WQ0040672_Monitoring - 03-2024_20240418 (3)

Monitoring Report Submittal
Permit Number#* WQ0040672
Name of Facility:* Stevens Towing - Riverbulk Terminal WWTF
Month: * March Year: * 2024
Report Information
Type* Upload Document*
GW-59 GW-59 MW 1,3,4 signed.PDF
PDF Only
7AMB
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: * Kevin Robert Gagnon
Signature:
r%�jstir�lr�r� ��nyrar
Date of submittal: 4/18/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00040672
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 4/19/2024

WQ0040672
I --� Enter date monitoring results were due, t_ 4 LU7? i Will this monitoring report (GW-59 and GW-59A)
___._
E
tO
be submitted after the established due date?
( 'k1<'as any required information missing on the GW-59 report forms'!
I
YES
� U
i F the answer to question I or 2 is "YES, list in the space provided below the welt ,dentihcation numberis) and
explain the problems encounterea in obtaining the required information.
(
Are ant of the monitor %+ells in need of repair ot• inaintenance Sdarnaged casing. unlocked or missing cap, missing
1t`(::
identification plate. area os•ergrc»vn, etc.):' 1% ills ur[Su•irf is contact :hL� Rt°#1czn:rl ti�JfG:4-JfJl-�ti}[iilllLC.
2l�S
5 I
.� Are any monitored constituents equal to or above the established .standards? �- _
--i'r
the answer to question 4 is "NO', slap to section ,5.
.
If the answer to question 4 is "YES" list the aliectad wells individually with const tuenttst and concent, ation?•s+
I
exceeding standards in the space provided below.`
r
j For the constituents identified in question 4 above, have standards been exceeded previously for the
same constituent(s) in the same well(s) in the last two years?
It 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 constituents! exceeding !
i
standards, concentration(si reposed, and samp e collection date for each occurrence (for the last two years),
1
I �
b Are the monitoring weils listed in section 5 located at or beyond the review boundary?
__.
tin !tin !
i.
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. !
i
I
1 '
7 is the permittee implementing previously approved actions required by the Division involving this —
YES NO
groundwater quality problem? 1
t dth& answer to question 7 is -YES', descriVe those a,tea ,
,.tons in the space provided below.
If the answer to question 7 is "NO" contact the f�egional Office within-V days; an
required to determine the im act the waste ills sat system is having at the reviev
boundaries surrounding this facility. Failure to do sea may subiect the perm/ttee to
fines. andlor penalties.
ThePerson completing this portion (GW39A) of the monitoring report should sign below and submi
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 f6
i hereby acknowiedpe OW the above infornUd9n was OvWugftd WW the InftrmWidon vubMi t d in thi
report (Compilanct R*P**aW-SW Is lines and oonWftb to the krOM of my knowlle t*.
Signature of Permutes (or Autii4ii. ed Agent) flat

SUBMIT FORM ON YELLOW PAPER ONl Y
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
• •
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 12/3112024
Facility Name Stevens Towing- Riverbulk Terminal
Non -Discharge W00040672 UIC
Permit Name (if different):
NPDES Other
Facility Address: Edenton, NC 27932
TYPE OF PERMITTED OPERATION BEING MONITORED
Edenton, NC 27932 -
County Chowan
❑Lagoon ❑Remediation: Infiltration Gallery
❑� Spray Field ❑ Remediation:
Contact Person: Simon Rich, III
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mw-1
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 3/13/2024
FIELD ANALYSES:
WAS
Well Depth: 15 bgs ft.
Well Diameter: 2 in.
pH 00400: 5.2 units Temp. 000lo: 14.6 °C
DRY at
Depth to Water Level 82546: 13.76 ft. below measuring point Screened Interval: 9 ft.
to 15
ft, Spec. Cond. 00094: µMhos
time of
MeasuringPoint is 2.95 ft. above land surface
Relative M.P. Elevation: 23.92
ft.
Odor o0os5: IUOt10
sampling,
Volume of water pumped/bailed before sampling:
3
gallons
Appearance yellow/clear
check
here:
for metals were collected unfiltered: © YES
❑ NO and field acidified: BYES
El NO
QSamples
LABORATORY INFORMATION
Date sample analyzed: 3/28/2024
Laboratory Name: Environmental Chemists,
Inc.
Certification No. 20-45107
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.07
mg/L
Pb - Lead o1o51 0.017 ug/L
Coliform: MF Fecal 31616 <2
/100mL
Nitrate (NO3) as N 00620 1.05
mg/L
Zn - Zinc 01092 mg /L
Coliform: MF Total 315C4
/100mL
Phosphorus: Total as P 00665 1.07
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030089
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) 00403 4.5
units
Ba - Barium 01007 .131
ug/L
TOC 0068o 22.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 009405
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 .032
ug/L
Grease and Oils 00552
mg/L
Cu - Copper o1o42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug]L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH L.AB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) IN No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 3.0
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055 0.043
g
ug/L
,method #
TKN as N 00625 1.12
mg/L
Ni - Nickel 01067 0.014
ug/L
method #
c,trmuranun 0yaLmrf•s vrny tiAiaacn Lao meports1: tnrluent I otat vacs: mg/L Effluent Total VOCs: mg/L VOC Removal%
r 1 I t^ % I
Permlttee (or Authorized Ag nt) Name and Title - Please print or type
4/2/2024
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONI Y
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:— 12/31 /2024
Facility Name: Stevens Towing- Riverbulk Terminal
Non -Discharge wQ0040672 UIC
Permit Name (if different):
NPDES Other
Facility Address: Edenton, NC 27932
TYPE OF PERMITTED OPERATION BEING MONITORED
Edenton, NC 27932
County Chowan
El Lagoon ❑Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
Contact Person; Simon Rich, ill
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mw-3
No, of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 3/1312024
FIELD ANALYSES:
WAS
Well Depth: 25bgs ft.
Well Diameter: 2 in.
pH 00400 5.5 units Temp. 000lo; 17.90C
DRY at
Depth to Water Level 82546: 19.82 ft. below measuring point Screened Interval: 17 ft.
to 25
ft. Spec. Cond. 00094: µMhos
time of
MeasuringPoint is 3•23 ft. above land surface
Relative M.P. Elevation: 42.94
ft.
Odor 000s5: None
sampling,
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance yellow/brown
Samples Samples for metals were collected unfiltered: {] YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/28/2024
Laboratory Name: Environmental Chemists, Inc.
Certification No. 20-45107
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead 01051 0.014 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 9,67
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 •87
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
lssolved SOIIds:Total 7030o 288
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 5.4
units
Ba - Barium 01007 0.092
ug/L
TOC oo68o 20.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34 0.029
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) IN No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55 0.12
g
ug/L
,method #
TKN as N 00625 9.67
mg/L
Ni - Nickel 01067 0.011
ug/L
method #
rur Memealation systems Only (Attacn Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
c I
Permlttee for Authorized Agen Name and Title - Pleas print or type
4/2/2024
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONI Y
GROUNDWATER QUALITY MONITORING:
•
•
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
• •
•
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:_ 12/31/2024
Facility Name: Stevens Towing- Riverbulk Terminal
Non -Discharge WQ0040672 UIC
Permit Name (if different):
NPDES Other
Facility Address: Edenton, NC 27932
TYPE OF PERMITTED OPERATION BEING MONITORED
Edenton, NC 27932
County Chowan
❑Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Simon Rich, 111
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mw-4
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Mw-4
Date sample collected: 3/13/2024
FIELD ANALYSES:
WAS
Well Depth: 17 bgs ft.
Well Diameter: 2 in.
pH oo400 6.1 units Temp. 0001o: 15.9 oC
DRY at
Depth to Water Level 82546: 14.51 ft. below measuring point Screened Interval: 11 ft. to
17
ft. Spec. Cord. 00094 µMhos
time of
Measuring Point is 3.12 ft. above sand surface
Relative M.P. Elevation: 23•98 ft.
Odor 00085: None
sampling,check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance yellow/clear
here:❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/28/2024
Laboratory Name: Environmental Chemists,
Inc.
Certification No. 20-45107
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.04
mg/L
Pb - Lead 01051 0.01 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 13.3
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 675
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 6.0
units
Ba - Barium 01007 0.065
ug/L
TOC 0068o 29.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oiom 0.011
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) N No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200E
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055 0.030
g
ug/L
,method #
TKN as N 00625 13.3
mg/L
Ni - Nickel 01067 <0.01
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
4/2/2024
mee for Hutnon2ea /,gent) Name and T itle - Please print or type
GW-59 Rev.05-02-2017

