WQ0023181_Monitoring - 03-2020_20200420

CAW-59A COMPLIANCE REPORT FARM Permit #
(.Sulunit one each monitoring period with GW-59 fornis.)
1
Enter date monitoring results were due. ((Yi ,reac ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
X
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) 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 missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? if the answer is "Yes", contact the Regional Office for guidance.
V
4
Are any monitored constituents equal to or above the established standards?
YES
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 constituent(s) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8. cD
If the answer to question 5 is "YES", list in the space provided belo4ro -eagh we11 w constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each ocettrretor the last two years).
O
LL Cy C13
L,
o 0
Q
6
Are the monitoring wells listed in section 5 located at or beyondffM review bo6dary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located, contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "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
boundaries surrounding this facility, Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
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 top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
/iv ace
A4,vi: /V�
Signature rermittee (or Autho ' d Agent) Date
GW-59A 1218t2003

INTERNATIONAL@ PAPER
Global Sourcing — Fiber Supply
PO Box 710
865 John L Riegel Road
Riegelwood NC 28456
910 362 3329 (Office)
910 342- 2869 (Fax)
April 10, 2020
NC Department of Environmental and Natural Resources
Division of Water Quality — Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Sir/Madam,
Enclosed are the completed original and one copy of report #GW59, GW59A, and the lab
report used to complete GW59.
Regards,
A
Ben Burger
Fiber Specialist

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print i
Facility Name: j7A t-e-, /V, r ,,)e r ' JZ;
Permit Name (if different):
Facility Address:
AJ.9 r i
or Type
t(/
Countyrre-
Contact Person: Telephone#: /,�7 h O y- U j/ p
Well Location/Site Name: No. of wells to be sampled:411A
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIY. OF WATER RESOURCES
INFORMA71ON PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Pha16: 919-807.6306
PERMIT Number: `CV'3 31(1 Expiration Date:
Non -Discharge UIC
NPDES "Ve-G :-,')C;00 lr9 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump P Other: f2ec/c Ltd E - (,^ f`e-
WELL ID NUMBER : P from Permit): �^
( )
D ate sample collected:
FIELD ANALYSES:
If WELL
Well Depth: q /j� ft.
WAS
Depth to Water level e2sas:'zVJ..- ft. below measuring point
Well Diameter: in.
Screened Interval: ft. to
pH ooaoo: units Temp. 000lo: °C
DRY at
time of
Measuring Point is fWft—above land surfs
_ft.
Relative M.P. Elevation: �,Q- ft.
Spec. Cond. 0ooe4: µMhos
Odor 000as:
sampling,
Volume of water pumped/bailed before sampling:
P 9� /� , gallons
Appearance
check
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
here.❑
LABORATORY INFORMATION
Date sample analyzed: 3 Q aG
Laboratory Name:
/L/t✓a
Certification No. �
PARAMETERS NOTE: Values hpul reflect dissolved and colloidal concentrations.
COD 00335 �� mg/L
Nitrite (NO2) as N oosls
mg/L
Pb - Lead o1o51
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
ug/L
Zn - Zinc 01092
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P 00665
mg/L
mg/L
(Note: Use MPN mettod for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 , 0 units
Ba - Barium 01007
ug/L
TOC oosao mg/L
Ca - Calcium oogls
mg/L
Chloride oogao a, ! mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ( c) 3 it ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
specific Conductance 000gs µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia ooslo mg/L
Ammonia (Ammonia Nitrogen; NH, as N, Nitrogen, Total)
Mg - Magnesium 00927
mg/L
g
, method #
Mn - Manganese oloss
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION � Please Print Clearly or Type
,Z
PERMIT Number:/��(Gc � 3/�j Expiration Date: �? 3G 3
Facility Name: - A to l i A-�J 16,4- 'y�('%\ /� � lC-�'11�1 �111 (/
Non -Discharge UIC
Permit Name (if different):
NPDES ly_ > 91-) 0 Other
Facility Address: r'o S )Cti 6'
TYPE OF PERMITTED OPERATION BEING MONITORED
Al') r,'/1�. /U l
County t, r"e-Y1
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: % f1 % "
Telephone#: 0//0
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
❑ Water Source Heat Pump �] Other:02e C le
,1
from Permd
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): -{/
I
Date sample collected: f :' FIELD ANALYSES:
If WELL
WAS
Well Depth: J,� ft.
Well Diameter: in.
pH ooaoo: units Temp. 00010: °C
DRY at
Depth to Water Level 82546: ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is —L ft. above land surface,
Relative M.P. Elevation: /,//, ft.
Odor 00085 A 14
check
Volume of water pumped/bailed before sampling: _gallons`
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
3 G1
/ �� , l
/1
/vl�-f-�
ALsy d- ,` �j)q
Date sample analyzed: ©�
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values h Id reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 1,60 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 + 0 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940, 7 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 I.tMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%

\. ENCO Laboratmies
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Tuesday, March 31, 2020
International Paper, Inc. (IN019)
Attn: Jim Fretz
SR 1102, 247 CR Collins Road
Norlina, NC 27563
RE: Laboratory Results for
Project Number: [none], Project Name/Desc: NPDES
ENCO Workorder(s): CD04658
Dear Jim Fretz,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Thursday, March 19, 2020.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative if applicable. This report shall not be reproduced except in
full, without the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
04XV'6XLC.---�A
Chuck Smith
Project Manager
Enclosure(s)
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of 8

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SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: Wet Yard Pond
Lab ID: CD04658-01
Sampled: 03/18/20
10:04
Received: 03/19/20 10:00
Parameter
Preparation
Hold Date/Time(s)
Prep Date/Time(s)
Analysis
Date/TimcW
EPA 420.1
Same
04/15/20
03/30/20
10:00
03/31/20
13:00
Field
NO PREP
03/18/20 10:18
03/18/20
10:04
03/18/20
10:04
SM 254OC-2011
NO PREP
03/25/20
03/22/20
15:03
03/22/20
15:03
SM 4500CIE-2011
NO PREP
04/15/20
03/23/20
15:16
03/23/20
17:20
SM 5220D-2011
Same
04/15/20
03/20/20
10:37
03/20/20
19:00
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 2 of 8

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SAMPLE DETECTION SUMMARY
Client ID: Wet Yard Pond
Lab ID: CD04658-01
Analvte
Results Flaa MDL
P L
Units
Method Notes
Chemical Oxygen Demand
48 10
10
mg/L
SM 5220D-2011
Chloride
2.7 3 1.9
5.0
mg/L
SM 4500CI E-2011
pH
8.0 0.0
0.0
pH Units
Field
Temperature
10.07 0
0
°C
Field
Total Dissolved Solids
96 50
50
mg/L
SM 254OC-2011
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 3 of 8

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6,00)
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ANALYTICAL RESULTS
Description: Wet Yard Pond Lab Sample ID:CDO4658-01 Received: 03/19/20 10:00
Matrix: Surface Water Sampled:03/18/20 10:04 Work Order: CD04658
Project: NPDES Sampled By:3im Hays
lClassical Chemistry Parameters
^ - ENCO Cary certified analyte [NC 591]
Analyte rCAS Numberl
Results fin Units
PE MDL
POL
Batch Method Analyzed
iy Notes
Chemical Oxygen Demand^
48 mg/L
1 10
10
OC20008 SM 5220D-2011 03/20/20 19:00
10C
Chloride [16887-00-6]A
2.7 J mg/L
1 1.9
5.0
OC23027 SM 4500CI E-2011 03/23/20 17:20
AKF
Total Dissolved Solids^
96 mg/L
1 50
50
OC22001 SM 254OC-2011 03/22/20 15:03
10C
Field Parameters
Analyte [CAS Numberl Results
Flag UnM
DF
MDL
POL
Batch
Method
Analyzed
By Notes
PH 8.0
pH Units
1
0.0
0.0
OC20002
Field
03/18/20 10:04
JH
Temperature 10.07
oC
1
0
0
OC20002
Field
03/18/2010:04
JH
Classical Chemistry Parameters
^ - ENCO Orlando certified analyte [NC 424]
Analyte rCAS Numberl Results
IFag Units
P-E
MDL
M
Batch
Method
Analyzed
Ay Notes
Phenolics^ 0.034
U mg/L
1
0.034
0.050
OC27031
EPA 420.1
03/31/20 13:00
JSS
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 4 of 8

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QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch OC20008 - Same
Blank (OC20008-BLK1) Prepared: 03/20/2020 10:37 Analyzed: 03/20/2020 19:00
Spike Source %REC RPD
Analvte Result Flag PQL Units Level Result %REC Limits RPD Limit Notes
Chemical Oxygen Demand 10 U 10 mg/L
LCS (OC20008-BS1) Prepared: 03/20/2020 10:37 Analyzed: 03/20/2020 19:00
Spike Source %REC
RPD
Analvte
Result Flag
P_QL
Units
Level Result %REC Limits RPD
Limit Notes
Chemical Oxygen Demand
510
10
mg/L
500 101 90-110
Matrix Spike (OC20008-MS1)
Prepared: 03/20/2020 10:37 Analyzed: 03/20/2020 19:00
Source: CD00122-01
Spike Source %REC
RPD
Analvte
Result Flaa
P L
m
Level Result %REC Limits RPD
Limit Notes
Chemical Oxygen Demand
750
10
mg/L
526 220 99 90-110
Matrix Spike Dup (OC20008-MSD1)
Prepared: 03/20/2020 10:37 Analyzed: 03/20/2020 19:00
Source: CD00122-01
Spike Source o/aREC
RPD
Analvte
Result Rau
RQL
Units
Level Result %REC Limits RPD
limit Notes
Chemical Oxygen Demand
730
10
mg/L
526 220 96 90-110 2
5
Batch OC22001 - NO PREP
Blank (OC22001-BLK1)
Prepared & Analyzed: 03/22/2020 15:03
Spike Source %REC RPD
Anal vte Result Flag PQL Units Level Result %REC Limits RPD Limit Notes
Total Dissolved Solids 50 U 50 mg/L
LCS (OC22001-BS1) Prepared & Analyzed: 03/22/2020 15:03
Spike Source %REC
RPD
Analvte
Result Flag MI.
Units
Level Result o/aREC Limits
RPD
Limit Notes
Total Dissolved Solids
970 50
mg/L
1000 97 80-120
Duplicate (OC22001-DUPl)
Prepared & Analyzed: 03/22/2020 15:03
Source: CD01620-01
Spike Source %REC
RPD
Analvte
Resul[ Flag PQL
knits
Level Result %REC Limits
RPD
Limit Notes
Total Dissolved Solids
180 50
mg/L
180
3
20
Duplicate (OC22001-DUP2)
Prepared & Analyzed: 03/22/2020 15:03
Source: CD01620-02
Spike Source %REC
RPD
Analyte
Result Flag PQL
Units
Level Result %REC Limits
RPD
Limit Notes
Total Dissolved Solids
230 50
mg/L
230
0
20
Batch OC23027 - NO PREP
Blank (OC23027-BLK1) Prepared: 03/23/2020 15:16 Analyzed: 03/23/2020 17:09
Spike Source %REC RPD
Analvte Result Flag PQL Units Level Result %REC Limits RPD Limit Notes
Chloride 1.9 U 5.0 mg/L
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 8

(�Cs N 0 70)
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QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch OC23027 - NO PREP - Continued
LCS (OC23027-BS1) Prepared: 03/23/2020 15:16 Analyzed: 03/23/2020 17:10
Spike Source %REC
RPD
Analvte
Result
Flag
POL
Units
Level Result %REC Limits RPD
Limit Notes
Chloride
100
5.0
mg/L
100 100 80-120
Duplicate (OC23027-DUPl)
Prepared: 03/23/2020 15:16 Analyzed: 03/23/2020 17:13
Source: CD04195-03
Spike Source %REC
RPD
Analvte
Result
Flag
POL
Units
Level Result %REC Limits RPD
L[Mft Notes
Chloride
740
D
50
mg/L
730 0.6
10
Matrix Spike (OC23027-MS1)
Prepared: 03/23/2020 15:16 Analyzed: 03/23/2020 17:11
Source: CD04195-02
Spike Source %REC
RPD
Analvte
Result
Flaq
Q
m
Level Result %REC Limits RPD
Limit Notes
Chloride
740
25
mg/L
200 580 79 80-120
QM-07
Matrix Spike Dup (OC23027-MSD1)
Prepared: 03/23/2020 15:16 Analyzed: 03/23/2020 17:12
Source: CD04195-02
Spike Source %REC
RPD
Analvte
Result
Flag
POL
Units
Level Result %REC Limits RPD
Limit Notes
Chloride
730
25
mg/L
200 580 75 80-120 1
25 QM-07
Classical Chemistry Parameters - Quality Control
Batch OC27031 - NO PREP
Blank (OC27031-BLK1)
Prepared: 03/30/2020 10:00 Analyzed: 03/31/2020 13:00
Spike Source %REC RPD
Analvte Result Flag P41 Units Level Result %REC Limits RPD Limi Notes
Phenolics 0.034 U 0.050 mg/L
LCS (OC27031-BS3) Prepared: 03/30/2020 10:00 Analyzed: 03/31/2020 13:00
Spike Source %REC
RPD
Aral Cte Result
Flag POL
Units Level Result %REC Limits RPD
umft Notes
Phenolics 0.53
0.050
mg/L 0.500 106 90-110
Matrix Spike (OC27031-MS1)
Prepared: 03/30/2020 10:00 Analyzed: 03/31/2020 13:00
Source: CD04658-01
Spike Source %REC
RPD
Analvte Result
Flag PM
Units Level Result %REC Limits RPD
ilm[t Notes
Phenolics 0.48
0.050
mg/L 0.500 0.034 U 96 90-110
Matrix Spike Dup (OC27031-MSD1)
Prepared: 03/30/2020 10:00 Analyzed: 03/31/2020 13:00
Source: CD04658-01
Analvte
Phenolics
Spike Source %REC
Result Flaa Q m Level Result %REC Limits RPD
0.53 0.050 mg/L 0.500 0.034 U 105 90-110 9
RPD
kinia Notes
10
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 6 of 8

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FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
J The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
PQL PQL: Practical Quantitation Limit. The PQL presented is the laboratory MRL.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
P Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
[CALC] Calculated analyte - MDL/MRL reported to the highest reporting limit of the component analyses.
QM-07 The spike recovery was outside acceptance limits for the MS and/or MSD. The batch was accepted based
on acceptable LCS recovery.
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 7 of 8

ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OF -CUSTODY RECORD www.encolabs.com
cans centrat Pori or, 4810 Ex—OCUtive Park Court, Suite 111 102-A Woodwinds industrial Ct.
Orlando, FL 32824 Jacksonwile, Ft. 32216-6M Caryk NC 27511
CSAW=WN�G 6) (40n 626-6314 (904)-1qP-3,nj7 Fax (9XA)2196,6210 M91467-30W Fax [phone] Page _ of
Cl;ant Mina Pr4ed Number Requested Analyses Requested Turnaround
International Paper, Inc- QN019) tronel 0 Times I
Address . . .... Project Name/Desc —i Note :Hush requeM subjed to
SR 1102,247 CR Collims Road NPOES LU accwtance by the lautity
C4/8Tqv PO 01 Billing lrft C6
Ndrkna, NC 275M S Standard
Fait C4
Tel
(252)456-25% Ro�rrecltz 0 Expedited
Samplai4s Name.Ani orlon (Pnm Ming trJ to w 75 Due
C)
sarivie.ff Si nature Site Location I 'rime Zone 0 La orkerder
GDOD4605
Preservation (See Codes) (Combine as necituary)
Col or Malt ix Total of
e Commenis
Sortioe to (Flold Idenillt, .,,,nl Collection Date G ac C taine'e, Sampl. .. . ..... .. . ..... .... ........ . ...... . .... . .........
rd $w Point! X I X
...... .. . . . -- - - - ------ - ---
UINNUI
..... . ... . . .
....... ....
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. ..... - - - --------- ------------ - --- - - - - - - - - -------------- ..... .....
. ... . ...... . . .. ....... .......... .. . ....... . . - ---- - ------ ----
- - --------- - ----- -
- -------- --- ...... . .... . .....
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. ............ ..
Tow # of Containers
.Sampta KltPtepared i
neiinquished By D
l i�?
D
Comment Reporting Requirements swinii'T By 'Mi Received By
Relinquished By DatoMme Received By Datemnie
Cooler t's It Temps on Receipt Condition upon Frompt
t"�p I -Zr tAc"/ Acceptable Unacceptable
Mativix: GW.Groundwatef SO -Soil DW-DrinWmg Water SE-Sedimard SW.Surlaco Water WW-Wastewater A -Air "ther (oetall in comments) Pwiwrvatlon: Poo WHO N-HNO3 S-H2SO4 NO-Na0H "ther (detail in cornmOrtift)
Note. All samples submitted to ENCO Labs are in accordance with the terms and conditions listed an the reverse of this lbrm, unless prior written agreements exist

Sample Preservation Verification
ENCO Cary -
Work Order: CD04658 Project-, NPIDES
Client: International Paper, Inc. (IN019) Project (none)
Logged In: 19-Mar-20 10:25 Logged By: Rachel Ann Y nish
Preservation Check Performed By: )I Date[Time: 17D �C):-)C�
CD04658-01
Cont
T�pe
Pres (PH)
Requirement
PH Checked 1:
in Control
: PH Adjusted QateMme,
Adjusted
Reagent, Used(Cornments
A
250rnLA+H2SO4
<2
N I •NA
Y 6�p/ NA
D
250mLP+H2SO4
<2
N I NA
Y � NZ' NA
Reagent Name ID
11 1
21 1
pH Strip IC PH StriPs COA0898 ' -
C:kelmnt\P; '__1 , covi vation Check. rpt
Reagent Name ID
3
4
Reagent Name ID
6
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