HomeMy WebLinkAboutWQ0001664_Monitoring - 11-2022_20221220 (2)Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0001664
Belvedere Plantations WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
GW-59
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Year:* 2022
Upload Document*
belvedere wwtp November 9.35MB
2022.pdf
PDF Only
BELVEDERE NOVEMBER 29.03MB
MW 2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
greg.spillman@carolinawaterservicenc.com
Gregory Spillman
12/20/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0001664
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 1/10/2023
SUNINAT FORM ON
Y
- ,.s
Name; BelvederePtn:
'= Dr Hampstead N C, 8443
County
t PermsT . n'ne* _152-
t itGreer; � . e � Is w be s _�_ d, 9
L NU.
Cueepth,
wnng Point iS _ ft Love Ruin-
,ne- of water €._in
`'
wes for metalwere coplecmed unfiltered:YlEs
_ ate sample collected 11 412092
R Diameter et in
Relative IM P Bevabon:
—galion
ONO andliewaddified YES 0
TT Nuffiber. Empiration Date; '54j
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
0 Spray i RernedWabtury
El -vim,� Distributor - ano ..eati of Slutiqte
RELD ANALYSES:
pH o 663 2 unds
'o r cw 5,
Appearance--
M NOTE- Values should reflect dissolved and colloidal concentrations—
Ni_
-�s$3i'�i I u"s `fv F u. .-�
a
� �F :;av ,- b Lead mw
�"
CcAtform M i� -3 l . v6
=: 'nm.
g s
x.i i ' L ti_ vas` S
a.. ,
Mai, i, Z.3 Z-. — c€ Vq--=
Colliform. _ of } . _
_ _'
k --i
None
Isam
Orange here, I—
it;€;-€iair.No
1L
- „T - '
3 g
ring i§io
L.I 3.L.. <.. §a es .-.ate
Pmay._.
-"
ompo -and nc S � lJ. Unit I.
Other �''�." -i'� i" _ 3 _
;�xve Sri
IOUmraj
AAhummumoi
3
4
px �G ji
Bea
�'', !t x,um oc
00w
-....
#1
ig
scat m* - i '. 0-IM7
U91L
Grease ��r*.-z *-�.�SFY +s`'-'�9g
10
Cu�Lt s Copperis � -...
=
-_ 2+
ORGANICS: � GC, GGAAS
Z
g}.at.
&€_Fe
Irow C <ams
gam`? REPORT-)
�R pc
l `# ' � test ,. A R 7 .-
- a7 arc.€ <�
SUI *4 _. _.
-
g L
- M W 71900 _..
,
Lab Report h -„ El . t
.
##Yew
Total .n _
0 2_..
_
en
p#
33 ethc
,R Pftanf T MAI X 1C-,- MIMIL voc Real%
G" Rev W013
SUBMIT FORM ON
Pkease P?W C or 7
acifity Namme Beivedere PlantWkiM
c nd Name €rtt
acifiti Address_ 130 Fi0nwav ate£ Hamnamead N C 2.114-3
Counti Fender
a So S; Ste- main i e hicM #: �: _� !
s
L —S - abon mama -Green N_. ot wells to be sampie*
mate:
t
'DES
.tea.
PE OF PERMITTED OPERATION BEING MONITORED
0
Remediatlom b rio.. "-a,-!ey
Lan.dAppli-cwtion of Sludge
0 Water Source Heat Pumrn
C- Other WFILTRATION R.A.S11
NUMBER ttr: P&W18
Date samole collected:
111412022
FIELD ANALYSES,
IWAS
a,_
)et; 'to eats, Level _z ., 10
Screened w ' ,tas
5
to 5
Spec Coro F �
. ¥�
t me of
sNone
ft
WR _
Odor c- g .
u
ecn
&-1,-. s ofwater pumpeo-lbaded fbekwe Sampling- 0
gallons
Appearanck light tan
i , _e
_,
,amp ffs or metals sere ca# cr d €n tt 01'` -mom
�
— . '
--
�7 . 111412,522t
b rat v Name
v
m A - �-- i .-
�.�
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
` of -nr . INAF 1 .`1�0mg
_. _ ..
' F
Ni..i of �dO ` act i?c
0' 36
to g1L
e ��
`. .i 3 �.. <_
:m t
3
L
< t-... i'-, z a ..¢x 1'v >_Pv 7r; 3±;_..
_
-n 001,asor-ale
_
_
ifyi-
.3 v gnu +So$? S... t , t_ 247 M., 'i.
F Z,*LI>�-i a i n5
i5
n- al -- ugq1L
-ifi m. 3'ra`2r��
� -s ..��i ! [rt 'ate
UWL
--
�:Greaseand Oils clow
'_+=q_
Cu Copmro'€=
-` Gib.
- �_ z �--�. -> '_� � €.g}E LC�a
Phenol z2Y30
U91L
F m cia4s
th#- ATTACH REPORT.)
ty -#eport
u
>
gg g
ttached? El Yes 0 No P+
4 , _ i,r'�3' '�-1 =i`"-- b s
-it 3�
— Pota s-sm` 4, om
fL
'ova.' '§� Y - Method,
3 }
3r
_
Manganese S � o€s
mc"
- -_
.yam
N s 25
9p.L
Ni - Woke, 02..07
-- - . vietK
For Retrladia*m SysftmOnly bt h Lab Repomfluent 3 �ytal vocs: M911- Effl= * Total s,.. rnW-L. VOC Rern
_ TOE K nsu1
.i-?TIF S.t3Ii5 i - i j brad' do - - �2/1 21
P ?� A,�m �i Maaw T*e - r" -cmtwo-e
- _ SOnA ` _ (or ?Auk W Aaen--
C_95Red 1 -
Be: v s e Plantation
Name M dirtAdd
r es __.
T
County Pender
t Person_ Gren Sviflmanhon - ,-o
�,
x.ocW o="ee Name Green ,e� o�`ikoil% _0 be _-ed 'mow
NUMBER OrMn_ IIVAW9
Doh; 23
. above ;-Arid surface
? f metals were cum} unfiltered YES
-1 022
Date s ? p.v zol" �_ .mom=,=
Well D'ametw 2 in -
Screened }fig, 1a=. 5 ft- to � -_-
gaHons
NO -ano fie", acorfiied 01 YES NO
- _.
`DES
Oth—W _
PE OF PERMITTED OPERATION BEING MONITORED
Ej L3goo
I I ReTneduabon: ,,,fist
y _
El Rem._3110,:
Rotary , t utux
[_J Land -Aponew"On o, Siudge
Water t Pump
E FI _ o BASINS
FIELDANALYSES;
€ { woo* 5-9 Manias
--. {: one 00094
4 rw
.p,
Te
F I at
me of
pkihos
mampin ,
light orange
None
here
Certification N
NOTE Values should react
dissolved and colloidal c nr ,
g �.
�-.
n
r c,
ft<
m
' ._ -
-
€ T = ..' �i t ;,3 .'_ ,. _.
ss'l _a,
;}zt- is }_r-` a ?
'r._ _
-.the FS -_ : {o2 pn rids, '.� ,��� � ?� _
We vHO _ -,e _
-
-
,_
-- _ )
�g �:, Lam-
5 9
_
nits
i,,s=��
- � o;o
� �,� .�
mg/1
C nic wZ..
m
.ra L* a.€ , tit: A
,
Grease, and Ods ocw.
,Cu
�� f 042
f=L
ORGANICS ;by :_.0 - C,£
Phenol 32 3-�
� �
'� ,ran o,e—ws _... _......
'Specify � €�H 1,
>e
Hg Mercury twouqlL
Lab Report Attached?
ems. aq€��ti 45�.. s-` �..�.
x<y�I[�
3�Z ya'=ice«,-<. �IIF�sI
-=
nethimcj
- -.. _ - _
MgiL Effluent Total VOCs
VOC R
e t - j!" NwM as _ _ romt
w- &20_=
UBMU T FORAQ ON
?'hopho ace _>�
mall
m.,; }
M
_
Ba - Bariumoo
u91
fro t Vim. Total W 034
€9
He - Men
U_
?
Mg - Magnesium w927
a41
Mn- Manganese moss
1 - Nickel ovwl .
at
Of
check
x
Y
r iti:
--
A, -. 0 - .: Ham yt '' N 28-443
aaf.
ty penew
I cwtonlSite Name a qreen near tee bax No o4we-tis to be "pled 9
L ID NUS it . Mw_10 Date le -Roll o: 1
s ei 6 41
An
e c> P_. s, 3 ft- above 'and su`Taz e i t. a{ n.
:- q.
or metal here c0en d unfiltered- YES El NO and field addffiie YFS N
z
kRAMETERS NOTE; Values should reflect dissolved and colloidal concentrations,
Arsenic oiow
1
Grease and C;, x';5 _
�
Pnenol 3 _-
€q1
Sulfate w-�-45
T nu- ;imon - wo
='tea
�` ..
For Rerneftbon1Y (Aftch Lab
RWT Number` EOrawn Date- 113 1i 12 0%
D" — ag �
U —
T cue,
PE OF PERMITTED OPERATION BEING MONITORED
Rarary Distributor C1 Land Ap7alication of Sludge
Water Source Heat Pump_ l Cite;. INFULT i [ON BASINS
FIELD ANALYSE:
Sr*c Cond =mmm
appearance
Temp «¢ _
pttiz,
Norm
light tag
USIL
ORGANICS: !by GC, GCIMS, HPLCI
iSpmjN wst and mth _ ATTACK LAB REST.)
Lab Report Aftached? 1 yes j
method
method #
MgIV
SUBMIT FOR164 ON
y
ermd Name in n-,
ache A drew
0 Fa3r€ v Dr a -stead N.- 2 _
emu_„- Penile;
LocatmwSde Name __ of wells to be -Z9
NUMBER . t : m
-Ith i - ,
h t 0e# Level 8254b_ 14
Dies. ft- metals were co-Ile0ed 't _ u YKEs
Date sam.me_iected 11 141-2nkn
Screened _ Marva° 5 ft 0 _5 ft,
el s e Via, R E. vnho .
5 galions
El O ane. field aadffieaEl YES 'D N0
n=Discharge 0.00T1 6
64 UIC
_DES Other
PE OF PERMITTED OPERATION SEM MONITORED
n-] 0 Remedd. tion Infiltra,"Jacin Gallery
l
s Spray id s m
'_.. Rom
y O strbudor El Land �-A FL U. -n of Sty
rSourceHe-at Pump 0 Other WFLITRATION BASH
FIELDANALYSES:
4-6 units
Sumer _- Con -
do, orlous: -slight
Appearance Tan
.ofi�heD e swnpl wzea 1202 -1-�o, . mv- nr� S,in-
PARAMETERS;
NOTE: Values should react dissolved and colloidal concentrations.
- _Pb - Lead =_-.
olif m'. ,- reca4 .,.,-_ - C -.... _.., _ '_ # as a rMlw 0,02 :fig_{ ,. ...-!'�. _ .r-_r
Colaorm A F TOWIf=T3
veil of s: &W -Mwn
At
mr'L
H (LaW, w
4,6
Unite
T `s`C
-..
clinionde wlw
mgiL
£tr -- ma-2
_ - -
Gmase and. Otis _ -
mgiL
hen -t _ .UWL
-imonta omm
�F
ors -
Toni Konwl - Di tor. State pecrations
Perim -wee Ommmd A, 0WaT _' z
GW-594 Red MQ 3
A, Aluminum _ s mg
C - =, _
Uu - co, -m
mail,
c - Iron mr-A5
--
uqfL
gig - M e,'Vj,7 a -,
P0'ta-$r,;M CIOZ7
rn gwL
n um -=
M. z
s
Mn- Manganese o4 m,
ugfL
i - Nick o r
M'L
ORGANICS: tby GC GCIMS. HPLCI
(SW-ify test and method, ATTACH LAB REPORT.)
Lab Report _ Nt m,
g7 x matte
me-thod
miethod
aiL
SU&— I' FORM. ON Y PAPER ONLY
acifflY Name- Be!
Rttio
;W Address- 0 C is " r :o t a- �
count' Pende,
i ct Pensor Grp Srfllman Te erftmwak 25 24 56
auo- ite Name Bask of a _ ` B o- o € s to be sa' V °
„ter 02
k o Vat L_ s fir; `` Screened me va!
? t Poi ' is 3`. ft. eve land surface
ea,. the M P Elevat-on:
`e of v4ater pumpe wiled before ,piing gallons
NO and fiRld [] YES 0 NO
-D .g UPI
'DES Omer
`PE OF PERMITTED OPERATION BEING MONITORED
iLagoo
171 Remer-hat.—Or Infiftratkun Gafieryfl
Spray Field Re-nedi-avon-
oN Distnbutor Land App. Cation of lge
' _y Water Source Heat Pumv. Offler:INRIL-RATION BASV
FIELD ANALYSES -
#'Yuri oo&m 4141hos
Odor _==5 Sulfur
Acoearance ught Brown
de sample a , ll ¢e-0 Lai #tor Name Environmental hemts�s Inc
-
d N ` ° ` should reflect dissiolved and colloidal Concentrations.
COD Mg/ Wrdm- !NO--1 as N F q Ph � Lea n, §:
CoWorm: ��r scat m 9 . m Nitrate , ,.' s m2 a 0_- a �_
Z
NOW Use LA, - siebw-j -- ,wy , : phi s sr a ... -....
d aoi ij�-':Tcitl - ..3
2K
rng/L
H [�„ , woo>-
ntt
'4-qr�
�3 M0
-�7
, _,_
ft
_
Arsenic
Gmase and Ods om,-52
Pia/L
t1 i
'vai'.sa aS 0,,E i,
'>
rt op?` os .ate - c.501
_
mail-
its- Ajuminurn =.-`.o5
'_L
_
Ca - Cady : 102
-
Chromn UM TMA -M34
t 91
e Vonfm -
91
Potassium ,}_
MCI -Matll
nM, Toftl VOCv
Cerfificaton No 94
UgAL
i`g
011 e, tsr-eci e3 v linco d and on-cei- ationi Units):
z
Sffy test and me#tod #. ATTACH LAS REPORT.)
Lab Report Attach F Yes
method
moll- t Trital 1100s,rn
Tony Konsul
ciI - ii
-,wtl, site . es ins
Gv,ja59 Rev 6121113
t
of
U . Y
FROUNDWATER QUALITYMONITORING:
'OMPLIANCE REPORT FORM
- --%ase PW
Cftar*
KRUff Nuft*er'
Expiration Dater 31,341,
_,
adlAw Name: Belvedere Plantation
Non -Discharge g VQ0_'_ i664
4 tic
_Y
Nam
NPDES
acibly Address 3; FairwayDr
Hampstead, Na C, 28443
TYPE OF PERMITTEDION BEING MONITORED
-_
.onfact r-rso n, r n A
p -e 25� �6 £
_ _
_ _ tnbu r
n o motion Sludge
ocabr Site N_ t,Basin C yea —mar F _ R
�' £'
,..E
r o Hey. m
, 3
0 CWie 1 T TI N Fd
NG INS
F,
NUMBER WIN i
D'_Me sz-MD.e aouectea11412022FIELD
ANALYSES
-1 Devi, -
mlx' e er_
2 1n
PH 00400 units
Temp c_ - - DRY at
e
...
a w_ � Point ,s o_� ,and s fact
laty M Elevation :
��� Y �z.
slight 1chec
Eu e of water purnpedutiailed before s = pf 1
a-"H ns
pea «=
Brown
,amples for metals were collected u fi DES
U NO and f_ k; -AcId en Lj =-ts
_
_INFORMATION
)ate sample anaNzed "2
a rat Name 'n-v,o
No 94
Chemists, , Inc.-ert aeon
NOTE- Values should reffect dissolved and colloidal concentrations.
COS 0 -
=e (NO -Al N v v.: 003
,_<Pb
_-.
`..
Wo � . F - —
NA -we£<<
.-n - Zinc ow
_ ,
- "' `_ r?` S,
vn- _ ,� �, r4c-3 _
- Barium -, ;-'-.�'.'
7
-
.,�,�-.-...
umm
q__
C :or - g 6 cv�
CGS„ M a.-}
ems. _
NC : AAS,
nOl 3g -3 U
o K o(Specify
test and mew 3 ATTACH LA ,
Hg _ Wn u y , M _
UWIL
Lab
-' eeV� C1 N
Conductance"Ah
- Potassium w
mqvL
VOC 7873
re elh
mt. a_- N A wvorWes. POWs
Mn - Manganese wo65
;. -
cuw25 ma/L
Nicxe4olm
t isnt T � 1�2;.
Tony K n ul - Director, Mate Operations
t O�
GROUNDWATER UA > NNE
COMPLIANCE REPORT FOR_
FACILITY 04MAPk-asee Rw Cwrly or T
ij y Name.,. Belvedere-- Plantabon
Perm ? Name r € 0 fie= Y
C3 '=.py Pe
2- .-Lft5i
VNe-fill Loco'je ai?e Bast left corner, oo::.
cam, s te sampled
D NUMBER (from Permit): MW44 Da*eStemple collected_
Diameter
' ` €s '-? v ., - fi belaw measuring pointSc n ln'erval
na
.vc v;
for metals % r $ a
ales�.� �.'--��'r� e.. ... - �-. �;'�. .� ��.+ ��� ,r�€� �k. a--��
-;?
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentraUons
Colff&ri M � o ta' . . a -
z. l
Phosohorus . oial as
N _ U. ; m, z .,. _g
a md 54
0-hophOsp—le ._mac"
Ha
R
_
J
_
_e VOW
g
_
Arsenic 01002
uq1L
Chromium: T c.
€ .
aPe
PhefnOf 342,30r
nIron 010
_ hos
_ 7
T 1 to
04
mg/L
M- - Magnesia 21
a=
-N as N 5
N s is
I -
- to 5 ft
YES `-D NO
Number
Exomfion Date 3 E 02
-i{cw AnIQU-0001664
-_ -
Ulm
IDES
Ot'..
PE Of EtT
_ NG
Spray Meld
edi
e-,
�--i Water Source?'a_ u, .ems
0 ifti'` iNRLTRATION BAS11
FIELD ANALYSES:
v u .=ts
--ec Coed. 004
OC-01 0,00813
Appearance
Ewwion. eM net -:=-ass_ inc
00
02
Pb - lL0 01051
4-. _r- ,1092
42 cC
Temp
yes
Tad
ORGANICS.; auv G-C; %O_`M, HPL C
ftecify test and method III. ATTACH LAB REPORT-)
Yes t _ ? 1 o _;
Lab Report Aftached? E3VOCa= e-'eu
nmvi
Pffh awn- n t o 3
ma& V
DRY at
',?,
wte
UVia' ' eaemNome _; q
Gv,4-5ev W01
SUPWAM RORM ON
BeWedwe Plantation
Name ."if differen'-
Address, a- . � lfu Fasw i DIr Hampstead C. 2844 - - - -- -
Courth, Pender
i or tor. ; t` n Basin B & C No, of welts o- e.e s a `tea
NUMBER (from Permit)'
15
Depth_ m ,
T} eels, L eV p 826 13
,' _n
M ofviwer puWbailey r;efore samping
pies for metals were o_ c=ef� � s
Datee sample caml ected 1141,12092
�'_ in,
gall-�"-- ns
NO and fielu addified, 0 YES
Y NO
W
'DES Other
'PE OF PERMIT R—N BEING MONITORED
Sp
i U -,
Rotary Distnbultnr j l=-and Apt., a i r. of Sitioge
Viater Source Hew Punip 0 Other- INFILTRATION SA-Sil
FIELD ANALYSES:
;WAS
unitsvH
I a
Spec. Cond, _94
ulhs
Itime of
O c. -:; E
sugta
ed-,
!
here -
�RAIWETERS NOTE: Values should reflect dissolved and colloidal concentrations. --
L
- a a `-z
=a,
4,1
n
Grease an () US r0-552
Dhend 32730
w
mo. - , _ 02
.
