HomeMy WebLinkAboutWQ0004972_Monitoring - 01-2021_20210305Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:*
Month:* January
Report Information
Forest Lakes Preserve ELS
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Forest Lakes_Jan.pdf 1.95MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Jessica. Mize@pacelabs.com
Jessica Mize
jus l oil
Reviewer: Williams, Kendall
3/4/2021
This will be filled in &Aonaticaly
Is the project number correct? * WQ0004972
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 3/5/2021
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W0004972 MONTH: January YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
is1
19,494
holiday -------------- -------------------------------------------------- _-
i 1)
1355
01 25
Y
9,494
5.99
<10
20
0859
0.511
Y
9.838
6.02
<10
2i
131.8
0.25
l
8.194
6.01
<itl
22
0800
0.50
1-
8.777
4.01
<10
13
8,907
2a
S,967
25 1
1508 1
0.25
11
9,967
6A3
<111
26
0900
0.50
13
7,641
6.01
<10
13.8
45.0
16.1
24211
7.9
48.3
<11.040
a8.3
d).30
27
1520
0.2i
11
7,098
6.00
<10-
-
-
28
1445
0.40
Ii
8,022
5.96
<10
39
.1435
0.25
11
8,140
5.98
<10
30
8,444
)1
8,444
-
Dail. %Iaximum
16.746
6.03
Daily Minimum
7,098
5.87
Monthly Limits (s)
24400
Composite' 1 Grab (G)
Operator in Responsible Charge (ORC): C1enn Price Grade: 11 Phone: 336-996-2841
Check Box if ORC Has Changed ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Scrivees (2):
Person(s) Collecting Samples: Glenn Price
Mall ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Farm NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant (Y,N)
L Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
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 a qualified personnel properly gather and evaluate 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."
3-4•a 1
(Signature of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza Suite 800
_Chicago. Il 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929
Sodium
00931
SAR
00745
Sulfide
00515 TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
00076
Turbidity
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting_
facility's permit for reporting data
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W 004972 MONTH: January YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading {inches) = (Volume Applied (gallons) x 0.1336 (cubic feelfgallon) x 12 (inchesttoot)] 71Area Sprayed (acres} x 43,5601square feet/acre) or
= (Volume Applied (gallons) f (Area Sprayed {acres) x 27,152 (gallonsfacre-inch),
Maximum Hourly Loading {Inches) = Daily Loading (inches) ! {Time Irrigated (minutes)160 (minulas1hour)] Monthly Loading (inches) =Sum of Deity Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weakly Loading (inches) = (Monthly Loading (inchesfmornh) f Number of days in the month (dayslmonth )] x 7 (dayslwoek)
Did Irrigation Occur At Thisr Facift
w NoEJ
..nim,-
r
Did Irrigation Occur On This Field:
YeZ
Did Irrigation Occur On This Field-
■ ■
®®®®®®®®®®®
'
• , -c ou y, -r• n, a -soon, -s crl
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has
Mail ORIGINAL and Two COPIES to:
ATTN: Non-Distharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
C
(SIGNATURE OF OPERATOR IN RESPONSIBLE CH/
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
,N}
L The application rate(s) did not exceed the limit(s) specified in the permit. Compliant (Y
Z Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. �]
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a qualified personnel properly gather and evaluate 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
1 f
Pena ttes or subtmtttng false mfo non, including the possibility of fines and imprisonment for knowing violations."
Baron Neal McDuflie
(Signature of Permitee)* Date
(Name of Signing Official -Please print or type)
Baron Neal McDuffie (A thorized Agent) Field Services_ Director (Pace Analvtical Services)
(Permittee-Please print or type)
2N. Riverside Plaza. Suite 800
Chicago, Il 60606
(Permittee Address) ,
(Position or Title)
/31/2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
ar
aceAnalXical
F www.pacelabs.com
February 10, 2021
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92518480
Dear Tracy Overdurf:
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2a41
Enclosed are the analytical results for sample(s) received by the laboratory on January 26, 2021. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNIINELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Asheville
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Kevin Herring for
Stephanie Knott
stephanie.knott@pacelabs.com
336-996-2841
Project Manager
Enclosures
ACt`�O
QQRA�
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 15
aceAnalXical
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Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
FloridatNELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
106 Short St.
Kemersvilie, NC 27284
336-996-2841
Page 2 of 15
acmnalytical
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SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92518480001 Effluent HACH 10206
AMI
1
PASI-E
SM 254OD-2011
AFJ
1
PASI-E
SM 521OB-2011
MWF
1
PASI-E
Colilert-18
MLS1
1
PASI-E
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 350.1 Rev 2.0 1993
KDF1
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1
PASI-A
EPA 365.1 Rev 2.0 1993
KDF1
1
PASI-A
PASI-A = Pace Analytical Services -Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C. Page 3 of 15
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ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
Sample: Effluent Lab ID: 92518480001 Collected: 01/26/21 12:41 Received: 01/26/21 14:07 Matrix: Water
Parameters
Results Units Report Limit DF Prepared
Analyzed CAS No. Qual
HACH 10206 Nitrogen, Nitrate
Analytical Method: HACH 10206
Pace Analytical Services - Eden
Nitrogen, Nitrate
ND mg/L 0.30 1
01/27/21 13:41 14797-55-8
2640D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
16.1 mg/L 6.9 1
01/28/21 08:43
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 521OB-2011
Pace Analytical Services - Eden
BOD, 5 day
13.8 mg/L 2.0 1 01/27/21 18:44
02/01/21 14:21 R6
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 01/26/21 18:43
01/27/21 12:43 1g,El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
48.3 mg/L 0.52 1
02/02/21 11:06
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
45.0 mg/L 0.50 5
02/05/21 11:50 7664- 41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.01993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
48.3 mg/L 2.5 5 01/28/21 19:59
01129/21 05:40 7727-37-9
353.2 Nitrogen, NO2/NO3 pres.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1
02/01/21 14:28
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Phosphorus
7.9 mg/L 0.15 3 01/29/2111:34
02101/2110:21 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 4 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
OC Batch: 595714 Analysis Method: HACH 10206
OC Batch Method: HACH 10206 Analysis Description: 10206 Nitrogen, Nitrate
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92518480001
METHOD BLANK: 3141910 Matrix: Water
Associated Lab Samples. 92518480001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Nitrate mg/L ND 0.30 01/27/21 13:40
LABORATORY CONTROL SAMPLE: 3141911
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3141912 3141913
MS MSD
92518480001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L ND 5 5 4.9 4.9 98 99 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, I.I.C.
Page 5 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
QC Batch: 595729 Analysis Method: SM 2540D-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92518480001
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
METHOD BLANK: 3141975 Matrix: Water
Associated Lab Samples: 92518480001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 01/28/21 08:39
LABORATORY CONTROL SAMPLE: 3141976
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 256 102 90-110
SAMPLE DUPLICATE: 3141977
92518456001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 532 606 13
SAMPLE DUPLICATE: 3141978
92518438001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 8.6 8.0 7
Results presented on this page are In the units Indicated by the -Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 6 of 15
aceAnalyricai�
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Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
QC Batch: 595775 Analysis Method: SM 521OB-2011
QC Batch Method: SM 521OB-2011 Analysis Description: 5210B BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92518480001
METHOD BLANK: 3142306
Associated Lab Samples: 92518480001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 3142307
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 02101/2113:25
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
198 208 105 84.6-115.4
SAMPLE DUPLICATE: 3142309
92518670002 Dup
Parameter Units Result Result
BOD, 5 day mg/L 154 150
RPD Qualifiers
2 R6
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 7 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
QC Batch: 595498 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92518480001
SAMPLE DUPLICATE: 3141107
92518480001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPNI100mL 2420 2420 0 1g,El
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
Results presented on this page are in the units indicated by the "Units" column except where an attemate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 8 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
OC Batch: 597651 Analysis Method: EPA 350.1 Rev 2.01993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92518480001
METHOD BLANK: 3151350
Associated Lab Samples: 92518480001
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 02105/2111:32
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
LABORATORY CONTROL SAMPLE: 3151351
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3151352 3151353
MS MSD
92518410001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 4.9 4.9 98 98 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3151354 3151355
MS MSD
92518430001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 0.89 5 5 5.7 5.7 95 95 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
QC Batch: 596070
Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92518480001
METHOD BLANK: 3143786
Matrix: Water
Associated Lab Samples: 92518480001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50
01/29/21 04:50
LABORATORY CONTROL SAMPLE: 3143787
Spike LCS
LCS % Rec
Parameter Units
Cone. Result
% Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 10.2
102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3143788 3143789
MS MSD
92518210001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Cone. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 146
10 10 176
163 295 171
90-110 7 M6
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3143790 3143791
MS MSD
92518210005
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 1.3
10 10 9.1
7.4 78 61
90-110 20 M1,R1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 10 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
QC Batch: 596611 Analysis Method: EPA 353.2 Rev 2.01993
OC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, preserved
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92518480001
METHOD BLANK: 3146326
Associated Lab Samples: 92518480001
Parameter Units
Nitrogen, NO2 plus NO3 mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 02/01/2113:56
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
LABORATORY CONTROL SAMPLE: 3146327
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L 2.5 2.5 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3146328 3146329
MS MSD
92518889001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.39 2.5 2.5 2.9 2.9 100 100 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3146330 3146331
MS MSD
92519040001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L ND 2.5 2.5 2.4 2.4 96 96 90-110 0
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Page 11 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92518480
QC Batch: 596241 Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92518480001
METHOD BLANK: 3144664 Matrix: Water
Associated Lab Samples: 92518480001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L ND 0.050 02/01/2109:54
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
LABORATORY CONTROL SAMPLE: 3144665
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3144666
MS
92618344001 Spike
Parameter Units Result Conc.
Phosphorus mg/L 0.80 2.5
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3144668
MS
92518410001 Spike
Parameter Units Result Conc.
Phosphorus mg1L 0.058 2.5
3144667
MSD
Spike MS MSD MS MSD % Rec
Conc. Result Result % Rec % Rec Limits RPD
2.5 3.4 3.3 105 101 90-110 3
3144669
MSD
Spike MS MSD MS MSD % Rec
Conc. Result Result % Rec % Rec Limits RPD
2.5 2.6 2.6 101 100 90-110 0
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02110/2021 08:00 AM without the written consent of Pace Analytical Services, LLC.
Qual
Qual
Page 12 of 15
Pace Analytical Services, LLC
aceAnalj4ical' Short
Kernersville, NC 27284
! www.pacelabs com 336-996-2841
i
QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92518480
0*J111111 d Lei
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitdie by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TIN -The NELAC Institute.
ANALYTE QUALIFIERS
1g >2419.6
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
R1 RPD value was outside control limits.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/10/2021 08:00 AM without the written consent of Pace Analytical Services, LLC. Page 13 of 15
ace Analytical
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92518480
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92518480001
Effluent
HACH 10206
595714
92518480001
Effluent
SM 254OD-2011
595729
92518480001
Effluent
SM 521OB-2011
595775
SM 521OB-2011
595826
92518480001
Effluent
Colilert-18
595498
Colilert-18
595500
92518480001
Effluent
TKN+NO3+NO2
596933
Calculation
92518480001
Effluent
EPA 350.1 Rev 2.0 1993
597651
92518480001
Effluent
EPA 351.2 Rev 2.0 1993
596070
EPA 351.2 Rev 2.0 1993
596211
92518480001
Effluent
EPA 353.2 Rev 2.0 1993
596611
92518480001
Effluent
EPA 365.1 Rev 2.01993
596241
EPA 365.1 Rev 2.0 1993
596412
Date: 02/10/2021 08:00 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 14 of 15
ace A/rrilyfical
Company: Forest Lakes
Address:
Report To: _--�--
Copy To:
Customer Project Name/Number:
Phone:
Email:
Collected
CHAI N- OF -CUSTODY Analytical Request Document
Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields
Billing Information:
Site/Facility ID 9;
Purchase Order ff:
Quote ft:
Email To:
Site Collection Info/Address:
State: County/City; Time Zone Collected:
LAB USE ONLY- Affix Workorder/Login Label Here or List tlacc WurkatderNumher ar
MTii-;-
WOr#.:� 92518480
ALL SHADED
Container Preservative T
- - p �--- 92518480
" Preservative Types: [1) nitric and, {2} sulfuric at
(6) methanol, (7) sodium bisulfate, (8) sodium thiosusate, t9) hexane, [A) ascorbic acid, (a) ammonium suifate,
(C) ammonium hydroxide, (D) TSP, (U) UnpresLwed, (0) Other
/ ( ]PT[ ]MT[ JCT ( JET
Compliance Monitoring?
I V/YeS [ ] No
DW PWS ID it:
DW Location Code: Z
Collected By (Signature):
Turnaround pate Required:
Immeaiatety I-amea on I
] Yes ) )NO
Sample Disposal:
Rush:
Field Filtered (if appiica
( ] Dispose as appopriate ( J Return
[ [ Santee Day [ )Next Day
I J Yes [ J No
( I Archive:
{) 2 Day 11 3 Day 11 A Day I] S Day
Analysis:
[ [Hold:
(Expedite Charges Apply)
` Matrix Codes (Insert in Matrix box below): Drinking Water (DW], Ground Water (GW), Wastewater
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
•
comp
Collected jar
Composite End
Customer Sample ID
Matrix
Grab
Composite Start)
pate
Time
Date
Time
Effluent
IWW
G
I ? 1
V-2
12 q J
ce:
O
F--
b
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t6
Q
Z
th
rn
(n Z
Res ff of I F•- Z
Customer Remarks/ Special Conditions/ Possible Hazards: Type of Ice. Used: Wet Blue Dry None
Packing Material Used:
Radchern sainple(s) screened (<500 cpin): Y N NA
Relinquished by/Coinpan,��,(Signalure) Date/Tirpe: Received by/sComp$ny: (Sj.at�re
Received
ny: (Signature) IDate/Time: IReceived by/Company: (Signature)
0
SHORT HOLDS PRESENT 1<72 hours): Y N N/A
Lab Tracking M
pleS received via:
FEDE% UPS Client
Date/Ti me:
kj
Date/Time.,
Lab sample Retceipt Cbecklist;
Clteto.:y Seals Present/Intact Y N HA
CUSLody Signatures PrerenL Y N HA
Collector Signature Present. Y N NA
Aottles Intact: Y N HA
Correct 20tt.l.ns V N NA
5u11:ialent Volume Y R NA
Samples Received on Ice Y N NA
VOA - Headspace AccepLable Y N HA
t1SDA Regulated Sni1.9 Y N NA
Samples in Holding Time y N NA
R rsuidual Chlorine Present y N NA
Cl SLripd r.........-...........--
Seimple pit AcIcenptabla Y N NA
PH St.r.ips:
Sulfide Preneltt Y N NA
Lead Acetate Strips:
LA8 175E ONLY:
Lab Snmple d / Camtnenco:
Courier Pace Courier
MTJL LA8 USE ONLY
bie ff:
ctnum:
LO
0
LO
Lab Sample Temperature Info:
Temp Blank Received: Y N NA
Therm 104: _
Cooler 1 Temp Upon Receipt: s oC
Cooler 1 Therm Gorr. Factor'oC
Cooler 1 Corrected Temp: oC
Comments:
Template: Trip Blank Received: Y N NA
Prelogin: HCL McOH TSP other
PM: Non Conformance(s): Page:
PB: YES / No of: