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HomeMy WebLinkAboutWQ0014785_Monitoring - 03-2020_20200428FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: \NQ9014785 Facility Name: Midway Middle School county: Sampson Month: March Year: 2020 Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 Did irrigation occur Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 at this facility?Cover Crop:Cover Crop: P� Cover Crop: p� cover Crop: p: �p 2 g ZQ% (]YES Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 14F��°' Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Weather Freeboard Field Irrigated? ❑vEs [-]NO Field Irrigated? ❑YES ❑No Field Irrigated? YES ENO Field Irrigated? ❑vEs ❑ NO fC Q � U O y m Q E F c O. ` a a, (n � m N� U >, C. �p ' w m a E .2 O Q Q n d .O-. F ,O) - m �, C <a J= E Trn 7- C x O N J d o E ,N O O i Q o d a0. r ,6) - rn �, C tC J= E Ta> 7- C X O N J ma E N O Q % Q N Y H ,� - rn >. C ca J= E �a� 7- C x 0 cc J c,� E O O O i Q N 4; ,m - a� T O ro J= E Trn x p m J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 CL 68 3 0 0 0.00 0,00 0 0 0,00 0.00 0 0 0,00 0.00 0 0 0.00 000 2 C 68 3 1,250 20 0.11 0,11 1,250 20 0,11 0.11 1,250 20 0,11 0.11 1,250 20 0.11 0.11 3 CL 63 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 4 CL 59 3 1,250 20 0.11 0.11 1,250 20 0,11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 5 R 51 3 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0,00 0,00 0 0 0.00 0.00 6 R 62 3 0 0 1 0.00 0,00 0 0 0.00 0.00 0 0 0,00 0.00 0 0 0.00 0.00 7 C 51 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0,11 0.11 1,250 1,250 0.11 0.01 8 C 44 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0.11 0.01 9 C 39 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0.11 0.01 10 CL 70 3 1,250 20 0.11 0,11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0,11 0.01 11 C 63 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0.11 0.01 12 C 78 3 1,250 20 0,11 0.11 1,250 20 0.11 0.11 L250 20 0.11 0.11 1,250 1,250 0.11 0,01 13 PC 66 3 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1.250 20 0.11 0.11 1,250 1,250 0.11 0.01 14 C 74 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0.11 0.01 15 CL 49 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0.11 0.01 16 PC 49 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1,250 0,11 0.01 17 R 50 3.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 18 PC 61 3.5 1,250 20 0,11 0.11 1.250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 011 0,11 19 C 64 3.5 1,250 20 0,11 0.11 1.250 20 0,11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 20 C 75 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1.250 20 0,11 0,11 1,250 20 0.11 0.11 21 PC 72 3.5 1,250 20 0.11 0.11 1,250 20 0.11 011 1,250 20 0.11 0.11 1,250 20 0.11 0.11 22 C 56 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1.250 20 0.11 0.11 1.250 20 0.11 0,11 23 R 54 3.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0,00 24 R 56 3.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0,00 25 CL 68 3.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 26 CL 66 3.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0,00 27 C 75 35 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 28 C 76 3 5 0 0 0,00 0.00 0 0 0,00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 29 C 85 3.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1.250 20 0.11 0.11 30 C 81 4 1,250 20 0.11 0.11 1,250 20 0,11 0.11 1,250 20 0.11 0.11 1,250 20 0,11 0.11 31 Monthly Loading: 25,000 2.12 25,000 2.12 25,000 2.12 25,000 2 12 12 Month Floating Total (in): 8.05 8.05 8.05 8.05 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No:: W00014785 Facility Name: Midway Middle School County: Sampson Month: March Year: 2020 Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8 Did irrigation occur Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.436 Area (acres): 0.435 at this facility? DYES ❑No Cover Crop: P� Cover P� Cover P� CoverCro P: Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Weather Freeboard Field Irrigated? AYES ❑NO Field Irrigated? DYES ❑No Field Irrigated? [DYES ❑No Field Irrigated? E]YES LINO o w 0 o c) y E fjC m 3 o a E H c ° Y Q v 0 (L m °� c`a 0 !n y y w ac14i �. a M a Q M N w m o E °' �- O G iQ o m aj E H rn �_,c ,� J E rn � c E M'a X o = 0 J m y E D 3 ° O a iQ v m;; E m °' 1- •� rn � c • a '� m O O J E M � c E x o m m 2 0 2 J m y E m �- ° O a � Q m;; E m °� H o� �.c • 'v `° ,� G p J E c> � ` c E x o to 2 0 J m a E m ° D a iQ v d;; rn H '` - rn � c M O J E rn � Tc x o '° = 0 J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 CI 68 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 2 C 68 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 3 CL 63 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 4 CL 59 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 5 R 51 4 0 0 1 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 6 R 62 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 1 0 0.00 0.00 7 C 51 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 8 C 44 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 9 C 30 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 10 CL 70 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 11 C 63 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 12 C 78 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1 20 0.11 0.11 131 PC 66 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1 20 0.11 0.11 14 C 74 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 15 CL 49 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 16 PC 49 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 17 R 50 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 181 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 19 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 20 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 21 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 22 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 23 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 24 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 258 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 266 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 275 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 286 4 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 295 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 301 1311 4 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20E 0.11 0.11 1,250 20 0.11 0.11 Monthly Loading: 25,0 00 2.12 25,000 2.12 25,000 2.11 ;25,000&2.12 12 Month Floating Total (in): 8.05 8.05 8.05 8.05 FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Permit No.: WQ0014785 Facility Name: Midway Middle School County: Sampson Month: March Year: 2020 Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 Field Name: 5 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0,435 Area (acres): 0A35 Cover Crop: Cover Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? EYES [-]NO Field Loaded? DYES LINO Field Loaded? EYES ❑NO Field Loaded? EYES ONO Field Loaded? iYES ONO Z c Z > d Z ° Z N Z °° Z > NZZcZ CZ a EL (L>a ` a a a °Q m ° °0. ° J E U C J £ Z E U C J E Z £ U C J E Z V C J Z E U C J Z °a °a a E °a £ 3a- ° U o U ° V o 2 U ° ° U o U > ° U o 2 U ° > ° v 0 2 U Q 0 Q 0 Q 0 a 0 Q Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac April May June July August September October November December January February March 25,000 9.29 4.5 45 25,000 9.29 4.5 4.5 25,000 9.29 4.5 4.5 25.000 9.29 4.5 4.5 25,000 9.29 4.5 4.5 12 Month Floating PAN Load 4.5 4.5 4.5 (Ibs/ac/yr): Annual PAN Load Limit (Ibs/ac/yr): 11..0 11.00 11.00 11.00 11.00 FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Permit No.:' WC0014785 Facility Name: Midway Middle School County: Sampson Month: March Year: 2020 Field Name: 6 Field Name: 7 Field Name: 8 Field Name: Field Name: Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): Area (acres): Cover Crop: Cover Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: Load Type: Field Loaded? ❑YES ENO Field Loaded? ❑YES ENO Field Loaded? AYES ENO Field Loaded? EYES []NO Field Loaded? DYES []NO a c Q ° Q > fl ° a c Q •2 Q j -o y 'a c Q •2 Q ° 'a C •° -o 0 ° c 'O 'a 0 > O_ Q d d n. v �0) 0 a Q d a. 0 Q d% Q. 0 a Q y a) '-� Q QO a) RU7 0 C Ra) J JZ J Z j IQ JZ @ ju fC J E a) E a) E Q E Q7a CcO O C O O a cOU O O O O O U O Q U O Q U O U U > > > > > Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac April May June July August September October November December January February March 25,000 9.29 4.5 4.5 25,000 9.29 4.5 4.5 25.000 9.29 4.5 4.5 12 Month Floating PAN Load 4.5 4.5 4.5 (Ibs/ac/yr): Annual PAN Load Limit 11 11.00 11.00 (Ibslac/yr): FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of .24 47L Permit No.: W00014785 Facility Name: Midway Middle School County: Sampson Month: March Year: 2071-9 PPI: 001 Flow Measuring Point: [-]Influent ❑Effluent ❑No Flow generated Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water Parameter Code 10 50050 00400 00625 00310 00610 00530 31616 00665 00620 WQ09 00940 00600 70300 Q O Oc E H [n O 0 Q cc YsN Z rn m f° c O £ Q D aD , a u� E U a 0 d Z N o d> Q Z 0 U 9 d Z mi N to ] aoo NOF EO 24-hr hrs GPD su mg/L mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L mg/L 1 2,514 27 2 2,514 3 2,514 4 2,514 5 2.514 6 2.514 7 2,514 8 2,514 9 2.329 10 2,329 11 2,329 19.3mg/I 17.1 mg/1 49mpn/100 12 2,329 11.8 13 2,329 14 2,329 #VALUE! 15 2,329 16 21471 7.5 23mg/l 17 2,471 18 2.471 19 2.471 20 2,471 21 2,471 22 2,471 23 300 241 300 25 300 26 300 27 300 28 300 29 300 30 286 0.09 31 6.75mg/1 Average: 1.870 27.00 0.00 0.00 0.00 1.00 0.00 0.09 11.80 Daily Maximum: 2,514 7.50 27.00 0.00 0.00 000 0.00 0.00 0.09 11.80 Daily Minimum: 286 7.50 27.00 0.00 0.00 0.00 0.00 0.00 0.09 11.80 Sampling Type: Monthly Limit: 300,000 Daily Limit: Sample Frequency: FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Did the mass loading rates exceed the limits in Attachment B of your permit? Compliant []Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Robert Carroll Permittee: Sampson County School Certification Number: 26341 Signing Official: Robert Carroll Grade: s Phone Number: 910 -385 -6116 Signing Official's Title: ORC Has the ORC changed since the previous NDMLR? ❑Yes ❑✓ No Phone No.: 910-385-6116 Permit Ex 12/31/21 4/20/20 4/20/20 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Environmental Chemists, Inc. envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax sM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info(r,environmentalchemists.com Sampson Co. Schools Date of Report: Apr 06, 2020 437 Rowan Road Customer PO #: Clinton, NC 28328 Customer ID: 19040001 Attention: Report #: 2020-04387 Project ID: Midway Middle Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-10794 Site: Effluent - Grab 3/16/2020 10:40 AM Water Robert Carroll Test Method Results Date Analyzed Fecal Coliform Idexx Colilert-18 49 MPN/100ml 03/16/2020 Residue Suspended (TSS) SM 2540 D 17.1 mg/L 03/16/2020 Total Phosphorus SM 4500 P F 6.75 mg/L 03/31/2020 BOD SM 5210 B 23 mg/L 03/16/2020 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 0.06 mg/L 03/18/2020 Nitrate+Nitrite-Nitrogen EPA 353.2 0.09 mg/L 03/30/2020 Nitrate Nitrogen Subtraction Method 0.03 mg/L 04/01/2020 Total Nitrogen (Cale) Total Nitrogen Total Nitrogen 11.8 mg/L 04/01/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-10794A Site: Effluent - Grab 3/16/2020 10:40 AM Water Robert Carroll Test Method Results Date Analyzed Ammonia Nitrogen SM 4500 NH3 C 19.3 mg/L 04/01/2020 Total Kjeldahl Nitrogen (TKN) SM 4500 org B 27.6 mg/L 04/01/2020 Comment: Reviewed by: Report #:: 2020-04387 Page 1 of 1 En"Iffronrnental Chemist, Inc., 'Nilmington, .NC lab 994 ;602 Windmill Way Vilmington, INC 2841DS 310.392,0223 Sample Receipt Checklist Client: �lA.rp� J� ,� &Ll.., r, f Date: 3 % o� oV3 1` 7 Deport Number: U —. 'Receipt of saIIII mple; -delivered YES � VO N/A 'PS 0 `edEx O Other 10 YEp 1• ere custody seals present on the cooler? S �O VO N/A 2. if Gusto Original temoerature upon receipt dy seals were present, were they intact/unbroken? How temperature taken: ❑ Temoeratu a Blank Corrected temoerature upon receipt R Gun IO: Thomas traceable S/N 192511657 Igainst Bottles i Q YES � VO R Gun Correction Facto r'C: 0.0 3. if temperature of cooler exceeded 6'C, was Project Mgr./pA notified? YES (3 VO 4. `Nere proper custo YES ❑ VO dy procedures (relinquished/received) followed? S. �Nere samole it's listed on the COC? rES ❑ VO 6. 'Nero samples 10's listed on samole containers? YES O VO 7. 'Nere collection date and time listed on the CI YES ❑ VO 8. Were tests to be performed listed on the COC? YES O VO 9. Did samples arrive in Proper containers for each test? YES O VO 10. Did samples arrive in goad condition for each test? +ES ❑ VO 11. Was adequate sample volume available?' c? DES '❑ VO 12. 'Nere samples received withi11 n p11 ro Dfr ES (7 No 13. Were acid preserved samples recewedhatl a' pHtime of <21 requested tests? ❑ YES ❑ VO 14. 'Nere ❑ YES p VO cyanide samples received at a off >12? 15. Nere sulfide samples received at a pH FIt >9? DES O VO 16. Were NH3/TKN/Phenol received at a chlorin r ❑ DES ❑ VO 17. 'Nere Sulfide/Cyanide received at a cnlonne residual of <0.5 m/� `? • • 'OC/Volatiles are off checked at time of anaIvsIs and recorded on the benchsheet. " ?acteria samples are checked for Chlorine at time of anal i sts and recorded on 'he v benchsheet Sample Preservation: I`^ust be completed for any y samole(s) incorrectly preserved or .vith headsoace) vein received incorrectly preserved and were adjusted accordingly by adding (circle one): i:SO, ver Time of oreservation: -1CI `IaC)H f more than one oreservative is r Vote vot'fv customer <,ervice mmeolateiV for ncorr► ended, Ofate n Gomm <tiv oresen,ed samples. �btajn a new s m , comments below ^otifv the state ab d d,rected to anarvted by the customer ,Vho was a o e or Voiaules Samoie(s) oef;ed..ate and t,me II received with ^eadsoace ------------- OMMENTS: 'C 6602 Windmill Way <= ton ENVIRONMENTAL CHEMISTS, INC OFFICE: 9103 2-0223'IFAX9910-3 2-44245 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Sampson County Schools Project: Midway Middle School/PPI 001 WWTF REPORT NO: 0.020 — Wj 35 4- Address: 437 Rowan Road CONTACT NAME: Robert Carrol PO NO: Clinton, NC 28328 REPORT TO: Robert Carroll PHONE/FAX: 910.305.0952 L-- cop : R Carroll (rcarroll.blackdo mail.com) email: jeImore@sampson.k12.nc.us Sampled By: � zT �gi2�2o! SAMPLE TYPE: I = Influent F = Fff7uent W = Well RT = Stremm cn = c^ci ci = n*tie. Sample Identification Collection dow s a y~ a `o '� U o V a t E V a J Z PRESERVATION ANALYSIS REQUESTED Date Time Temp Z i = i o i 0 o W Effluent C P 110-7 9 X I IBOD, TSS, NO2 G G due March, July, Novem C P ��+ X NH3,NO3, Total P, TKN, N(calc) G G H(field): C P X Fecal G G C P G G C P X I TDS,Chloride (November only) G G C P G G C P G G Soil Sample (December) C P X Standard Soil Fertility Analysis G G Transfer Relinquished By: Date/Time Received B : Date/Time 2. Temperature when Received: .5 C Accepted: R ted: Resample Fe ested: Delivered By: „��— ra... _ Received By:_ _Date:3 ( Time: Comments: TURNAROUND: P