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HomeMy WebLinkAboutNC0025861_Application_20190625101 W. First Street Lowell, North Carolina 28098 June 25, 2019 Ms. Wrenn Threadford NPDES Unit NC DEQ Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Phone:704-824-3518 Fax:704-824-4700 www.lowellnc.com R2ECE M/NCDEQ/DWR JUN 2 7 20419 Water Quality Permitting Section Subject: Renewal request for NPDES Permit NCO025861, City of Lowell W WIP, Lowell, NC, Gaston County, North Carolina Dear Ms. Threadford: Please find enclosed NPDES form 2A with attachments for our 0.60 MGD biological wastewater treatment plant. We request renewal of our operating permit The current permit expires January 31, 2020. Our plant is a Class W W-3. Please contact the applicant, City of Lowell, with any questions or follow-up. Sincerely, Ke3in L. -Krouse, City Manager City of Lowell Cc: Thomas E. Shrewsbury, Public Works Director Daniel J. Dougherty, ORC FACILITY NAME AND PERMIT NUMBER: T Renewal Catawba City of Lowell, NCO025861 FORM _— 2A 2A APPLICATION OVERVIEW NPDES APPLICATION OVERVIEW Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through 13.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data)- 1 _ Has a design flow rate greater than or equal to 1mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data): 1. Has a design flow rate greater than or equal to 1 mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to submit results of toxicity testing. F. Industrial User Discharges and RCRAICERCLA Wastes. A treatment works that accepts process wastewater from any significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRAICERCLA Wastes). SIUs are defined as. 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or c. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 1 of 21 FACILITY NAME AND PERMIT NUMBER: City of Lowell, NCO025861 Renewal BASIC APPLICATION INFORMATION PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS: All treatment works ,at complete questions Al through A.8 of this Basic Application Infoinnation Packet A.I. Facility Information. Facility Name Mailing Address Lowell North Carolina 28098 Catawba Contact Person Dan Dougherty -. Title Telephone Number (704) 824-4501 Cell (704) 477-5514 Facility Address (not P O. Box) Lowell North Carolina 28098 A.2. Applicant Information. If the applicant is different from the above, provide the following: Applicant Name Mailing Address Lowell North Carolina 28098 Contact Person Title Telephone Number Is the applicant the owner or operator (or both) of the treatment works? M owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ❑ facility ® applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued permits). NPDES NCO025861 PSD UIC Other RCRA Other A.4. Collection System Information. Provide information or1 municipalities and areas served by the facility. Provide the name and population of each entity and if known. provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership City of Lowell 3,000 approx. Sanitary/Gravity Municipal Total population served 3,000 approx. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 2 of 21 FACILITY NAME AND PERMIT NUMBER: City of Lowell, NCO025861 PERMIT ACTION REQUESTED: RIVER BASIN: Renewal Catawba A.5. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes ® No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes ® No A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 12" month of "this year" occurring no more than three months prior to this application submittal. a. Design flow rate .600 mgd Two Years Ago 2016 Last Year 2017 This Year 2018 b. Annual average daily flow rate 0.3047 MGD 0. 3249 MGD 0.3229 MGD c. Maximum daily flow rate 0.3461MGD 0.3639 MGD .4067 MGD A.7. Collection System. Indicate the type(s) of collection systems) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. ® Separate sanitary sewer 100 ❑ Combined storm and sanitary sewer % A.8. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S 9 ® Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: i. Discharges of treated effluent ii. Discharges of untreated or partially treated effluent iii. Combined sewer overflow points IV, Constructed emergency overflows (prior to the headworks) v. Other 0 0 b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes ® No If yes, provide the following for each surface impoundment Location: Annual average daily volume discharge to surface impoundment(s) 0 mgd Is discharge ❑ continuous or ❑ intermittent? c. Does the treatment works land -apply treated wastewater? ❑ Yes ® No If yes, provide the following for each land application site. Location: Number of acres. Annual average daily volume applied to site: We mgd Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ Yes ® No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 6 7550-22. Page 3 of 21 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: City of Lowell, NCO025861 Renewal Catawba If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). Tank Truck Drvbox If transport is by a party other than the applicant, provide: Transporter Name L and L Environmental Mailing Address 8531 Old Dowd Rd.. Charlotte North Carolina 28214 Contact Person Dayton Oaks Title Driver Telephone Number (704) 391-2392 For each treatment works that receives this discharge. provide the following: Name Water and Sewer Authority of Cabarrus County Mailing Address Flowers Store Road Concord North Carolina Contact Person Mark Fowler Title Facilities Operator Telephone Number (704)7884164 If known, provide the NPDES permit number of the treatment works that receives this discharge. Provide the average daily flow rate from the treatment works into the receiving facility. gals/day/ it needed e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.8. through A.B.d above (e.g.. underground percolation, well injection): ® Yes ❑ No If yes, provide the following for each disposal method: Description of method (including location and size of site(s) 6 applicable): Republic Services land fill of dryinq bed sludge/air dried. Transport to BF] Grinding landfill. Bio-fuel for power generator. Annual daily volume disposed by this method: 96 drv/tons/vr1365days= 263 dry tonsidav est. Is disposal through this method ❑ continuous or ®intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22 Page 4 of ? I FACILITY NAME AND PERMIT NUMBER: City of Lowell, NCO025861 PERMIT AC11ON REQUESTED: RIVER BASIN: Rq I Catawba WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Outfall. a. Outiall number b. Location (Cdy a town. a applicable) (County) (Latitude) C. Distance from shore (if applicable) d. Depth below surface (it applicable) e. Average daily flow rate I. Does this ouffall have ether an intermittent or a periodic discharge? If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: Months in which discharge occurs: g. Is ouffall equipped with a diffuser? (Zip Code) (State) (Longitude) <10 feet fl nla f .2975 mgd ❑ Yes ® No (go to A.9.g.) ❑ Yes ® No mgd A.10. Description of Receiving Waters. a. Name of receiving water South Fork River b. Name of watershed (t known) Catawba United Stales Soil Conservation Service 14 digt watershed code (if known): C. Name of State Management/River Basin (if known): Catawba United States Geological Survey 8-digit hydrologic cataloging unit code (t known). d. Critical low flow of receiving stream (t applicable) acute n/a cis chronic Na cis e. Total hardness of receiving stream at critical low flow (if applicable): mg4 of CaCO3 EPA Form 3510-2A (Rev 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 21 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: City of Lowell, NCO025861 Renewal Catawba A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary ® Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal >85 Design SS removal » % Design P removal n/a Design N removal We Other n/a C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: Chlorination If disinfection is by chlorination is dechlorination used for this outfall? ® Yes ❑ No Does the treatment plant have post aeration? ❑ Yes ® No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart. Outfall number. 001 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH (Minimum) 6.3 S.U. pH (Ma)imum) 7.1 S.U. Flow Rate 1/2017 .4090 MGD .2975 MGD 12/monthl /av . Temperature (Winter) 16.07 Celsius 16.7 Celsius 4 mos. Celsius Temperature (Summer)2008 26.33 23.56 Celsius Simons. ' For pH please report a minimum and a maximum daily value MAXIMUM DAILY AVERAGE DAILY DISCHARGE POLLUTANT DISCHARGE ANALYTICAL MLIMDL Number of METHOD Conc. Units Conc. Units Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN 6.8 M 3.156 M 1 12mos/a EPA405.1 �C�BOD5 DEMAND (Report one) FECAL COLIFORM (2018) 44.49 MPN 11.18 MPN 12mos/a SM9222-D TOTAL SUSPENDED SOLIDS (TSS) (6 14.07 Mg/1 6.018 Ill 12moslayg EPA160.2 END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 755" & 7550-22. Pao, 6 or 2 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: City of Lowell, NCO025861 Renewal Catawba BASIC APPLICATION INFORMATION PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR EQUAL TO 0.1 MGD (100,000 gallons per day). All applicants with a design flow rats_ 0.1 mild must answer questions BA through B.6. All others go to Part C (Certification). B.I. Inflow and Inffltraeon. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration. <10.000/dry weather < 3% Briefly explain any steps underway or planned to minimize inflow and infiltration. Smoke testina has been conducted to identity I&I Repairs to system are ongoing Manhole liners are in place were Needed to prevent excessive inflow. Fair Street Sewer Lift Station sub -basin redirected to Two Rivers W WTP on Long C. B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire area.) a. The area surrounding the treatment plant, including all unit processes. b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which treated wastewater is discharged from the treatment plant. Include outtalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. it. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within %mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck. rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. 8.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlonnation)- The water balance must show daily average flow rates at influent and discharge points and approximate daily flow, rates between treatment units. Include a brief narrative descnption of the diagram. BA. OperatioNMainfenance Performed by Contractor(s). Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ® Yes ❑ No If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional pages if necessary). Name Daniel Dougherty Mailing Address: 101 West First Street Lowell North Carolina 28098 Telephone Number (704) 477-5514 Responsibilities of Contractor: ORC B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for each. (If none, go to question I3.6.) a. List the oulfall number (assigned in question A.9) for each ouHall that is covered by this implementation schedule - 001 b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies. ❑ Yes ® No EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7650-22 Page 7 of 21 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: City of Lowell, NCO025861 Renewal Catawba C. If the answer to B.51 is 'Yes," briefly describe, including new maximum daily inflow rate (t applicable). d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable. For improvements planned independently of local. State, or Federal agencies. indicate planned or actual completion dates, as applicable. Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY - Begin Construction - End Construction - Begin Discharge - Attain Operational Level e. Have appropriate permits/clearances concerning other FederalfState requirements been obtained? ❑ Yes ❑ No Describe briefly: B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY). Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be based on at least three pollutant scans and must be no more than four and on -half years old. Outfall Number. 001 MAXIMUM DAILY AVERAGE DAILY DISCHARGE POLLUTANT DISCHARGE ANALYTICAL MLIMDL Number orf METHOD Conc. Units Cont. Units Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 6.25 Mgn 3.53 Mg/I 3/pwr/wk EPA60.1 CHLORINE (TOTAL 14.07 U911 < 20 Ugll 3/perlwk DPDIHACH2O10 RESIDUAL, TRC) DISSOLVED OXYGEN No limit TOTAL KJELDAHL 10.1 Mg0 7.93 Mg/1 4 EPA351.2 NITROGEN (TKN) NITRATE PLUS NITRITE 33.8 M9fl 13.52 Mgg 4 EPA35M2 NITROGEN OIL and GREASE No limn PHOSPHORUS (Total) IL9 Mgn 1.966 M9/1 4 EPA365.4 TOTAL DISSOLVED SOLIDS NON"* (TDS) OTHFR END OF PART B. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 21 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: City of Lowell, NCO025861 Renewal Catawba BASIC APPLICATION INFORMATION PART C. CERTIFICATION All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete ail applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ® Basic Application Information packet Supplemental Application Information packet: ❑ Part D (Expanded Effluent Testing Data) ❑ Part E (Toxicity Testing: Biomondoring Data) ❑ Pad F (Industrial User Discharges and RCRA/CERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. 1 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 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 gathemlg the information, the information 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 fine and imprisonment for knowing violations. Name and official title Kevin Kro C an r/Permittee Signature Telephone number (704) 824-3518 Date signed - %D / Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 9 of 21 P Plant Pumpmo Station Dale: Pump No.I • 635 oat. par mfn.f Alto Auelllory Orlve 0 Pump Ne.2 • 275 • G ♦ Pump No.3 • 550 • • 9 Z a °L 9 A --- _=� 0o a ♦� 6 Drive p4 C ' ipf� Cemminu for Panho❑ Fiumt aa♦ dam. � � v Ppino' u �. INa11 / Wall Fine Bar Sent, Owns Bar Serune /p a{i % / By Pen 13/4' Opomnoe /6• // I ei / PLANT PUMPING 3/4' 0p.ni"°' STATION {fa INCOMING CHANNEL / 11 11 II Svl�r DI�x roc L �Hmdwall I11 \\/ /P+♦\S^j/ II AEROBIC DIGESTER Drive Wyly E9e WIlI�d�_ __— A 11 CHLORINE G�\ II CONTACT CLARIFIER a �l CHA Ofilee at, CONTA AERATI N REAE ATION �2ONW.O.Ot E SLUDGE DRYING BEDS ", It L Raw W.O. y . AMorinaler B loom II Cemprmm Poem 3 Compfaeeare LOWELL, N.C. WASTE TREATMENT PLANT Each 40 h.p•, 710 efm. CONTROL BUILDING CENTRAL TREATMENT UNIT COMPLETED APRIL 3, 1960 CAPACITY • 600,000 GAL. PER DAY HARRISON-FOX 9 ASSOC., INC. BIOLOCONSULTING ENGINEERS CONCRETE CONSTRUCTION LOADING • 1,020 CBS. B00 PER DAY GASTONIA,N.O. CONCRETE CONSTRUCTION OUTSIDE TANK • 75'I.D. CLARIFIER • 35' I.D. l'h T , i': Ylilt' Outfall 001 Lowell -� N Wate* McAdenvilfe � �� � • f vE Poo Aviary . i ! Gardens ,�' A. •* ' • \ .. . a150e LA)V t • Cragprton Cramerion Site Coords 35° 16' 10" N Sub -Basin 03-08-35 Approx Scale 1" = 1500' Receiving Stream UT to S Fork Catawba River 81. 04' 55" W USGS Quad: Mount Holy Stream Class: WS-V NPDES NCO025861 City of Lowell WWTP Lowell Wastewater Treatment Plant 98 Saxony Drive Lowell, NC 28098 W. Ronald Haynes, PE P. 0. Box 666 Granite Falls, NC 28630 (828) 495-4268 (828) 962-7733 CEL wrhaynes_pe@msn.com Project J-610 June 25, 2019 aceAnall calo m Pacskft ccm ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntemville, NC 28078 (704)875-9092 Project: R9944-LO Pace Project No.: 92426030 Sample: R9944-LO Lab ID: 92426030001 Collected: 04117/19 12:30 Received: 04/18/19 08:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1631E Mercury,Low Level Analytical Method: EPA 1631 E Preparation Method: EPA 1631 E Mercury 1.90 ng/L 0.50 1 04122/19 08:00 04/25/19 17:42 7439-97-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/30/2019 03:30 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 12 6 12 ft S V aceAnalytical ""•M++..nr cony Sectlon A Rcqutmtl Clienl lnlortnalion' cew lvre,,' n SAMPLE ID Sample IOs MUST DE UNIQUE ADDITIONAL COMMENTS m i m p N Q '. •ImpaamYlMa: aY N Section B Roqulree P,.,- Inlmmanon. Cedes sOLE ow „° — o01 wr d u ww E u P s coiw�cslrE at a m � wr WP aR p Is rs O a x w Q RELINQUISHED BY /AFFILIATION Ii CHAIN -OF -CUSTODY / Analytical Requ�Jest Document The Chetnro/-Custooy is a LEGAL DOCUMENT. All relevant 11eWs must IcomPLretl accurately. Section C z o moN iL F Frvn'r+++a yu V N a ? 6 O F 0 'E TIME w DATE THE C SAMPLER NAME ANO SIGNATupE PRINT Nema of SAMPLER: SIGNATURE o1 SAMPLER -- NEi JD day pannaM lem�z ana apmma0 �o lelo olamo or r38 pgmonm Ior an y Invoke, nM peja.1he 30 a.... Patio: of REGULATORYAGENCY I NPDES r GROUND WA - TER DRINKING WA. TER UST RCRA She Location OTHER STATE: ialysis FiHoned (YIN) o Zq a G � Pace Protect NOJ La. DATE TIME SAMPLE CONOfT10N5 511.'I _ U o q c a2 NL S $ _ E>_ U E N FALL-0-o2orev.08, 12.0c42007 K & W Laboratories 1121 Hwy 24/27W Midland, NC 28107 Tel: 704-888-1211 Fax: 704-888-1511 Chain of Custody Record Client/Company: City of Lowell Report To: Remarks: Address: 101 West 1st Street Lowell, NC 28098 Copy To: Bill To: Contact: Dan Phone: 704.477-5514 Fax: PO # o Matrix Types: DW-Dnnkinp Water WW- Type of Con, Low Waste Water GW-GrounE Water OT- P-Plastic Project Name: Lev6L 't( J F c m U Omer &Glass Sampled By: S Kraska N E a E c o U `o 0 E 24 Hour Composite Preservatives Analysis Reuested to rn 2 o .6 P IT Start End a N O 3 8 N w v .2v LL Ed wW $ Item Sample ID: P n Up Grab GW E i o c m N Z a — A U v - r 2 m m 0 v d ro U m $ No. Down Comp OT Z P G °C Date Time Dale Time QQ U 2 _ = x F- J O w o Q- o O. Q. s Lab Log # 1 i=r-rZ�caT sr= v w�a 2 v � a nIY ra;D � f I I � I X 2 11Il 3 I Il1Il1 Ill'.. 4 5 r�rr lr l l I 6 l l l l l l 7 8 �l I I 9 10 l t, l l r l l l 12 �Il � I ' l l Relinquished By Date: Time: Receivetl By: Date: Time: W i7ly 171S Sample Temp: i•a°C i Relinquished By Date: Time: Received By. Date: Time: On Ice: (Y / N