WI0700343_Correspondence_20131017

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Donald H. Cummings
Well Contractor Name
2412-A
NC Well Contractor Certification Number
Applied Resource Management, P.C.
Company- Name
2. Well Construction Permit if: W10700343
List all applicable well construction permits (i.e. County State. r ariance. etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑Industrial/Commercial
❑Irrigation
Non -Water Supply Well:
❑Monitoring
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
OGeothermal (Heating/Cooling Return)
For Internal Use ONLY:
416303
14. WATER ZONES
FROM
ft.
TO
ft.
DESCRIPTION
ft.
ft.
15. OUTER CASING (for multi -cased wells) OR LINER (if ap icable)
FROM DIAMETER THICKNESS MATERIAL
0 4 r° SCH40 PVC
16. INNER CASING OR TUBING (geothermal closed -loop)
FROMTO
ft.
ft.
TO
25
ft
ft
DIAMETER
in.
THICKNESS
MATERIAL
fe.
ft.
in.
17. SCREEN
❑MunicipalfPublic
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Recovery
FROM
25 ft
TO
58 ft
DIAMETER
2
In.
SLOT SIZE
.010
THICKNESS
SCH40
MATERIAL
PVC
ft.
ft.
in.
I0. GROUT
FROM
0
ft.
TO
20
ft.
MATERIAL
Bentonite
EhfPLACEMENT MET24OD & ASIOUNT
Poured
ft
ft
❑Groundwater R emediation
❑Salinity Barrier
❑ Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under 121 Remarks)
4. Date Well(s) Completed: 09/30/13 well IDft N/A
5a. Well Location:
George and Kathleen Giffin N/A
Facility:/Owner Name Facility RN (if applicable)
821 Pelican Drive, New Bern, NC 28560
Physical Address. City. and Zip
Craven
2-056-022
County Parcel Identification No. (PiN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field. one tat/long is sufficient)
35 04 52.4 N 076 58 24.1
W
6. is (are) the well(s): ZPermanent or ❑Temporary
7. is this a repair to an existing well: ❑Yes or ENo
If this is a repair, r1/ out (mown well construction igformation and explain the nature oj'the
repair under ''2/ remarks section or on the back of this form.
8. Number of wells constructed:
For multiple injection or not -water supply wells ONLY with the same construction. you can
submit one font.
9. Total well depth below land surface: 58
For multiple wells list all depths tf di fferent (example- 3@200' and 2ia'100')
10. Static water level below top of casing: 6 (ft)
If warer level is above casing, use
11. Borehole diameter: 7 7/8 (in.)
12. Well construction method: Mud Rotary
(i.e. auger. rotary. cable. direct push. etc.)
(ft)
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) 80 Method of test: Air lift
13b. Disinfection hype: HTH Amount: 3ga10%
ft.
ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO
22 fe.
58
ft.
MATERIAL
Coarse
EMPLACEMITT ME FIOn
Poured
ft
ft.
20. DRILLING LOG (attach additional sheets if necessary)
TO
FROM
0
ft.
20 ft
20
ft.
25
ft.
DESCRIPTION (color. hardness soiVrock type. gram sae. etc.)
Fine organic sands
Organic clays
25
ft.
ft.
58
ft.
f.
Fine to medium sands (1' clay tense every 4';
ft
ft
ft.
ft
ft.
ft.
21. REMARKS
22. Certification:
Signantre of Certified Well Contractor
u
D01i1/i
By signing this form, I hereby certify that the wills) was (were) constructed in accordance
with 15A NC4C 02C .0100 or 15A NC.4C 02C .0200 Well Construction Standards. and that a
copy of ibis record has been provided to thew r
23. Site diagram or additional well dettic
You may use the back of this page to provide additional well site details or well
construction details. You may also attach addittaliparifrv.
SUBMITTAL INSTUCTIONS
CEI V EO
24a. For All Wells: Submit this f, . • +. •
construction to the following: I IM
f well
Dbision of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
completion of well construction to the county health department of the county
where constructed.
Form GW-1
North Carolina Department ofEuvironment and Natural Resources - Division of Water Quality Revised Jan. 2013

AwA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla III
Governor Director Secretary
January 8, 2014
George and Kathleen Giffin
821 Pelican Drive
New Bern, North Carolina 28560
SUBJECT: Groundwater Sampling Results
5A7 UIC Permit No. WI0700343
Issued to George and Kathleen Giffin
New Bern, Craven County, North Carolina
Dear Mr. and Mrs. Giffin:
RECEIVED/DENR/DWR
JAN 1 3 2014
Water Quality Regional
Operation' ':ectic
On November 20, 2013, staff from the Washington Regional Office of the Water Quality Regional Operations
Section collected samples of the influent (supply well) and effluent (injection well) from your geothermal heat pump
system. The samples were analyzed for metals, nutrients, and other inorganic constituents by the Division of Water
Resources laboratory. A summary table of the analytical results, as well as the laboratory reports, field sampling forms,
and definitions of laboratory data qualifiers are attached to this letter. The following three constituents were detected
above state groundwater standards in the samples from your system:
Parameter
Units
NC Groundwater Standard
Results
Iron
ug/L
300
1900 (supply well)
2000 (injection well)
Manganese
ug/L
50
100 (supply well)
110 (injection well)
pH
Standard Units
6.5 to 8.5
5.5 (supply well)
5.5 (injection well)
The exact source of these exceedances is unknown; however, Iron, Manganese, and pH exceedances in
groundwater are often due to naturally occurring conditions. These exceedances should not affect the operation of your
geothermal heat pump system; however, it is recommended before using the water from these wells for personal
consumption that you consult with the Craven County Environmental Health Department. If you have any questions
regarding the sampling results or your permit, please feel free to contact me at [phone].
Sincerely,
Dwight Randy Sipe,
Hydrogeologist
Water Quality Regional Operations Section
Attachments
cc: YMichael Rogers — Groundwater Protection Unit, Central Office
Craven County Environmental Health Department
WaRO
Water Quality Regional Operations Section
943 Washington Square Mall, Washington, North Carolina 27899
Phone: [phone] FAX: [phone]
Internet: www.ncwater.orq
`c
An Equal Opportunity \ Affirmative Action Employer

NC DIVISION OF WATER RESOURCES
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0700343
PERMITTEE(S): George and Kathleen Giffin
SAMPLE COLLECTION DATE: 11/20/2013
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU1100m1
mg/L
mglL
mglL
mglL
NC MCL and/or EPA Standard
NC MCL = < 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2
NC MCL = 250
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
< 1
363
6.2
< 0.4
< 2.0
Effluent Sample Results
< 1
< 1
332
6.3
< 0.4
< 2.0
Parameter
Nitrate + Nitrite
Nitrite
Hardness as CaCO3
(by Calculation)'
Aluminum, Al
Arsenic, As
Calcium, Ca
units
mglL as N
mg/L as N
mg/L as CaCO3
µg/L
Ng/L
mglL
NC MCL and/or EPA Standard
NC MCL = 11
NC MCL = 1
NS
NS
NC MCL = 10
NS
EPA PDWS = 11
EPA PDWS = 1
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
<0.2
< 0.01
308
< 50
< 2.0
110
Effluent Sample Results
<0.2
< 0.01
309
< 50
< 2.0
110
Parameter
Chromium, Cr
Copper, Cu
Iron, Fe
Potassium, K
Magnesium, Mg
Manganese, Mn
units
pglL
pg/L
Ng/L
mg/L
mg/L
NgIL
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL = 1000
NC MCL = 300
NS
NS
NC MCL = 50
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
EPA SDWS = 50
Influent Sample Results
< 10
12
1900
1.1
8.1
100
Effluent Sample Results
< 10
2.6
2000
1.1
8.3
110
Parameter
Sodium, Na
Nickel, Ni
Lead, Pb
Zinc, Zn
pH (field)
units
mg/L
pg/L
NgIL
pg/L
units
NC MCL and/or EPA Standard
NS
NC MCL = 100
NC MCL = 15
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 15
EPA SDWS = 5000
EPA SOWS = 6.5 to 8.5
Influent Sample Results
5.9
< 2.0
< 2.0
< 10
5.5
Effluent Sample Results
6.0
< 2.0
< 2.0
< 10
5.5
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA POWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No Standard
* Calculation performed by WaRO
It

ACO2783
WC rDr(lA1,La6oratory Section Results
County: CRAVEN
River Basin
Report To WARC
Collector. R SIPE
Region: WSRO
Sample Matrix: GROUNDWATER
Loc. Type: WATERSUPPLY
Emergency Yes/No
COC Yes/No
DWR
Division of Water Resources
Final Report
VisitID
sample ID: ACO2783
PO Number# 13G0955
Date Received: 11/21/2013
Time Received: 08:00
Labworks LoginlD MSWIFT
Final Report Date: 1/7/14
Report Print Dale: 01/07/2014
Loc. Descr.: GEORGE & KATHLEEN GIFFIN• 821 PELICAN DRIVE NEW BERN, NC
rrA-F (UEvc0
Location ID:
NIWWCRAVE343
Collect Date: 11/20/2013
Collect Time: 10:55
Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS # Analvte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
2.6
°C
Units
Method Analysis
Reference Date
Validated by
11/21/13 CGREEN
MIC
Coliform, MF Fecal in liquid 1 1 82, Q1 CFU/100m1 APHA9222D-20th 11/21/13 ESTAFFORDI
Coliform, MF Total in liquid 1 1 82, Q1 CFU/100m1 APHA9222B-20th 11/21/13 ESTAFFORDI
WET
Ion Chromatography _TITLE_ mg/L EPA300.0 rev2.1 11/25/13 CGREEN
Chloride 1.0 6.2 mg/L EPA300.0 rev2.1 11/25/13 CGREEN
Fluoride 0.4 0.4 U mg/L EPA300.0 rev2.1 11/25/13 CGREEN
Sulfate 2.0 2.0 U mg/L EPA 300.0 rev2.1 11/25/13 CGREEN
Total Dissolved Solids in liquid 12 363 mg/L SM 2540 C-1997 11/22/13 CGREEN
NUT
NO2+NO3 as N in liquid
0.02 0.02 U mg/L as N EPA353.2 REV 2 11/21/13 GHGREEN
Nitrate-asN in liqui
0.02 0.02 U mg/L-as-N EPA3532REV.2 11/25t13 CI4CREEN
Nitrite as N liquid 0.01
0.01 U mg/L as N EPA353.2 REV 2 11/21/13 CHGREEN
MET
7439-96-5
Dissolved Mn by ICP
10 100 ug/L EPA200.7 12/3/13 ESTAFFORD1
7429-90-5 Al by ICP
50 50 U ug/L EPA200.7 12/3/13 ESTAFFORDI
7440-38-2 As by ICPMS
2.0 2.0 U ug/L EPA200.8 12/3/13 ESTAFFORD1
7440-70-2 Ca by ICP
0.10 110 mg/L EPA200.7 12/3/13 ESTAFFORDI
7440-47-3 Cr by ICPMS
10 1 0 U ug/L EPA200.8 12/3/13 ESTAFFORD1
7440-50-8 Cu by ICPMS
2.0 12 ug/L EPA200.8 12/3/13 ESTAFFORDI
7439-89-6 Fe by ICP
50 1900 ug/L EPA200.7 12/3/13 ESTAFFORD1
7440-09-7 K by ICP
0.10 1.1 mg/L EPA200.7 12/3/13 ESTAFFORDI
7439-95-4 Mg by ICP 0.10
8.1 mg/L EPA200.7 12/3/13 ESTAFFORD1
7440-23-5 Na by ICP
0.10 5.9 mg/L EPA200.7 12/3/13 ESTAFFORD1
7440-02-0 Ni by furnace
2.0 2.0 U ug/L EPA200.9 12/2/13 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0
2.0 U ug/L EPA200.8 12/3/13 ESTAFFORDI
7440-66-6 Zn by ICPMS
10 10 U ug2 EPA200.8 12/3/13 ESTAFFORDI
Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 (919) 733-39
For a deIBNed doscslptlon of rho qualifier codes ralar to MO/ Donal npMnr np(wnb/w1aPgtril nlg[n„sing0ayg_(Irrine/ redo.mn:%I malyl.11o-In g•Me9, MIW,t nrio' F
Page 1 of 1

ACO2782
NC fDW Laboratory Section 2gsufts
County: CRAVEN
River Basin
Report To WARD
Collector RSIPE
Region: WARD
Sample Matrix: GROUNDWATER
Loc. Type: WATERSUPPLY
Emergency Yes/No
COC Yes/No
DWR
Division of Water Resources
Final Report
Sample ID: ACO2782
PO Number l/ 1360954
Date Received: 11/21/2013
Time Received: 08:00
Labworks LoginlD MSWIFT
Final Report Date: 1/7/14
Report Print Date: 01/07/2014
VisitD
Loc. Descr.: GEORGE & KATHLEEN GIFFIN: 821 PELICAN DRIVE NEW BERN. NC (Egli «E td )
Location ID:
NIW WCRAVE343
Collect Date: 11/2012013
Collect Time: 11:10
Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS # Analvte Name
LAB
Sample temperature at receipt by lab
Result/
Qualifier
2.6
•C
Units
Method Analysis
Reference Date
Validated by
11/21/13 CGREEN
MIC
Coliform, MF Fecal in liquid 1
1 B2, Q1 CFU/10om1 APHA9222D-20th 11/21/13 ESTAFFORDI
Coliform, MF Total in liquid 1 1 B2, 01 CFU/10om1 APHA9222B-20th 11/21/13 ESTAFFORD1
WET
Ion Chromatography
_TITLE_ mg/L EPA 300.0 rev2.1 11/25/13 CGREEN
Chloride 1.0 6.3 mg/L EPA 300.0 rev2.1 11/25/13 CGREEN
Fluoride 0.4 0.4U mg/L EPA 300.0 rev2.1 11/25/13 CGREEN
Sulfate 2.0 2.0 U mg/L EPA 300.0 rev2.1 11/25/13 CGREEN
Total Dissolved Solids in liquid
12 332 mg/L, SM2540 C-1997 11/22/13 CGREEN
NUT
NO2+NO3 as N in liquid
0.02 0.02 U
mg/L as N EPA 353.2 REV 2 11/21/13 CHGREEN
Nitrate as N in liquid 0.02
0.02 U mg/L as N EPA353.2 REV 2 11/25/13 CHGREEN
Nitrite as N in liquid 0.01
0.01 U mg/L as EPA353.2 REV 11/21/13 CHGREEN
MET
7439-96-5
Dissolved Mn by ICP
10 110 ug/L EPA200.7 12/3/13 ESTAFFORDI
7429-90-5 Al by ICP
50 50 U ug/L - EPA200.7 12/3/13 ESTAFFORD1
7440-38-2 As by ICPMS 2.0
2.0 U ug/L EPA200.8 12/3/13 ESTAFFORD1
7440-70-2 Ca by ICP
0.10 -110 mg/U EPA200.7* 12/3/13 ESTAFFORD1
7440-47-3 Cr by ICPMS
10 1 0 U ug/L EPA200.8 12/3/13 ESTAFFORD1
7440-50-8 Cu by ICPMS
2.0 2.6 ug/L EPA200.8 12/3/13 ESTAFFORDI
7439-89-6 Fe by ICP 60 2000 ug/L EPA200.7 12/3/13 ESTAFFORDI
7440-09-7 K by ICP
0.10 1.1 mg/L EPA200.7 12/3/13 ESTAFFORD1
7439-95-4 Mg by ICP 0.10
8.3 mg/L EPA200.7 12/3/13 ESTAFFORDI
7440-23-5 Na by ICP
0.10 6.0 mg/L EPA200.7 12/3/13 ESTAFFORDI
7440-02-0 Ni by furnace
2.0 2.0 U ug/L EPA200.9 12/2/13 ESTAFFORD1
7439-92-1 Pb by ICPMS
2.0 2.0 U ug/L EPA200.8 12/3/13 ESTAFFORDI
7440-66-6 Zn by ICPMS
10 10 U ug/L EPA200.8 12/3/13 ESTAFFORDI
Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 (919) 733-39
For a detailed desedpaon otee qualifier codes rater io d .nil^ r «n&nt. G oon.I-aer omrrtAa.N,Wsiae
Page 1 of 1

AQUIFER PROTECTION FIELDSHEET
Location code LI w (n1 C
County CRAVEN
Quad No Serial No.
Lat Long.
Report To: ARO, FRO, MRO, RRO eR01 WIRO,
WSRO, Kinston FO, Fed. Trust, Central Off., Other:
Shipped by: Bus, DuneQ Hand Del., Other:
Collector(s): fC , S i v E
FIELD ANALYSES
PH 4oa . W. 5— Spec. Cond.94
Temp.10 °C Odor y' V n-
Appearance E "
Field Analysis By: I.5 1 n
LABORATORY ANAL
SAMPLE TYPE, SAMPLE, -/ PRIORITY
D4Nater D Routine
D
Sall ❑ Emergency
❑ Other
❑ Chain of Ctistody
Date rl���3
at 25°C
UJ9'� Time Ii'
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER RESOURCES -AQUIFER PROTECTION SECTION
Lab Number
Date Received
Rec'd By:
Other.
Time:
From:Bus, Courier, Hand Del.,
Data Entry By: Ck:
• Date Reported:
Complaint, Compliance, LUST, Pesticide Stu �y„ Federal Trust, Other:
Owner (r e 0 e &^ 14 A-1 h te- h`wt°net (- i -['tar P LA
Location or Site $ 1 WE L i c esN Vlf i J C m e w t t R' , I\L C
Description of sampling point O Qr. 5 t r.(E F7 e 1 5 d-j-"'
Sampling Method (5-t/L/Fb
Remarks tr. 6 in1 baron. bailer. cart
Sample Interval
NI Gl-
BOD 310
mg/L`/
/1,
Diss. Solids 70300
m p/L
A -SiIvtt 46566
ug/L
M1
Orgaaohlarine sPeitics
COD High 340
mg/L
Fluoride 951
1 mg/L
AI -Aluminum 46557
ug/L
Orp osphomsPesticides
COD Low 335
mg/L
Hardness: Total 900
mg/L
As -Arsenic 46551
ug/L
Nitrogen
Nitrogen Pesficides
X,.,
Colifmm: MF Fecal 31616
/100m1
Hardness (non -cash) 902
mg/L
Ba-Barium 46558
ug/L
Acid Herbicides
X
Conform:MF Tota131504
/100m1
Phenols32730
I ug/I
5C
Ca-Calcium46552
mg/L
PCBs
TOC 680
mg/L
Specific Cond. 95
p,.Tos/cm
Cd-Cadmium 46559
ug/LTurbidity
76
NTU
Sulfate 945
mg/L
Cr-Chromium 46559
uL
/
Residue. Total Suspended 530
mg/L
Sulfide 745
me-
Cu-Copper
Cu-Copp
ug
�
`,
T
Fe -lion 46563
ug/L
Semivolatile Organics
Oil and Grease
I mg/L
Hg-Memory 71900
ug/L
TPH-Diesel Range
pH403
units
K-Potassium 46555
mg/L
Alkalinity to pH 4.5 410
mB/L
Mg -Magnesium 46554
mp/L
Alkalinity to pH 83 415
.as/t.
Mn-Manganese 46365 .
ug/L
Volatile Organics (VOA bottle)
Carbonate 445
mg/L
NH, as N 610
mg/L
x
Na-Sodium 46556
mg/L
TPH-Gasoline Range
Bicarbonate 440
mg/L
TKN as N 675
mg/L
x
Ni-Nickel
ug/L
TPH-BT(7( Gasoline Range
Carbon dioxide 405
mga.
,INO,
+NO3 as N 630
mg/L
x
Pb-Lead 46564
ug/L
�e
Chloride 940
mg/L
P: Total as
mg/L
Se-Seleoium
ug/L
Chromium: fax 1032
ug/L
Nitrate (NO3 as N) 620
mg/L
x
Zn-Zinc 46567
ups
Color. True SO
CU
x
Nitrite(NOr as N) 615
mg/L
LAB USE ONLY
rah
Cyanide 720
Cnmmentc
mg/L
Temperature an arrival (°C):
OW-54 REV. 82013 For Dissolved Analysis -submit filtered sample and write "DIS" in block.

AQUIFER PROTECTION FIELDSHEET
Location coat' N
G
County R(jUE�
Quad No Serial No.
Lat. Long.
Report To: ARO, FRO, MRO, RRO, >ViRO,
W SRO, Kinston FO, Fed. Trust, Central Off., Other:
Shipped by: Bus, Hand Del., Other:
Collector(s): , stet
FIELD ANALYSES
PH 400 $ 4c Spec. Cond.94 at 25°C
Temple °C Odor 0 ✓tE
Appearance
Field Analysis By:
LABORATORY ANAL SESft
SAMPLE TYPE
Ild Water
❑ Soil
❑ Other
❑ Chain of Custody
SAMPLE,_PRIORITY
LM' Routine
❑ Emergency
ose: f, e VA
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER RESOURCES -AQUIFER PROTECTION SECTION
•Lab Number
'Date Received Time:
Rec'd By:
Other:
From:Bus, Courier, Hand Del.,
-Data Entry By:
Date Reported:
Clc
Date l Cl2D/ti Time i � r r y' on -plaint, Compliance, LUST, Pesticide Study,, Federal Trust, Other:
Owner G E o K' 1� C d• A+ 111 I (; E. 1'� Icime To0- 1 [ 1
Location or Site R.
NEIiCr`Wi fU vLik)e, w 8f 0.V\, C1L
Description of samplin
Sampling Method
Remarks
IP1NAo. omler.e
Sample Interval
BOD 310
mg/L
— \
Disc. Solids 70300
mg/L
Ag-Silver 46566
ug/L
Otpanochlorine Pesticides
COD High 340
mg/L
Fluoride 951
aryl.
AI -Aluminum 46557
eel.Olgmophosphoms
Pesticides
COD Low 335
mill.
Hardness: Total
mp/L
\lli
As -Arsenic 46551
ug/L
Nitrogen Pesticides
`�
Conform: MF Fecal 31616
/100m1
Hardness (non-casb) 902
mg/L
Ba-Barium 46558
tail.
Acid Herbicides
>I
Conform: MF Total 31504
f
/100m1
Phenols 32730
nil
X.
Ca -Calcium 46552
mill.
PCBs
TOC 680
mg/L
Specific Cond. 95
µMhos/cm
Cd-Cadmium 46559
s�.
Turbidity 76
NTU
Sulfite 945
mg/L
Cr-Chromium 46559
ug/L
Residue. Total Suspended 530
P
mg/ L
Sulfide 745
mg/L
Cu-Copper 46562
ug/L
X
Fe -Iron 46563
ug/L
Se®volatile Organics
Oil and Grease
mg/L
Hg-Mercury 71900
ug/L
TPH-Diesel Range
pH 403
wits
x
K-Potassium 46555
mg/L
Alkalinity to pH 4.5 410
mg/L.
\/
Mg -Magnesium 46554 •
mg&
Alkalinity to pH 8.3 415
sng/L
Ma -Manganese 46565
ug/i:
Volatile Organics (VOA bottle)
Carbonate445
mgll.
NH,as N610
mill,
Na-Sodium 4fi556
mg/L
TPH-Gasoline Range
Bicarbonate 440
Bicarbonate
mg/L
TKN as N 625
mg/L
><
Ni-Nickel
ug/L
TPH-BTIX Gasoline Range
Carbon dioxide 405
mg/L
x
Nq. NO, as N 630
mg/I.
><
Pb-Lead 46564
u8/L
x
Chloride 940 '
mg/L
P: Total as P 665
mill.
Se -Selenium
ug/L
Chromium: Hex 1032
ug/L
•Nitrite
Nitrate (NO3 as N) 620
mg/L
XZn-Zinc46567
ug/L.
Color. Tine 80
CU
(NO, as N) 615
mg/L
j.AB USE ONLY
Cyanide no
mg/L
Temperature on arrival (t):
Lab Comments
_
GW-54 REV. 8/2013
For Dissolved Analysis -submit filtered sample and write'DIS" in block.

Symbol
Definition
A
Value reported is the mean (average) of two or more determinations. This code is to be used if the results of two or more discrete
and separate samples are averaged. These samples shall have been processed and analyzed independently (e.g., field duplicates,
different dilutions of the same sample). This code is not required for BOD or coliform reporting since averaging multiple
dilutions for these parameters is fundamental to those methods.
B
Results based upon colony counts outside the acceptable range and should be used with caution. This code applies to
microbiological tests and specifically to membrane filter (MF) colony counts. It is to be used if less than 100% sample was
analyzed and the colony count is generated from a plate in which the number of colonies exceeds the ideal ranges indicated by
the method. These ideal ranges are defined in the method as:
Fecal coliform or Enterococcus bacteria: 20-60 colonies Total coliform bacteria: 20-80 colonies
1. Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters
reported per 100 ml.
2. Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have
been reported if there had been one colony on the filter representing the largest filtration volume (reported as a less
than "<" value).
3: Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the
smallest volume filtered and reported as a greater than ">" value.
4. Filters have counts of both >60 or 80 and <20. Reported value is estimated or is a total of the counts on all filters
reported per 100 ml.
• 5. Too many colonies were present; too numerous to count.(TNTC). TNTC is generally defined as >150 colonies. The
numeric value represents the maximum number of counts typically accepted on a filter membrane (60 for fecal or
enterococcus and 80 for total), multiplied by 100 and then divided by the smallest filtration volume analyzed. This
number is reported as a greater than value.
6. Estimated Value. Blank contamination evident.
7. Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In
this competitive situation, the reported value may under -represent actual density.
Note: A "B" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., B1, B2, etc.).
Note: A "J2" should be used for spiking failures.
BB
This code applies to most probable number (MPN) microbiological tests.
1. No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than
"<" value.
2. All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than ">" value.
Note: A "BB" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., BB1, BB2, etc.).
C
Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated. Generally applies to cyanide,
phenol,-NH3TTKN, coliform and organics.
G
A single quality control failure occurred during biochemical oxygen demand (BOD) analysis. The sample results should be used
with caution.
I. The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
2. The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of
at least 1.0 mg/L.
3. No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0
mg/L.
4. Evidence of toxicity was present. This is generally characterized by a significant increase in the BOD value as the
sample concentration decreases. The reported value is calculated from the highest dilution representing the maximum
loading potential and should be considered an estimated value.
5. The glucose/ glutamic acid standard exceeded the range of 198 130.5 mg/L.
6. The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
7. Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is
calculated for the dilution using the least amount of sample.
8. Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value and is
calculated for the dilution using the most amount of sample.
9. The DO depletion of the dilution water blank produced a negative value.
Note: A "G" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., GI, G2, etc.).
J
Estimated value; value may not be accurate. This code is to be used in the following instances:
I. Surrogate recovery limits have been exceeded.
2. The reported value failed to meet the established quality control criteria for either precision or accuracy.
3. The sample matrix interfered with the ability to make any accurate determination.
4. The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected
instead of grab, plastic instead of glass container, etc.).
5. Temperature limits exceeded (samples frozen or >6°C) during transport or not verifiable (e.g., no temperature blank
provided): non -reportable for NPDES compliance monitoring.

J
6. The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be
accurate. -
7. This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical
instrument/method. The reported value should be considered estimated.
8. Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
9. The reported value is determined by a one -point estimation rather than against a regression equation. The estimated
concentration is less than the laboratory practical quantitation limit and greater than the laboratory method detection
limit.
10. Unidentified peak; estimated value.
11. The reported value is determined by a one -point estimation rather than against a regression equation. The estimated
concentration is less than the laboratory practical quantitation limit and greater than the instrument noise level. This
code is used when an MDL has not been established for the analyse in question.
12. The calibration verification did not meet the calibration acceptance criterion for field parameters.
Note: A "J" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., JI, J2, etc.). A "J"
value shall not be used if another code applies (e.g., N, V, M).
M
Sample and duplicate results are "out of control". The sample is non -homogenous (e.g., VOA soil). The reported value is the
lower value of duplicate analyses of a sample. .
N
Presumptive evidence of presence of material; estimated value. This code is to be used if:
1. The component has been tentatively identified based on mass spectral library search.
2. There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e.,
presence of analyte was not confirmed by alternate procedures).
3. This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less
than the laboratory practical quantitation limit and greater than the laboratory method detection limit. This code is not
routinely used for most analyses.
4. This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less
than the laboratory practical quantitation limit and greater than the instrument noise level. This code is used when an
MDL has not been established for the analyte in question.
5. The component has been tentatively identified based on a retention time standard.
Q
Holding time exceeded. These codes shall be used if the value is derived from a sample that was received, prepared and/or
analyzed after the approved holding time restrictions for sample preparation and analysis. The value does not meet NPDES
requirements.
1. Holding time exceeded prior to receipt by lab.
2. - Holding time exceeded following receipt by lab.
P
Elevated PQL* due to matrix interference and/or sample dilution.
S
Not enough sample provided to prepare and/or analyze a method -required matrix spike (MS) and/or matrix spike duplicate
(MSD).
U
Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value
reported with the "U" qualifier is equal to the laboratory's practical quantitation limit*.
X
Sample not analyzed for this constituent. This code is to be used if:
1. Sample -not screened for this compound.
•' 2. Sampled, but analysis lost or not performed -field error.
3. Sampled, but analysis lost or not performed -lab error.
Note: an "X" value shall be accompanied by justification for its use by the numbers listed.
V
Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be
subtracted from the associated samples.
Y
Elevated PQL* due to insufficient sample size.
Z
The sample analysis/results are not reported due to:
1. Inability to analyze the sample.
2. Questions concerning data reliability.
The presence or absence of the analyte cannot be verified.
*PQL
The Practical Quantitation Limit (PQL) is defined and proposed as "the lowest level achievable among laboratories within
specified limits during routine laboratory operation". The PQL is about three to five times the calculated Method Detection Limit
(MDL) and represents a practical and routinely achievable detection limit with a relatively good certainty that any reported value
is reliable".
3/10/2011