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Home My WebLink AboutWQ0002523_Residual Annual Report 2018_20190308Town of Beech Mountain 403 Beech Mountain Parkway Beech Mountain, N.0 28604 Town of Bcc:%;c:.%;ch_Momtain February 21, 2019 Division of Water Quality 1617 Mail Service Center Attn: Information Processing Unit Raleigh, N.C. 27699-1617 Dear Sir or Madam: Enclosed is our Residuals report for 2018. I am enclosing copies'of the N.C. report forms. This past year we did not produce any compost, all residuals from past three years were sent to landfill. You will find 3 copies of the report and lab data in this packet. If you need additional information fell free to contact me at 828-387-4724. Sincerely, Robert Heaton Public Utilities Director ANNUAL LAND APPLICATION CERTIFICATION FORM Permit#: LJ* boo 2T2.3 County: Facility Name (as shown on permit): Year: 201 J> Land Application Operator: & 4A Phone: g-ze.7S7. '1282-- Land application of residual solids as allowed by the permit occurred during the past calendar year? . [J Yes a No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A: Total number of application fields in permit: Total number of fields land application occurred during the year: Total amount of dry tons applied during the year for all application sites: Total number of acres land application occurred durinLy the vear: Part B: Facility was compliant during calendar year with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Resources.® Yes ® No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1. Only residuals approved for this permit were applied to the permitted sites. 2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3. Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are attached. 5. All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6. The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part 503.13 or. the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities). 7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part.503.14 were complied with (applicable to 40 CFR Part 503 regulated facilities). 8. All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 9. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were -removed in accordance with the crop management plan. 11. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 12. All buffer requirements as specified on the permit were maintained during each application of residuals. "I certify, under penalty of law, that the above information 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." A 0 11 0 A,* W 76,vrf WMWVq"t Aii�r� --,� - e � � §//� Permittee Name and Title (type or print) Signature of Permittee ate Signature of Preparer* (if different from Permittee) * Preparer is defined in 40 CFR Part 503.9 (r) Date Signature of Land Applier Date (if different from Permittee and Preparer) nr-Kip P:nRnn ar r: rr,ionmi ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM 'ERMIT #: wo pod ZsZi FACILITY NAME: ?-0WLCP--C1C PHONE: 62-b. 357. Q zBZ-- COUNTY: P%Q-"Jqp.- OPERATOR: 9yb._r-4-- I-46A-" FACILITY TYPE (please check one): ® Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C) K3 Distribution and Marketing (complete Parts A, B, and C) Vas the facility in operation during the past calendar year? 0 Yes ®No No If No skip parts A, B, C and certify form below Part A* • Part B* Month Sources(s) (include NPDES # if applicable) Volume (dry tons) Recipient Information Amendment/ Bulking Agent Residual In Product Out Name(s) Volume (dry tons Intended use(s) anuary ebruary March ,pril \\ of d-v ✓Iay Tune Iuly lugust ieptember )ctober dovember )ecember Cotals: Annual(dry tons): Amendments used: Bulking Agent(s) used: If more space than given is required, please attach additional information sheet(s). ® Check box if additional sheet(s) are attached 'art C: acility was compliant during calendar year ;bI$ with all conditions of the permit (including but not limited to items 1-3 below) issued by the )ivision of Water Resources. 0 Yes ® No If No, please provide a written description why the facility was not compliant. All monitoring was done in accor ance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. :. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. No contravention of Ground Water Quali Standards occurred at a monitoring well. 'I certify, under penalty of law, that the ove information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that theMM alties fo submittingWD tion, including the possibility of fines and imprisonment for knowing violations." Cigna e of Permittee Signature of Preparer** Date (if different from Permittee) **Preparer is defined in 40 CFR Part 503.9(r) DENR FORM DMSDF (1112005) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM Facility Name: Po�,2 Cr=c. Permit Number: W_9 6_1yprz3 WWTP Name: NPDES Number: iucxa&S74-/ Monitoring Period: From ,fin" 9,olt To Q-,-, AO)A Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 113 Alternative 2 ® Alternative 3El Alternative 40 Alternative 5 Alternative 6 If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost Heat Dryin Heat Treatment ElThermo hilic ElGamma Ray R Pasteurization nBeta Class B: Alternative 10 Alternative 2 ® Alternative 3 If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ® Air Drying® Composting CS Aerobic Digestion El Anaerobic Di g esti on ....:........:..:..::::....................................................................................................................... . If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in in Sludge Pathogen Density Number o e- dens requency of Sample Type Analica Tech - niclle nirnun Geo. Mean axirn Units Fecal Coliform 10 to the power MPN per gram of total solids or 2 x 10 to the 6th power CFU per gram of N\- 5.D, ` .S be - 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform(dry 3 NTN per 4 grams total solid weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ® I Option 2 ® Option 3 13 Option 4 ® Option 5 El Option 6 El Option 7 El Option 8 Cl Option 9 El 10ption 10 0 No vector attraction reduction options were 2erformed El CERTIFICATION STATEMENT (please check the appropriate statement) 09 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." ® "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Zlft� 4r Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) Signature of Preparer Date Signature of Land Applier (if applicable) Date DFNR FORM RF (5/90n3) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: Laboratory: 1) Rest. A JJalk r.l t-,Pfyarna-cn� Facility Name: 2) NPDES # or 3) WQ#: lJcaoGCi?G 4) WWTP Name: ww TIP 5) Residual Analvsis Data . . • Sample - •Date ------- NEW "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer Date DENR FORM RSSF (5/2003) Town of Beech Mountain 403 Beech Mountain Parkway Beech Mountain, N. C. 28604 Facility: Pond Creek WWTP. 364 Locust Ridge Road, Beech Mountain, N.C. 28604. 828=387-4724 NPDES#: NC0069761 Responsible Officials: Tim Holloman Town Manager Robert Heaton Public Utilities Director Facility Operator: Robert Heaton Tons Permitted: 12 Dry Tons of Residuals TOWN OF BEECH MOUNTAIN February 21, 2019 NCDENR DWQ Non Discharge Branch To Whom It May Concern: Residuals Sampling/Monitoring Plan for Pond creek compost. The compost is mixed at a 3:1 ratio. The mix is tested for pH, % moisture at the time of mix. Temperature is measured twice per day at two different points of the pile. After 28 days the mix is turned and goes through 28 more days. 2/day temp. At the end of this phase the mix is moved to the storage pad for 30 days At this point the mix is sampled for 503's and pathogens. In the event that the solids do not compost or there are not enough to compost they will be hauled to the landfill. The mix is not allowed to leave the facility until the mix passes all testing. If you need additional information feel free to contact me at 828-387-4724. Sincerely, is Q Robert Heaton WWTP ORC 403 BEECH MOUNTAIN PARKWAY BEECH MOUNTAIN N.C. • 28604 PHONE: 828-387-4724 FAX: 828-387-4862 aUn111111N,4 Amu RESEARCh & ANALYACAI UbORATOR1ESt, INC. NOW Analytical/Process Consultations loss Chemical Analysis for Selected Parameters and Sampling Locations Identffled as Pond Creek -Sludge (A Water Tech Labs Project, collected 11 September 2018) L Volatile Organics Quaniltation Pond Creek-SIudge EPA Method 8260 B Limit Parameter %nPflttl fmg/k Acetone 0.100 BQL Benzene 0.005 BQL Bromobenzena 0.005 SQL Bromochloromethane 0.005 SQL B'romedlchloromathane 0.005 SQL Bromoronn 0.005 BOL Bromomethanc 0.010 BQL 2-Butanone 0,100 BQL N-Butylbenzene 0,005 BQL Sec-Burylbenzene 0.005 BQL Tert-Butylbenzane 0.005 BOL CarbunTetrachlorido 0.010 BQL Chlorobenzene 0.005 BQL Dibromachloromelhane 0.005 BQL Chloreethane 0.010 SOL Chloroform 0.005 BQL Chloromethane 0.010 ROL 2-Chlorotoluene 0,005 BQL 4-Chlorololuene 0.005 BOL 1.2-Dibrornoelbane (EDS) 0.005 SOL 1,2-Dieblorobenzeno 0.005 ROL 1,3-13iohlorobearene 0.005 SOL 1,4-Diehlombenzene 0.005 BOL Dlchlorodifluoromelhaae 0.005 BQL 1,1-Di0lorocthanc 0.005 BQL 1,200loroethane 0.005 BQL W-Dlohlarceihane 0.005 BQL Cis-1,2-Dichtaroelhenc 0.005 BQL Trans-0-01chlomethene 0.005 BQL 1,2-Dich1oropropttnc 0.005 BOL l,3-Dlchloropropanc 0.005 BQL 2,2-Diohloropropsne 0.005 BQL I,l-Dlchloropropme 0.005 BQL Cie-1,3-Dichloropmpcne 0.010 BQL Trans-1,3-Dichlorepropeno 0.010 BQL Ethyl Acetate 0.010 SQL Ethyl Benzene 0.005 BOL 2-Hexanone - 0050 BQL i-Propylbenzene 0.005 BQL lsoprapyl ether (I PH) 0010 - BQL p-Isopropyltatuene 0,005 BQL Methylene Chloride 0.020 BQL 4-Methyl-2-Pentanone 0.100 SQL Methyl -Tart -Butyl ether (MTBE) 0010 BQL Naphthalene 0010 BQL N-Propylbenzene 0003 BQL Styrene 0010 SQL 1,1,2,2-Telrachlamelhane 0405 BQL Tetraehlorootheno 0005 SQL Toluene 0005 01035 1.1.1-Trlohloroelltone 0005 BQL 1,1.2-Trichloroothane 0005 BQL Trieblametheno 0005 BQL Trichtarolluoromelhane 0005 B0L 1,2,3.1tiehlorobenzene 0.005 BOL 1,2 4-Trlchlorobanzene 0.005 BOL 1,2,2-Tdchloropropane D.015 BQL 1.2A-Trimethylbenrono 0.005 BQL 1,3,5-Ttimalhyibenzena 0.005 BQL Vinyl Acetate 0050 BQL Vinyl Chloride 0.010 BQL Total xylem 0.005 BQL Catboo Disul(-ide 0.100 BOL Acrylonilrile 0.200 BQL Trans4.4-Dlchloro-2-butene 0.100 SQL Methyl Iodide 0.010 BOL Dlbromomelhane 0.010 BQL 1.1.1,2-Tefrachlomethane 0.005 BQL 1,2-Dihrome-3-Chlompropane(DBCP) 0.025 BQL DlfutlonFactor i Sample Number 56075-01 Sample Data 09/11/18 Samplo Time (hrs) 0830 Date Analyzed 09/24/18 Time Analyzed 1914 Surrogate Recovery (DBFM) Range (70-130"�a) 1080/0 Surrogate Recovery (Toluene-0) Range (70.130%) 87% Sttrrogato Recovery (4-BFB) , Range (70.130s0o) 86% mglkg4mlillgmmsperkllogmm-panspcemilllon(ppm) BQL - BolowQuamitationLimits 81E5EARCh & ANA1yTiCA1 LA6®RAToiziEsl INC, Analylicol/(orocoss Consultatlons Cllellrieal 4ludysfs for Selected Parasreters alt(l Stimpthig LOCatl011s Ideltlified (Is 11011d Creek -Sludge M Writer Tech .Gabs Au Led, collated .11 Se Xett►baw 2018) L 'Setnl-Vnlntllc 01-gnnics 11'A Metttnd 8270 UNA Quuntitntion Fond Crack -Sludge Unti( pnt•n t to nt AC j l( u) Accnupl,timw 0,330 1301, Acvnoldilhylane 0,330 OQL Andiracona' 0.330 0.824 flanzole Add 6.670 Doi. ltun2a(a)nnthtncanc 0.330 3.09 Uoma(h)RUumnthcac 0.330 4,82 1)enzo(k)Oumm�Otena 0,330 1.93 nenzq(uhi)txtylena 0,130 01890 panzo(otnymno 0.330 2.86 Ocnayl Ateahol 3.330 DQI. liis(2-chloroclhoxylmm�tmw 0.330 nQL 13is(2-dtloracthylloiher D,33O no[, 13is(2-chluralsapnrytyllalhdr D,330 HQI. His(2-ctityl-hcxyi)Islttholate 0.33D 1.08 4•Ilramopltonvl phcuyl other 0,330 Doi. OcsM buM phthalate 0.330 001. 4-Cidarounilhia 1.650 not, 4•Cifiam-3•muthyiphanol 0.3A OQL 2•chforonauhlhnicuc 0.330 DQL 2•Chtorophanul 0.330 not, 4•Chlarophenvl uhtoyl alter 0.330 HQL Chrysono 0,330 3.17 D@anzu(u.h)nnthircena 0;330 VQL Dibm ofhmn 0,33D not. Di-N-Bulyl bhlhnlate 0,330 Hoc l 20icidarobcnxcno 0.330 nQL 1,1-Dichlornbvnzene 0,330 not. 14-Dichlaroknacnu 0,330 not. 3,3•D(chlorobcozidina 0,660 1101. 2,4•Aichlarophmtol 0,330 not, Multyl phlhnlntu 0.330 HQL 2,4-Mmcthylphcnol 0.330 OQL Dltrethyl uhihalutc 01330 Hot. 4,6•Dinitro•2-melhylphanol 1.650 BOL 2,4. ?hi1troohonol 11650 not, 2,4 Dinilrotchrone 0.330 Hol, 2,6•Dioitrotalumu 0.330 60L I.JI-N'-Myl phdmiate 0.330 1301, Ambenzenc 3.330 UQL Piuoranthonc 0.330 5.58 pluareav 0.330 HQL llexachioroboazano 0.330 Dot, tiaxpclslorahnauttm,u .0.330 Hot. llpxnchlarncyclntxumJirna 0.330 nor. 1lcxncl:latucihora 0.330 UQL )ndcpa(1,2,3•cd) nvrenv 0.330 1.35 lsonitamne 0.33D OQL 2 ,4icthyluaphlbnkna 0.330 HQL 2•1vlcthylphonel 1.650 OQI, Wmct1tylphmlol 1.650 OQL uolxnronc 0.330 nQt. 2•Nitrophenol 0.330 HQL ,Witrophonol 1.650 0QL N•NltroroJlphenvluntina 0.330 t10L N•nhrttcaJt•n•prnpy]nudna 0.330 n01, 1!anlucltloropha of 6650 Ool. t'licnonthrcnc 0.330 2.18 pnattol 0.330 not. Fyreno 0.330 5130 1.2,4=frichlarolxnranc 0,330 W. 2,4,6= i'riahlaraphm,ol 0,330 no[, 2 btethYl•4,G•dinluanhcnol I,GSD Hot, nanzlsuna 1.650 HQL l; •Dtpitanvllivdrarloo 1.05o Bpi, N•NitrosoJ3nwlhyhnnina 0,330 not. Nnpthnlenc 01330 OQt. Whalen Factor snittplo Number 56075.01 So mplo Dote 09111/18 Smnpla Time (lu•s) 0830 Dole LM-nctod 0911VIS Date Analyzed 09124/18 Thae Analyccrl 2200 Surrogote Recovery Rnngc (2•f luornphoua)) (21-I 109a) 65% (Phenol-t16) (Nkval)un7xoc•d5) (35-1 Id%) 66% (2,4,6-TrIbruntoplienol) (10.123%) 951/6 (2•hlr0rohlphonyl) (43»I 16%) 66°/6 (4•Turphanyl•1114) (33.14I%) 9511. mty)tg-roilligmtnsper 13loppin pansper million (ppm) HNh nnse•NcumdAcid 13xln,ctablus pp�ityrlJUt ��44 {�+ NO MOMfill nQi. a Il°hnvQvomitntfan6lmtu RESEARCh . ANALYTiCAI Reportof Analysis LAORATORiES► IM 1011 512018 For: Water Tech Labs, Inc. ,�, P.O. Box 1056 `�'�.� '�.,� Granite Fails, NC 28630 ' 1`' M 0 NC 1134 NC ##87701 =Alaw Attn: Joe Gragg. S40 r Cllent Sample ID; Pond Creek Sludge Gab Sample ID: 66075-01 Site: Water Tech Labs Collection Date: 9/11/2018 8:30 I "�9'�.k 'hf_. AS. ''F;S„ .Y6 ,,,,,, vi�:�E,• .'."i�5 °i3 t 0, .ti,. ^r .g•: ,:y „T"'i.Yr..•;it.7.; ':l^v. :'6, .•i::,Yx ;3:..'�+: .R; ,tl^Na( ,t,.;..,4 ,.,r `' 3 r, ,. .,.k,�t.. xh+ ?tk• st. S?r_'.—r""'3 '•;,[�'y,e^rr,�^`: a". s.....Iy i'"';''+ .; r.$ is'._^^;�,�.Da:. Paral'netei?��t,,,;:��•. �.7.c,;: ..t��Y.,.�:�.,�yR �fu:{ �,�'<:�s�,='�v��::'<-<; :, � 3 g��:�Uri�ts:+"�}<�,xkx.lA 'al. s�.'Anal, `sfeGTirhe`��:<�v;, '�{�: • �.�. �.�..1�.,'!�i�i:N IMF: � i':�s9�.+x.t>?.".�?�3'iY1Q� �1T%3.re#.14�i:.�3azc�mnXi c;: t�,' •4.c ,:.'dv�A'F�'eSl'�e��11:�4,,:.a?h'S,;a-.••-.^.-_�?;i<:,�a?:v'"�, :i:'�� "�iir✓i•,.t.: '.`e��S1. PAN Calculation 6480 % Solids SM 2540B 13.8 % EE 9/1912018 i Total Kjeldahl Nitrogen SM 4600 N Org B-1997 (NH3 16700 mg/kg FK 9/19/2018 0.1997) Ammonia Nitrogen SM 4500 NH3 0-1997 6550 mg/kg FK 9/25/2018 Total Phosphorus SM 4500 P E 437 mglkg Bi ' 9/19/2018 Nitrate + Nitrite SM450.0 NO3E <7.25 mg/kg DW 9/14/20,18 1625 Aluminum, Total SW 846 00101). 8740 mg/kg JF 9/20/2018 Arsenic, Total SW 846 601 OD <7.25 mg/kg JF 9/20/2018 Cadmium, Total SW 846 60101) 13.0 mg/kg JF 9/2012018 Calcium', Total SW 846 601 OD 8700 mg/kg JF 9120/2018 Chromium, Total SW 846 601 OD 19A mg/kg JF -9120/2018 Capper, Total SW 846 601 OD 171 mg/kg JF 9/20/2018 Lead, Total SW 846 6010D 24.2 mg/kg JF 9/20/2018 Magnesium, Total $W 846 60+10b 2560 mg/kg JF 9/20/2018 Molybdenum, Total SW 846 601 OD <7,25 mg/kg JF 9/20/2018 Potassium, Total SW 846 60100 2810 rnglkg JF 9/20/2018 Selenium, Total SW 846 6010D <7+25 mglkg JF 9120/2018 PA. Sox 473 106 Short Street KemWrTllle, North Carolina 27264 lei: 336.99fi-2S41 Fax 336.996 0326 rwvw.randalebs.eom Page 1 ral_ r oa, hasic_noRt__v'i RESEARCh&ANAYTiCAL Report of Analysis LAORATORiES, INCO 10/15/2018 Client Sample ID: Pond Creek Sludge Lab Sample ID, 56075.01 Site: Water Tech Labs Collection Date: 9111/2018 Zinc, Total SW 846 60100 529 mg/kg JF 9/20/2018 Mercury, Total $W846 7471 B 0,628, mg/kg SK 9126/2018 Cyanide, Total SW846 9014 6.44 mg/kg AW 911812018 Nickel, Total SW846 Method 6010 C 13.0 mg/kg JF 9120/2018 Sodium, Total SW846 Method 6010 C 762 mglkg JF 9120/2018 pH SW846 Method 0045 4.70 Std. Units MM 911812018 1650 NA = not analyzed P,-O—. —Box 4-73-106--8-h,ort—Stre,e,t--K,e,*tn—ets—v,il—le—, r LAbORATORI*F-S, INC,* 1 t Analytical/Process Consultations Toxicity Characteristic Leach:ate Procedure (TCLP) Analysis of Sample Identified as Pond Creels -Sludge (A Water Tech Labs, Inc. Project, collected 11 September 2018) Pond Creek - Sludge EPA 11W Quantitation Results Characteristic Number Contaminant Limit(mglLl n /I., Level(me/L), EPA Method �. TCL» mcum D-004 D-005 D-006 D-077 D-068 D-009 D-010 D-011 11 REACTIVITY D-003 D-003 1U. CORROSIVITY D-002 IV. IGNiTABILITY D-001 /trsmic Bsriutn Cadmium Citrotnium Lead Mercury Selenium Silver Cyanide Sulfide PH 1pitabirty Sample Number Sample Date Sample Time (Itrs) Sample Matrix UQl. = Below Quantitation Limits mg/i. = mililgrants per l..iter= parts per million (ppm) 0.010 BQL 5.00 6010 0.010 0.101 100 6010 0.005 0.019 1.00 6010 0.010 0.136 5.00 6010 0.005 BQL 5;00 6010 0.0020 BQL 0.200. 7470 0.100 BQL 1.00 6010 0.010 BQL 5.00 6010 1.00 BQL 9010 5.00 BQL 9030 Std. Units 4.70 9045 WNI 1010 56075-01 09/11/18 0830 ,Solis{ WNI. = Will Not Ignite mg/kg = milligrams per kilogram = parts per million (ppm) Research & Analytical Laboratories, Inc Analytical 1 Process Consultations Phone (336) 996-284I . CH,"N OF CUSTODY RECORD W17terl Wastewater Misr - Company Water Tech Labs Job No. +fir Z H v .a > C O a N OA ,`�� H O - 0 - �. O - � - a. F u, Street Address p.o. box 1056 Project City, State, Zip Granite Palls, NC 28630 Sampler Flame (Please Print) Contact Joe Gregg Phone 18281396144-44 Sampler Signature O Sample Number (Lab use Only)Date Time omp ra Temp 4 C Res. Cl' Chlorine Removed Y or NI(SorW)I,� Sample Matrix Sample Loeation 1 I.D. c Requested Analysis . 09/11118 0830 x Pond Creek-Siudee I See Attached }iuq®shed By Date/Ti me c i Remarls ini}n}5 ' q Da rme l Received By fln lee Sample Temperature at receipt °C