: K cAmpose Sampling #1: Time begin ('XC C'(m Dated =t Non-compliance work: 8 r� 11 ` ti i v Contact Person: • - Phone # FAX# n 0 C C. n 1 r I, sx Gran Corm f m r i ry c:� 1 I':,r:unr,m rey,esucd brc wralyde r1i •/ l 4 w m tl a d 7 se Sr:,irv,!ILL ..1 27 r1: i :'r I.4 i ti'2.•Eh'17 1141011 Iloilo of Custody Reccc ord PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 11/09/2020 Reported: 11/16/2020 For: WOODLAKE Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201109-06-01 Ammonia Nitrogen EFF-WL <0.5 mg/L SM4500NH3C-2011 11/10/2020 CJE 201109-06-01 BOD EFF-WL <2 mg/L SM5210B-2011 11/09/2020 CJE 201109-06-01 Fecal Coliforms EFF-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 11/09/2020 WC 201109-06-01 TSS EFF-WL <2.747 mg/L SM2540D-2011 11/13/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201109-06-01 Temp on Arrival: 1.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 G'. L L_. X 1 Requisitioned by: 9wTCV CluttO o su Holding times met: ▪ m 2, n o a E E E Q a Q m m F E Relinquished by: a ID m EC Relinquished by: m ID m CC Composite Sampli Non-compliance work Samples Transport Lab Comments: j m a E E Time begir06 [ •� C I - ▪ a) C.T. H PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 11/18/2020 Reported: 12/02/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201118-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 11/23/2020 CJE 201118-05-01 BOD Eff-WL 27.5 mg/L SM5210B-2011 11/19/2020 CJE 201118-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 11/18/2020 WC 201118-05-01 Nitrate/Nitrite Eff-WL 3.9 mg/L SM4500E-2011 11/19/2020 CL 201118-05-01 T. Phosphorous Eff-WL 0.4 mg/L SM4500PE-2011 12/01/2020 CJE 201118-05-01 TKN Eff-WL 0.78 mg/L SM4500NorgB-2011 11/19/2020 MD 201118-05-01 TSS Eff-WL <2.762 mg/L SM2540D-2011 11/20/2020 CJE Respectfully submitted, ..,Or -via, joltN7 Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201118-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 idLue9 alisodwoa ECI :syuawwao gel :�JaM B.7Ueiidwoa-uoNJ 'o 33 a n m a cr :q pegsinbuiIo 17 m c c Vi 0 2 - co a a m m 3 a m 3 v a a ci (0 a m o a. m m a r m a o = -c :1ou ?s c a 17 R Gras \ ''lli '''' - NI i nN w 3 :Aq peuon!s!nbea 0 0 a x a m 'uT PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 11/25/2020 Reported: 12/02/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201125-05-01 Ammonia Nitrogen Eff-WL 0.78 mg/L SM4500NH3C-2011 12/01/2020 CJE 201125-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 11/25/2020 CJE 201125-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 11/25/2020 WC 201125-05-01 TSS Eff-WL 8.111 mg/L SM2540D-2011 11/25/2020 CJE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201125-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: i"�,.,1•?PL [ —3 - Time ''JS— qrn, pm Date /L'- i?±: Sampled by: Received by: Time SUY l_"' pm Dale / 11�1. -2° Transported by: Relinquished by: i 4 Time Tr-_, 6,rl, pm Date ll er 44 Holding times met: ]kI Received by: WL Time C1(L) c m,� m Date 11/ - Compliance work: X Composite Sampling #1: Time beginCa. Ti.fpm Date I/ 1�_RO Non-compliance work: PQ 11I4jrd/_ — Requisitioned by: ---- Mme Dale) n 0 m ClierFt:Ai Address: I w V G 01 0 `L] .1'` Pi Q R cr cr n 3 g m H \ Graf i F C \ \ , j w L4\ ilk" } 3 a. t. Samples Transported On los: Initials: ,/ STATPGNri s c ` dr ANALI PILAU 1.r nun Stn�ct • P.O. nor z:x Suttrwillc. N4' IN687 171Wf xI'_-0647 Chain or Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 11/30/2020 12/07/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 201130-03-01 Ammonia Nitrogen 201130-03-01 BOD 201130-03-01 Fecal Coliforms 201130-03-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL <0.5 4.0 <1 8.156 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 12/01/2020 CJE 11/30/2020 CE 11/30/2020 WC 12/04/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201130-03-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Time aRl: pm Dale JLI . /2± ' Sampled by: Received by: lit Lr( _ Time 5J �ar7 pm Date Id_C, Transported by: Relinquished by: f /------ Time'J(' ��a,�1r ?pm Detail J7 N ' Holding limes met: Received by: \N'C. TimetTAr] em pm Date II /3ei 2.0 Compliance work: onpgsite Sampling #1; Time begin, pm Date it 12 i I Non-compliance work: T:...._ �.-J fi1Frd 3 ........ m_._ f I , Y.: 1 0 �nr 37 C N SP a Contact Person: rr /-fyip ! Phone 0 FAX it leri n []• CO W Q Q C.'a6' I ::---_ , a 4m z y Q3 —1 3 I m a N 1Groe 4 1 \ \ k\---'\1\ g i m N m .g I ng 0 T. a `TATFc.ut! I F ,'.r ANAL., 1IIt_ML 4 22 Court Si i t i • 1'1 I litlitA 228 iiiiiii ti awwvilk, NI.. 21,4.87 Iv 17041 1+77- IWO 1111, Chain or Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 12/09/2020 12/16/2020 WOODLAKE Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 201209-05-01 Ammonia Nitrogen 201209-05-01 BOD 201209-05-01 Fecal Coliforms 201209-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 EFF-WL EFF-WL EFF-WL EFF-WL 0.56 <2 <1 7.388 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 12/15/2020 CJE 12/10/2020 CJE 12/09/2020 WC 12/11/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201209-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 1—! 0 1 1 0 m G rom m 3 0 .3 = m a ra o. to .W Q co Q =' a uli ci wd 'use era' ep popwisueal sopdwes :vow, aaue!Jdu►aa-uON :Aq pagsinbuRaa 3 3 ,. r- top 3 3 :vam eaue!IdutaO 0 n 5 co 3 ID a co a cr 3 ID :Aq pepodsueu :4 pays4nbuiteH 2 a Q Grab n. CILRIP r j IunNtb,u uabiui n ID :Aq peuoyssfnbeu 9 mPic r a. - PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: Reported: For: Comments: 12/16/2020 12/22/2020 Woodlake Sample Number Parameter Sample ID Result Unit Method 4 STATESVILLE Analyzed Analyst 201216-05-01 Ammonia Nitrogen 201216-05-01 BOD 201216-05-01 Fecal Coliforms 201216-05-01 TSS Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 Eff-WL Eff-WL Eff-WL Eff-WL 1.57 5.37 <1 7.333 mg/L mg/L MPN/100 ml IDEXX Colilert 18 MPN mg/L SM4500NH3C-2011 SM5210B-2011 SM2540D-2011 12/22/2020 CJE 12/17/2020 CJE 12/16/2020 MD 12/18/2020 CJE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201216-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 ef Received by: /� Time .F/ x Pm Date 1 / /i J 2 Transported by: Relinquished by: /5/ Time /a 7j aal, pm Date . /- F. >% f� INC I �l f Holding times met: Received by: _ I li C Time LO 30 i m Datel 1- / `(0 j Compliance work: Compass te_ Salnpl inq. l; Time begina GC Opm Date,LL1�1 Non-compliance work: mg A 1 T X 1•a it t..1 E 73 I r3 QU 0 5 off' ?a g brae Sampled (Grab Only) r 3 3 a a CNN Grm \t I i 1 W t II'vanrcrcr► mpieunl fornnglyve Samples Transposed On Ice STATESYitl r ANALYTICAL. • I :2 reed Novo • PA) Iki:::8 'ilr[es.illc, ;Rl187 ti 17041 R72-4?.a697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 12/21/2020 Reported: 12/30/2020 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 201221-09-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 12/29/2020 CJE 201221-09-01 BOD Eff-WL <2 mg/L SM5210B-2011 12/21/2020 CJE 201221-09-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXXColilert18MPN 12/21/2020 CL 201221-09-01 TSS Eff-WL <2.778 mg/L SM2540D-2011 12/22/2020 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201221-09-01 Temp on Arrival: 3.2 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Chemicals in containers, lab Received on Ice pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Chemicals in containers, lab Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 m ti u_ Contact Person: 0 E Requisitioned by: 1 6 • a m Ep VJA m m 7 00 Holding times m am, pm Date/Z !a/A —7 E a)) a a) c m a v, a to m a 0'5 .C.]6) Cr CT c m c 'm E a) m cc CC CC CC C) 1= 1= 0) E Compliance work: Non-compliance work: Samples Transported On Ice: N c a E as 0) cupstoite Sampling #2: I II 00 0 0 E Q at al 63 m E E 1= 1= PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 12/30/2020 Reported: 01/05/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 201230-10-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 01/04/2021 CJE 201230-10-01 BOD Eff-WL <2 mg/L SM5210B-2011 12/31/2020 CJE 201230-10-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 12/30/2020 CL 201230-10-01 TSS Eff-WL 7.077 mg/L SM2540D-2011 12/31/2020 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 201230-10-01 Temp on Arrival: 2.1 Parameter Schedule: Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: • _ .,t• Time rim gf i, pm Date l2 / /2 Sampled by: Received by: / Time f3 - fi, pm Dateii---21'/- Transported by: Relinquished by: / Time -3,} 0, pm Date /90)/20 Holding times met: Received by: UV iloaGL- Time CY:EJ & pm Date ?? �.7 Compliance work: Composite Sampling #1: Time begin :6*(2C' atn, pm Date 4L)2/20 Non-compliance work: . 7V g c o� b ,. ti A H • 0 m a 6 3 ? v Contact Person: Phone # FAX# Address: / — M -44 4 Lab -ID # p3 gm O -7. Yn a ., r, a y ❑ m a y a Lab Comments: Grab i 1 h '.k:'1 j ...f1 m .2 Samples Transported On Ice: Initials: "TAT'_"vt! > , jr ANAL, I 122 Court Street - P.O. Box 228 \ Siatesvi}1c,NC 28687 (704) 872-4697 ry Chain of PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 01/06/2021 Reported: 01/12/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210106-05-01 Ammonia Nitrogen Eff-WL 1.46 mg/L SM4500NH3C-2011 01/11/2021 CJE 210106-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 01/07/2021 CJE 210106-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 1/6/21 1210 CL 210106-05-01 TSS Eff-WL 6.374 mg/L SM2540D-2011 01/08/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210106-05-01 Temp on Arrival: 1.8 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STATESVII LE � ANALYTICAL (.01,, k, 122 L'ooq Surd • 1',O. Box 228 S,atcsviIk. N( 21i61t7 1704 } 02-4697 Chain of Custody Record i Q tr ti 1 Relinquished by: J AA, ck � y Lt Time V/J 4 m Date mid 1� Sampled by: Received by: 2; Time r'..J D:iam.m Date _ __IJ41 Transported by: Relinquished by: Time ruY-) BP, pm Date LI1�! - , Holding times met: L�' Received by: Time /0 ra am, pm Date ` !4' 124 Compliance work: ComPkaite Sampling #1; Time begin pm Date 1 1�� Non-compliance work: Samples Transported On Ica. Initials: I`I/ G U a d x Lu_ it a_ lZ, r m A Pb " me4 l Requisitioned by: rrhme Dam 1 m E E 0 v m J j \ 9ei9 r3 A tt V--} a O lY ~F`) i g . uM -----__"), PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 01/13/2021 Reported: 01/19/2021 For: WOODLAKE Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210113-04-01 Ammonia Nitrogen EFF-WL 0.90 mg/L SM4500NH3C-2011 01/18/2021 CJE 210113-04-01 BOD EFF-WL <2 mg/L SM5210B-2011 01/14/2021 CJE 210113-04-01 Fecal Coliforms EFF-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 01/13/2021 WC 210113-04-01 TSS EFF-WL <2.793 mg/L SM2540D-2011 01/15/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210113-04-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Received by: Relinquished by: —7A----n p Received by: art ,IL (AlVy 4 ,r� 6 Composite Sampling #1: "� Time begin,,6/��;� � � m Date / !/?i TimeendLY,�/, (aiTlmm Datd //3101! C \11m (A ( 3 c 10- Client: ( ' 10 V Address: j f Contact Person: �I I/ / = Phone # FAX# PO # e_ ! Requisitioned by: (The Date) fi 3 l F... v„ y� —VJ Time Sampled (Grab Only) vV Date Sampled (Grab Only) Grab CN. rbss, \ Comp. Matrix Isludgel w I ww \ \ \ J Parameters requested for analysis '�/ Sampled by: Transported by: Holding times met: It 44 Compliance work: Non-compliance work: PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 01/20/2021 Reported: 01/26/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210120-16-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 01/25/2021 CJE 210120-16-01 BOD Eff-WL <2 mg/L SM5210B-2011 01/21/2021 CJE 210120-16-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 01/20/2021 WC 210120-16-01 TSS Eff-WL 7.231 mg/L SM2540D-2011 01/22/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210120-16-01 Temp on Arrival: 3.1 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 ANAL, iit.A °i' 122 Court Street • P.O. Box 228 Slatcsvillc, NC 28687 (7041872-4697 Fi• Chain of Custody Record Parameters requested for analysis `1 t t °� Transported by: "/ .4/ Holding times met: Compliance work: Non-compliance work: Samples Transported On Ice: Initials: Client: A P6 Y N '6 4 Contact Person: l 1 del / Phone # FAX# e ' PC # v /, tde J /l Requisitioned by: (Time Date) Lab Comments: i\ ) `\ 17, .dwoo ) QeJD Date Sampled (Grab Only) Relinquished by`�-�, Received by: Relinquished by: Received by: • Composite Sampling #1: Time Sampled (Grab Only) J L Lab -ID # • lb Customer Sample ID# 5 1 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 01/27/2021 Reported: 02/02/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210127-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 02/01/2021 CJE 210127-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 01/28/2021 CJE 210127-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 01/27/2021 WC 210127-05-01 TSS Eff-WL 3.646 mg/L SM2540D-2011 01/29/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210127-05-01 Temp on Arrival: 2.3 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: Received by:2.yel____ Relinquished by: /::_rf Received by: tktijAt fi 1' LPL) LJ 1. cQr92slte Samplingitt Time beainE2KACY2. i um bate _L/W .1 `` il a o --- if m n 3 m g g i R a 1 m 1 H n .. \\ rVrV y �1 - 5 L1 Y f 2 z V Time r_ f . ; _I pm Date Pam: Time [U 1, 5 it'll pm Date t . 7,- `tGerm C C T �- . 4 6,4 L-/'lrh1' LP'` I a 5 STATESVILLE ir ANALYTICAL 12: ['swti Stud • P.O. Box 23 ` S v:xr•vilk. Kt' 2$687 Chain of NIMP Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 02/02/2021 Reported: 02/09/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210202-21-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 02/08/2021 CJE 210202-21-01 BOD Eff-WL <2 mg/L SM5210B-2011 02/03/2021 CJE 210202-21-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 02/02/2021 WC 210202-21-01 TSS Eff-WL 6.133 mg/L SM2540D-2011 02/05/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210202-21-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 1 r Relinquished by: � E{f f, [: `ice44.4.,.........----2 Time 7 pf' gin, pm bate . 1- I. , Sampled by: Received by: Time 7471rypm date '2 L Transported by: Relinquished by: / Time iD41. pm Data 24 Hotding times met: -,e nn � Received by: �, IU1�' j DA k Time �?V am, m Date 1 �1 ]C Compliance work: cemposittSempling #1; Time begin{( 'plil. pm Dam ` j- Non-compliance work: { go o - Q ( - Contact Person: .0 ! - Phone e — FAX# ` , ors •, Client: i J mod' Address: C, LJ N3 A ' S O N 7 m a g A 4 �q Q C e 4 Lail Comments- Grab Car- s 1 E E 1 Paramr.Yrrx rrqucrrrd f ,r mwlysw 7S_) Samples Transported On Ice. Initials: _ STATE'"ui1 t r ANAI_i 1It-ilt. irI•mrnSlr I • Pc 11,•..728 Chain of Custody Rerord PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 02/10/2021 Reported: 02/16/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210210-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 02/15/2021 CJE 210210-05-01 BOD Eff-WL 2.65 mg/L SM5210B-2011 02/11/2021 CJE 210210-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 02/10/2021 WC 210210-05-01 TSS Eff-WL 8.197 mg/L SM2540D-2011 02/12/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210210-05-01 Temp on Arrival: 2.5 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: r� ./- _-t. -r• Time J a j . pm Date J 1 2 / Sampled by: / Received b Time S' � = •al1i, pm Daze Jam? Z Transported by: !�� y: _ r Relinquished by: Time 7�C am pm ^ aDate - 1 JI_� /// Holding times mel: Received by: Vf Time C1m�pm bate ig Compliance work: Composite Sampling ti1: Time begin (( f ( , pm Dale �jJL Non-compliance work: C -- ck 1J 2 ' 7 a g Contact Person: r Phone N FAX# Client: N r� ` CD n 1ji g 1 L j+ 7r_ m 8 v Lab Comments: G b 1 Ca+v. C q m 1 1 1 K, v, Samples Transported On Ice: Initials: STATESVILLE A•1ALYT1CAL I 1 mIn titled • l'.! 1 NIA -"_x ti1.m d lc, N! : M,. 1 'gill 872-Iwo 451 Chain ul' Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 02/17/2021 Reported: 02/23/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210217-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 02/22/2021 CJE 210217-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 02/18/2021 CJE 210217-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 02/17/2021 CL 210217-05-01 TSS Eff-WL 6.339 mg/L SM2540D-2011 02/19/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210217-05-01 Temp on Arrival: 2.5 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 :ZII 6u!Idw.g alisoduJoo 1 3 9 0 CD CD CT 7 CO cl -71 m a m m IZ I r- 3 0 n a :)EJOM O uEIjdwoO-uo :}jJOM aougidWO3 >C jaw Saw!' Guppy :Aq :Rq pspodsuejl 3 L• 9r Ccrnp r 1 n PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 02/24/2021 Reported: 03/04/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210224-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 03/01/2021 CJE 210224-05-01 BOD Eff-WL 3.11 mg/L SM5210B-2011 02/25/2021 CJE 210224-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 02/24/2021 MD 210224-05-01 Nitrate/Nitrite Eff-WL 3.2 mg/L SM4500E-2011 02/24/2021 CL 210224-05-01 T. Phosphorous Eff-WL 1.4 mg/L SM4500PE-2011 02/24/2021 CL 210224-05-01 TKN Eff-WL 2.46 mg/L SM4500NorgB-2011 03/03/2021 CL 210224-05-01 TSS Eff-WL 19.89 mg/L SM2540D-2011 02/26/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210224-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 3 co 3 ca 7 aol uo peuodsuQil soldweg 1 y O 37 a m 3 3 3 m m Cr a -' a w a )1.OM eauepdwoa-uoN :410M aauegdwoo 1 3 0 Aq pags!nbuyeH 3 m :{aw sauagq 6ulpIOH 0 n m Q a rc 3 m :Aq pepodsuwi X a :Aq pagsinbuoid 1 3 0, 3 v a f v 3 g) a g o Gran Camp_ :Aq peua!Jlslnbeu a a N a PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 03/03/2021 Reported: 03/09/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210303-05-01 Ammonia Nitrogen Eff-WL 210303-05-01 BOD Eff-WL 210303-05-01 Fecal Coliforms Eff-WL 210303-05-01 TSS Eff-WL Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 <0.5 mg/L SM4500NH3C-2011 03/09/2021 MD 3.25 mg/L SM5210B-2011 03/04/2021 CE <1 MPN/100 ml IDEXX Colilert 18 MPN 03/03/2021 WC 14.64 mg/L SM2540D-2011 03/05/2021 CE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210303-05-01 Temp on Arrival: 2.5 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 7 Relinquished by _ 3 1t Oc ,i_. Time 7f i) g6. pm Date 13J11 Sampled by: �' Received by: Timepm Date 3131?Transported by: I �s L — 9 Relinquished by: re Time /0.74 — est, pm Date IZ[ Holding times met: 7` Received by: INL Time l °CC? m Date #1Compliance work: IC Composite Sampling #1: Time beginO6CC' Ail, pm Date _3r' 2/7 I Non-compliance work: II PO #1l10i,d7 / 0 Requisitioned by: m� ��+1 IN N. 2 a x Client:1 . 1 r 1 g gi (A � °s a � 3 g a N Grate \ \Cory. r aE 3. 1Ni a ri e s 3 w a a I a a STATEsVit1..E , `,ll� ANALYTICAL 122 stun Slrccl • P.U. lid, :2 laill. SlateniIIc. NC 2x(17 17[1.110:"- 4..il 4 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 03/08/2021 Reported: 03/23/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210308-07-01 Ammonia Nitrogen WL-Eff <0.5 mg/L SM4500NH3C-2011 03/15/2021 CJE 210308-07-01 BOD WL-Eff 2.8 mg/L SM5210B-2011 03/08/2021 MD 210308-07-01 Fecal Coliforms WL-Eff <1 MPN/100 ml IDEXX Colilert 18 MPN 03/08/2021 CL 210308-07-01 TSS WL-Eff 11 mg/L SM2540D-2011 03/10/2021 MD Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210308-07-01 Temp on Arrival: 0.9 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STATESVIL.L.E ,te ANALYTICAL 122 Court Street • P.O. Box 228 441. - Statesville., NC 28687 Fr (704)872-1697 • Chain of Custody Record PArwncara mqueatod for Bn Iysi v1^,. ''Y Relinquished by: cid, 6 _,-tc Time gc.2.2 grA, pm Date _z1 Sampled by: wy Received by: The SA) pm Date . ,1_-„571-^ Transported by: Relinquished by: �� Time�J�j tad, pm Date � Holding times mat: / Time �Zp am, pm Date Compliance work: Samples Transported On lee Initials: NE Contact Person: 1 r` . •' Phone # FAX# E G 1 Lab Comments: €, .' \ is 1 -diwo \ \ • gem \ ig E L. m 1 E n L' C 7 1.11 V } g c) , y Vm; 1 r PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 03/17/2021 Reported: 03/23/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210317-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 03/22/2021 CJE 210317-05-01 BOD Eff-WL 4.24 mg/L SM5210B-2011 03/18/2021 CJE 210317-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 03/18/2021 WC 210317-05-01 TSS Eff-WL 16.42 mg/L SM2540D-2011 03/19/2021 CJE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210317-05-01 Temp on Arrival: 2.3 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Compliance worn: ampoejte 5agppiing lei Time begini`0 to, pm Date J /EI 2l Non-compliance work: Received by: % �� lime �/ 0. pm Date 3/ � i ( J— Transported by: Relinquished by: /— Time fy�Ho ► am, Pm Date? _ f? �1 TTT��� Holding times met: `r( PO 11 0 /0I Requisitioned by: Crone woo Contact Person: Phone N FAX# J[[ I a R. N Q G t71 el ;.., NJ V 9 sil ...... q Lab Comments: ❑orc 1 - \ \ i R w.'.. :(i'�. n 5 E Samples Transported On Ice: Initials: �f� 5! r ikw_,---t 414 r• c f r - Pr = .f C x ± '1 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 03/24/2021 Reported: 03/30/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210324-05-01 Ammonia Nitrogen Eff-WL <0.5 mg/L SM4500NH3C-2011 03/29/2021 CJE 210324-05-01 BOD Eff-WL 4.14 mg/L SM5210B-2011 03/25/2021 CE 210324-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 03/24/2021 WC 210324-05-01 TSS Eff-WL 7.170 mg/L SM2540D-2011 03/26/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210324-05-01 Temp on Arrival: 2.5 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by:•?r,e,� 1 . ��,1--- Time � � � 1. pm Date �� Sampled by: Time �'/m1 il', pm DaleTransported by: Received by: 5Relinquished by: Timed tea? pm Date Holding times met: Received by / tN (: Time q 3 5 rpm Date _3iN 2 Compliance work: Composite Sampling #1: Time begin O(c(d.' yfR, pm Date .r3l23l2 Non-compliance work: o. PQ Vac,,, IQ Requisitioned by: (Tire [ Contact Person / !y /i Phone p FAXN R w ffw r� c ti CD 01 i 59 E. a Y Y r, 5 'm ill z m 0 [cn11 3 6retb i * w a n � 1 I 1 Samples Transported On ice: Initials: rgTrVi111" 4i4,r ANAL. I22[unslit I • I'it, Ism'_'x Suitcsrale, N[ 214687 t704y877,-1647 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 03/31/2021 Reported: 04/06/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210331-05-01 Ammonia Nitrogen Eff-WL 210331-05-01 BOD Eff-WL 210331-05-01 Fecal Coliforms Eff-WL 210331-05-01 TSS Eff-WL Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 2.69 mg/L SM4500NH3C-2011 04/06/2021 CJE 2.72 mg/L SM5210B-2011 04/01/2021 CJE <1 MPN/100 ml IDEXX Colilert 18 MPN 03/31/2021 WC <2.717 mg/L SM2540D-2011 04/01/2021 CE PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210331-05-01 Temp on Arrival: 2.5 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 7 Relinquished by: Time & ?pm Date 3/ -74L Sampled by: Received by: Time ,; pm Date 313/ r�I Transported by: Relinquished by: '� Time ) d , pm Date JL1?1 Holding times met: i Received by: ViaTimeg30 Opm Date 3,1, 21 :- Compliance work: Qmpo$ite Sampling #1: Time begin L'U 40, pm Date > I3C(T-/ Non-compliance work: fPO tF42 �li /f Requisitioned by: (Time Date) 2 n x a g A 1,m kN n GI (Nuo ue,0) petdwes owl j W „ r m 6 0 0 3 m a \ \CC . *m 3 1 1 1 i ` 1 a a R. m cz b D m3 Q a ri ..r:.T S.ViLLE "tk ,+ +12 r.ilALr ii ECAL 2 Gm Street • P.O. Box 226 titatesrillc. NC 28687 (704) 872-4697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 04/07/2021 Reported: 04/15/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210407-05-01 Ammonia Nitrogen Eff-WL 0.67 mg/L SM4500NH3C-2011 04/13/2021 CE 210407-05-01 BOD Eff-WL 7.93 mg/L SM5210B-2011 04/08/2021 CJE 210407-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 04/07/2021 WC 210407-05-01 TSS Eff-WL 8.670 mg/L SM2540D-2011 04/09/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210407-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by: / Time rl, pm Date 411 7 /07, Sampled by: Received by: Time j gh, pm Date y! �f�l Transported by: Relinquished by: Time fir a pm Date 1' 1 Holding times met: Received by: �Time0 ` PP � Opm Date 41 / 7 J Compliance work: Cympusite Sampling41j Time beaina is 26 om Date 14! G 1 �'� Non-compliance work: r ,n_ Cuatorner Sample ID* Contact Person: fi / 7/ Phone # FAX# PO # Requisitioned by: (Time Date) a $ n a "V ib y 31 V . Graf 1 , Ccmp_ 1 1 \ y� i N C\] a a STATFgv1I1E ANALYTICAL 122 Court Suet • P.O. Box 228 5tatesvelle, NC 28687 (704)ii72a4697 Chain of Custody Record PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 04/14/2021 Reported: 04/22/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210414-05-01 Ammonia Nitrogen Eff-WL 1.34 mg/L SM4500NH3C-2011 04/20/2021 CE 210414-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 04/15/2021 CE 210414-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 04/14/2021 WC 210414-05-01 TSS Eff-WL <2.793 mg/L SM2540D-2011 04/16/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210414-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Relinquished by:, .