HomeMy WebLinkAboutWQ0004972_Monitoring - 06-2024_20240730Monitoring Report Submittal
Permit Number#* WQ0004972
Name of Facility:* Forest Lake RV Park WWTP
Month:* June
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2024
Upload Document*
2024_June_Forest_Lake_WQ0004972_Monthly 1.84MB
Report Complete Rev 1.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * agrenier@greenerehssolutions.com
Name of Submitter: * Amanda Grenier
Signature:
6VIO'W ada e*Aw t
Date of submittal: 7/30/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 8/6/2024
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0004972
Facility Name: Forest Lake
County: Davie
Month: June
Year: 2024
Did irrigation
Field Name:
1
Field Name:
Field Name:
Field Name:
occur
Area (acres):
6
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:Grass/Trees
Cover Crop:
p�
Cover Crop:
p�
Cover Crop:
p:
Hourly Rate (in):
0.11
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Yes
Annual Rate (in):
46.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
Yes
Field Irrigated?
Field Irrigated?
Field Irrigated?
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in
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gal
min
in
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gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
77
0
2
CL
76
0
3
CL
83
0
3.2
43,013
240
0.26
0.07
4
CL
84
0
4
5
CL
85
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3.9
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1 CL
1 83
0
3.7
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PC
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0.25
3.9
8
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85
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CL
83
0
10
PC
81
0
3.1
11
CL
80
0
2.6
38,544
300
0.24
0.05
121
CL
1 82
0
1 3.4
13
PC
86
0
3.2
14
PC
91
0
3
15
PC
87
0
16
CL
82
0
17
CL
87
0
2.3
48,602
300
0.30
0.06
181
CL
1 86
0
1 3.2
19
CL
85
0
3
20
PC
87
0
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44,861
300
0.28
0.06
21
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90
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22
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90
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93
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241
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Monthly Loading:
227,663
1.40
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
22.69
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
El Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
taken. Httacn aaamonal sneers IT
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee:
MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Official's Title: Sr. Vice President
Has the ORC changed since the previous NDAR-1?
Phone Number: 312-279-1400 Permit Exp.: 10/31/27
7/30/2024
7/29/2024
Sam Perry (Ju130, 2024 :28 EDT)
---
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
L:21
p2np. of
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E NON -DISCHARGE MONITORING REPORT NDMR
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: June
Year: 2024
PPI: 001
Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code
50050
00400
50060
70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
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24-hr
I hrs
GPD
su
I mg/L
mg/L
mg/L
I mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
I mg/L
mg/L
mg/L
I mg/L
1
29,857
2
30,657
3
08:00
5
36,048
6.65
0.4
4
08:00
5
26,740
6.37
0.7
5
08:00
5
27,552
6.32
0.6
6
08:00
5
36,239
6.31
0.6
7
8:00
5
42,086
6.86
1.1
8
29,824
9
27,584
10
08:00
5
42,172
6.2570.4
0.2
11
08:00
5
30,713
6.26
360
142
32.4
64
34.8
0.64
13.7
21.1
21.1
<0.02
12.7
65.6
12
08:00
5
23,703
6.39
1.2
13
08:00
5
29,576
6.32
1.1
141
08:00
5
36,104
6.52
1.2
15
38,899
16
34,277
17
08:00
5
36,750
6.73
0.2
18
08:00
5
38,386
6.62
0.8
19
08:00
5
43,512
6.6
1.2
201
08:00
5
40,989
6.63
0.8
21
08:45
5
41,909
6.59
1.2
22
45,213
23
49,731
24
08:00
5
50,596
6.27
0.3
25
08:00
5
44,654
6.63
0.8
261
08:00
5
37,027
6.75
0.7
27
08:00
5
42,701
6.61
0.8
28
08:00
5
37,479
6.31
0.7
29
21,455
30
27,532
31
Average:
35,999
0.75
360.00
142.00
32.40
64.00
34.80
0.64
13.70
21.10
21.10
0.00
12.70
65.60
Daily Maximum:
50,596
6.86
1.20
360.00
142.00
32.40
64.00
34.80
0.64
13.70
21.10
21.10
0.02
12.70
65.60
Daily Minimum:
21,455
6.25
0.20
360.00
142.00
32.40
64.00
34.80
0.64
13.70
21.10
21.10
0.02
12.70
65.60
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Continuous
5x/Week
5X/Week
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
3X/year
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
Sampling Person(s)
Certified Laboratories
Name: Sam Perry 11 Name: Greener EHS Solutions, LLC
Name:
Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant El Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
The Monthly average flow exceeded the permitted flow of 24,400 gpd. The permitted application rate was not exceeded. The flow meter was calibrated on June 27, 2023 and the meter was reading
significantly low before the calibration. This was noted on the June 2023 NDMR. The plant is in the process of an upgrade to increase the capacity as well as investigating extraneous flow for 1/1 and leaking
fixtures. Lab Qualifiers, 6/11/2024, BOD, 5-Day, B3 - The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L and Total Phosphorus, M1 - Matrix spike recovery exceeded QC limits.
