HomeMy WebLinkAboutNCG120054_MONITORING INFO_20191231STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG lo( bD�7
DOC TYPE
❑/ HISTORICAL FILE
Lld MONITORING REPORTS
DOC DATE
❑
YYYYMMDD
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
SMITH+GARONER
ENGIREERS
December 30, 2019.
NCDEQ
Division of Energy, Minerals and Land Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
ADDRESS TEL
14 N. Boylan Avenue, Raleigh NC 27603 919,8200577
RE: 2019 2nd Semi -Annual Discharge Monitoring Report
Sampson County Disposal, LLC
Certificate of Coverage #NCG120054
General Permit #NCG120000
Dear Sir/Madam:
WEB
www.smithgardneiinc cone
Smith Gardner, Inc. (S+GI is pleased to submit this 2019. 2nd semi-annual Discharge Monitoring Report
(DMR) for stormwater monitoring at the Sampson County Disposal, LLC (SCD) Municipal Solid Waste
(MSW) Landfill. The site is located in Roseboro, North Carolina. SCD is currently permitted to
discharge water from landfill related activities under Certificate of Coverage (COCI Number
NC6120054, General Permit Number NCG120000.
As you are aware, the Request for Representative Outfall Status was granted to SCD by the -North
Carolina Department of Environmental Quality (NCDEQI, Division of Energy, Minerals and Land
Resources (DEMLR). Currently, the facility is required to monitor discharge at Stormwater Discharge
Outfall (SDO) locations summarized in Table 1, below.
Table 1: Representative SDO Locations
Outfalls 1/2
Outfall6
Outfall 10
Outfall 11
Outfall 12
Outfatt 14
For this submittal we are providing you with two (2) copies of the DMR report.
If you have any questions, or require further information, please contact me at (9191 828-0577 ext. 125
or by email at iohnffdsmithgardnerinc.com.
Sincerely,
SMITH 6ARONER, INC.
EZDxuSig(netl by:
l'�
"j WLL
26DEE49820A9406...
John R. Fearrington, P.E.
Project Engineer
;i Attachment
cc: File
H \Projects\Sampson County Oisposal\02 Compliance\NPOES\Basin Outlans\SCD 2019\DWOnpdes 2019 2nd Semi -Annual - Copy.docx
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted December 30, 2019
CERTIFICATE OF COVERAGE NO. NCG12 0 O 5 4
FACILITY NAME SAMPSON COUNTY DISPOSAL, LLC
COUNTY SAMPSON
PERSON COLLECTING SAMPLES JOHN FEARRINGTON
LABORATORY PACE ANALYTICAL Lab Cert.k 16
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' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
n 10n iiicnhnrno fkic ne ;i 42
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
pH'
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
Ounall 1/2
12/17/19
0.6
25
6000
3.6
7.48
Out1all 10
12/17/19
0.6
203
6000
144
7.24
nnununy sarnpnng Ilnsiead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 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 maybe 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: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
Part B: Vehicle Maintenance Area Mon it_oringResults: only for:facilities averaging> 55gal of new oil per morith— -
n No discharge this period'
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
160 or SW
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 ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal copv 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�Doousia"ed by:
,�St, L SKI& 12/30/2019
Signature of Permittee
Date
Permit Date:11/1/2018-5/31/2021
SWU-248, last revised 11/1/2018
Page 2 of 2
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 1 / 2 / 0 /0 / 5 / 4 /
Facility Name: SAMPSON COUNTY DISPOSAL LLC
County: SAMPSON Phone No. 910-525-4132
Inspector: JOHN FEARRINGTON
Date of Inspection: DECEMBER 17, 2019
Time of Inspection: 12:57
Total Event Precipitation (inches): 0.6
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permitter is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Reeional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
5DocuSigned by;
>: (z %4bLL
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1 /2
Structure (pipe, ditch, etc.): PIPE
Receiving Stream:
BEARSKIN CREEK
Describe the industrial activities that occur within the outfall drainage area:
LANDFILL
Page 1 of 2
SWti-242, Last modified 06/01/2018
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-16C85EBC9C4E
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: CLEAR/LIGHT TAN
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N/A
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
I 2i 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
P 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
l' 2 3 4 5
7. Is there any foam in the stonmwater discharge'? o Yes o ,No.
8. Is there an oil sheen in the stormwater discharge? OYes O No.
9. Is there evidence of erosion or deposition at the outfall? o Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stonnwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 1 / 2 / 0 /0 / 5 / 4 /
Facility Name: SAMPSON COUNTY DISPOSAL LLC
County: SAMPSON Phone No. 910-525-4132
Inspector: JOHN FEARRINGTON
Date of Inspection: DECEMBER 17, 2019
Time of Inspection: 1
Total Event Precipitation (inches): 06
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
F DocuSigneerd by:
t,.wL
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 10
Structure (pipe, ditch, etc.): PIPE
Receiving Stream:
BEARSKIN CREEK
Describe the industrial activities that occur within the outfall drainage area:
LANDFILL
Page I of 2
SWU-242, Last modified 06/01/2018
DocuSign Envelope ID: 47ED0943-5174-4ADA-A479-18C85E8C904E
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LIGHT TAN
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N/A
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2; 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8
9.
1 2 3 4 5
Is there any foam in the stonmwater discharge? o Yes o;No.
Is there an oil sheen in the stormwater discharge? OYes O.N6,
Is there evidence of erosion or deposition at the outfall? o Yes O No;.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018
Doci n Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E - Pace Analytical Services, LLC
ceAnalytical ® 9800 Kincey Ave, Suite 100
Huntersville, NC 28078
www.pecelehs.com (704)875-9092
December 23, 2019
Mary Kennamer
Smith Gardner, Inc.
14 N. Boylan Ave
Raleigh, NC 27603
RE: Project: Sampson-19-2
Pace Project No.: 92457787
Dear Mary Kennamer:
Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
(704)875-9092
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 12
7Envelope lD: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
ceAnalytical
www.DaulaDs.com
(Project: Sampson-19-2
',Pace Project No.: 92457787
Pace Analytical Services Raleigh
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Pace Analytical Services Asheville
CERTIFICATIONS
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Flodda/NELAP Certification #: E87648 South Carolina Certification #: 99030001
,Massachusetts Certification #: M-NC030 VirginiaNELAP Certification #: 460222
`North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
9800 Kinmy Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 12
7vnCel3-5174-4ADA-A479-16C85E8C9C4E
eAnalytical
www.pacelabi.tom
Project: Sampson-19-2
Pace Project No.: 92457787
Lab ID Sample ID
92457787001 OUTFALL 112
92457787002 OUTFALL 10
SAMPLE ANALYTE COUNT
Method
SM 254OD-2011
SM 922213-2006
SM 5220D-2011
SM 254OD-2011
SM 9222D-2006
SM 5220D-2011
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Analytes
Analysts
Reported
Laboratory
AMI
1
PASI-E
WT
1
PASI-R
NAL
1
PASI-A
AMI
1
PASI-E
WT
1
PASI-R
NAL
1
PASI-A
Page 3 of 12
7nCvelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E Pace Analytical Services, LLC
6O nalytical ® 9800 Kincey Ave. Suite 100
078
Huntersville, NC 28078
rww.pecuehs.cam (704)875-9092
ANALYTICAL RESULTS
(Project: Sampson-19-2
(,Pace Project No.: 92457787
Sample: OUTFALL 112 Lab ID: 92457787001 Collected: 12117/19 12:57 Received: 12117/19 15:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 28.6 mg/L 3.6 1 12/19/19 09:45
MBIO 9222D Fecal Coliform RAL Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Fecal Coliforms 6000 CFU/100 mL 1.0 1 12/17/19 17:31 12/18/19 16:05 u2
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 76.8 mg/L 25.0 1 12/19/19 17:12 12/19/19 19:57
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 02:16 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 12
DocuSi n Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E Pace Analytical Services, LLC
aceAnalytical 9800 Kincey Ave. Suite too
Hunlersville, NC 28078
www.pacalahs.cam (704)875-9092
ANALYTICAL RESULTS
Project: Sampson-19-2
Pace Project No.: 92457787
Sample: OUTFALL 10 Lab ID: 92457787002 Collected: 12/17/19 13:08 Received: 12/17/19 15:20 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 203 mg/L 18.9 1 12/19/19 09:46
MBIO 9222D Fecal Coliform RAL Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Fecal Coliforms 6000 CFU/100 mL 1.0 1 12/17/19 17:31 12/18/19 16:05 u2
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand 144 mg/L 25.0 1 12/19/19 17:12 12/19/19 19:57
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 02:16 PM without the written consent of Pace Analytical Services, L-C. Page 5 of 12
DoduS nn Envelin
lD: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
acealytical
.pecelehs.com
QUALITY CONTROL DATA
+Project: Sampson-19-2
iPace Project No.: 92457787
OC Batch: 515732
�QC Batch Method: SM 254OD-2011
Associated Lab Samples: 92457787001, 92457787002
METHOD BLANK: 2763350
Associated Lab Samples: 92457787001, 92457787002
Parameter Units
Total Suspended Solids mg/L
Analysis Method: SM 254OD-2011
Analysis Description: 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/19/19 09:38
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 2763351
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 246 98 90-110
SAMPLE DUPLICATE: 2763352
92457579002 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 100 101
SAMPLE DUPLICATE: 2763353
92457741001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 412 450
RPD Qualifiers
1
RPD Qualifiers
9
Results preaeMed on this "go am 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: 12/23/2019 02:16 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 12
DocuSi n Envelope ID: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
�ceAnalytical
w1ew.Danlahs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
QUALITY CONTROL DATA
Project: Sampson-19-2
Pace Project No.: 92457787
UC Batch: 516378
Analysis
Method:
SM 9222D-2006
OC Batch Method: SM 9222D-2006
Analysis
Description:
9222D Fecal Coliform(MF) - RAL
Associated Lab Samples: 92457787001, 92457787002
METHOD BLANK: 2766693
Associated Lab Samples: 92457787001, 92457787002
Parameter Units
Fecal Coliforms CFU/100 mL
SAMPLE DUPLICATE: 2766694
Parameter Units
Fecal Coliforms CFU/100 mL
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 1.0 12/18/1916:05
92457787001 Dup
Result Result
6000 6000
RPD Qualifiers
0 u2
Reeu its presented on this page main the unite indicated by the "Units' column except where an allpmate unit is presented to Me rl9ht of Me result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 02:16 PM without the written consent of Pace Analytical Services, L-C.
Page 7 of 12
�Sinvelope lD: 47ED0943-5174-4ADA-A479-16C85E8C9C4E
ceAnalytical
www.Dacelebs.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
'Project: Sampson-19-2
Pace Project No.: 92467787
QC Batch: 515648 Analysis Method: SM 5220D-2011
QC Batch Method: SM 52200-2011 Analysis Description: 5220D COD
,Associated Lab Samples: 92457787001, 92457787002
METHOD BLANK: 2763111 Matrix: Water
I Associated Lab Samples: 92457787001, 92457787002
Parameter Units
Chemical Oxygen Demand mg/L
LABORATORY CONTROL SAMPLE: 2763112
Parameter Units
Chemical Oxygen Demand mg/L
Blank Reporting
Result Limit Analyzed Qualifiers
NO 25.0 12/1911919:51
Spike LCS LCS % Rec
Conc. Result %Rec Limits Qualifiers
750 760 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2763113 2763114
MS MSD
92457795001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 193 100 100 306 306 113 113 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2763115
2763116
MS
MSD
92457795002 Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result Conc.
Conc. Result
Result %Rec %Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 53.6 100
it
100 158
162 104 109
90-110 3
Results presonted on this Page are In the units Indicated by the'Unlb' column except where an allmee unit Is presented to the right of the result
Date: 12/23/2019 02:16 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 8 of 12
DocuSi n Envelope ID: 47ED0943-5174-4ADA-A479-16C85EBC9C4E
aceAnalytical
www.pacelaae.com
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
QUALIFIERS
Project: Sampson-19-2
Pace Project No.: 92457787
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 analyle 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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute,
LABORATORIES
PASI-A
Pace Analytical Services - Asheville
PASI-E
Pace Analytical Services - Eden
PASI-R
Pace Analytical Services - Raleigh
ANALYTE QUALIFIERS
MI Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
u2 Colonies are too numerous to count. Actual result may be greater than reported.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/23/2019 02:16 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 12
Do�SnvelopeID: 47ED0943-5174-4ADA-A479-16C85E8C9C4EPace Analytical services, LLC
eAnaiyticai® 9800 Kinsey Ave. Suite 100
Huntersville, NC 28078
www.pacelehs.cam (704)875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
l ProjecC Sampson-19-2
Pace Project No.: 92457787
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92457787001
OUTFALL 1/2
92457787002
OUTFALL 10
92457787001
OUTFALL 112
92457787002
OUTFALL 10
92457787001
OUTFALL 1/2
92457787002
OUTFALL 10
Date: 12/23/2019 02:16 PM
SM
254OD-2011
515732
SM
254OD-2011
515732
SM
9222D-2006
516378
SM
922213-2006
SM
9222D-2006
516378
SM
922213-2006
SM
5220D-2011
515648
SM
5220D-2011
SM
5220D-2011
515648
SM
5220D-2011
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
516403
516403
515896
515896
Page 10 of 12
���� CHAIN -OF -CUSTODY Analytical Request Document
LAB USE ONLY -Affix — (��j — _
WOf
1 • 92�7'f' 7�
ceMalytical'
CV�a
j Chain -of -Custody is a LEGAL DOCUMENT Complete all relevent fields
Company:
Billing information:ALL
SI
Preservat 82A577B7 ��—
Address:Container
'Ycs��
t r9- lL f}vE
Report Toa !!
�_
Email To: `
Ao AJ F SY•117H-�2�-yt�tl ta%
••Preservative Typm:(1)nimc aced, (2) suffuric acid, hydrochloric xid,14) sodium hydroxide,(5) zinc aceate,
) methanol, (7) sodium bisulfate, (81 sodium thiosulfate, (9) hexane, (A) ascorbic add, (0) ammonium sulfate,
Copy To; I
Site Collection Info/Address: Ce.
C) ammonium hydroxide, (DI TSP, (U) Unpreserved, (0) Other
Analyses 11.akto
Profile/Line':'-
Cust:C Projectct Name/Number:
State: County/City: Time Zone Collected
Lab Sample Receipt C ecklist::
l4M
C[ I Mf( ]CT (]ET
Custody ,Senl9 pzanent/Znl9CY Y,& NA
Phone:
Site/Facility ID
Compliance Monitoring?
cnutody Signatuzch Pieeent Y'6)NA
Email: I_
( I Yes -- Y:]No
. Collecto;.Signatucc- reseat, 1'N NA. -
eottlea intact Os N NA
Cor ect ,Bottles. �® N NA
Collected By (pdnt):
purchase Order#:
DW PWSID#
�� ) �a•Yf
•Y
Quote 0:
DW Location Code:
6nf Eicierit Volume `.. CY N NA
Samples Received cra; Ice
College 'Y signature):
Tumamund Date Required:
qpac
Immediately.Pac a on co
voA Reedy -
-Acceptable ,. Y'N 1fA
Yes ( No
USDA: Regulated, Soils'
�Saapled :Sri xoldinq.. Time -.®N RA
5 Dts sal:
Rush:
eld filtered (if applicable).
a ResFduel`Chloxine:Present ,::': 7 N .
I ) Dlspase as appmpdate ( ) Rtturn
( )Same Day ( ]Next Day
( ] Yes I�R No
,
C Stripe •' ' "
I 1 ArthN.
( ] 2 Day j ] 3 Day I ] 4 Day j' ] 5 Day
i•
Sample pa Acceptable; ..z N tu.
1 )Hold: �—
•
(Expedite charges Apply)
Analysis:
'
pB,Strips
6nlfide Present :Y. N '
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wartewater (W W),
:,
)'
Lead Met:ate Stzipa.
Product (b), Soil/Solid (SL), Oil (OL), Wipe f W P), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
J
,
^(^
LAB USE ONLY —
comp /
Collected (or
Composite End
Res
# of
J
t%1
I.eb Sample I / Coomente .'.,
- '
Customer Sample ID
Matrix'
Gab
composite
poslte Start)
CI
Ctrs,
_
Date
Time
Date
Time
V.
I
cDc-t'*-f 4w- t)
w
4
,
w
a
U
a
_
m
U
m
i
Cy
to
I
Uc
s T
r
Q
¢
Customerfiemarks/Spacial
Conditions/Possible Hazards:
TYpe of ice Used. a Blue
Dry; `, None
SHORTHOLDS
PRESENT
(<72hours)®
N •N/A .
Lab Sam le Tetn pe
D , ature info: ,
n
PadlOg MatenaCUsed
lah Tacking# `s /I /I'
2424.G82
in
:Tem p Blank Received. Y ,N NA':
TherrnlD# 095
ci
c
m
''
-
`-'
Cooler l Temp Upon Recclpt oC
- - <
Samples rkelved via
o
- Cooler 1 Therm Carr. Factor: 0.0 oC
w
Radchem samplels)screened (<500 cpm) ,Y, N NA",•:
CF.EDEX UPS•-', hen - Courier Pace Courier .,,.
-CoolerICorreged Teinp: a � oC
¢
-{omments:. -
Relin uts
by/Company: (Signature)
Date/Time:
Received by/Co any: nat )
Date/Time:
•'; MTJL LAB USE ONLY
Tahfep
tZ(t�119
'
¢
I
ZO
17
/�15
Anctnum
o
m
R .nquished
/C pany: (Signature)
Date/Time:
ceived by/Company: (Signature)
Date/Time:
Template
- -
�` Trip Blank Received. Y N NA
IL
I
Prelogin.
` HCI McOH TSP ' , Other
of
Relinquished
by/Company: (Signature)
Date/Time:
Received by/Company: (Signature)
Date/nme:
PM -
m
Non COnfprma.nce(s):
Page:
U
Pe:'
YES / NO
of:
Z L to Z L abed
*Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: vok Coliform, TM Oil and Grease, DRO/8015 (water( DOC, Will
**Bottom half of box is to list number of bottle
1
3
6
7
12
Project# W0 : 924�77�7
PN: NWB Oue Oate: 12/27/19
CLIENT: 92-Rsogli NC
b
z
par
byp
?
ayy
E
z
u==
u
n
B,z
c
E
n
S
EEau
_
z
e=
a
rzJ
...
^'
�'
n
z
c
yyC
c
m
o
«
6
?.
z
c
u
I
r
O
¢
u
d
o
u
n
cE
n
'r�
v
M
S
u
a
E
u
z—<
J
c4E
n
Ji;
aa<a
Ef
J
z
'�
J
S
J
y^
v
EEEE
N
9
z
o
N
i
Q
111
: fE
pH Adjustment Log for Preserved Samples Lot
up°n receipt Date preservation odlusted Timed Ins tlon �°OV°t added rvative
i
Note: Whenever there is a discrepancy aneanng nm,11.•,.,^•----
out of hold, incorrect preservative, out of temp, inmrract containers.
3tr0609399091-6Lt V-VOV4-4LL9-Cb60O3L7:O1 edolenu3 ublgnooO