WI0700458_Lab Data_20220831

North Carolina Division of Water Resources
Laboratory (Water Sciences Section) Water Sample Collection & Submittal Form ,.
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Visit ID:
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Lab
Laboratory
Sample Number:
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Location Description:
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Location Code:
LA
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Date Received:
M/D/Y
Time Received:
(24hrformat)
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County:
f t. tit u Q `1
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Collector:
V
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Priority:
Ambient
Routine
COC
Emergency
QA
Water
Matrix:
Surface
Ground
Waste
Solution
Foam
_ ogin
Location
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blank
�l(k �L-t'(�E
Type:
Lake
Canal
Influent
Filter Blank
Trip Blank
Water Supply. ((
,(tym kxMU
keg
DWR Region:
(based on county)
/ c., 11,2 en
(/`/ )'` \�. V
DWR Office:(
(or agency name)
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Received 8y:
River Basin:
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(m/d/y):
(honin/endl
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Delivery Method:
State Courier
Notes:
r A(24 / h).
be m entl
T(begin/end)
C �' ��
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tt(
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chi
the
'Other.
file
Hand Delivered
other:
sampan
m""oe`
x
Grab
Other:
Chlorinated
Filtered Dissolved analysis: Enter 01s in
in Field check -boxes for parameters
Sample
Depth:
l/f} Se
V " De
Temperature on
Arrival ('C):
•
Composit:
De -chlorinated in Field
Lab Comments:
L'j r� '�) / / < .,/ ���r,
Lot as/ "'I- f y `(-) (a` . et l- C L c- ( 1 � ti Cl. el z%{(n 6 k r (/ �.)0Lat)
Collector V (,
Comments:
Field Parameters (optional):
Preservative: Y
Water Temp ( C):
pH (s.u.):
/ r. %
V
Dissolved Oxygen
(Pram):
Con uctivity
(Pre os/cm):
Salinity
(PPt):
Microbiology Parameters:
Preservative
Wet Chemistry Parameters:
Preservative
Metals Parameters:
Preservative
Metals Parameters Con't:
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
A
X
Aluminum (AI)
E
Thallium (TI)
E
BOD: Biochemical Oxygen Demand, 5-day
A
?C,
/ `Fluoride
Chloride
A
Antimony (Sb)
E
Tin On)
E
cBOD: Carbonaceous BOD, 5-day
A
A
/
x
r
Arsenic (As)
E
Titanium (Ti)
E
Coliform: Fecal MF
e- C
Sulfate
A
Barium (8a)
E
Vanadium (V)
E
Coliform: Total MF
B- C
Chlorophyll a
A
Beryllium (Be)
E
�/
zinc (Zo)
E
Specific Conductance, at 25°C
A
Color: ADM
Cadmium (Cd)
E
/�
Mercury 1631, low-level
TOC - Total Organic Carbon
A -G
Color: Platinum Cobalt
A
(Ca)
E
Boron (B)
E
Turbidity
A
COD: Chemical Oxygen Demand
A - D
�XCalcium
%
)(
/
Chromium (Cr), Total
E
Hardness, Total as cacoa- by titration
E
Other Parameters:
Cyanide, Total
A-H -P
Cobalt (Co)
E
Org nit Parameters:
PH
Y
Hexavalent Chromium (Cr6+)
A - I
XCopper
(Cu)
E
Acid Herbicides
A -C
MBAS (surfactants)
A
/Iron
(Fe)
E
Organochlorine Pesticides
A -C
Nutrients Parameters:
Oil and Grease, HEM, Total Recoverable
A -D
¥Lead
(Pb)
E
Organonitrogen Pesticides
A -C
Ammonia asN (NH3-N)
A -C -D
Phenols, Total Recoverable
A -D -M
Lithium (Li)
E
Organophosphorus Pesticides
A -C
KNitrate
-Nitrite as N(NO3+NO2-N)
A -D
Residue: Total (Total Solids)
A
Y
Magnesium (Mg)
E
PCBs (polychlorinated biphenyls)
A -C
Total Kjeldahl Nitrogen as N (TKN)
A- D
Residue: Volatile/Fixed, Total
A
X
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A- C
Total Phosphorus as P (TP)
A -D
Residue: Suspended (Suspended Solids)
A
Mercury (Hg)
E
TPH Diesel Range
A - C
Nitrite as N (NO2-N)
A
Residue: Volatile/Fixed, Suspended
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A-C-F-L
Nitrate as N (NO3-N calculated)
TDS - Total Dissolved Solids
A
Nickel Ni
( )
E
1,4-Dioxane
C- L
Orthophosphate as P (PO4)
A-2
Silica
A
Potassium (K)
E
TPH Gasoline Range
A-C-F-L
Cyanotoxins:
Sulfide
A-1
Selenium (Se)
E
Perfluorinated Compounds (PEAS)
A -T
Microcystin
A
Tannin & Lignin
Silver (Ag)
E
Biological:
X.
Sodium (Na)
E
Phytoplankton/Algae
A -R
Strontium (Sr)
E
Pre ervative Legend (circle above as needed): (A)coot 96°C, (B) cool <10"C,(C)0.008% Na2S(03[when chlorine is presentj,(D) H7504 to pH <2, (E
HMO, to pH<2,(F) NCI to pH<2, (G) H,PO. to oh<2.(HI 6
NaOH to off »D<TI In (NH.1-sna nu -ea
07 ut,:..,.,,-e.-..e
& Na0H to pH to >9, (K) pH 6-9 ascorbic acid [when hlorine is present], L) le ve no headspace, (M) ferrous ammonium sulfate [when chlorine is pres nt],(P) ascorbic acid [when chlori e is present],(R) L ols, (T) Trizma !when chlorine is present],(Y) analyzed within
15 minutes of sample collection, (2) filtered in field w thin 15 minutes using 0 45um pore size

North Carolina Division of Water Resources
Water Sample Collection & Submittal Form
Laboratory (Water Sciences Section) C
kit 4
Visit ID:
(optional)
Tag n
ID6,[/// 1�/uc
`\
"�
Lab
Laboratory
Sample Number:
Use Only:
Location Description:
�.tr%�
/ r'.' 0
l/
c CS'.
J `-�
Locution Code:
/
E1 U�--L
(
`
,\
lJ
Date Received:
M/D/Y
Time Received:
(24 hr format)
/ /
•
County:
`7 //
I ` E./,l ,...el
`) l l
Collector:
C
S 1 ,> E�
1 \ I
Priority:
Ambient
Routine
Compliance
Emergency
OA
Water
Matrix:
Surface
Ground
Waste
Solution
Foam
Location
River/Stream
Estuary
Stormwater
Monitoring Well
Effluent
Field Blankl
Other: Of K6
Type:
Lake
Canal
Influent
Filter Blank
Trip Blank
Water Supply
/
f'kw4I7.4:
2 F
DWR Region:
(based on count )
A 2
�� 0
DWR Office:
for agency name)
/' A / /
l� \ �`
r
f J(;
Received By:
River Basin:
_
�' (
/1('Z' /kU/1j co
Laze
and
Dwain/path
/ `, )�
_COC
_Blank
—
—
—
—
Delivery Method:
/
State Courier
Notes:
Time (20 hr):
(begin/end)
/ L/_
�'> . (\.�
r \: /�
,
Hand Delivered
to
Other:
sampling
"It':
Other:
Chlorinated
Filtered Dissolved analysis: Enter"DIS"in
in Field check -boxes for parameters
NA. Se
Sample ' f
Depth: De
ch
t hiyA og in file
Temperature on
Arrival (t):
•
Camposit.
De -chlorinated in Field
Lab Comments:
Collectortot fits/C. ei oA l l co ( L C c F`G"ln A I 1/ a t2 C L1 / �t I / �i✓� CJ E L 1 ✓\ l A. Gil
Comments: G f
Field Parameters (optional):
Preservative: Y
Water Temp ( C):
pH (s.u.):
`
t °, r)
Dissolved Ox gen
(ppm):
Conductivity
(µmhos/cm):
Salinity
(ppt):
Microbiology Parameters:
Preservative
We Chemistry Parameters:
Preservative
Metals Parameters:
Preservative
Metals Parameters Cont:
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
A
Bromide
A
'\
Aluminum (Al)
E
Thallium (TI)
E
BOO: Biochemical Oxygen Demand, 5-day
A
X
Chloride
A
Antimony (Sb)
E
Tin (Sn)
E
cBOD: Carbonaceous BOD, 5-day
A
Fluoride
A
Arsenic (As)
E
Titanium (Ti)
E
XColiform:
Fecal MF
B - C
Sulfate
A
Barium (Ba)
E
(V)
E
X
oliform: Total MF
B - C
Chlorophyll a
A
Beryllium (Be)
E
)(incadium
)(Zinc
(Zn)
E
Specific Conductance, at 25°C
A
Color: ADMI
A
Cadmium (Cd)
E
-/'Mercury
1631, low-level
TOC - Total Organic Carbon
A - G
Color: Platinum Cobalt
A
Calcium (Ca)
E
Boron (B)
E
Turbidity
A
COD: Chemical Oxygen Demand
A - D
Chromium (Cr), Total
E
Hardness, Total as CaCO3 - by titration
E
other Parameters:
Cyanide, Total
A -H -P
Cobalt (CO
E
Organics Parameters:
pH
1
Hexavalent Chromium (Cr6z)
A - I
'$
Copper (Cu)
E
Acid Herbicides
A -C
MBAS (surfactants)
A
Iron (Fe)
E
Organochlorine Pesticides
A -C
Nut Tents Parameters:
Oil and Grease, HEM, Total Recoverable
A -D
(Lead
/`Lithium
(Pb)
E
Organonitrogen Pesticides
A -C
Ammonia as N (NH3-N)
A - C - D
Phenols, Total Recoverable
A - D - M
(Li)
E
0rganophosphorus Pesticides
A -C
XNitrate-Nitrite
asN(NO3+NO2-N)
A - D
Residue: Total (Total Solids)
A
Magnesium (Mg)
E
PCBs (polychlorinated biphenyls)
A -C
Total Kjeldahl Nitrogen as N (TKN)
A - D
Residue: Volatile/Fixed, Total
A
>(
Manganese (Mn)
E
Semi -Volatile Organics (BNAs)
A - C
Total Phosphorus as P (TP)
A - D
Residue: Suspended (Suspended Solids)
A
�`
Mercury (Hg)
E
TPH Diesel Range
A - C
XNitrite
as N (NO2-N)
A
Residue: Volatile/Fixed, Suspended
A
Molybdenum (Mo)
E
Volatile Organics (VOA)
A-C-F-L
Nitrate as N (NO3-N calculated)
X.
TDS - Total Dissolved Solids
A
{/\
Nickel (Ni)
E
1,4-Dioxane
C - L
Orthophosphate as P (PO4)
A - Z
Silica
A
X
•\
Potassium (K)
E
TPH Gasoline Range
A-C-F-L
Cyanotoxins:
Sulfide
A-1
Selenium (Se)
E
Perfluorinated Compounds [PEAS)
A - T
Microcystin
A
Tannin & Lignin
Silver (Ag)
E
Biological:
Sodium (Na)
E
Phytoplankton / Algae
A - R
Strontium (Sr)
E
Preservative Legend (circle above as needed): (A) cool s6°C, (B) cool <10°C, (C) 0.008% Na2S203{when chlorine is present),(D) H,SO4 to pH<2, (E
HNO5 to pH<2,(F) HCI to pH <2. (G) H,PO, to off <2. 1H16
NaOH to off >10<11. III INH.1.SO4 nH=9 a_a 7 ❑1 sinearmatn
& N OH to pH to>9, (K) pH 6-9 ascorbic acid [when hlorine is present], L) le ve no headspace, (M) ferrous ammonium sulfat [when chlorine is resent],(P) ascorbic acid [when chlorine is present],(R) Lugols, (T)Trizma (when chlorine is present],(Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes up g 0 45um pore size