HomeMy WebLinkAboutWQ0004972_Monitoring - 09-2021_20211101Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0004972
Forest Lakes Preserve ELS
Year:* 2021
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes_September.pdf 1.62MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* Jessica.Mize@pacelabs.com
Name of Submitter: * Jessica Mize
Signature:
jwd rA lip
Date of submittal: 11/1/2021
This will be filled in automatically
Initial Review
Reviewer: Saunders, Erickson G
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
11 /10/2021
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W 0004972 MONTH: September YEAR: 2021
AME: Forest Lakes Preserve ELS COUNTY: Davie
-. I I
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t Da�ly Rate
ONE
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* Flows Estimated 9118 - 9130/21 (flow meter inoperable)
Operator In Responsible Charge (ORQ: Glenn Price
Check Box if ORC Has Changed:
Certified Laboratories (1): Pace Analytical Serivices
Grade: 11 Phone: 336-99 -2841
ORC Certification Number: 987931/20771
Person(s) Collecting Samples: Glenn Price
Mail 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, 1 certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (512003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,N)
1. 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.
Flows estimated 9/18/21 - 9/30/21 flow meter inoperable
"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."
(Signature of Pennitee)* �'''r Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza Suite 800
Chicago. I1 60606
(Pennittee 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: September YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) _ (Volume Applied (gallons) x 0.1336 (wbie feetlgailony x 12 (inchesftot))! [Area Sprayed (acres) x 43.560 (square 1eeVaae) or
= [Volume Applied (gallons) I [Area Sprayed (acres) x 27.152 (gallonslacreAnoh).
Maximum Hourly Loading (inches) = Daily Loading (inCYies) i [Time irrigated (minutes)160 (minutewbouol Monthly Loading (inches) =Sum Di Daily Loading (inches)
12 Month Floating Total (inches) = Sum Df lhis month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inchestmonth) / Number of days in the month (clays/month )I x 7 (dayslwesk)
bid Irrigation Occur At This i
Did lr�galicin Occur On This Field:
No El
Did lrffiigat!Dn Occur On This Fieid:
YOE] NoJ2
i
Fiald Number
.14 jK93 2 13111•
*Weather Cados: C�i PC -partly c[Gu4y, Cl-etaudy, R-rain, Sn-snow, SlAect
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Chcek Box if ORC Has Clanged:
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHE
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (512003)
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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
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. C�
4. All buffer zones as specified in the permit were maintained during each application. `fir
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the C�
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
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Baron Neal MCDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized_Aent)
(Permittee-Please print or type)
2N Riverside Plaza Suite 800
Chicago,11 60606
(Permittee Address)
Field Services Director (Pace AnalZical Services)
(Position or Title)
3/31/2021
(Permit Exp. Date)
* If signed by other than the Penmittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
aceAnalytical
www.pecolabs.com
October 07, 2021
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92563393
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-09B1
Enclosed are the analytical results for sample(s) received by the laboratory on September 27, 2021. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNIlNELAC 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,
Stephanie Knott
stephanie. knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
IN
-
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
B
Page 1 of 16
aceAnalytical
wrna7eeeEita.eam
Project: Forest Lakes
Pace Project No.: 92563393
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, INC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinkina Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North r:arnlinn r1rinkinn Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VrginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Page 2 of 16
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SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92563393
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92563393001 Effluent SM 254OD-2011
AED
1
PASI-E
EPA 353.2 Rev 2.0 1993
AMI
1
PASI-E
SM 521OB-2011
DAW
1
PASI-E
Colilert-18
AMI
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
MDW
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PAS I-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 16
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ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92563393
Pace Analytical Services, LLC
1377 South Park Drive
Kernersviile, NC 27284
(704)977-0981
Sample: Effluent
lab ID: 92563393001 Collected: 09/27/21 10:36 Received: 09/27/21 11:30 Matrix: water
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
25400 Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
11.5 mg/L 3.2 1 09/29/21 12:24
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Seances - Eden
Nitrogen, Nitrate
ND mg/L 0.040 1 09/27/21 17:05 14797-55-8
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 521 OB-2011
Pace Analytical Services - Eden
BOD, 5 day
39.2 mg/L 2.0 1 09/28/21 09:16 10/03/21 12:46 B1
Colllert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 09127/21 15:12 09/28/21 09:41 El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
77.7 mg/L 0.62 1 10/07/21 17:33
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.01993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
68.5 mg/L 1.0 10 10/07/2111:31 766441-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
77.7 mg/L 5.0 10 10/05/21 20:50 10/06/21 05:28 7727-37-9
353.2 Nitrogen, NO2IN03 pres.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
0.043 mg/L 0.040 1 10/06/21 13:53
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.01993
Pace Analytical Services -Asheville
Phosphorus
10.7 mg/L 0.25 5 10/01/2117:33 1010112123:07 7723-14-0
Date: 10/07/2021 05:36 PM
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 4 of 16
IceAnali(tical
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Project:
Forest Lakes
Pace Project No.:
92563393
QC Batch:
649848
QC Batch Method:
SM 254OD-2011
Associated Lab Samples: 92563393001
QUALITY CONTROL DATA
Analysis Method: SM 254OD-2011
Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
METHOD BLANK: 3408250 Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 09/29/21 12:19
Paco Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3408251
Spike LCS LCS ale Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 240 96 90-110
SAMPLE DUPLICATE: 3408252
92563205001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 107 112 4
SAMPLE DUPLICATE: 3408253
92563413001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 116 126 8
Results presented on this page are In the units Indicated by the Vnits' 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 foil,
Date: 10/0712021 05:36 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 16
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1tfliYrp.0010
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92563393
QC Batch: 649555 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, Unpres. EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92563393001
METHOD BLANK: 3406693 Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Nitrate mg/L NO 0.040 09/27/21 16:26
Pace Analytical Services, LLC
1377 South Park Drive
Kernersvilie, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3406694
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 1.5 1.4 96 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3406695 3406696
MS MSD
92563399001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 1.4 1.5 1.5 2.8 2.6 92 91 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: 10/07/2021 05:36 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 16
(�Ia'neAnab&cal
Project: Forest Lakes
Pace Project No.: 92563393
QC Batch: 649608
QC Batch Method: SM 521OB-2011
Associated Lab Samples: 92563393001
METHOD BLANK: 3406879
Associated Lab Samples., 92563393001
Parameter
BOD, 5 day
QUALITY CONTROL DATA
Analysis Method: SM 521OB-2011
Analysis Description: 5210E BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Matrix: Water
Blank Reporting
Units Result Limit Analyzed Qualifiers
mg1L ND 2.0 10103/2112:24
Pace Analytical Services, LLC
1377 South Park Drive
Kentersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3406880
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
BOD, 5 day mg/L 198 176 89 84.6-115.4
SAMPLE DUPLICATE: 3406882
92563442001 Dup
Parameter Units Result Result RPD Qualifiers
BOD, 5 day mg1L 162 152 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: 10/07/2021 05:36 PM without the written consent of Pace Analytical Services, I.I.C.
Page 7 of 16
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92563393
QC Batch: 649549 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92563393001
SAMPLE DUPLICATE: 3406668
Parameter
Fecal Coliforms
92563445001 Dup
Units Result Result RPD Qualifiers
MPN/100mL 17.3 15.8 9
Pace Analytical Services, Lt.0
1377 South Park Drive
Kemorsville, NC 27284
(704)977-0981
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 retort shall not be reproduced, except in full,
Date: 10/0712021 05:36 PM without the written consent of Pace Analytical Services, I.I.C.
Page 8 of 16
(�Ia'neAnal)dical
Project:
Forest Lakes
Pace Project No.:
92563393
QC Batch:
651320
QC Batch Method:
EPA 350.1 Rev 2.01993
Associated Lab Samples: 92563393001
QUALITY CONTROL DATA
Analysis Method: EPA 350.1 Rev 2.01993
Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
METHOD BLANK: 3415766 Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Ammonia mg/L ND 0.10 10/07/21 10:39
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3415767
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 4.9 97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3415768 3415769
MS MSD
92564080001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 11.0 5 5 15.7 15.7 95 95 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3415770 3415771
MS MSD
92564086002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 41.8 5 5 46.6 47A 97 113 90-110 2 M1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit la presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/0712021 05:36 PM without the written consent of Pace Analytical Services, I.I.C.
Page 9 of 16
C6Ai?d1J/ITCd��
rrtrM�patiNNrtDsesro
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92563393
QC Batch: 650926 Analysis Method: EPA 351.2 Rev 2.01993
QC Batch Method: EPA 351.2 Rev 2.01993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92563393001
METHOD BLANK: 3413579 Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L ND 0.50 10/06/21 04:25
LABORATORY CONTROL SAMPLE: 3413580
Parameter
Nitrogen, Kjeldahl, Total
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Spike LCS LCS % Rec
Units Conc. Result % Rec Limits Qualifiers
mg/L 10 10.1 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3413581 3413582
MS MSD
92563915005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L ND 10 10 11.0 10.7 106 103 90-110 2
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presentod to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/07/2021 05:36 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92563393
QC Batch: 651055 Analysis Method: EPA 353.2 Rev 2.0 1993
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: 92563393001
METHOD BLANK: 3414354 Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L ND 0.040 10/06/21 13:28
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3414355
Spike LCS LCS % Rec
Parameter Units Conc. Result %e Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L 2.5 2.6 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3414356 3414357
MS MSD
92563993001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua[
Nitrogen, NO2 plus NO3 mg/L NO 2.5 2.5 2.3 2.3 93 93 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3414358
MS MSD
92563993002 Spike Spike
Parameter Units Result Conc. Conc.
Nitrogen, NO2 plus NO3 mg/L ND 2.5 2.5
3414359
MS MSD MS MSD % Rec
Result Result % Rec % Rec Limits RPD Oval
2.3 2.3 93 92 90-110 1
Results presented an 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: 10/0712021 05:36 PM without the written consent of Pace Analytical Services. LLC.
Page 11 of 16
ceAnalytical
www.pacdabs.com
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92563393
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie. NC 27284
(704)977-0981
QC Batch: 650327
Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.01993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92563393001
METHOD BLANK: 3410866
Matrix: Water
Associated Lab Samples: 92563393001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Phosphorus mg/L
ND 0.050 10101/2122:22
LABORATORY CONTROL SAMPLE: 3410867
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3410868 3410869
MS MSD
92561769001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 1.2
2.5 2.5 3.7 3.7 102 102
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3410870 3410871
MS MSD
92562371001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Cono- Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L NO
2.5 2.5 2.5 2.5 102 102
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: 10/07/2021 05:36 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 16
Pace Analytical Services, LLC
/ m 1377 South Park Drive
aCB�lk3/ICal Kemersville, NC 27284
1rwM.P"datimm (704)977-0981
QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92563393
DEFINITIONS
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-Diphenythydrazine 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 Acrylonitrile 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.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
ANALYTE QUALIFIERS
B1 Less than 1.0 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.
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.
Date: 10/07/2021 05:36 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 13 of 16
ticeAnalytical
MMw.Otpl�tq.t9[o
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92563393
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92563393001
Effluent
SM 254OD-2011
649848
92563393001
Effluent
EPA 353.2 Rev 2.01993
649555
92563393001
Effluent
SM 521OB-2011
649608
SM 521OB-2011
649800
92563393001
Effluent
Colilert-18
649549
Colilert-18
649550
92563393001
Effluent
TKN+NO3+NO2
651544
Calculation
92563393001
Effluent
EPA 350.1 Rev 2.01993
651320
92563393001
Effluent
EPA 351.2 Rev 2.01993
650926
EPA 351.2 Rev 2.0 1993
651038
92563393001
Effluent
EPA 353.2 Rev 2.0 1993
651055
92563393001
Effluent
EPA 365.1 Rev 2.0 1993
650327
EPA 365.1 Rev 2.0 1993
650480
Date: 10/07/2021 05:36 PM
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 16
CHAIN -OF -CUSTODY Analytical Request Document f
LAB USE ONLY- AfftxWoiicorder/Loginlai wo : 92563393
MIX Log -In
$CPAITr?r'% u
r - Chain -of -Custody Is a LEGAL DOCUMENT- Complete all relevent fields
ALL SHADED AREAS
Company: Forest lakes
Billing information:
Container Preservative T e •` 92563393
Address.
.. . .
� 2 g. _
Report To:
Email To:
•• Preservative Types: (1) nitric add, (2) sulfuric add, (3) hydrochloric
add, (4) sadium hydro3dde,15) zinc acetate,
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (9) hexane,
(C) ammonium hydroxide, (0) TSP, (U) Unpreserved, (0) Other
(A) ascorbic add (a) ammonium sulfate,
Copy To:
Site Collection Info/Address:
Analyses
Lab profile ne:
Customer Project Name/Number:
State: County/City: Time Zone Collected:
fmb saagile Race pt Cheekl iat t
[ IPTI IMT( )CT [ )ET
Custody-Soals Present/Intact Y N NA
Custody signatures Present Y N NA
Phone:
Site/Facility ID u:
Compliance Monitoring?
EriJafi:
[ Yes [ ]No
Collector Signature Present Y N NA
Battles Intact Y N NA
Correct Bottlea Y N NA
Collected B t):
Purchase Order #:
DW PWS ID #:
Quote#'
DWLocationCode:
Z
sufficient Volume Y H NA
Samples Received on Ica Y N HA
VOA Headspace Acceptable Y N NA
Collette y ( gnature .
Turnaround Date Required:
Immediately ac on ce:
[ IYes [ ]No
N
USDA'Requlated Soils Y N NA
saiaples in Holding Time Y N NA
Feld Filtered (if applicable):
Ecamry#e Disposal:
n.
Rcsidunl Chlorine Present Y N NA
( ] Dispose as apprapr+a._ ; Return
( ] Same Day ( ] Nex: Day
[ ] Yes [ ] No
t+g
Cl _stripa r
I I Archive._
[ ] 2 Day [ ] 3 DaY [ ] 4 DaY [ 15 Day
p
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sample
- sample PH Acceptable- - YN NA
pR Strips:
l I Hold:
(Expedite Charges Apply)
r.j
sulfide Present Y N NA
bend Acetate SLrips r
' roa:r.c Cokta:• (Insc't #M Matri,')ox lJ.:6,w): Drinking Water (Old'1, Grot nd Water (GW), Wastewater (WW),
t rro::i (Pi, 5+:11; 5.: ti.l : nl t0:.t, y.';i , nWP;, Air (AR), Ttssu (,). H,cwssay (B), Vapor (tit), Of -her (OT]
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Customer Remarks / Special Conditions / Possible Hazards:
Type of ice Used:
Wet Blue Dry None
SHORT HOLDS PRESENT102 N N/A
Lab Sample Temperature Info:
Temp Blank d: Y N NA
Packing Material Used. '
Lab Tracking qc
�``y►
Therm IDp
Cooler l Temp•Upon Recef C
Cooler 1 Therm Corr. Factor oc
pies received via:
Radchem sample(s) screened (sSOD cpmj:• _Y " N NA
UPS Client Courer at
Cooler 1Corrected Temp: oC
Comments:
Relinquished by/Compan Signature)
Dat4'TIm
(
Recely d by/Co any: (Signa re)
Date/Time: 1
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MTJL
Table N:
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Template:
Reli uished by/Company- (Signature)
Date/Time:
Rece ve by/ ompany: (Signature)Acctnum:
Date/Time:
Trip Blank Received: V N NA
_
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Prelogin:
ply:
HCL McOH TSP Other
Reli �uished by/Company: (Signature)
Date/nme:
Received by/Company: (Signature)
Date/Time:
__ _
Non Conformance(s)�Page:
_ _
_PB: _��.YES
� NO `_Vv of: