NCG120038_MONITORING INFO_20191231

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
X G 0
DOC TYPE
❑ HISTORICAL FILE
5KMONITORING REPORTS
DOC DATE
❑ I I I ci
YYYYMMDD

DocuSign Envelope ID: AFF2910D-85564CF9-AE03-190614F21599
SMITH+GARDNER
ER RIIII IRS
December 18. 2019
NCDEO
Division of Water Quality
Attention: DWQ Central Files
1617 Mail Service Center
Raleigh, INC 27699-1617
ADDRESS TEL WED
14 N. Boylan Avenue. Raleigh NC27603 919,828,0577 wwwsmidlgardnerinccom
RE: Tier 2 Monitoring Reports —September and November 2019 pri=IVE®
Halifax County Landfill DEC 31 2019
Certificate of Coverage #NCG120038 , n„k- TILES
DWR sEcTiON
Dear Sir/Madam:
Smith + Gardner (S+G) is pleased to submit the attached Tier 2 Discharge Monitoring
Reports (DMR) and associated analytical report for stormwater monitoring at the Halifax
County Landfill. The site is located in Halifax County, North Carolina. The facility is
permitted to discharge stormwater related to landfilling activities under the NPDES program
by the General Permit No. 120000 [permit], issued by the North Carolina Department of
Environmental Quality, Division of Water Quality. The facility is required to monitor discharge
at Stormwater Discharge Outfall (SD01 Basin #1.
Basin # 1 entered Tier II status for chemical oxygen demand ICODI in June after a second
sampleexceeded the benchmark threshold. The sample collected during the November
event exceeded the benchmark threshold for COD. This is the fourth time that SOO #1 has
exceeded the benchmark threshold for COD, therefore SOO #1 has entered Tier III status.
The initial increase in COD results occurred during landfill closure activities in June 2019.
Since landfill closure was completed in October 2019, COD concentrations have reduced and
we anticipate that flow to this basin will decrease over time. Based on the landfill now being
closed, Halifax County and S+G plan to submit a permit modification to reduce or remove
monitoring for this facility. Additionally, a C&D landfill will be starting operation soon and the
permit modification will also address this change. We are providing two f21 copies of the
November DMR report for this submittal. We are also providing two (2) copies of the
September 2019 DMR as we had received the lab results late. If you have any questions, or
require further information, please contact us via phone at [phone] or by email. Thank
you for your time.
Sincerely,
,SDd1lh�WI DER, INC.
E�cEss�967�d.
Staff Engineer, ext. 170
[e-mail]
o sanee by
SB6B31996A6]4D]...
Pieter K. Scheer, P.E.
Senior Engineer, ext. 123
pieterfasmithgardnerinc.com

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Attachments
CC: Greg Griffin (Halifax Countyl
Ed Stanfield (Halifax Countyl
Joan Smyth, P.G. (S+G)
H:\Pmlecl VI.WaxCounty INCM2 HC CompOance\04 HC NPCESV019\1I November\CWCupdeSNOv2019 d)cx

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 18, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 O 3 8
FACILITYNAME Halifax County Landfill
COUNTY Halifax
PERSON COLLECTING SAMPLES Edgar Stanfield
LABORATORY Environment 1, Inc. Lab Cert. # 37715
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑■ Monthly' November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Watersupply [:]SA
Rf_
DEC g 1 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CCENTRAL FILES
OyVR S CCiO°d
n No discharge this period2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen
Demand
mg/L
Fecal perColi100
Colonies per 100 mL
Total Suspended
Solids
mg/L
Standard Units
and
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
Basin#1
11/21/2019
0.1
175
<1
12
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2o18
Page 1 of 2

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 504
—
Parameter Code
-
46529
00552
CO530
NCOIL
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. see General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina Period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate 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."
i7V&u
Signature of
Permit Date: 11/1/2018-5/31/2021
12/18/2019
Date
SWU-248, last revised 11/1/2018
Page 2 of 2

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 18, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 O 3 8
FACILITY NAME Halifax County Landfill
COUNTY Halifax
PERSON COLLECTING SAMPLES Edgar Stanfield
LABORATORY Environment 1, Inc. Lab Cert. q 37715
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑■ Monthly' November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
QOtherc
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
Standard Units
a rd
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
Basin#1
11/21/2019
0.1
175
<1
12
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX nri where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriod2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 504
—
Parameter Code
-
46529
00552
CO530
NCOIL
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate 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."
Gyi&u
Signature of
Permit Date: 11/1/2018-5/31/2021
12/18/2019
Date
SWU-248, last revised 11/1/2018
Page 2 of 2

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
r EmAuTomgmW lip WOPROQMd Drinking Water ID. 37715
HALIFAX LANDFILL (COAL & ASH)
C/O SMITH GARDNER, INC.
ATTN: JOAN SMYTH
14 N. BOYLAN AVENUE
RALEIGH ,NC 27603
Basin #1
Analysis
Method
PARAMETERS
Date
Analyst
Code
COD, n1g/I
175
11/22/19
SCJ
H8000-79
Fecal Coliform (MF), 1100 Mls
<1
11/21/19
HJO
9222D•06
Total Suspended Residue, mg/I
12
11/22/19
HJO
2540D-11
ID#: 299
DATE COLLECTED: 11/21/19
DATE REPORTED : 11/25/19
REVIEWED BY:

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 18, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 O 3 8
FACILITYNAME Halifax County Landfill
COUNTY Halifax
PERSON COLLECTING SAMPLES Edgar Stanfield
LABORATORY Environment 1. Inc. Lab Cert. # 37715
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or *Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
MOtherc
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg
Fecal Coiiform
Colonies per 100 mL
Total Suspended
Solids
mg/L
pH,
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
Basin #1
9/25/2019
0.1
1380
<1
43
7.11
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX rrl where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX"..
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

DocuSign Envelope ID: AFF2910D-85564CF9-AE03-190614F21599
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period'
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
35
100 or 504
Parameter Code
-
46529
00552
C0530
NCOIL
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO 0 .
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitorina Period in the
case of "No Discharge" reports/ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate 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."
r D000sooed by:
1 v4i&L
Signature of Permittee
Permit Date: 11/1/2018-5/31/2021
12/19/2019
Date
SWU-248, last revised 11/1/2018
Page 2 of 2

OocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 18, 2019
CERTIFICATE OF COVERAGE NO. NCG12 O O 3 8
FACILITY NAME Halifax County Landfill
COUNTY Halifax
PERSON COLLECTING SAMPLES Edgar Stanfield
LABORATORY Environment 1, Inc. . Lab Cart. # 37715
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 0 Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑■ Otherc
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Coli
Fecal per 100 mL
Colonies per
Torm ata! Suspended
Solids
mg/L
Standaardnd Units
Benchmarks
_ -
-
120
1000
100 or 504
6.0-9.0
Parameter Code
46529
00340
31616
C0530
00400
Basin #1
9/25/2019
0.1
1380
<1
43
7.11
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

DocuSign Envelope ID: AFF2910D-8556-4CF9-AE03-190614F21599
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharqe this Periodz
Outfall No.
Date Sample Collected)
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_ -
-
15
100 or 504
Parameter Code
-
46529
00552
C0530
NCOIL
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 0 NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring Period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center -
Raleigh, North Carolina 27699-1617 -
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
DocuSigned by:
12/19/2019
Signature of Permittee
Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

114
HALIFAX LANDFILL (COAL & ASH)
C/O SMITH GARDNER, INC.
ATTN: JOAN SMYTH
14 N. BOYLAN AVENUE
RALEIGH ,NC 27603
Basin #1 Analysis
Method,
PARAMETERS
Date
Analyst
Code
COD, mg/I
1350 10/04/19
SE.I
I18000-79
Fecal Coliform (MF), /100 Mls
<1 09/25/19
MAR
9222D-06
Total Suspended Residue, mg/I
43 09/26/19
MAR
2540D-11
E
ID#: 299
DATE COLLECTED: 09/25/19
DATE REPORTED : 10/04/19
REVIEWED BY:

E vi�ronment 1, Inc.
P.O. Boa 7085, 114 Oakmont Dr.
CHAIN OF CUSTODY RECORD
Page 1 of 1
APRESERVATION
CFl
O�,.
:.
.:
-
.
...
_
... ULFATE
-
• :1■�©
■■■■■■■■■■■■■
CLASSIFICATION:
■■■■■■■■■■■■■■■■■■■■■
■ DRMWWATB
DWRAGW
•SOLIDWASTESECTION
■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■
1
,1. ,
■■®■■■■■■■■■■■■■■■■■■
4
PLEASE READ Instructions for completing this form vrsSampler must place a'C' for composite sample or a'G' for
FOM #5 Grab sample in the blocks above for each parameter requested. N 2 371559