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HomeMy WebLinkAboutWQ0002838_Monitoring - 11-2020_20201208GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type =acility Name: 'ermit Name (if different): r WLU- + M :acility Address: iD5(j r �4 SUBMIT FORM ON YFI I OW PAPER ONLY LIM NC - County act Person. Q` Q S Telephone#: q%0r(IQ (- 1 D5(p Location/Site Name::Peer��hu,m+ r.-N } iG No. of wells to be sampled: _ H L ID NUMBER (from Permit): W Date sample collected: Depth: - _QKP_ft. Well Diameter: Q_in. i to Water Level: I (P _ft. below measuring point Screened Interval: ft. to _ ft. uring Point is _22-Y_ft. above land surface Relative M.P. Elevation: ft. )e of water pumped/bailed before sampling: _gallons les for metatswere colt dCerl unfiltefed ---- ---- - ---- - — 'ES ❑ Na and field acidified: AYES I�NO t,RTMENT OF ENVIRONMENT 3 NATURAL RESOURCES ION OF' WATER QUALITY -INFORMATION PROCESSING UNIT MAIL SERVICE.CENTER, RALEIGH, NC;47699-1517 Phone: (919) T33-3221 Expiration Date: _ UIC Other rPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: WAS PH 43 units Temp. l b13 °C DRY at Spec. Cond. µMhos time of samplin Odor %10 check Appearance Cr here: �- le sample analyzed:_1 11 Azo- 11I Ro Laboratory Name: merle RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. MM. Certification No. �p�J COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal I- I Co I /100ml Nitrate (NO3) as N m /, _ o •�i3 9 I Zn -Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P < 5,0Q0 mg/I (Note: Use MPN method for highly turbid samples) _ Dissolved Solids: Total LA LA Orthophosphate mg/I Other (Specify Compounds and Concentration Units): mg/I pH (when analyzed) rJ ,A units Al -Aluminum mg/I TOC 41.0 mg/I Ba -Barium Ca - Calcium mg/I Chloride (D. mg/I Cd - Cadmium mg/I mg/I - 2020 Arsenic mg/I nChromium: Total mg/I Grease and Oils mg/I a� Cu - Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Sulfate ,.� Fe - Iron ) mg/I (Specify test and method #. ATTACH LAB REPORT.) m /I 9 Specific Conductance µMhos ,flHg - Mercury mg/I Report Attached? 54 Yes (1) ❑ No (0) Total Ammonia ri. K- Potassium mg/I VOC method #SW- �y(p- g^b mg/I Mg - Magnesium mg/I (Ammonia Nitrogen, NH, as N, Ammonia Nitrogen, Total) Mn -Manganese mg/l TKN as N mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports) Influent Tntal VO('.q Effluent Total VOCs: method # method # method # Permittee (or C;W-5q o„ imnn? or type Siqnature of Permittee (or Authorized Agent) « GV GNN'-59A C'(.)i IPLIANCE [u;pou'r I,•,wm i'l'i-tt)IE fF V��4lvoi 03� i llr(l/nfr (1lf�' C!f c'lI 1fNnri/IN'flr,� Pr'rinr( a•i(11 (ii{'-?9,/d1 !Ir�,� lts were due. '2 1 2� 1NE11 this monitoring report (GW-59 and GW-59A) Enter date monitoring resuYES be submitted after the established due date r� ! Was any required information missing on the GW-59 report forms? -- — YES IF the answer to question t or 2 is 'YES-,, :ist it, the spac; I.rovideu below the well iderrtlfica5on number(s) and explain the problems encountered it obtainiri the required in.ormation. 3 \re any of the monitor wells in need of repair or maintenance (damage(I casing, unlocked or missing c:fp, misain identification plate, area overgrown, etc.)? lfthe n1>suer is "Y�;s ", conlnct the Re;, unul ke g � Y'F.S „rce Jar guidance. 4 Are any monitored constituents equal to or above the estahiis-, standards? --' -- �I answer to question 4 is °NO°, skip tc section 8. - _-_-- --- iS ii the If the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration( s)T- exceeding standards in the space provided below: 5 6 8 For the constituents identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the same well(s) in the last two years? YES NO If the answer to question 5 is "NO", skip to section 8. If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). Are the monitoring wells listed in section —5located at or beyond the review boundary? YES NO If the answer is "YES'; a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. Is the permittee implementing previously approved actions required by the Division involving this YF•S NO groundwater quality problem? if the answer to question 7 is "YES", describe those actions in the spac- e proviced below. If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be re uired to determine the im act the waste drs osal s stem r boundaries surroundins haven at the review and com fiance this facilit . Failure to do so ma subject the ermittee to a Notice of Violation fines, and/or penalties ne person completing this portion (GW--59A) of the monitoring report should sign below and submit this form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. I herebXA4nowledge that the above information was evaluated and the information submitted in this repo 7TCo pliance Report GW-59A) is true and complete to the best of my knowledge. ��a 04, ouq�� �al Signature of Permittee (or Authorized Agent) n Z D Date Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Report Date: 12/1/2020 Client: Apex Companies LLC NPDES #: WQ00002838 5900 Northwoods Business Cr, Suite 0 Project: MW Charlotte, NC 28269 Date Sample Rcvd: 11/18/2020 Meritech Work Order # 11182089 Sample: MW 1 Grab 11/18/20 Parameters Results Analysis Date Reporting Limit Method Total Dissolved Solids 44 mg/L 11/19/20 10.0 mg/L SM 2540C Chloride, total 6.5 mg/L 11/24/20 0.2 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/25/20 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 0.93 mg/L 11/20/20 0.10 mg/L EPA 353.2 Phosphorus, total <0.020 mg/L 11/23/20 0.020 mg/L EPA 200.7 Fecal Coliform <1 col/100 ml 11/18/20 1 col/100 ml SM 9222 D TOC <1.0 mg/L 11/23/20 1.0 mg/L SM 5310C EPA 8260 Attached 11/21/20 pH 5.1 S.U. 11/19/20 1.0 - 14.0 S.U. SM 4500-HB I hereby certify that I have reviewed and approve these data. akDnci_ Hn IiYm Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Client: Deerhurst Meritech ID#: 11182089 Project: MW-November Analysis: 11 /21 /20 Client Sample ID: MW 1 Analyst: VWV Sample Collection: 11/18/20 Dilution Factor: 1 Report Date: 11/23/20 SW-846-8260D VOLATILE ORGANICS - Water Acetone < 5.00 ug/L cis-1,3-Dichloropropene < 0.500 ug/L Benzene < 0.500 ug/L trans-1,3-Dichloropropene < 0.500 ug/L Bromobenzene < 0.500 ug/L Ethanol < 50.0 ug/L Bromodichloromethane < 0.500 ug/L Ethyl benzene < 0.500 ug/L Bromochloromethane < 0.500 ug/L Hexachlorobutadiene < 0.500 ug/L Bromoform < 0.500 ug/L 2-Hexanone < 1.00 ug/L Bromomethane < 0.500 ug/L lsopropylbenzene < 0.500 ug/L 2-Butanone (MEK) < 5.00 ug/L p-Isopropyltoluene < 0.500 ug/L n-Butylbenzene < 0.500 ug/L Methylene chloride < 0.500 ug/L sec-Butylbenzene < 0.500 ug/L Methly Isobutyl Ketone (MIBK) < 0.500 ug/L tert-Butylbenzene < 0.500 ug/L Naphthalene < 0.500 ug/L Carbon Tetrachloride < 0.500 ug/L n-Propylbenzene < 0.500 ug/L Chlorobenzene < 0.500 ug/L Styrene < 0.500 ug/L Chloroethane < 0.500 ug/L 1, 1, 1,2-Tetrachloroethane < 0.500 ug/I. Chloroform < 0.500 ug/L 1,1,2,2-Tetrachloroethane < 0.500 ug/L Chloromethane < 0.500 ug/L Tetrachloroethene (PCE) < 0.500 ug/L 2-Chlorotoluene < 0.500 ug/L Toluene < 0.500 ug/L 4-Chlorotoluene < 0.500 ug/L 1, 1, 1 -Trichloroethane < 0.500 ug/L Dibromochloromethane < 0.500 ug/L 1,1,2-Trichloroethane < 0.500 ug/L 1,2-Dibromo-3-chloropropane < 0.500 ug/L Trichloroethene (TCE) < 0.500 ug/L 1,2-Dibromoethane (EDB) < 0.500 ug/L 1,2,3-Trichlorobenzene < 0.500 ug/L Dibromomethane < 0.500 ug/L 1,2,4-Trichlorobenzene < 0.500 ug/L Dichlorodifluoromethane < 0.500 ug/L 1,2,3-Trichloropropane < 0.500 ug/L 1,1-Dichloroethane < 0.500 ug/L Trichlorofluoromethane < 0.500 ug/L 1,2-Dichloroethane < 0.500 ug/L 1,2,4-Trimethylbenzene < 0.500 ug/L 1,4-Dichlorobenzene < 0.500 ug/L 1,3,5-Trimethylbenzene < 0.500 ug/L 1,2-Dichlorobenzene < 0.500 ug/L Vinyl acetate < 1.00 ug/L 1,3-Dichlorobenzene < 0.500 ug/L Vinyl chloride < 0.500 ug/L 1, 1 -Dichloroethene <0.500 ug/L m/p-Xylenes < 1.00 ug/L cis-1,2-Dichloroethene < 0.500 ug/L o-Xylene < 0.500 ug/L trans-1,2-Dichloroethene <0.500 ug/L 1,2-Dichloropropane < 0.500 ug/L 1,3-Dichloropropane < 0.500 ug/L 2,2-Dichloropropane < 0.500 ug/L 1, 1 -Dichloropropene < 0.500 ug/L 1,2-Dichloropropene <0.500 ug/I, I hereby certify that I have reviewed and approve these data. Lab rato e r ntative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * info@meritechlabs.com s.sm,s Chain of Custody Record (COC) NPDES#:- WQ0002838 ME R ITE CH INC. Client:_ Deerhurst Phone:_ 704-799-6390 x4804 1 Address: 10610 Metromont Pkwy Fax: 1 ENVIRONMENTAL LABORATORIES Charlotte, NC 28269 Email• 11mle U8 t�s pe ti 642 Tamco Rd. Phone: 336-342-4748 i' Project:_ MW -November Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritechlabs.com Attention: Turn How would you like y_o-Ur-r work needs *RUSH work needs prior approval, prior ort sent? www.meritechiabs.com Cnar es Apply Circle all that apply: mail( referr Fax, Mail Std(10da s) 3-5 Da 5 24-4RHrc Sampling Dates & Times p g Person Taking rinS ):� Sam=rt`vl L,yL� �t lsG�, Lab Use Only Sample Location and/or ID # Start End Comp? #of Test(s) Required On Ice? pH ? Date Time Date Time Grab? Cont. `'Y�s / No CI OK? MW1 /'� �-1 11 1 TDS, CI %-1 g✓?� 0 �� �' 1 TOC (w/H2SO4) 1 NH3 (w/ H2SO4) — j ' a� S/r- C/Y� 1 Ptot (w/HNO3) 5'� -1 !% 1 Fecal Coliform 1 NO3 318260 (w/HCI) J pH Temperature Upon Method of Receipt: t� '"• Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ••• 3,0 Shipment: Comments: Compositor # UPS ❑ Fed Ex Are the r sults for regulatory purposes? Yes-V No❑ Jug # eport results in: mg/L mg/kg ❑ ug/L ❑ ❑ Hand Delivery Relinquished by: ate / me: Received by: ea rim Other Relinquished by: G_Jdat : a Time: S Received b : f bate: Time: Lit: Relinquished b : D te: Time: Receiv d by Lab Date: Time: 1( (�.� ( , SUBMIT FORM ON YFt t OW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFO MATION Please Print Clearly or ty Name: .tee it Name (if different): V Address: lLn.4sf \ \ NC County ontact Person: Telephone#: 0q'(0q H0E)(o fell Location/Site Name:D7Lu� __� m C No. of wells to be sampled: kRTMENT OF ENVIRONMENT 3 NATURAL RESOURCES ;ION OF WATER QUALIT_Y•INFORMATION PROCESSING. UNIT MAIL SERVICE CENTER, RALEIGH, NC ,;7699-1617 Phone: (919) 733-3221 PERMIT Number:WAZcpiration Date: Non -Discharge UIC NPDES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MI`l►�'� Date sample collected: Z FIELD ANALYSES: If WELL AS Nell Depth: �g+5 ft. Well Diameter: in, pH ,3� units Temp. 1�_� °C DRY at Depth to Water Level: ft. below measuring point roi.3 Screened Interval: ft. to ft. Spec. Cond. �5� µMhos time of Aeasuring Point is ft. above land surface Relative M.P. Elevation: _ ft. Odor NON2 /olume of water pumped/bailed before sampling: a gallons Appearance �1 Lou iam ies formetatswereciFll��tecrunfilt6fed�YES-- late sample analyzed: la� IZ,Q Laboratory Name:m-e(Aed� ��C "checpl Certification NoARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/1 Nitrite (NOZ) as N mg/I Pb - Lead Coliform: MF Fecal 1 CO /100ml Nitrate (NO3) as N m /, 9 ' Zn -Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total ���mg/I Orthophosphate Other (Specify Compounds and Concentration Units): mg/I pH (when analyzed) (D -U units Al -Aluminum mg/I TOC 4, X . Q mg/I Ba - Barium Ca mg/I Chloride '3(D •� mg/I - Calcium mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Fe - Iron mg/I (Specify test and method #. ATTACH 1.A6 REPORT.) Sulfate mg/I Specific Conductance µMhos Hg - Mercury mg/I Report Attached? ® Yes (1) ❑ No (0) K - Potassium mg/I VOC method # ew '$gyp-4 Total Ammonia Q+ mg/I Mg - Magnesium m /I g (Ammonia Nitrogen, NH3as Nt Ammonia Nitrogen, Total) , method # Mn -Manganese mg/I # TKN as N mg/I Ni - Nickel mg/I ,method method # For Remediation Systems Only (Attach Lab Reports): Influent Total Vn(q m /1 Giil„en17-4-.111nl _- VOC Removal% Permittee (or Authorized Agent) Name and Title - Please print or type GW-5q Pav 119nn7 Signature of Permittee for Authorized Agent) az_20 (Datel 2 GNV-59A CONIPLIANNE Rvi,: a va>ioi Perin it rW U pZB& i J�rrbrrrir orrr err•.•lr rnmrirnrnr nrrrori n;lh GIB-i9 jurrns.% Enter date monitoring results were due CrWWill be submitted after the established due date?` this monitoring report (GW-59 and GW-59A) ., a... 1 w4— cu m.ormanon missing on the G W-59 report forms? rr the answer to question 1 or 2 is "YE ", ist in the spat' I•rovideu below the well identification number(s) and explain the problems encountered in obtaining the reglnrod information. YES YES 3 \re any of the monitor wells in need of repair or maintenance (damaged casin identification plate. area overgrown, etc.)? IJthz nrux•vr is "Yes", cr,r,tnct the R k�ionrrl (),!?Iceor missing cop, missing identification fi�r,�uidunce. Are any onitored constitu ments equal to or above the established standards? --_---- T— the answer to question 4 is ' NO" skip tc section 8. ---S wque If the answer to question 4 is "YES" list the affected wells lndnd t) �-- exceeding standards in the space provided below: dually with constituent(s) s and cencenfration(s) 5 6 NO cur the constituents Identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO skip to section 8. _ If the answer to question 5 is "YES'; list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO If the answer is "YES'; a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located, contact the Regional Office. Is the permittee implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? If the answer to question 7 is "YES", describe those actions in the spec-- a provided below. If the answer to question 7 is "NO' ; contact the Rprdnnnr 8 The person completing this portion (GW--59A) of the moeitoring report should sign below and submit tl form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. I here nowledge that the above information was evaluated and the information submitted in this repo (Co pliance Report GW-59A) is true and complete to the best of my knowledge. t2�" 0-�- Mvj�uw Signature of Permrttee (or Authonzed Agent) ' d `�I zo Date (;NV-59A 12/3/21103 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Report Date: 12/1/2020 Client: Apex Companies LLC NPDES #: WQ00002838 5900 Northwoods Business Cr, Suite 0 Project: MW Charlotte, NC 28269 Date Sample Rcvd: 11/18/2020 Meritech Work Order # 11182090 Sample: MW 2 Grab 11/18/20 Parameters Results Analysis Date Reporting Limit Method Total Dissolved Solids 239 mg/L 11/19/20 10.0 mg/L SM 2540C Chloride, total 36.0 mg/L 11/24/20 0.2 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/25/20 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 5.51 mg/L 11/20/20 0.10 mg/L EPA 353.2 Phosphorus, total 0.228 mg/L 11/23/20 0.020 mg/L EPA 200.7 Fecal Coliform <1 col/100 ml 11/18/20 1 col/100 ml SM 9222 D TOC <1.0 mg/L 11/23/20 1.0 mg/L SM 5310C EPA 8260 Attached 11/21/20 pH 6.6 S.U. 11/19/20 1.0 - 14.0 S.U. SM 4500-HB I hereby certify that I have reviewed and approve these data. AnncL ao -cx Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Client: Deerhurst Meritech ID#: 11182090 Project: MW-November Analysis: I 1 /21 /20 Client Sample ID: MW2 Analyst: VWV Sample Collection: 11/18/20 Dilution Factor: 1 Report Date: 11/23/20 SW-846-8260D VOLATILE ORGANICS - Water Acetone < 5.00 ug/L cis-1,3-Dichloropropene < 0.500 ug/L Benzene < 0.500 ug/L trans-1,3-Dichloropropene < 0.500 ug/L Bromobenzene < 0.500 ug/L Ethanol < 50.0 ug/L Bromodichloromethane 3.57 ug/L Ethyl benzene < 0.500 ug/L Bromochloromethane < 0.500 ug/L Hexachlorobutadiene < 0.500 ug/L Bromoform < 0.500 ug/L 2-Hexanone < 1.00 ug/L Bromomethane < 0.500 ug/L Isopropylbenzene < 0.500 ug/L 2-Butanone (NIEK) < 5.00 ug/L p4sopropyltoluene < 0.500 ug/L n-Butylbenzene < 0.500 ug/L Methylene chloride < 0.500 ug/L sec-Butylbenzene < 0.500 ug/L Methly Isobutyl Ketone (MIBK) < 0.500 ug/L tert-Butylbenzene < 0.500 ug/L Naphthalene < 0.500 ug/L Carbon Tetrachloride < 0.500 ug/L n-Propylbenzene < 0.500 ug/L Chlorobenzene < 0.500 ug/L Styrene < 0.500 ug/L Chloroethane < 0.500 ug/L 1,1,1,2-Tetrachloroethane < 0.500 ug/L Chloroform 19.6 ug/L 1,1,2,2-Tetrachloroethane < 0.500 ug/L Chloromethane 3.41 ug/L Tetrachloroethene (PCE) < 0.500 ug/L 2-Chlorotoluene < 0.500 ug/L Toluene < 0.500 ug/L 4-Chlorotoluene <0.500 ug/L 1, 1, 1 -Trichloroethane <0.500 ug/L Dibromochloromethane 1.63 ug/L 1,1,2-Trichloroethane <0.500 ug/L 1,2-Dibromo-3-chloropropane < 0.500 ug/L Trichloroethene (TCE) < 0.500 ug/L 1,2-Dibromoethane (EDB) < 0.500 ug/L 1,2,3-Trichlorobenzene < 0.500 ug/L Dibromomethane < 0.500 ug/L 1,2,4-Trichlorobenzene < 0.500 ug/L Dichlorodifluoromethane < 0.500 ug/L 1,2,3-Trichloropropane < 0.500 ug/L 1, 1 -Dichloroethane < 0.500 ug/L Trichlorofluoromethane < 0.500 ug/L 1,2-Dichloroethane < 0.500 ug/L 1,2,4-Trimethylbenzene < 0.500 ug/L 1,4-Dichlorobenzene < 0.500 ug/L 1,3,5-Trimethylbenzene < 0.500 ug/L 1,2-Dichlorobenzene <0.500 ug/L Vinyl acetate < 1.00 ug/L 1,3-Dichlorobenzene < 0.500 ug/L Vinyl chloride < 0.500 ug/L 1, 1 -Dichloroethene <0.500 ug/L m/p-Xylenes < 1.00 ug/L cis-1,2-Dichloroethene < 0.500 ug/L o-Xylene < 0.500 ug/L trans-1,2-Dichloroethene < 0.500 ug/L 1,2-Dichloropropane < 0.500 ug/L 1,3-Dichloropropane < 0.500 ug/L 2,2-Dichloropropane < 0.500 ug/L 1,1-Dichloropropene < 0.500 ug/L 1,2-Dichloropropene < 0.500 ug/L I hereby certify that I have reviewed and approve these data. Lab&atory Rep 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * info@meritechlabs.com S91016 Chain of Custody Record (COC) NPDES#:- WQ0002838 Client:_ Deerhurst Phone:_ 704-799-6390 x4804 Address:.10610 Metromont Pkwy Fax: Charlotte, NC 28269 Email: Project:_ MW - November P.O.#: Turn Attention: works needs und *RUSH work needs prior approval, How would you like your report sent? Cnar es Apply Circle all that apply: mail r ferr Fax, Maillei Stcl so days) 3 - 5 Da S 74 - 4R Hrc M E R I T E C H INC. / ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com www.meritechiabs.com Sample Location and/or ID # Sampling Dates & Times Person Ta ng a pie SI n/Print): Lab Use Only Start End Comp? Grab? tTest(s) Cont.one Required On Ice? s / No pH OK? Cl OK? Date Time Date Time MW2 - a 35� I 1 TDS, Cl v -145' i 3 1 TOC (w/H2SO4) t �5�r r 1 NH3 (w/ H2SO4) 1 Ptot (w/HNO3) t (� �,� 1 Fecal Coliform 16 135� ' 1 NO3 rf $' I I �gf• 3 8260 (w/HCI) 13� pH Temperature Upon Receipt: TO Method of Shipment: Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done In the field prior to preservation.' Comments: Compositor # Jug # UPS ❑ Fed Ex Are thepqesults for regulatory purposes Yes N,= Report results in: mg/L mg/kg ❑ ug/L ❑ Ha^d Delivery Relinquished by: I D�� / Time: , O Received e: TI / o fI IL - Other �� Rellnq by: Z Time: - - Received by: Date: Time: Rellnqu s d by. Dat : Time: Received by La / J �r _� Date: Time: (yo UNDWATER QUALITY MONITORING: PLIANCE REPORT FORM ITV tiurnDuATinu Please ty Name: A)qE it Name (if different): V Address: k50 SUBMIT FORM ON YELLOW PAPER ONLY lm DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES ,� VISION OF WATER QUALITY -INFORMATION PROGESSING.UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 or Type PERMIT Nnu barQ� Expiration Date: o f Nr IAPP�e" ""g UIC INPDES Other (p1� NC County ntact Person: V)a\f, Telephone#: q jq-(0q 1- V)e) p 111 Location/Site Name: No. of wells to be sampled: I-.4 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: ,Int'Ldnb IIVruKmA I wn ELL ID NUMBER (from Permit): MW *3 Date sample collected: 1 zo A Depth: 3a ft. Well Diameter: in. pth to Water Level: ft. below measuring point Screened Interval: ft. to _ft. asuring Point is i ft. above land surface Relative M.P. Elevation: ft. ume of water pumped/bailed before sampling: iS gallons Tilesfor-metals-wem colfected unfilteFed: YES - _ -ab and field acidified: ❑YES NO FIELD ANALYSES: H . n 100,(D °C p �q units Temp. Spec. Cond. 1 gq µMhos ,� ` Odor t�►'ck-4ei Appearance eEd4:5 l� +Cn% If WELL WAS DRY at time of sampling, check here: e sample analyzed: 011sizz - o�cS,La Laboratory Name: Me i1+eCh Im • Certification No. RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. _ COD mg/1 Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N 4. ,11_mg/l Zn -Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P 033 mg/l (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 154D mg/I Al - Aluminum mg/I PH (when analyzed) S,q units Ba - Barium mg/I TOC 3 ()3 mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/1 Cu - Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Fe - Iron mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I Hg - Mercury mg/I Report Attached? 9 Yes (1) ❑ No (0) Specific Conductance µMhos K- Potassium mg/I VOC method #sj-�}b�fl Total Ammonia mg/I Mg - Magnesium mg/l method # (Ammonia Nitrogen; NH3asN, Ammonia Nitrogen, Total) Mn -Manganese mg/I ,method # TKN as N mg/1 Ni - Nickel mg/I method # For Remediation Systems Only (Attach Lab Reports) )razed Agent) Name and Title - Please print or tvpe Rev. 1/2007 Influent Total VOCs: mg/L Effluent Total VOCs: VOC Removal% G W-59 t t n it fNkJQQDWa9 rS'rrGrrrir uric• ea,-,h numitnrilr, n, rani a th GIP'-?'J l;rJrrrr.l 1 Enter date monitoring results were due.. ( kill - _ be submitted after the established due date? II this monitoring report (GW-59 and GW-59A) YES 2 Was any required information missing on the GW-59 report-- --"" _ _ _ _ YES !F the answer to question t or 2 is "YE", ;ist in the spac' f.rovideu below the well idertifca'ion explain the problems encountered in obtairilf19 the regrrirod WItormation. number(s) and 3 \re any of the monitor wells in need of repair or maintenance (dau►aged casing, unlocked or missing Cap,i identification plate, area overgrown, etc.)? ijrhe urutioer is '7�s", rrn(aci the ReYionul (N+ . inis�inp— - j't.;S ice fi7r guidance. Are any monitored constituents equal to or above the estahiicj��d gndards? -- !r the answer to question 4 is `NO", skip tc section 8. -- - --- YES If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)i— exceeding standards in ti;e space provided below: $ For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO", skip to section 8. _ If the answer to question 5 is "YES", list in the space provided below, each well with constituen(s) exceeding standards, concentrations) reported, and sample collection date for each occurrence (for the last two years). 6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? If YES NO the answer is "YES ", a groundwater quality problem may be occurring. CONTACT THE REGIONAL i OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly located; contact the Regional Office. Is the permittee implementing previously approved actions required by the Division involving this YI;S NO groundwater quality problem? —r if the answer to question 7 is "YES describe those actions in the spacprovide d below. If the answer to question 7 is "NO", contact the Regional Office within 90 da s an evaluation maybe required to determine the impact the waste dis osal s stem is havin at the review and com liance boundaries surroundingnalti.this facilit .Failure to do so may subject the ermittee to a Notice of Violation fines, and/or penalties Q The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with Gw-59 forms for required wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this repgjompliance Report GW-59A) is true and complete to the best of my knowledge. A Permittee (or Authorized Agent) ( Z Ro Date t : W -59A 12/3/2003 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Report Date: 12/1/2020 Client: Apex Companies LLC NPDES #: WQ00002838 5900 Northwoods Business Cr, Suite 0 Project: MW Charlotte, NC 28269 Date Sample Rcvd: 11/18/2020 Meritech Work Order # 11182091 Sample: MW 3 Grab 11/18/20 Parameters Results Analysis Date Reporting Limit Method Total Dissolved Solids 156 mg/L 11/19/20 10.0 mg/L SM 2540C Chloride, total 36.0 mg/L 11/24/20 0.2 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/25/20 0.1 mg/L EPA 350.1 Nitrate, Nitrogen <0.10 mg/L 11/20/20 0.10 mg/L EPA 353.2 Phosphorus, total 0.033 mg/L 11/23/20 0.020 mg/L EPA 200.7 Fecal Coliform <1 col/100 ml 11/18/20 1 col/100 ml SM 9222 D TOC 3.03 mg/L 11/23/20 1.0 mg/L SM 5310C EPA 8260 Attached 11/21/20 pH 5.9 S.U. 11/24/20 1.0 -14.0 S.U. SM 4500-HB I hereby certify that 1 have reviewed and approve these data. nja-ffi.=L Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. Environmental Laboratories Laboratory Certification #165 01. Client: Deerhurst Meritech ID#: 11182091 Project: MW-November Analysis: 11/21/20 Client Sample ID: MW3 Analyst: VWV Sample Collection: 11/18/20 Dilution Factor: 1 Report Date: 11/23/20 SW-846-8260D VOLATILE ORGANICS - Water Acetone < 5.00 ug/L cis-1,3-Dichloropropene < 0.500 ug/L Benzene < 0.500 ug/L trans-1,3-Dichloropropene < 0.500 ug/L Bromobenzene < 0.500 ug/L Ethanol < 50.0 ug/L Bromodichloromethane < 0.500 ug/L Ethyl benzene < 0.500 ug/L Bromochloromethane < 0.500 ug/L Hexachlorobutadiene < 0.500 ug/L Bromoform < 0.500 ug/L 2-Hexanone < 1.00 ug/L Bromomethane < 0.500 ug/L Isopropylbenzene < 0.500 ug/L 2-Butanone (Iv1EK) < 5.00 ug/L p-Isopropyltoluene < 0.500 ug/L n-Butylbenzene < 0.500 ug/L Methylene chloride < 0.500 ug/L sec-Butylbenzene < 0.500 ug/L Methly Isobutyl Ketone (MIBK) < 0.500 ug/L tert-Butylbenzene < 0.500 ug/L Naphthalene < 0.500 ug/L Carbon Tetrachloride < 0.500 ug/L n-Propylbenzene < 0.500 ug/L Chlorobenzene < 0.500 ug/L Styrene < 0.500 ug/L Chloroethane <0.500 ug/L 1, 1, 1,2-Tetrachloroethane <0.500 ug/L Chloroform 43.5 ug/L 1,1,2,2-Tetrachloroethane <0.500 ug/L Chloromethane < 0.500 ug/L Tetrachloroethene (PCE) < 0.500 ug/L 2-Chlorotoluene < 0.500 ug/L Toluene < 0.500 ug/L 4-Chlorotoluene <0.500 ug/L 1, 1, 1 -Trichloroethane <0.500 ug/L Dibromochloromethane <0.500 ug/L 1,1,2-Trichloroethane <0.500 ug/L 1,2-Dibromo-3-chloropropane < 0.500 ug/L Trichloroethee (TCE) < 0.500 ug/L 1,2-Dibromoethane (EDB) < 0.500 ug/L 1,2,3-Trichlorobenzene < 0.500 ug/L Dibromomethane < 0.500 ug/L 1,2,4-Trichlorobenzene < 0.500 ug/L Dichlorodifluoromethane < 0.500 ug/L 1,2,3-Trichloropropane < 0.500 ug/L 1, 1 -Dichloroethane < 0.500 ug/L Trichlorofluoromethane < 0.500 ug/L 1,2-Dichloroethane < 0.500 ug/L 1,2,4-Trimethylbenzene < 0.500 ug/L 1,4-Dichlorobenzene < 0.500 ug/L 1,3,5-Trimethylbenzene < 0.500 ug/L 1,2-Dichlorobenzene < 0.500 ug/L Vinyl acetate < 1.00 ug/L 1,3-Dichlorobenzene < 0.500 ug/L Vinyl chloride < 0.500 ug/L 1,1-Dichloroethene <0.500 ug/L m/p-Xylenes < 1.00 ug/L cis-1,2-Dichloroethene < 0.500 ug/L o-Xylene < 0.500 ug/L trans-1,2-Dichloroethene <0.500 ug/L 1,2-Dichloropropane <0.500 ug/L 1,3-Dichloropropane < 0.500 ug/L 2,2-Dichloropropane l,l-Dichloropropene < 0.500 ug/L <0.500 ug/L 1,2-Dichloropropene <0.500 ug/L I hereby certify that I have reviewed and approve these data. Labo tory entative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * info@meritechlabs.com 5-9-2016 Chain of Custody Record (COC) NPDES#:- WQ0002838 Client:^ Deerhurst Phone:_ 704-799-6390 x4804 Address: 10610 Metromont Pkwy Fax: Charlotte, NC 28269 Email: Project:_ MW - November P.O.#: Turn Around prior a Attention: *RUSH work needs prior approval, How would you like your report sent? Cnar es Apply Std 1D a s) 3-5 0a 5 24c Circle all that apply: mai referred) , Fax, Mail a M E R IT E C H INC. 1 ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 i Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com www.meritechlabs.com Sample Location and/or ID # Sampling Dates & Times P rsonT ng amp n/ int Lab Use Only Start End Comp? Grab? #of Cont. Test(s) Required n Ice? r s / No pH OK? ClOK? Date Time Date Time MW3 (- G' 1 TDS, Cl 1 TOC (w/H2SO4) 1 NH3 (w/ H2SO4) 1 Ptot (w/HNO3) 1 Fecal Coliform 1 NO3 3 8260 (w/HCI) pH Temperature Upon Receipt: n Method of Shipment: **" Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. Comments: Compositor q Jug # ❑ UPS ❑ Fed Ex #e th se r ults for regulatory purposes? Yes EJ No❑ Report results in: mg/L mg/kg ❑ ug/L ❑ and Delivery 11 q she y: D� �b iW,' Re ' b ' �_ / ZQ T = I Other i Relinq ed : Timer R eived by: Date: Time: Reli qu s hed by. ate: Time: Recei d by Lab: ' / (� , _' n Date: Time: SUBMIT FORM ON YELLOW PAPER ONLY it , , . DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: VISION OF WATER QUALiTY4NFORMATIONPROCEssu�uNIT COMPLIANCE REPORT FORM 617 MAIL. SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) M-3221 FACILITY INFORMATION Please Print Clearly or Type 1 PEA�� � 19 Expiration Date: 1 cZOoF� Facility Name: �1 } Non_ on issca'fge� UIC Permit Name (if different): ; b k NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED NC County �Q, ❑ Lagoon ❑ Remediation: Infiltration Gallery A Spray Field ❑ Remediation: Contact Person: Q`�2 `ems Telephone#:Q LQ—(�,gj' jDSb ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Deer- h ArS_ _ rn 1"!l , No. of wells to be sampled: Lk_ ❑ Water Source Heat Pump ❑ Other: ELL ID NUMBER (from Permit): mW b'E y ell Depth: 0 ft. Depth to Water Level: _ft. below measuring point Measuring Point is o_ft. above land surface olume of water pumped/bailed before sampling: I Q I Date sample collected: 1 is Izo Well Diameter: in. Screened Interval: ft. to _ft. Relative M.P. Elevation: ft. s 1- a NO If WELL FIELD ANALYSES: IWAS PHrJQunits Temp. I1 •Z °C DRY at Spec. Cond, aq5 µMhos time of sampling, Odor WI! check Appearance C. �r here: -� to sample analyzed: `1' I'MC), - t 1 I a512r) Laboratory Name: r(rF? -►}Q(� Z�, RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/1 Nitrite (NO2) as N mg/I Pb - Lead Coliform: MF Fecal a C�—/100ml Nitrate (NO3) as N ,Cis mg/I Zn - Zinc Coliform: MF Total /100ml Phosphorus: Total as P goo mg/I (Note: Use MPN method fur highly turbid samples) Certification No. I IDS— mg/I mg/I Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total I "3 mg/1 PH (when analyzed) (O.a units TOC mg/I Chloride f% mg/I Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium mg/I mg/I mg/I mg/I Arsenic mg/I Chromium: Total mg/I Ger a I s mg/I Cu - Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Fe - Iron mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I Hg - Mercury mg/I Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance µMhos K - Potassium mg/I VOC method # Total Ammonia , mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen; NH3as N, Ammonia Nitrogen, Total) Mn -Manganese mg/I ,method # TKN as N mg/I Ni - Nickel mg/I method # For Remediation Systems Only (Attach Lab Reports): Infuent Total VOCs ale- Permlttee (or Authorized Aqent) Name and Title - Please print or type GW-59 Rev.112007 mg/L Effluent Total VOCs: nature of Permittee (or Authorized Agent) mq/L VOC Removal% ;Date) For Remediation Systems Only (Attach Lab Reports): Infuent Total VOCs ale- Permlttee (or Authorized Aqent) Name and Title - Please print or type GW-59 Rev.112007 mg/L Effluent Total VOCs: nature of Permittee (or Authorized Agent) mq/L VOC Removal% ;Date) GNV-59a CONiPHf NNE' io,.Powr aiOEz,rr Pernlil t N14ADD 8.38 i robillit o eq-h tttuvitorirr verrnrl fvifh GIP-i9 /;vrr«•.j j Enter date monitoring results were due. ( Vyil� this monitoring report (GW-59 and GW-59A) be submitted after the established due date? YES 2 Was any required information missing on the GW-59 report forms? -- _ YES IF the answer to question f or 2 is 'YES is- in the Spec: f.rovideu below the vvel! idertifica`ion number(s) and explain the problems encountered in ohtainin!; the reomrod information. 3 :Vre any of the monitor wells in need of repair or maintenance ((lamaged casing, unlocked or missing cap, missing I yp;5 identification plate, area overgrown, etc.)? ifthe ansx•er is "Yes", cordact the Regional Q+ „rce Jbr ,,urckmce. ,Are any monitored constituents equal to or above the estahlished standards? !r the answer to question 4 is `NO", skip to section 8. '- - - --- YES If the answer to question 4 is "YES" list the affected wells indiv.dually with constituent(s) and concentration(s) exceeding standards in the space provided below: 5 For the constituents identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the same well(s) In the last two years? YES NO If the answer to question 5 is , skip to section 8. _ If the answer to question 51s "YES'; list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. Is the permitt a implementing previously approved actions required by the Division involvin this groundwater quality problem? 9 YFS NO If the answer to question 7 is `YES", describe those actions in the space d d below. If the answer to question 7 is "NO'; contact the Re Iona/ Office within 90 da s an evaluation ma be required to determine the impact the waste dlsnosal slvstnm ;� ti�.,r... _..� -- 8 The person completing this portion (GW--59A) of the monitoring report should sign below and submit if. form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is true and complete to the best of my knowledge. nil -Z zo Date (:W-59A 12/8/2003 M Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Report Date: 12/1/2020 Client: Apex Companies LLC NPDES #: WQ00002838 5900 Northwoods Business Cr, Suite 0 Project: MW Charlotte, NC 28269 Date Sample Rcvd: 11/18/2020 Meritech Work Order # 11182092 Sample: MW 4 Grab 11/18/20 Parameters Results Analysis Date Reporting Limit Method Total Dissolved Solids 193 mg/L 11/19/20 10.0 mg/L SM 2540C Chloride, total 28.5 mg/L 11/24/20 0.2 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/25/20 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 0.93 mg/L 11/20/20 0.10 mg/L EPA 353.2 Phosphorus, total 0.088 mg/L 11/23/20 0.020 mg/L EPA 200.7 Fecal Coliform 2 col/100 ml 11/18/20 1 col/100 ml SM 9222 D TOC 1.70 mg/L 11/23/20 1.0 mg/L SM 5310C EPA 8260 Attached 11/21/20 pH 6.2 S.U. 11/24/20 1.0 - 14.0 S.U. SM 4500-HB I hereby certify that I have reviewed and approve these data. r Y)a n(l a tOCk� Labo a ory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. Environmental Laboratories - Laboratory Certification #166 Client: Deerhurst Meritech ID#: 11182092 Project: MW-November Analysis: 11 /21 /20 Client Sample ID: MW4 Analyst: VWV Sample Collection: 11/18/20 Dilution Factor: 1 Report Date: 11 /23/20 SW-846-8260D VOLATILE ORGANICS -Water Acetone < 5.00 ug/L cis-1,3-Dichloropropene < 0.500 ug/L Benzene < 0.500 ug/I, trans-1,3-Dichloropropene < 0.500 ug/L Bromobenzene < 0.500 ug/L Ethanol < 50.0 ug/L Bromodichloromethane < 0.500 ug/L Ethyl benzene < 0.500 ug/L Bromochloromethane < 0.500 ug/L Hexachlorobutadiene < 0.500 ug/L Bromoform < 0.500 ug/L 2-Hexanone < 1.00 ug/L Bromomethane < 0.500 ug/L Isopropylbenzene < 0.500 ug/L 2-Butanone (MEK) < 5.00 ug/L p-Isopropyltoluene < 0.500 ug/L n-Butylbenzene < 0.500 ug/L Methylene chloride < 0.500 ug/L sec-Butylbenzene < 0.500 ug/L Methly Isobutyl Ketone (MIBK) < 0.500 ug/L, tert-Butylbenzene < 0.500 ug/L, Naphthalene < 0.500 ug/L Carbon Tetrachloride < 0.500 ug/L n-Propylbenzene < 0.500 ug/L. Chlorobenzene < 0.500 ug/L Styrene < 0.500 ug/L Chloroethane <0.500 ug/L 1, 1, 1,2-Tetrachloroethane <0.500 ug/L Chloroform 3.74 ug/L 1,1,2,2-Tetrachloroethane < 0.500 ug/L Chloromethane < 0.500 ug/L Tetrachloroethene (PCE) < 0.500 ug/L 2-Chlorotoluene < 0.500 ug/L Toluene < 0.500 ug/L 4-Chlorotoluene <0.500 ug/L 1, 1, 1 -Trichloroethane <0.500 ug/L Dibromochloromethane < 0.500 ug/L 1,1,2-Trichloroethane < 0.500 ug/L 1,2-Dibromo-3-chloropropane < 0.500 ug/L Trichloroethee (TCE) < 0.500 ug/L 1,2-Dibromoethane (EDB) < 0.500 ug/L 1,2,3-Trichlorobenzene < 0.500 ug/L Dibromomethane < 0.500 ug/L 1,2,4-Trichlorobenzene < 0.500 ug/L Dichlorodifluoromethane < 0.500 ug/L 1,2,3-Trichloropropane < 0.500 ug/L 1, 1 -Dichloroethane <0.500 ug/L Trichlorofluoromethane <0.500 ug/L 1,2-Dichloroethane < 0.500 ug/L, 1,2,4-Trimethylbenzene < 0.500 ug/L 1,4-Dichlorobenzene < 0.500 ug/L 1,3,5-Trimethylbenzene < 0.500 ug/L 1,2-Dichlorobenzene < 0.500 ug/L Vinyl acetate < 1.00 ug/L 1,3-Dichlorobenzene < 0.500 ug/L Vinyl chloride < 0.500 ug/L 1,1-Dichloroethene < 0.500 ug/L m/p-Xylenes < 1.00 ug/L cis-1,2-Dichloroethene < 0.500 ug/L o-Xylene < 0.500 ug/L trans-1,2-Dichloroethene < 0.500 ug/L 1,2-Dichloropropane < 0.500 ug/L 1,3-Dichloropropane < 0.500 ug/L 2,2-Dichloropropane < 0.500 ug/L 1, 1 -Dichloropropene <0.500 ug/L 1,2-Dichloropropene < 0.500 ug/L I hereby certify that I have reviewed and approve these data. Laboltitory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * info@meritechiabs.com Chain of Custody Record (COC) NPDES#:-WQ0002838 Client:, Deerhurst Phone:_ 704-799-6390 x4804 a M E R IT E C H INC' /Address: 10610 Metromont Pkwy Fax: ENVIRONMENTAL LABORATORIES Charlotte, NC 28269 Email: i 642 Tamco Rd. Phone: 336-342-4748 Project:_ MW - November Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritechlabs.com Turn Around Time* Attention: *RUSH work needs prior approval, How would you like your report sent? Char es Apply www.meritechlabs.com Circle all thatappl . Ema' eferred), Fax, Mail St d io a s) 3-S Da s 24c Sampling Dates & Times P rs Tak;ng le�n t): �1 //] _ ,t��j�•_, Lab Use Only Sample Location and/or ID # Start End Comp?` # of Test(s) Required on Ice? pH OK? Date Time Date Time Grab? Cont. (Ye�/ No CI OK? MW4 1 TDS, CI 1 TOC (w/H2SO4) 1 NH3 (w/ H2SO4) 1 Ptot (w/HNO3) 1 Fecal Coliform 1 NO3 3 8260 (w/HCI) pH Temperature Upon Receipt: 'it 3 **' *** Method of Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. /�J Comments: Compositor # Shipment: UPS Jug # ❑ Fed Ex Are ese results for regulatory purpos s? Yes No❑ Report results in: mg/L Pr mg/kg ❑ ug/L ❑ Hand Delivery R i qu' h b (( :�O Time: 33Z Rec by. a ZQ Time: 13-32 Other RelIn is ed by: Time: ) 550 t� Received by: Date: Time: M4 fI jut' Relin wished by: Date: Time: Rec 'ved by La l�: - q. 2_, Date: Time: (!1