NC0029033_Lab Qualifiers_20210217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit
Submit
by Anonymous User 2/17/2021 1:40:18 PM (Supplemental Submittal)
by Bennett, Tilman B 5/17/2021 10:03:33 AM (Supplemental Info Submittal)
p Lab Qualifier
• Bennett, Tilman B assigned the task to Bennett, Tilman B 5/17/2021 10:03 AM
• The task was assigned to Thedford, Wren, Bennett, Bradley 2/17/2021 1:40 PM

NPDES Wastewater EDMR Supplemental Information Upload
NORTH CAROLINA
Ertrlranmrrttat Quea(ity
Initial Review Information
Updated ID#:*
IM RtANfFEVI&MERSHOULD VERIFY and revise here if necessary.
NC0029033
How should this project be handled?*
(' File r Discard
Information Submitted on 2/17/2021
Submitter Information
Name: michael stevens
vvio is submitting the information?
Email Address:*
[e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental
information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted
electronically through the eDMR system and should not be submitted here. Division staff will review all
uploaded documents and will only maintain required information. Documents such as laboratory reports are not required
to be submitted and will not be maintained in the system.
Project Information:
Rease supply the pernit number for this project.
Existing ID#* FtxrritNull ter
NC0029033
Exarrples: NCxxxxxxx or NCO-xxxxxx
Facility Name:*
Neuse River RRF
County: Wake
Please upload all files that need to be
submited. *
Click the upload button or drag and drop files here to attach docurrent
Neuse River Qualifier Jan 2021.pdf 160.26KB
Only pdf files are accepted.
Comments about the attachments:
* V By checking the box and signing box below, I certify that:
0 I have given true, accurate, and complete information on this form;

o I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act")
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information form."
Full Name: michael stevens
Signature:
Date Submitted: 02/17/2021

NR Resource Recovery Laboratory
Qualifier Report
8500 Battle Bridge Rd.
Raleigh, NC 27610
Phone: [phone]
EPA Lab Code: NC01029, DWQ Certification: #51
Customer:
Month/Year:
Date Test Result (mg/L)
1/11/2021 Mercury <0.500 ng/L
Qualifier Code Definitions:
CL: Results were prepared by a commerical laboratory
Qualifier Code
CL
NRRRF
Jan-21
Sample
NR Effluent
Page 1 of 1 Q-DC-015 Created 7/15/2009, Revised 3/24/20