WQ0005910_Monitoring - 03-2022_20220426 (2)

Avoca,LLC
PO Box 129
Avoca, LLC 841 Avoca Farm Rd
Merry Hill,NC 27957
The World's Premier Botanical Extraction Company Phone: [phone]
Fax: [phone]
Date: April 22, 2022
NC Division of Water Resources
Attn: Information Processing Unit
1617 Mail Service Center
Raleigh,NC 27699
Subject: Avoca, LLC - Permit No. WQ0005910 - Bertie County
1) Spray Irrigation and Non-Discharge Wastewater Monitoring Report
2) Groundwater Quality Monitoring Report
Report for March 2022 Tl
t•' 'T1
Enclosed you will find 3 copies of the compliance reports on forms NDAR
NDMR-1 as required by Permit No. WQ0005910. N 1
Also enclosed are forms GW-59 for the 6 monitoring wells.
Note: MW-4 has now been closed as approved by NCDEQ/DWR. Also, MW-11 has
been added as a background well.
If you have any questions, please contact me at(252)482-2133.
Sincerely,
`'fin
Brian M. Conner, O.R.C.
Avoca, LLC
A
O
N

GW-59A COMPLIANCE REPORT FORM Permit #(AQOOoGcll4O
(Submit one each monitoring period with Gib=59 forms.)
1 Enter date monitoring results were due. (4130112.) Will this monitoring report (GW-59 and GW-59A) YES -N
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms? YES NO
IF the answer to question 1 or 2 is "YES" list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap, missing YES NO
identification plate,area overgrown,etc.)?if the answer is "Yes", contact the Regional Once for guidance. V/
Are any monitored constituents equal to or above the established standards? YES NO
if the answer to question 4 is"NO", skip to section 8.
If the answer to question 4 is "YES"list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
.ArM.mon:w 1DS
M‘,0-lt. t I•G tAv,) S - 5
160
N.v.31t= (.-iO
5 For the constituents identified In question 4 above, have standards been exceeded previously for the YES NO
same constituent(s)in the same well(s) in the last two years?
if the answer to question 5.is "NO", skip to section 8.
If the answer to question 5 is "YES'; list in the space provided below, each well with constituent(s) exceeding .
standards, concentration(s) reported, and sample collection date for each occurrence (for(he last two years). V
►.1.�.) 1i. p emwo^:". ( Mtalt 'ADS _ 1 1' S -MS
ititb12t-q.bCo ttIulao-0..2) Ntltt,iq\.. SsbO 1‘It'1?o-SceS
-'ttat,131-1.0% -itw(00- tt.3a 1414 -tlxtalat- S%O 112%110- SS 1
31211A - q41 31231it- SttiO 313a% o- Sig ,
_6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located;contact the Regional Office.
•
7 is the permittee implementing previously approved actions required by the Division involving this YES NO
groundwater quality problem?
' if the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties. /
•
•
8 The person completing this portion(GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
1 V� �.vmv:1- n1�/N IY:t. WrMI.....�...
I'tieFbby acknowledgeahat he at�bve itatifi tton was evai;uaitailf#9 the lrifo natlan subiii ed n�thts4.
report,(Compllapce Report GyW,59A)Is true,and complete to,the best of my knowledge, ; ,, ;;;, , r;
•
y-2'1..-2.2-
Signature t) Date

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
•
RALEIGH,NC 27699-1636 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type 1
,O`�1I2�y
ND(I1 LLC. PERMIT#: • EXPIRATION DATE:
Facility Name: Non-Discharge LOQ 00059% UIC
Permit Name (if different): NPDES
Facility Address: 9)LA 1 P► Qca vavvr, F,00.a
Mtvv,� 1-l;ltf (Street) NL 2•-Ig5.7 County 3 le- TYPE OF PERMITTED OPERATION BEING MONITORED
(City) ilr, (Slate) (Zip) Lagoon Remediation: Infiltration Gallery
Contact Person: ��� �+�4�' Telephone#:2Z y�2-�133 g
Well Location/Site Name: No. of Wells to be Sampled: Spray Field Remediation:
p (from Permit) Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): MW-5 For Groundwater Treatment Systems Other:
Well Depth: 21.1 ft. Well Diameter: 2- in.
Check One: ❑ Influent (98)
Screened Interval: 16 ft. to_ 22- ft. 0 Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: 41•2- ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: 2- ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: S Date sample collected:3-30-2.2 Date sample analyzed: 3-30-2 . 3 4-S-22. _
Field analysis: pH 14-3(v , Specific Conductance uMhos Laboratory Name: Eirw wor w zerk 1-
Temp. fs•1 °C, Odor tJOv‘e- Appearance '2twar Certification No. 10 .
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified ✓ YES NO)
COD mg/I Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal /100m1 Nitrate (NO3) as N < O.o4 mg/ Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P 0.3 0 mg/ Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen mg/I
Dissolved Solids: Total Si 0 mg/I Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/
TOC 2-1% mg/I Ca - Calcium A(0. (AS mg/
Chloride 30 mg/I Cd - Cadmium mg/
Arsenic mg/I Chromium: Total mg/
Grease and Oils mg/I Cu - Copper mg/
Phenol mg/I Fe - Iron - mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/ (Specify test and method#. *tech lab report.)
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes ✓ (1) No (0)
Total Ammonia 0 .0$ mg/I Mg - Magnesium mg/ VOC : method#_
TKN as N mg/I Mn - Manganese— mg/ : method # =
: method tt=
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWO(formerly DEM)certified laboratory.I am a are that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. pv t S�rIO V ►n,_SP V & — .1 d Gr1 t
Permitte (or Au, • . Ti�'. le-Please print or type
—. 14-22-22_
GW-59 .. �•!.
Signature of ' e- ;—':?"7"'. gent) (Date)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM •
1636 MAIL SERVICE CENTER
RALEIGH,NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type 1O�31�' oZy
Facility Name: oCu �-LC PERMIT#: EXPIRATION DATE:Non-Discharge LO Q Ooo591 O UIC
Permit Name (if different): NPDES
Facility Address: 't41 PNOca Vavvr, Road
Mtvvvt \-tilt (Slreel) 1•k 2.1957 County 3 1 e• TYPE OF PERMITTED OPERATION BEING MONITORED
(City) (dale) (Zip)
Lagoon Remediation: Infiltration Gallery
Contact Person: u'1� ���-+r Telephone#:2SZ y$2-�133 g
Well Location/Site Name: No. of Wells to be Sam led:. _ Spray Field Remediation:
p (from Permit) Rotary Distributor Land Application of Sludge
Well Identification t'uhnber(from Permit): Nkl.D-1 For Groundwater Treatment Systems Other:
Well Depth: Z7 ft. Well Diameter: 2- in. Check One: ElInfluent (98)
Screened Interval: 3 ft. to ‘53") ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: 2• ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: S Date sample collected:3-io-22 Date sample analyzed: 3)30)Z. - y I S I:2
Field analysis: pH 4-56. , Specific Conductance uMhos Laboratory Name: EleNv►YOyiir v Y1k 1-
Temp. IS•lb °C, Odor None Appearance Clear. Certification No. kQ .
PARAMETERS (Samples for metals were collected unfiltered 17 YES NO and field acidified YES NO)
COD mg/ Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal /100m Nitrate (NO3) as N 0 •14 mg/ Pb - Lead mg/I
Coliform: MF Total /100m Phosphorus: Total as P O• t S mg/ Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen mg/I
Dissolved Solids: Total 2. I 0 mg/ Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/
TOC Li •y l mg/ Ca - Calcium (o•4"1(v mg/
Chloride 21 mg/ Cd - Cadmium mg/
Arsenic mg/ Chromium: Total mg/
Grease and Oils mg/ Cu - Copper mg/
Phenol mg/ Fe - Iron - mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/ Hg - Mercury mg/ (Specify test and method#. Vach lab report.)
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes\ (1) No (0)
Total Ammonia -O. 04 mg/ Mg - Magnesium mg/ VOC : method#=
TKN as N mg/ Mn - Manganese mg/ : method # =
: method ft=
I certify that,to the best of my knowledge and belief,the Information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWQ(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and Imprisonment for knowing violations. rA
r1U ask►►nu_ ti. - -. •A n - ,I Py•cs;cieY*
Permilte• (or Authori -d A.4 r,any,le-Please print or type
GW-59 • �.I 4...2?.—ZZ
Signature of Permi ee(or i,,or '.ent) (Date)
Rev. 03/2000 / /•

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGH NC 27699-1636 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type ,O 31I 2
024
LC, PERMIT#: • ' ,
Facility Name: �D�Lx L P �!Q Ooo5910 UIC
EXPIRATION DATE:
Non-Discharge �^
Permit Name (if different): NPDES
Facility Address: 9)t41 P►voca Favtv►- li2,0o.c1
Remediation: Infiltration oon
Mtvvvl K;I l (Street) K 1` Z'IQsj f County �'��e- TYPE OF PERMITTED OPERATION BEING MONITORED
(City) (stale) (z)a)
Contact Person: el� Co�.ev" Telephone#:2 :y
� 82-�t 133 Lagoon Gallery
Well Location/Site Name: No. of Wells to be Sampled: Spray Field Remedialion:
(Irom Permit) Rotary Distributor Land Application of Sludge
Well Identification umber(from Permit): M1.3-46 For Groundwater Treatment Systems Other:
Well Depth: t ft. Well Diameter: 2- in. Check One: ❑ Influent (98)
Screened Interval: 3 ft. to it) ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: 7.2_ ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.) is: Z ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: S Date sample collected: 3-30-22 Date sample analyzed: 3-30-X2 - 4 "5--2.2
Field analysis: pH `•3 , Specific Conductance uMhos Laboratory Name: E1nv yorwnftnrk 1.
Temp. IS l °C, Odor NovIc Appearance Cleo✓ Certification No. k0 .
PARAMETERS (Samples for metals were collected unfiltered ✓ YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal /100m1 Nitrate (NO3) as N 0•S O mg/ Pb - Lead _ _ _ mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P O•44 mg/ Zn - Zinc _ _ mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen mg/I
Dissolved Solids: Total 330 mg/I Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/
TOC 40•22_ mg/I Ca - Calcium "2.O•46431 mg/
Chloride 15- mg/I Cd - Cadmium mg/
Arsenic mg/I Chromium: Total mg/
Grease and Oils mg/I Cu - Copper mg/
Phenol mg/I Fe - Iron - mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/ (Specify test and method#. /1ttach lab report.)
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes (1) No (0)
Total Ammonia O•Lib mg/I Mg - Magnesium mg/ VOC : method#=
TKN as N mg/I Mn - Manganese mg/ : method #=
. : method ll=
I certify that,to the best of my knowledge and belief,the Information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods ot analysis by a North Carolina DWO(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information.
including the possibility of fines and imprisonment for knowing violations.
t- u k►nu _erv.'Ace.1n - I (Ves;Ault
Permitte (or Authorized '. a d Tnl Please print or type
GW-59 y-22 27_
Signature or Permits • • • ., .•..r:._• -- (Date)
Rev. 03/2000 "%/�

SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM •
1636 MAIL SERVICE CENTER
RALEIGH NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type �0�31 t2�y
Facility Name: Nance), LLC PERMIT#: • EXPIRATION DATE:
Non-Discharge 1,3 Q 0005910 UIC
Permit Name (if different): NPDES
Facility Address: 9)y 1 f NOca F.4 Uv,., Road
Mtvv� 1-ltl( (Street) 1NL 7-145? County ke- TYPE OF PERMITTED OPERATION BEING MONITORED
(City) , tstaie) (Zip)
Lagoon Remediation: Infiltration Gallery
Contact Person: +��+ CO�t+r Telephone#:2Z 4�2-�133 g
Well Location/Site Name: No. of Wells to be Sampled:_�_ Spray Field Remedialion:
(from Permit) Rotary Distributor Land Application of Sludge '
Well Identification Number(from Permit).• - For Groundwater Treatment Systems Other:
Well Depth: 22•Eb ft. Well Diameter: in.
Check One: 0 Influent (98)
Screened Interval: 1,0 ft. to �3 ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: 11.1 ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.) is: 2- ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pum ed/bailed before sampling: S Date sample collected:3-3o-1. Date sample analyzed: 3 i30b 2- M Ic) 2
Field analysis: pH •41 , Specific Conductance #vMhos Laboratory Name: Env kYOnvr.t,n-k
Temp. IS-� °C, Odor ?'.JOv e. Appearance lea" Certification No. 10
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified //YES NO)
COD mg/ Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal /100m Nitrate (NO3) as N 0.19 mg/I Pb - Lead mg/I
Coliform: MF Total /100m Phosphorus: Total as P 0.04 mg/I Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen mg/I
Dissolved Solids: Total 2--7 0 mg/ Al - Aluminum mg/I Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/I
TOC t-20 mg/ Ca - Calcium 50.30E mg/I
Chloride 31 mg/ Cd - Cadmium mg/I
Arsenic mg/ Chromium: Total mg/I
Grease and Oils mg/ Cu - Copper mg/I
Phenol mg/ Fe - Iron • mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/ Hg - Mercury mg/I (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes (1) No (0)
Total Ammonia 40•o 4 mg/ Mg - Magnesium mg/I VOC : method #=
TKN as N mg/ Mn - Manganese mg/I : method # =
. : method ft=
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWO(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. Pl �St;n
u - v. etn — i PYt S;[Welt
Permittee(or Authorized A. t) m . the/ease print or type
GW-59 4-22--22'
Signature of Permittee Y>- '"' , j "— (Date)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGH,NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type t,�,31 t2o24
Facility Name: I Wt(1 LLC PERMIT#: • EXPIRATION DATE:
Non-Discharge 1,3Q 0005910 UIC
Permit Name (if different): NPDES
Facility Address: 9)Li l Avoca Vavvrt Road
Mtv )yi 1-I;l l (Street) C- Z'17o51 County ' ;e- TYPE OF PERMITTED OPERATION BEING MONITORED
(cily) ' (Slate) (Zip) Lagoon Remediation: Infiltration Gallery
Person: ��i�I1 C.Ohnt-� Telephone#:2 �y�2-�133 g
Well Location/Site Name: No. of Wells to be Sampled:�rmi_ Spray Field Remedialion:
(from Pet) Rotary Distributor Land Application of Sludge •
Well Identification Number(from Permit): t 'tw7' 1Q For Groundwater Treatment Systems Other:
Well Depth: 2-O ft. Well Diameter: 2- in. Check One: 0 Influent (98)
Screened Interval: ft. to 2 0 ft. ❑ Effluent (99) NOTE; Values should reflect dissolved and
Depth to Water Level: • ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: 2- ft.above land surface. Relative M.P. Elevation in ft:
Gallons of water pum ed/bailed before sampling: 5 Date sample collected: 3-30-22 Date sample analyzed: 313O 22 " L1S 42,E
Field analysis: pH•14 Specific Conductance uMhos Laboratory Name: E YNV►VOVW"eir t 1
Temp. _.k____°C, Odor #J o'1 c Appearance JCie* Certification No. 10
PARAMETERS (Samples for metals were collected unfiltered NY ES NO and field acidified ✓ YES NO)
COD mg/ Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal /100m Nitrate (NO3) as N 6.50 mg/I Pb - Lead mg/I
Coliform: MF Total /100m Phosphorus: Total as P O. 2(49 mg/I Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen mg/I
Dissolved Solids: Total �00 mg/ Al - Aluminum mg/I Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/I
TOC 1.22. mg/ Ca - Calcium .%•7 3l mg/I
Chloride 100 mg/ Cd - Cadmium mg/I
Arsenic mg/ Chromium: Total_ mg/I
Grease and Oils mg/ Cu - Copper mg/I
Phenol mg/ Fe - Iron • mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/ Hg - Mercury mg/I (Specify test and method#. ach lab report.)
Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes'/ (1) No (0)
Total Ammonia 40. 0 L4 mg/ Mg - Magnesium mg/I VOC : method#=
TKN as N mg/ Mn - Manganese mg/I : method # =
: method ff=
I certify that,to the best of my knowledge and belief,the Information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWO(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. r
ut)Sk►►nu ex v*;�4 Se th - ;P 9,e<S;ACY �
Permitte (or Authori d A nt am and le-Please print or type
GW-59 •
y-22^22.
Signature of Per ' o (Date)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGH,NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type 10�,31�zozy
Facility Name: PWOOk LLC PERMIT#: • EXPIRATION DATE:
Non-Discharge t3Q 00059 10 UIC
Permit Name (if different): NPDES
Facility Address: 9 1 AVOcu fravvn Road
Mcvvvl 1-1;11 (Sireel) NL 2:1951 County 3 le- TYPE OF PERMITTED OPERATION BEING MONITORED
(city) (slate) (zip) La oon Remediation: Infiltration Galle
Contact Person: wl✓" C0 .er Telephone#:2S�y(62-�133 g ry
Well Location/Site Name: No. of Wells to be Sampled:—6_ Spray Field Remediation:
prom Permil) Rotary Distributor Land Application of Sludge '
Well Identification Number(from Permit): 14.i-11 For Groundwater Treatment Systems Other:
Well Depth: 20 ft. Well Diameter: 2- in. Check One: 0 Influent (98)
Screened Interval: ft. to 2-0 ft. 0 Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: Z• ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: 2-- ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/b iled before sampling: S Date sample collected:3-30-22 Date sample analyzed: 31so a'.I- 4 �.2 t5�
Field analysis: pH • , Specific Conductance uMhos Laboratory Name: Erty kNrCre v+eteanj4 Z-
Temp. iS-q °C, Odor NJOsite., Appearance .Jfety Certification No. tif7)
PARAMETERS (Samples for metals were collected unfiltered ✓YES NO and field acidified ✓YES NO)
COD mg/I Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal /100m1 Nitrate (NO3) as N O.O—T mg/ Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P -t0 .0'4 mg/ Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen mg/I
Dissolved Solids: Total (o1V mg/I Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/
TOC 7.04 mg/I Ca - Calcium is•SoS mg/
Chloride 19 mg/I Cd - Cadmium mg/
Arsenic mg/I Chromium: Total mg/
Grease and Oils mg/1 Cu - Copper mg/
Phenol mg/I Fe - Iron - mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/ (Specify test and method#. Mach lab report.)
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes ✓ (1) No (0)
Total Ammonia 11.5 mg/I Mg - Magnesium mg/ VOC : method#=
TKN as N mg/I Mn - Manganese mg/ : method # =
. : method #=
I certify that,to the best of my knowledge and belief,the Information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods otanalysis by a North Carolina DWQ(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and Imprisonment for knowing violations. rAa I prt SI d,Grl'�r1U *►r,u, —
Permiue (or Authoriz-. Ag= and e-Please print or type
4-22-22
GW 59 Signature of Per 41:1 /rigr l - (Date)
Rev. 03/2000 /

tEnwiTorimilang EcgTpaTErRgEpl
,t ! � u' " n Drinking' Water^ 2Di 3711.5
,�
Wastewater ZA: 10.E
114 OAKMON I DRIVE PHONE [phone]
GREENVILLE. N.C. 27858 FAX [phone]
ID#: 132
AVOCA, LLC (WASTEWATER)
MR. BRIAN CONNER
P.O. BOX 129 DATE COLLECTED: 03/30/22
MERRY HILL, NC 27957 DATE REPORTED : 04/21/22
REVIEWED BY: _/✓ -
Effluent Well #5 Well #7 Well #8 Well #9 Analysis Method
PARAMETERS Date Analyst Code
BOD, mg/1 g 3620 03/30/22 CAW 5210B-16
Total Suspended Residue, mg/1 593 03/31/22 DIJ 2540D-15
Ammonia Nitrogen as N, mg/I <0.04 0.08 <0.04 0.48 <0.04 04/01/22 TRJ 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 266.6 04/05/22 KES 351.2 R2-93
Nitrate+Nitrite as N, mg/1 (calc) 0.48 353.2 R2-93
Nitrate Nitrogen as N, mg/1 0.14 <0.04 0.74 0.50 0.79 03/30/22 BMD 353.2 R2-93
Nitrite Nitrogen as N, mg/1 0.34 03/30/22 TRJ 353.2 R2-93
Total Phosphorus as P, mg/I 23.60 0.30 0.15 0.44 0.04 04/05/22 KES 365.4-74
Total Organic Carbon, mg/1 2.78 4.41 10.22 1.20 03/31/22 JMS 5310C-14
Chloride, mg/I 38 30 29 15 31 04/04/22 DIJ 4500CLB-11
Total Dissolved Residue, mg/1 1700 580 240 330 270 03/31/22 HCE D5907-13
Calcium, ug/I 13007 36683 6476 20889 50388 04/01/22 LFJ EPA200.7
Magnesium, ug/1 2134 04/01/22 LFJ EPA200.7
Sodium, ug/1 127757 04/01/22 LFJ EPA200.7
Sodium Adsorption Ratio (calc) 8.7
Total Nitrogen, mg/1 (calc) 267.08
All QC requirements were not met: g OGA check standard was not 198 i 30.5 mg/1.

D
Drinking Water ID: 37715
Wastewater ID: 10
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE. N.C. 27858 FAX [phone]
ID#: 132
AVOCA, LLC (WASTEWATER)
MR. BRIAN CONNER
P.O. BOX 129 DATE COLLECTED: 03/30/22
MERRY HILL, NC 27957 DATE REPORTED : 04/21/22
REVIEWED BY: _
Well #10 Well #11 Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/1 <0.04 11.50 04/01/22 TRJ 350.1 R2-93
Nitrate Nitrogen as N, mg/I 6.50 0.07 03/30/22 BMD 353.2 R2-93
Total Phosphorus as P, mg/I 0.26 <0.04 04/05/22 ICES 365.4-74
Total Organic Carbon, mg/I 1.22 7.04 03/31/22 JMS 5310C-14
Chloride, mg/I 100 19 04/04/22 DIJ 4500CLB-11
Total Dissolved Residue, mg/1 400 670 03/31/22 HCE D5907-13
Calcium, ug/I 28731 15505 04/01/22 LFJ EPA200.7
All PC requirements were not met: g GGA check standard was not 19B ± 30.5 mg/1.

Environment 1,Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Pace 1 of' 1
Greenville,NC 27858
environment I inc.com DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone[phone]• Fax[phone] r�
f CHLORINE ,
CLIENT: 132 Week: 15 �� UV /�, / ;IdpH CHECK(LAB)
I
AVOCA,LLC(WASTEWATER) 11:1NONE PPPPPPPPPPPPP CONTAINER TYPE,PlG
MR. BRIAN CONNER
P.O.BOX 129 CHEMICAL PRESERVATION
MERRY HILL NC 27957 A A C C C, A ACCA A A A A
`5)C7 A-NONE D-NAOH
M - U7
252)482-2133 ¢—�� w z L = v ci B-HNO, E-HCL
( oc o on
v a w z Z • a d w C-H2S0, F-ZINC ACETATE NAOH
COLLECTION _, w —J O 3 ;; ;; ? :a Z
r z 8 W G x z L L a c� o c 2 x G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME c`�a rw- ¢ 1 "' x = O L z A °' d o 0-
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711 :'s CLASSIFICATION:
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30• t5 s ,.. _:. ...
Fffl n yy
f
7 .. ...,_ ,. WASTEWATER NPDES�
Well#4 - (NPDES)
3-30
r N.
Well�t5 Oi 7 Ni! ;i1 Rik »>:::< ::;«<: 11 DRINKING WATER
a v s.e7 = = <:well#7
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a i
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wens 3.30 as low
CC 9 7 '•::r q w'> ... _ .,,.,. W.
Iriii` $^ SOLID WASTE SECTION
Well� 3-3a-aZ 09LKS (5. 7 . ....._ . 3 ,::�:,
E = 6.. CHAIN OF CUSTODY(SEAL)MAINTAINED
Well#10 3-30 a1 too S 16 7 =< »: nvh .. ; : .:: `;-? :.:�
" ` •'' DURING SHIPMENT/DELIVERY
Well#11 •at albs 7 .t 3=. VEI. >M ET Y N
SAMPLES COLLECTED BY:
(Please Print)
P,013S8 -.uN-N
I SAMPLES RECEIVED IN LAB AT 3_ j 'C
RELINQUISHED BY(SIG.)(SAMPLER) DATE/TIME EIVED BY(SIG.) / DATE'TIME COMMENTS:
3-3o-al i°yo %cam; / — 313o/2 2
RELINQ BY(SIG.) DATE/TIME RECEIVED BY(GG.) DATE`i 1ME
I I
RELINQUISHED BY(SIG.) DATE/TIME RECEIVED BY(SIG.) DATE/TIME
I.
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G°for NQ 404430
FORM;s Grab sample in the blocks above for each parameter requested.

GEL Laboratories Lc . 0
PO 66K 30712 Charleston.Fie 29417
a member of The GEL Group INC 2040 Savage Road Chadaston.SC29407
P 843_556.9171
F 0 3..766.1178
gel.corn
April 15,2022
Ms.Ann Brown
Environment One,Inc.
114 Oakmont Drive
Greenville,North Carolina 27858
Re:Routine Analytical-North Carolina
Work Order: 575862
Dear Ms.Brown:
GEL Laboratories,LLC(GEL)appreciates the opportunity to provide the enclosed analytical results for the
sample(s)we received on April 06,2022.This original data report has been prepared and reviewed in accordance
with GEL's standard operating procedures.
Test results for NELAP or ISO 17025 accredited tests are verified to meet the requirements of those standards,
with any exceptions noted.The results reported relate only to the items tested and to the sample as received by
the laboratory.These results may not be reproduced except as full reports without approval by the laboratory.
Copies of GEL's accreditations and certifications can be found on our website at www.gel.com.
Our policy is to provide high quality,personalized analytical services to enable you to meet your analytical needs
on time every time. We trust that you will find everything in order and to your satisfaction. If you have any
questions,please do not hesitate to call me at(843)556-8171,ext. 1614.
Sincerely,
Delaney Stone
Project Manager
Purchase Order:PO
Enclosures
Page 1 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis Report
for
ENV0001 Environment One, Inc.
Client SDG: 575862 GEL Work Order: 575862
The Qualifiers in this report are defined as follows:
* A quality control analyte recovery is outside of specified acceptance criteria
** Analyte is a Tracer compound
** Analyte is a surrogate compound
J See case narrative for an explanation
J Value is estimated
U Analyte was analyzed for,but not detected above the MDL,MDA,MDC or LOD.
Where the analytical method has been performed under NELAP certification,the analysis has met all of the
requirements of the NELAC standard unless qualified on the Certificate of Analysis.
The designation ND,if present,appears in the result column when the analyte concentration is not detected above
the limit as defined in the 'U'qualifier above.
This data report has been prepared and reviewed in accordance with GEL Laboratories LLC
standard operating procedures.Please direct any questions to your Project Manager,Delaney Stone.
122fue c:t4rt\t—
Reviewed by
Page 2 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15, 2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Effluent Project: ENV000101
Sample ID: 575862001 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 09:15
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 27.7 1.34 4.00 mg/L 20 JLDI 04/09/22 1529 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 3 of 16 SDG: 575862

GEL LABORATORIES LLC
• 2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Well#5 Project: ENV000101
Sample ID: 575862002 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 09:35
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 5.25 0.134 0.400 mg/L 2 JLD1 04/09/22 1600 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC: Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 4 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Well#7 Project: ENV000101
Sample ID: 575862003 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 10:20
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 20.1 0.670 2.00 mg/L 10 JLD 1 04/09/22 1631 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL:Sample Quantitation Limit
Page 5 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina _
Client Sample ID: Well#8 Project: ENV000101
Sample ID: 575862004 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 10:35
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 9.72 0.670 2.00 mg/L 10 JLD1 04/09/22 1702 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 6 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.cam
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Well#9 Project: ENV000101
Sample ID: 575862005 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 09:45
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide U 0.000 0.0670 0.200 mg/L 1 JLD1 04/09/22 1733 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
•
Page 7 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Well#10 Project: ENV000101
Sample ID: 575862006 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 10:05
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 0.334 0.0670 0.200 mg/L 1 JLDI 04/12/22 0714 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 8 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston SC 29407-[phone] -www.gel.com
Certificate of Analysis
Report Date: April 15,2022
Company: Environment One,Inc.
Address: 114 Oakmont Drive
Greenville,North Carolina 27858.
Contact: Ms.Ann Brown
Project: Routine Analytical-North Carolina
Client Sample ID: Well#11 Project: ENV000101
Sample ID: 575862007 Client ID: ENV0001
Matrix: Water
Collect Date: 30-MAR-22 09:05
Receive Date: 06-APR-22
Collector: Client
Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method
Ion Chromatography
EPA300.0 Bromide Liquid"As Received"
Bromide 5.70 0.134 0.400 mg/L 2 JLD1 04/09/22 1834 2251885 1
The following Analytical Methods were performed:
Method Description Analyst Comments
1 EPA 300.0
Notes:
Column headers are defined as follows:
DF:Dilution Factor Lc/LC:Critical Level
DL:Detection Limit PF:Prep Factor
MDA:Minimum Detectable Activity RL:Reporting Limit
MDC:Minimum Detectable Concentration SQL: Sample Quantitation Limit
Page 9 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407-[phone] -www.gel.com
QC Summary Report Date:April 15,2022
Environment One,Inc. Page 1 of
114 Oakmont Drive
Greenville,North Carolina
Contact: Ms.Ann Brown
Workorder: 575862
Parmname NOM Sample Qual QC Units RPD% REC% Range An1st Date Time
on Chromatography
3atch 2251885
QC1205062472 575896001 DUP
Bromide J 0.263 J 0.259 mg/L 1.76 A (+/-0.400) JLD 1 04/09/22 20:3
QC1205062471 LCS
Bromide 1.25 1.32 mg/L 106 (90%-110%) 04/09/22 14:5
QC1205062470 MB
Bromide U 0.000 mg/L 04/09/22 14:2
QC1205062473 575896001 PS
Bromide 1.25 J 0.132 1.44 mg/L 104 (90%-110%) 04/09/22 21:0
Notes:
The Qualifiers in this report are defined as follows:
< Result is less than value reported
> Result is greater than value reported
B The target analyte was detected in the associated blank.
E General Chemistry--Concentration of the target analyte exceeds the instrument calibration range
H Analytical holding time was exceeded
J See case narrative for an explanation
J Value is estimated
N/A RPD or%Recovery limits do not apply.
N 1 See case narrative
ND Analyte concentration is not detected above the detection limit
NJ Consult Case Narrative,Data Summary package,or Project Manager concerning this qualifier
Q One or more quality control criteria have not been met.Refer to the applicable narrative or DER.
R Per section 9.3.4.1 of Method 1664 Revision B,due to matrix spike recovery issues,this result may not be reported or used for regulatory compliance
purposes.
R Sample results are rejected
U Analyte was analyzed for,but not detected above the MDL,MDA,MDC or LOD.
X Consult Case Narrative,Data Summary package,or Project Manager concerning this qualifier
Z Paint Filter Test--Particulates passed through the filter,however no free liquids were observed.
Page 10 of 16 SDG: 575862

GEL LABORATORIES LLC
2040 Savage Road Charleston, SC 29407-[phone] -www.gel.com
QC Summary
Workorder: 575862 Page 2 of
Parmname NOM Sample Qual QC Units RPD')/0 REC% Range Anlst Date Time
^ RPD of sample and duplicate evaluated using+/-RL. Concentrations are<5X the RL. Qualifier Not Applicable for Radiochemistry.
d 5-day BOD--The 2:1 depletion requirement was not met for this sample
e 5-day BOD--Test replicates show more than 30%difference between high and low values.The data is qualified per the method and can be used for
reporting purposes
h Preparation or preservation holding time was exceeded
N/A indicates that spike recovery limits do not apply when sample concentration exceeds spike cone.by a factor of 4 or more or%RPD not applicable.
A The Relative Percent Difference(RPD)obtained from the sample duplicate (DUP)is evaluated against the acceptance criteria when the sample is greater than
five times(5X)the contract required detection limit(RL).In cases where either the sample or duplicate value is less than 5X the RL,a control limit of+/-the
RL is used to evaluate the DUP result.
*Indicates that a Quality Control parameter was not within specifications.
For PS,PSD,and SDILT results,the values listed are the measured amounts,not final concentrations.
Where the analytical method has been performed under NELAP certification,the analysis has met all of the
requirements of the NELAC standard unless qualified on the QC Summary.
Page 11 of 16 SDG: 575862

General Chemistry •
Technical Case Narrative
Environment One,Inc.
SDG#:575862
Product: Ion Chromatography
Analytical Method: EPA 300.0
Analytical Procedure:GL-GC-E-086 REV#30
Analytical Batch: 2251885
The following samples were analyzed using the above methods and analytical procedure(s).
GEL Sample ID# Client Sample Identification
575862001 Effluent •
575862002 Well#5
575862003 Well#7
575862004 Well#8
575862005 Well#9
575862006 Well#10
575862007 Well#11
1205062470 Method Blank(MB)
1205062471 Laboratory Control Sample(LCS)
1205062472 575896001(NonSDG)Sample Duplicate(DUP)
1205062473 575896001(NonSDG)Post Spike(PS)
The samples in this SDG were analyzed on an"as received"basis.
Data Summary:
All sample data provided in this report met the acceptance criteria specified in the analytical methods and
procedures for initial calibration,continuing calibration,instrument controls and process controls where
applicable,with the following exceptions.
Technical Information
Sample Dilutions
The following samples 1205062472(Non SDG 575896001DUP), 1205062473 (Non SDG 575896001PS),
575862001 (Effluent),575862002(Well#5),575862003 (Well#7),575862004(Well#8)and 575862007(Well
#11)were diluted because target analyte concentrations exceeded the calibration range. Samples 1205062472
(Non SDG 575896001DUP), 1205062473(Non SDG 575896001PS), 575862001 (Effluent),575862002(Well
#5),575862003 (Well#7), 575862004(Well#8),575862006(Well#10)and 575862007(Well#11)were
diluted based on historical data.Dilutions may be required for many reasons,including to minimize matrix
interferences or to bring over range target analyte concentrations into the linear calibration range.
575862
Analyte
001 002 003 004 007
Bromide 20X 2X l0X 1OX 2X
Certification Statement
Where the analytical method has been performed under NELAP certification,the analysis has met all of the
Page 12 of 16 SDG: 575862

requirements of the NELAC standard unless otherwise noted in the analytical case narrative.
Page 13 of 16 SDG: 575862

r .Box rent 1,Inc- CHAIN OF CUSTODY RECORD 575
1O. Box 7055, 114-Oakmont Dr. Page 1 of 1
Cueenville,NC 27858
cif v ironment l inc.com DISINFECTION
Rhone(252)756-6208•Fax [phone] � CHLORINE NEUTRALIZED AT COLLECTION
-..--A CHLORINE
IEN F: 132 Week:15 J U pH CHECK(LAB)
P
A pCA,LLC(WASTEWATER) I. NONE , , • P F CONTAINERTYPE,P/G
MR.BRIAN CONNER P .BOX 129 J CHEMICAL PRESERVATION
1NII I2RY HILL NC 27957 ( A • I:I
A Z . i
0.,0 i "' A-NONE D-NAOH
t p w v cn w ,
[phone] ¢ d oz w a B-HNC, E-HCL
O O � rt
= F -- w a w C H2SO4 F ZINC ACETATEiNAOH
COLLECTION c w I
< 17/1 a. 0 o z- c `c < G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME o o W d o ' E s
E+ e. W C o
:::
i
) y
O a, CLASSIFICATION:
3- 4 `I �
3a- lS a _
—Effluent )JJ
....^ : M '' 1 l WASTEWATER(NPDES)
—Well-#5 3-30-a'a.dy35 15.7 14 = ...
DRINKING WATER
SueIL1_7 3 3D-a3 10. 0 1 S.8 1, t w _ r .:
3 3o as Io3s f59 DWR/GW
YVelli/,8 t '
ygPll#9 3-3a- 0c L{s 15•2 ; _` '`' u SOLID WASTE SECTION
I ''' W' : ;y, CHAIN OF CUSTODY(SEAL)MAINTAINED
wP►t �n 3 3D a� too S �rD <a ?=, DURING SHIPMENT/DELIVERY
WeIL#11 3-3°•aa 0105- 1y.q 1 g >',< al`t .,...;_ O N
SAMPLES COLLECTED BY:
(Please Print) n
80$$`1 D`I( .A.r. 1, . __
SAMPLES RECEIVED IN LAB AT 3. 6°C
RELINQUISHED BY(SIG.)(SAMPLER) DATE/TIME F. EIVED BY(SIG.) DATE/TIME
COMMENTS:
o _3-3D-aj 1640 ‘..?"-4-:� �u, 3/3/21 j. 2 Q
RELINQ c BY(SIG.) DATETIME REr DATE/TIME
REUNQUISHED BY(SIG.) DATE/TIME RE IVE (SIG.) DATE/TIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for No �044��
FOAM#5 Grab sample in the blocks ahnua fnr pant)naramotor roni i,a -i

GEL I Laboratories LLC
SAMPLE RECEIPT&REVIEW FORM
Client: LTC, SDWAR/COC/Work Order: J I.oa f
Received By: BE Date Received: 7"-6- a
Circle p hie: t
FedEx Express FedEx Ground UPS Field Services Courier Other
Carrier and Tracking Number
IF 203 ?as '- 6361 4f.'
Suspected Hazard Information Z 'If Net Counts>100cpm on samples not matted"radioactive".contact the Radiation Safety Grf ap for further investigation.
1 Hazard Class Shipped: UN#: III
A)ShippcJ as a DOT Hazardous? 1111N2910,Is the Radioactive Shipment Survey Compliant?Yes_No
f
B)Did the client designate the simples are to be ` COC nntatibh orr`uhnticUVC Shelters Un containe)5 equa)eben �tgt t deutrod � �ro
S
received as radioactive? ,, ',: , , '.-:.. .. :; ... : /yi7 `.,.. .... „k 1�.
C)Did the RSO classify the samples a ` Maximum Net Counts Observed*(Observed Counts-Area Background Counts): v mR/Hr
radioactive? Classified as: Rad 1 Rad 2 Rad 3
`
C -OC notatio n or ti varlf labels on eonlsine t. en des
r qual clit igtta hon
D)Did the client designate samples are hazardous? ( 1, ,.. • ,_ •,..., i ,.
\ If D or E is yes,select Hazards below.
E)Did the RSO identify possible hazards? PCB's flammable Foreign Soil RCRA Asbestos Beryllium Other.
Sample Receipt Criteria >, Z Z Comments/Qualifiers(Required fur Non-Conforming Itims)
1 Shipping containers received intact and Circle Applicable: Seals broken Damaged container Leaking container Other(describe)
scaled? \ i
Chain of custody documents included Circle Applicable: Client contacted and provided COC COC created upon receipt
2 with shipment? \
Preservation Method: Wet lee Ice Packs Dry ice None Other: i
3 Samples requiring cold preservation Il
'all temperatures are recorded in Celsius TEMP: CPO
within(0<6 deg.C)?* I
Daily check performed and passed on IR Temperature Device Serial#:IR2-21
4 temperature gun? Secondary Temperature Device Serial#(If Applicable):
Circle Applicable: Scala broken Damaged container Leaking container Other(describe)
5 Sample containers intact and sealed?
Samples requiring chemical preservation Sample ID's and Containers Affected:
111
6 at proper pH?
If Preservation added,Lot#:
If Yes,arc Encores or Soil Kits present for solids?Yes_No NA (If yes.take to\OA Freezer)
Do any samples require Volatile Do liquid VOA vials contain acid preservation?Yes No NA (If unknown,select No)
• T ? Are liquid VOA vials free of headspacc?Yes_No NA_
Analysis. \
Sample ID's and containers affected:
\ ID's and tests affected:
8 Samples received within holding time?
9 Sample ID's on COC match ID's on \ ID's and containers affected:
bottles?
Date&time on COC match date&tune I Circle Applicable: No dates on containers No times on containers COC missing info Other(describe)
10 on bottles? \
Number of containers received match Circle Applicable: No container count on COC Other(describe)
II number indicated on COC?
12 Arc sample containers identifiable as
GEL provided by use of GEL labels? I
13 COC form is properly signed in \ Circle Applicable: Not relinquished Other(describe)
relinquished/received sections?
Comments(Use Continuation Form if needed): i
PM(orPMA)review:Initials N21-7s Date til' Y )a a Page 1. of
I GL-CHL-SR-001 Rev 7
Page 15 of 16 SDG: 575862

List of current GEL Certifications as of 15 April 2022
State Certification
Alabama 42200
Alaska 17-018
Alaska Drinking Water SC00012
Arkansas 88-0651
CLIA 42D0904046
California 2940
Colorado SC00012
Connecticut PH-0169
DoD ELAP/ISO17025 A2LA 2567.01
Florida NELAP E87156
Foreign Soils Permit P330-15-00283,P330-15-00253
Georgia SC00012
Georgia SDWA 967
Hawaii SC00012
Idaho SC00012
Illinois NELAP 200029
Indiana C—SC-01
Kansas NELAP E-10332
Kentucky SDWA 90129
Kentucky Wastewater 90129
Louisiana Drinking Water LA024
Louisiana NELAP 03046(AI33904)
Maine 2019020
Maryland 270
Massachusetts M—SC012
Massachusetts PFAS Approv Letter
Michigan 9976
Mississippi SC00012
Nebraska NE—OS-26-13
Nevada SC000122021-1
New Hampshire NELAP 2054
New Jersey NELAP SC002
New Mexico SC00012
New York NELAP 11501
North Carolina 233
North Carolina SDWA 45709
North Dakota R-158
Oklahoma 2019-165
Pennsylvania NELAP 68-00485
Puerto Rico SC00012
S.Carolina Radiochem 10120002
Sanitation Districts of L 9255651
South Carolina Chemistry 10120001
Tennessee TN 02934
Texas NELAP T104704235-22-20
Utah NELAP SC000122021-36
Vermont VT87156
Virginia NELAP 460202
Washington C780
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