TKN s N i><y
9
0
Other 'Sped& - Compounds and Concentration UnOs
Ba n Barnum o_
- xOUM 009.,E
W
CACadmium -
gf
-.... -
C _ um Teal n,0
C.pper m42
, _,
e - o.o'
U91L
(Specify test and method #_ ATTACH LAS REPORT.)
g- Mercuny gug/L
Lab Report Attar-hed? El yes;_.) 0 Noil-01
_ P01,afiSjUM
Mg s Magnesiumyr
11191
_ method
Mn _ Manganesewomm
amethod
I iota, s-
��F?�'���'-���>�
W- Red W043
CWS - Hampstead
Date of Report: Nov 25, 2022
130 Fairway Dr
Custorner PO #:
Hampstead NC 28443
Customer ID: 08100029
Aftention, Greg Spil0nan
Report #,, 2022-22081
Project ID- BeNedere WNTF- High Rate Weft
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22 -54,144 Site: MW- 7
11/4/2022
Waer Mike Wrade
10A0 AM t
Test
Method
Results Date Analyzed
Color
cfabl
Orange
11/04/2022
Depth to water, ft
Depth to wateR' Ft
6,9 feet
'11104/2022
Ammonia Nitrogen
EFIA 350 1, Rev 2 0, 1993
< U rng/L
11/14/2022
Ga�lons bailed before samp�ing
CMans' Sailed bPfole SirrOW19
5 0 gallons
11104/2022
Odor
QuaNabve
None
11/04/2022
Total re al Solids (TIDS)
SIV 2540 C-2015
104 rng/L
11/07/2022
Temperature
SM 2550 B-2010
210C
'11/04/2022
P H
SM 4500 Br B-201
Via. 2 units
11/04,12-022
Total Phosphorus
SM 4500 P (FH)-201 1
0.52 mg/L.
11121/2022
Fecal Coliform
SM 9222 D2015 MF
< 1 Cdor6es/l 00m L
11/04/2022
Chloride
SM4500 Gi E-201 1
7 mgIL
'11107/2022
Nitrate Nitrogen (Cate)
Nitrite Nftrogerl
ETA 353 2, Rev 2 0,1993
0, 05 rng/L
11/0412,022
Nitratei-Nitrite-, Nitrogen
EFIA 3512, reef 2 0 1993
0, 19 rn g/ L
11 108P2,022
Nitrate Nitrogen
S&Vacbon Method
0 14 rng/L
11/22/20Imp
Repott # 2022-22061 Page I of 9
1mvironmental Chemists, Inc.
6,602 Vv)nrfinffl VVa Y, NC 28,405 . 9103910223 La(') . 910,392 4424
'710 B<)%N,scniI)Wn Road, Manrteo, NT( 2,7954 , 252,473 57()2 Lab/Fax
2,,',`, A Wflinhigton Highvvav, fad<sonvffle, 1,(C 28540 qua 91C, 347.5843 Lab/Fax
CWS - Hampstead
Date ofteport: Nov 25, 2022
130 Fairway Dr
Customer PO #:
Hampstead NC 28443
Customer ID08100029
Attenbon: Greg Spifirnan
Report M 2022-22081
Prcqect ID: Belvedere WVVTF-, High
Rate Weft
Lab ID Sample ID-
Collect Dateffime Matrix Sampled by
22-54145 Site: MW-8
1,114/2022
IIA1 AM Water Mike MiracIe
Test
Method
Results Date Analyzed
Coor
rokv
LI'Tan
11/0412022
E)epth to water, ft,
Depth W fta*, Ft
10.3 feet
1110412022
Ammonia Nitrogen
ERA 350 1, Rev 2 0, '1993
< 0,2 mgA.
11114/2022
Gakons bailed beforampiing
Galions Ba4ed befejT SOMPIU19
5.0gallons
11/04/2022
Odor
Qualitabve
None
11 /04/2022
"rotal Dissolved Solids (TDS)
SM 2540 C-2015
247 nig/L
1110712022
Tempera ture
SM 2550 B•2010
21. 9 (.",
'11/04/2022
pH
SIA 4500 H B-2011
6,6 units
11/04/2022
TOtal PhOSPhOrLM
SM 4500 P F11) 2011
3,03 mg/L.
11/21/2022
Fecal Co4form
SM 92-20 r 6 MF
<1 Coonies/100rrk.
1,1/04/2022
Chloride
ShA4500 (N E-20 I
7 n,igA
11/0712022
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
F"PA 353 2, Rev 2 0, 1993
0.03 mg/L
11/04/2022
Nitrate+Nftrite-Nitrogen
EPA 353 2, Rev 2 0 Y 993
0, 36 mg/l.
11/08/2022
Nitrate Nitrogen
Subtrarlion Mathod
0, 33 rTigA-
'11/22/2022
Report * 2022-22081 Page 2 of 9
'J;1 0 mental ("hemists, Inc.
11 unvirion 1
6602 Winkfi,rdU N('28405 . 9103920Z!3 L,�b * 9103914424 Fax
1";:G Bowser trnvn Roadmanteo, ' �C 27954 * 252473,5702 Lab/Fax
255A Mialington f h9hV,',k1,' r'yd( 28`540 . 910 347 5843 L,1b,'J,ax
CWS - Hampstead
Date of Report: Nov 25, 2022
'130 Fairway Dr
Customer PO #:
Hampstead NC 28443
Customer, ID: 08100029
AttentionGreg Spiftnan
Report #: 2022-22081
Project ID° BeNedere WWTF,- High Rate Weds
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22-54146 Site: MW-,9
11/4/2022
'11:02 AM Water Mike Miracle
Test
Method
Results Date Analyzed
coor
cdor
Lt Orange
11/04/2022
Depth to water, ft.
Depth ki Water, Fa
18,3 feet
11/04/2,022
Ammonia Nitrogen
EPA 350 1, Rey, 2J), 1993
< 0 2 rng/L
'11/14/2022
GaHons baked before swnpfirPg
Goons Bali tx4cne sarvng
5 0 gaud ons
11/04/2022
Odor
QuaMative
None
11/04/2022
Total Dissolved SC fids (T'DS)
SM 2540 C 2,015
151 mg/L
11 /07/2022
Temperature
Shl 2�50 B 2010
21 SC
11/04,12022
pH
SM 4500 H B-2011
5.9 Unuts
11/0412022
Total Phosphorus
SM 4500 P (F H2011
1 85 rngll-
11/21/2022
Fecal Cofiform
SM 9222' D-201 i MF
3 Coionies/l 00rnl.
11/0412022
Chloride
SM4500 D E-201 1
43 in4/1-
11/07/2022
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
EP,A 353 2, Rev 2 0, 1993
0.03 mg/l-
11/04/2022
Nitratei-Nithte-Nits ogen
EPA 353 2, Rev, 2A 5 993
0.561rig/L,
1 1/08J2022
Nitrate Nitrogen
SubtracN,)n Method
0 53 rngJL,
11/22Y2O22
Repwt # 2022-2208$ Pap 3 of 9
I 1 0
:Invironmental Chemists,
6602 Win&nfll Way" v4daungtor", 28405 - 910 3,,?2,0223 L',ib . 910 392.,A24 Fax
710 'rIJ(I 2'7954 as 252A73 5702 Lab,/Fax
255 A, Vllilmington High�,vay jacksormik?, IIJIC 28540 o 9 R.347-. fH8431 abjxx
CWS - Hampstead
Date of Report: Nov 25, 2022
130 Fairway Dr
Customer PO #:
Hampstead NC 28443
Customer ID, 08100029
Aftention, Greg SpflRrnan
Report #, 2022-22081
Project ID: Belvedere WVVTF'- High
Rate Weft
Lab ID Sample ID:
Collect DaterT'ime Matfix Sampled by
22-54147 Sjte: WN-10
11/4/2022
1123AIV Water Mike Miracle
Test
Method
Results Date Analyzed
Color
cdor
U,Tan
11104r2O22
Depth to water, ft,
Depth to Watw, Ft
(.3, 0 feet
11/04/2,022
Arnmonia Nitrogen
EPA 350, 1, Rev 2 0, r 993
< 0 2 rng/l.
1,1114/2022
Gaflons bailed before sampfing
Galluns aau[Kj betwe sarnonq
5,0galRons
11 /04/2022
Odor
Quaktative
None
11/04/2022
Tots 1 DRssoived SoWs (TDS)
SM 2540 C4015
106 rng/L
11 /07/2022
Terror peratLjri,-a
SOO 2550 B-2M
231 C
'I I /(14,/2022
P 1-1
SM 4500 H B401 1
6.4 unks
11/04/2022
'T'oW PhosphOrLJS
SM 4500 P (F-H)-2011,
0 97 mg/L
'11/21/2022
Fecal Cofform
SM 9222 D 2015 MF
<1 Co'tlonr s/100mL.
"11104/2022
Chloride
SM4500 Cf E-201
10
11/07/2,022
Nitrate Nitrogen (Cate)
Nitrite Nitrogen
EPA 3532, Rev, 2 0, 1993
0,05 rng/L.
11/04/2022
Nitrate+Nitrite--Nitrogen
EPA 353 2, Rev 2 0, M3
0,62 mg/L
11/08/2-022
Nitrate Nitrogen
0,57 mg/l.
'11/22/2022
Rqmrl # 2022-22081 Plage 4 of 9
CWS - Hampstead
Date of Report: Nov 25, 2022
130 Fairway Df
Customer PO #:
Hampstead NC 28443
Customer ID, 06100029
Aftentiory Greg SpHiman
Report #: 2022-22081
ProJect ID: BeNederevvw'rF- H�gh Rate Weft
Lab ID Sample ID,
Collect Daterritne Matrix Sampled by
22-54148 Site: MW.r 11
111412022
121-26 PI M Water Wke Wrade
Test
Method
Results Date Analyzed
Color
Gofo�
11/0412,022
Depth to water, ft.
Depth to Water, Ft
13 9 feet
11/04/2022
Ammonia Niftoqen
LPA 350 1, Rev. 2.0, 1993
1,5 rnq/i
11/14/2022
Gakons baiied before sampling
are ons Baited kxfore swnoing
5,0 gak.)ns
1 VO4/2022
Odor
mmkafive
Siight
11/04/2022
'rotal Dissolved SoUds (TDS)
SM 2540 C-2015
47 ing/L
11/07/2022
Temperature
SPA 2550 B•20ii';
23,2 C
11/04/2022
P-i
SM 4500 H B-201 1
4,6 omits
11/04/2.Cry' 2
Tot Phosphorus
SM 4500 P (F. H) 10 1
U8 rnglL
'11/21/2022
Fecag Cofiform
SM 9222 D-201 5 MF
'<wl C�.'�4onies/100m[..
11/0412022
Chloride
SA44500 0 E-2011
16 rng/1-
11 /07/2022
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353-2, Rev. 2 0 1993
< 0.02 rng/I
11 /0412022
Nitrate+ Nitrite-Ntroi4en
,,v
EPA 353 2, Re2 0 193
9
< 02 mg/L.
11/08/2022
Nitrate Nitrogen
Subtraction MeVuAJ
<00,02 mg/L.
1 �/22/2022
Rppoft # 2022-22081 Page 5 of 9
CWS - Hampstead
Date of Report: Nov 25, 2022
130 Fairway Dr
Customer PO M
Hampstead NC 28443
Customer ID: 08100029
Attention: Greg Spiflman
Report #� 2022-22081
Project V Be-Ivedere WW'TF- High Rate WeHs
Lab ID Sample ID-
Collect Dateffime Matrix Sampled by
22-54149 Site: WN-12
11/4/20,22
12A3 PM Water Mike Miracle
Test
Method
Results Date Analyzed
Coior
Lt' Brown
1,1/04/2022
Depth to water, It,
Dppth to Watev, Ft,
11,2 feet
11/0412,022
Amrnonia Nitrogen
EPA 350 Y, Rev 2 0, 1993
1 5 mqfl.
'11/14/2022
Gallons bailed before sanipling
(3aflons Baled W'rye smnpfing
5, 0 galions
11/04/2022
Odor
(')w'Wafive
Suffur
11/04/2022
Total Disso[ved Solids ('T'DS)
SM 2 540 C 10 15
282 rTlg/L
'11/07/2022
Temperature
SM 2550 B-2010
23,5 C ,
11 /04/2022
PH
SM 4500 rS. 2011
51 unis
11/04/2022
Totaf Phosphorus
SM 4500 P r' F-H-201 1
0.58 mg/L
11/2112022
F`ecal Cofiform
SM 9222 D 2015 MF
<1 Colonies/100rnL
'11/0412022
Chloride
SM4500 01 E 2011
69 rnglL
11/07/2022
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
EPA 353 2, Rev 2 0, M3
0 05 mg/L
'11/04/2022
Nitrate+Nitrite-Nitrogen
E PA 353,2, Rev2 0, 1903
< 0,02 mg/L.
11/08/2022
Nitrate Nitrogen
Subtacbw Whod
<0 02 mg/L
'11/22/2022
Repcd # 202222081 Page 6 of 9
Eirrvironmental Chemists, Inc.
6602 Wimirnfl] Way WifivdnglI o, 91,139Z02' Lab -, 910,39,2,4424Fax
Pv"C� 28405 C
W Bowsertown Manteu, 1,JKI27954 o 252AT33702 1 ab/]-,ax
255 (s %Nlrnington H� ghwavl JacksonvJle, PX 28540 * 910,347,584'3 L�ab/Fax
I
CWS - Hampstead
Date of Report: Nov 25, 2022
130 Fairway Dr
Custornor PO M
ilarnpstead NC 28443
Customer ID: 08100029
Attenfion� Greg SpHlrnan
Roport, #- 2022-22061
Project 10., Belvedere WWTF- High
Rate WeHs
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22-54150 Site: MW-13
11/412022
1�28FIM Water Wke Mirade
Test . . ........
Method
Results Date Analyzed
C6or
Colof
Brown
11/04/2022
Depth to water, ft.
tea ph to Wutv, Ft
13.6feet
11/04/2022
Ammonia Nitrogen
EPA 350 1, Rev 2A 1993
C 0.2 mg/L
11/14/2022
Gaflons bailed before sarripting
cwions aaiiv.,f before sarnpling
5 0 gaHons
11/0412022
Odor,
Qualitative
Slight
11/04/2022
Total Dissolved Solids J"IDS)
Dias
SM 2540 C. 201
42 nig/L.
11/07/2022
'Tern M-
SM 2550 B 20 � 0
21 .6 C
11/0412022
pH
SM -1500 H R-2011
5,0 un�ts
11/04/2022
Total Phosphorus
SM 4500 P (F,H)A20 1
0,66 rng/L
11 /21 /2022
FecW C ofiforni
S M IJ222 D-20 15 MF
I COonies/100mL
11/04/2022
Cfthde
SW 500 rJ E 20 � 1
6 mg/L.
11/07'/2022
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353 2, Rev 2.0, 1993
&03 rng/L
11/04/2022
Nitrate+Nftdte-Nltrogen
FPA 3512, kev 2 0, 1993
< & 02 mg/L
11/08/2022
Nitrate Nitrogen
Subtraction Mefliad
<0,02 rngli,
11122/2022
Report # 2022-22081 Page 7' of 9
E`nviranmental Chemists, Iric.
6602 Way, W'&vinglcwNJC28405 . 9103910223 Lab * 410,392.4424 Fax
71U Bctwwrdnwn Road, Nlanteo, PK1 27954 252473-5702 Lab/1"ax
255 A IMJrnington High�-.,ay, J,.,wksorvi'1; e, N( 28,540: * 910,347,5843 Lai),,'Fax
com
CWS - Hampstead
Date of Report., Nov 25, 2022
130 iway Dr
Customer PO M
Hampstead NC 28443
Customer ID, 08,100029
Attention: Greg Spiflman
Report #: 2022-22081
Project 10: Be1vedere WWI"F-,,
Mgh Rate Wefis
Lab ID Sample ID:
Collect Daterrime Matrix Sampled by
22-54151 Site: MW-14
1,114/2022
1212 PM Water Mike Wrade
Test
Method
Results
Date Analyzed
C6or
Cola
'Tan
11/04/2022
Depth to water, ft.
Depth to Wat&, R
12,0 feet
11/0412022
Arnrnonia Nitrogen
E RA 350, 1, Rev 2 0, '1993
0 4 mg/L,
11/14/2022
Galions ba0ed before sanipfing
Gallons BMed bekxe sarnpkng
15 0 galYons
'11/04/2022
Odor
ouahtafive
Yes
'11/04/2,022
Total Dissolved SoWs JDS)
SM 2540 C 20 r5
295 rng/l,
11/07/2022
Temperature
SM 2550 B-2010
241 C
11/04/2022
pH
SAA 4500 H B 20 11
4.8 units
11/04/2022
rot Phosphorus
SM 4 500 P (F H) 2011
0, 19 nig/L
11/21/2022
Feca� CoIrform
WA 922',? D,2015 MF
<1 Co�onies/,100rni- 1,1/04/2022
Chloride
SM4500 CI E,2UI 7
2 n-qh.
11/07/2022
Nitrate Nitrogen (Calic)
Nitrite Nitrogen
EFIA 353.2, Rev 2 0, 1993
1.0 rng/L,
1110412022
Nitrate+Nitrfte-Nitrogen
LP A 353 2, Rev 2,0, 1993
< 0.02 mgJL.
11/08/2022
Nitrate Nitrogen
Subtractinn Method
<0.02 rnq/L
11/22/2022
Repwl #, 2022-22081 Page 6 a, 9
Environmental Chemists, I Ine.
r•602 Mndnnfl Vk'ay, MII-Mngton, NC284Wi - 910-392 0223 Lab #, 910,392,4424 Fax
710 fro act„ Nlara teo, NIC27954 ', 2514735702 Lab/Fax
1,X1 1 28540 * 910,347,58,43 1,.ab/Fax
cowl
CWS - Hampstead
Date of Report. Nov 25, 2022
'130 Fainmay Dr
Customer
Hampstead NC 28443
Customer V 08100029
Attenfion° Greg Spfllrnan
Report #., 2022-22081
ProjectID: Belvedefe WW'rF- High Rate Weft
Lab ID Sample ID,
Collect Dateffirne Matrix Sampled by
22-54152 Site: MW- 15
11)4/2022
1:10 PM Water, Mike Miracle
Test
Method
Results Date Analyzed
....... ...
Color
Brown
1,1/04/2022
Depth to water', fil
Depth to Watw, Ft
113fe(at
11/04/2022
Ammonia Nftrogen
EPA,3501, Rew 2 0 1993
< 0 2 mg/L
1,1114/2022
G@Ions bafled before samping
Gadons Baftd b-kOre, sampfing
5,0gal8ons
'11/04/2022
Odor
QU0tWjV0'
Slight
'11/04/2022
T of.al DissoNed Solids (TDS)
SM 2540 C-201 5
63 rng/L
11 /0"712022
Temperature
SM 2550 B 2010
2 1,7 C
11/04/2022
PH
SM 4500 H B-2011
4.7 unEts
11/04/2022
Tota1 PhosphorLM
SM 4 500 P (-Hy '20 t I
0J31 rng/L
11/21/2022
Fecal Cofform
SM 9222 D,2015 MP
1<1 Coonies/100ni[.,
11/0412022
Chloride
SM45N) 0 E-20 1
21 rng/L
11/07/2022
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
EPA 353 2, Rev 2 0, 1993
0. 04, mg/L.
'11/0412022
Nitrate+Nitrite-Nitrogen
EPA 353 2, Rev 2 0, 1903
< 0,02 rng/L
'11108/2022
Nitrate Nitrogen
Z'Subtraction MeThod
<0 02 Mg/L
11/22/2022
.
Cornment
........ ...... - ------------ - -
Reviewed by',
RepoN * 2022-2208 ti Flap 13 of W
Date
vow,
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4 su bWAr W Rg quil MOW 11 V.
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Erivirorirriental CherrOst, Inc., Wilrnirigtors, NC Lab #94 6602 MndrriH Way
Mmingtt)ri, PX 28405
910,392,0223
Sample Receipt Checklist
Client,
Dat Report Nunsber: 2022,
of �,arnple�
.............
F C H f PA Deiivery 13 5UP"'s-1,71 FedEx D Other, 1.1
0I E S
N 0
so
�
_ustody seals mere preserft, m:re, they intact/unbrcikeri?
.....M.
Original ternperaum7 U1.)CH, r, (:oyreded tenrpeN3tUre UPIVI receOpt T
Hww temperatUre takejq�
D 1emperature Mank gamst Botfles
IR Gun ID.-
Thomas Traceable
S/N 192511657 M, Gun C,orrectiorr Factor 0,0
'YES
0 P40
3, If temperature of cooier exceeded 1a dAf was Proje( t Mgi,/QA,, notified
ff 6,
4, Were proper (,:ustody procedures (F(?ninqd,disPred,,tref,ei,ved) foilowed?
0
5 Were sarripe ID's listed on thc
6, Were san,rpes Ott Iisvid on sarnple containers?
YES
7 Were cp�Aecflori date arid time fisted crrr the
YES
1_3 N 0
8, Wpre tests to b(.,, perforrned fisted on the COC?
YES
13 NO
9. Did sarnp�es arme or proper contsiners for each test?
YES
F-3 NO
10Did safnples arrive in good condition for ewh test ?
YES
11 NO
......... ..... ..
11, Was adequate sample VOILIme ava0able ?'
YES
El NO
12. Were samples recew,,d within proper holding times fm requested tests?
YES
_3
I- NO
...... ..... ..
.13. Were acid preserved sampes received at a I,,)H of <2 ?
YES
rj 0
14, WE'f'E'r Cy Aide samp�es received at a pH > 12
. .... .. .... . . . ...........
suffide sarnpIes recI)IH ,9?
ti' N6
16, Were NH3/'IKN/Pheno� received at as cMorin*res�dual rat' ,r0,5 rn,/L?
�0'
17 Were SiAfide/Cyanide received at a chlorine residUal of <0�5 rn/L?
NO
18. Were orthophosphatt� sarnpies fiftered irr the field within 15 minwes?
aTC1, �)H, cht,cked
a� tirrFe of analysis and i ecorded on 0,,h
Bacter1 a
sample" Are Checked for Chionne at br,nc, ofamflyii,, And j,t cc)rded on thp
s7m—o;—Pre7,�7 7ati7r—TAM,
77)e —cornp—le—ted fo—rany'—sar=pie� s) —d,ncoi, r e(J ��7:)r 7�,—er—ve—do—rw"—ith t7ea 77p ace)
sample(s)
vvere received incorrectly pHeserved and vlere adjusted accardingly
by adding (circle
one):
HaSo� H rC) 4 HC1 NaOH
7me of Preservation:
ff rnore than one preservative is needed, notate �rr comments below
s p ace
DOC", CIA 002 Rev 1
6602 Windmill Way Wilmington. NC
ENVIRONMENTAL CHEMISTS. INC 28405 OFFICE. - - FAX -
COLLECTION AND CHAIN OF CUSTODY
ENW$H
O : Bela g ere TF- h Rats ells T e
ADDRESS:
CONTACT NAME: Grp -a nillman 1P0 NO: _
REPORT O HON g
COPY TO: mlfl3
1 e d SAMPLE TYPE: influent, EffiEffluent W =Well. ST = Stream, SO Soil- iu
0 9 _ ANALYSIS RE -QUESTED.
Dt
Temp tl
_
Mela-
!Depth to wate
G11- - _ _ 3, -< - -
_1.2
E _
,
Gallons led
g
Wig_
C
A
g� a
--------------
! iota# W a wells 1.7; . ,1 11.1 .13. , ) Due March, July, November
Transfer
Relinquished . D t irrmReceived.
Temperature when Receive
m Requested:_
livered a
_ D_m
Comments:
_ TURNAROUND;
4XW
6602 Windmill Wary Wilmington, NC
ENVIRONMENTAL CHEMISTS, INC 2W-6 OFFICE; 1U-02 FAX '-
392-4424
CEW CERTIFCATION S: DLS CRTIFICATION37na,
COLLECTION AND CHAIN OF CUS"IMY
liCLIENT: CWS-Hampstead
1PROjECTNAME- Beivedere - -h Rats Wells REPORT NO:
!ADDRESS:
s
(CONTACT NAME: Greg Spillman PO N
IREPORPHONE-X:
email,
� a ' tl Stream; SO Soil. SL= Sludge, Other:
N
g0 ANALYSISREQUESTED_
Date
1 Time Temp i i>
I
!fie$.,
3
R•
a
q
`=c
E >
. -th t water:
tal
€ - #C
Odor-
# s
E I
7
E �
5
C P s
s
---------------#
€s
Y
4 a a qq
ps
i
#
3 § s
Total of 9 wellisr_ , e 11, , 33 14,1 1 Due March, July .N"� r
------------------------------------------
€
Relinquished t ffim i z ' tm>
s
# #
Temperature when Received g-
jEj
Accepted: Rejected:_Resample Requested,Delivered
By $
Received _ Date: F�
Comments -TURNAROUND:
48M
66-02 Windmill Wwy Wilmington. NC
ENVIRONMENTAL CHEMISTS, INC 28405 OFFICE; j FAX
392-4424
a.y:: . Consul_,.g Chemists
; i ce.