Lenvirochem)
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info:a. environmentalchemists.com
Quible & Associates
Date of Report: Mar 28, 2024
PO Box 870
Manteo Report #: 24M-585
Kitty Hawk NC
27946
Report #: 2024-06317
Attention.
Customer ID: 08100100
Project ID: Stevens Towing MW
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
24-15059 Site: MW-1
3/13/2024 10:00 AM
Water Client
Test
Method
Results Date Analyzed
Lead
EPA 200.7, Rev 4 4, 1994
0.017 mg/L
03/17/2024
Manganese
EPA 200.7. Rev 4 4, 1994
0.043 mg/L
03/17/2024
Nickel
EPA 200.7. Rev 4 4, 1994
0.014 mglL
03/17/2024
Barium
EPA 200.7. Rev 4.4, 1994
0.131 mg/L
03/17/2024
Chromium
EPA 200.7, Rev 4 4, 1994
0.032 mg/L
03/17/2024
Ammonia Nitrogen
EPA 350.1, Rev 20, 1993
3.0 mg/L
03/22/2024
Total Dissolved Solids (TDS)
SM 2540 c-2015
89 mg/L
03/18/2024
Total Phosphorus
SM 4500 P (F-H)-2011
1.07 mg/L
03/25/2024
Total Organic Carbon (TOC)
SM 5310 B-2014
22.4 mg/L
03/19/2024
Chloride
SM4500 CI E-2011
5 mg/L
03/15/2024
Nitrate Nitrogen (Calc)
Nitrate+ N itrite-Nitrogen
EPA 353 2, Rev 2 0, 1993
1.12 mg/L
03/18/2024
Nitrate Nitrogen
Subtraction Method
1.05 mg/L
03/18/2024
Lab ID Sample ID: M-833 Collect Date/Time Matrix Sampled by
24-15060 Site: MW-1 3/13/2024 10:00 AM Water Client
Test Method Results Date Analyzed
pH SM 4500 H B-2011 4.5 units 03/13/2024
Analyzed outside of hold time.
Nitrite Nitrogen SM 4500 NO2 13.2a11 0.07 mglL 03/14/2024
Fecal Coliform SM 9222 D-2015 MF <2 Colonies/100ml- 03/13/2024
Report #:: 2024-06317 Page 1 of 3

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info.:a environmentalchemists.com
Quible & Associates
Date of Report: Mar 28, 2024
PO Box 870
Manteo Report #: 24M-585
Kitty Hawk NC 27946
Report #: 2024-06317
Attention:
Customer ID: 08100100
Project ID: Stevens Towing MW
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
24-15061 Site: MW-3
3/13/2024 9�40 AM
Water Client
Test
Method
Results Date Analyzed
Lead
EPA 200.7, Rev 4 4, 1994
0.014 mg/L
03/17/2024
Manganese
EPA 200.7. Rev 4 4.1994
0.120 mg/L
03/17/2024
Nickel
EPA 200.7. Rev 4 4.1994
0.011 mg/L
03/17/2024
Barium
EPA 200.7. Rev 4.4, 1994
0.092 mg/L
03/17/2024
Chromium
EPA 200.7. Rev 4.4, 1994
0.029 mg/L
03/17/2024
Ammonia Nitrogen
EPA 350.1. Rev 2.0, 1993
< 0.2 mg/L
03/22/2024
Total Dissolved Solids (TDS)
SM 2540 c-2015
288 mg/L
03/18/2024
Total Phosphorus
SM 4500 P (F-H)-2011
0.87 mg/L
03/25/2024
Total Organic Carbon (TOC)
SM 5310 B-2014
20.8 mg/L
03/20/2024
Chloride
SM4500 Cl E-2011
< 5 mg/L
03/15/2024
Nitrate Nitrogen (Calc)
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev 2.0, 1993
9.67 mg/L
03/18/2024
Nitrate Nitrogen
Subtraction Method
9.67 mg/L
03/18/2024
Lab lD Sample ID: M-834
Collect Date/Time
Matrix Sampled by
24-15062 Site: MW-3
3/13/2024 9:40 AM
Water Client
Test
Method
Results Date Analyzed
pH
SM 4500 H B-2011
5.4 units
03/13/2024
Analyzed outside of hold time.
Nitrite Nitrogen
SM 4500 NO2 B-2011
<0.02 mg/L
03/14/2024
Fecal Coliform
SM 9222 D-2015 MF
<1 Colonies/100ml-
03/13/2024
Report #: 2024-06317 Page 2 of 3

[envirochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Quible & Associates
Date of Report: Mar 28, 2024
PO Box 870
Manteo Report #: 24M-585
Kitty Hawk NC 27946
Report #: 2024-06317
Attention:
Customer ID: 08100100
Project ID: Stevens Towing MW
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
24-15063 Site: MW-4
3/13/2024 10:30 AM Water Client
Test
Method
Results Date Analyzed
Lead
EPA 200.7, Rev 4.4, 1994
0.010 mg/L
03/17/2024
Manganese
EPA 200.7, Rev 4.4. 1994
0.030 mg/L
03/17/2024
Nickel
EPA 200.7. Rev 4.4. 1994
<0.01 mg/L
03/17/2024
Barium
EPA 200.7. Rev 4.4, 1994
0.065 mg/L
03/17/2024
Chromium
EPA 200.7. Rev 4.4, 1994
0.011 mg/L
03/17/2024
Ammonia Nitrogen
EPA 350.1, Rev 2.0, 1993
< 0.2 mg/L
03/22/2024
Total Dissolved Solids (TDS)
SM 2540 C-2015
675 mg/L
03/18/2024
Total Phosphorus
SM 4500 P (F-H)-2011
0.12 mg/L
03/25/2024
Total Organic Carbon (TOC)
SM 5310 B-2014
29.1 mg/L
03/20/2024
Chloride
SM4500 CI E-2011
9 mg/L
03/15/2024
Nitrate Nitrogen (Calc)
Nitrate+Nitrite-Nitrogen
EPA 353.2,Rev 20 1993
13.3 mg/L
03/18/2024
Nitrate Nitrogen
Subtraction Method
13.3 mg/L
03/18/2024
Lab ID Sample ID: M-635
Collect Date/Time
Matrix Sampled by
24-15064 Site: MW-4
3/13/2024 10:30 AM Water Client
Test
Method
Results Date Analyzed
pH SM 4500 H B-2011 6.0 units 03/13/2024
Result estimated. Analyzed out of 15 minutes hold time.
Nitrite Nitrogen SM 4500 NO2 B-2011 0.04 mg/L 03/14/2024
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/13/2024
Comment:
Reviewed by:
Report # : 2024-06317 Page 3 of 3

".•..-selleco-al %-llrmnnsL, Inc., wurnfngton, NC Lab #94
6602 Windmill Wa}
Wilmington, NC 28405
910.392 m7:z
bampie Receipt Checklist
Client: I hi y (A
Date: ZL Report Number: 2024 - 1
Receipt of sample: ECHEM Pickup ❑ Client Delivery ❑ UPS FedEx ❑ Other ❑
❑ YES ❑ NO N/A 1. Were custody seals present on the cooler?
❑ YES ❑ NO N/A �. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt Z °C
C fretted temperature upon receipt _
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun 1D: Thomas Traceable S/N: 230222540 IR Gun Correction Factor `C: 0.0
YES ❑ NO 3. If temperature of cooler exceeded 6`C, was Project Mgr./QA notified?
YES ❑ NO 4. Were proper custody procedures {relinquished/received) followed?
YES 0 NO 5. Were sample ID's listed on the COC?
YES 11 NO 6. Were samples ID's listed on sample containers?
I YES ❑ NO 7. Were collection date and time listed on the COC?
YES ❑ NO 8. Were tests to be performed listed on the COC?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
YES O NO 10. Did samples arrive in good condition for each test?
YES ❑ NO 11. Was adequate sample volume available?'
'0 YES ❑ NO 12. Were samples received within proper holding time for requested tests?
YES ❑ NO 13. Were acid preserved samples received at a pH of <2?
❑ YES ❑ NO 14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO 15. Were sulfide samples received at a pH >9?
YES ❑ NO 16, Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
Cl YES O NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
°ci

Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28406
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Quible and Associates
PROJECT NAME: Stevens Towing -Edenton, NC
REPORT NO:
ADDRESS: Post Office Drawer 870
Permit: WQ0040672
PO NO:
Kitty Hawk, NC 27966
REPORT TO: Brian Rubino, P.G.
PHONE/FAX:
COPY TO: Simon Rich/Stevens Towing
email: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
mm
z
a
E `8 %2
m
��
3 `5
" a
m
r E
"
eW
m
Z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
TempN
i
z
z
H
x
g
$
Z
o
w
o
MW:
r• �'
C
���5��
X
Chloride, NO2, TDS
zl
G
77++�
Depth to water: 1-'7 3 o
C
P
X
L
NH3, NO3, TP
G
G
2
Gallons Bailed: J
C
P
X
Ba, Cr, Pb, Mn, Ni
G
G
H field :
C
P
X
Fecal Coliform
G
G
11
Color: `Av" C1P
C
P
X
TOC
G
G
Odor: d
C
P
X
VOC's November
G
G
C
P
G
G
C
P
G
G
Total of 3 wells (1,3,4) due in March, July and November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
3
z,rs
�v
Temperature when Received °C: Accepted: v ' Rejected: Resample Requested:
Delivered By: 5 Received By: Date: I R-q Time: U
Comments: TURNAROUND:

ton
ENVIRONMENTAL CHEMISTS, INC of I E,9101392-02231FAX[phone]
Analytical 8 Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Quible and Associates
PROJECT NAME: Stevens Towing -Edenton, NC
REPORT NO:
ADDRESS: Post Office Drawer 870
Permit: WQ0040672
PO NO:
Kitty Hawk, NC 27966
REPORT TO: Brian Rubino, P.G.
PHONE/FAX:
COPY TO: Simon Rich/Stevens Towing
email: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge. Other:
Sample Identification
Collection
m 0
A
N
-0
E o!
U
_
4, C7
o
U 4
C J
e
U
W
mQ
J
PRESERVATION
ANALYSIS REQUESTED
Date
Time
TempZ
_
Z
-,
x
o
x
0
x
0
=
o
W
O
MW:
i
! �M��L
r
1 7�
X
Chloride, NO2 TDS
G
'
De th to water: Kv
C
DG
X
NH3 NO3, TP
G
G
�{
Gallons Bailed: ^' ✓
C
P
X
Ba, Cr, Pb, Mn, Ni
G
G
H field : J•
C
P
C[
0
X
Fecal Coliform
G
G
}
Color: 1� �v�
C
P
X
TOC
G
G
Odor:
C
P
X
IVOC's
(November)
G
G
C
P
G
G
C
P
_TT
G
G
Total of.3 wells (1,3,4) due in March, July
and November.
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
CL
r
s311:31
2.
,3J
Temperature when Received °C:" t Z . Accepted: R jec ed: Resample Requested:
Delivered By: 5 Received By: Date: } Zu Time:
Comments: TURNAROUND:

•
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Quible and Associates
PROJECT NAME: Stevens Towing -Edenton, NC
REPORT NO:
ADDRESS: Post Office Drawer 870
Permit: WQ0040672
PO NO: 4 — 3
Kitty Hawk, NC 27966
REPORT TO: Brian Rubino, P.G.
PHONEIFAX:
COPY TO: Simon Rich/Stevens Towing
email: [e-mail]
Sampled BY: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
E
rn
E `o
o
`o
o a
_
m
t
"
x
m�
g z
=
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Tern"
=
o
z
u
x
h
.v
x
o
Z
x
xp
a
z
O
w
{z
0
MW:
f L
' Y
��
X
Chloride, NO2, TDS
AM
G
�/ !
Depth to water, 1'7•S�
C
P
C,
J
X
NH3, NO3, TP
G
G
Gallons Bailed: tiZ
C
P
X
I
jBa, Cr, Pb, Mn. Ni
G
G
pH(field)
o
X
Fecal Coliform
G
G
Color: VtW
C
P
X
TOC
G
G
Odor:
C
P
X
VOC's November
G
G
C
P
G
G
C
P
G
G
Total of 3 wells (1,3,4) due in March, July and November.
Transfer
Relinquished By:
Daterrime
Received By:
Date/Time
�TCs -R
r
2. L
Temperature when Received °C: `Z, Accepted:
Delivered By: CA- Received B .
Resample Requested:
Date: c3l I 4 1 Zt � Time: ] 0 L
Comments: TURNAROUND: