WQ0002638_Lab Results_20150107

p 3 Z.
Town of Angier
P.O.Box278
Angier, NC 275.01
919-639-2071
R.H. Ellington
Coley B. Price
Mayor
Manager
Attn: Department: of Environment and Natural Resources
The Town of Angier recently sampled its monitoring
wells for its lagoon and spray irrigation facility. We
notified you that we had a measurable fecal coliform result
for monitoring well # 1. The Town of Angier re pulled the
sample and received the results stating that N/D for the
re pulled sample. The Town of Angier has come to
conclusion that there was error on our part in pulling the
first sample. If there is anything else you need from us
please let us know.
Thanks
Town of Angier
RECEIVEDIDENRIDINR
JAN 2 7 2015
Water
Post Office Box 278 • Angier, North Carolina 27501-0278 • [phone]

aceAnalytical®
wwwpacelebs.com
Jimmy Cook,
Town of Angier •
PO Box 278
Angier, NC 27501
Project: SAMPLING 1/715 •
Pace Prroject No.: 92232230
Sample:. MW#1
Parameters
Fecal Coliforms. ;
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27.607
[phone]
Page 1 of 1
Report Date: 01/14/2015.
Date Received: 01/07/2015.
Lab ID: 92232230001 : Collected:::01/07/15 13:30 Matrix: Water.
Results Units Report Limit .. Analyzed Qualifiers
Reviewed by:.
Liamm. Carrubba.
[e-mail]
RaleighCertification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
ND CFU/100 mL
- 1.0 . .01/07/15 15:25 -
• North Carolina Bioassay Certification # 16
North Carolina Drinking Water Certification #: 37731
Page 1 of 3

.aceAnalyticdl' '
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Document Name: Sample Condition Upon
Receipt (SCUR)
Document Revised: April 04, 2013
Page 1 of 2 '.
Document No.:
F-RAL-CS-001-rev.02
Issuing Authorities:
Pace Asheville Quality Office
Client Name: -n(1q) QJIr
Where Received: [� Huntersville 0 Asheville Eden or Raleigh
Courier (Circle): Fed Ex UPS LISPS . Client Commercial ace Other
` Custody Seal on Cooler/Box Present: D yes ( ' . no -Seals intact: , yes El no
Packing Material: E3 Bubble Wrap
Circle Thermometer Used: IR Gun
IR Gun Back UP
Temp Correction Factor: Add ubtract
Corrected Cooler Temp.: (�
Temp should be above freezing to &'•C
C
C biological Tissue is._Froien: Yes No
Comments:
Other
Blue None 0 Samples on ice. cooling process hag begun
Date and !nitrate of person oxe ining
con
check:
Chain of Custody Present: . • •
tglYea CINo ❑N►A
1. •
- -
_
-
.
Chaln of Custody Filled Out:
r ea ONo C IN!A
2: '
Chain of Custody Relinquished:
Y ONo OwA
3.
Sampler Name & Signature on COC:
Yes ONo ON/A
4.
Samples Arrived within Hold Time:
ves, ONo. . ON/A
6.. i
Short Hold Time Ana lysisl<TZhr):
, . Yes ONo ON/A.
�
'
Rush Turn Around Time Requested:
•
❑ves iZfNo ON/A
Y.
.
Sufficient Volume:.
Kum ONo ON/A
8. .
Correct Containers Used:
-Pace'Containers Used:
ciies ONo ❑wA
lees CINo CINlA
9.
Containers intact: •
bees ONo Om
10.
r
Filtered voiume•received for Dissolved tests
OYeo DNo pfwA
11,
,
Sample Labels match COC:
-Includes date/timellD/Analysis Matrix:
j�SYes grto ON/A
—
12.
•
.
All containers needing preservation have been checked.
All containers needing preservation are found to be In
compliance with EPA recommendation.
exceptions: VOA, colirorm,TOC, O&G, WI-DRO (water)
_•
J'
Ut'es ONo ❑N/A
rr((' I CINopWA
1 .
es ONo.
13,
•
•
Samples checked for dechlorination:
Yes ONo ON/A
44.
_ _
Headspace.In VOA Vials ;(>6mm):
CIYes ONo pJ A
15.
•
•
Trip Blank Present;
Trip Blank. Custody: Seals Present
Pace Trip Blank Lot #'(if purchas ): .•
❑Yes CINo A
Dyes Otto ((IAN/A
16.
.
Client Notification/.Resolution:
Person Contacted;
Comments/ Resolution:
Field Data Required? Y l N
SCURF ISRF
• Review::
Note: Whenever there isa discrepancy affecting North Carolina compl once
samples. a copy of this form will be sent to the North 'Carolina DEHNR
Certification Office ( Le out of hold, incorrect preservative, out of temp,
incorrect containers)
Date/Time:
Date";
1-c6-15.
Page 2 of 3

aceAnalytical
www.pacelabs.com
6701 Conference Drive, Raleigh. NC 27607
ph: (919) 9344984, fax: [phone]
NCWW Ced#67, NCDW.Cert#37731
Report Results To:
Company: h� 1
Address:
Chain .of Custody
Bill To;
wo. #
Project Reference:
Project Number:
Attn: Purchase Order #
Phone:
Fax:
Sampled by (signature):
❑.Standard Report Delivery.
0 Rush Report Delivery (w/surcharge)
"Rush prologs are subject to pear approval by
the laboratory
Requested Due Date-
Relinqui by (signature)
tved by gnatur
Date -
Time
Reli shed (signet )
ved by
( 9
Dale
Me
Relinquished by (- re) `
Received by (sl nature
Date •
Time
Receipt Conditions (Lap U Only)
O 4t2°C 0 Temp:. Lr. °G
Res. Chlorine:
O Absent O Present 0 nfa
Acid preserv. <2?
O Yes ❑ No O n/a
Base present >12?
❑ Yes 0' No 0 Na
• Page 3 of 3