Batch accepted based on laboratory control sample (LCS) recovery.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee: MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Official's Title: Sr. Vice President
Has the ORC changed since the previous NDMR? ❑ Yes F11 No
Phone Number: 312-279-1400 Permit Expiration: 10/31 /2027
r� 7/30/2024
LL 7/29/2024
Sam Perry (Jut 30, 2024 :28 EDT)
--
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
L:21
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
ace
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
June 25, 2024
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on June 11, 2024. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Asheville
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
704-977-0942
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
ace
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
Pace Analytical Services Charlotte
South Carolina Laboratory ID: 99006
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Laboratory ID: 99006
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
CERTIFICATIONS
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DoH Drinking Water #: LA029
VirginiaNELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
SAMPLE ANALYTE COUNT
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92735831001 GREENER EHS/EFFLUENT
SM 9222D-2015
KDF
1
PASI-C
SM 2540C-2015
AGM
1
PASI-A
SM 2540D-2015
JMH1
1
PASI-A
SM 521OB-2016
MDM
1
PASI-A
TKN+NO3+NO2 Calculation
KDF1
1
PASI-A
EPA 350.1 Rev 2.0 1993
NCF
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
SM 4500-CI-E-2011
Zip
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
ace
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
ANALYTICAL RESULTS
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
Sample: GREENER EHS/EFFLUENT Lab ID: 92735831001 Collected: 06/11/24 10:30 Received: 06/11/24 13:50 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform CHT Analytical Method: SM 9222D-2015 Preparation Method: SM 9222D-2015
Pace Analytical Services - Charlotte
Fecal Coliforms
64.0 CFU/100 mL 1.0
1
06/11/24 16:17 06/12/24 14:36
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
360 mg/L 25.0
1
06/14/24 17:02
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
142 mg/L 69.4
1
06/15/24 11:41
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
32.4 mg/L 2.0
1
06/13/24 06:07 06/18/24 02:53
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
34.8 mg/L 0.040
1
06/25/24 09:45
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
0.64 mg/L 0.10
1
06/24/24 18:50 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation
Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
13.7 mg/L 0.50
1
06/24/24 20:09 06/25/24 05:53 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
21.1 mg/L 0.10
5
06/12/24 03:25 14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation
Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
12.7 mg/L 0.25
5
06/24/2418:47 06/25/2413:03 7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
65.6 mg/L 2.0
2
06/19/2412:39 16887-00-6
Date: 06/25/2024 02:35 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
B3
Page 4 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 860669 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF) - CHT
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92735831001
METHOD BLANK: 4438973 Matrix: Water
Associated Lab Samples: 92735831001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 06/12/24 14:36
SAMPLE DUPLICATE: 4438974
Parameter
Fecal Coliforms
92735847001 Dup
Units Result Result RPD Qualifiers
CFU/100 mL 2.0 ND
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 861436 Analysis Method: SM 2540C-2015
QC Batch Method: SM 2540C-2015 Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4442834
Associated Lab Samples: 92735831001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4442835
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4442836
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 06/14/2416:53
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 252 101 90-110
92735539001 Dup
Result Result RPD Qualifiers
51.0 47.0 8
SAMPLE DUPLICATE: 4442837
92736283007 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 727 745
RPD Qualifiers
2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 861737 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4444431
Associated Lab Samples: 92735831001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4444432
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4444484
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 06/15/2411:38
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 252 101 90-110
92735817003 Dup
Result Result RPD Qualifiers
267 249 7
SAMPLE DUPLICATE: 4444485
92735823001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 262 246
RPD Qualifiers
6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 861051 Analysis Method: SM 521 OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210E BOD, 5 day
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4440994
Associated Lab Samples: 92735831001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 4440996
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 06/18/24 02:15 B3
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 226 114 84.6-115
SAMPLE DUPLICATE: 4440997
92736232001 Dup
Parameter Units Result Result
BOD, 5 day mg/L 554 478
RPD Qualifiers
15 B3
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 862898 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4449439
Associated Lab Samples: 92735831001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4449440
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 06/24/24 18:08
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.1 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4449441 4449442
MS MSD
92735606001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.2 5.1 103 103 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4449443 4449444
MS MSD
92735606002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 0.20 5 5 5.3 5.3 103 103 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 863544 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4452435
Associated Lab Samples: 92735831001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4452436
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 06/25/24 05:35
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 10.3 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4452437 4452438
MS MSD
92735679001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 10.3 10 10 19.4 19.3 92 91 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4453442 4453443
MS MSD
92735819001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 1.1 10 10 11.8 11.8 107 107 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 860734 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, Unpres.
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4439299
Associated Lab Samples: 92735831001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4439300
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.020 06/12/24 02:44
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.6 106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4439301 4439302
MS MSD
92735710006 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L ND 1.5 1.5 1.5 1.5 102 101 90-110 1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 863563 Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4452497
Associated Lab Samples: 92735831001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4452498
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 06/25/24 09:45
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.6 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4452499 4452500
MS MSD
92735900001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.28 2.5 2.5 1.2 1.1 35 34 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4452501 4452502
MS MSD
92735920002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 3.7 2.5 2.5 5.9 5.8 87 84 90-110 1 M1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E Pace Analytical Services, LLC
�ace� 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
QC Batch: 862257 Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011 Analysis Description: 4500 Chloride
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92735831001
METHOD BLANK: 4446448
Associated Lab Samples: 92735831001
Parameter Units
Chloride mg/L
LABORATORY CONTROL SAMPLE: 4446449
Parameter Units
Chloride mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 1.0 06/19/2412:24
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
20 20.3 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4446450 4446451
MS MSD
92735928003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 16.9 10 10 27.0 26.9 101 100 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4446452 4446453
MS MSD
92735928004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 15.3 10 10 25.0 24.9 97 96 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC.
Page 13 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
ace
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALIFIERS
Project: FOREST LAKE -QUARTERLY
Pace Project No.: 92735831
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TN -The NELAC Institute.
ANALYTE QUALIFIERS
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/25/2024 02:35 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
ace
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
FOREST LAKE -QUARTERLY
92735831
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92735831001
GREENER EHS/EFFLUENT
SM 9222D-2015
860669
SM 9222D-2015
860670
92735831001
GREENER EHS/EFFLUENT
SM 254OC-2015
861436
92735831001
GREENER EHS/EFFLUENT
SM 2540D-2015
861737
92735831001
GREENER EHS/EFFLUENT
SM 521OB-2016
861051
SM 521OB-2016
861101
92735831001
GREENER EHS/EFFLUENT
TKN+NO3+NO2
863852
Calculation
92735831001
GREENER EHS/EFFLUENT
EPA 350.1 Rev 2.0 1993
862898
92735831001
GREENER EHS/EFFLUENT
EPA 351.2 Rev 2.0 1993
863544
EPA 351.2 Rev 2.0 1993
863774
92735831001
GREENER EHS/EFFLUENT
EPA 353.2 Rev 2.0 1993
860734
92735831001
GREENER EHS/EFFLUENT
EPA 365.1 Rev 2.0 1993
863563
EPA 365.1 Rev 2.0 1993
863808
92735831001
GREENER EHS/EFFLUENT
SM 4500-CI-E-2011
862257
Date: 06/25/2024 02:35 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 15 of 19
me%"& P'\1\/ 'm a ft `A wwww - .w
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E t_Sample Condition Upon Receipt
race �
Effective Date: 4/26/202-4 10:14:05 AM
Laboratory receiving samples:
Asheville ❑ Eden[:] Greenwood ❑ Huntersville ❑' Raleigh❑ Mechanicsville❑ Atlanta)-lSample Condition ke-...---• -r'
Upon Receipt Client Name: Project #: WO# : 92735831
El Courier: � PFed Ex UPS USPS Client IIIIII 1111111111111111
❑ Commercial ace ❑ Other.
92735831
Custody Seal Present? El Yes ON Seals Intact? ❑Yes ❑No [3-N/A -✓1�
Packing Material: ❑ Bubble Wrap ❑ Bubble Bags None ❑ Other
Thermometer✓
❑ rk Gun ID: ��
Type of Ice: L1 Wet ❑ Blue
Correction Factor:
Cooler Temp: ? Add/Subtract (°C)
Cooler Temp Corrected ("C > >
USDA Regulated Soil ( L1 N/A water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC
frhPrk mancl? F l Ypc 17 NJ.
Date/Initials Person Examining Contents:
Biological Tissue Frozen?
[Dyes ❑ No ❑"N/A
❑ None
Temp should be above freezing to VC
❑ Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source (internationally,
;-11..A:- u-...-:: -J n , M- I"1.
Comments/Discrepancy:
Chain of Custody Present?
Dles,
❑ No
] N/A
1.
Samples Arrived within Hold Time?
Qfes
❑ No
❑ N/A
Z,
Short Hold Time Analysis (<72 hr.)?
Yes
❑ No
❑ N/A
3.
Rush Turn Around Time Requested?
❑ Yes
-0-ko
❑ N/A
4-
Sufficient Volume?
Yes
❑No
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
Ef'yes
tJ res
ElNo
❑ No
❑ N/A
❑ N/A
6.
Containers Intact?
13Yes
[I No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
❑No
EJN/w
8,
Sample Labels Match COC?
-Includes Datelrime/ID/Analysis Matrix:
❑Yes
❑ No
❑ N/A
9.
Headspace in VOA Vials (>5-6mm)?
❑ Yes
❑ No
-EJi/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑ Yes
❑No
EltJ No
Eal /A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Lot ID of split containers:
Date/Time:
Date:
Date:
Field Data Required? U Yes LJ No
Qualtrax ID: 69614 Paae 1 of 2 Page 16 of 19
Docusign Envelope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E 4—Sample Condition Upon Receipt
race
Effective Date: 4/26/2024 10:14:05 AM
*Check mark top half of box if pH and/or dechlorination is verified and within the WOu : 92735831
acceptance range for preservation samples. Project #
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg pM: MWB
Due Date: 06/25/24
`Bottom half of box is to list number of bottles CLIENT: 92-Greener
Check all unpreserved Nitrates for chlorine
i
Laboratory Receiving Location: Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Raleigh❑ mechanicsvilleLJ Atlanta❑ Kernersville❑
Client Profile Number Notes
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pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot d
- - --•�•,��•- -ram •.ram � .—Ei ..�—tU—'Ji— --?ICJJ1UC leLuFryUill ucarmwn1 De senttothe North (.aroh na D EN R Ce rtificat ion Office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Qualtrax ID: 69614 Pace 2 of 2 Page 17 of 19
Docusign Enveljjope ID: C34575CF-57FB-4E38-AD04-AAOD90ED823E
lArFraceAnalytical
Sample Receiving Non -Conformance Form (NCF)
Date: Evaluated by: AffiWO# : 92735831 e
Client: _ W
- PM: MWB Due Date: 06/25/24 I
CLIENT: 92-Greener
1. If Chain -of -Custody (COC) is not received: contact client and if necessary, fill out a COC and indicate that it was filled out by
lab personnel. Note issues on this NCF.
2. If COC is incomnlete_ check annlicahle issues helow and add details where annrnnriate-
J'
Collection dale/time missing or
Analyses or analytes: missing or
Samples listed on COC do not match samples
incorrect
clarification needed
received (missing, additional, etc.
Sample IDs on COC do not
match sample labels
Required trip blanks were not received
Required signatures are missing
GommentslDetails/Other Issues not listed above:
3. SamDle intearitv issues: check annlicable issues below and add details where annrnnrinte-
Samples: Condition needs to be brought to
Samples: Past holding time
lab ersonnel's attention details below
Preservation: Improper
Temperature: not within acceptance criteria (typically
Samples: Not field filtered
Containers: Broken or compromised
0-6C
Samples: Insufficient volume
received
Containers: Incorrect
Temperature: Samples arrived frozen
Samples: Cooler damaged or
Custody Seals: Missing or compromised on
compromised
sam les, trip blanks or coolers
Vials received with improper heads ace
Samples: contain chlorine or
sulfides
Packin Mat erial:Insufficient/Im proper
Other:
Comments/Details:
4. If Samples not Dreserved Droperly and SamDle Receivina adiusts nH. add details helnw-
Sam le ID:
Date/Time:
Amount/type pres added:
Preserved by:
Initial and Final H:
Lot # of pres added:
Sample ID:
Date/Time:
Amount/typa res added:
Preserved by:
Initial and Final H:
Lot # of pres added:
Sample ID:
Date/Time:
I Amount/type pres added:
Preserved by:
Initial and Final H:
I Lot # of pres added:
5. Client Contact: If client is contacted for any issue listed above, fill in details below:
Client: Contactedper:
PM Initials: Date/Time:
Client Comments/Instructions:
F-ALL-C-011-rev.00, 05Jul2018
Page 18 of 19
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Page 19 of 19