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
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°F
in
ft
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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
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°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
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v
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2
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Q
0
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0
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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
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>
>
>
>
>
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