290090_NOV-2021-DV-0302_20210621

Caudle, Caitlin
From: Misbah Khan <[e-mail]>
Sent: Monday, July 19, 2021 11:01 AM
To: Chandler, Rebecca D
Subject: [External] Response to violation
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hello Rebecca,
In this email you will find High Point Halal Meat's response to the notice of violation sent on June
21,2021. Let me know if you have any concerns.
1. No waste is discharging to surface waters, ground level, or any non -permitted areas. The area
in which the septic waste was flowed into has been cleaned out.
2. We are in the process of finding a company to pump and haul the waste however, due to
COVID-19 many companies are delaying responses for our needs.
3. The Davidson county health department is working with us to implement a new septic tank
system in which no septic waste will leave the tank system.
We will inform you of the entire process of the installation of the new septic tank system. If you have
any questions, you can reach out to me by email or phone [phone]).
Thank you!
Misbah Khan
1

ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
June 21, 2021
CERTIFIED MAIL #7018 1130 0000 1612 5433
RETURN RECIEPT REQUESTED
Mr. Charles William Swaim
370 Eaton Drive
High Point, North Carolina 27265
SUBJECT:
Dear Mr. Swaim:
Notice of Violation/Notice of Intent to Enforce
NOV-2021-DV-0302
Incident #202101198
Deemed Permit AWD290090
Parcel ID# 6882-04-72-6237
Davidson County
On August 11, 2020, Rebecca Chandler and Caitlin Caudle of the Division of Water Resources
Winston Salem Regional Office (DWR) conducted a site inspection of the above reference parcel
in response to a referral from North Carolina Department of Agriculture (NCDA). The focus of
the investigation was to assess animal waste concerns originating from the onsite meat
processing facility operated by Mr. Terry Khan. The findings from that investigation were
addressed in a Notice of Violation (NOV-2020-DV-0468) letter dated October 23, 2020. This
Notice was reissued and dated for April 20, 2021.
The following is a listing of the subsequent investigations, resulting additional violations, and
required corrective actions:
I. Follow Up Visit April 1, 2021
On April 1, 2021, DWR staff Rebecca Chandler and Caitlin Caudle conducted another follow up
visit with Mr. Khan to assess remedial actions subsequent to NOV-2020-DV-0468. At the time of
this follow up, Mr. Khan had installed an earthen berm below the animal holding pens that was
collecting animal waste. Division of Water Resources staff also noted that channelized wastes in
a relic field ditch had visibly accumulated and the field appeared to be inundated. The area was
visibly saturated with wastewater. Upon further investigation, DWR staff found two non -
permitted waste pits upstream of the relic field ditch. At the time of discovery, the waste pits
were actively overflowing and discharging into wetlands that ultimately discharge into an
unnamed tributary (UT) to Rich Fork Creek.
D_E
NORTH CAROLINA
630aRA w,I A RalronmonteI Od,I44
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800

Page 2 of 4
During that same inspection, wastewater was being conveyed from the existing in -ground,
exposed concrete septic tank (hereby referred to as "kill -room septic tank") via junction box,
relic PVC pipes, corrugated pipes, and an earthen trench. The junction box had been uncovered
and the lid removed. A trench leading from the junction box to a small pit had been dug, with
wastewater standing in the pit. From the junction box, PVC pipes carried wastewater below
ground, downslope, until the pipe reemerged on the ground surface. A corrugated pipe had
been loosely attached to the PVC pipe, allowing wastewater to discharge directly to the ground
surface and overland flow downslope. The wastewater captured by the corrugated pipe was
carried downslope to an earthen trench that led to a non -permitted waste pit approximately 5
feet deep and 20 square feet in area, and a second non -permitted waste pit approximately 2
feet deep and 40 square feet in area. Wastewater was overtopping the berm of the shallow
non -permitted waste pit and comingling with wetlands.
II. Sampling Visit April 5, 2021
On April 5, 2021, DWR staff Rebecca Chandler and Caitlin Caudle returned to collect surface
water samples and further investigate the status of the non -permitted waste pits and the
existing kill -room septic tank for wastewater collected at this facility. Prior to this site visit DWR
staff had the understanding that all wastewater, industrial and domestic, generated at this
facility were entering the kill -room septic tank.
The property is bordered by Rich Fork Creek, which is protected as a Class C water according to
the NC Surface Water Classification. Class C waters are to be protected for secondary
recreation, fishing, wildlife, fish consumption, aquatic life including propagation, survival and
maintenance of biological integrity, and agriculture.
Samples were collected from four locations: Rich Fork upstream of the non -permitted storage
ponds and UT convergence (Upstream), downstream of the convergence of the UT with Rich
Fork (Downstream), at the discharge of wastewater into the UT, and from the surface of one of
the unpermitted waste pits. Samples were analyzed for fecal coliform, nutrients (ammonia,
nitrate, total kjeidahl nitrogen, phosphorus), biological oxygen demand (BOD), and turbidity. A
copy of the sample results is included for your records and are summarized below.
*bolded results indicate an exceedance of NC Surface Water Standards
Analyte
Sample Result
4/5/2021
Upstream
Sample Result
4/5/2021
Downstream
Sample Result
4/5/2021
Discharge
Sample Result
4/5/2021
Lagoon/Waste Pit
BOD
3.2 mg/L
2.0 mg/L
500 mg/L
3,100 mg/L
Turbidity
13 NTU
14 NTU
120 NTU
210 NTU
Ammonia (NH3)
0.02 mg/L
0.2 mg/L
14 mg/L
300 mg/L
Nitrate -Nitrite
(NO2 + NO3)
0.14 mg/L
0.15 mg/L
0.5 mg/L
0.2 mg/L
Phosphorus (P)
0.04 mg/L
0.04 mg/L
2.2 mg/L
14 mg/L

Page 3 of 4
Total Kjeidahl
Nitrogen (TKN)
0.3 mg/L
0.31 mg/L
20 mg/L
500 mg/L
Fecal Coliform
60 CFU
126 CFU
818 CFU
27,000 CFU
III. Follow Up visit April 15, 2021
On April 15, 2021, DWR staff Rebecca Chandler and Caitlin Caudle returned to the site to meet
with yourself and Jason Koontz of Davidson County Department of Environmental Health. In
discussion with you, it was stated that two separate systems were originally installed onsite:
one subsurface septic disposal system for domestic wastewater, and a separate subsurface
disposal system connected to the exposed, concrete kill -room septic system. You stated that
the kill -room septic system was installed in 1973.
Mr. Koontz confirmed the location of the domestic septic tank for the meat processing facility
and determined with best professional judgement that the domestic septic system was in -tact
and operable. At the time of this visit, it was apparent that steps had been taken to remove
evidence of conveyance of wastewater from the existing kill -room septic tank to the non -
permitted waste pits. A trench approximately one foot deep had been dug to partially drain the
non -permitted waste pit, creating an additional outlet to the water of the State.
IV. Violations
1. As described in Items I and III, creating an outlet into the waters of the State without a
valid permit is a violation of North Carolina General Statute 143-215.1(a)(1).
2. As described in Item I, altering, extending, or changing the construction or method of
operation of any sewer system, treatment works, or disposal system within the State.
without a valid permit is a violation of North Carolina General Statute 143-215.1(a)(3).
3. As described in Item II, causing any waste, directly or indirectly, to be discharged to or in
any manner intermixed with the waters of the State in violation of the water quality
standards applicable to the assigned classifications is a violation of North Carolina
General Statute 143.215.1(a)(6).
V. Required Corrective Actions
The Division requests that you take the following required actions to properly remediate the
violations included herein:
1. If not already completed, immediately stop any wastes from discharging to surface
waters, onto ground surface, and/or the non -permitted waste pits from the concrete
tank. Any wastewater remaining in the non -permitted waste pits should be properly
removed (i.e. pumped back to the concrete septic for pump and haul removal) and no
longer allowed to overflow or drain to waters of the State. The non -permitted waste pits
should be cleaned out and backfilled to grade. Waste must not leave the kill -room septic

Page 4 of 4
at any time other than being properly pumped and hauled. Any outlet of the kill -room
septic tank must be permanently repaired.
2. Take actions necessary to begin pumping and hauling the industrial wastewater for
proper treatment and disposal at a permitted facility as soon as possible.
3. DWR inspectors determined that the previous subsurface disposal system for the kill -
room septic has been altered, is no longer intact or operable, and therefore unable to
properly dispose of the industrial wastewater. It is the understanding of DWR that
Davidson County Health Department is working with you to permit a permanent Pump
and Haul for the industrial wastewater under the authority of the North Carolina
Department of Health and Human Services.
VI. Required Response
Accordingly, you are directed to respond in writing within thirty (30) calendar days of receipt of
this Notice. Your response should be sent to my attention at the letterhead address and must
include specific plans and timeline for permanently addressing violations included herein.
This Office is considering sending a recommendation for enforcement to the Director of the
Division of Water Resources regarding these issues and any future/continued violations that may
be encountered. This office requires that the violations, as detailed above, be abated
immediately and properly resolved. Pursuant to G.S. 143-215.6A, these violations and any future
violations are subject to a civil penalty assessment of up to a maximum of $25,000.00 per day for
each violation. Your above -mentioned response to this correspondence, the degree and extent
of harm to the environment and the duration and gravity of the violation(s) will be considered in
any civil penalty assessment process that may occur.
Please contact Rebecca Chandler (336-776-9705) or me (336-776-9700) if you have questions
concerning this Notice.
Sincerely,
LDocuSiiggned by:G
L-0A. l . Jn.1oiG"
145B49E225C94EA...
Lon T. Snider
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ — WSRO
encl.
cc: Tariq Khan (338 Eaton Dr. and email)
NCDEQ Files (Laserfiche)
Davidson County Health Department (via email)
NCDA&CS (via email)

DWR
Division of Water Resources
Incident Report
Report Number : 202101198
Incident Type : Complaint
Category
Other
Incident Started : 04/01/2021
Country :
City:
Farm #:
Davidson
High Point
Responsible Party :
Owner :
Permit : AWD290090
Facility : Halal Processing
First Name : Charles
Middle Name : William
Last Name : Swaim
Address : 370 Eaton Dr
City/State/Zip : High Point NC 27265
Phone :
Material Category:
On -Site Contact :
First/Mid/Last Name : Terry Khan
Company Name :
Phone :
Pager/Mobile Phone :
Reported By :
First/Mid/Last Name :
Company Name :
Address :
City/State/Zip :
Phone :
Page/Mobile Phone :
/
/
Estimated Qty: UOM: Chemical Name Reportable Qty.lbs. Reportable Qty.kgs.
DD:MM:SS Decimal
Latitude :
Longtitude :
Location of Incident : 388 Eaton Drive
Position Method :
Position Accuracy :
Position Datum :
Address : 388 Eaton Dr
City/State/Zip : High Point NC 27265
Report Created
4/20/21 4:03 pm
Page 1

Cause/Observation : Directions :
The State Vets Office notified WSRO of surface water concerns at this
facility.
Action Taken : Comments :
Report Created 4/20/21 4:03 pm Page 2

Surface water samples were collected twice at this facility.
Incident Questions :
The initial complaint investigation found that animal waste was being
washed out of holding pens and flowing downslope. The waste was
channelizing and flowing downslope towards a stream. The facility
operator installed a berm below the barns to capture animal waste.
A follow up visit resulted in two illegal waste pits being discovered
and a failing septic tank originally installed to manage the
wastewater produced from the kill room. The septic tank had a lid
installed and was reportedly pumped on a regular basis. The tank
collects wastewater from the kill room floor and a washdown area for
the gut bins. The tank has a baffle in it. Kill -room wastewater
(industrial wastewater) is piped from the tank to a junction box that
had been dug out and the lid removed. There was a small trench that
led to a pit. The purpose of this pit appeared to be capturing excess
industrial wastewater during high flows. The industrial wastewater
then left the junction box, was piped downslope by gravity using white
PVC pipe, where a black corrugated pipe was attached to the end of
the white PVC pipe. Industrial wastewater was leaving the white pipe
and traveling directly downslope through overland flow and entering
a marshy area. The industrial wastewater that was captured by the
black pipe was being carried downslope by gravity to two
unpermitted, unlined, earthen waste pits. Once the pipe ended an
unlined, earthen, hand dug trench was carrying industrial wastewater
into the first unpermitted waste pit, that was >5ft deep and 20-sq feet
in area. Industrial wastewater was then flowing through another
unlined, earthen trench to a larger, shallow lagoon —2ft deep and
40-sq ft in area. Industrial wastewater was overtopping the lagoon
embankment and intermingling with surface waters. The discharge
was then flowing under a fence, into a shallow trench in a pasture,
and collecting before the discharge left the property. The operator
had constructed a berm at the end of the pasture with the intent of
stopping industrial wastewater from leaving the property. As a result,
the facility operator had created a large area saturated by industrial
wastewater. There was still evidence that during rainfall or high flow
events industrial wastewater was leaving the property.
DWR staff told the facility owner that no more industrial wastewater
should be flowing to the unpermitted waste pits and the industrial
wastewater contained in the unpermitted waste pits should properly
be removed by pumping back up to the septic for removal.
A follow up visit was conducted on 4/15/2021 with the property owner
and the Davidson County Department of Environmental Health. The
DEH representative confirmed that another septic tank existed and
collects all domestic wastewater generated at the facility. The facility
owner had removed the black corrugated pipe conveyance and
covered the PVC pipe it connected to with sticks, brush, and a plastic
bag. The junction box was also covered with a lid, but during the
course of the visit the junction box became covered with industrial
wastewater. It appeared that the hand dug trench carrying industrial
wastewater from the black corrugated pipe to the lagoons had been
filled with dirt and brush. There was a --1ft deep trench dug in the
corner of the shallow unpermitted waste pit embankment with the
purpose of emptying the lagoons.
Report Created 4/20/21 4:03 pm Page 3

Did the Material reach the surface Water? Yes Conveyance : Unnamed tributary
Surface Water Name ? Rich Fork
Did the Spill result in a Fish Kill? Unknown Estimated Number of fish?
(Above Ground or Under Ground)
If the Spill was from a storage tank indicate type
Containment? Unknown
Cleanup Complete? Unknown
Water Supply Wells within 1500ft : Unknown Groundwater Impacted :Unknown
Event Type
Incident closed
Requested Additional Information
Report Received
Referred to Regional Office - Primary Contact
Mailing sent 2021/04/20 5:00:00
Report Entered 2021/04/19 2:31:00
Violation Determined (Remove confidentiality) 2021/04/15 4:30:00
Inspection or Site Visit Conducted 2021/04/15 1:00:00
Sample Taken 2021/04/05 11:00:00
Incident Start 2021/04/01 10:00:00
Standard Agencies Notified :
Agency Name Phone First Name M.I.
Other Agencies Notified :
Agency Name
Phone
Event Date
First Name M.I.
Due Date Comment
Last Name Contact Date
Last Name Contact Date
Report Created
4/20/21 4:03 pm
Page 4

DWQ Information :
Report Taken By:
Report Entered By: Regional Contact:
Phone:
Date/Time:
Referred Via:
Rebecca D Chandler
Did DWQ request an additional written report?
If yes, What additional information is needed?
Caitlin Caudle
2021/04/19 02:31:OOPM
Report Created 4/20/21 4:03 pm Page 5

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
April 06, 2021
Rebbecca Chandler
Division of Water Quality
450 W. Hanes Mill Rd
Suite 300
Winston Salem, NC 27105
RE: Project: Eaton Drive
Pace Project No.: 92531159
Dear Rebbecca Chandler:
Enclosed are the analytical results for sample(s) received by the laboratory on April 05, 2021. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Stephanie Knott
[e-mail]
704-977-0981
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 1 of 12

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
CERTIFICATIONS
Project: Eaton Drive
Pace Project No.: 92531159
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 12

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
SAMPLE SUMMARY
Project: Eaton Drive
Pace Project No.: 92531159
Lab ID Sample ID Matrix Date Collected Date Received
92531159001 Upstream Water 04/05/21 12:02 04/05/21 14:05
92531159002 Downstream Water 04/05/21 12:49 04/05/21 14:05
92531159003 Discharge Water 04/05/21 13:02 04/05/21 14:05
92531159004 Lagoon Water 04/05/21 13:27 04/05/21 14:05
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 3 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
SAMPLE ANALYTE COUNT
Project: Eaton Drive
Pace Project No.: 92531159
Lab ID Sample ID
Method
Analytes
Analysts Reported
92531159001 Upstream SM 9222D-2006 MLS1 1
92531159002 Downstream SM 9222D-2006 MLS1 1
92531159003 Discharge SM 9222D-2006 MLS1 1
92531159004 Lagoon SM 9222D-2006 MLS1 1
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC. Page 4 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
ANALYTICAL RESULTS
Project: Eaton Drive
Pace Project No.: 92531159
Sample: Upstream Lab ID: 92531159001 Collected: 04/05/21 12:02 Received: 04/05/21 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms
60.0 CFU/100 mL 1.0 1 04/05/21 16:42 04/06/21 14:42
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 5 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
ANALYTICAL RESULTS
Project: Eaton Drive
Pace Project No.: 92531159
Sample: Downstream Lab ID: 92531159002 Collected: 04/05/21 12:49 Received: 04/05/21 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms
126 CFU/100 mL 1.0 1 04/05/21 16:42 04/06/21 14:42
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 6 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
ANALYTICAL RESULTS
Project: Eaton Drive
Pace Project No.: 92531159
Sample: Discharge Lab ID: 92531159003 Collected: 04/05/21 13:02 Received: 04/05/21 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms
818 CFU/100 mL 1.0 1 04/05/21 16:42 04/06/21 14:42
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 7 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
ANALYTICAL RESULTS
Project: Eaton Drive
Pace Project No.: 92531159
Sample: Lagoon Lab ID: 92531159004 Collected: 04/05/21 13:27 Received: 04/05/21 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms
27000 CFU/100 mL 1.0 1 04/05/21 16:42 04/06/21 14:42
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 8 of 12

aceAnalytical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
QUALITY CONTROL DATA
Project: Eaton Drive
Pace Project No.: 92531159
QC Batch: 611654 Analysis Method: SM 9222D-2006
QC Batch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliform( MF)-EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92531159001, 92531159002, 92531159003, 92531159004
METHOD BLANK: 3219749 Matrix: Water
Associated Lab Samples:
92531159001, 92531159002, 92531159003, 92531159004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 04/06/21 14:42
SAMPLE DUPLICATE: 3219750
92531159001 Dup
Parameter Units Result Result
RPD
Max
RPD
Qualifiers
Fecal Coliforms CFU/100 mL
60.0 59.0 2 25
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
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without the written consent of Pace Analytical Services, LLC. Page 9 of 12

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
QUALIFIERS
Project: Eaton Drive
Pace Project No.: 92531159
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
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without the written consent of Pace Analytical Services, LLC. Page 10 of 12

aceAnalytical
www.pacelabs.cam
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Eaton Drive
Pace Project No.: 92531159
Lab ID
Sample ID QC Batch Method
Analytical
QC Batch Analytical Method Batch
92531159001 Upstream SM 9222D-2006 611654 SM 9222D-2006 611656
92531159002 Downstream SM 9222D-2006 611654 SM 9222D-2006 611656
92531159003 Discharge SM 9222D-2006 611654 SM 9222D-2006 611656
92531159004 Lagoon SM 9222D-2006 611654 SM 9222D-2006 611656
REPORT OF LABORATORY ANALYSIS
Date: 04/06/2021 07:18 PM
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CHAIN -OF -CUSTODY Analytical Request Document
Pace Analytical
Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields
;
d
X
Rush:
[ ] Same Day [ ] Next Day
[ ] 2 Day [ ] 3 Day [ ] 4 Day [ ] 5 Day
(Expedite Charges Apply)
Turnaround Date Required:
Purchase Order 4:
Quote #:
Site/Facility ID #:
GI 2
Date/Time:
m
Date/Time:
Radchem sample(s) screened (<500 cpm): Y N NA
Packing Material Used~/
Type of Ice Used: (We? Blue Dry None
s
r
_r-
s
Collected (or
Composite Start)
i vrixhyv } rpu 4
Billing Information:
r'—..
Received by/Company: (Signature)
Received by/Company: (Signature)
Rece'ed by/Co -(Signature)
0
a
m
Composite End
Field Filtered (if applicable):
[ ] Yes [ ] No
Analysis:
Immediate y P ke�r on Ice:
Yes [ ] No
DW PWS ID it:
DW Location Code:
Compliance Monitoring?
[ ] Yes [ ]No
1
3
m
n m
N o
S
\
C
I
Analyses
** Preservative Types: (1) nitric acid, (2) sulfuric acid, (3) hydrochloric acid, (4) sodium hydroxide, (5) zinc acetate,
(5) methanol, (7) sodium bisulfate, (a) sodium thiosulfate, (9) hexane, (A) ascorbic acid, (B) ammonium sulfate,
(C) ammonium hydroxide, (D) TSP, (U) Unpreserved, (0) Other
LAB USE ONLY- Affix Workorder/Lo ��
MTJL
ALL SHADED ARI
Samples received via:
FEDEX UPS Client Courier Pace Courier
Lab Tracking #: 2549152
SHORT HOLDS PRESENT (<72 hours): Y N N/A
0
m
m
3
ro
0
m
m
m
Date/Time:
IAcctnum:
Template:
Prelogin:
PM:
PB:
m
Cr
m
ax
MTJL LAB USE ONLY
Lab Sample Receipt Checklist:
Custody Seals Present/Intact (jNA
Custody Signatures Present NA
Collector Signature Present N NA
Bottles Intact N NA
Correct Bottles NA
Sufficient Volume �`„ NA
Samples Received on Ice Qi•"
VOA - Headapace Acceptable Y N
USDA Regulated Soils Y N
Samples in Holding Time 0 N NA
Residual Chlorine Present Y 1DJA
Cl Strips:
Sample pH Acceptable Y N
pH Strips:
Sulfide Present Y N
Lead Acetate Strips:
LAB USE ONLY:
Lab Sample # / Comments:
jLab Profile/Line:
Non Conformance{s):
YES / NO
Trip Blank Received: Y N NA
HCL McOH TSP Other
Cooler 1 Temp Upon RE
Cooler 1 Therm Corr. Fi
Cooler 1 Corrected Terr
Comments:
o
o

North Carolina Division of Water Resources
Laboratory (Water Sciences Section)
Location Description:
County:
• Water Sample Collection & Submittal Fo
Ec ‘n
bo vi 450Y)
CoHector:
eav-
DIckac te'-
Location Code:
DWR Region:
(based on county)
WSk2-a
DWR Office:
(or agency name)
W5
River Basin:
Notes:
ycl4Y-in-Pee_cte c,
Chlorinated
Collector's Comments:
De -chlorinated in
Field
Su:
Field Parameters (optional) :
Preservative : Y
LAB COMMENTS :
u+cc
Sampling
Method:
Water Temp (°C):
pare
(yW/): .
Ib ?2r1
(
hr):
ta)n/endl
Grab
Other.
O'Y
Composite
PH (s.u.):
Priority:
Ambient
Routine
Compliance
COC
Emergency
OA
Visit ID:
(optional)
Filtered In Dissolved analysis: Enter 'MS" In check -
Field boxes far parameters
Location Type:
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blank
Filter Blank
Sample
Depth:
Lake
Canal
Water Supply
Influent
Trip Blank
Other.
S
AC83042
Date Rec 4/6/2021 08:15
I-
Received By:
Delivery Method:
Temperature on
Arrival rC):
1in\/(, -t ) I 06 Ct in t h''1-(Th rs
Dissolved Oxygen Conductivity
(PPmJ: (µmhos/cm):
Salinity
(PPt):
to Coukler
Hand Delivered
Other:
Microbiology Parameters:
Preservative I1Net Chemistry Parameters:
Preservative IMJletais Parameters:
Preservative (Metals Parameters Con't
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
None
Aluminum (Al)
E
Thallium (11)
E
)(
BOD: Biochemical Oxygen Demand, 5-day
A
Chloride
Node
Arntimony (Sb)
E
Tin (Sn)
E
cBOD: Carbonaceous BOO, 5-day
A
Fluoride
None
Arsenic (As)
E
Titanium (Ti)
E
Conform: Fecal MF
B - C - L- N
Sulfate
A
Barium (Ba)
E
Vanadium (V)
E
Conform: Total MF
B - C - L- N
Chlorophyll a
A
Beryllium (Be)
E
Zinc (Zn)
E
Specific Conductance, at 25 °C
A
Color. ADMI
A
Cadmium (Cd)
E
Mercury 1631, low-level
TOC - Total Organic Carbon
A - E - F - G
Color: Platinum Cobalt ,
A
Calcium (Ca)
E
Boron (B)
E
Nk
Turbidity
A
COD: Chemical Oxygen Demand
A - D
Chromium (Cr), Total
E
Hardness, Total as CsCD3 - by titration
D -E
Other Parameters:
Cyanide, Total
A - H - P
Cobalt (Co)
E
Organics Parameters:
pH
None
Hexavalent Chromium (Cr6+)
A - 0
Copper (Cu)
E
Acid Herbicides
A - C
MBAS (surfactants)
A
iron (Fe)
E
Organochlorine Pesticides
A - C - K
Nutrients Parameters:
Oil and Grease, HEM, Total Recoverable
A - D - F
Lead (Pb)
E
Organonitrogen Pestlddes
A - C - K
Ammonia as N (NH3-N)
A- D Z
Phenols, Total Recoverable
A- D
Lithium (Li)
E
Organophosphorus Pesticides
A- C- K
Nitrate -Nitrite as N (NO3+NO2-N)
A- D Z
Residue: Total (Total Solids)
A
Magnesium (Mg)
E
PCBs (polychlorinated blphenyls)
A - K
Total KJeldahl Nitrogen as N (TKN)
A - D Z
Residue: Volatile/Fixed, Total
A
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A - C - K
Total Phosphorus as P (TP)
A= D Z
Residue: Settleable
A
Mercury (Hg)
E
TPH Diesel Range
A - K
Nitrite as N (NO2-N)
A
Residue: Suspended (Suspended Solids)
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A- C- F -5
Nitrate as N (NO3-N calculated)
A
Residue: Volatile/Fixed, Suspended
A
Nickel (NI)
E
1,4-Dloxane
C
Orthophosphate as P (PO4)
A- Z
TDS - Total Dissolved Solids
A
Potassium (K)
E
TPH Gasoline Range
A- C- F - S
Cyanotoxies:
Silica
A
Selenium (Se)
E
Perfluorinated Compounds (PEAS)
A-T
Mlrrocystln
A
Sulfide
A-J
Silver (Ag)
E
B
lologlcal:
Tannin & Llgnin
Sodium (Na)
E
Phytoplankton /Algae
A -R
Strontium (Sr)
E
Preservable Legend (circle above as needed): (A) cool 56'C, (B) cool <10'C, C) 0.008% Na2-52O5 [when chlorine Is present], (D) H2504 to pH <2, (E) HNO3 to pH <2, (F) HCI to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) pH=9.3-9.7, (J) zinc acetate &
NaOH to pH to >9, (K) pH 6-9 ascorbic add [when chlorine is present], (L) EDTA, (M) NaHSO4 to pH <2, (N) 15% EDTA, (0) ammonium sulfate buffer pH= 9.3-9.7, (P) ascorbic acid [when chlorine Is present] (R) bigots, (5) NaHSO4 to pH <2, (T) Trizma [when chlorine Is
present], (Y) analyzed within 15 minutes of sample collection, (Z) filtered In field within 15 minutes
Required: 1) Collector Initials and Date, 2) Circling of Utilized Preservative next to each Parameter
Revision: 9/29/2020

AC83042
Loc. Descr.:
County:
Region:
River Basin
Emergency
COC Yes/No
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
EATON DRIVE UPSTREAM
Davidson
Winston-Salem
YAD
Yes
Collector: R CHANDLER
Report To WSRO
Collect Date: 04/05/2021
Collect Time: 12_02
Sample Depth
VisitlD
Location ID:
Priority
Sample Matrix:
Loc. Type:
Final Report
If this report is labeled preliminary report, the results have not been validated.
CAS # Analyte Name
Sample temperature at receipt by lab
PQL
Result/
Qualifier
LAB
0.6
WSRO NLC
COC
SURFACEWATER
River/Stream
Sample ID:
PO Number #
Date Received:
Time Received:
Labworks LoginlD
Delivery Method
Final Report Date:
Report Print Date:
AC83042
04/06/2021
08_15
TASCENZO1
NC Courier
5/4/21
05/07/2021
Do not use for Regulatory purposes.
Units
°C
Method
Reference
Analysis
Date Validated by
4/6/21 MSWIFT
BOD, 5-Day in liquid
MIC
2.0 3.2 G5 mg/L
SM 5210 B-2001 4/7/21 ESTAFFORD1
Turbidity
1.0
13
NTU
SM 2130 B-2001 4/6/21 JJURGEVICH
7664-41-7
NH3 as N in liquid
0.02
NUT
0.02 U
mg/L as N
EPA 350.1 REV 2 4/8/21
AWILLIAMS
E701177
NO2+NO3 as N in liquid
0.02
0.14
mg/L as N
EPA 353.2 REV 2 4/8/21 AWILLIAMS
7723-14-0
Phosphorus_total as P in liquid
0.02
0.04
mg/L as P
EPA365.1 REV2 4/22/21 ALWILLIAMS
TKN_N
Total Kjeldahl N as N in liquid
0.3
0.30 U
mg/L as N
EPA351.2 REV 2 4/13/21 AWILLIAMS
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83042
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
Sample Comments
MIC: BOD-G5-Estimated-GGA standard recovery was < 198+/-30.5mg/I
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average, where at least one result is qualified with a "U". The PQL is used for the qualified result(S) to cal
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both >60 or 80 and <20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present; too numerous to count (TNTC). TNTC is generally defined as >150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than "<" valu
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than ">" value.
C Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated.
G1 BOD-The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity. This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/ glutamic acid standard exceeded the range of 198 ± 30.5 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J10 Unidentified peak; estimated value.
J11 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83042
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded (samples frozen or >6°C) during transport or not verifiable (e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th
J8 Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
J9 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
M Sample and duplicate results are "out of control". The sample is non -homogenous (e.g., VOA soil). The reported value is the lower
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e., presence of
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
P Elevated PQL* due to matrix interference and/or sample dilution.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
S Not enough sample provided to prepare and/or analyze a method -required matrix spike (MS) and/or matrix spike duplicate (MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value repo
U, J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
UU Indicates that the analyte was not detected by a screen analysis. The number value was determined by a one -point estimation at ti
✓ Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed -field error.
X3 Sampled, but analysis lost or not performed -lab error.
Y Elevated PQL* due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 3

North Carolina Division of Water Resources
Laboratory (Water Sciences Section)
Location Description:
County:
Oo'-vi d s a n
Water Sample Collection & Submit
Collector.
Gna]nd(e)-
Visit ID:
(optional)
Location Code:
Tag
ID
Priority:
DWR Region:
(bored on county)
DWR Office:
(or agency name)
River Basin:
yadVin-Fedet
Motes.
Chlorinated
De -chlorinated in
Field
Sampling
Method:
uare
(m/d/y):
tiftKril
lv):
lbpa n/endl
/�(� Grab
Other.
4 /5/aI
I a- : Lip
Composite
Ambient
Routine
Compliance
COC
Emergency
QA
Water Matrix:
Surface
Ground
Waste
Blank
Solution
Filtered In Dissolved analysis: Enter'015' In check -
Field taxes for parameters
,T
Locatio
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blank
Filter Blank
Sample
Depth:
Type:
Lake
Canal
Water Supply
Influent
Trip Blank
Other:
IIIIII[III! I�I I�NINI�I�I
AC83043
Date Rec 4/6/2021 08:15
Received By:
Delivery Method:
Temperature on
Arrival ('C):
to Cou er
Hand Delivered
Other.
D.
Collector's Comments:
Svr4Ct v.stALe(
Field Parameters (optional) :
Preservative : Y
Water Temp (°C):
-Gl\,.l sOA
pH (s.u.):
tR� 41 '00 rC I n 2 -Th r
Dissolved
(Ppm):
Conductivity
(µmhos/cm):
Salinity
(PPt):
LAB COMMENTS :
Microbiology Parameters:
Preservative [Wet Chemistry Parameters:
Preservative IlMetals Parameters:
Preservative halaIs Parameters Can't
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
None
Aluminum (Al)
E
Thallium (TI)
E
X
BOD: Biochemical Oxygen Demand, 5-day
0
Chloride -
None
Antimony (Sb)
E
Tin (Sn)
E
cBOD: Carbonaceous BOD, 5-day
A
Fluoride
None
Arsenic (As)
E
Titanium (Ti)
E
Collform: Fecal MF
B - C - L- N
Sulfate
A
Barium (Ba)
E
Vanadium (V)
E
Conform: Total MF
B - C - L- N
Chlorophyll a
A
Beryllium (Be)
E
Zinc (Zn) -
E
Spedflc Conductance, at 25 °C
A
Color. ADMI
A
Cadmium (Cd)
E
Mercury 1631, low-level
TOC - Total Organic Carbon
A - E- F - G
Color: Platinum Cobalt
A
Calcium (Ca)
E
Boron (B)
E
Turbidity
6
COD: Chemical Oxygen Demand
A - D
Chromium (Cr), Total
E
Hardness, Total as CaCO3 - by titration
D -E
Other Parameters:
Cyanide, Total
A - H - P
Cobalt (Co)
E
Oi-genlcs Parameters:
pH
None
Hexavalent Chromium (Cris+)
A - 0
Copper (Cu) .
E
Acid Herbicides
A - C
MBAS (surfactants)
A
Iron (Fe)
E
Organochlorine Pesticides
A - C - K
Nutrients Parameters:
Oil and Grease, HEM, Total Recoverable
A - D - F
Lead (Pb)
E
Organonitrogen Pesticides
A - C - K
Ammonia as N (NH3-N)
A - D Z
Phenols, Total Recoverable
A- D
Lithium (LI)
E
Organophosphorus Pesticides
A - C - K
Nitrate -Nitrite as N (NO3+NO2-N)
A - D Z
Residue: Total (Total Solids )
A
Magnesium (Mg)
E
PCBs (polychlorinated biphenyls)
A - K
Total KJeldahl Nitrogen as N (TKN)
A - D Z
Residue: Volatile/Fixed, Total
A
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A - C - K
Total Phosphorus as P (TP)
A - D Z
Residue: Settleable
A
Mercury (Hg)
E
TPH Diesel Range
A - K
Nitrite as N (NO2-N)
A
Residue: Suspended (Suspended Solids)
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A - C - F - S
Nitrate as N (NO3-N calculated)
A
Residue: Volatile/Fixed, Suspended
A
Nickel (NI)
E
1,4-Dloxane
C
Orthophosphate as P (PO4)
A - Z
TDS - Total Dissolved Solids
A
Potassium (K)
E
TPH Gasoline Range
A - C - F - S
Cyanotoxins:
Silica
A
Selenium (Se)
E
Perfluorinated Compounds (PFAS)
A -T
Microcystin
A
Sulfide
A-i
Silver (Ag)
Biological:
Tannin & Llgnin
Sodium (Na)
Phytoplankton / Algae
A -R
Strontium (Sr)
Preservative Legend (circle above as needed): (A) cool 56'C, (B) cool <10'C, (C) 0.008% Na2S203 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCI to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) pH9.3-9.7, (1) zinc acetate &
NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine Is present], (L) EDTA, (M) NaHSO4 to pH <2, (N) 15% EDTA, (0) ammonium sulfate buffer pH= 9.3-9.7, (P) ascorbic acid [when chlorine Is present], (R) Lugols, (S) NaHSO4 to pH <2, (T) Triune [when chlorine Is
present], (Y) analyzed within 15 minutes of sample collection, (Z) filtered in field within 15 minutes
Required: 1) Collector Initials and Date, 2) Circling of Utilized Preservative next to each Parameter
Revision: 9/29/2020

AC83043
Loc. Descr.:
County:
Region:
River Basin
Emergency
COC Yes/No
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
EATON DRIVE DOWNSTREAM
Davidson
Winston-Salem
YAD
Yes
Collector:
Report To
Collect Date:
Collect Time:
Sample Depth
R CHANDLER
WSRO
04/05/2021
12_49
VisitlD
Location ID:
Priority
Sample Matrix:
Loc. Type:
Final Report
If this report is labeled preliminary report, the results have not been validated.
CAS # Analyte Name
Sample temperature at receipt by lab
PQL
Result/
Qualifier
LAB
0.6
WSRO NLC
COC
SURFACEWATER
River/Stream
Sample ID:
PO Number #
Date Received:
Time Received:
Labworks LoginlD
Delivery Method
Final Report Date:
Report Print Date:
AC83043
04/06/2021
08_15
TASCENZO1
NC Courier
5/4/21
05/07/2021
Do not use for Regulatory purposes.
Units
°C
Method
Reference
Analysis
Date Validated by
4/6/21 MSWIFT
BOD, 5-Day in liquid
MIC
2.0 2.0 G5 mg/L
SM 5210 B-2001 4/7/21 ESTAFFORD1
Turbidity
1.0
14
NTU
SM 2130 B-2001 4/6/21 JJURGEVICH
7664-41-7
NH3 as N in liquid
0.02
NUT
0.02
mg/L as N
EPA 350.1 REV 2 4/8/21
AWILLIAMS
E701177
NO2+NO3 as N in liquid
0.02
0.15
mg/L as N
EPA 353.2 REV 2 4/8/21 AWILLIAMS
7723-14-0
Phosphorus_total as P in liquid
0.02
0.04
mg/L as P
EPA365.1 REV2 4/22/21 ALWILLIAMS
TKN_N
Total Kjeldahl N as N in liquid
0.3
0.31
mg/L as N
EPA351.2 REV 2 4/13/21 AWILLIAMS
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83043
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
Sample Comments
MIC: BOD-G5-Estimated-GGA standard recovery was < 198+/-30.5mg/I
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average, where at least one result is qualified with a "U". The PQL is used for the qualified result(S) to cal
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both >60 or 80 and <20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present; too numerous to count (TNTC). TNTC is generally defined as >150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than "<" valu
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than ">" value.
C Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated.
G1 BOD-The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity. This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/ glutamic acid standard exceeded the range of 198 ± 30.5 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J10 Unidentified peak; estimated value.
J11 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83043
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded (samples frozen or >6°C) during transport or not verifiable (e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th
J8 Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
J9 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
M Sample and duplicate results are "out of control". The sample is non -homogenous (e.g., VOA soil). The reported value is the lower
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e., presence of
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
P Elevated PQL* due to matrix interference and/or sample dilution.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
S Not enough sample provided to prepare and/or analyze a method -required matrix spike (MS) and/or matrix spike duplicate (MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value repo
U, J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
UU Indicates that the analyte was not detected by a screen analysis. The number value was determined by a one -point estimation at ti
✓ Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed -field error.
X3 Sampled, but analysis lost or not performed -lab error.
Y Elevated PQL* due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 3

North Carolina Division of Water Resources
Laboratory (Water Sciences Section)
Location Description:
County:
Water Sample Collection & Submittal Fo
Eafion DnOe - bi.TSADC9C-
bavi cts
Collector:
12 . ()nand l e -
Location Code:
Priority:
DWR Region:
(based on county)
sfa0
DWR Office:
(or agency name)
W$�0
Rhher Basin:
JVotes:
yadrir- p-e
Chlorinated
Collectors Comments:
)
Field Parameters (optional
Preservative : Y
Sate
(m/d/y):
(bmlq/�ndl
17�It
hi):
In/end]
LI /6/.�I
x
Ambient
Routine
Compliance
COC
Emergency
QA
Visit ID:
(optional)
Water Matrbc:
Surface,
Ground
Waste
Blank
Solution
Tag
ID
Location Type:
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blank
Filter Blank
Lal
So
M
Lake
Canal
Water Supply
Influent
Trip Blank
Other:
Ti
AC83044
Date Rec 4/6/2021 08:15
(24,Ar ...._
.Received By:
J
Delivery Method:
State CotjFier
Hand Delivered
Other:
Filtered In Dissolved analysis: Enter'DI5' in check- I SamPie
Field baxet(or parameters (Depth:
l 1 Sl°�j ‘�t l icy Lill �Ort ' C. i A) v �c -rx - -�
Dissolved Oxygen
(ppm)O
De -chlorinated In
Field
mping
Method:
Water Temp (°C):
Grab
Other:
Composite
pH (s.u.):
Conductivtl
(µmhos/an):
Temperature on
Arrival ('C):
NW__h -
Salinity
(ppt):
LAB COMMENTS
MlaobIolom Parameters:
Preservative [Wet Chemistry Parameters:
Preservative (Metals Parameters:
Preservative rietaIs Parameters Don't:
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
None
Aluminum (Al) .
E
Thallium (TI)
E
X
BAD: Biochemical Oxygen Demand, 5-day
3
Chloride
None
Antimony (Sb)
E
Tin (Sn)'
E
cB00: Carbonaceous SOD, 5-day
A
Fluoride
None
Arsenic (As)
E
Titanium (T1)
E
Coliform: Fecal MF
B - C- L- N
Sulfate
IA
Barium (Ba)
E
Vanadium (V)
E
Collform: Total MF
B - C- L- N
Chlorophyll a
A
Beryllium (Be)
E
Zinc (Zn)
E
Spedflc Conductance, at 25 °C
A
Color. ADMI
A
Cadmium (Cd)
E
Mercury 1631, low-level
TOC - Total Organic Carbon
A - E - F - G
Color. Platinum Cobalt
A
Calcium (Ca)
E
Boron (B)
E
/
Turbidity
0
COD: Chemical Oxygen Demand
A - D
Chromium (Cr), Total
E
Hardness, Total as CaCO3 - by titration
D -E
Other Parameters:
Cyanide, Total
A- H - P
Cobalt (Co)
E
Organics Parameters:
pH
None
HexavalentChromium(Cr6+)
A - 0
Copper (Cu)
E
Acid Herbicides
A - C
MBAS (surfactants)
A
Iron (Fe)
E
Organochiorine Pesticides
A- C - K
Nutrients Parameters:
Oil and Grease, HEM, Total Recoverable
A - D - F
Lead (Pb)
E
Organonitrogen Pesticides
A - C - K
Ammonia as N (NH3 N)
A- Z
Phenols, Total Recoverable
A- D
Lithium (Li)
E
OrganophosphorusPesticides
A- C- K
Nitrate -Nitrite as N (NO3+NO2-N)
A- D Z
Residue: Total (Total Solids)
A
Magnesium (Mg)
E
PCBs (polychlorinated blphenyls)
A - K
Total Kjeldahl Nitrogen as N (TKN)
A- D Z
Residue: Volatile/Fixed, Total
A
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A - C - K
X
Total Phosphorus as P (TP)
A - - Z
Residue: Settleable
A
Mercury (Hg)
E
TPH Diesel Range
A - K
Nitrite as N (NO2-N)
A
Residue: Suspended (Suspended Solids) '
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A- C- F -S
Nitrate as N (NO3-N calculated)
A
Residue: Volatile/Fixed, Suspended
A
Nickel (NI)
E
1,4-Dioxane
C
Orthophosphate as P (PO4)
A - Z
TDS - Total Dissolved Solids
A
Potassium (K)
E
TPH Gasoline Range
A- C - F - S
Cyanotoxiru:
Silica
A
Selenium (Se)
E
Perfluorinated Compounds (PEAS)
A -T
Microcystin
A
Sulfide
A-J
Silver(Ag)
E
lological:
Tannin & IJgnln
Sodium (Na)
E
Phytoplankton / Algae
A -R
Strontium (Sr)
Preservative Legend (circle above as needed): (A) cool 56'C, (B) cool <10'C, (C) 0.008% Na�03 [when chlorine is present], (D) HzSO4 to pH <2, (E) HNO3 to pH <2, (F) HCI to pH <2, (G) H,PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) pH»9.3-9.7, (J) zinc acetate &
NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine Is present], (L) EDTA, (M) NaHSO4 to pH <2, (N) 15% EDTA, (0) ammonium sulfate buffer pH= 9.3-9.7, (P) ascorbic acid [when chlorine Is present], (R) Lugols, (S) NaHSO4 to pH <2, (T) Trizma [when chlorine is
present], (Y) analyzed within 15 minutes of sample collection, (Z) filtered In field within 15 minutes
Required: 1) Collector Initials and Date, 2) Circling of Utilized Preservative next to each Parameter
Revision: 9/29/2020

AC83044
Loc. Descr.:
County:
Region:
River Basin
Emergency
COC Yes/No
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
EATON DRIVE DISCHARGE
Davidson
Winston-Salem
YAD
Yes
Collector:
Report To
Collect Date:
Collect Time:
Sample Depth
R CHANDLER
WSRO
04/05/2021
13_02
VisitlD
Location ID:
Priority
Sample Matrix:
Loc. Type:
Final Report
If this report is labeled preliminary report, the results have not been validated.
CAS # Analyte Name
Sample temperature at receipt by lab
PQL
Result/
Qualifier
LAB
0.6
WSRO NLC
COC
SURFACEWATER
River/Stream
Sample ID:
PO Number #
Date Received:
Time Received:
Labworks LoginlD
Delivery Method
Final Report Date:
Report Print Date:
AC83044
04/06/2021
08_15
TASCENZO1
NC Courier
5/4/21
05/07/2021
Do not use for Regulatory purposes.
Units
°C
Method
Reference
Analysis
Date Validated by
4/6/21 MSWIFT
BOD, 5-Day in liquid
MIC
2.0 500 G5 mg/L
SM 5210 B-2001 4/7/21 ESTAFFORD1
Turbidity
1.0
120
NTU
SM 2130 B-2001 4/6/21 JJURGEVICH
7664-41-7
NH3 as N in liquid
0.02
NUT
14
mg/L as N
EPA 350.1 REV 2 4/8/21
AWILLIAMS
E701177
NO2+NO3 as N in liquid
0.5 0.5 U,P mg/Las N
EPA 353.2 REV 2 4/8/21 AWILLIAMS
7723-14-0
Phosphorus_total as P in liquid
0.02
2.2
mg/L as P
EPA365.1 REV2 4/22/21 ALWILLIAMS
TKN_N
Total Kjeldahl N as N in liquid
0.3
20
mg/L as N
EPA351.2 REV 2 4/13/21 AWILLIAMS
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83044
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
Sample Comments
MIC: BOD-G5-Estimated-GGA standard recovery was < 198+/-30.5mg/I
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average, where at least one result is qualified with a "U". The PQL is used for the qualified result(S) to cal
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both >60 or 80 and <20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present; too numerous to count (TNTC). TNTC is generally defined as >150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than "<" valu
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than ">" value.
C Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated.
G1 BOD-The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity. This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/ glutamic acid standard exceeded the range of 198 ± 30.5 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J10 Unidentified peak; estimated value.
J11 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83044
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded (samples frozen or >6°C) during transport or not verifiable (e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th
J8 Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
J9 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
M Sample and duplicate results are "out of control". The sample is non -homogenous (e.g., VOA soil). The reported value is the lower
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e., presence of
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
P Elevated PQL* due to matrix interference and/or sample dilution.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
S Not enough sample provided to prepare and/or analyze a method -required matrix spike (MS) and/or matrix spike duplicate (MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value repo
U, J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
UU Indicates that the analyte was not detected by a screen analysis. The number value was determined by a one -point estimation at ti
✓ Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed -field error.
X3 Sampled, but analysis lost or not performed -lab error.
Y Elevated PQL* due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 3

North Carolina Division of Water Resources
Laboratory (Water Sciences Section)
Location Description:
Water Sample Collection & Submi
Location Code:
Visit ID:
(optional)
Tag
ID
r
LI
County:
CDONVASbn
Collector:
�- DicMt y
Priority:
DWR Region:
(based on county)
DWR Office:
(or agency name)
River Basin:
Notes:
qoa6n -eadet
Chlorinated
De -chlorinated In ampdng •
Field Method:
Collectors Comments.
Field Parameters (optional):
Preservative : Y
(M/d/y):
6mlgAndl
hr): 11A
�l/� Grab
Other:
r �
4'5—'91
1 • ��P
Ambient
Routine
Compliance
COC
Emergency
QA
Water Matrix:
Surface
Ground
7\ Waste
Blank
Solution
Composite
Filtered In
Field
Dissolved analysis: Enter"DIV' In check -
boxes for parameters
Location
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blank
Filter Blank
Sample
Depth:
Type:
Lake
Canal
Water Supply
Influent
Trip Blank
Other:
\\\\\\\\t
AC83045 os:15
Date Rec 4/6/2021
—
Received By:
f1 i mGl S (a L t .1 11+mil k-;11 rt)0 n - C4-')-Me S'1
Water Temp (°C):
pH (s.u.):
Dissolved Oxygen
(PPm):
WK-
Conductivity
(pmhos/cm):
Salinity
(ppt):
LAB COMMENTS :
Microbiology Parameters:
Preservative [Wet Chemistry Parameters:
Preservative IMetals Parameters:
Preservative v1etais Parameters Can't:
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
None
Aluminum (Al)
E
Thallium (Ti)
E
�(
\
BOD: Biochemical Oxygen.Demand, 5-day
CO
Chloride
None
Antimony (Sb)
E
Tin (5n)
E
cBOD: Carbonaceous BOD, 5-day
A
Fluoride
None
Arsenic (As)
E
Titanium (Ti)
E
Collform: Fecal MF
B - C - L - N
Sulfate
IA
Barium (Ba)
E
Vanadium (V)
E
Coliform: Total MF
B - C - L- N
Chlorophyll a
A
•
Beryllium (Be)
E
Zinc (Zn)
E
Specific Conductance, at 25 °C
A
Color: ADMI
A
Cadmium (Cd)
E
Mercury 1631, low-level
TOC -Total Organic Carbon
A- E - F - G
Color: Platinum Cobalt
A
Calcium (Ca)
E
Boron (B)
E
/
]\
rOther
Turbidity
e
COD: Chemical Oxygen Demand
A - D
Chromium (Cr), Total
E
Hardness, Total ascaCD3 - by tivation
D -E
Parameters:
Cyanide, Total
A - H - P
Cobalt (Co)
E
Organics Parameters:
pH
None
Hexavalent Chromium (Cr6+)
A - 0
Copper (Cu)
E
Acid Herbicides
A - C
MBAS (surfactants)
A
Iron (Fe)
E
Organochlorine Pesticides
A - C - K
Nutrients Parameters:
011 acid Grease, HEM, Total Recoverable
A - D - F
Lead (Pb)
E
Organonitrogen Pesticides
A - C - K.
XAmmonia
as N (NH3-N)
A- D' Z
Phenols, Total Recoverable
A - D
Lithium (Li)
E
Organophosphorus Pesticides
A- C - K
Nitrate -Nitrite as N (NO3+NO2-N)
A - D - '
Residue: Total (Total Solids)
, A
Magnesium (Mg)
E
PCBs (polychlorinated blphenyls)
A - K
Total Kjeldahl Nitrogen as N (1(N)
A D -
Residue: Volatile/Fixed, Total
A
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A - C - K
Total Phosphorus as P (TP)
A - D - '
Residue: Settleable
A
Mercury (Hg)
E
TPH Diesel Range
A - K
Nitrite as N (NO2-N)
Residue: Suspended (Suspended Solids)
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A - C - F - S
Nitrate as N (NO3-N calculated)
A
Residue: Volatile/Fixed, Suspended
A
Nickel (NI)
E
1,4-Dioxane
C
Orthophosphate as P (PO4)
A- Z
TDS - Total Dissolved Solids
A
Potassium (K)
E
TPH Gasoline Range
A - C - F - S
Cyanotoxins:
Silica
A
ISelenium
(Se)
E
Perfluorinated Compounds (PFAS)
A - T
Mlcrocystin
A
Sulfide
A-J
Silver (Ag)
E
Biological:
Tannin & LJgnln
Sodium (Na)
E
Phytoplankton / Algae
A -R
Strontium (Sr)
E
Preservative Legend (circle above as needed): (A) cool 56°C, (B) cool <10'C, C) 0.008% Na2S2O3 [when chlorine Is present], (D) H25O4 to pH <2, (E) HNO3 to pH <2, (F) HO to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) pH=9.3-9.7, (I) zinc acetate &
NaOH to pH to >9, (K) pH 6-9 ascorbic add [when chlorine is present], (L) EDTA, (M) NaHSO4 to pH <2, (N) 15% EDTA, (0) ammonium sulfate buffer pH= 9.3-9.7, (P) ascorbic acid [when chlorine Is present], (R) Lugols, (S) NaHSO4 to pH <2, (T) Trtrma [when chlorine is
present], (Y) analyzed within 15 minutes of sample collection, (Z) filtered In field within 15 minutes
Required: 1) Collector Initials and Date, 2) Circling of Utilized Preservative next to each Parameter
'Revision: 9/29/2020

AC83045
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Loc. Descr.: EATON DRIVE LAGOON
County: Davidson Collector: R CHANDLER VisitlD
Region: Winston-Salem Report To WSRO Location ID: WSRO NLC
River Basin YAD Collect Date: 04/05/2021 Priority COC
Emergency Collect Time: 13:27 Sample Matrix: WASTEWATER
COC Yes/No Yes Sample Depth Loc. Type: River/Stream
Final Report
Sample ID: AC83045
PO Number #
Date Received: 04/06/2021
Time Received: 08_15
Labworks LoginlD TASCENZO1
Delivery Method NC Courier
Final Report Date: 5/4/21
Report Print Date: 05/07/2021
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS # Analyte Name
Sample temperature at receipt by lab
Result/
PQL Qualifier
LAB
0.6
Units
°C
Method Analysis
Reference Date Validated by
4/6/21 MSWIFT
BOD, 5-Day in liquid 2.0
MIC
3100 G5
mg/L
SM 5210 B-2001 4/7/21 ESTAFFORD1
Turbidity 1.0 210 NTU SM 2130 B-2001 4/6/21 JJURGEVICH
7664-41-7
NH3 as N in liquid
0.02
NUT
300 J6
mg/L as N EPA 350.1 REV 2 4/8/21 AWILLIAMS
E701177
NO2+NO3 as N in liquid
0.2 0.2 U,P,J6 mg/L as N EPA 353.2 REV 2 4/8/21 AWILLIAMS
7723-14-0
Phosphorus_total as P in liquid
0.02 14 J6
mg/L as P EPA 365.1 REV 2 4/22/21 ALWILLIAMS
TKN_N
Total Kjeldahl N as N in liquid
0.3 500 J6
mg/L as N EPA 351.2 REV 2 4/13/21 AWILLIAMS
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 3

NC/WK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83045
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
Sample Comments
NUT: ALL-J6-Sample not preserved/preserved in lab.
MIC: BOD-G5-Estimated-GGA standard recovery was < 198+/-30.5mg/I
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average, where at least one result is qualified with a "U". The PQL is used for the qualified result(S) to cal
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both >60 or 80 and <20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present; too numerous to count (TNTC). TNTC is generally defined as >150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than "<" valu
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than ">" value.
C Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated.
G1 BOD-The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity. This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/ glutamic acid standard exceeded the range of 198 ± 30.5 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J10 Unidentified peak; estimated value.
J11 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 3

NCDWK, Laboratory Section Results/Sample Comments/Qualifier Definitions
Sample ID: AC83045
CAS # Analyte Name
PQL
Result/
Qualifier
Units
Method
Reference
Analysis
Date
Validated by
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded (samples frozen or >6°C) during transport or not verifiable (e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th
J8 Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
J9 The reported value is determined by a one -point estimation rather than against a regression equation. The estimated concentration
M Sample and duplicate results are "out of control". The sample is non -homogenous (e.g., VOA soil). The reported value is the lower
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e., presence of
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
P Elevated PQL* due to matrix interference and/or sample dilution.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
S Not enough sample provided to prepare and/or analyze a method -required matrix spike (MS) and/or matrix spike duplicate (MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value repo
U, J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
UU Indicates that the analyte was not detected by a screen analysis. The number value was determined by a one -point estimation at ti
✓ Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed -field error.
X3 Sampled, but analysis lost or not performed -lab error.
Y Elevated PQL* due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 3