-' Time e/.7 pen. pm Date g1 !41%/ Sampled by: Received by: Time AeJ Sri, pm Date 1114 P1 Transported by: dtte Relinquished /........_ Time,' am; pm Date [ by:Holding times rnet: Received by: Time L CO pm Date ill + tr �{ Compliance work: omposlte Sampling #1; zl Non-compliance work: Time begin - /arri. pm Date "4 J_ n,iig '1 o � 2 r Contact Person: C!� � l -if Phone # FAX# 0a a a 0 (31 Q Og, w i Dam Sampled (Grab Only} y 0. {] i 3 7, Grob Cp�ri i 4 i i 1 I.aramricn rrgnr.rnl lit emdyei. 733 E Uj B H B�p M a Q a gliiiii"11.11111714 7 L x • —I r ~ r ir- r r rrl PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Analytical Results STATESVILLE ANALYTICAL Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 04/21/2021 Reported: 04/28/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210421-05-01 Ammonia Nitrogen Eff-WL 0.78 mg/L SM4500NH3C-2011 04/27/2021 CE 210421-05-01 BOD Eff-WL <2 mg/L SM5210B-2011 04/22/2021 CE 210421-05-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXXColilert18MPN 04/21/2021 WC 210421-05-01 TSS Eff-WL 4.581 mg/L SM2540D-2011 04/23/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210421-05-01 Temp on Arrival: 3.0 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 d,_Relinquished by lr e Time 5-4 r 0, pm Date '/ j Sampled by: Received by: Time cc, Jr aril, pm Date 4' IMF -' Transported by: Relinquished by: / Time j amp Date 11� Holding times met: Received by: Y V C. Tim 3 0 Date 21I G/ x Compliance work: Composite Sampling #1: Time begin 06C'c' . url, pm Date 4I►•' 7/ Non-compliance work: c\,$ %«DI\- 2« a . - &- ¥ R. t <� \ i \ 7 g I / a 9 /. '± \ m « [ $� 2 w . �.- e o . cP.1$ 15 $J f > C.§ gk _ ` f \| "` ■ § a "T\TFSuit IF • c4AL1` (ILA', r "i ..,ir, c•irce[ • P.O. i1,iK'_2K ■` ,' ',Liu:wi 1r. NC 214bK7 / IE. 4704J K72-1697 1 'IOW Chain of 4110 Custody Record PO Box 228 • Statesville, NC 28687. 70 / 72 4697 ge 3 of 3 Analytical Results Apex Companies LLC 10610 Metromont Parkway Suite 206 Charlotte, NC 28269 Receive Date: 04/26/2021 Reported: 05/03/2021 For: Woodlake Comments: Sample Number Parameter Sample ID Result 4 STATESVILLE Unit Method Analyzed Analyst 210426-04-01 Ammonia Nitrogen Eff-WL 1.68 mg/L SM4500NH3C-2011 04/27/2021 CE 210426-04-01 BOD Eff-WL <2 mg/L SM5210B-2011 04/26/2021 CE 210426-04-01 Fecal Coliforms Eff-WL <1 MPN/100 ml IDEXX Colilert 18 MPN 04/26/2021 WC 210426-04-01 TSS Eff-WL 3.295 mg/L SM2540D-2011 04/30/2021 CE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 210426-04-01 Temp on Arrival: 2.3 Parameter Schedule: TSS Received on Ice Parameter Schedule: BOD Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen Sulfuric Acid Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 STATF VILL..E ,tC 122 ACouNAf_YT. Tot rt SSreel P.+7. Bux 228 Slalviville, NC 28687 (7114) 872.4697 liot. Chain of Custody Record 1 g- 1C:tA rA', A )\ e -L. �I Transported by: �- Holding times met: G Compliance work: 4 Non-compliance work, Samples Transported On Ice: Initials: Address: Contact Person: ,r� •tP�t p, ` I, Phone A( FA}(# Ji a PO # _ f„_ _ k/ te; Requisitioned by: Dale= [.f�C1GC f / F C l t E E i\ \ \ LDate Sampled amb Only) y` Relinquished byt, e4 Received by:,31---- Relinquished by: 7.,....,----- Received by: ��1 Composite Samoling #1; Time beqinek CAi aiq?pm Date 2r p g kP SS x-a. a i-.4. r;] E it 8 Lb PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3