HomeMy WebLinkAboutWQ0005910_Revised Monitoring - 03-2020_20200519 (2)GW-59A COIVIPT,[ANCE REPORT PORNT Permit #�� �c$1®
(Srrfimir one each urouiloring period wide GiV-59 jorars.)
• 1
tinter date monitoring results were due, 6 Will this monitoring report (GW.59 and GW-59A)
YES
NO
be submitted after the established due date?
/'
2
Was any required Information missing on the CW-59 report forms?
YES
NO
IF the answer to question 1 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
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or rnissing cap, missing
YES
NO
Identification plate, area overgrown, etc.)^ /Jdrz answer is "Y'es ", contact die Regional O)Tce jorguidaice.
4
Are any monitored constituents equal.to or above the established standards? - �
YES
NO
!f the answer fo question 4 is "NO'; skip fo section 8.
tf the answer to question 4 Is "YES"list the affected wells individually with constituents) and concentrafion(s)
exceeding standards in the space provided below:
f
iJvk14-N�4r�kc.- 10,to w�y1L
�"
rnw-5��D5'- S'19w.y{�^
5
For the constituents id�entifled In cjuestlon 4 abdv@, have standards been exceeded previously for the
YES
NO
Same constltuent(s) In the same wells) in the last two yearsq
I/the answer to question'5 is "NO'; skip to section 8,
If the answer to question 5 is "YES'; list In the space provided below, each welt with constituents) exceeding
s®®t��a��ndryrya��r.ppds, con.ttc�e`ntration(sJ reported, and sample co-llrection date for each occurrence (for the last two yearsJ.
I�nW "�-�1�Y4�+ r�WS- t®�
9
31av1iA^ 1'd.1y 3iaa(t�-toss "'rtaahn- l<r"j
.V/®/
"tlaal�q- 10•5 "1122110-ioW� ��lav4c4�56'�
6'
Are the monitoring wells listed In section 5located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELYFOR GUIDANCE. If the answer is '%JO", monitoring we/Is maybe improperly
located; contact the Regional Oftrce.
p
�
Is'the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
1/the answer to question 7 is `YES ; describe those actions in the 3pece provided below.
-
!f the answer to questfon 7 is "NO", contact the Regional Office within 90 days• an evaluation maybe
reuulred to determine the impact the waste dispose/system Is havina at the review and compliance
boundaries surrounding this facll/ty Failure to do so may subiect the perm/ttee 'to a Notice of Wdlatlon
fines, and/or penalties. �
� /q/
V
S
The person completing this portion (GW-59AJ of the monitoring report should sign below and submiE this
form wffh GW-59 forms for required wells to the address provided at the fop of the current GW-59 form.
I her8byacknowledge tha(athe above Info matlortwasreval"uiited,and the InfotineSipC"�sub ed ''thls`�
repoit,(Compllapce Report G,W,5gAa is true and complete jo ttte,best of my �nowfedge,. ;�N.ax. V, .. r«,•>:rsd
�
SignatureotPe e�k� Date
Ci
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name:PwncG LLC
Permit Name (if different):
Facilitv Address: 9)°4„ A=Joca Farr, ?,octcJ
Contact Person: �+�+�
Well Location/ Site Name:
County t�ert e
Telephone
No. of Wells to be Sampled:
Well Identification Number (from Permit): tV1e J— For Groundwafer iteatment Systems
Well Depth: ft. Well DJy'�meter: in. Check One: ❑ Influent (98)
Screened Interval: 1 ft. to Z L ft. ❑ Effluent (99)
Depth to Water Level: 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: 5 Date sample collected: -g0-2
Field analysis: pH �60 Specific Conductance uMhos
Temp. _ N OC, Odor NDne, Appearance G edty"
PARAMETERS (Samples for metals were collected
COD mg/1
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 302) mg/1
pH (when analyzed) units
TOC Ic!,®® mg/I
Chloride 2LA mg/I
Arsenic mg/1
Grease and Oils mg/1
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia <>O mg/1
TKN as N mg/I
GW-59
Rev. 03/2000
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE: 1L713t'2o'2.
Non -Discharge w Q �0059 i O UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
lagoon
Spray Field
Remediation: Infiltration Gallery
Remedialion:
Rotary Distributor _Land Application of Sludge
N
TE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 3 0 % — u0le 120
Laboratory Name: Enylicnv�me.✓�'4 -w
Certification No. e®
YES NO and field acidified °® YES _ NO)
Nitrite (NO2) as N mgll
Nitrate (NO3) as N %D • tO mg/I
Phosphorus: Total as P ObOS mg/I
Orthophosphate mg/I
AI - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium (ol - Z11 mg/I
Cd - Cadmium mg/I
Chromium: Total mg/l
Cu - Copper mg/I
Fe - Iron mg/1
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)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes_(1) No_(0)
VOC method If =
ype
method # _
method If
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes_(1) No_(0)
VOC method If =
ype
method # _
method If
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMP
FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Afn(.a LLC
Permit Name (if different):
Facility Address: MCCLF
Cvv K111 's""" WC Z-19SI r
Icnrl Is�aiol (zip) County
Contact Person: lcl� �� e� Telephone #:
Well Location! Site Name:
No. of Wells to be Sampled:
Well Deptification Nulnber(from Permit): M1r1-5 For Groundwater DeMmem ystems
Well Depth: �P•1 ft. Well Diameter: 2 in. Check One: ❑ Influent (98)
Screened Interval: � ft. to 2-2— ft. ❑ Effluent (99)
Depth to Water Level: . ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pum,{�ed/bailed before sampling: 5 Date sample collected: �3- 0'ZC
Field analysis: pH •S9 , Specific Conductance uMhos
Temp,'22% °C, Odor None. Appearance C1(Lav
PARAMETERS (Samples for metals were collected
COD mg/I
Coliform: MF Fecal 1100ml
Coliform: MF Total /100m1
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 5'l�d mg/I
pH (when analyzed) units
TOC 3.�to mg/I
Chloride 32 mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/1
Specific Conductance uMhos
Total Ammonia <�-®� mg/I
TKN as N mg/I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: , EXPIRATION DATE: iU
Non-DischargeW0000591® 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: 3I - 48(0120
Laboratory Name: E nY ;F, nYlvtles'i'h
Certification No. k®
:ered v YES NO and field acidified
Nitrite (NO2) as N mg/I
Nitrate (NO3) as N ®- 0 mg/I
Phosphorus: Total as P 0e 05 mg/I
Orthophosphate mg/1
AI - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium 35.81 mg/I
Cd - Cadmium mg/I
Chromium: Total mg/I
Cu - Copper mg/1
Fe . Iron mg/I
Hg - Mercury mg/I
K. Potassium mg/1
Mg - Magnesium mg/I
Mn - Manganese mg/I
YES NO)
Ni -Nickel mg/l
Pb - Lear! mg/I
Zn - Zinc mg/I
m Amonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(!) No_(0)
VOC method # =
method # _
method # _
GW-59 t� u1"2 �"Z0Z`J
Rev. 03/2000 Signature of Perrnitle Aut rued Agent) (Date)
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:I"'VOCCL "- t%,o
Permit Name (if different):
Well Location/ Site Name:
Please Print Clearly or
County t�er�ie
Telephone
No. of Wells to be Sampled:
Well Identification Number (from Permit): Ibllwl— `( For Groundwater Treatment Systems
Well Depth: ft. Well Diameter: Z in. Check One: ❑ Influent (98)
Screened Interval: 3 ft. to Vb ft. ❑ Effluent (99)
Depth to Water Level: (v. \ ft. below measuring point.
Measuring Point (M.P.) is: Z ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 5 Date sample collected: 3-30-2C
Field analysis: pH (owl"I , Specific Conductance uMhos
Temp. 2I•S) °C,Odor o�- Appearance C%ect�
PARAMETERS (Samples far metals were collected
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MFTotal /loom[
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 13 d' mg/I
pH (when analyzed units
TOC 3.6S mg/I
Chloride l mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia ® mg/I
TKN as N mg/I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
7636 MAIL SERVICE CENTER
PERMIT #: •
EXPIRATION DATE:
10 71 2
Non-DischargeWQ.000591D
UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
_Remediation: Infiltration Gallery
Remediation:
Rotary Distributor _Land Application of Sludge
Other:
N
TE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 3I21 y�io�aD
Laboratory Name: E.�vtynrevv�a,n4k
Certification No, 1®
YES _NO and field acidified ✓YES _ NO)
Nitrite (NOZ) as N mg/I
Nitrate (NO3) as N 5:39 mg/I
Phosphorus: Total as P ®. \'Z mg/I
Orthophosphate mg/I
AI - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium fit-$ :' 1u4 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/l
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia 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)
VOC method # =
method #
method ti =
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No_(0)
VOC method # =
method #
method ti =
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Well Location/ Site Name:
Please Print Clearly or Type
CountyI�eN tte.
Telephone #: 252-45Z_A;t
No. of Wells to be Sampled:
WeIlldentificationNumber(fromPermit): an1,.i``t�
Well Depth:.L& ft. Well Diameter:
Screened Interval: 3 ft. to t b ft.
Depth to Water Level: 1.4 ft. below measuring point.
Measuring Point (M.P.) is: Z ft. above land surface.
Gallons of water pumped/bailed before sampling:_
Field analysis: pH 5. O I , Specific Conductance
Temp. Zo2 °C, Odor NOry. 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 I-&l�=� mg/I
pH (when analyzed) units
TOC 3'6 �% mg/I
Chloride 28 mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia Oasu mg/I
TKN as N mg/1
For Groundwater Treatment Systems
n. Check One:❑ Influent (98)
❑ Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: . EXPIRATIONDATE: VO(3lf2oz
Non-DischargeW00005910 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rernediafon: Infiltration Gallery
Spray Field Remedialion:
Rotary Distributor _ Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Relative M.P. Elevation in ft.:
Date sample collected: 3—SO'R Date sample analyzed: 3131 — LI►fp9 ZO
uMhos Laboratory Name: tnVjy,coyN e;nrlr �
ppearance C izmv Certification No. I®
filtered YES _NO and field acidified YES _ NO)
Nitrite (NOZ) as N mg/I
Ni -Nickel
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)
VOC : method # =
: method # =
method ti =
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Well Location( Site Name:
Please Print Clearly or Type
County i�eyt 2
Telephone #:2S2-482-ja
No. of Wells to be Sampled:
Wall Identification Number (from Permity f friva—j For Groundwater Treatment Systems
Well Depth: 22.00 _ft. Well Diameter: 'L in. Check One: El Influent (98)
Screened Interval: 00 ft. to 23 ft. ❑ Effluent (99)
Depth to Water Level: kkA 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: S Date sample collected:3-310-2®
Field analysis: pH 5•'&® , Specific Conductance uMhos
Temp. 2`•� °C, Odor NcvN . Appearance C�\ecL✓
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
� 3t •Z
PERMIT#: EXPIRATION DATE: iq
Non -Discharge LOG 0005910 UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor _ Land Application of Sludge
Other: __..
t OTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 31 `i1 20
Laboratory Name: ._�.nv eynnmexyt
Certification No.
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 9, o9 _ mg/I
Coliform: MF Total /100ml Phosphorus: Total as P t�-23 mgll
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I
Dissolved Solids: Total �� 9 mg/I AI - Aluminum mg/I
pH (when analyzed) units Ba - Barium mg/I
TOC 1 .2�2-•3
(a mg/I Ca - Calcium 5 m /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 /- D. D: mg/I Mg - Magnesium mg/I
TKN as N mg/I Mn - Manganese mg/I
GW-59
Rev. 03/2000
Ni -Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia 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
Well Location/ Site Name:
Please Print Clearly or Type
County t�errie.
Telephone #:
No. of Wells to be Sampled:
WeIlldentificationNumber(fromPermit): MW—iU ForGroundwaterTreatment Systems
Well Depth: ft. Well Diameter: 2 in. Check One: ❑ Influent (98)
Screened Interval: 9 ft. to 10 ft. El Effluent (99)
Depth to Water Level: ft. below measuring point.
Measuring Point (M.P.) is: Z ft. above land surface. Relative M.P. Elevation in ft.:
S Gallons of water pumped/bailed before sampling: Date sample collected: 3 j0 2®
Field analysis: pH 11•� 1 Specific Conductance uMhos
Temp. gL% °C,Odor �O Appearance G1C�er
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 !Au) mg/I
pH (when analyzed) 1 Lit$ units
Chloride 162 mg/I
mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/1
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia 4Oa016 mg/I
TKN as N mg/I
It a
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE:
Non -Discharge W0000591® UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
Rotary Distributor
Other:
Remediation: Infiltration Gallery
_Remediation:
Land Application of Sludge
N TE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 3i81- yl(nr120
Laboratory Name: _EyYt nYly ne dlY
Certification No. 10
YES _NO and field acidified
Nitrite {NO2) as N mg/I
Nitrate (NO3) as N i6aG9 m /I
Phosphorus: Total as P ®• ot1 mg/I
Orthophosphate mg/I
AI - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium 23,9(o 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)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(1) No_(0)
VOC : method # =
method # _
Environment 1, I'.
1141 OAKMONI DRIVE
('IREENVILLE, KG, 27858
AVOCA, LLC (WASTEWATER)
b1R. BRIAN CONNER
P.O. BOX 129
MERRY HILL ,NC 27957
PHONE (252) 7(iU-G208
PAX (252) 756-0633
IDkk: 132
DATE COLLECTED: 03/30/20
DATE REPORTED : 04/21/20
REVIEWED BY:
EfBt:ent Well N0. Well NS Well N7
PARAMETERS
BOD, mg/I 2180
Total Suspended Residue, mg/I 120
Ammonia Nitrogen as N, mg/I 4,26 <0.04 <0,04 <0.04
Total I(Nitrite NiN, nn l ale) 5
Nitrate -Nitrite as N, mg/I (calc) 0.20.
Nitrate Nitrogen as N, mg/1 <0.04 10,60 0.09 5.39
Nitrite Nitrogen as N, mg/1 0.24
Total Phosphorus as P, mg/1 46.00 0.05 0105 0,12
Total Organic Carton, mg/1 <1.00 3.36 3,35
Chloride, mg/I 0.7 24 32
Total Dissolved Residue, mg/I 2280
Total Dissolved Residue, mgll 308 579 137
Calcium, ug/1 19647 61291 35013 14442
Magnesium, ugll 4021
Sodium, ug/1 116518
Sodium Adsorption Ratio (calc) 6.3
Total Nitrogen, mg/1 (cale) 50.76
Well N8 Analysis Method
Date Analyst Code
04/01/20
TMR
5210B-11
04/01/20
JMS
2540D41
0,56
04/01/20
AKS
350.1 R2-93
04/03/20
A1($
351.2 R2-93
35392 R243
<OA4
03/31/20
DTL
353.2 11243
04/01/20
DTL
353,2 R2-93
0.65
04/03/20
TL14
365A-74
38.8
04/02/20
SEJ
5310C41
21
04/06/20
MAR
4500CLB-11
04/06/20
GNB
2540C-11
464
04/02/20
GNB
2540C41
35192
04/02/20
LPJ
EPA200,7
04/02/20
LFJ
EPA200,7
04/02/20
LPJ
EPA200,7
E��viroi�mef�t 1, Inco 1orated
Drinking Water IDS 37715
Wa.taweter IDS 10
114 OAKMONT DRIVE PHONE (2.52) 756-6208
GHEENVILLE, N.G. 27858 FAX (252) 756-U633
AVOCA, LLC (WASTEWATER)
MR. BRIAN CONNER
P.O. BOX 129 DATE COLLECTED: 03/30/20
MERRY HILL INC 27957 DATE REPORTED : 04/21/20
REVIEWED SYt
Well H9 Wcll //10 Analysts MetUod
PARAMETERS Date Analyst Code
Ammonia NIh•ogen as N, mg/I <0.04 <0.04 04/Ol/20 AICS 350.1 R2-93
Nitrate Nitrogen as N, mg/l 1.09 0.59 03/31/20 DTL 353.2 R2.93
Total Phosphorus as P, mg/I 0.23 0.04 04/03/20 TLH 365.4.74
Total Organic Carbon, mg/I 1.26 1A4 04/02/20 SRJ 5310C-11
Chloride, mg/I 27 M 04/06/20 MAR 4500CLB-11
Total Dissolved Residue, ing/I 267 410 04/02/20 GNB 2540C-I1
Calcium, ug/1 42350 23969 04/02120 LPJ EPA200.7
Environment 1, dmc-
Fv�7085.114 Oakmont Dr.
C;reen ills. NC 2795q
Pale _ of
environme,ntlinc.com
DISIlVFECTION (
CHLORINE NEUiRAUZEDATCCLLECTiON
Phone (252) 756-6208 = Fax (252) 756.0633
CH..0)2INE
CLIENT. 132 We kt 15
UV
_
(
pHCHECK(LAB)
VOCA, LLC (WASTEWATER)
Q2, BRIAN CONNER
NONE
P
P
P
P
P
P
P
P
P
P
P
P
P
CONTAINER TIDE, PG
O- BOX 129
CERRY HILL NO 27957
A
A
C
C
C
A
A
C
C
A
A
A
A
A
CHEMICALPRESERVATION
52)482-2133
C011EION
A -NONE D-NAOH
C B-HNO, E-HCL
w C-H,SG, F-ZING ACETATFINAOHq
G-NAT'HIOSULFATE
G o
Zw
<
of o
'�z
Ld
o
'k-' ¢
o
z
O
p
F
o
=
^
c
6
z
.
F
ti
z
.......
.-
._
z
.....
y
._
f z
I
c.
F
UO
F
_
9
C
-�
U
a
F
!
{
=
y
Z
e
m
Z
_
�,-'.
SA.MPLELOCAi70N
DATE {
TIME
Effluent
_ _
30 �0
13:So
�
7
rs
-,z.;
.':I
>;?`:
:zi::'s
s:,r""
:..,;
.....
...
� l
CLASSIFICATION:
WASTEWATER (NPDES)
Well#4
3o 20112
1�
7
MIN
tH�
��':'<
a
s
:_.
>
i
WeQ #5
'V
7.
I DWRIGW
SOUDWASi'ESECTiON
weu,-�
14=30
1•S7
Ia
TWO.DRINKNGWATER
Nu
��'
.
<
Well #a
-30 20
14515S
20,2
I="
-
welt #9
3o-00
►q% 15
2L Z'
t
R
"d
#IO
?3.p—Zp
14:y
21S
g
'n,:.:<WeQ
max`
`"`�
�
a='�''�
>`�
{
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT,'DELIVERY
0 N
I
{
I SAMPLES CO +✓l-ED BY:
I
(Please Pdnt)
{
(
SAMPLES RECEIVED IN LABAT� iC j
RELINQUISHED BY(SIG.)(SAMPLER j
DATbTTME
R E BY (SIG,)
DATE'TIME
COMMENTS.
33t-1011 00
3) l
m
RELINQUISHED BY (SIG.)
DATEIIME
EIVED BY (,SIG]
DATETIMEXn4QC1`
REUNQUISHEDSY(SIG.)
DATEMME
RECEIVED BY (SIG)
I DAiETIME
PLEASE READ instructions for completing this for on the reverse ;ids. Sampler must place a "C"for composite sample or a "G"for
FORM `e Grab sample in the blocks above for each parameter requested. 6 �, °� � � � J
Mal Laboratories uc
a member of The GEL Group INC
April 16, 2020
Ms. Deedee Woolard
Environment One, Inc.
114 Oakmont Drive
Greenville, North Carolina 27858
Re: Routine Analytical -North Carolina
Work Order: 508725
Dear Ms. Woolard:
PQ eua 1n712 Cna Won•SC 294i7
Z0408a11maeaoaa ChA11010n,S029407
P 845.55r.8171
P 845.700.1178
GEL Laboratories, LLC (GEL) appreciates the opportunity to provide the enclosed analytical results for the
sample(s) we received on April 02, 2020. 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 arc 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 accreditations and certifications can be found on our website at www.gel.com.
Our policy late pt•ovide high quality, personalized analytical services to enable you to aneet 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. 4707,
Sincerely,
W
Samuel Hogan for
Katelyn Gray
Project Manager
Purchase Order; PO BJ13203312020
Enclosures
slol.com
Page I of 15 SDG: 508725
problem solved
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 SDO: 508725 GEL Work Order: 508725
The Qualifiers in this report are defined as follmvs;
* A quality control analyte recovery is outside of specified acceptance criteria
** Analyte is a Tracer compound
** Analyte is a surrogate compound
J See case narrative for an explanation
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 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, Katelyn Gray.
Reviewed by
Paget of IS SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 555.8171 - www,gel.corn
Certificate of Analysis
Repott Date: April 16, 2020
Company: Environment One, Inc.
Address : 114 Oakmont Drive
Greenville, North Carolina 27858
Contact: Ms, Deedee Woolard
Project: Routine Analytical -North
,Carolina
Client Sample ID: WelfI4
Project:
ENV000101
Sample ID: 508725001
Client ID:
ENV0001
Matrix: Ground Water
Collect Date: 30-MAR-2013:30
Receive Date: 02-APR-20
Collector: Client
Parameter Qualifier Result DL
RL . Units PF DF
Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide U 0.000 0.0670
0,200 mg/L I
LXA2 04/02/20 2335 1986863 1
The following Analytical Methods were performed_
I�Z�rI4�dr7
Notes:
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
MDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 3 of 15 SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 - www.gel.com
Certificate of Analysis
Report Date: April 16, 2020
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 Project: ENV000101
Sample ID: 508725002 ClientlD: ENV0001
Matrix: Ground Water
Collect Date: 30-MAR-20 14:05
Receive Date; 02-APR-20
Collector: Client
Parameter Qualifier Result DL RL_
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide 4.98 0,134 0,400
Units PF DF Analyst Date Time Batch Mothod
mg1L 2 CHS 04/03/20 0323 1986653
The following Analytical Methods were performed:
Method Description _. _. _._ Analys[ Comments
t EPA 300.0
Notes:
Column headers are defined as follo}v_s:
bF: 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 4 of ] 5 SDG: 508725
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 #7
Sample ID:
508725003
Matrix:
Ground Water
Collect Date:
30-MAR-20 14:30
Receive Date:
02-APR-20
Collector:
Client
Repots Dete: April 16, 2020
Project; ENVO00101
ClieatID: ENV0001
Parameter Qualifier Result DL RL Units PF DF Anelyst Date Time Batch Met o
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide 4.68 0.134 0.400 mg/L 2 CH5 04/03/20 0350 1986653 I
The following Analytical Methods were performed._
Method Description __ ,__ _ _.AnalystComments
I EPA 300.0
Notes:
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
MDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page S of IS SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556-8171 • www.gel.com
Certineate 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 #8
Report Date: April 16, 2020
Project:
ntvvuuut
Client ID; ENV0001
Parameter _ Qualifier_ _Result _ __ DL_ RL Units PF DF Analyst Date Time_Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide 1149 0.670 2,00 mg/L 10 LXA2 0003/20 1253 1986863 1
The following Analytical Methods were performed:
Method __ Description ______ ___ _,_ _, Analyst Comments
I EPA 300.0
Notes;
Column headers are defined as follows:
DF: Dilution Factor Le/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 l5 SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 556.8171 - www,gel.com
Certificate of Analysis
Repor4 Date: April IG, 2020
up ski :
Environment One, Ina.
Address :
114 Oakmont Drive
Greenville, North Carolina 27858
Contact:
Ms. Deedee Woolard
Project:
Routine Analytical - NorthCarolina
Client Sample ID:
Well #9
Sample ID:
508725005
Matrix:
Ground Water
Collect Date:
30-MAR-20 14:15
Receive Date:
02-APR-20
Collector:
Client
Project: ENVOOOtOI
at ID: ENV0001
Parameter Qualifier Result DL RL Units PF_ DF Analyst Date Time B_a_tch Method
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide U 0.000 0.0670 0.200 mg/L 1 LXA2 04/03/20 0123 1986863 1
The following Analytical Methods were performed:
t EPA 300.0
Notes:
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
MDC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 7 of 15 SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407 - (843) 566-8171 - www,gel.com
Certificate of Analysis
Company :
Enviroiunent One, hw.
Address :
114 Oakmont Drive
Greenville, North Carolina 27858
Contact:
Ms. Deedee Woolard
Project:
Routine Analytical - North Carolina
Client Sample TD:
Well #]0
ample ID:
508725006
Matrix:
Ground Water
Collect Date:
30-MAR-20 14:40
Receive Date:
02-APR-20
Collector:
Client
Report Data: April 16, 2020
Project; ENVOOUIUI
in ID: ENV0001
Parameter Qualifier Result DL RL Units PF DF Analyst .Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid "As Received"
Bromide 0,410 0.0670 0.200 mg/L I LXA2 04/03/20 0150 1986863 t
The following Analytical Methods were performed:
Method Description __- ____ Analyst Comments
I EPA 300.0
Notes:
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
MAC: Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 8 of IS SDG; 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407 - (843) 556-8171 - www.gel.com
QC Summary Report Date: April 16, 2020
Envit•onment One, Inc.
page
114 Oakmont Drive
Greenville, North Carolina
Contact: Ms. Deedee Woolard
Workw•derl 508725
Date Time
Pm•mname
NOM
Sample
Quid QC
Units
RPD% RUC%
Ranee Anist
Ion Chromatography
Batch 1986653 ----
—"""—
---- ------'�^
QC1204539087 508721001 DUP
Bromide
0,335
0,346
ine,
3.0g A
(+/.0.200) CH5
04102/2021:58
QC1204539086 LCS
Bromide
1.25
1119
mg/L
95.1
(90%-1 10%)
04/02/2021:31
QC1204539085 MB
Bromide
U 0,000
mg/L
04/02/2021:04
QC1204539088 508721001 PS
Bromide
1.25
0,335
1,52
mg/L
95.1
(90%-I100/0)
04/0212022:25
Balch 1996863
QC1204539430 508710008 DUP
Bromide
2,74
2,69
mg/L
1,74
(0%-20%) LXA2
04/03/2011:32
QC1204539429 LCS
Bromide
1,25
1,25
mg/L
100
(900/0-I100/0)
04/02/2020:26 '...,
QC1204539428 MB
Bromide
U 0,000
mg/L
04/02/20 19:56
QC1204539431 508710008 PS
Bromide
1,25
1,37
2.65
mg/L
102
(90%-I10%)
04/0312011:59
Notes:
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 analytc exceeds the instrument calibration range
Page 9 of 15 SDG: 508725
GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407 - (843) 556.8171 - www.gel.com
QC Summary
Workorder: . 506725 Page 2 of 2
Parmuame __ NOM ________. Sample Qual �__ QC Units _ RPD% _ RRC% Rmulze Anlst Dat_e., _Time
H Analytical holding time was exceeded
J See case narrative for all explanation
Value is estimated
N/A RPD or %Recovery limits do not apply.
Nl See case narrative
NO Analyte concentration is not detected above the detection limit
NJ Consult Case Narrative, Data Summary package, m- Project Manager concerning 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, clue to matrix spike recovery issues, this result may not be reported or used for regulatory compliance
purposes.
R Sample results are rejected
U Analyte was analyzed for, but not detected above the MDL, MDA, MDC or LOD.
X Consult Case Narrative, Data Summary package, or Project Manager concerning this qualifier
Z Paint Filter Test --Particulates passed through the filter, however no free liquids were observed.
A RPD of sample and duplicate evaluated using +/-RL. Concentrations are <SX the RL. Qualifier Not Applicable for Radioohetnistry.
it 5-day BOD-41ao 2:1 depletion requirement was not met for this sample
e 5-day BOD--Test replicates show more than 30% difference between high and low values. Tire data is qualified per the method and can be used for
reporting purposes
h Preparation or preservation holding fitne was exceeded
N/A indicates that spike recovery limits do not apply when sample concentration exceeds spike cone. by a factor of or more or %RPD not applicable.
A 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 (5X) the contract required detection limit (RL). In cases where either the sample or duplicate value is less than 5X 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 all of the
requirements of the NELAC standard unless qualified on the QC Summary.
Page 10 of 15 SDG; 508725
General Chemistry
Technical Case Narrative
Environment One, Inc.
SDG #: 508725
Prp ct: Imr Chromatography
Analytical Method: EPA 300.0
Analytical Procedure: GL-GG&086 REV# 27
Analytical Batch: 1986653
The following samples were analyzed using [he above methods and analytical procedure(s).
GEL Sam rt_te ID# ClientClient Samnle Identificntion
508725002 Well #5
509725003 Well #7
1204539085 Method Blank (MB)
1204539086 Laboratory Control Sample (LCS)
1204539087 508721001(NonSDG) Sample Duplicate (DUP)
1204539088 508721001(NonSDG)Post 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 criieria specified in the analytical methods and
procedures for initial calibration, continuing calibration, instrument controls and process controls where
applicable, with the following exceptions.
Technical Inform ntion
am le
Dilutions
The following samples 1204539087 (Non SDG 508721001 DUP), 1204539088 (Non SDG 50872100 SPS),
508725002 (Well #5) and 508725003 (Well #7) were diluted because target analyte concentrations exceeded the
calibration range. Dilutions cony be required for many reasons, including to minimize matrix interferences or to
bring over range target analyte concentrations into the linear calibration range.
508725
Anelyte
001 003
Bromide
2X
2X
Roduct: Ion Cluromatography
_Anulvticnl Method: EPA 300.0
Analytical Procedure: GL-GC-E-086 REV# 27
Analytical Batch: 1986863
The following samples were analyzed using the above methods and analytical procedure(s).
GEI. Sample ID#
50872500/
508725004
Client Sample Identification
Well i14
Page 11 of 15 SDG: 508725
50872500E Well #10
1204539428 Method Blank (MB)
1204539429 Laboratory Control Sample (LCS)
1204539430 508710008(NonSDG) Sample Duplicate (DUP)
1204539431 508710008(NonSDG)Post Spike (PS)
The samples in this SDG were analyzed on an "as received" basis.
pats Summer:
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 sample 508725004 (Well #8) was diluted because target analyle concentrations exceeded the
calibration range. The following samples 1204539430 (Non SDG 508710008DUP) and 1204539431 (Non SDG
508710008PS) in this sample group were diluted due to matrix interference. 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.
soens
Analyze
004
Bromide
WX
('ertiBcatiar Statement
Where the analytical method
has beon
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 12 of IS SDG: 508725
gvironment 1, Inc. �f ` CHAIN OF CUSTODY RECORD
P.S. Box 7085, I14 Oakmont Dr.
C5enville NC 27858
Page I of 1
�ironmentIinc.com
DISFNFECTiON
CHLORINENEIRRALTLEDATCOLLECDON
Pleone (252) 756-6208 • Fax (252) 756-0633
CHLORINE
(',LENT_ 132 Week: IS
pHOHECK(LAS)
t1v
PQfdCA, LLC(WASTEWATER)
NONE
P
P
P
P
P
P
P
P
P
P
P
P
P
OONTAWERTYPE,PIG
ieo8R7AN CONNER
t� oy 129
LiLi.L NC 27957
�
A
A
C
C
C
A
A
C
C
A
A
A
A
A
GHEMICALPAEBERVATION
fBRRY
y A -NONE D-NAOH
6) z
o
32) 482.2133
�
B-HNO, E-HCL
¢a
C-Hz504 F-ZINC ACETATHNAOH
COLLECTION
o
0
o
a G-NATHIOSUIFATE
LLo
Q
SAMPLELOCATION
DATE
TIME-
o�
u�i�
CLASSIFICATION:
_
fi
Well#4
30-20
J;t3o
ii
1
WASTEWATER(NPDES)
_
Weti#5
330-ZO
(I}t05
zzi
i y
a
DRINKINGWAtER
i
Well #7
3-3o-QO
146,30
)•S
1 �
_
DWFVGW
f
'
weu#s
30 20
1`i=55
20,2
1
❑
-<'
Well #9
3o-zo
lt}•. t 5
2l- 2
)
SOLID WASTE SECTION
Well #10
3-30-]o
t'it�-10
21•S
l''''
N s
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENIFIDELIVERY
N
SAMPLESCO ED BY:
(nPlease Print)
17!'tgy� COY1n2n�'
SAMPLES RECEVEDINLAB AT. °C
REUNOULSHEDBY(SIG.)(SAMPLER)
DATHRME
R BY(SIG.)
DATEIfMtE
COMMENTS:
33rzQ l too
3)-
t o \
REV HEDSY SIG.
DATPJIIME
R BY(SIG.I_
DATEMME
3)
/ �F vor.,
Soc�w�n . lve
Zo
/
REUNQUISHE IG)
DATE(TIME
RECENEDBY(SIG.)
A
E
of YSS132033)LOZD
PLEASE READ Instructions for Completing this corm on the reverse Side. Sampler mast place a "C" for composite sample or a "G'"for
xs Grab sample in the blocks above for eac6 pa mete requested. Lj0 ? 7 R 7
-- umt Rtfch'ell:
FcdExE,tpless Fed$a OromW o tp rnbl
'CnYiicr and 7)•ntldng Nnmbcr Lips Field SOn'lees
CoOrim Odrr
Soepttled H;wW blformmlml 7
z '0'NU Counts. 101kpm misnmplts nPl k
unid:<d "mdiosniro'0 Contact flit Rndiallon Sorely D;unp losfumxt nud�ll",
U
A)Bid td nLa D07HmNdous9 �RJ02Cbos Sidpped;
11N1m0, IS Il;o Rndioa[rivt Sld VNlll
H) Did lilt client dcsi p'nem Snnvv campiieni Yes. No,
«mk•td os mdlinobc�m<nR smnplu om to b[ OC llemliml Ofrdlohlive edcLcn on wnlNutn ttdal Llkm Eetipnllolt ^ C)Did the RSDNosffiY tiltsmnples dnehlllln' rirl cmnn Obse
mtliotnhx7 ChwIlicd ns: Rod ^Oil' 111103'cJC
_ lirnil ii,ldl onnls•hmn Hnrl:EuWnd Colt //1�
D)Did Ale c1ic111 desimelan
ot It, Na lt>LvdovsP OC Weldon OR hntmd lobels N;wnmur.;: mprN ehun Ausi unlims
12)Dld th HSD ldtodf• �VDa Elsgu, Baler, HptoPat feel
----.°�. ,Tuible Intents? PCdS PIIUIImnLlt ' 1+olai In Sull RCIIA
Sn'OINVRbcubil Crile,)n hfbcsluJ. )3F4'llimll plher.