COLLECTION AND CHAIN OF CUSTODY
IC e C S#Hampstead
NAME: mHNO:
'DR -
Greg Spillman NO
TO: , HON kk
!COPY -; lamed:
led Bvs
SAMPLE r. I influentfus r€a W ='V'Velf, ST mn 80 Solf— SL Siudge. Other,
Collection SEA ATE -
9
Sampte Iden�
� ANALYSIS REQUESTED
Date
I dime I Temp z I g -
i Ch ridgy TDB N
to water:Pecal
pH i'f�ield):Dep'h
!GaHons Baled:
- g
e
C
3
-
-
g
:s� �i lm
Tem perature when Received * 6
-
Resample Requested: -
Delivered
Received : DateI {{
mmts
TURNAROUND,
661012 Windmill Way Wilmington, NC
CHEMISTS, INC 28406 OFFICE: Q FAX 10'
_ENVIRONMENTAL
Anws a ChemistsNCDENR:
DW CERTIFICATION C CERTIFICATION 7
LOON AND CHAIN OF UY
. N ® W -Hampstead _
;PROJECT NAME: 8-elvedere WY4'rF-HiQh Rate W' RT NO:
_ WO NO,
!REPORTHN
=PY TO:m'-3
<a
SAMPLE ` - I e in — Effluent, � W :; T = t: mg � Soda � Sludge_ Other:
flection PRESERVATION
ANALYSIS REQUESTED
t Date
Time emp
} I
.Well:f lb
a
3 S i
IDepth to water 72
._, ' .
Fecal
z
iGaj- s
. } G 1 gq
S
§j
'Color
y
I � 7
�
q
}
G of
-
C
s
3 �
,Total of 9 we"99 17, } > ,1 .1 ,13, ,16) Dim March, jl , November
i By: DatelThne
z
q f
esample Requested.
Relive
Received By.
Comments:
TURNAROUND:_
4w
6602 W$nif Way WilmirQton, NC
ENVIRONMENTAL CHEMISTS, INC 28405 OFFICE: 1 a 3 FAX -_
A;sag - GonsuringChemists
N.€8. DWO C£1 1 Irt 3 bOdE # 94 N'uma 3S: OLS CERTIFICATION 317392-4424
}�
COLLECTION AND CHAIN O CUSTODY
'CLIENT, CWS-Hampstead
PROJECT NAME- Belvedere ^H Rate Wells REPORT NO {
!ADDRESS:
CONTACT N Spillman
N,
REPORT $T
H & EIxa
ICOPY O'
lemof t§
Sampled Br, a
x Pe
SAME A� PE. I l flue nt, 1, ST = Stream, Sold, �g d�s
-. - - '� Other
g�gg $ g�g§ gg
p
PRESERVATION ;
[ Sample Identification
4
#
} _ _
t
I
_
g p Q _
ems-' # 'z#'Ss s$c9�'z'. 3
V € -.
t`
17 `z
# $ E = s"+ _ -
On
S
[
aD
3 _ s
i a3 {
$ 3
x Fecal
]Galions Bailed,
>
3 z g 'aa
a
s =
i
s � €
s
i
s a
z €
' '
s
e $ C s a a
+ I
x €S
€ g£
C
>
a :
$» G £#
>#
j
3
g
Twal of 9 Wells (7,8,9,10,11.12,13,14A 61Due March, July, Novew.bor
_ r
i
Relinquished By:Dateffime
Received By: I Date/Time
j
aResample
Requested.
f
Date, ;� Im
_
- _
6602 Windmill Way Wilmington, NC
ENVIRONMENTAL CHEMISTS, INC 28405 OFFICE: 0®23 1m
392-4424
COLLECTION AND CHAIN OF CUSTODY
gHarn
'PROJECT N_ s Belvedere - Wells REPORT N
;ADDRESS:
!CONTACT fm O NO -
REPORT
HN
"COPY lernail,
Samioled r
SAMPLE s . ! ems_ _ e
Col PRESERVATION
Sample Identffication
®
' '
` ANALYSIS REQUEST ED
aft m T
� at
= Time Temp _0 ffi g
3
f
z =
Liernh :t:.-
s -, �0Total 3 � _
Feca
,a ons Bail:jr
i
i C
-;
4
- --------------
3
3
;
_
}
awedDater-lime
temperature when a
A ci Rejected: Reesample Requested:--,.;
Delivered _10-Recelved
By: F
Comments,
I TURNAROUND.
4_ - - g
6602 W8ii Wad lion, N
OFFIice . - -
ENVIRONMENTAL CHEMISTS, INC
-
-COLLECOAND CHAIN OF CUSTODY
PROJEICT NAME: Belvedere WNVT1 F-Hiah Rate Welis REPORT V
ADDRESS:�
- NO -
REPORT R` TO: z
;COPY TOs m ail.
_
m ® Stream, SO =Sofl, ' Sludge, `ter;
a ANA,-YSIS REQUESTED
a
We 443
N031NH3, Total P
LL
04 Feld!
G Fecal
3
,
Gaflons Bailed.
G
Odc_. F
P 3
C
Cogym.
..,
i
i
_ 34
e
a
1
Total lip s,_ November
Transfer
Relinquished ; Dateffime Received Bw Dateffime
Temperature when Received * _ - ample Requested: ---------------
Ds
Received _7
Comments:
TURNAROUND:
44M
Sample identification
W `
iel Zo,}
'is Bailed -
odor O4
C o fnmr
ENVIRONMENTAL CHEMISTS, INC
COLLECTION AND fr—'HAIN OF CUSTODY
28406 OFFICE° -3 223 FkX 910-
392-4424
info@enviror.ir,entaIchemists.com
Coll
--
PRESET
.
i
iANALYS'S
REQUESTED
Date
Time
Tema
-i
A
G
s
Chloride, TDS, NO-2
G
V
0.
I ®
P
'
s
a
s
G
X I
$_
$
aFecal
a
� �
3
n
_ _
g
`
r
_
a
} _
3
e
s
�
?0
1€
of Z- l i,;3e Due Match, jv, November
E
Temperature when Received 113 dejected;
esample Requested:
Delivered By: Daten/ _.
.
4- _
6601 Windmil Way Wilmington, NC
ENVIRONMENTAL CHEMISTS, INC 28"05' OFFICE: 1 m3 -
,Anati l & Consuffung ChemistsNCOENR:WQ
424
CERT IFICATION # 94 : OLS CERTIFICATION # 37729 -
COLLECTION AND CHAIN OF CUSTODY
1 NT: CWS-HaMpStead
WR EC I' N - : Belvedere WVffF-H1i EbRate Wells a 1REPPOR-1N g
'ADDRESS:
ma -
XONTACT NAME: Gre
iREPORT Tot
'COPY O:
pSamja�ss
_ SAMPLE APE; Influent. Effluent, , aSkdge- Other:
m
Collection PRESERVATION
Sample -Identification
Date
F
1 Time
� z t
p }
_ s
D
tth
,
_ N
F
;E
- - - - Fe cap
- - _ -
G_ ,-n. ss 1 -.
t
g
s.
-------------
P
lcofoi
of
a
P
f
P
'
'
,Tom, Of 9 Wills (=e 1,,, 1 ,5) Due March. jf Noy niber
Tm
Resarnnie Reauested-
ueuvered