WQ0023261_Monitoring - 07-2022_20220830

Monitoring Report Submittal
Permit Number #* WQ0023261
Name of Facility:* Onslow Water & Sewer Authority - Swansboro WRF
Month: * July Year: * 2022
Report Information
Type* Upload Document*
GW-59 Swainsboro GW59 July
2022.pdf
PDF Only
4.18MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Sherry Jones
Signature:
Date of submittal: 8/30/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0023261
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 9/26/2022

COW-59A COMPLIANCE REPORT FORM Permit Pt WQ0023261
(Submit one each wnonitoring period with G 59.1imi s.)
1
Enter date monitoring results were due. ( July 2022 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
CD
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 Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
E-, -ST
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:
MW1 - pH below desired range @ 5.67mg/L
MW3 - pH below desired range @ 5.62 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
S
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 the last two years).
Monitoring Wells 1, 2, & 3 pH are consistantly at or below the desired range.
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
N
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.
g
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.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Co Hance Report GW-59A) is true and complete to the best of my knowledge,
' 2,
Signature of Permittee (or Authorized Ag nt) Da
CW-59A 12/3/2003

SUBMIT FORM ON YELLOW PAPER ONLY
011AD0111ATEP-QLALITT iWAITORING: Id 1031070 1 MIN
APLIANCE REPORT FORM
Please Print Clearly or Type
,LITY INFORMATION dPERMIT Number: Expiration Date- 1013112026
1y Name: Swansboro VVRF/ Wastewater Treatment and Reclaimed Water Utilization System �Non­Discharqe WQ0023261
UIC
A Name (if different)-. Onslow Water & Sewer Authority iiNPDES Other
'TYPE OF PERMITTED OPERATION BEING MONITORED
ty Addresv. 199 Williams Rd
nsboro NC 28584 County Onslow d [I Lagoon E] Remediation: Infiltration Gallery
0 Spray Field El Remediation'
;ct person, Mark Young Telephone#: [phone] Rotary Distributor 0 Land Application of Sludge
Location/Site Name: Northside Basin 1 No. of wells to be sample& 3 High Rate Infiltration
0 Water Source Heat Pump IN Other.
WELL ID NUMBER (from Permit): Monitoring Well I Date sample collected: 7/2612022
Well Depth: 20 ft, Well Diameter: 2 in.
Depth to Water Level 82546:7.00 ft. below measuring point Screened Interval: 5 ft. to 20 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft,
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: K YES El NO and field acidified: K YES El NO
FIELD ANALYSES;
pH 00400: 5.67 units Temp. 000lo: 27.5 oC
Spec, Cond. =94: IiMhos
Odor 000m: none
Appearance Cloudy
WAS
DRY at
time of
sampling,
check
here:
E]
LABORATORY INFORMATION
IP
Date sample analyzed: Lm_ - 7/10) zz-
Laboratory Name: ONWASA/ Envirochem
Certification No. 539/94
PARAMETERS NOTE: Values should rifieci dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 6.66 1100ml.
Nitrate (NO3) as N oo62o <o,25o
mg/L
Zri - Zinc 01092 mg/L
Coliform: MF Total 315o4 1100ml-
Phosphorus: Total as P 00665 <0.150
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 126 mg/L
Al -Aluminum ol 1o5
mg/L
pH (Lab) 00403 5.67 units
Be - Barium 01007
ug/L
TOC 0068o 7.52 mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 35.7 mg1L
Cd - Cadmium o1o27
_uglL
Arsenic oiow _ug/L
Chromium: Total o1o34 -ug/L
Grease and Oils oo552 mg/L
Cu - Copper 01042 -mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 _uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900 -
ug/L
Lab Report Attached? r_1 Yes (1) ON No (0)
Specific Conductance 00095 gMhos
K - Potassium 00937 _mg1L
VOC 7873 method #
Total Ammonia 00610 <0.500 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3as N: Ammonia t itragen, Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
Effluent Total VOCs: mq/L VOC Removal%
David Mohr - Chief Operations Officer �409 PC- bZ160170
Permittee (or Authorized Agent) Name and Title - Please print or type -S—ignature of Permittee (or Authorized Agent)/ I (Epe)
GW-59 Rev. 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Please Print Clearly or
Name: Swansboro WRF/ Wastewater Treatment and Reclaimed Water Utilization System
Name (if different): Onslow Water & Sewer Authority
Address: 199 Williams Rd
act Person: Mark Young
Location/Site Name: Northside Basin 2A
WELL ID NUMBER (from Permit): Monitoring Well 2
Well Depth: 20 ft.
Depth to Water Level 82546:9.09 ft. below measuring point
Measuring Point is 3 ft. above land surface
County Onslow
Telephone#. [phone]
No. of wells to be sampled: 3
Date sample collected: 712612022
Well Diameter: 2 in,
Screened Interval: 5 ft, to 20 ft.
Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: HE YES El NO and field acidified: BE YES
ite sample analyzed: (It"0491 -
4(ZK/ZZ
U;ZAAETERS NOTE: Values should reflect dissolve
COD 00335
mg/L
Coliform: MF Fecal 31616 <500
/100mL
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
solved Solids:Total 70300 345
mg/L
pH (Lab) oo4o3 6,86
units
TOC oo68o 7.08
mq/L
Chloride oog4o 61.1
mg/L
Arsenic oioo2
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate oo945
mg/L
ecific Conductance =95
pMhos
Total Ammonia 00610 <0.500
mg/L
(Ammonia Nitrogen; NH3aS N; Ammonia Nitrogen, Total)
TKIN as N oos25
mo/L
For Remediation Systems Only (Attach Lab Reports):
.RMIT Number: Expiration Date: 10/31/2026
in -Discharge WQ0023261 UIC
IDES Other
VE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon F-1 Remediation: Infiltration Gallery
1:1 Spray Field El Remediation:
11 Rotary Distributor 1-1 Land Application of Sludge
D Water Source Heat Pump HE Other: High Rate Infiltration
FIELD ANALYSES:
pH oo400: 6.86 units
Spec. Cond. 00094:
Odor 00085: none
Appearance cloudy
If
Temp. 000io: 24.1 oC DRY at
pMhos time of
Laboratory Name: ONWASAI Envircichem
Certification No. 539/94
and colloidal concentrations.
Nitrite (NO2) as N oo615
mg/L
Pb - Lead o1o51 ug/L
Nitrate (NO3) as N 00620 15,1
mglL
Zn - Zinc 01092 mg/L
Phosphorus: Total as P oo665 0.292
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al -Aluminum ol 1o5
mg/L
Be - Barium o1oo7
_ug/L
Ca - Calcium oo916
mg/L
Cd - Cadmium =27
—ug/L
Chromium: Total o1o34
—ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? El Yes (1) NO No (0)
K - Potassium 00937
mq/L
VOC 7873 method #
Mg - Magnesium oo927
—mg/L
method #
Mn - Manganese o1o55
uglL
method #
Ni - Nickel o1o67
ug/L
method #
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removel%
here: F]
GW-59 Rev. 06-07-2018

SUBMIT FORM
RM
Print Clearly or
Facility Name: Swansboro WRF/ Wastewater Treatment and Reclaimed Water Utilization System
Permit Name (if different): Onslow, Water & Sewer Authority
Facility Address: 199 Williams Rd
NC 28584 County Onslow
act Person: Mark Young Telephone#: [phone]
Location/Site Name: Southside Basin 3 No. of wells to be sampled: 3
L ID NUMBER (from Permit): Monitoring Well 3 Date sample collected'. 7126/2022
Depth: 20 ft. Well Diameter 2 in.
h to Water Level 82546:9.50 ft. below measuring point Screened Interval: 5 ft. to 20 ft.
wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
-ne of water pumped/bailed before sampling: 5 gallons
files for metals were collected unfiltered: MM YES El NO and field acidified: MW YES El NO
ate sample analyzed: 714417-? -
=IZ7—
URAMETERS NOTE: Values should reflect digsolvc
COD 00335
mg/L
Coliform: MF Fecal 31616 <1.00
/100mL
Coliform: MF Total 31504
1100mL
(Note: Use MPN method for highly turbid samples)
solved Solids:Total 70300 105
mg/L
pH (Lab) 00403 5.62
units
TUC oo68o 4.42
mq1L
Chloride oog4o 31 A
mg/L
Arsenic01002 _ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
ecific Conductance 00095
gMhos
Total Ammonia oo6io <0.500
mg/L
(Ammonia Nitrogen; NH�as N, Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
:RMIT Number: Expiration Date: 10/3112026
,n-Discharge WQ0023261 UIC
IDES Other
'PE OF PERMITTED OPERATION BEING MONITORED
El Lagoon E] Remediation: Infiltration Gallery
El Spray Field r_1 Remediation:
El Rotary Distributor 0 Land Application of Sludge
El Water Source Heat Pump X Other: High Rate Infiltration
FIELD ANALYSES:
pH oo400: 5.62 units
Spec. Cond. 00094:
Odor 00085: none
Appearance cloudy
Laboratory Name: ONWASA/ Envirochem
and colloidal concentrations.
Nitrite (NO2) as N 00615 _mg/L Pb - Lead o1o5i
Nitrate (NO3) as N 00620 0:806 mg/L Zn - Zinc olo92
Phosphorus: Total as P 00665 11.0 mg/L
Temp, 000io: 22.9 -C DRY at
Mhos
time of
pI
Certification No. 539/94
ug/L
mg/L
Orthophosphate 70507
-mg/L Other (Specify Compounds and Concentration Units):
Al -Alurninum oil o5
mg/L
Ba - Barium ol oo7
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total =34
ug/L
Cu - Copper 01042
_mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron oio45
-ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
_ug/L
Lab Report Attached? El Yes (1) H No (0)
K - Potassium oo937
-mg/L
VOC 7873 method #
Mg - Magnesium o0927
-mg/L
method #
Mn - Manganese oio55
ug/L
method #
Ni- Nickel 01067
_ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
a
QW-59 Rev. 06-07-2018

Swansboro WRF Project: Swan Compliance Triennial
199 Williams Road Project Number: Reported:
Swansboro, NC 28584 Project Manager: Mark Young 08/17/2022 11:33
Sample Results
Sample: Swan Effluent Composite N223116-01 (WW)
001
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
BiologicalOxygen Demand " <2.00 200 mg/L 08/01/2022 DMN" ; . SM 5210 B .
Chloride
59.6
5.00
mg/L
07/28/2022
DMN
SM 4500 CLDE-E
Chlorine',,
<0.0500" "
0.0500
mg/L "
07/26/2022
CN
" : SM 4500 CI G
Temperature
10.0
0.00
deg C
07/26/2022
CN
SM 2550 B
Conductivity"
1518
,. US/cm `,
' .07/26/2022
DMN
SM 2510 B
Alkalinity, CaCO3
135
mg/L
07/26/2022
DMN
EPA 310.1
Ammonia-N"
<0.500"C
0.500
mg/0
07/27/2022"
. ° DMK
EPA350.1
Nitrate
23.6
0.250
mg/L
07/27/2022
DMK
EPA 353.2
Nitrate+Nitrite-Nitrogen
24.2
0.250 '
mg/L
07/27/2022
DMK
EPA 353.2
Total Phosphorus
4.50
0.150
mg/L
07/28/2022
DMK
EPA 365.1
Total Dissolved Solids, -
398% :
2.50 ,"
mg/4
07/28/2022
": DMN
` SM,2540 C
Total Kjeldahl Nitrogen
<3.00
3.00
mg/L
07/28/2022
DMN
Hach 10242
Total Nitrogen
24.2- , ",
325
mg/L
" 07/28/2022",
DMN
(CALCI
Total Suspended Solids
<2.50
2.50
mg/L
07/26/2022
DMN
SM 2540 D
C Total residual chlorine was present in sample
upon receipt in the laboratory; value is estimated. Applies to BOD, NH3, TKN, and coliform.
Sample Results
Sample: Swan Effluent Grab N223116-02 (WW)
001
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chlorine 0.0800 0.0500 mg/L 07/26/2022 CN SM 4500 Cl G
PH 7.60f 0.100" " pH Units 07/26/2022" """ CN SM 4500 H B "
Sample Results
Sample: Swan MW 1 N223116-03 (WW)
Reporting Date Analyst
Analyte Result Qua[ Limit Units Analyzed Initials Method
Chloride' 35.7 : - 5 00" 07/28/2022 DMN SM 4500 CLDE•E
Fecal Coliform
6.66
3.33
#/100ml
07/27/2022
DMN
SM 9222 D (MF)
Color
YES,, Cloudy
1.00
":. NA, ..",
07/26/2022
CN
':Field Mtd
Field Depth
7.00
Ft
07/26/2022
CN
Field Mtd
PH ""
S;67
0.100
pH Units
07/26/2022 ",
CN
SM.4500 H B
Odor
NO No Odor
1.00
NA
07/26/2022
CN
Field Mtd
"Temperature .
27.5 :O.pO
"deg C' :
07/26/2022 -
CN-
SM 2550 B
The contents of this report appiy to the sample(s) analyzed in accordance with the chain of custody document
No dupikalion of this report is allowed, except in its entirely. Page 2 of 6

Swansboro WRF Project: Swan Compliance Triennial
199 Williams Road Project Number: Reported:
Swansboro, NC 28584 Project Manager: Mark Young 08/17/2022 11:33
Sample Results
(Continued)
Sample: Swan MW 1 (Continued) N223116-03 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Ammonia-N
"
<0.500
0.500
mg/L
07/27/2022
DMK
EPA 350.1
Nitrate
<0.250
01250
mg/L ".
07/27/2022,.
DMK
EPA353.2
Total Phosphorus
<0.150
0.150
mg/L
07/28/2022
DMK
EPA 365.1
Total Dissolved Solids " "
126
2.50
mg/L '
'07/28/2022 =
DMN
SM 2540 C
"
Total Organic Carbon
7.52
0.500
mg/L
07/28/2022
DMN
SM 5310 C
Cloudy Cloudy, apparent color of MW matrix at collection.
No Odor No apparent smell of MW matrix at collection.
Sample Results
Sample: Swan MW 2 N223116-04 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride! 61:1 5.00 mg/L 07/28/2022 DMN SM 4500 CLDE-E
Fecal Coliform
<5.00
5.00
#/100ml
07/27/2022
DMN
SM 9222 D (MF)
Color
. YES Cloudy,'
100
NA"
07/26/2022'
CN
Field Mtd
Field Depth
9.00
Ft
07/26/2022
CN
Field Mtd
PH
6.86
0.'100
pH Units,
07/26/2022
, ""- CN
'SM 4500 H B .
Odor
NO No Odor
1.00
NA
07/26/2022
CN
Field Mtd
Temperature
<0.00- -
0.00
deg,C
07/26/2022 """
" CN,
SM"2550 5"
Ammonia-N
<0.500 C
0.500
mg/L
07/27/2022
DMK
EPA 350.1
Nitrate"
15.1: "
-: 0.260= "
""' mg/L
07/27/2022
DMK
,: EPA353.2
Total Phosphorus
0.292
0.150
mg/L
07/28/2022
DMK
EPA 365.1
Total Dissolved Solids
345
2,50
mg/L
07/28/2022
DMN
SM 2540 C
Total Organic Carbon
7.08
0.500
mg/L
07/28/2022
DMN
SM 5310 C
Cloudy Cloudy, apparent color of MW matrix at collection.
No Odor No apparent smell of MW matrix at collection.
C Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated. Applies to BOD, NI-I3, TKN, and coliform.
Sample Results
Sample: Swan MW 3 N223116-05 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride 31.4 5.00 ' mg/L 07/28/2022 DMN SM 4500 CLDE-E
Fecal Coliform <1.00 1.00 #/100ml 07/27/2022 DMN SM 9222 D (MF)
Color YES Cloudy 1,00, NA - 07/26/2022' - ` 'CN Field Mtd
Field Depth _ 9.50 Ft 07/26/2022 CN Field Mtd
The contents of (his report appiy to the sample(s) analy2ed in accordance with the chain of custody document
No duplication of this report is allowed, except in its entirety. Page 3 of 6

Swansboro WRF Project: Swan Compliance Triennial
199 Williams Road Project Number: Reported:
Swansboro, NC 28584 Project Manager: Mark Young 08/17/2022 11:33
Sample Results
(Continued)
Sample: Swan MW 3 (Continued) N223116-05 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
PH 5.62 0.100 pH Units 07/26/2022 - CN SM 450o H B
Odor
NO No Odor
1.00
NA
07/26/2022
CN
Field Mtd
Temperature
. <0.00 " .. " "
" , 0:00
deg C
07/26/2022
CN,
"; SMQ550 B
Ammonia-N
<0.500
0.500
mg/L
07/27/2022
DMK
EPA 350.1
Nitrate" :: ,,,
0.806 """
0.250
mg/L
07/27/2022:
-" DMK
.: EPA353:2'
Total Phosphorus
11.0
0.150
mg/L
07/28/2022
DMK
EPA 365.1
Total Dissolved Solids '
"405r
_
2.50 .
mg/L
07 28 2022
/ �
_N
� DMN
SM 2540 C
Total Organic Carbon
4.42
0.500
mg/L
07/27/2022
DMN
SM 5310 C
Cloudy Cloudy, apparent color of MW matrix at collection.
No Odor No apparent smell of MW matrix at collection.
Sample Results
Sample: Swan SW 1 N223116-06 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride � 46.X '5,00 " mg/L 07/28/2022 , DMN SM 4500 CLDE-E
Fecal Coliform
245
5.00
#/100mi
07/27/2022
DMN
SM 9222 D (MF)
PH
6.95" "
'0,100
" �,' ;: pH Units i
07/26/2022
CN -
SM 4500 H"8
Temperature
<0.00
0.00
deg C
07/26/2022
CN
SM 2550 B
Ammonia-N
<0.500
0.500
mg/L
07/27/2022
" ; DMK"
EPA 350.1 "
Nitrate
3.54
0.250
mg/L
07/27/2022
DMK
EPA 353.2
Total Phosphorus ' ", "
0.361-
0.15o "-.
"" , ., mg/L "" ,
;. 07/28J2022
DMK
,;EPA 365.1
Total Dissolved Solids
233
2.50
mg/L
07/28/2022
DMN
SM 2540 C
Total Organic Carbon
7.11t
0.500
mq/I: "
07/28/2022`
DMN ".
SM 5310 C
The contents of this report apply to the sample(s) analyzed in accordance with the chain of custody document.
No duplication of this teport e; atiowed, except in its entirely. Page 4 of 6

ONWASA Laboratory
GRAIN OF CUSTODY
111 11111111111111111
1041 ONWASA228
Georgetown Road
Pap
1
of
1
N 2 2 31 1 6
Jacksonville, North Carolina 28540
Phone: [phone]
COC Number
Fax: [phone]
Lab
Work Order Number
N223116
ien N. ame
roject Name
Requestea Analyses
a aysis
Swainsboro WRF
Swan Compliance Triennial
A
Client Contact
Project Number
m
Rush requests subject to
Mark Young
[none]
OZ
additional charge.
Address
Project Description
v
a
Rush requests subject to lab
199 Williams Road
°
a
q
o
C
approval.
City
PO Number
G
k"
p
ffO
Swansboro
u in
(D
r
m
State/Zip
Shipped By
0 t-�~'.
rL
O
Standard (days)
NC, 28584
® E
Phone/Fax
Tracking Number
z ,�
+
In
N
D
Expedited (days)
910-545-6877 /
v 6
0
CL
—
0
0
Sampler
Sampjr Sig ature
a u
Q tit p
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ny
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m
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Due Date
n s i t —IJO i �utC� f�
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ram-
=
reservation Code
amp a ype
atria
Container
Sample Name or Field ID
Sampled Date
Sampled Time
Code
Code
Count
P::A
P::A
P::C
P::B
P::B
G::B
Sample Comments
Swan Effluent Composite
7/26/2022
01H5
C
WW
2
1
0
0
1
0
0
L0i
ljo
Swan Effluent Grab
7/26/2022
%LLO
G
WW
1
0
0
1
0
0
0
eg
V
?--7..
Swan MW 1
7/26/2022
00.5y
G
GW
5
0
1
1
0
1
2
,z-
- 7 Dr
Swan MW 2
7/26/2022
10 17p
G
GW
5
0
1
1
0
1
2
4.810y.
Icr,tD'
&1W elm
1ic
Swan MW 3
7/26/2022
d O
G
GW
5
0
1
1
0
1
2
$
®
g 3.
f G%a
NO
Swan SW 1
7/26/2022
%
G
S
5
0
1
1
0
1
2
`,0
9
Lq%
Relinquished B
Date/Time
Received By
Date/Tme
;' t
�`
f/� /V
Relinquished By
Date/Time
Received By
Datefrme
Comments
Relinquished By
Dat;tnm-e
Received By
Date[Fime
Cooler Numbers and Temperatures
Receive Temp:
2—°C pFl:
Intials:
Matrix Codes:
GW=GW,S=Stream,WW=WW
Preserv. Codes: A=Cool6 degC,B=Cool6 degC H2SO4 <2 pH,C=0.000g% Na2S203
. Indicates Feld Test Analysis
Cont. Codes G=PTFE 40
mL TOC,P=120
Sterile Na2S203,P=2L
Nalgene,P=P 250 ml,P=P
250 ml H2SO4