1 wohO1lt3 eofimirprs reeehed linnet 81 A 0'—'----- cmr mrnr/Qlnninert(Rm ( emr.ebW.rnmmnrdll; llenl,
stmod7 4 ppecahk; Eras bmbu� p. ---_� pyre' )
y Amirn _d wprnln, UAmy tomnlu;r 'O;F,rr pkrcrnnl p ICI Ilcicon0d,•doLlnJoms beluded %. .. .
. 3VSthShlpllp IT; tl' Clrek npyC:vn t�Lg<r�y <arni:ii;I t:IdyrorfA<A fOL C {j. 'Smlp) .qrF!• /1.tco,I;nhnnl-
�Oalk
Ultina toA101hadwithin O<do cc •llmNl
Dnll)chIckperlolnndnitlpxicIanIR It 11urtunmtxwWod In Coati ber'Ef1:pndlr<Ue,n[t SaNnl N•+mnpcRUO VIII? `�Ynmldun' —
�y d
'
Dadw 3eeiN if llfhppiitt<drb—IaJ: —'
,5 SnmplC cmlinUkrs linnet end widely( , r Cp<k tbp
APPpt: Staulno ten
' L" t. I �n"�,}B. 11 nln:r k IV Isanl,�}eonlaln;r Der, ld:[-db;1
G OWholes rel0lrky=ehdmlcol presenoliml sarlly 0)'"canes—"--inen---,-I Corte _ I propor pH9 � ',
If i'JUCmulfov^ddcd, Lold;
%
1f1'ed, nit Enms of Sol' KOs prurm lorsollUl9 Yn NoNA .(IfdOs, Inks le YDA FmtrtrJ
Do o>2 ,bolplcsrsis? Volndlc Do li nid YOn riNs<omNl
AM rsB7 Incid pr<unEli 7Ycs� oltr0ket )Jo)
h (° rc titbit YOA vlNs fmt of llcndsptcct Yty: Isla NA^•(u'Wdnl l__._
ampL• 10'i ord <alibimn,a rcovi;
+µt
B Snnlplt$rcCen•td tt•IddnlbldilL llil)t"") v IDk NldtcfltvAcwd;
[ref
SnmP10 M's on COC'Mich ID' Ion . )DI; tend emndwatin, Wed; `-
10 Win C flnn on.000 IRIIeh dole R tine Me APPllmbkt No dales 01)"1 dutn Nip on ronlNnNs Cp
on hold"? CcnissinpnJ Odi:ridntdb:)
11 Non>bcr oftomnllt:rsrcceiVtd onreh I CIMIr APpI bit: NawnlNnt[ count en COC 011ur(ducdb[)
nlmtbur indicoled op C00
Are Simple emuoinms td6ob eedlem
17 GEL roc)ded7
COMM) properly signed in ` Cir.It Applicu0le; Not mlh;Bukirod Oipu(drxdbt) 13 CO�Klu M)Isplopudseclrmts'+ rf
Cnlmncnis Nu Cenl nvnlroll Foml IV c<dcdi;
PM (o[pTU)rcwan•; INdNs
GL-CHL•SR•00) ReV6
Page 14 of 1 S SDG: 508725
List of current GEL CerNGcfltions fls oT 16 Apri12020
We
at 00cation
Alaska
17-018
Alaska Drinking Water
SC00012
Arkansas
88-0651
_
CLIA
42D0904046
California
2940
Colorado
SC00012
Connecticut
PH-0169
DoD ELAP/ ISO17025 A2LA
2567.01
Florida NELAP
E87156
Foreign Soils Permit
P330-15-00283o P330-15-00253
Georgia
SC00012
Georgia SDWA
967
Hawaii
SC00012
Idaho
SC00012
Illinois NELAP
200029
Indiana
C—SC-01
Kansas NELAP
E-10332
Kentucky SDWA
90129
Kentucky Wastewater
90129
Louisiana Drinking Water
LA024
Louisiana NELAP
03046 (AI33904)
Maine
2019020
Maryland
270
Massachusetts
M—SC012
Massachusetts PFAS Approv
Letter
Michigan
9976
Mississippi
SC00012
Nebraska
NE—OS-26-13
Nevada
SC000122020-1
New Hampshire NELAP
2054
New Jersey NELAP
SC002
New Mexico
SC00012
New York NELAP
11501
North Carolina
233
North Carolina SDWA
45709
North Dakota
R-158
Oklahoma
2019-165
Pennsylvania NELAP
68-00485
Puerto Rico
SC00012
S. Carolina Radiochem
10120002
Sanitation Districts of L
9255651
South Carolina Chemistry
10120001
Tennessee
TN 02934
Texas NELAP
T104704235-20-16
Utah NELAP
SC000122020-32
Vermont
VT87156
Virginia NELAP
460202
Washington
C780
Page 15 of 15 SDG: 508725