HomeMy WebLinkAboutWQ0029653_Monitoring - 07-2020_20200908 (2)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
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 2/28/2026
Facility Name: SCOTCH HALL PRESERVE WWTP
Non -Discharge WQ0029653 UIC
Permit Name (if different):
NPDES Other
Facility Address: MERRY HILL
TYPE OF PERMITTED OPERATION BEING MONITORED
ERRY HILL s"�`' NC
27957
CountyBERTIE
El Lagoon ❑Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: BRIAN JERNIGAN
Telephone#: 252-325-0771
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:SCOTCH HALL PRESEVE WWTP
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW1
Date sample collected: 7/10/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 4.73 units Temp. 000lo: 21.5 °C
DRY at
Depth to Water Level 82546:6.7 ft. below measuring point
Screened Interval: 5 ft. to 20
ft. Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling:
4.5
gallons
Appearance TAN
here:❑
Samples for metals were collected unfiltered: 2 YES
❑ NO and field acidified: N YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/10/2020
Laboratory Name: ENVIRONMENTAL CHEMISTS INC Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 9
/100mL
Nitrate (NO3) as N 00620 1.48
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 .40
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
lissolved Solids:Total 703oo 86
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403 4.73
units
Ba - Barium 01007
ug/L
PPPI�/�--
TOC 0068o 2.4
mg/L
Ca - Calcium oo916
mg/L
lsT1"' IY�
Chloride oo94o 13
mg/L
Cd - Cadmium 01027
ug/L
E P Q g 2Q7(
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (b ; HPLC)
�.
Phenol 32730
ug/L
Fe - Iron 01045 ;
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 v
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937 SFQ
mg/L
VOC 7873 method #
Total Ammonia 00610 <0.2
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 1.48
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.06-07-2018
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
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 2/28/2026
Facility Name: SCOTCH HALL PRESERVE WWTP
Non -Discharge W00029653 UIC
Permit Name (if different):
NPDES Other
Facility Address: MERRY HILL
TYPE OF PERMITTED OPERATION BEING MONITORED
MERRY HILL NC
27957
County BERTIE
❑ Lagoon ❑ Remediation: Infiltration Gallery
N Spray Field ❑ Remediation:
Contact Person: BRIAN JERNIGAN
Telephone#: 252-325-0771
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:SCOTCH HALL PRESEVE WWTP
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW2
Date sample collected: 7/10/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 4.65 units Temp. 000lo: 19.9 °C
DRY at
Depth to Water Level 82546:12.8 ft. below measuring
p g point
Screened Interval: 5 ft.
to 20
ft. Spec. Cond. 000sa: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance TAN/BROWN
here:❑
Samples for metals were collected unfiltered: N YES
❑ NO and field acidified: N YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/10/2020
Laboratory Name: ENVIRONMENTAL CHEMISTS INC Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 ri
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 .34
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 53
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 4.65
units
Ba - Barium 01007
ug/L
TOC 00680 1.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 13
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
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 0.04
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%
DANIEL SUMEREL, GENERAL MANAGER
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
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
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 2/28/2026
Facility Name: SCOTCH HALL PRESERVE WWTP
Non -Discharge W00029653 UIC
NPDES Other
Permit Name (if different):
Facility Address: MERRY HILL
TYPE OF PERMITTED OPERATION BEING MONITORED
MERRY HILL "real) NC
27957
CountyBERTIE
❑Lagoon ❑Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
Contact Person: BRIAN JERNIGAN
Telephone#: 252-325-0771
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:SCOTCH HALL PRESEVE WWTP
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permin
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW3
Date sample collected: 7/10/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.84 units Temp. 000lo: 19.2 °C
DRY at
Depth to Water Level 82546:15.4 ft. below measuring point
Screened Interval: 5 ft. to 20
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: NONE
check
Volume of water pumped/bailed before sampling:
2.5
gallons
Appearance BROWN/ORANGE
here:❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: K YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/10/2020
Laboratory Name: ENVIRONMENTAL CHEMISTS INC Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.94
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 1.01
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 69
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) 00403 5.84
units
Ba - Barium 01007
ug/L
TOC 00680 1
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 9
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 7873 method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625 0.96
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only Total•
I certify that. to the best of my knowledge and belief, the information submitted in this report is true, aa,
DWR-certified laboratory. I am aware that there are significant penalties for submitting false: information
DANIEL SUMEREL, GENERAL MANAGER
mg/L Effluent Total VOCs:
14 /�
mg/L VOC Removal%
_S1 2,3W
Permittee (or Authorized Agent) Name and Title - Please print or type Signature ofP"ermittee (or Authorized
GW-59 Rev.06-07-2018
SM
ANALYTICAL & CONSULTING CHEMISTS
Scotch Hall Preserve
105 Scotch Hall Court
Merry Hill NC
Attention. Brian Jernigan
Lab ID Sample ID:
20-28701 Site: MW-1
Environmental Chemists, Inc.
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
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info;a environmentalchemists com
Date of Report: Jul 29, 2020
Customer PO #:
27957 Customer ID: 17050011
Report #: 2020-11421
Project ID: Monitoring Wells
Test Method
Collect Date/Time Matrix
7/10/2020 8:56 AM Water
Color
Color
Depth to water, ft.
Depth to Water, Ft.
Ammonia Nitrogen
EPA 350.1
Gallons bailed before sampling
Gallons Bailed before sampling
Odor
Qualitative
Total Dissolved Solids (TDS)
SM 2540 C
Temperature
SM 2550 B
Chloride
SM 4500 Cl E
pH
SM 4500 H B
Total Phosphorus
SM 45DO P F
Total Organic Carbon (TOC)
SM 5310 B
Fecal Coliform
SM 9222D MF
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
Nitrate+Nitrite-Nitrogen
EPA 3532
Nitrate Nitrogen
Subtraction Method
Results
Sampled by
Tom Beasley
Date Analyzed
Tan
07/10/2020
6.7 feet
07/10/2020
< 0.2 mg/L
07/15/2020
4.5 gallons
07/10/2020
none
07/10/2020
86 mg/L
07/13/2020
21.5 C
07/10/2020
13 mg/L
07/18/2020
4.73 units
07/10/2020
0.40 mg/L
07/16/2020
2.4 mg/L
07/13/2020
9 Colonies/100mL
07/10/2020
< 0.02 mg/L
1.48 mg/L
1.48 mg/L
07/10/2020
07/22/2020
07/29/2020
Report #. 2020-11421 Page 1 of 3
Windmill Way
mingt
ENVIRONMENTAL CHEMISTS, I N C OOFOFICE: 910-3 2-02231FAX 910-9 -4424�
Analytical &Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICA71ON # 37729 Info Convironmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
Client: Scotch Hall Preserve
PROJECT NAME: Monitoring Wells
REPORT NO:1�
ADDRESS: 105 Scotch Hall Court
CONTACT NAME: Brian Jernigan
PO NO:
Merry Hill, NC 27957
REPORT TO:
PHONE/FAX:
COPY TO: Rick Harrell rick.harrell@gmail.com
email: bkjshp@gmall.com
Sampled By:._- SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
�
E
y
E `o
C is
� o
° a
"
y
t E
c�
Q
G W
W�
g�
=
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
i
o
Z
�
x
3
�
i
x
xx
o
W
o
MW:
7_
C
P
X
Chloride, NO2, TDS
G
G
(
Depth to water:
C
P
X
NH3,1\103, TP
G
G
Gallons Bailed: L)
C
P
I X
Fecal Coliform
G
G
pH field): • 7 3
,..
Z
C
P
X
I
TOC
G
G
,�Q f✓
Color:
C
P
G
G
Odor: N
C
P
- p, p
b SS j
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 3 wells (1,2,3) due March,
July, November
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
o_
2.
Temperature when R eived °C:._ A epted: _ _ Rejected: _— Resam le Requested: _
r-�- g Delivered Received B (d - Z o �•
- -- -.--" -- --- -- Date:Time: ��• _.
Comments:_ _ TURNAROUND:
111*- S.
ANALYTICAL & CONSULTING CHEMISTS
Scotch Hall Preserve
105 Scotch Hall Court
Merry Hill NC
Attention: Brian Jernigan
Lab ID Sample ID:
20-28702 Site: MW-2
Test
Environmental Chemists, Inc.
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
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infoca environmentalchemists.com
Date of Report: Jul 29, 2020
Customer PO #:
27957 Customer ID: 17050011
Report #: 2020-11421
Project ID: Monitoring Wells
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
Total Dissolved Solids (TDS)
Temperature
Chloride
pH
Total Phosphorus
Total Organic Carbon (TOC)
Fecal Coliform
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Collect Date/Time Matrix Sampled by
7/10/2020 8:40 AM Water Tom Beasley
Method Results Date Analyzed
Color
Tan/Brown
07/10/2020
Depth to Water. Ft.
12.8 feet
07/10/2020
EPA 350.1
< 0.2 mg/L
07/15/2020
Gallons Bailed before sampling
3.0 gallons
07/10/2020
Qualitative
None
07/10/2020
SM 2540 C
53 mg/L
07/13/2020
SM 2550 B
19.9 C
07/10/2020
SM 4500 CI E
13 mg/L
07/18/2020
SM 4500 H B
4.65 units
07/10/2020
SM 4500 P F
0.34 mg/L
07/16/2020
SM 5310 B
1.4 mg/L
07/15/2020
SM 9222D MF
<1 Colonies/100mL
07/10/2020
EPA 353.2 0.02 mg/L 07/10/2020
EPA 353.2 0.04 mg/L 07/22/2020
subtraction Method 0.02 mg/L 07/29/2020
Report # 2020.11421 Page 2 of 3
6W2 Windmill
ENVIRONMENTAL CHEMISTS, INC OFFICE: 91a3 2-=31FAX910 2-44245
Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info@envlronmentalchomists.com
COLLECTION AND CHAIN OF CUSTODY
Client: Scotch Hall Preserve
PROJECT NAME: Monitoring Wells
REPORT NO:
ADDRESS: 105 Scotch Hall Court
CONTACT NAME: Brian Jernigan
PO NO:
Merry Hill, NC 27957
REPORT TO:
PHONE/FAX:
COPY TO: Rick Harrell rick.harreli@gmail.com
email: bkjshp@gmaii.com
Sampled By:_______ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
$
F-
E
o
a° c;
m _
c (7
�°
0 a
d
.2 E
"
¢
O w
m�
g z'
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
Z
$
�
g
o
i
0
i
0
MW:
I
X
Chloride, NO2, TDS
G
G
I
Depth to water: Z
C
P
X
P
NH3,NO3, TP
G
G
Gallons Bailed: 3. D
qq
19. I
C
P
I X
Fecal Coliform
G
G
�j
H field : 't
C
P
X
I
TOC
G
G
Color. 'fdp "'i
C
P
G
G
Odor: f`)
C
P
. V-ZD
03q 0
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Total of 3 wells (1,2,3) due March,
July, November
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
7_
2.
A, —
' Temperature when Received °C: 1,Z Accepted:
Delivered By: _,.Received
ik;omments:
pie Requested:
7- I n Time• IZ .Iq
TURNAROUND:
Environmental Chemists, Inc.
6en�virochem
ANALYTICAL & CONSULTING CHEMISTS
6602 Windmill Way, Wilmington, NC 28405 • 910.392.02-23 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infota environmentalchemists.com
Scotch Hall Preserve
Date of Report:
Jul 29, 2020
105 Scotch
Hall Court
Customer PO #:
Merry Hill
NC 27957
Customer ID:
17050011
Attention:
Brian Jernigan
Report #:
2020-11421
Project ID: Monitoring
Wells
Lab ID
Sample ID:
Collect Date/Time Matrix
Sampled by
20-28703
Site: MW-3
7/10/2020 8:28 AM Water
Tom Beasley
Test
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
Total Dissolved Solids (TDS)
Temperature
Chloride
pH
Total Phosphorus
Total Organic Carbon (TOC)
Fecal Coliform
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Reviewed 1
Method
Results Date Analyzed
Color
Brown/Orange
07/10/2020
Depth to Water, Ft
15.4 feet
07/10/2020
EPA 350.1
< 0.2 mg/L
07/15/2020
Gallons Bailed before sampling
2.5 gallons
07/10/2020
Qualitative
None
07/10/2020
SM 2540 C
69 mg/L
07/13/2020
SM 2550 B
19.2 C
07/10/2020
SM 4500 Cl E
9 mg/L
07/18/2020
SM 4500 H B
5.84 units
07/10/2020
SM 4500 P F
1.01 mg/L
07/16/2020
SM 5310 B
1.0 mg/L
07/13/2020
SM 9222D MF
<1 Colonies/100mL
07/10/2020
EPA 353 2 0.02 mg/L 07/10/2020
EPA 353 2 0.96 mg/L 07/22/2020
Subtraction Method 0.94 mg/L 07/29/2020
Report #. 2020-11421 Paae 3 of 3
Windmill Way
ton
ENVIRONMENTAL CHEMISTS, I N C o °F E: 910-3 2-0223tFAX991 G- 92-44245
Analytical 8 Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 3T729 intoOenvironmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
Client: Scotch Hall Preserve
PROJECT NAME: Monitoring Wells
REPORT NO: a.�
ADDRESS: 105 Scotch Hall Court
CONTACT NAME: Brian Jernigan
PO NO:
Merry Hill, NC 27957
REPORT TO:
PHONE/FAX:
COPY TO: Rick Harrell rick.harreli@gmail.com
email: bkjshp@gmail.com
Sampled By:__ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
2L
F
a
E
G a
a o!
c
0
o,
c t7
s o
o a
U `�
s 01
a E
"
Q
uw
m
4 _
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
W
o
_
u
_
a
H
�,
z
_
=
°a
_
o
4
o
MW:
X
Chloride, NO2, TDS
G
G
Depth to water: 1E 3
C
P
X
NH3,NO3, TP
G
G
Gallons Bailed: 2
icy 2-C
' I
P
X
Fecal Coliform
G
G
H (field): 5,
C
P
X
TOC
G
G
BRO
Color: bR�
C
P
G
G
Odor: it
CP
P
7-10 5
�2$
G
G
C
P
G
G
C
MG
P
G
G
C
G
Total of 3 wells (1,2,3) due March,
July, November
Transfer
Relinquished By:
Date/Time
Received By:
Date(Time
2.
,Temperature when Received °C: / G
Delivered By: __ ��✓�
"""111comments:
Accepted: 1/ Rejec :___________ ______Resample Requested:
Received B • Date: �' ! u� Time: �a-
TURNAROUND: