WQ0005555_Monitoring - 03-2023_20230418 (2)

Monitoring Report Submittal
...................................................
Permit Number#* WQ0005555
Name of Facility:* Weyerhaeuser Company
Month: * March Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 3 2023 Mar NDAR & NDMR.pdf 1.84MB
PDF Only
GW-59 MARCH 2O23 GW-59.pdf 4.26MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Dennis R Atkinson
Signature:
a�i� rr«t ��t. �:►�Jow
Date of submittal: 4/18/2023
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0005555
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 6/13/2023

GAV-59A COMPLIANCE REPORT FORM Permit # V8'00005555
(Submit one each monitoring period with GW-59 forms.) GW-59A
I
Enter date monitoring results were due. (4/30/23) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
GW5-18 ug/l - Chromium
GW 15-30 ug/1- Chromium
The last test in Nov. 2022 were both below 10 ug/l.
For the constituents identified in question 4 above, have standards been exceeded previously for the same
5
YES
NO
constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE
IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact
the Regional Office.
Is the permittee implementing previously approved actions required by the Division involving this
7
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES'; describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
g
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this report
(Compliance Report-59A) is true and complete to the best of my knowledge.
Nwo/
-
Signature of Permittee (or Authorized Agent)
Date

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EM1617
DMSION OF WATER QUALITYaNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: W00005555 Expiration Date: 8/31/2025
Facility Name Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin "'""' NC
28621 County Surry
El Lagoon 0 Remediation: Infiltration Gallery
"°'
■❑ Spray Field ❑ Remediation:
Contact Person Dennis Atkinson
Telephone# [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocatioNSite Name 36 Deg 15.112N / 80 Deg 47.447W
No of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 4
Date sample collected. 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 61.00 ft.
Well Diameter: 2 in.
pH 00400: 5.1 units Temp. 000lo: 14 oC
DRY at
Depth to Water Level 82546: 48 ft. below measuring point Screened Interval . ft to
— ft. Spec. Cond. 00094: 55 µMhos
time of
sampling,
Measuring Point is 13 ft. above land surface
Relative M P Elevation: ft.
Odor 00085 none
check
Volume of water pumped/bailed before sampling.
6.4
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered. m YES
❑ NO and field acidified. ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335 <30
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 <0.10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.500
mg/L
(Note use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 98
mg/L
Al - Aluminum o11o5
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <1.00
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34 5
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610 <.010
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH. as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: W00005555 Expiration Date: 5/31/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
�:qY
❑■ Spray Field El Remediation:
Contact Person: Dennis Atkinson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No. of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from PemNt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 5
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 45.60 ft.
Well Diameter: 2 in.
pH 00400: 4.1 units Temp. 000lo: 14 °C
DRY at
Depth to Water Level 82546: 38.6 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: 19.86 µMhos
time of
sampling,
Measuring Point is 1.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
3.1
gallons
Appearance slightly turbid
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335 <30
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 <0.200
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.500
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <68
mg/L
Al -Aluminum 01105
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) oo4o3
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <1.00
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 18
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L . method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0005555 Expiration Date: 8131/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Dennis Atkinson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No. of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Perrrut
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 6
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 57.00 ft,
Well Diameter: 2 in.
pH 00400: 5.02 units Temp. 000lo: 16.4 °C
DRY at
Depth to Water Level 82546: 47.2 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: 25.05 µMhos
time of
sampling,
Measuring Point is 9.6 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4.8
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335 <30
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 .713
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 78
mg/L
Al - Aluminum 01105
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <1.00
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34 5
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 787,32 method # 8260B
Total Ammonia 00610 <•010
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N. Ammonia Nitrogen, Total
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Penntttee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION
Please Pnnt Clearly or Type
PERMIT Number: W00005555 Expiration Date: 5/31/2025
Facility Name Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin `1ee1' NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
� Spray Field El Remediation:
Contact Person Dennis Atkinson
Telephone# [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location!Site Name 36 Deg 15.112N 180 Deg 47.447W
No of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from P.—t
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 7
Date sample collected. 3/21/2023
FIELD ANALYSES:
WAS
Well Depth. 60 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: eC
DRY at
Depth to Water Level 62546:57.6 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2.4 ft. above land surface
Relative M P Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling-
1.17
gallons
Appearance
here:
Samples for metals were collected unfiltered. ® YES
❑ NO and field acidified. ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L Formaldehyde, Total mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total wo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732. method # 8260B
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
Ammon a Nitrogen NH,as N: Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DMSION OF WATER QUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: WQ0005555 Expiration Date: 8/31/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Dennis Atkinson
Telephone# [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 8
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 56 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:54.15 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 1.85 ft. above land surface
Relative M P Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
.75
gallons
Appearance
here:a
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified. ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/27/22
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100ml-
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L Formaldehyde, Total ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride oosao
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia ooslo
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, N1­13as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Pennittee (or Authorized Agent) Name and Title - Please print or type
Uzi
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�16117
DIVISION OFWATERQUALITY-INFORMATIONPROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699461T Phone: [phone]
FACILITY INFORMATION
Please Pnnt Clearly or Type
PERMIT Number: W00005555 Expiration Date: 5/31/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin '1e ' NC
28621 CountySur ry
El Lagoon El Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Dennis Atkinson
Telephone# [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 9
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 58 ft.
Well Diameter: 2 in.
pH 00400units Temp. 000lo: Or
DRY at
Depth to Water Level 82546:55.25 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.75 ft. above land surface
Relative M.P Elevation: ft.
Odor 00085
check
Volume of water pumped/bailed before sampling:
1.4
gallons
Appearance
here:
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified. ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum o11os
mg/L Formaldehyde, Total ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride oosao
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
,Ammonia Nitrogen, NH.as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OFWATER QUALITY4NFORMATIONPROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0005555 Expiration Date: 8/31/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
N Spray Field Remediation:
Contact Person: Dennis Atkinson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No. of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 10
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 29.0 ft.
Well Diameter: 2 in.
pH 00400: 4.2 units Temp. 000to: 15 °C
DRY at
Depth to Water Level 82546: 20.9 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: 38.4 µMhos
time of sampling,
Measuring Point is 8.1 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 <30
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 1.51
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.500
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 98
mg/L
Al - Aluminum 01105
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 2.69
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34 6
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC '6732 method # 8260B
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
Ammonia Nitrogen, N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
}
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�16117
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0005555 Expiration Date 8/31/2020
Facility Name- Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC
28621 County Surry
❑ Lagoon ❑ Remediation: Infiltration Gallery
''°
❑■ Spray Field ❑ Remediation:
Contact Person Dennis Atkinson
Telephone# [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N ; 80 Deg 47.447W
No of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Pemut
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 11
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 48.0 ft
Well Diameter: 2 in.
pH 00400: 5.1 units Temp. 000lo: 13.6 °C
DRY at
Depth to Water Level 82546. 33.2 ft below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094: 31.3 µMhos
time of
sampling,
Measuring Point is 14.8 ft above land surface
Relative M P Elevation ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
9
gallons
Appearance Slightly turbid
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335 31.3
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 <0.200
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <.500
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 110
mg/L
Al - Aluminum of 105
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.26
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 1.83
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 6
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) M No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
.Ammonia Nitrogen, NH.as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Steve Kobelak, Mill Manager
Perrntttee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00005555 Expiration Date: 8/31/2025
Facility Name: Weyerhaeuser NR Company
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 524 Pride Way
TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin 4c NC
28621 County SurrY
❑ Lagoon ❑ Remediation: Infiltration Gallery
'Ay
Spray Field El Remediation:
Contact Person: Dennis Atkinson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 Deg 15.112N / 80 Deg 47.447W
No. of wells to be sampled: 9
❑ Water Source Heat Pump ❑ Other:
from Perm
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 12
Date sample collected: 3/21/2023
FIELD ANALYSES:
WAS
Well Depth: 50 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 000lo: 13.8 eC
DRY at
Depth to Water Level e2546: 46.00 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: 87.2 µMhos
time ofsampling,
Measuring Point is 4 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
1.9
gallons
Appearance slightly turbid
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Beginning 3/22/2023
Laboratory Name: Waypoint Analytical
Certification No. 402
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335 <30
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <2
/100ml-
Nitrate (NO3) as N 00620 4.67
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.500
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 132
mg/L
Al - Aluminum o11o5
mg/L Formaldehyde, Total <500 ug/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.40
mg/L
Ca - Calcium 00916
mg/L
Chloride oo9ao 3.56
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34 30
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 <0.00020
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610 0.25
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH,as N, Ammonia Nitrogen Tota
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal°/.
Steve Kobelak, Mill Manager
Perrnittee (or Authorized Agent) Name and Title - Please print or type
3
GW-59 Rev.2/2010

Waypoeinto
ANALYTICAL
4/12/2023
Weyerhaeuser Corporation
Dennis Atkinson
524 Pride Way
Elkin, NC, 28621
Ref: Analytical Testing
Lab Report Number: 23-081-0027
Client Project Description: Groundwater
Dear Dennis Atkinson:
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Waypoint Analytical, LLC (Charlotte) received sample(s) on 3/22/2023 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
co'�wU�.
Terri W Cole
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 35

Waypoint
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytica I.tom
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State
Program
Lab ID
Expiration Date
North Carolina
State Program
37735
07/31/2023
North Carolina
State Program
402
12/31/2023
South Carolina
State Program
99012
07/31/2023
South Carolina
State Program
99012
12/31/2022
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2023
Florida
State Program - NELAP
E871157
06/30/2023
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2023
Illinois
State Program
- NELAP
200078
10/10/2023
Kentucky
State Program
80215
06/30/2023
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program
- NELAP
LA037
12/31/2023
Louisiana
State Program
- NELAP
04015
06/30/2023
Mississippi
State Program
MS
11/14/2025
North Carolina
State Program
47701
07/31/2023
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program
- NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2023
Tennessee
State Program
02027
11/14/2025
Texas
State Program
- NELAP
T104704180
09/30/2023
Virginia
State Program
00106
06/30/2023
Virginia
State Program
- NELAP
460181
09/14/2023
Page 1 of 1 00016/23-081-0027
Page 2 of 35

Waypoint (D 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 23-081-0027
Client Project Description: Groundwater
Lab No
Client Sample ID
Matrix
Date Collected
Date Received
Method
Lab ID
91881
MW-5
Aqueous
03/22/2023 08:35
03/22/2023 13:10
91881
MW-5
Aqueous
03/22/2023 08:35
03/22/2023 13:10
245.1
WP MTN
91881
MW-5
Aqueous
03/22/2023 08:35
03/22/2023 13:10
365.4
WP MTN
91881
MW-5
Aqueous
03/22/2023 08:35
03/22/2023 13:10
8315A
WP MTN
91881
MW-5
Aqueous
03/22/2023 08:35
03/22/2023 13:10
531OC-2011
WP MTN
91895
MW-11
Aqueous
03/22/2023 08:55
03/22/2023 13:10
91895
MW-11
Aqueous
03/22/2023 08:55
03/22/2023 13:10
365.4
WP MTN
91895
MW-11
Aqueous
03/22/2023 08:55
03/22/2023 13:10
8315A
WP MTN
91895
MW-11
Aqueous
03/22/2023 08:55
03/22/2023 13:10
7470A
WP MTN
91895
MW-11
Aqueous
03/22/2023 08:55
03/22/2023 13:10
531OC-2011
WP MTN
91896
MW-12
Aqueous
03/22/2023 09:15
03/22/2023 13:10
91896
MW-12
Aqueous
03/22/2023 09:15
03/22/2023 13:10
7470A
WP MTN
91896
MW-12
Aqueous
03/22/2023 09:15
03/22/2023 13:10
531OC-2011
WP MTN
91896
MW-12
Aqueous
03/22/2023 09:15
03/22/2023 13:10
8315A
WP MTN
91896
MW-12
Aqueous
03/22/2023 09:15
03/22/2023 13:10
365.4
WP MTN
91897
MW-10
Aqueous
03/22/2023 09:45
03/22/2023 13:10
91897
MW-10
Aqueous
03/22/2023 09:45
03/22/2023 13:10
8315A
WP MTN
91897
MW-10
Aqueous
03/22/2023 09:45
03/22/2023 13:10
7470A
WP MTN
91897
MW-10
Aqueous
03/22/2023 09:45
03/22/2023 13:10
531OC-2011
WP MTN
91897
MW-10
Aqueous
03/22/2023 09:45
03/22/2023 13:10
365.4
WP MTN
91898
MW-4
Aqueous
03/22/2023 10:00
03/22/2023 13:10
91898
MW-4
Aqueous
03/22/2023 10:00
03/22/2023 13:10
8315A
WP MTN
91898
MW-4
Aqueous
03/22/2023 10:00
03/22/2023 13:10
7470A
WP MTN
91898
MW-4
Aqueous
03/22/2023 10:00
03/22/2023 13:10
531OC-2011
WP MTN
91898
MW-4
Aqueous
03/22/2023 10:00
03/22/2023 13:10
365.4
WP MTN
91899
MW-6
Aqueous
03/22/2023 10:20
03/22/2023 13:10
91899
MW-6
Aqueous
03/22/2023 10:20
03/22/2023 13:10
8315A
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 3 of 35

(D
Waypoint
449 Springbrook
Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL
www.waypointanalytical.com
Sample
Summary Table
Report Number: 23-081-0027
Client Project Description: Groundwater
Lab No Client Sample ID
Matrix
Date Collected
Date Received Method
Lab ID
91899 MW-6
Aqueous
03/22/2023 10:20
03/22/2023 13:10 7470A
WP MTN
91899 MW-6
Aqueous
03/22/2023 10:20
03/22/2023 13:10 531OC-2011
WP MTN
91899 MW-6
Aqueous
03/22/2023 10:20
03/22/2023 13:10 365.4
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 4 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91881
Sample ID: MW-5
Matrix: Aqueous
Sampled: 3/22/2023 8:35
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
19.86
pmhos/cm
1
1
03/22/23 08:35
FLD
FIELD
Ammonia Nitrogen
<0.10
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
<1.00
mg/L
1.00
1
03/22/2314:34
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
<0.200
mg/L
0.200
1
03/22/23 14:34
CMJ
9056A
pH
4.1
S.U.
1
03/22/23 08:35
FLD
FIELD
Total Dissolved Solids
68
mg/L
50
1
03/23/23 16:05
CMJ
254OC-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:45
ANH
365.4
TOC
<1.00
mg/L
1.00
1
03/30/23 02:48
CJD
531OC-2011
Temperature
14.0
C
0.1
1
03/22/23 08:35
FLD
FIELD
Chromium
0.018
mg/L
0.005
1
03/30/2319:37
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:13
FDS
245.1
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 5 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91881 Matrix: Aqueous
Sample ID: MW-5 Sampled: 3/22/2023 8:35
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 20:36 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 6 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91895
Sample ID: MW-11
Matrix: Aqueous
Sampled: 3/22/2023 8:55
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
31.3
pmhos/cm
1
1
03/22/23 08:55
FLD
FIELD
Ammonia Nitrogen
<0.10
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
1.83
mg/L
1.00
1
03/22/2313:47
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
<0.200
mg/L
0.200
1
03/22/23 13:47
CMJ
9056A
pH
5.1
S.U.
1
03/22/23 08:55
FLD
FIELD
Total Dissolved Solids
110
mg/L
50
1
03/23/23 16:05
CMJ
254OC-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:47
ANH
365.4
TOC
1.26
mg/L
1.00
1
03/30/23 03:26
CID
531OC-2011
Temperature
13.6
C
0.1
1
03/22/23 08:55
FLD
FIELD
Chromium
0.006
mg/L
0.005
1
03/30/23 20:08
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:49
FDS
7470A
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 7 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91895 Matrix: Aqueous
Sample ID: MW-11 Sampled: 3/22/2023 8:55
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 20:47 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 8 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91896
Sample ID: MW-12
Matrix: Aqueous
Sampled: 3/22/2023 9:15
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
87.2
pmhos/cm
1
1
03/22/23 09:15
FLD
FIELD
Ammonia Nitrogen
0.25
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
3.33
mg/L
1.00
1
03/22/2316:09
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
4.67
mg/L
0.200
1
03/22/23 16:09
CMJ
9056A
pH
4.8
S.U.
1
03/22/23 09:15
FLD
FIELD
Total Dissolved Solids
132
mg/L
50
1
03/23/23 16:05
CMJ
254OC-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:49
ANH
365.4
TOC
1.40
mg/L
1.00
1
03/30/23 04:03
CJD
531OC-2011
Temperature
13.8
C
0.1
1
03/22/23 09:15
FLD
FIELD
Chromium
0.030
mg/L
0.005
1
03/30/23 20:12
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:51
FDS
7470A
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 9 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91896 Matrix: Aqueous
Sample ID: MW-12 Sampled: 3/22/2023 9:15
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 21:31 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 10 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91897
Sample ID: MW-10
Matrix: Aqueous
Sampled: 3/22/2023 9:45
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
38.4
pmhos/cm
1
1
03/22/23 09:45
FLD
FIELD
Ammonia Nitrogen
<0.10
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
2.69
mg/L
1.00
1
03/22/2314:02
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
1.51
mg/L
0.200
1
03/22/23 14:02
CMJ
9056A
pH
4.2
S.U.
1
03/22/23 09:45
FLD
FIELD
Total Dissolved Solids
72
mg/L
50
1
03/23/23 16:05
CMJ
254OC-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:50
ANH
365.4
TOC
<1.00
mg/L
1.00
1
03/30/23 04:41
CJD
531OC-2011
Temperature
15.0
C
0.1
1
03/22/23 09:45
FLD
FIELD
Chromium
0.006
mg/L
0.005
1
03/30/23 20:17
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:52
FDS
7470A
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 11 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91897 Matrix: Aqueous
Sample ID: MW-10 Sampled: 3/22/2023 9:45
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 21:42 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 12 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91898
Sample ID: MW-4
Matrix: Aqueous
Sampled: 3/22/2023 10:00
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
55.0
pmhos/cm
1
1
03/22/23 10:00
FLD
FIELD
Ammonia Nitrogen
<0.10
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
<1.00
mg/L
1.00
1
03/22/2314:18
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
1.48
mg/L
0.200
1
03/22/23 14:18
CMJ
9056A
pH
5.1
S.U.
1
03/22/23 10:00
FLD
FIELD
Total Dissolved Solids
98
mg/L
50
1
03/23/23 16:05
CMJ
254OC-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:54
ANH
365.4
TOC
<1.00
mg/L
1.00
1
03/30/23 05:19
CJD
531OC-2011
Temperature
14.0
C
0.1
1
03/22/23 10:00
FLD
FIELD
Chromium
0.005
mg/L
0.005
1
03/30/23 20:21
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:54
FDS
7470A
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 13 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91898 Matrix: Aqueous
Sample ID: MW-4 Sampled: 3/22/2023 10:00
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 21:53 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 14 of 35

Waypointo
ANALYTICAL
00052
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Weyerhaeuser Corporation Project Groundwater
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91899
Sample ID: MW-6
Matrix: Aqueous
Sampled: 3/22/2023 10:20
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Conductivity
25.05
pmhos/cm
1
1
03/22/23 10:20
FLD
FIELD
Ammonia Nitrogen
<0.10
mg/L
0.10
1
03/24/23 11:17
CMJ
4500-NH3G-2011
Fecal Coliform
<2
cfu/100ml-
2
1
03/22/23 14:26
CMJ
9222D-2015
Chloride
<1.00
mg/L
1.00
1
03/22/2314:50
CMJ
9056A
COD (Chemical Oxygen Demand)
<30
mg/L
30
1
03/24/23 09:50
SMW
5220D-2011
Nitrate (NO3-N)
0.713
mg/L
0.200
1
03/22/23 14:50
CMJ
9056A
pH
5.02
S.U.
1
03/22/23 10:20
FLD
FIELD
Total Dissolved Solids
78
mg/L
50
1
03/23/23 16:05
CMJ
2540C-2015
Phosphorus
<0.500
mg/L
0.500
1
03/27/2315:56
ANH
365.4
TOC
<1.00
mg/L
1.00
1
03/30/23 05:57
CJD
531OC-2011
Temperature
16.4
C
0.1
1
03/22/23 10:20
FLD
FIELD
Chromium
0.005
mg/L
0.005
1
03/30/23 20:25
MMR
6010D
Mercury (Total)
<0.00020
mg/L
0.00020
1
03/27/23 12:55
FDS
7470A
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 15 of 35

Waypointo.
ANALYTICAL
00052
Weyerhaeuser Corporation
Project
Dennis Atkinson
524 Pride Way
Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoi nta na lytica Isom
Groundwater
Report Number : 23-081-0027 REPOR T OF A NA L YSIS
Report Date : 04/12/2023
Received : 03/22/2023
Lab No : 91899 Matrix: Aqueous
Sample ID: MW-6 Sampled: 3/22/2023 10:20
Analytical Method: 8315A Prep Batch(es): L671944 03/24/23 10:43
Prep Method: 8315A
Test Results Units MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde <500 N9/L 500 1 03/24/23 22:04 KDL L671968
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 16 of 35

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix: C-V�
PURGE INFORMATION:
Method of Well Purge: HAND BAILEF
Date / Time Initiated:
Initial Water Level, Feet: 3 �' o
Ground Water Elevation, MSL: �nT
Well Total Depth, Feet: 45.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-5
Field Representative:�"�
Lab Sample #:
Dedicated N
One (1) Casing Volume, Gal: 4 O y
Total Volume Purged, Gal: 3,
Was Well Purged To Dryness: /AL)
Water Level After Purge, Feet:
Date / Time Completed: s2c)
Time
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
pH (std
units)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
S:\Field Services\WAYPOINT Field Information Log
Page 17 of 35
1

FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-5
Method of Sampling: HAND BAILER Dedicated: dY / N
Water Level @ Sampling, Feet: Well Collection Sequence Number:
Parameters: Annual ( ) Semi -Annual () Quarterly ( ) Monthly ( ) Other (X)YEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Temp
pH
Conduct.
Turb.
Other
('C)
(Std. units)
(µmhos/cm)
(NTU)
VOA
l7 (%
Other
INSTRUMENT CHECK DATA:
Turbidity Serial: U std. = NTU NTU std. = NTU
pH Serial #: ��4. rOs t = 7.0 std.: = 10 std.: _
Conductivity Serial#: µmhos/cm = µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @ time of sampling:
Sample Characterisitics: L� 04w
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smapling procedures were in accordance with all applicable EPA, State and Client
protocols.
Date: // By: Company: Lim aiall
S:\Field Services\WAYPOINT Field Information Log 2
Page 18 of 35

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix:
PURGE INFORMATION:
Method of Well Purge: HANDBAILER
Date / Time Initiated: 3 � i —23 OMD
Initial Water Level, Feet: 1q(7
Ground Water Elevation, MSL: 3 2
Well Total Depth, Feet: 48.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-11
Field Representative: T�-
Lab Sample #:
Dedicated: 0 N
One (1) Casing Volume, Gal: 5'
Total Volume Purged, Gal: �—
Was Well Purged To Dryness: —
Water Level After Purge, Feet:
Date / Time Completed: 9-21-23 A�
Time
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
H std
units)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
SAField Services\WAYPOINT Field Information Log
Page 19 of 35
1

FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-11
Method of Sampling: HAND BAILER Dedicated: OY/ N
Water Level @ Sampling, Feet: Well Collection Sequence Number:
Parameters: Annual ( ) Semi -Annual () Quarterly ( ) Monthly ( ) Other (X) X YEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Temp
pH
Conduct.
Turb.
Other
(*C)
(Std. Units)
(µmhos/cm)
(NTU)
J�
VOA
Other
INSTRUMENT CHECK DATA: P W
Turbidity Serial: �'ff NTU std. = NTU NTU std. = NTU
pH Serial #: 4.0 std.: = 7.0 std.: = 10 std.: =
Conductivity Serial#: µmhos/cm = µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @ time of sampling: Pz"�' C..�
Sample Characterisitics: S:je,'d'_A Q 40 94"
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smapling procedures were in accordance with all applicable EPA, State and Client
protocols.
Date: 3 / 2--/ � By: Company:
S:\Field Services\WAYPOINT Field Information Log 2
Page 20 of 35

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix: �;& )
PURGE INFORMATION:
Method of Well Purge: HAND BAILER
Date / Time Initiated:, —21- Z3 0�0
Initial Water Level, Feet: 6' 0
Ground Water Elevation, MSL:
Well Total Depth, Feet: 50.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-12
Field Representative:
Lab Sample #:
DedicatedoY / N
One (1) Casing Volume, Gal: t
Total Volume Purged, Gal: If-9
Was Well Purged To Dryness: lfy
Water Level After Purge, Feet:
Date / Time Completed: 3 2/�23 ��
Time
ruir
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
PH (std
unit)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
S:\Field Services\WAYPOINT Field Information Log
Page 21 of 35
1

FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-12
Method of Sampling: HAND BAILER Dedicated: by N
Water Level @ Sampling, Feet: Well Collection Sequence Number: 3
Parameters: Annual ( ) Semi -Annual () Quarterly ( ) Monthly ( ) Other (X) X YEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Temp
pH
Conduct.
Turb.
Other
(-C)
(std. Units)
(µmhos/cm)
(NTU)
J' Z�
J
VOA
' �
v
, ` 0
7
� ('
Other
INSTRUMENT CHECK DATA:
Turbidity Serial:
pH Serial #:
44
-1-1 std. = NTU NTU std. _
4.0 std.: = 7.0 std.: = 10 std.: =
Conductivity Serial#: µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @time of sampling: l r
Sample Characterisitics:
µmhos/cm =
NTU
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smapling procedures were in accordance with all applicable EPA, State and Client
protocols.
Date: -a /Z2/ 23
By:
Company:
S:\Field Services\WAYPOINT Field Information Log 2
Page 22 of 35

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix: r")
PURGE INFORMATION:
Method of Well Purge: HAND BAILER
Date / Time Initiated: 2f,23 Oi
Initial Water Level, Feet: -26' Cf
Ground Water Elevation, MSL: �� I
Well Total Depth, Feet: 29.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-10
rN
Field Representative:^
Lab Sample #:
Dedicated:/ N
One (1) Casing Volume, Gal: 2
Total Volume Purged, Gal:
Was Well Purged To Dryness: A10—
Water Level After Purge, Feet:
Date / Time Completed: 3-21-93
Time
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
pH (std
units)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
S:\Field Services\WAYPOINT Field Information Log
Page 23 of 35
1

Turbidity Serial
pH Serial #:
Conductivity Serial#:
FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-10
Method of Sampling: HAND BAILER Dedicated: Y, N
Water Level @ Sampling, Feet: Well Collection Sequence Number:
Parameters: Annual ( ) Semi -Annual O Quarterly ( ) Monthly ( ) Other (X)3X YEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Temp
pH
Conduct.
Turb.
Other
('C)
(Scd. Units)
(µmhos/cm)
(NTU)
—
c� ,�
� 'Z2'2� �(��5
VOA
Other
0
INSTRUMENT CHECK DATA:
5 NTU std. _
NTU
4.0 std.: = 7.0 std.: =
µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @ time of sampling: �,�'00y T,
Sample Characterisitics:
NTU std. = NTU
10 std.. =
µmhos/cm =
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smapling procedures were in accordance with all applicable EPA, State and Client
protocols.
Date: 3 /ZZ—/ �� By: Company:
S:\Field Services\WAYPOINT Field Information Log 2
Page 24 of 35

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix: (hJ
PURGE INFORMATION:
Method of Well Purge: HAND BAILER
Date / Time Initiated: 171-23 00
Initial Water Level, Feet: [ 0
Ground Water Elevation, MSL:
Well Total Depth, Feet: 61.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-4
Field Representative: Do�
Lab Sample #:
Dedicated:Q / N
One (1) Casing Volume, Gal: `Z,'
Total Volume Purged, Gal: 6f
Was Well Purged To Dryness:
Water Level After Purge, Feet:
Date / Time Completed:
Time
lulgc
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
H std
p (
units)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
S:\Field Services\WAYPOINT Field Information Log
Page 25 of 35
1

FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-4
Method of Sampling: HAND BAILER Dedicated: N
Water Level @ Sampling, Feet: Well Collection Sequence Number:
Parameters: Annual ( ) Semi -Annual () Quarterly ( ) Monthly ( ) Other (X) X YEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Tem p
pH
Conduct.
Turb.
Other
(IC)
(Std. Units)
(µmhos/cm)
(NTU)
3"2-2 Z3
VOA
Other
NO
(UJo
INSTRUMENT CHECK DATA: F2xx
Turbidity Serial: NTU std. = NTU
pH Serial #:
Conductivity Serial#:
4.0 std.: = 7.0 std.: =
µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @ time of sampling: p g: ��
Sample Characterisitics: C&.*, lvv
NTU std. = NTU
10 std.. =
µmhos/cm =
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smapling procedures were in accordance with all applicable EPA, State and Client
protocols.
Date: I / Z�/ 23
By:
Company:
S:\Field Services\WAYPOINT Field Information Log
Page 26 of 35
2

WAYPOINT ANALYTICAL
FIELD INFORMATION LOG
Facility: WEYERHAEUSER
Location: ELKIN, NC
Sample Matrix:
PURGE INFORMATION:
Method of Well Purge: HAND BAILER
Date / Time Initiated: 3-0(-23 105-s—
Initial Water Level, Feet: q 7, 2—
Ground Water Elevation, MSL: qr
Well Total Depth, Feet: 57.0
Casing Diameter, Inches: 2"
PURGE DATA:
Sample Point ID: MW-6
Field Representative: Dx,
Lab Sample #:
Dedicated: N
One (1) Casing Volume, Gal: fele
Total Volume Purged, Gal: _�_
Was Well Purged To Dryness: Alb
Water Level After Purge, Feet:
Date / Time Completed: Z/-z3
Time
Rate
(gpm/
Cumalative
Volume
Temp.
(°C)
pH (std
units)
Conduct.
(µmhos/cm)
Turb.
(NTU)
Other
(_)
S:\Field Services\WAYPOINT Field Information Log
Page 27 of 35
1

FIELD INFORMATION LOG (continued)
SAMPLING INFORMATION:
Sample Point ID: MW-6
Method of Sampling: HAND BAILER. Dedicated: N
Water Level @ Sampling, Feet: Well Collection. Sequence Number:
Parameters: Annual ( ) Semi -Annual O Quarterly ( ) Monthly( ) Other (X) XZYEAR
SAMPLING DATA:
Date/ Time
Sample Rate:
Temp
oi
pH
Conduct.
Turb.
Other
( C)
(Std.Units)
(µmhos/cm)
(NTU)
VOA
f �
Other
INSTRUMENT MECK DATA:
Turbidity Serial: NTU std. = NTU
pH Serial #:
Conductivity Serial#:
NTU std. = NTU
4.0 std.: = 7.0 std.: = 10 std.:
µmhos/cm =
GENERAL INFORMATION:
Weather Conditions @ time of sampling:
n
Sample Characterisitics:
N
µmhos/cm =
ANALTYE COLLECTION ORDER, CONTAINERS, PRESERVATIVES AND TESTS PERFORMED:
COMMENTS AND OBSERVATIONS:
I certify that smmpling procedures were in accordance with all applicable EPA, State and Client
protocols. t `�f:' Date: - g
/ � / � Y: Company:
F Y:
S:\Field Services\WAYPOINT Field Information Log
Page 28 of 35
6

(2)
WayPAo0nt..
NALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 00052
Customer Name: Weyerhaeuser Corporation
Report Number: 23-081-0027
Shipping Method
0 Fed Ex 0 US Postal U Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IRT-15 3.1C
Shipping container/cooler uncompromised?
* Yes
0 No
Number of coolers/boxes received
F
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample Iabel(s)?
U Yes
0 No
COC properly completed
U Yes
0 No
Samples in proper containers?
U Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
0 N/A
Water - VOA vials free of headspace
0 Yes
0 No
0 N/A
Trip Blanks received with VOAs
0 Yes
0 No
0 N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr) F Low concentration EnCore samplers (48 hr)
F_ High concentration pre -weighed (methanol -14 d) Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
0 Yes
0 No
Comments:
Signature: Paula Blakeborough Date & Time: 03/22/2023 15:56:46
Page 29 of 35

C I. OF CUSTODY RECORD
. ONLY
YES NO NIA
Waypoint..
PAGE OP QUOTE MTOENSURE PROPER BILLING:
j2
Samples INTACT upon arrival? � jL
ANALYTICAL
Project Name_
Received IN ICE? ]�
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] • Fax: 704l525-0409
f
Short Hold Analysis (Yes) (No) UST Project: (Yes) (No)
PROPER PRESERVATIVES indicated? -
`, ,�_,, ,
`Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV)
Received WITHIN HOLDING TIMES?
Client Company Name:_��`�C), \�w��
provisions and/or QC Requirements
CUSTODY SEALS INTACT? —
Report TolContaet Name:
Invoice TO:
VOLATILES reed WiOUT HEADSPACE? —
Reporting Address:
r
Address:
PROPER CONTAINERS used? _
TEMP: Therm IObserved �°C IT. C
E1
Phone: Fax es)(No):
Purchase Order No./Billing Reference
TO 13E FILLEDIN BY CLIENT/SAMPLING PERSONNEL
Email Address:
Requested Due Date J 1 Day J 2 Days J 3 Days J 4 Days J 5 Days
Certification: NC Sc
EDD Type: PDF Excel Other
"Working Days" J 6-9 Days J Standard 10 days J Rush Work Must Be
Pre Approved
Other NIA
Site Location Name:
Samples received after 15,00 will be processed next business day.
Site Location Physical Address:
Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated- YES NO
(SEE REVERSE FOR TERMS 8 CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
Samples Ice Collection: YES —NO —
TIME
CLIENT DATE COLLECTED
MILITARY
MATRIX SAMPLE CONTAINER WALYSIEQUESTED�
(SOIL, PRESERVA- `. U KS ID NO
WATER, OR TIVES h
SAMPLEDESCRIPTION COLLECTED
HOURS
TypE
SLUDGE) NO. SIZE
s (�
SEE BELOW
I
� y
I
2SC
22
�'
Soo
N2S�
l
25 o
j�1 ot�E
C 3
LAQ
\Ck
r
Pat kA•�
Sampler's Signature -
Sampled By (Print Name)
Upon relinquishing, this Chain of C stody is your authorization
submitted in writing to the Waypoint Analytical Project
for Waypoint Analytical to proceed with the analyses as requested above. r
Manager. There will be charges for any changes after analyses have been initialized.
I Iw II IIII I I u I� I II 23 (181 0027
shJ , ralur !�
S
Re i-dBy {Signature} Dato
�2-2023
15:56:11
WeyerhaeuserCorporation
R qimh ature)
Received By (Signature) Date
Groundwater
Relinquc:hed By (Signature)
Re. ved For Waypant Analytieal Date
_
%Wh-1 of Shipment. NOTE'. ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUS SEALS TRANSPORTATION TO 7�L...R.�AI.Rl. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT TH TORY.
`
l ❑ Fed Ex J UPS .J Hand ieliyered ' -'point Analytical Field Servicx -10thr,r -
NPDES: UST: G O NDWATER: DRINKING WATER: SOLID WASTE: RCRA; BRWNFLD LANDFILL OTHER:
❑NCUSC ❑NC .SC JNC JSC JNC -SC JNC US C JNC USG UNC USC JNC JSC JNC JSC
1
LI ❑ -t J
J ❑ ❑ J J ORIGINAL
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
Page 30 of 35

C"IN OF CUSTODY RECORD
LAB USE ONLY
Waypoint
Z--
b
YES NO N/A
PAGE OF QUOTE # TOENSURE PROPER BILLING:
Samples INTACT upon arrival?
ANALYTICAL
Project Name:
Received IN ICE? �L
449 SpringbrookRoad • Charlotte, NC 28217
Phone [phone] Fax: 704l525-0409
4l529 •
Short Hold Analysis (Yes) (No) UST Project (Yes) (No)
'Please
PROPER PRESERVATIVES indicated?
Received WITHIN HOLDING TIMES?
Client Company Name: \�
ATTACH any project specific reporting (QC LEVEL I II Ill IV)
�L
To/Contact Name;
provisions and/or QC Requirements
CUSTODY SEALS INTACT? ,L
VOLATILES WIOUT HEADSPACE?
Report
Invoice
To:
rec'd
Reporting Address:
�•1 � � �
Address: -
PROPER CONTAINERS used?_
•-� b1 Observed 3 C /Corr. C
TEMP Therm ID: _ -,A_` 3._.�__°
Phone: Fax (Yes)(No):
Purchase Order No.18illing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address:
Requested Due Date ❑ 1 Day J 2 Days 'J 3 Days J 4 Days J 5 Days
Certification- NC SC
EDD Type: PDF Excel Other
"Working Days" J 6-9 Days J Standard 10 days p Rush Work Must Be
Pre Approved
_
Other NIA
Site Location Name:
Samples received after 15:00 will be processed next business day.
Site Location Physical Address:
Turnaround time is based on business days, excluding weekends and holidays_
Water ChlorinatedYES____ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL. LLC TO CLIENT)
Samples Ice Collection: YES NO
CLIENT
DESCRIPTION
TIME
DATE COLLECTED
COLLECTED MILITARY
MATRIX
(SOIL,
WATER,OR
SAMPLE CONTAINER
PRESERVA-
TIVES
ALYSI
77pI � REQUESTED�C
//(��� j
KS
ID NO.
SAMPLE
NO.
SIZE I
/V �•O�
AW17
�/L
SEE E OW
/
/
-
p
2
TA s
1
250
ix,/
3
-
,
wo
w E
l
20
CtvE
L4)
kCA
Sampler's Signature Sampled By (Print Nan".i Affiliation
Upon relinquishing, this Chain of Custody is your authorization for Waypoint Analytical to proceed with the analyses as requested above. A
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized,
Rel nq d By o ej Received % (Signature) Date
Method of Shipment NOTE_ ACE SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LAI
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST col; UNTIL RECEIVED AT THE LABORATORY
❑ Fed Ex J UPS J Hand-dere`
eliv d 4 vvaypoint Analytical Field Service ❑ Other_
No
changesmust be
Additional Comments:
LAB USE ONLY
Site Arrival Time:
Site Departure Time:
Field Tech Fee'
�T '�
Mileage:
J NC J SC 1 :1 NC 0 SC I ❑ NC J SC J NC G SC O NC J SC J ❑ NC O SC J NC U SC J NC J SC iJ NC U SC
J D Ll J I J I J ZlORIGINAL
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Can VOA = Vnhtiin nrnnnL eneA.s rs u__ ,
Pa eq 31 of 35

0
CHAIN OF CUSTODY RECORD
- USE ONLY
Waypoint .
PAGE 3 OF J�) QUOTE # TO ENSURE PROPER BILLING:
YES NO NIA
Samples INTACT upon arrival?
ANALYTICAL
Project Name:
}/
Received IN ICE?
449 Springbrook Road •Charlotte, NC 28217
Phone [phone] Fax; 704/525-0409
_ _
Short Hold Analysis (Yes) e
Y ( � (N) UST Project: Ct: (Yes) (NO)
PROPER PRESERVATIVES indicated?
11�
*Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
Received WITHIN HOLDING TIMES?
Client Company Name:
provisions andlor QC Requirements
CUSTODY SEALS INTACT?
Report To/Contact Name;
Invoice To:
VOLATILES reed W10UT HEADSPACE7
Reporting Address:
Address:
PROPER CONTAINERS used?
X,1 ,
_
TEMP: Therm Observed -3 . +< `C /Corr. °C
Phone: Fax es)(No):
Purchase Order No./Billing Reference
TO BE FILLEDIN BY CLIENT/SAMPLING PERSONNEL
Email Address:
Requested Due Date 0 1 Day U 2 Days J 3 Days ❑ 4 Days J 5 Days
Certification: NC SC_
EDD Type: PDF Excel Other
"Working Days" 06-9 Days ❑ Standard 10 days ❑ Rush Work Must Be
Pre Approved
Other NIA
Site Location Name: _
_
Samples received after 15:00 will be processed next business dayp
Site Location Physical Address:
Turnaround time is based on business days, excluding weekends and holidays,
Water Chlorinated- YEST NO
(SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICES
RENDERED BY wAYPOINT ANALYTICAL, LLC TO CLIENT)
Samples Ice Collection: YES NO
TIME
CLIENT DATE COLLECTED
SAMPLE DESCRIPTION COLLECTED MILITARY
MATRIX
(SOIL,
WATER, OR
SAMPLE CONTAINER "ALLYSIISrREQUESTED�
PRESERVA-(/,�` �� KS ID NO.
-TYpE i
HOURS
SLUDGE}
TIVES
lr/Y
NO. SIZE j/\.
SEE BELOW
/^
Y
p
2 -
Tom, s
--
'�
2 DO
. N CA\A
f �A-
Sampler's Signature Sampled By (Print Name) l'/ �fJs Affiliation
Upon relinquishing, this Chain of 6ustody is your authorization for Waypoint Analytical to proceed with the analyses as requested abov . Any changes must be
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized.
ture Received By: (Signature) Date Military/Hours Additional Comments:
R..IC�..nr„r..l !V✓ _ �� c_____�.... .... _..--. �—
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED S ITN C R TRANSPORTATION TO THE LABo
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
J Fed Ex J UPS J Hand-deii,, r.-LJ )aaypo ryt Analytical Field Service J Other
NPDES: UST*
O NC ❑ SC I a NC ❑ SC I CGROUNDWATER]
J SC TER ( D❑ NCK�O SC WATER: I O NC ❑ SCE I O NC _1SC I J NCN J SC o NC FILL J SC �OTHER:
JNC ❑ SC
*CONTAINER TYPE CODES: A = Amber C - Clear G= Glass P = Plastic: TL = Teflon -Lined Can VnA = V. Iar;ia n. ..P'gI
SEE REVIE= FOR
TERMS, CONDITIONS

Waypoint.
ANALYTICAL
449 Springbrook Road • Charlotte, NC 28217
Phone 70d1529-6364 • Fax: �7�044/5525-0409
Client Company Name:
Report TolContact Name:
Reporting Address:
'L',
Phone:__ _ _ Fax fi�es)(No):
Email Address: _
EDD Type: PDF Excel_Other
Site Location Name:
Site Location Physical Address:
TIME
CLIENT DATE COLLECTED
SAMPLE DESCRIPTION COLLECTED MILITARY
HOURS
MATRIX
(SOIL,
WATER, OR
SLUDGE)
Project Name:
Short Hold Analysis (Yes) (No) UST Project: (Yes) (No)
'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions and/or QC Requirements
Invoice To:
Address: _
Purchase Order No./Billing Reference
Requested Due Date J 1 Day J 2 Days J 3 Days J 4 Days L] 5 Days
"Working Days" J 6-9 Days Ll Standard 10 days O Pre Apo Work
Must Be
ved
Samples received after 15:00 will be processed next business day
Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS b CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
SAMPLE CONTAINER
PRA
ESERVA-
'TYPE NO.J SIZE TIVES
SEE BELOW
CHAIN OF CUSTODY RECORD
YE$ NO N/A
PAGE OF �- QUOTE N TO EMSU RE PROPER BILLING: /
Samples INTACT upon arrival?
Received IN ICE? -
PROPER PRESERVATIVES indicated?_ -
Received WITHIN HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLATILES reed WIOUT HEADSPACE?
PROPER CONTAINERS used?
TEMP: Therm Observed "C /o.°C3 _
TO BE FILLEDIN BY CLIENTISAMPLING PERSONNEL
Certification: NC SC
Other - NIA- W
Water Chlorinated- YES NO
Samples Icect Collection: YES —NO —
YSI REQUESTED\
Q�j/�Ir�MI�KS ID NO.
p25
_DZS
-
Iwo
Q-
-
oo
MS0
--
PRESS DOWN FIRMLY - 2 COPIES
�j
Sampler's Signature Sampled By (Print Name) - L r� l� AfAffiliationC-
)
Upon relinquishing, this Chan of Custody Is your authorization for Waypoint Analytical to proceed with the analyses as requested above.'Any changes must be
Site Arrival Time:
submitted in writing to the Waypoint Analytical Project Manager There will be charges for any changes after analyses have been initialized.
R61ipq ed By: e) /^' Received By: (Signature) Date
3/0
MilitaryMours Additional Comments:
Site Departure Time:
Reh shed y: (Siglure) Received By: (Signature) Date
—
Fuld Tech Fee:
Relinquished By. (Signature) lived For Way bwl By Dale
Mileage:
-M -
-T
t 10
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
J Fed Ex J UPS ..1 Hand -delivered Waypoint Analytical Reld Service -) Other_ _
N DES: UST. TER: ATER:
SOLID LANDFILL_I
FLD
NC J SC O NC ❑ SC I J NC J SC -I NCK-JI SC J NC J SCTE ❑ NC ❑ SC ❑ NCN ❑ SC i INC J SC OTNC iJ SC
I
J Q J ❑ -
ORIGINAL
"CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Can

CHAIN OF CUSTODY RECORD
PAGE � OF OUOTE # TOENSURE PROPER BILLING:
waypoint. -
YES NO N/A
_
Samples INTACT upon arrival?
ANALYTICAL Project Name:
Received IN ICE?
449 Springbrook Road • Charlotte, NC 28217 Short Hold Analysis (Yes) (No) UST Project: (Yes) (No) PROPER PRESERVATIVES indicated?
Phone [phone] • Fax: [phone] Received TIMES?
Please ATTACH any project specific reporting (QC LEVEL 111111 IV)
WITHIN HOLDING —
aient Company Name: provisions and/or QC Requirements
CUSTODY SEALS INTACT?
Report To/Contact Name: Invoice To:
VOLATILES rec'd WlOUT HEADSPACE?
Address:
Reporting Address: Faxes)(No):
PROPER CONTAINERS used?TEMP: Therm ID: �S- � Observed � �—"C !Corr-'C
shone: _ Purchase Order No.Billing Reference
FTO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: Requested Due Date J 1 Day J 2 Days 'J 3 Days ❑ 4 Days ❑ 5 Days
Certification: NC SC
_DD Type: PDF_ Excel —Other "Working Days" J 6-9 Days J Standard 10 days O Rush
WorkMustBePre
_
Other N!A
Site Location Name: Samples received after 15:00 will be processed next business day.
Turnaround time is based on business days, excluding weekends and holidays.
Site Location Physical Address:
Water Chlorinated- YES__ NO
_ -
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
_ RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
Samples Ice U Collection: YES _NO
TIME MATRIX SAMPLE CONTAINER
CLIENT DATE COLLECTED (SOIL, PRESERVA- `
LYS41RREQUESTED\
` Cr �J
SAMPLE DESCRIPTION COLLECTED MILITARY WATER, OR `TYPE TIVFS ��
KS ID NO.
j 1�
O. SIZE
HOURS N
SLUDGE) SEE BELOW
Q�
1(�
N. 1r5
I
'P 2 W
T
u-
1
-
--
G 3 LA �C1
y) ..g Rif I aijim-4-imimm
Sampler's Signature f Sampled By (Print Name} _ { _� z l _ _ Affiliation
_
USE ONLY
Upon relinquishing, this Chain of Cu tody is your authorization for Waypoint Analytical to proceed with the analyses as requested abov
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized.
changes must be
Site Arrival Time:
Rali ui•:h (Si Received By: (Signature) Date
Military/Hours Additional Comments: Site Departure Tema:
Relinqui y (SignaturOr Received By: (Signature) Date
flaM Tbl Film
by Date
Relinquished By. (Signature) id For Wa�LFORIRANSPORTATION
!Z Z
Method of Shipment NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED WITH C TO THE LABORATORY. CDC Group No
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
J Fed Ex J UPS J Hand -delivered _I�aypo+nt Analytical Field Service J Other_NPI
•
TER DRINKING WATER: SOLID FLD LA FILL
OTHER:
J NC J SC I J NC ❑ 5C 1 ❑ NC J SC C NC 0 SC J NC J SC 1 ❑ NC SC ❑ NC J SC
i
ZINC ❑ SC
r'
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Can Vf1A = Vnlarilo

M M N * . in CI)AIN OF CUSTODY RECORD
aYp
PAGE 1 OF QUOTE # TO ENSURE PROPER BILLING:
YES NO N`A
_
Samples INTACT upon arrival?
ANALYTICAL
Project Name:
Received IN ICE? ]�
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] • Fax: [phone]
Short Hold Analysis (Yes) (No) UST Project: (Yes) (NO)
PROPER PRESERVATIVES indicated?
*Please ATTACH any project specific reporting (QC LEVEL 1 11 III IV)
Received WITHIN HOLDING TIMES?
Client Company Name: R v��� _
provisions and/or QC Requirements
CUSTODY SEALS INTACT? 1�
Report TolContact Name:
Invoice To:
VOLATILES rec'd WJOUT HEADSPACE? _
Reporting Address: `
Address: _ — — _
PROPER CONTAINERS used? %L _
k j 3-L °C/Corr. °C
i TEMP: ThermlD:_ZU- Observed
Phone: _Fax es)(No):
Purchase order NoJBllling Reference_
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address:
Requested Due Date O 1 Day O 2 Days U 3 Days J 4 Days U 5 Days
Certification: NC SC
EDD Type: PDF Excel_O<her_ -
"Working Days" J 6-9 Days J Standard 10 days Ll Pre RAppushMdust Be
Other NIA
Site Location Name:
Samples received after 15:00 will be processed next business day
Site Location Physical Address:
Turnaround time is based on business days, excluding weekends and holidays.
Water ChlorinatedYES NO
(SEE REVERSE FOR TERMS 6 CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
Samples Iced Ui i Collection: YES _NO
TIME
MATRIX SAMPLE CONTAINER YSIkREQUESTED_'�r
CLIENT DATE COLLECTED
SAMPLE DESCRIPTION COLLECTED MILITARY
(SOIL, — PRESERVA-
WATER, OR TYPE T1VES �`
8' LCS �j K& KS ID NO.
HOURS
SLUDGE) SEE BELOW NO. SIZE
p
t
2-
T -,3r
l
2So
�
50o WMA
-
t 2S0 tl� ICU
LAC)
Sampler's Signature `i.
Sampled By (Print Name} Affiliation LAS USE ONLY
Upon relinquishing, this Chain of Custody is your authorization for Waypoint Analytical to proceed with the analyses as requested above.' ny
changes must be
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized.
Site Arrival Time:
R i •hed By: c 'el ��
Received By: (Signature) Date
Military/Hours Additional Comments: Site Departure Tune:
Reli rs By: (S ure)
Received By: (Signature) Date
Field Tech Fee:
Relinquished By: (Signature)
R�d For Waypoint Anaiyhcai byFor Waypoint Anaiyhcai By. Date
Mileage:
Method al Ship lent: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED LIT WITH CUSTODY LS F RANSPORTATION TO THE LABORATORY. COC Group No
SAMPLES ARE NOT ACCEPTED AND VERIFIED
AGAINST COC UNTIL REC THE LABORATORY.
❑ Fed Ex O UPS J Har>d•�eliveI
red )CAaypoint Analytical Field Service J Other _ _
SEE REVERSE FOR
TERMS O NDITIONS
NPIDES: UST. TER: WATER: OTHER:
NC J SC I ❑ NC ❑ SC J NC ❑ SIC J NC SC I U NC ❑ SCTE J NC ❑ SC ❑ NC O SC J 14C Li SC U, SC
I❑ I❑ I
J '11
nDIr1_JNAl
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Can Vile = VnIntila