520013_Lab Data_20210115

Drinking Water ID: 37715
Wastewater ID: 10
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
DIVISION OF WATER RESOURCES - WASH.
ATTN: DAVID MAY
DIVISION OF WATER RESOURCES
943 WASHINGTON SQUARE MALL
WASHINGTON ,NC 27889
PARAMETERS
Ammonia Nitrogen as N, mg/I
Nitrate -Nitrite as N, mg/I
vrioNL <<5 j `5io-eGUb
FAX [phone]
ID#: 525 A
DC MILLS - JONES CO.
DATE COLLECTED: 12/21/20
DATE REPORTED : 01/15/21
REVIEWED BY:
Sample Sample Sample Sample Analysis Method
#1 #2 #3 #4 Date Analyst Code
214.0 0.18 327.5
0.44 1.30 1.74
0.18 01/14/21 KES 350.1 R2-93
1.30 01/14/21 DTL 353.2 R2-93

Environment 1, Inc.
P.043Gx 7085, 114 Oakmont Dr.
CHAIN OF CUSTODY RECORD
Page f of
ireenvllle, 1N1; Z R5Do
environment! Inc .com
?hone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
CLIENT: 5 5 ApH
j
CHLORINE
UV
CHECK (LAB)
Df 0 S l on a
NONE
CONTAINER TYPE, P/G
ACC_r. f e S UUCLO-c)
CHEMICAL PRESERVATION
F-
5
rw-
a
c�
a¢
A - NONE D -NAOH
B -HNO, E -HCL
C - H2SO4 F - ZINC ACETATE/NAOH
G- NATHIOSULFATE
o -,z
0
z w
0 00
w z
P o
w
¢
.—
�r
�^
COLLECTION
Q m
o
oa
``
0
.. 3
SAMPLE LOCATION
DATE
TIME
op_ o
F- Q
o
?
J
j,1-
CLASSIFICATION:
a (, ,
\J` • V
`2,.,12f3
D•. ,"
�'
re)
1/4.1
3� PI
WASTEWATER(NPDES)
aM
P U3.
420
e
j
DRINKING WATER
S C<v>,i.,.
1 ;+ j29
�1
3
x
x
Ik�
�c
jDWR/GW
jSOLID
WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING S IPMENT/DELIVERY
Cl/
Gd
1 '
/�
�.
r
, }
cv�,
e_
b 1~/IZ
/
,-(
a
/
via !
is,'
I
N
l
��'
�1'z��'C
,
/%�Y)
G ,
�
����ZI
SAMPLES COLLECTED BY:
(Please Print)
r✓
A
rht'wc✓11
A
SAMPLES RECEIVED IN LAB AT 0 •
RELINQUIS ED B�I .}(SAMPLER)
• •/"�i
"j-
DATE/TIME
i��
11'' 4i.
RE
_ V _ BY SIG.
� ( )�
�
DATE/TIME
COMMENTS:
�' '�, �--��"��Q � �� -�- (' � S�
ZZ 10
/,�/
RELINC'� HED BY (SIG.)
DATE/TIME
�''
RECEIVED BY*'
'DATFJTIME
— 5 162 w4 ubbi c_ 1 i5 "►- 041
h't \ (" 0
RELINQUISHED BY (SIG.)
ti
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
IQ - 7 C,(l G 1 ['}
/iQ.
j
OA' ok-,
FORM a
PLEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested. N 0 38 900 6

,Eiwromm&ER
0
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
[In@wpcga&
DIVISION OF WATER RESOURCES - WASH.
ATTN: DAVID MAY
DIVISION OF WATER RESOURCES
943 WASHINGTON SQUARE MALL
WASHINGTON ,NC 27889
PARAMETERS
55-6208
FAX [phone]
ID#: 525
DC MILLS - JONES CO.
DATE COLLECTED: 12/21/20
DATE REPORTED : 01/08/21
REVIEWED BY:
Sample Sample Sample Sample Analysis Method
#1 #2 #3 #4 Date Analyst Code
BOD, mg/I 4.1 3.7 12/22/20 KDS 5210B-11
Fecal Coliform (MF), /100 Mls H 470 H 340 12/22/20 JMS 9222D-06
Total Kjeldahl Nitrogen as N,mg/I 204.8 402.8 01/07/21 KES 351.2 R2-93
Total Kjeldahl Nitrogen as N,mg/I 1.26 0.76 12/30/20 KES 351.2 R2-93
Total Phosphorus as P, mg/I 264.4 01/07/21 TLH 365.4-74
Total Phosphorus as P, mg/I 1.34 44.30 0.97 12/30/20 DTL 365.4-74
NOTE: STD. METHODS 9222D (06): Sample #2 and Sample #4 Fecal Coliform received and analyzed past holding time.

Environment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
CHAIN OF CUSTODY RECORD
Paiie 1 of 1
environment l inc.com
Phone [phone] • Fax [phone]
CLIENT: 5 D,5
Df V 1 1(;n o�
�-�j \, J fe S GU(u}�
l IC
DISINFECTION
❑
CHLORINE
UV
NONE
/
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
CONTAINER TYPE, P/G
CHEMICAL PRESERVATION
TOTAL CHLORINE, mg/I
OR ug/I AT COLLECTION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
j
-
PARAMETERS/TESTS
A - NONE D - NAOH
B-HNO3 E -HCL
C - H2SO4 F - ZINC ACETATE/NAOH
G - NATHIOSULFATE
COLLECTION
SAMPLE LOCATION
DATE
TIME
S�
1�� (2•�
.1. rt
J
❑
❑
❑
CLASSIFICATION:
WASTEWATER EWATER (NPDES)
DRINKING WATER
DWR/GW
SOLID WASTE SECTION
L
1j
P
5a
ti-:2+/.z0
3',0-7,„p.
)
X
S COIL& 1
lia?i1,
/
q�r'
3
X
/�
/L
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING F(IPMENT/DELIVERY
//11 N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT 9 °C
__
RELINOUIS ED B I (SAMPLER)
DATE/TIME
��Ld
\t. wt
REG
By (SIG.)
__��Z20
/ `
DATE/TIME
ATE/TIME
/9i/
I
COMMENTS:
Y Li �fc� ��t-* (...1Y1�j� �c't
RELIN HED BY (SIG.) i
DATE/TIME
RECEIVED BY SIG.)
— L- I bb c -csr 115.1" c
tt -
t'-J re.. - 1 (/' 1 r, T1 l-v -
RELINQUISHED BY (SIG.)
DATE/TIME
1
RECEIVED BY (SIG.)
_
DATE/TIME
I
OIvk eot /
FORM p5
PLEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested. No 389006

SAMPLING INSTRUCTIONS AND FORM COMPLETION
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 instructions 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. Unless specific instructions are provided for a test or bottle (example: cyanide or
volatile organics), fill sample bottles to the bottom of the bottle threads. This will leave a small air space for shaking the sample to mix with
any preservative and again prior to analysis. 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.