NC0024911_Soluble BOD and Lab Sheets_20220321

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/21/2022 3:09:03 PM (Supplemental Submittal)
Submit by Thedford, Wren 3/21/2022 3:24:36 PM (Supplemental Info Submittal)
• Thedford, Wren assigned the task to Thedford, Wren 3/21/2022 3:24 PM
• The task was assigned to Thedford, Wren, Bennett, Tilman B 3/21/2022 3:09 PM

Initial Review Information
Updated ID#: * IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
NCO024911
How should this project be handled?*
File Discard
Information Submitted on 3/21/2022
Submitter Information
Name: Roger C Edwards
Who is submitting the information?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental information
associated with discharge monitoring reports (DMR). All DMR data is required to be submitted electronically through
the eDMR system and should not be submitted here. Division staff will review all uploaded documents and will only
maintain required information. Documents such as laboratory reports are not required to be submitted and will not be
maintained in the system.
Project Information:
Please supply the permit number for this project.
......................................................................................................................................................................................................................................................................................................................................................................................................
Existing ID#* Permit Number
NCO024911
Examples: NCxxxxxxx or NCGxxxxxx
Facility Name: * French Broad River WRF
County: Buncombe
Please upload all files that need to be submited. *
Click the upload button or drag and drop files here to attach document
1-February 2022 Toxicity.pdf 8.65MB
eDMR Supplemental February 2022.pdf 86.19KB
Only pdf files are accepted.
Comments about the attachments:
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;

a I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act)
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information form."
Full Name: Roger C Edwards
Signature:
Date Submitted: 03/21/2022

Effluent Soluble BOD February
02/02/2022 9.3 mg/L
02/09/2022 5.6 mg/L
02/16/2022 8.8 mg/L
02/23/2022 4.5 mg/L

0 SEW6R,4, F
Metropolitan Sewerage District
,.••=, = OF BUNCOMBE COUNTY, NORTH CAROLINA
c G
oo1j va safub�__ PP
0
dF �
TY, 10
March 2, 2022
Environmental Services Branch
NCDEQ-Division of Water Resources
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Dear Ms. Moore,
Enclosed are two (2) copies of the results and supporting information of the bioassay toxicity testing for
the week of February 8, 2022, for the Metropolitan Sewerage District of Buncombe County (MSD). This is
the first of the four required chronic pass/fail toxicity test in 2022. As indicated on page eight (8) of this
report, the results of this report are "Pass." These results are also reported on our monthly eDMR report
for the month of February.
If you have questions concerning this report, please feel free to contact me.
Sincerely,
Roger Edwards, Director
Operations & Pretreatment Division
Office (828)-225-8224
[e-mail]
Protecting Our Natural Resources-
2028 RIVERSIDE DRIVE, ASHEVILLE, NORTH CAROLINA28804 TELEPHONE: [phone] FAX: [phone] WEBSITE: www.msdbc.org

(�IacieAnalytical
www.pacolabs.com
March 01, 2022
Mr. Roger Edwards
Metropolitan Sewerage District
2028 Riverside Drive
Asheville, NC 28804
RE: Project: NCO024911 Bioassay
Pace Project No.: 92586733
Dear Mr. Edwards:
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory between February 08, 2022 and February 10,
2022. 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.
Some analyses were subcontracted outside of the Pace Network. The test report from the external subcontractor is
attached to this report in its entirety.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Lorri Patton
[e-mail]
1(828)254-7176
Project Manager
Enclosures
cc: Ms. Shannon Bergeron, Metropolitan Sewerage District
Mr. John Gosnell, Metropolitan Sewerage District
Ms. Sheila Kilby, MSD of Buncombe County
Mr. Chad Ledford, Metropolitan Sewerage District
Mr. Dwayne Martin, Metropolitan Sewerage District
Ms. Angel McCrain, MSD of Buncombe County
Patrick Smith, MSD of Buncombe County, NC
Mr. Alan Taylor, Metropolitan Sewerage District
AC O
a 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

Document Name:
Document Revised: November 15, 2021
2Page
Sample Condition Upon Receipt (SCUR)
1 of 2
—
Document No.:
Issuing Authority:
8CeAnalyt1m1
F-CAR-CS-033-Rev.08
Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville Eden[] Greenwood ❑ Huntersville ❑ Raleigh[] Mechanicsville❑ Atlanta❑ Kernersville❑
Client Name: WO# : 92586733
Project N:
I�T-T
Courier: ❑Fed Ex ❑UPS ❑LISPS [Client 1111111 IN 11111111
❑Commercial ❑Pace []other: 92586733
Custody Seal Present? ❑Yes �No Seals Intact? ❑YesNo
date/Initials Person Examining Contents:" Z- sr 27-
Packing Material: ❑Bubble Wrap ❑Bubble Bags ONone ❑ Other Biological Tissue Frozen?
Thermometer: O ❑Yes ❑No &A
Net ❑Blue ❑None
(VIR Gun ID: 6- -p Type of Ice:
Correction Factor:
Cooler Temp: — 16 - Add/Subtract K) Temp should be above freezing to 6°C
❑5amples out of temp criteria. Samples on ice, cooling process
Cooler TerMp Corrected (°C): (, S has begun
USDA Regulated Soil (0 ?1/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
t, ]':ar,.,. fh c tr pi-0 Ayes I-IPIo
Llres LJ1'Av
Comments/Olscrepancy:
Chain of Custody Present?
)Yes
❑No
❑N/A
1.
Samp les Arrived within Hold Time?
Short Hold Time Analysis (<72 hr.)?
VYes
(Dyes
❑No
❑No
❑N/A
[]NIA
2.
3.
Rush Turn Around Time Requested?
❑Yes
174610
❑N/A
4.
Sufficient Volume?
Yes
❑No
[]N/A
5.
Correct Containers Used?
• Pace Containers Used?
Dyes
[ Yes
❑No
❑No
❑N/A
❑N/A
6.
Containers Intact?
Mom
❑No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
[]Yes
❑No
.BNI/A
8.
Sample Labels Nlatch COC?
-includesDatefine/ID/Analysis Matrix:
Heads pace in VOAVials(>5-6mm)?
Dyes
wT
❑Yes
❑No
❑No
❑N/A
(1N/A
9.
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑yes
❑No
❑No
N/A
ZN/A
11.
COMMENTS/SAMPLE DISCREPANCY
Field Data Required? ❑Yes []NO
Lot ID of split containers: _
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review: Date: ( cs-Z
/91 a 1 Page 2 of 12
Project Manager SRF Review: Date: rJ( ) _

Document Name:
Sample Condition Upon Receipt (SOUR)
Document Revised: November 15, 2021
Page 2 of 2
Document No.:
Issuing Authority:
. ce/Inalytieal
F-CAR-CS•033-Rev.08
Pace Carolinas Quality Mice
*Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
"Bottom half of box is to list number of bottles
1
2
3
4
5
6
7
8
9
10
11
12
U
Project # r Wn# : 92586
PM: UP Due Date: 02/18/22
CLIENT: 93—MSO
�.
y
11
fp
J
0
a
a
y
u
in
n
J
0
ra
¢
z
C
Q
a
aaaaa
m
u
....
V
_u
N
J
Vi
m
V
=
V
N
l
6
J
o
0
O
ca
Z
U
N
J
to
cc
Ny
i
Z
u
J
in
to
L
7
O
E
v_
>
a
V
D
Cj
'L
>
Q
D
E
a
e
2
a
Z
d
E
a
J
o
V
p
E
Q
I
O
D
a
J
lotf�tt
to
Z
._.
T
O
N
M
Q
0
j>
E
a
Q
0
QE
>
d
?
v
>
4
O
J
a
>
aO0
a
Q
0
J
of
E
?
oa
y
G
M
a
Oi
-
2
1
to
I
Q.
>
>
a
Q
CJ
y
to
n
a
to
D
m
Q
na
y
u
LA
uo�
a
LA
`
—I
os
rn
ai
d
O
N
?c
♦.
to
Q'
�0t
N
en
a
m
y
v
>
a
�r
c
D
E
a
E
0
rl
a
Q
Z
w
'c°
C
N
.J
0
N
>
'�
a
m
a
5a
N
E
a
J
0
q
M
o
I I
i
F
N\\d
I
N\
\\`q
N
pH Adjustment Log for Preserved Samples _
Sample ID Type of Preservative pH upon receipt Date preservation adjusted Tfine preservation Amount of Preservative Lot M
adjusted added
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Cerlifiratlon Office (i.e
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 3 of 12

W
I�1
?iPII�ii R"@i�
I �91 i wmr4��41�i '�� r�11F
PO Box 16414, Greenville, SC 29606-7414
[phone], [phone] Fax:[phone]
Shipping Address: 4 Craftsman Ct, Greer, SC 29650
W W W-=CN V IRO NM CNIAL.COM
CHAIN OF CUSTODY RECOR-D
0
0
Page
of
Client: nVW 6D � p7KoM� • vn-
�
I'rooram
Containers
Preservative
Parameters
Facility: yj
<
2
-
U
`o
c
_
n
=
c
i
o
r
m
C
o
Z
m
.y
�
U
O
�
c
C7
=
O
>
�
Intl?SO4
= HCL
satNos
e pd cr
���hn,c srnnent roxicih
z
c
Chemical Analysis & Other
°
�
i
z
;n
State: NC NPD) S #: C VO
N �49 �
Acute
Chronic
Tcst Orgamsms
i
1
l
SAMPLE ID
U
U
G
U
(Compositc only)
Compositc SWM Dnte Time
(Grab or Compositc)
Snmplc Callcnion Dntc Time
Sign, and Print below
the dotted line
Collected by
"c
H
<
U
=
<
L
='
U
J
U
o
U
CU
=
O
-
L
c
.=
2
h
=
U
I
_cti� l�r is •/
I
r/x
I�'/ El�s�f
-------------
-------------
- - - - - - - - - - - - -
—LL
I
I
L
Special Instructions:
Sample Custody Transfer Record
Date Time Relinquished By / Organization Received By / Or-,anization
Secure
Area
Receipt
Temp °C
Sample
Preserved?
/M-SP
fu��! l� C C�L - - =� 0`jsy
AAIPOSITE SAMPLING PROCEDURES TEMPERATURE d10NITORING PROCEDURES HOLD TIME PROCEDURES
,omposite samples trust be collected over a 24 hour period. Sample temperature during collection and transport must be benvicen For toxicity testing the sample must first be used within 36 hours
'ime Proportional: 1 sample each hour for 24 liours. Equal volm 0.0 and 6.0 'C. Samples must not be frozen. Use water ice in sealed bags. of sample collection (completion of composite sample).
Ir at minimum 1 sample every 4 hours over 24 hours. Sample may not be used after 72 hours from sample collection.
'low Proportional: As per instructions in NPDES permit.

�li�il I II ETT�tl=' -A, � y�'4➢��a"���as
PO Box 164'14, Greenvitie, SC 29606-7414
[phone], [phone] Fax:[phone]
Shipping Address: 4 Craftsman Ct, Greer, SC 29550
�`/".'W.CTTEN VIRp NM ENTA I.COM
CHAIN OF CUSTODY RECORD
Pa�c of
" «cv�cuvlcca HOLD TIME PROCEDURES
ontpOStte Samples must be collected over a 24 hour period. Sample temperature during collection and transport must be between
Time Proportional: ] sample each ]tour for 24 hours. Equal volut 0.0 and 6.0 *C. Samples must not be frozen. Use water ice in scaled bags. For toxicity testing die sample must first be used within 36 hours
n
or at minimum 1 sample eve4 hours over 24 hours. ofsample collection (completion of composite sample).
Flow Proportional: As per instructions in NPDES permit. Sample may not be used after 72 hours from sample collection.

N
C ,rustcdv-
`o
PASI Charlotte Laboratory
�,-AaceAnalyfica f
www.paceiabs.com
Workorder: 92586733 Workorr,Fr Nlnn -• nir nnn—l..
Thursday, February 10. 2022 9:56:36 AM
FMT-ALL-C-002rev.00 24March2009
FagC 1 of 1

env ronmonta ,Ina.
RO. Box 16414, Greenville, 6C &N606
(6B4) E377-6CM .17AN [phone]
4 Craftsman Carl, Greer, 5C 29650
Ceriodaphnia dubia Survive and Reproduction Test
EPA-821-R-02-013 Method 1002
Client: MSD OF BUNCOMBE COUNTY
Facility: WRF
NPDES #: NCO024911
Test Date: 09-Feb-22
Laboratory ID #: T61241
Test Reviewed and Approved By:
AW �14
Robert W. Kelley, Ph.D.
President
Certification #E87819
Test results presented in this report conform to all requirements of
NELAC, conducted under NELAC Certification Number E87819
Florida Dept. of Health. Included results pertain only to provided samples.
Page 1 of 6
Patrick D. Titans
QA/QC Officer
SCDHEC Certification #23104
NCDENR Certification # 022 Page 7 of 12

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 23-Feb-22
Facility: MSD OF BUNCOMBE CO. WRF NPDES#N00024911 Pipe# 001 County: Buncombe
Laboratory Performing Test: Comments
X
Signature of Operator in Responsible Charge
X
Signature of LaboratorySupervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Rank sum= 144.5
Critical Value= 109
°
CONTROL ORGANISMS
# Young Produced
Adult (L)ive (D)ead
Effluent%
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)ive (D)ead
1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= 0.0%
22
21
23
21
23
22
24
22
22
22
21
23
L
L
L
L
L
L
L
L
L
L
L
L
c c I 0 I 11 19
21
22
21
25
22
21
21
22
23
21
24
23
L
L
L
L
L
L
L
L
L
L
L
L
pH 1slsample lslsample 2nd sample
Control 7.8 8.0 7.8 8.2 7.7 8.3
Treatment 2 7.8 8.1 7.8 8.4 7.8 8.3
start end start end start and
D.O. 1slsam le 1stsam le 2nd sam le
Control
Treatment 2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
LC50 = %
95% Confidence Limits
Organism Tested
to This for Either Test
in (Start) Dale
1 07-Feb-22
0%
Control
22.2
Control
0%
eatment 2
22.2
Treatment 2
Dntrol CV
4.2%
PASS FAIL
%3rdBrood
100%
X
Test Start Date
09-Feb-22
Sample 2 09-Feb-22
Grab Comp IDuration 1st 2nd
Sample 1 X 24hrs. Tox Tox
Sample 2 1 1 X 124hrs. Dilution Sample Sample
Hardness (mg/L) 81.6
Spec. Cond. (pmhos) 305 491 540
Chlorine (mg/L) <.05 1<.05
note Temp. at receipt (°C) 2.0 1.0
Mortality start/end start/end
Method of Determination Control
Average gProbit High Conc.
..an Kerber 1 Other pH D.O.
dubia
Page 8 of 12
DEM Form AT-1
Page 2 of 6

STATISTICAL ANALYSIS RESULTS
Facility: NISD NPDEsa NCO024911
Sample ID: WWTP ETT# T61241 Date: 09-Feb-22
Laboratorw Exp. Date: 11/l/2022
Survival Data
7 Day Survival Test Used: FISHERS TEST
Control 100% Test Statistic: P= 1.000
Effluent 100% Critical Value: P= 0.01
PASS: The effluent does not reduce survival of the test organisms.
Reproduction Data
Ran, Data
Test for Normality
Mean young/female
Std. Dev.
Test Used: Shapiro-Wilks Test:
Control 22.2
0.94
Effluent 22.2
1.34
W:
0.874
Critical Value:
0.884
Analysis for Differences in Reproduction
Test for Homogeneity of Variance
Test Used: Wilcoxon Test
Test Used: F Test
Rank sum=
144.50
F—
2.03
Critical Value=
109.00
Critical Value—
5.32
The data are homogeneous in variance
PASS: The effluent is not chronically toxic.
Page 9 of 12
Page 3 of 6

Control Mortality and Reproduction by Test Day
1 2 3 4 5 6 7 8
Total
source
rep
HH6 2-2
1
+4+7
11
22
P41-27
2
3
+7+11
21
P5 1-27
3
4
+6+13
23
M4 1-27
4
+4+7
10
21
S81-28
5
3
+8+12
23
S3 1-28
6
+4+7
11
22
C1 1-28
7
4
+9+11
24
JJ8 2-2
8
+4+8
10
22
HH3 2-2
9
+4+6
12
22
F2 1-28
10
+3+8
11
22
L4 1-27
11
4
+7+10
21
J3 1-27
12
4
+8+11
23
13
N/A
0
14
N/A
0
15
N/A
0
16
N/A
0
17
N/A
0
18
N/A
0
19
N/A
o
Mean
20
N/A
0
22.2
12 % Effluent Mortality and Reproduction by Test Day
1 2 3 4 5 6 7 8
Total
HH6 2-
1
+4+7
10
21
P4 1-27
2
4
+9+9
22
P 5 1-27
3
+4+7
10
21
M4 1-27
4
4
+10+11
25
S8 1-28
5
+5+6
11
22
S 3 1-28
6
+4+7
10
21
C1 1-28
7
+3+7
11
21
JJ8 2-2
8
+4+6
12
22
HH3 2-2
9
+4+8
11
23
F2 1-28
10
+4+6
11
21
L4 1-27
11
+4+8
12
24
J3 1-27
12
+3+8
12
23
0
13
N/A
0
0
14
N/A
0
0
15
N/A
0
0
16
N/A
1
0
0
17
N/A
0
0
18
N/A
0
0
19
N/A
o
Mean
0
20
N/A
0
22.2
renew
JG
JC
End Date
fed
AM
JG
JC
AM
JC
JC
16-Feb-22
time fed & renew
1 08.05 Art
03:11 PEA
06:22 AM
06:22 nM
11'.28 Ar.l
0]:53 AIA
n zz nre JC
New temp. °C
24.7
24.6
Old temp. °C
25.2
24.8
1 24.6
Control New temp. °C
24.5--+-
24.6
Lab#
T61241
Client
MSD
Sample ID
WWTP
NPOES#
NCO024911
County
Buncombe
Month
2
Start & fed Date
Start & fed Time
Started & fed By
Test Organism
09-Feb-22
01:30 PM
AM
Ceriodaphnia dubia
Neo. born date
08-Feb-22
Neo. born time
Test Type
1645-2200
NCCPF
Dilution Water
MHSF
Units for Conc.
IWC
12
%3rd BROOD
Test vessels
30 ml
Test volume
15 ml
Incubator #
1
Light
161t/8dk
Initial Temp °C
24.8
Selenastrum
0.05 ml
YAT
0.05 ml
Test method
EPA 821-R-0-013.1002
in! tem
232 AND 61241 SHARE A CONTROL
or not used
Page 4 of 6
Page 10 of 12

y LITTM
PO Box 16414, Greenville, SC 29508-7414
(B64) 877-6942, [phone] Fax:(864) B-77 6938
Shipping Address: 4 Craftsman Ct, Greer, SC 29650
W WW.ETTENyIRMNMENTAL.CCM
CHAIN OF CUSTODY RECORD
Client: �n j
lrlSD blj� 3vl1CQy+y
Program
Containers
Preservative
C
Parzmetcrs
Facility: V'j y�
k
Whole ERucnt Toxicity
EEE
k
< rl
e I .q
Iv State: NC NPDES f C VO;; L l
Acute
Chronic
Test Or.anisms
c(Composite
only)
(Grab or Composite)zz
=
Sign, and Print below
-
?= HCL
el
=
__
_
n
.
_
=
the dotted line
e
_
•�
V
y
4=N',ox
=
°
c
o
=
_
_—
'
%+
=
_
SAtVI 'LE ID
�?
Compasim star Dam Time
Sample Collcaion Date Time
Corrected by
U
U
$
in
vt
p
z
c
t
c
�
.-
U
O
>
p
5=Zo.4c
o
<
o
<
U
J
U
�
'=
�
✓
T—
U
_
3
�
Chemical Analysis £ Other E
1�lr�t"I
C
�
_.�clt��!> teZ(�/
i
(/�
✓I
I
✓
H
I
I
Ipw'4c
I
I
E ion
�412ut �C
1
W7/;,l
21 �1a ,
I
I
r�
v
I
it
IIII
1
>
1
-------------
e
l
llllli
l
-------------
I
IIII
Special Instructions:
Sample Custody Transfer Record
(
Secure
I
Receipt
Sample ¢
a
Date Time Relinquished By / Organization Received By/ Omani
pp -, �' —y 'i; 0
p ^� j�jj �'(y'1
Area
Temo'C
�
Preserved?
/Jj
2/g-rya iMs� I�1�°c Pi Vf"Y"-
,t �
2 ml2l m7n77k EEL
D
A--OSITE S4A4PLIi\rG PROCEDURES
TEd1PEIt 4TURE AIO?�%TORIArG PROCEDURES
HOLD T_/d1E PROCE7L`!ZS
For toxicity testing the sample must first be used -within 36 hours
Opposite samples must be collected over a 24 hour period.
Sample temperature during collection and transport must be between
sample collection (completion ofcomposite sample).
Time Proportional: I sample each hour for24 hours. Equal volui
0.0 and 6.0'C. Samples must not be frozen. Use water ice in sealed bass.
of
Sample may not be used after 72 hours froma snvie collection.
or at minimum I sample every 4 hours over 21 hours.
Flow Proportional: As per instructions in NTPDES emlit

LIT
JHIM ? u r
PO Box 16414, Greerrville. SC 2960647414
[phone], [phone] F=[phone]
Shipping Address: 4 Craftsman Ct, Greer, SC 29650
W W W.CTTfN V1 RONM=—AL..=0M
CHAIN OF CUSTODY CO
Pa_e of
Client: -5 6. y.,Goyyl
Program
Containers
Preservative'
Parameters
Facility: W R
—
leholcGfnucntTaxiciq•
�+ E
A p� r� 1 7
State: %V • C- 1PDESE: 9v-C 000A9 I
Acute
Chronic•
Test Organisms
-
(Composite only)
(Grab or Composite)
4
0
��
=
v
'—'-
�_
-
v
=
Sian. and Print below
3
U
M
v
2-HCL
n
-
z
_
-°
-
o
`z
-
{
the dotted line
E
•O
y
4-NOH
o
o
V
_
:^
_
r
°
Fj
—
SAMPLE ID
a3
Campasuesmrt Dnte Time
Sample Calledian Date Time
Collected by
v
Uri
O
O
rn
O
z
,
—
a
v
O
>
U
—
5= ZR c
s=Odic:
:J
<
O
<
U
U
v
=
^
_
U
—
`
%
—
Ch=_mieal Analysis s other
c
ajmq as dq�
a1aa �
�- l �'-s----
t
1912'�1�
F� >
-------------
I
IIII
I
I
I
III
II
Special Instructions:
Sample Custody Transfer Record
I.Area
Secure
Receipt
Samle
�__Preser-ved?
pI
Date me Relinquished shed By Organization Received BY / Or,anization
Ti
Temp'C
a i as �. cds j,hs �ls � -_
✓,
�l II Y''+ v
I��
2
MPOSITE SdAUPLING PROCEDURES
r
TEAUPER:?TURE ACOAUTORIAGr PROCEDURES
HOLD TINEPP.00EDURES
For toxicit,'testing the sample mus fi be used rdfllin 36 hours
Cgmposite samples must be collected over a 24 hour period.
Sample temperature during collection and transport must be between
collection (completion of composite sample).
TNie Proportional: I sample each hour for 24 hours. Equal eolul
0.0 and 6.0 `C. Samples must not be frozen- Use water ice in sealed bags.
of sample
Sample may not be used after � hours from sample collection.
or at minimum l sample every 4 hours over 24 hours.
Flow Proportional: As per instructions in NIMES permit