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HomeMy WebLinkAboutWQ0004910_Monitoring - 06-2020_20200708 (2)SUBMIT FORM ON YELLOW PAPER ONLY . r' DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER GROUNDWATER QUALITY MONITORING: RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2021 Facility Name: Town of Woodland Non -Discharge W000004910 UIC Permit Name (if different): 80 NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery Facility Address: 414 Jameson Ave. Woodland NC 27897 County Northampton ■ Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-209-1759 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: W WTF Irrigation Fields No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW #1 Date sample collected: 6/10/2020 FIELD ANALYSES: WAS Well Depth: 25.0 ft. Well Diameter: 2.0 in. pH ooaoo: 6.46 units Temp. 0001c 22.5 DRY at Depth to Water Level 82546: 7.5 Screened Interval: 20.0 ft. to 25 ft. Spec. Cond. 00094: ItMhos time of sampling,check Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: © YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 06/10/20-06/15/20 Laboratory Name: Environment I, Inc Certification No. 254 PARAMETERS NOTE: Values should 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 <1 /100mL Nitrate (NO3) as N 00620 0.12 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.04 mg/L (Note. Use WIN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Ju`/ _ . . ssolved Solids:Total 70300 92 mg/L Al - Aluminum ol1o5 mg/L 0 R b.— pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.00 mg/L Ca - Calcium oo916 mg/L l"'^ PYR SFr pip 0, Chloride 00940 26 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L f 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) pecific Conductance 00095 pMhos K - Potassium 00937 mg/L VOC 7872 method # Total Ammonia 00610 0.09 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total) Mn - Manganese 01055 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% Raymond S. Eaton Public Works Director/ ORC Permittee (or Authorized Aaent) Name and Title - Please Drint or tvoe JUG - 2 2020 GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER GROUNDWATER QUALITY MONITORING: RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2021 Facility Name: Town of Woodland Non -Discharge W000004910 UIC Permit Name (if different): NPDES Other Facility Address: 414 Jameson Ave. TYPE OF PERMITTED OPERATION BEING MONITORED ■ Lagoon ❑ Remediation: Infiltration Gallery Woodland NC 27897 County Northampton 0 Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-209-1759 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTF Irrigation Fields No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW #3 Date sample collected: 0610/20 FIELD ANALYSES: WAS Well Depth: 25.0 ft. Well Diameter: 2.0 in. pH 0040o: 6.2 units Temp. 000lc 215 DRY at Depth to Water Level 82546: 8.3 Screened Interval: 20.0 ft. to 25 ft. Spec. Cond. 00094: tlMhos time of sampling, Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: © YES ❑ NO and field acidified: ® YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 06/10/20-06/15/20 Laboratory Name: Environment I, Inc Certification No. 254 PARAMETERS NOTE: Values should 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 <1 /100mL Nitrate (NO3) as N 00620 0.1 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): ssolved Solids:Total 70300 126 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.49 mg/L Ca - Calcium 00916 mg/L Chloride 00940 27 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) pecific Conductance 00095 tlMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 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% GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER GROUNDWATER QUALITY MONITORING: ill RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2021 Facility Name: Town of Woodland Non -Discharge W000004910 UIC Permit Name (if different): NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED Facility Address: 414 Jameson Ave. Woodland NC 27897 County Northampton N Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-209-1759 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTF Irrigation Fields No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW #6 Date sample collected: 6/10/2020 FIELD ANALYSES: WAS Well Depth: 35.0 ft. Well Diameter: 2.0 in. pH 00400: 6.39 units Temp. 000l( 9B DRY at Depth to Water Level 82546: 10 Screened Interval: #### ft. to 35 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 4.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: © YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 06/10/20-06/15/20 Laboratory Name: Environment I, Inc Certification No. 254 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.21 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 147 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.00 mg/L Ca - Calcium 00916 mg/L Chloride 00940 52 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) pecific Conductance 00095 ItMhos K - Potassium 00937 mg/L VOC 7872 method # Total Ammonia 00610 0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH., as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 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% Raymond S. Eaton Public Works Director/ ORC Permittee for Authorized Aaent) Name and Title - Please print or tvoe GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY • . DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER GROUNDWATER QUALITY MONITORING: RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2021 Facility Name: Town of Woodland Non -Discharge WQ00004910 UIC Permit Name (if different): NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery Facility Address: 414 Jameson Ave. Wodland NC 27897 County Northampton Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-209-1759 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTF Irrigation Fields No. of wells to be sampled: 5 from Permit ❑ Water Source Heat Pump ❑ Other: SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW # 8 Date sample collected: 6/10/2020 FIELD ANALYSES: WAS Well Depth: 37.0 ft. Well Diameter: 2.0 in. pH 00400: 6.57 units Temp. 0001( 206 DRY at Depth to Water Level 82546:13.5 f Screened Interval: 32.0 ft. to 37 ft. Spec. Cond. 00094: ItMhos time of sampling, Measuring Point is 4.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: © YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 06/10/20-06/15/20 Laboratory Name: Environment I, Inc Certification No. 254 PARAMETERS NOTE: Values should 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 <1 /100mL Nitrate (NO3) as N 00620 0.07 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.37 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 105 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.00 mg/L Ca - Calcium oo916 mg/L Chloride 00940 16 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 ItMhos K - Potassium 00937 mg/L VOC 787: method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 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% Raymond S. Eaton Public Works Director/ ORC Permiltee (or Authorized Aaent) Name and Title - Please Drinl or tvoe GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER GROUNDWATER QUALITY MONITORING: RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2021 Facility Name: Town of Woodland Non -Discharge W000004910 UIC Permit Name (if different): NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery Facility Address: 414 Jameson Ave. Woodland NC 27897 County Northampton 0 Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-209-1759 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTF Irrigation Fields No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW #9 Date sample collected: 6/10/2020 FIELD ANALYSES: WAS Well Depth: 20.0 ft. Well Diameter: 2.0 in. pH 0040o: 6.08 units Temp. 0001c 202 DRY at Depth to Water Level 82546: 9.5 Screened Interval: 13.0 ft. to 20 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 6 gallons Appearance Cloudy here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 06/10/20-06/15/20 Laboratory Name: Environment I, Inc Certification No. 254 PARAMETERS NOTE: Values should 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 <1 /100mL Nitrate (NO3) as N 00620 0.05 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): ssolved Solids:Total 70300 435 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.00 mg/L Ca - Calcium 00916 mg/L Chloride 00940 202 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7872 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH,, as N, Ammonia Nitrogen, Total) Mn -Manganese 01055 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% Raymond S. Eaton Public Works Director ORC Permitlee (or Authorized Aaent) Name and Title - Please Drinl or tvoe GW-59 Rev.8/2013 GW-59t COMPLIANCE REPORT FORM Permit # �J Q 060 0 (Submit one each monitoring period with GW-59 forms.) 1 Enter date monitoring results were due. (67 / ' 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 GW-59 report forms? YES NO 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, a ea overgrown, etc.)? If the answer is "Yes", contact the Regional Office r guidance. 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 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? I� If 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 well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 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 may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe 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? t 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 daVs; an evaluation maV 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 maV 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 (ComplianceReport GW-59A) is true and complete to the best of my knowledge. Signa ure of Permittee (or Au orized Agent) ate/ GW-59A 12/8/2003 [��doQo��c�r�� alp ��c�oQpoQ�a�c�d 114 OAKMONT DRIVE GREENVILLE, N.C. 27858 TOWN OF WOODLAND P.O. BOX 297 WOODLAND ,NC 27897 Drinking Water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 254 DATE COLLECTED: 06/10/20 DATE REPORTED : 06/18/20 REVIEWED BY: Effluent Well #1 Well #3 Well #6 Well #8 Analysis Method PARAMETERS Date Analyst Code BOD, mg/l 18 06/10/20 GNB 521OB-11 Fecal Coliform (M[F), /100 Mls 118 < 1 < 1 < 1 < 1 06/10/20 TMR 9222D-06 Total Suspended Residue, mg/l 77 06/11/20 JMS 2540D-11 Ammonia Nitrogen as N, mg/l 0.99 0.09 < 0.04 < 0.04 < 0.04 06/15/20 DTL 350.1 R2-93 Total Kjeldahl Nitrogen as N,mg/1 9.87 06/16/20 TLH 351.2 112-93 Nitrate -Nitrite as N, mg/I (talc) 0.06 353.2 112-93 Nitrate Nitrogen as N, mg/1 <0.04 0.12 0.10 0.21 0.07 06/10/20 DTL 353.2 112-93 Nitrite Nitrogen as N, mg/1 0.06 06/10/20 DTL 353.2 112-93 Total Phosphorus as P, mg/l 2.17 06/16/20 DTL 365.4-74 Total Phosphorus as P, mg/l 0.04 < 0.04 < 0.04 0.37 06/12/20 TLH 365.4-74 Total Organic Carbon, mg/l < 1.00 1.49 < 1.00 < 1.00 06/15/20 SEJ 531OC-11 Chloride, mg/1 771 26 27 52 16 06/15/20 MAR 4500CLB-11 Total Dissolved Residue, mg/1 1430 92 126 147 06/11/20 HJO 254OC-11 Total Dissolved Residue, mg/1 105 06/16/20 HJO 2540C-11 Total Nitrogen, mg/1 (talc) 9.93 EIMUnDRE&M Flo hmpudid 114 OAKMONT DRIVE GREENVILLE, N.C. 27858 TOWN OF WOODLAND P.O. BOX 297 WOODLAND ,NC 27897 Well #9 PARAMETERS Analysis Method Date Analyst Code Fecal Coliform (MF), /100 Mls < 1 06/10/20 TMR 9222D-06 Ammonia Nitrogen as N, mg/l <0.04 06/15/20 DTL 350.1 112-93 Nitrate Nitrogen as N, mg/l 0.05 06/10/20 DTL 353.2 R2-93 Total Phosphorus as P, mg/I <0.04 06/12/20 TLH 365.4-74 Total Organic Carbon, mg/l < 1.00 06/15/20 SEJ 531OC-11 Chloride, mg/l 202 06/15/20 MAR 4500CLB-11 Total Dissolved Residue, mg/I 435 06/11/20 HJO 2540C-11 Drinking Water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 254 DATE COLLECTED: 06/10/20 DATE REPORTED : 06/18/20 REVIEWED BY:/ --- T( P.1 W, (2! Environment 1, Inc. CHAIN OF CUSTODY RECORD P.O. Box 7085, 114 Oakmont Dr. / Page 1 of C.1 rPPn611P NC` 77R'N environment 1 inc.com DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION Phone (252) 756-6208 • Fax (252) 756-0633 CHLORINE Ur pH CHECK (LAB) CLIENT: 254 Week: 28 Ij UV P P P P P P P P P P P P CONTAINER TYPE,P/G )WN OF WOODLAND NONE D. BOX 297 DODLAND NC 27897 ❑ A G A C C C JA A C IC A A CHEMICAL PRESERVATION A - NONE D -NAOH m zo 52) 587-7161 E z � w Z w y L Cn � B- HNO3 E- HCL 00 0co z = z y L w aJ U c ? o w C HZSO, F ZINC ACETATE/NAOH COLLECTION 0 A c z L .. L ., L a :2 7 y a G NATHIOSULFATE c ~_ 00 o a o < SAMPLE LOCATION DATE TIME Effluent 6/101 Za /0: 00 O.OZ a 7 rx CLASSIFICATION: WASTEWATER(NPDES) DRINKINGWATER Well #1 1.t) g. �rj 0,0 Z,S 6` fa Well #3 /O Z ?'Do 0,/0 l.i 6 ` Well #6 4; 5 r4.$ 6 _ . / •Za v2 ❑ DWR/GW ❑ SOLID WASTE SECTION ii�ell#8 WOO Zo l 6 �i.< 4ii:; � �s � Well #9 % �.9� 6 ►> 1�,� _1D 0 2 CHAIN OF CUSTODY (SEAL) MAINTAINED DURINGMENT/DELIVERY YPN SAMPLES COLLECTED BY: (Please Print))( ' 14rol0 A.9 SAMPLES RECEIVED IN LABAT,, C RE' QUISHE BY (SIG.) (SAMPLER) DATE/TIME RECE �b (SIG.) DATFJTIME COMMENTS: &A�6'ro �0 1' ( 3 - ��'. H 5 RELIN UISHED BY (SIG.) DATETIME REC IVED BY (SIG.) DATE/TIME RELINQUISHED BY (SIG.) DATE/TIME RECEIVED BY (SIG.) DATUNE PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a T" for composite sample or a "T for FORM #5 Grab sample in the blocks above for each parameter requested. N 0 381172 SAMPLING STRUCTIONS AND FORM l_,jMPLETION FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE. 1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the deviations. 2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as much ice as will fit in the cooler. 3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note this information in the spaces provided on the front of this form. 4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles. Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the "Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any neutralization is performed. 5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures as well as Composite start dates and times can be recorded in the "comments" section. 6) Other information required to be completed by the client are: Collection Date and Collection Time for each sample location Temperature at Time of Collection Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished Other added sample locations and analyses required Type Of Disinfection Deletion on the form for any samples which are not needed (example: dry upstream location) Any other information felt to be pertinent should be included in the "Comments" section CONSIDERATIONS: Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis. BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times. CAUTION Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.