HomeMy WebLinkAboutWQ0005910_Revised Monitoring - 07-2019_20200519 (2)GWS 5.9A COMPLIANCE REPORT FORM
Permit#_�QOOp5g40
(Submit one each monitoring period with GlP 59 jorms)
1 Enter date monitoring results were due. (_ o Will this monitoring report (GW59 and GW-59A)
YES NO
be submitted after the established due date?
2 Was any required Information missing on the GW-59 report forms?
YES NO
IF the answer to question I or 2 is "YES'; list in the space provided below the well identification numbers) and
explain the problems encountered in obtaining the required information.
3 1 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES NO
fdentifiCal101 plate, area overgrown, etc.)? Ifthe answer is "Y'es", comae/ the Reglonal0fce forguidance.
/
4 Are any monitored constituents equal to or above the established standards?
YES NO
If the answer to question 4 is 'NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with consNuent(s) and concentration(s)
exceeding standards in the space provided below:
MaJ�®Are,o�ta-;,a1 wcyIL
M W y- W to .5 rv�y lim
S For the constituents identified In question 4 abovq, have standards been exceeded previously for the
YES
NO
same constltuent(s) In the same well(s) in the last two years?
if the answer to question'5 is WO" skip to section 8.
If the answer, to question 5 is 'YES" list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
E4v05- 10S MW4-Alt§xik
3124b11 tail 11a4ht-uss
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tlAluvb (0N0 ila�itl-le9b
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer Is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO" monitoring welts maybe improperly
located., contact the Regional Office.
r7
r1srothe permittee implementing previously approved actions required by the Division involving this
YES
NO
undwater quality problem?
If the answer to question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 7Is "NO", contact the Regional Office within 90 days• an evaluation may be
required to determine the impact the waste disposal system Is having at the review and compliance
b.oundarles surrounding this facility. Failure to do so may subject the permittee to a Notice of Woladon
fines, andlbrpenaltles.
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the tap of the current GW-59 form.
IGfier&tiyacknowledge thaklthe above information was ev, u H MOPlftgnd the ln�ocmas c�n�sub tad n Mi. *e
reo.port>I arcs Rop'oit GN/,5gp);Is trge and corriplete,jo {ie bo§t of my�Cngwledge,,
S,o ature permittee (or Authorized Agent) Date
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Well Location/ Site Name:
I_C
Please Print Clearly or Type
Countye-
Telephone #:25�
No. of Wells to be Sampled:
WellldentificationNumber(fromPermit): ft\00-5 For Groundwater Treatment Systems
Well Depth: 2w\•l _ft. Well Diameter: Z in. Check One: ❑ Influent (98)
Screened Interval: i5 ft. to 2-2 ft. ❑ Effluent (99)
Depth to Water Level: tO of ft. below measuring point.
Measuring Point (M.P_) is: 2t ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: S Date sample collected:
�1'�3-►q
Field analysis: pH l l kto , Specific Conductance uMhos
Temp.22,7 °C, Odor 00O e- Appearance C1ea r
PARAMETERS (Samples for metals were collected un
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
(Nate: Use MPN method for highly turbid samples)
Dissolved Solids: Total Col"1 mg/I
pH (when analyzed) units
TOC 2•�9 mg/I
Chloride 3"1 mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia 0.1% mg/I
TKN as N mg/I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
7636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE:
Non-DischargeU3000059\® UIC
NPD
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
Rotary Distributor
Other:
Remediation: Infiltration Gallery
Remediation:
_Land Application of Sludge
NOTE:
Values should reflect dissolved and
colloidal concentrations.
Date
sample analyzed: � 1�'-\�1°s' �119
Laboratory Name: En rtyny %nne-yNA�
Certification No. An
:eredy YES NO
and field acidified
Nitrite (NO2) as N
mg/I
Nitrate (NO3) as N
mg/I
Phosphorus: Total as P.
mg/I
Orthophosphate
mg/I
AI - Aluminum
mg/I
Ba - Barium 0.02
mg/I
®SS -
Ni -Nickel mg/I
Pb - Lean mg/I
Zn - Zinc mg/I
An Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(1) No_(0)
VC method # =
method # _
method # _
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Facility Address
Contact Person: �°n`,^
Well Location/ Site Name:
Please Print Clearly or Type
County
Telephone #: 252 y92_j'
No. of Wells to be Sampled:
Well Identification Number (from Permit): I�a7
Well Depth: 21. 'b ft. Well Diameter: Z
Screened Interval: is ft. to 22 ft.
Depth to Water Level: 1 t ° `i ft. below measuring point.
Measuring Point (M.P.) IS ft. above land surface.
Gallons of water pumped/bailed before sampling: IS
Field analysis: pH toil , Specific Conductance _
Temp. 19 'C, Odor � A
PARAMETERS (Samples for metals were collected
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 3Lla mg/I
pH (when analyzed) units
TOC 4 I , o o mg/I 2 Chloride M mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia 0- t to mg/I
TKN as N mg/I
For Groundwater Treatment Systems
n. Check One: ❑ Influent (98)
❑ Effluent (99)
Relative M.P. Elevation in ft.:
Date sample collected:l1
ppearance
Giear'
DEPARTMENT OF ENVIRONMENT & NATURAL. RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#:
EXPIRATION
DATE: 1Yj S1j20"2.4
Non -Discharge U3Q®00rj91D
UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field _Remediation:
Rotary Distributor _Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:ay�gQ^ fit\ ILA
Laboratory Name: LnxfteAOytw 2 n$
Certification No. 0®
:ered e✓ YES _NO and field acidified
Nitrite (NO2) as N mg/I
Nitrate (NO3) as N®-5 mg/I
Phosphorus: Total as P. mg/I
Orthophosphate mg/I
AI - Aluminum mg/I
Ba - Barium O. 0 L4 mg/I
Ca - Calcium mg/I
Cd - Cadmium mg/I
Chromium: Total mg/I
Cu - Copper mg/I
Fe - Iron mg/I
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
Ni -Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
\SS- 2.3 "94IL
ow.:de^ 0oiA o w,aIL
ORGANICS: (GC,GC/MS,HPLC)
IS test and method #. Attach lab report.)
Report Attached? Yes(I) No_(0)
VOC method # =
method #
method # _
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name:_
Permit Name (if
Contact Person: �•�®•^
Well Location/ Site Name:
Please Print Clearly or Type
County t�errtr
Telephone 4:252-�02-�
No. of Wells to be Sampled:
Well Identification Number (from Permit): RAOa1' For Groundwater Treatment Systems
Well Depth: IQ) ft. Well Diameter: in. Check One: ❑ Influent (98)
Screened Interval: 73 ft. to 19 ft. ❑ Effluent (99)
Depth to Water Level:�0_ft. below measuring point.
Measuring Point (M.P_) is: 2 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 5 Date sample collected:�
Field analysis: pH •fob , Specific Conductance uMhos
Temp. 26.1°C, Odor 1*10VN2 Appearance Ckear
-1
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: • EXPIRATION DATE: ®c.
Non -Discharge W00005410 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon _Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
NOTE:
Values should reflect dissolved and
colloidal concentrations,
Labo
Date sample analyzed:-11a4,1q
ratoryName: t�%uy:yn �^ h
Certification No. �0
PARAMETERS (Samples
for metals were collected
unfiltered✓ YES _NO
and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P.
mg/I
(Note: Use MPN method for highly turbitl samples)
Dissolved Solids: Total Z26 mg/I
pH (when analyzed) units
TOC �i •rig mg/I
Chloride Ito mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/1
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia ®-116 mg/I
TKN as N mg/I
urtnopnospnate
mgn
Ni -Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Spec Compounds and Concentration Units)
eGC- �1.Sw.a1L
rOm•r1& - o1.f32m4I9_
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(1) No _ (0)
VOC method # =
method # _
method tk =
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name:Pwncr, LLC
Permit Name (if different):
Facility Address: 9it4 9 ��enrra FG.vwa �iomC�
Well Location/ Site Name:
Countye-
Telephone
No. of Wells to be Sampled:
Well ldantification Number(from Permit): M1.9- `Li For Groundwater Ireatment5ystems
Well Depth: �'� ._ft. Well Diameter: 2w in. Check One: ❑ Influent (98)
Screened Interval: ft. to _116 ft. ❑ Effluent (99)
Depth to Water Level: \3 ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: Date sample collected:y\9
Field analysis: pH (g,4O , Specific Conductance uMhos
Temp.25.4 °C, Odor W Ora, Appearance Caeuw
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE:
Non-DischargeW0000591D UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor _Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations,
Date sample analyzed: ,1A`tl\0. a 'IT
Laboratory Name: ant g�rly:wten�
Certification No. 1®
PARAMETERS (Samples for metals were collected unfiltered `/ YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I
Coliform: MF Total /100ml Phosphorus: Total as P. mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I
Dissolved Solids: Total 40® mg/I Al - Aluminum mg/I
pH (when analyzed) units Ba - Barium Om 19S mg/I
9 TOC .6t-1 mg/I Ca - Calcium mg/I
Chloride �2 mg/I Cd - Cadmium mg/I
Arsenic mg/I Chromium: Total mg/I
Grease and Oils mg/I Cu - Copper mg/I
Phenol mg/I Fe - Iron mg/I
Sulfate mg/I Hg - Mercury mg/I
Specific Conductance uMhos K - Potassium mg/I
Total Ammonia 3 �1 mg/I Mg - Magnesium mg/I
TKN as N mg/I Mn - Manganese mg/I
Ni -Nickel rn9/I
Pb - Lean mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
eSS- S® .v,�(t_
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No. (0)
VOC method If _
method #
method # _
I
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name: Awnc a LLC
Permit Name (if different):
Well Location/ Site Name:
Please Print Clearly or Type
CountyPoe -
Telephone #: 2%1-4462-2
No. of Wells to be Sampled:
WellldantificationNumber(fromPermit): M4�-`i foruroundwaterIreatmentSystems
Well Depth: 22000 ft. Well Diameter: in. Check One: ❑ Influent (98)
Screened Interval: 10 ft. to 23 ft. ❑ Effluent (99)
Depth to Water Level: I3 ft. below measuring point.
Measuring Point (M.P.) is: 2 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: Date sample collected:') la3
Field analysis: pH 5 Specific Conductance uMhos
Temp. 22,1 °C, Odor -�_ Appearance CW04'
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
7636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE: (® SI tl
Non-Dischargel3Q0a0`591® UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor _Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: -112i%mi %°L - �� t
vtern 9 `oI
Laboratory Name: Enmgx�-A "L
Certification No. 1®
PARAMETERS (Samples for metals were collected unfiltered � YES _NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I
Coliform: MF Total /100ml Phosphorus: Total as P. mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I
Dissolved Solids: Total 291 mg/I Al - Aluminum mg/I
pH (when analyzed) units Ba- Barium ®.O"i5 mg/I
TOC I. t 3 mg/I Ca - Calcium mg/I
Chloride �S mg/I Cd - Cadmium mg/I
Arsenic mg/I Chromium: Total mg/I
Grease and Oils mg/I Cu - Copper mg/I
Phenol mg/I Fe - Iron mg/I
Sulfate mg/I Hg - Mercury mg/I
Specific Conductance uMhos K - Potassium mg/I
Total Ammonia 0021 mg/I Mg - Magnesium mg/I
TKN as N mg/I Mn - Manganese mg/I
GW-59
' Rev.03/2000
'i
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
S� - �l1 m� 4 L
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes_0) No_(0)
VOC method # =
print or
method #
method If _
UWH 0NEW �p �Empor�a�c�d
AVOCA, LLC (WASTEWATER)
MR. BRIAN CONNER
P.O. BOX 129
MERRY HILL INC 27957
Effluent Well N4 Well #5
PARAMETERS
Drl nking Water ID: 37715
DATE COLL$CTED: 07/23/19
DATE REPORTED : 08/09/19
REVIEWED BY:
Well N7 Well //8 Analysis Method
Date Analyst Code
BOD, mgfl * <1430
Total Suspended Residue, mg/l 192 2.7 11 9.3 31
Ammonia Nitrogen as N, mg/I <0,04 0.16 0J8 0.18 3.21
Total Kjeldahl Nitrogen as N,mg/l 30.12
Nitrate -Nitrite as N, mg/l 0.25
Nitrate Nitrogen as N, mg/l 10050
Nitrate Nitrogen as N, mg/l <0,04 2,22 0.12
Total Phosphorus as P, mg/l 4,68
Total Organic Carbon, mg/i <1000 2,89 4.52 8,84
Chloride, mg/l 24 37 16 22
Total Dissolved Residue, mg/l 326 617 221 480
Barium, ug/l 34 29 21 195
Calcium, ug/l 27536
Magnesium, ug/I 4410
Sodium, ug/l 112980
Sodium Adsorption Ratio (calc) 5,3
07/24/19
TCW
5210B-11
07/25/19
MAR
2540D-11
07/25/19
TLH
350,1 R2-93
07/26/19
AKS
351,2 R2-93
07/26/19
DTL
353,2 R2-93
07/26/19
DTL
353.2 R2-93
07/25/19
AIiS
353,2 R2-93
07/26/19
BLD
365,4-74
07/24/19
SEJ
531OC-11
07l29/19
MAR
4500CLB41
07/25/19
JMS
2540C-11
07/29/19
LFJ
EPA20097
07/29/19
LFJ
EPA200,7
07l29/19
LFJ
EPA200v7
08/01/19
NAB
3111B-11
All QC requ Srementa were not met: ' No dilution depleted at least 2.0 mg/1 with a residual of at least 1,0 mg/1.
EUMU NE&M� alp �mc@q@ 0t�@0
AVOCA, LLC (WASTEWATER)
MR. BRIAN CONNER
P.O. BOX 129
MERRY HILL INC 27957
Well q9
Analysis
Method
PARAMETERS
Date Analyst
Code
Total Suspended Residue, mg/l
91
07/25/19
MAR
25401341
Ammonia Nitrogen as N, mg/l
0.21
07/25/19
TLH
350.1 112-93
Nitrate Nitrogen as N, mg/l
4,43
07/25/19
AI';S
353.2 112-93
Total Organic Carbon, mg/l
1.13
07/24/19
SEJ
531OC-11
Chloride, mg/1
35
07/29/19
MAR
4500CLB-11
Total Dissolved Residue, mg/l
291
07/25/19
JMS
2540C-11
Barium, ❑g/l
75
07/29/19
LPJ
EPA200e7
Drinking Water SD: 37715
DATE COLLECTED: 07/23/19
DATE REPORTED : 08/09/19
REVIEWED BY:
All QC requi remente were not met: • No dilution depleted at least 2.0 mg/1 with a residual of at least 1.0 mg/1.
Environment 1, Inc. CHAIN OF CUSTODY RECORD
TrCMX 7085. 114 Oakmont Dr. page I of 1
environment] inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone (252) 756-6208 e Fax (252) 756-0633
CHLORINE
CLIENT: 132 Week:30
pH CHECK (LAB)
UV
COMAINERTYPE, P/G
VOCA, LLC (WASTEWATER)
NONE
p
p
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R. BRIAN CONNER
CHEMICALPRESERVATION
O- BOX 129
ERRY HTLL NC 27957
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SAMPLE LOCATION
DATE
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CLASSIFICATION:
CLASS
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WASTEWATER(NPDES)
Weil#4
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DRINKING WATER
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SOLID WASTE SECTION
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Well #9
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING S IPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT _ °C
R LINO UISHEDBY(SIG.)(SAMPLER)
DATE/i[ME
RECEI (SIG.)
DATEMME
COMMENTS:
-�� w.is
�
RELINQUISHED BY (SIG.)
DATEtTIME
RECEIVE BY(SIG.)
DATE/TIME
ME
RELINQUISHED BY(SIG.)
DATETIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G"for
FORM ns Grab sample in the blocks above for each parameter requested. ® 3 6 8 6 6 6
® I Laboratories LLC
a member of The GEL Group INC
August 09, 2019
Ms. Deedee Woolard
Environment One, Inc,
114 Oakmont Drive
Greenville, North Carolina 27858
Re: Routine Analytical -North Carolina
Work Order: 485896
Dear Ms. Woolard:
P+J Qoz 30712 Chadomn, 00 28417
2040 s05'a6efload chadestw,6e28407
F 845.55r>,8171
F 843.706.1178
GEL Laboratories, LLC (GEL) appreciates the opportunity to provide the enclosed analytical results for the
sample(s) we received on July 26, 2019. This original data report has been prepared and reviewed in accordance
with GEL's standard operating procedures,
Test results for NELAP or ISO 17025 accredited tests are verified to meet the requirements of those standards,
with any exceptions noted. The results reported relate only to the items tested and to the sample as received by
the laboratory. These results may not be reproduced except as full reports without approval by the laboratory.
Copies of GEL's accreditation and certifications can be found on our website at www.gel.com.
Our policy is to provide high quality, personalized analytical services to enable you to meet your analytical needs
on time every time, We trust that you will find everything in order and to your satisfaction. If you have any
questions, please do not hesitate to call me at (843) 556-8171, ext. 4778,
Sincerely,
Taylor Cannon for
Hope Taylor
Project Manager
Purchase Order: PO ] 32072419
Enclosures
gel.com
Page 1 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www.gel.com
Certificate of Analysis Report
for
ENV0001 Environment One, Inc.
Client SDG: 485896 GEL Work Order: 485896
The Qualifiers in this report are defined as follows:
* A quality control analyte recovery is outside of specified acceptance criteria
** Analyte is a Tracer compound
** Analyte is a surrogate compound
J Value is estimated
U Analyte was analyzed for, but not detected above the MDL, MDA, MDC or LOD.
Where the analytical method has been performed under NELAP certification, the analysis has met all of the
requirements of the NELAC standard unless qualified on the Certificate of Analysis.
The designation ND, if present, appears in the result column when the analyte concentration is not detected above
the limit as defined in the 'U' qualifier above.
This data report has been prepared and reviewed in accordance with GEL Laboratories LLC
standard operating procedures. Please direct any questions to your Project Manager, Hope Taylor.
Reviewed by
Page 2 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www.gel.com
Certificate 01 Analysis
Company : Environment One, Inc.
Address : 114 Oakmont Drive
Report Date: August 9, 2019
Greenville, North Carolina 27858
Contact: Ms. Deedee Woolard
Project: Routine Analytical - North Carolina
Client Sample ID: Well #4 Project: ENV000101
Sample ID: 485896001 Client ID: ENV0001
Matrix: Ground Water
Collect Date: 23-JUL-19 10:20
Receive Date: 26-JUL-19
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
on Chromatography
4PA300.0 Bromide Liquid "As Received"
iromide J 0.146 0.067 0.200 mg/L I LXA2 08/03/19 1245 1903201 I
The following Analytical Methods were performed:
Method Description Analyst Comments
EPA 300.0
Votes:
Column headers are de£ned as follows:
DF: Dilution Factor Lc/LC: Critical Level
DL: Detection Limit PF: Prep Factor
MDA: Minimum Detectable Activity RL: Reporting Limit
MDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 3 of 13 5DG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www.gel.com
Certificate of Analysis
Company : Environment One, Inc.
Address : 114 Oakmont Drive
Greenville, North Carolina 27858
Contact:
Ms. Deedee Woolard
Project:
Routine Analytical -North Carolina
Client Sample ID:
Well #5
Sample ID:
485896002
Mafrix:
Ground Water
Collect Date:
23-JIJL-19 10:45
Receive Date:
26-JIJL-19
Collector:
Client
Report Date: August 9, 2019
Project: ENV000101
Client ID: ENV0001
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
on Chromatography
iPA300.0 Bromide Liquid "As Received"
Vromide 5.44 0.134 0.400 mg/L 2 LXA2 08/04/19 2246 1903201 1
The following Analytical Methods were performed:
EPA 300.0
Votes:
Column headers are defined as follows:
DF: Dilution Factor Lc/LC: Critical Level
DL: Detection Limit PF: Prep Factor
MDA: Minimum Detectable Activity RL: Reporting Limit
�bIDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 4 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 555-8171 - www.gel.com
Certificate of Analysis
Company : Environment One, Inc.
Address : 114 Oakmont Drive
Greenville, North Carolina 27858
Contact:
Ms. Deedee Woolard
Project:
Routine Analytical -North Carolina
Client Sample ID:
Well #7
Sample ID:
485896003
Matrix:
Ground Water
Collect Date:
23-JiJL-19 11:25
Receive Date:
26-JIIL-19
Collector:
Client
Repots Date: August 9, 2019
Project: ENV00010
Client ID: ENV0001
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
on Chromatography
iPA300.0 Bromide Liquid "As Received"
Iromide 9.82 0.335 lA0 mg/L 5 LXA2 08/OS/l9 0019 1903201 I
The following Analytical Methods were performed:
Qotes:
Column headers are defined as follows
DF: Dilution Factor Lc/LC: Critical Level
DL: Detection Limit PF: Prep Factor
MDA: Minimum Detectable Activity RL: Reporting Limit
NIDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 5 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www:gel.com
Certificate of Analysis
Company : Environment One, Inc.
Address : 114 Oakmont Drive
Report Date: August 9, 2019
Contact:
Project:
Greenville, North Carolina 27858
Ms. Deedee Woolard
Routine Analytical -North Carolina
Client Sample ID:
Well #8 Project: ENV000101
Sample ID:
485896004 ClientlD: ENV0001
Mahix:
Ground Water
Collect Date:
23-7UL-19 11:05
Receive Date:
26-.TUL-19
Collector:
Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
on Chromatography
iPA300.0 Bromide Liquid "As Received"
tromide 15.6 0.670 2.00 mg/L 10 LXA2 08/OS/19 0050 1903201 I
The following Analytical Methods were performed:
Ylethod Description Analyst Comments
EPA 300.0
Votes:
Column headers axe defined as follows
DF: Dilution Factor Lc/LC: Critical Level
DL: Detection Limit PF: Prep Factor
MDA: Minimum Detectable Activity RL: Reporting Limit
MDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 6 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www.gel.com
Certificate of Analysis
Company : Enviromnent One, Inc.
Address : 114 Oakmont Drive
Greenville, North Carolina 27858
Contact:
Ms. Deedee Woolard
Project:
Routine Analytical -North Carolina
Client Sample ID:
Well #9
Sample ID:
485896005
Matrix:
Ground Water
Collect Date:
23-JUL-19 10:55
Receive Date:
26-JUL-19
Collector:
Client
Report Date: August 9, 2019
Project: ENV000101
ClientID: ENV0001
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
on Chromatography
iPA300.0 Bromide Liquid "As Received"
tromide U 0.00 0.067 0.200 mg/L l LXA2 08/03/19 I551 1903201 1
The following Analytical Methods were performed:
300.0
Qotes:
Column headers are defined as follows:
DF: Dilution Factor Le/LC: Critical Level
DL: Detection Limit PF: Prep Factor
�VIDA: Minimum Detectable Activity RL: Reporting Limit
��IDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 7 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407 - (843) 556-8171 - www.gel.com
QC Summary Reuort Date: August 9, 2019
Environment One, Inc. Page 1 of
114 Oakmont Drive
Greenville, North Carolina
Contact: Ms. Deedee Woolard
Workorder: 485896
Parmname NOM Sample Qual QC Units RPD % REC% Range Anlst Date Time
_on Chromatography
3atch 1903201
QC1204347752 484723004 DUP
Bromide U 0.00 U 0.00 mg/L N/A LXA2 OS/03/19 06:3
QC1204347750 LCS
Bromide L25
QCI204347749 MB
Bromide U
QCI204347754 484723004 PS
Bromide 1.25 U 0.00
Notes:
L28 mg/L 102 (90%-110%) 08/03/19 02:5
0.00 mg/L 08/03/19 02:2
1.35 mg/L 108 (90%-110%) 08/03/19 07:0
The Qualifiers in this report are defined as follows:
<
Result is less than value reported
>
Result is greater than value reported
B
The target analyte was detected in the associated blank.
E
General Chemistry --Concentration of the target analyte exceeds the instrument calibration range
H
Analytical holding time was exceeded
J
Value is estimated
N/A
RPD or %Recovery limits do not apply.
NI
See case narrative
ND
fvralyte concentration is not detected above the detection limit
NJ
Consult Case Narrative, Data Summary package, or Project Manager conceming this qualifier
Q
One or more quality control criteria have not been met. Refer to the applicable narrative or DER.
R
Per section 9.3.4.1 of Method 1664 Revision B, due to man'ix spike recovery issues, this result may not be reported or used for regulatory compliance
purposes. _
R
Sample results are rejected
U
Analyze was analyzed for, but not detected above the MDL, MDA, MDC or LOD.
X
Consult Case Narrative, Data Summary package, or Project Manager conceming this qualifier
Z
Paint Filter Test --Particulates passed through the filter, however no free liquids were observed,
^
RPD of sample and duplicate evaluated using+/-RL. Concentrations are <SX the RL. Qualifier Not Applicable for Radiochemistry.
Page 8 of 13 SDG: 485896
GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407 - (843) 556-8171 - www.gel.com
QC Summary
Wortcorder: 485896 Page 2 of
Parmname NOM Sample Qual QC Units RPb% REC% Range Anlst Date Time
d 5-day BOD--The 2:1 depletion requirement was not met for this sample
e 5-dey BOD--Test replicates show more than 30 % difference between high and low values. The data is qualified per the method and can be used for
reporting purposes
h Preparation or preservation holding time was exceeded
N/A indicates that spike recovery limits do not apply when sample concentration exceeds spike conc. by a factor of 4 or more or %RPD not applicable.
^ The Relative Percent Difference (RPD) obtained from the sample duplicate (DUP) is evaluated against the acceptance criteria when the sample is greater than
five times (SX) the contract required detection limit (RL). In cases where either the sample or duplicate value is less than SX the RL, a control limit of+/- the
RL is used to evaluate the DUP result.
* Indicates that a Quality Control parameter was not within specifications.
For PS, PSD, and SDILT results, the values listed are the measured amounts, not final concentrations.
Where the analytical method has been performed under NELAP certification, the analysis has met aIL of the
requirements of the NELAC standard unless qualified on the QC Summary.
Page 9 of 13 SDG: 485896
General Chemistry
Technical Case Narrative
Envirmtment One, Inc.
SDG #: 485896
Product: Ion Chromatography
Analytical Method: EPA 300.0
Analytical Procedure: GL-GC-E-086 REV# 27
Analytical Batch: 1903201
The following samples were analyzed using the above methods and analytical procedure(s).
GEL Sample ID#
Client Sample Identification
485896001
Well #4
485896002
Well #5
485896003
Well #7
485896004
Well #8
485896005
Well #9
1204347749
Method Blank (MB)
1204347750
Laboratory Control Sample (LCS)
1204347752
484723004(NonSDG)Scmple Duplicate (DUP)
1204347754
484723004(NonSDG)Posf Spike (PS)
The samples in this SDG were analyzed on an "as received" basis.
Data Summary:
All sample data provided in this report met the acceptance criteria specified in the analytical methods and
procedures for initial calibration, continuing calibration, instrument controls and process controls where
applicable, with the following exceptions.
Technical Information
Sample Dilutions
The following samples 485896002 (Well #5), 485896003 (Well #7) and 485896004 (Well #8) were diluted
because target analyte concentrations exceeded the calibration range. Dilutions may be required for many
reasons, including to minimize matrix interferences or to bring over range target analyte concentrations into the
linear calibration range.
485896
Anotyte
002 803 004
Bromide
2X
SX
IOX
CertlflCatlOR .S'tBCement
Where the analytical method has been performed under NELAP certification, the analysis has met all of the
requirements of the NELAC standard unless otherwise noted in the analytical case narrative.
Page 10 of 13 SDG: 485896
ro
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l$vironment 1, Inc.
Re. Box 7085, 114 Oakmont Dr.
CHAIN OF CUSTODY RECORD
;0 (�a Page 1 of i
.Mironmentl inc.com
DISINFECTION
CHLORINE NEUiRAIJZEOATCOLLECTION
Rhone (252) 756-6208 * Fax (252) 756-0633 .
CHLORINE
SIENT: 132 Week: 30
pH CHECK (LAB)
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CHEMICALPRESERVAT ON
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CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING S IPMENT/DELIVERY
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SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LABAT °C
R NQUISHED BY (SIG.) (SAMPLER)
DATE/nME
RECE (SIG.)
DATEITIME
COMMENTS:
-t�l 1LY,jS
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RELINQU ED BY
ATFJRME
RECEIVE BY {SIG.)
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RELINWISHE 0 (SI
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DATE/RME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G"for
Rrah camnla in tho hlnrka ahnva for carh naramatar ranrmctad LI fi 9 C Q C C C
Laboratories Lu;
SAMPLE RECEIPT &REVIEW RORM
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Received 11 ; ZKW
Dare Received: —i' •��Q , (-
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Cnrrlcr xnd'1'rxcking Number
� � 2d�� ��S Q3 ?r��fj iQ2C�
Suspected Rxzxrd hdormntlxn
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9f Nm Counts> IOOcpm al sauryles not marked "radioactive', cannel the Rodialion Safety Group for Ihnher investigation.
vrard Class Sidppcd: UN6:
A)Shi ed asa DDT FL zallous?
If UN291o, Is the liadioactive Shipment Snrvcy Complianl7 Yes_No
B) Did dm climtt designate the snmplus arc to be
eccived ns mdioxctivc?
C) Did the RSO classify the smnpics us
axinuuu Nel Counts Obsorvcd' (Observed Connts-Ares Bnckgromul Conms): .P mRlt[r
endionriven
CLsssified as: Rndl Rnd2 RxdJ
U) Did the clicm designate samples arc
(�
hazardous?
if D or E is yes, seleerHazards bcioa•,
E) Did the RSO idenli ossible hazaMsv
PCB's 1'loinnmblc porcign Soil RCRA .4sbestos Beryllium Other:
Sample Receipt Criteria
y
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CnmmcutslQunllficrs(Requirsnl rot NoraCnnf"rming Items)
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Stripping CollrainerS received lltl"N and
Circle Applicoble: Sexls hrokcn Wnmged nmmintt Leaking eomainer Olhcr (deudbe)
sealed?
2
Chain of ctl5lady dpCUlnalrlg included
Circle Applicable: client mnmeted mW provided COC COC crcned upon meeipr
with shi nrent?
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Samples requir6tg cold presorvatimt
Presenalimt McOmd: lVe1 Ice Ice Packs UO' ice Other:
within (0 <6 deg. C)?'
'all Icmperauvcs me recorded in Ccisius TIi41 P:��.
Daily check performed and passed nn IR
'I'englermure Deeice Scriul q: IR2-16 �
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lempemlure gun?
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Scatndary Tenryeahuc Device Serial ll (If Applicable):
Circle Applicohle: Seals broken Damoged container Leaking container Other (describe)
5
Sample wnlainers imncr and sealed'?
6
Samples requiring chemical preservation
sample IU•s and cnnminers ntr<ctcd:
at proper pt11
1'P Ih
Ifyc,�are Gncores or Soil Nils prcsenl for solids?1'es_No NA_-._(Ifyes, lake t»VOA Prcezer)
Do any samples require Volatile
40 liquid VOA viols contain acid presnrvation1 Yes_ No_ NA_(If unknown, sclect:No)�
�
Analysis?
Arc liquid VOA viols trod afhcadspacc? 1'cs_ No__ Nr\_
gumple m's and mnlainers aRected:
m's ana lags art ema:
8
Samples mceived within holding timo'!
Smnple IU's on COC match ID's on
ID's and conainers affemed:
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boRles7
10
Dare & lime on COC match date &time
Rifcic Applicnblc: dales mm�iners No ti a al c maiuers COC missing info Other (describe)
on boules?
Number of conainers recs:ivod naateh
Circlo Applicable: No conminurcamn on C(x Other (dexeribo)
11
number indicated on COC?
12
Arc sample containers idaxifiable ns
r il. v'e+
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COC form is properly signed in
Circic Applicnblc: Nat reliugnished Olhcr(describe)
relin wished/received sermons?
Cantnenls (Use Caninumial Ponn if'ncedcd):
Pml(arpmin)raaaw:mhialx_.__ZK_�_ Dme_.-�.��o�__rnsa_._l__.af_1_-
GL�CHL-SR-001 Rev 6
Page 12 of 13 SDG: 485896
List of current GEL Certifications as of 09 August 2019
State
Certification
Alaska
17-018
Arkansas
88-0651
CLIA
42D0904046
California
2940
Colorado
SC00012
Connecticut
PH-0169
DoD FLAP/ ISO17025 A2LA
2567.01
Florida NELAP
E87156
Foreign Soils Peanit
P330—IS-00283, P330-15-00253
Georgia
SC00012
Georgia SDWA
967
Hawaii
SC00012
Idaho
SC00012
Illinois NELAP
200029
Indiana
C—SC—OI
Kansas NELAP
E—]0332
Kentucky SDWA
90129
Kentucky Wastewater
90129
Louisiana Drinking Water
LA024
Louisiana NELAP
03046 (A133904)
Maine
2019020
Maryland
270
Massachusetts
M—SC012
Michigan
9976
Mississippi
SC00012
Nebraska
NE—OS-26-13
Nevada
SC000122020—I
New Hampshire NELAP
2054
New Jersey NELAP
SC002
New Mexico
SC00012
New York NELAP
11507
North Carolina
233
North Carolina SDWA
45709
North Dakota
R—I58
Oklahoma
9904
Pennsylvania NELAP
68-00485
Puerto Rico
SC00012
S. Carolina Radiochem
10120002
South Carolina Chemistry
]0120001
Tennessee
TN 02934
Texas NELAP
T104704235-19-16
Utah NELAP
SC000122019-28
Vermont
VT87166
Virginia NELAP
460202
Washington
C780
Page 13 of 13 SDG: 485896