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WQ0002838_Monitoring - 07-2020_20200731
GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Please Print Clearly or -acility Name: Ueerh(, k r" HC 'ermit Name (if different): 172ej-bh 'S�' acilityAddress: (o5Pf I f _-1-e. Pn(-x °IJr NC SUBMIT FORM ONYFILOW PAPER ONLY County V,r( '<.e act Person: 'C` G-%p )s Telephone#: q - (co - I OSb Location/Site Name: M }A No. of wells to be sampled: IDEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 133-3221 PERMITJ�liunbb r�3 Expiration Date: ZOQ'S Non -Discharge UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation. Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: ELL ID NUMBER from Permit): ( ) �ll) � I ZJ Date sample collected: `1 � y FIELD ANALYSES: If WELL IWAS ell Depth: eft. Well Diameter: 01 in. pH 5.48 units Temp Z,4 °C IDRY at Depth to Water Level: _ft. below measuring point Screened Interval: ft. to Spec. Cond. Qo1 µMhos time of Measuring Point is _CA_ft. above land surface _ft. Relative M.P. Elevation: ft. Odor t�o opog sampling, check olume of water pumped/bailed before sampling: _��gallons Appearance \10r- CktrAr here: Samples for metals -wefts collectecCunfilteYe YES-- - --_N�. end field acidified: AYES NO _ _ Date sample analyzed: 14 p - 1 11?4 ZO Laboratory Name: ynec ,'r'h xy-, :. Certification No. I WEI, PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal L 4 CD J /100m1 Nitrate (NO3) as N (),qO mg/1 Zn - Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P 1, 0- 0a►a mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total— aaa mg/I — Al -Aluminum mg/I (when analyzed) PH 6.9 units Ba - Barium mg/I TOC < 1 .0 mg/I Ca - Calcium mg/I Chloride (DD• !7 mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total /1 Grease and Oils mg/I Cu - Copper mg mg/I �-e ORGANICS: (by GC, GC/MS, HPLC) G Phenol mg/1 Fe - Iron mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I Hg - Mercury mg/I Report Attached? W Yes (1) ❑ No (0) Specific Conductance µMhos K - Potassium mg/I VOC method # Total Ammonia L 0. { mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen, NH3 as N, Ammonia Nitrogen, Total) Mn -Manganese mg/I ,method # TKN as N mgh Ni - Nickel mg/I method # on Systems Only (Attach Lab Reports) GW-59 Rev.112007 Influent Total VOCs Effluent Total VOCs: Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Client: Apex Companies LLC 10610 Metromont Pwky, Suite 206 Charlotte, NC 28269 Meritech Work Order # 071420172 Sample: MW 1 Grab Total Dissolved Solids Chloride, total Ammonia, Nitrogen Nitrate, Nitrogen Phosphorus, total Fecal Coliform TOC pH ReportDate: 7/27/2020 NPDES #: WQ00002838 Project: MW Date Sample Rcvd: 7/14/2020 7/14/20 Results Anaysis Date Reporting Limit Method Qualifer 229 mg/L 7/16/20 10.0 mg/L SM 2540C 60.0 mg/L 7/22/20 0.2 mg/L SM 4500 Cl B <0.1 mg/L 7/22/20 0.1 mg/L EPA 350.1 0.94 mg/L 7/16/20 0.10 mg/L EPA 353.2 <0.020 mg/L 7/21/20 0.020 mg/L EPA 200.7 <1 col/100 ml 7/14/20 1 col/100 ml SM 9222 D <1.0 mg/L 7/21/20 1.0 mg/L SM 5310C 5.8 S.U. 7/24/20 1.0 -14.0 S.U. SM 4500-HB Q1 Q1 Holding time exceeded prior to receipt by the lab. 1 hereby certify that I have reviewed and approve these data. �V" Lab story epresentative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 -10-2011 Chain of Custody Record (COC) MERITECH, INC. ENVIRONMENTAL LABORATORIES ' 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sampling Dates &Times Sample Location and/or ID # Start End Date Time Date Time LMW 1 1-1` �2p 1 1; M Client: Deerhurst Address: 10610 Metrornont Pky Suite 206 Charlotte NC 28269 (NPDES#: WQ0002838 Phone: 704-799-6390 x4804 Fax: Email: ahaluskaPaaexcos.com Project: MW P.O.#: tion: Anne Haluska How would you like your report sent? Circle all that apply: Emai (preferred), Fax, Mail IF • L-•' wit t / -ti V ww ca Grab? n,. Test(s Required C' 1 TDS,CI I —) 1 TOC w/H2SO4 1 NH3,NO3 (w/H2SO4) 1 Ptot (w/HNO3) (sA4" 1 Fecal Coliform pH R a nKz -441. o.4 Method of "` Dechlorination (<0.5 m) of Ammonia, cyanide, Phenol and TKN samples must be done in the field prior to preservation.'•# C Shipment:omments: UPS Fed Ex Hand Deli Are_tbese results for Yes LV No U 26 Time: /,4/3 Report results in: n Received by�„__ I.,F9c'eived by: Turn Around Time* *RUSH work needs prior approval. d 10 ) 3 - 5 Days 24 - 46 Hrs } 'Lab U Se e Ice? pH OK? No' Ci OK? 7. 3 TemperatureUpon . Compositor # Jug, # ug/L cue 3S Time: Time., /��� ROUNDWATER QUALITY MONITORING: DMPLIANCE REPORT FORM --acility Name: lermit Name (if all acility Address: SUBMIT FORM ON YF1 LOW PAPER ONLY Print Clearly or NC County_WaI(G ntact Person: Dale MGtA-1 -a S Telephone#: Q 1 bSID dl Location/Site Name :Dea-Inor,- f M M C No. of wells to be sampled: LL ID NUMBER (from Permit): II Depth: M-5 ft. ith to Water Level: S-45 ft. below measuring point Isuring Point is 03 ft. above land surface Ime of water pumped/bailed before sampling: DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES VISION OF WATER QUALITY -INFORMATION PROCESSING. UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: t919) 733-3221 PE IT I1T1 u��� Expiration Date: I I 2c95 Non`DiScr e UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: If WELL Date sample collected: 1 (,�' Z� FIELD ANALYSES: WAS Well Diameter: in. pH 5A-2 units Temp. o�fl.� °C IDRY at Screened Interval: ft. to ft. Spec. Cond. � 1rj µMhos time ofsampling, _ Relative M.P. Elevation: ft. Odor me, check gallons Appearance r \,,krg C1e here: uiiNica luf rncoars wty& Whetted unrnrerea: YES Li Nb and field acidified . QYES UJ► NO tBORATORY INFORMATION to sample analyzed: "% Zb', u�z0 Laboratory Name: �c. - -ech Ti c Certification No. 1 �OrJ ,RAMETERS NOTE: Values should reflect dis olved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal L I Cod /100ml Nitrate (NO3) as N S- I1 mg/1 Zn - Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P n. yea mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total OQ mg/I Al - Aluminum mg/I pH (when analyzed) 1311 units Ba - Barium mg/I TOC 1 .1EIP mg/I Ca - Calcium mg/I Chloride I Oalb mg/I Cd - Cadmium mg/I Arsenic mg/I G dO Chromium: Total mg/I rease an Its mg/l Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance µMhos K - Potassium mg/I Total Ammonia Z' Q. mg/I Mg - Magnesium mg/I (Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total) Mn -Manganese mg/l TKN as N mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports) —Oa�o' Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.1/2007 Infuent Total VOCs: ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method ##. ATTACH LAB REPORT.) Report Attached? tat Yes (1) ❑ No (0) VOC method # method # method # method # mg/L Effluent Total VOCs: mg/L VOC Removal% Signature of Permittee (or Authorized Agent) (Date) Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Client: Apex Companies LLC 10610 Metromont Pwky, Suite 206 Charlotte, NC 28269 Report Date: 7/27/2020NPDES #: WQ00002838 Project: MW Date Sample Rcvd: 7/14/2020 Meritech Work Order # 071420173 Sample: MW 2 Grab 7/14/20 Parameters Results An&sis Date Reporting Li1nit Method Qualife1' Total Dissolved Solids 2830 mg/L 7/16/20 10.0 mg/L SM 2540C Chloride, total Ammonia, Nitrogen 1020 mg/L <0.1 mg/L 7/22/20 7/22/20 0.2 mg/L SM 45`00 Cl B Nitrate, Nitrogen 5.17 mg/L 7/16/20 0.1 mg/L 0.10 mg/L EPA 350.1 EPA 353.2 Phosphorus, total 0.402 mg/L 7/21/20 0.020 mg/L EPA 200.7 Fecal Coliform TOC <1 col/100 ml 7/14/20 1 col/100 ml SM 9222 D C PH 1.59 mg/L 7/21/20 1.0 mg/L SM 5310C 8.1 S.U. 7/24/20 1.0 -14.0 S.U. SM 4500-HB Q1 C Total residual chlorine was present in sample upon receipt in the laboratory; value not accurate. Q1 Holding time exceeded prior to receipt by the lab. I hereby certify that I have reviewed and approve these data. jlt-f.Ac"t� Labofatory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)3424748 fax.(336)342.1S22 =�13 Chain of Custody Record (COC) MERITECH, INC. ENVIRONMENTAL LABORATORIES Ai642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sampling Dates & Times Sample Location and/or ID # Start End Date Time Date Time LMW 2 I-ILL''7►\ Method of Shipment: [UPS IJ Fed Ex t Hand Delivery Other mments: Dechlorination results for '-- Client: Deerhurst Address: 10610 Metromont Pky Suite 206 Charlotte NC 28269 Attention: Anne Haluska NPDES#: WQ0002838 Phone: 704-799-6390 x4804 Fax: Email: ahaluska@aaexcos com Project: MW P.O.#: How would you like your report sent? Circle all that apply: ma (preferred), Fax, Mail P rso Taking Sam le Ign/Prin Grab? Cont. Test(s) Required 1 TDS,CI 1 TOC w/H2SO4 1 NH3,NO3 (w/H2SO4) 1 Ptat (w/HNO3) 1 FecaI Coliform 5, 1 21 9,Q.9. TKNsamples must be done in the field oriorto oreservarinn +** yes LW No Time: Received by Time: �� �" :elved by. Turn Around Time* *RUSH work needs prior approval. d 10 _ysj 13 - 5 Days 24 - 48 Hr Report results in: mg/L fA mg/kg .. ug/t '��,,,_.�._--•— �,/�,_„ ,� Date' ��' ^a me: Time: Time: SUBMIT FORM ON YELLOW PAPER ONLY ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM acility Name: Vjeil 'ermit Name (if different): acility Address: ltZCSIC Please Print Clearly or "G Mob, wo- NC County ntact Person:Telephone#q�G IUZ-4 !II Location/Site Name: e(- u(s� Ali No. of wells to be sampled: y ELL ID NUMBER (from Permit): inV�* �J Date sample collected: -7 1 1LAIZO ell Depth: eft. Well Diameter: 5? in. Depth to Water Level: 49.5 ft. below measuring point Screened Interval: ft, to _ Measuring Point is 1_1G ft. above land surface Relative M.P. Elevation: ft. olume of water pumped/bailed before sampling: _� gallons 'ARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES ISION OF WATER QUALITY INFORMATION PROCESSING. UNIT 7 MAIL SERVICE CENTER, RALEIGH, NC,17699-1617 Phone: (919) 733-3221. PERMI Cj,(�j�e,C u.cZa" Non- isc rge NPDES Expiration Date: UIC Other APE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: If WELL FIELD ANALYSES: IWAS pH 5— units Temp. Qo , °C DRY at ft. Spec. Cond. µMhos time of sampling, Odor CNE check Appearance C31 iuY-6;d, (-ea here:I-� ABORATORY INEQR late sample analyzed.:-"IZ,D - 1 �ay�zp Laboratory Name: Mgn, }C6% Certification No. 1 LOS ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal L. CD) /100ml Nitrate (NO3) as N a- ni Zn - Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/1 Other (Specify Compounds and Concentration Units): n,n Dissolved Solids: Total y mg/1 pH (when analyzed) , units TOC mg/I Chloride mg/I Al -Aluminum Ba - Barium Ca - Calcium Cd - Cadmium mg/l mg/I mg/I mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Phenol mg/I Sulfate mg/I Specific Conductance µMhos Cu - Copper Fe - Iron Hg - Mercury K - Potassium mg/1 mg/I mg/I mg/I ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? ® Yes (1) ❑ No (0) VOC , method # Total Ammonia 4 Q - mg/I Mg - Magnesium mg/I (Ammonia Nitrogen, NH3 as N, Ammonia Nitrogen, Total) Mn -Manganese mg/I TKN as N mg/I Ni - Nickel mg/1 For Remediation Systems Only (Attach Lab Reports) D ale rn �- Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.112007 Influent Total VOCs mg/L Effluent Total VOCs: method # method # method # mg/L VOC Removal% Signature of Permittee (or Authorized Agent) ,Date) Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Client: Apex Companies LLC 10610 Metromont Pwky, Suite 206 Charlotte, NC 28269 Report Date: 7/27/2020 NPDES #: WQ00002838 Project: MW Date Sample Rcvd: 7/14/2020 Meritech Work Order # 071420174 Sample MW 3 Grab 7/14/20 Parameters RemiksAnalysis Date Renorti�ng m QgSalifer Total Dissolved Solids Chloride, total Ammonia, Nitrogen Nitrate, Nitrogen Phosphorus, total Fecal Coliform TOC pH 4020 mg/L 7/16/20 10.0 mg/L SM 2540C 1570 mg/L 7/22/20 0.2 mg/L SM 4500 Cl B <0.1 mg/L 7/22/20 0.1 mg/L EPA 350.1 <0.10 mg/L 7/16/20 0.10 mg/L EPA 353.2 0.103 mg/L 7/21/20 0.020 mg/L EPA 200.7 <1 col/100 ml 7/14/20 1 col/100 ml SM 9222 D C 4.69 mg/L 7/21/20 1.0 mg/L SM 5310C 7.7 S.U. 7/24/20 1.0 -14.0 S.U. SM 4500-HB Q1 C Total residual chlorine was present in sample upon receipt in the laboratory; value not accurate. Q1 Holding time exceeded prior to receipt by the lab. hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1S22 ..�.W, '✓Hain oT trust0aY Kecord (COC) MERITECH, INC. z, ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax:336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sampling Dates & Times Sample Location and/or ID # Start End Date Time Date Time MW3 �1 4- IVON Method of *** Dechlorination (<0.5 ppi Comments: UPS Fed Ex Are these cesults for regulate Hand Delivery n Otl it?r Relinquis d . e ' 1 t nt: Deerhurst ress: 10610 Metromont Pky Suite 206 Charlotte NC 28269 NPDES#: WQ0002838 Phone: 704-799-6390 x4804 Fax: Email: ahaluskat@apexcos.com Project: MW P.O.#: Attention: Anne Haluska How would you like your report sent? Circle all that apply: Emal (preferred), Fax, Mail P rs n Tacking (Sign/Pri Turn Around Time* *RUSH work needs prior approval. Std 10 ) 13 - S Days 24- 4a w Comp? # of Grab? Cont. est(s) Required 1 TDS,CI t 1 TOC w/H2SO4 1 NH3,NO3 (w/H2SO4) 1 Ptot (w/HNO3) 1 Fecal Collform pH of Ammonia, Cyanide, Phenol and TKN samples must be done in the Yes LZJ No L_J �rune -5 Received b Un �'� calved by: to results in: mg/L .iu mg/kg ug/L Date me: 0 Date: Time: � Dayt,.. 11YI Time: 7 1( SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM NCILITY INPlease Print Clearly or Type Icility Nam�rhwc-s+ M 1*C_ ;rmit Name (if different): cilityAddress: �J�i� �-', �JCnc1e I NC County ntact Person: Telephone#:Q1q- I" 1pSlo II Location/Site Name: m No. of wells to be sampled: L ILL ID NUMBER (from Permit): mW —f II Depth: ft. Ith to Water Level: ft. below measuring point Isuring Point is ay ft. above land surLcre Ime of water F, mYc 'ba;!Pd bafore sampling: I oles for metals-wPr2-cnlrer-.tarr Date sample collected:, LAI Z()2-O Well Diameter: in. Screened !r.terval: ft. to —ft Relative M.P. Elevation: ft. gallons Na and field acidified QYFS 11�Nn` DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: t919) 733-3721 PERMIT Nori"BfsZ W Number- Expiration Expiration Date:) UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery IN Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL FIELD ANALYSES: WAS pH 5 •(D I units Temp. c3Wg °C DRY at Spec. Cond. -(_ Mhos time of I µ sampling, Odor N�NQ, check Appearance e C here: ,uvrw--vr� r inr-vrtm to sample analyzed: 17T4110 -'1 I2LtFIZp Laboratory Name: 1��-, I� �K Certification No. )l lvq=> ,RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. , COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal ' c/100ml Nitrate (NO3) as N G.'Aq mg/I Zn - Zinc mg/1 Coliform: MF Total /100ml Phosphorus: Total as P Q,��Q mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total SSW mg/1 Al - Aluminum mg/I pH (when analyzed) —j .-1 units Ba - Barium mg/I TOC I •L41 mg/I Ca - Calcium mg/I Chloride aASD mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils /I mg Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury m9 /I Specific Conductance µMhos K - Potassium mg/I Total Ammoniac mg/I (Ammonia Nitrogen, NH,as N, Ammonia Nitrogen, Total) Mg - Magnesium mg/I Mn -Manganese mg/I TKN as N mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports) Influent Total VOCs ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? 19 Yes (1) ❑ No (0) VOC method # method # method # method # mg/L Effluent Total VOCs: mg/L VOC Removal% Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Client: Apex Companies LLC 10610 Metromont Pwky, Suite 206 Charlotte, NC 28269 Report Date: 7/27/2020 NPDES #: WQ00002838 Project: MW Date Sample Rcvd; 7/14/2020 Meritech Work Order # 071420175 Sample: MW 4 Grab Parameters Results Analysis Date 7/14/20 Total Dissolved Solids 5530 mg/L 7/16/20 Reporting Limit 10.0 mg/L Method Qualifgr SM 2540C Chloride, total 2150 mg/L 7/22/20 0.2 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 7/22/20 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 0.44 mg/L 7/16/20 0.10 mg/L EPA 353.2 Phosphorus, total 0.219 mg/L 7/21/20 0.020 mg/L EPA 200.7 Fecal Coliform <1 col/100 ml 7/14/20 1 col/100 ml SM 9222 D C TOC 1.47 mg/L 7/21/20 1.0 mg/L SM 5310C PH 7.7 S.U. 7/24/20 1.0 -14.0 S.U. SM 4500-HB Q1 C Total residual chlorine was present in sample upon receipt in the laboratory; value not accurate. Q1 Holding time exceeded prior to receipt by the lab. I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)3424748 fax.(336)342-1522 340-2013 Chain of Custody Record (COC) NPDES#: WQ0002838 M E R I TE C H INC. Client: Deerhurst Phone: 704-799-6390 x4804 J Address: 10610 Metromont Pky Fax: ENVIRONMENTAL LABORATORIES Suite 206 Email: ahaluska0apexcos.com 642Tamco Rd. Phone: 336-342-4748 Charlotte NC 28269 Project: MW Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritech-labs.com Attention: Anne Haluska Turn Around Time* How would you like your report sent? *RUSH work needs prior approval, wvvw. m e ri to c h -! a b s . c o m Circle all that apply: Email (erred) , Fax, Mail std 10 =, 3 _ = 24 - 48 Hrs Sampling Dates &Times P rso Taki g So a (, i n/Pri t) �^77, Gasb lle Sample Location and/or ID # Start End Comp? 4 Of Tests) Required �e� plyO Date Time Date Time Grab? cont.nt :' /No aCl tj� M W 4 4 s 1 TDS C! t fi TOC w/H2SO4 1 INH3,NO3 (w/H2SO4) r 1 Ptot (w/HNO3)� 1 Fecal Coliform` pH �' eta �ti .5, I C 2fl� ► `.._..� Method Of Shipment: Dechlorinat lon (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. • �* ° eY. Comments: Contpos€tbr # UPS Jug°# Fed Ex Af e t e r sul s for regulatory purposes? Yes No Report results in: mg/L Me ❑ pg/L 1 Hand Delivery I Time: Received b • .� Date m Other Relinqul hed ��� _ %/ 1 : OTime:/� © eceivedby:bate: Time: