090014_NOV-2020-DV-0523 Enforcement Packet w photos_20201207

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L2-/17/7,2
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PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions
U.S. Postal ServiceTM
CERTIFIED MAIL° RECEIPT
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"na, getY.04,r_id_LLAAJAP-1A
Street and Apt. N. or Pf Bo No. •-
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PS Form 3800, April 2015 PSN 7530-02-000-9047
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• Complete items 1, 2, and 3.
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1. Article Addressed to:
A&.D FARMS LLC
MR. RAYMOND C. MARLOWE
PO BOX 211
WHITE OAK, NC 28 399
1111111111111
mill
1111111111
9590 9402 5878 0038 2315 02
P-4 i;L e-v`,s1/4L.Le
See Reverse for Instructions
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Addressee
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7 019 0700 0000 3642 7864 %%II Restricted Delivery
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PS Form 3800, April 2015 (Reverse) PSN 7530-02-000-9047
Certified Mail service provides the following benefits:
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• A unique identifier for your mailpiece. associate for assistance. To receive a duplicate
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- Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent.
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available at retail).
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IMPORTANT. Save this receipt for your records.
PS Form 3800, April 2015 (Reverse) PSN 7530-02-000-9047
•
• A record of delivery (including the recipient's
signature) that is retained by the Postal Service""
for a specified period.
Important Reminders:
• You may purchase Certified Mail service with
First -Class Mail®, First -Class Package Service®,
or Priority Mail® service.
• Certified Mail service is nofavailable for
international mail.
• Insurance coverage is nofavailable for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
insurance coverage automatically included with
certain Priority Mail items.
• For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy retum receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailpiece;
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USPS TRACKING #
9590 9402 5878 0038 2315 02
United States
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Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address and ZIP+4® to thia•
NCDEQ - FAYETTEVILLE REGIONAL ()FPIC
DIVISION OF WATER RESOURCES
ATTN: KATIE FONTENOT
225 GREEN STREET. SUITE 714
FAYETTEVILLE, NC 28 301
V
Q C 2 9 2020
OFn-FAYETTE\'ILI.F RFX;NNAL OFFILf-

NOTICE OF VIOLATION AND/OR
NOTICE OF INTENT

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
December 7, 2020
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7019 0700 0000 3643 4817
A&D Farms LLC
Mr. Raymond C. Marlowe
615 Culbreth Smith Rd.
Elizabethtown NC 28337
Subject: NOTICE OF VIOLATION/NOTICE OF INTENT
Administrative Code 15A NCAC 2T .1304
NOV-2020-DV-0523
A&D Farms Facility Number 09-0014
Permit AWS090014
Bladen County
Dear Mr. Marlowe,
On November 16, 2020, staff of the NC Department of Environmental Quality (DEQ) Division
of Water Resources (DWR), Water Quality Regional Operations Section (WQROS) inspected
the A&D Farm LLC and the permitted waste disposal system. We wish to thank Mr. Marlowe
for his assistance during this inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304,
you have been found to be in violation of your permit as follows:
LD_E
a lm nt ofE JNA
Oaparhnenl o<Envlmmmenla49uality
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office 1225 Green Street, Suite 714 I Fayetteville, North Carolina 28301
910.433.3300

Page 2
Mr. Marlowe
December 7, 2020
Violation 1:
Failure to prevent discharge of waste to surface waters or wetlands. Waste shall not reach surface
waters or wetlands by runoff, drift, manmade conveyance, direct application, direct discharge or
through ditches, terraces, or grassed waterways not otherwise classified as state waters. N.C.G.S.
143-215.10C - (Permit No. AWG100000 Section Conditions I 1).
On November 16, 2020 during a structural site visit, DWR staff noticed waste discharging over
the lagoon bank while surveying the lagoon due to Mr. Marlowe reporting his lagoon levels were
less than 12 inches. DWR staff documented the waste discharging from the lagoon bank with
pictures and samples. The waste was observed flowing into a ditch which flows into Spring
Branch and ultimately into Turn Bull Creek.
Required Corrective action for Violation 1:
If you have not done so, recover all waste and return it to your lagoon or dry areas in your spray
fields. Document the amount of waste recovered. In the future monitor your lagoon banks
properly as stated in your General Permit.
Violation 2:
The Permittee shall report by telephone to the appropriate Division Regional Office as soon as
possible, but in no case more than twenty-four (24) hours following first knowledge of the
occurrence of any of the following events.
e. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat to
the environment or human safety or health. (Permit AWG No.100000 Section III 17 d.).
Your permit specifically requires notification by telephone within 24 hours and a written report
within 5 calendar days following first knowledge of the occurrence of a reportable permit
condition. DWR has no record of receiving the 24-hour notification and the 5-day written report
prior to November 16, 2020. During the Structure Evaluation, DWR staff walked the lagoon
bank because your lagoon waste level was reported less than 12 inches, and staff quickly
observed waste discharging over the top of lagoon bank. Mr. Marlow reported on November 13,
2020 at 3:27 PM that his waste structure was observed at having a freeboard level of 9 inches.
Mr. Marlow's Plan of Action (POA) was received on November 16, 2020.

Page 3
Mr. Raymond C. Marlowe
December 7, 2020
Required Corrective action for Violation 2:
In the Future, please notify the Division of Water Resources of the occurrence of any reportable
events in accordance with your permit.
Violation 3:
Failure to establish and maintain a protective vegetative cover on all earthen lagoon/storage pond
embankment (outside toe of embankment to maximum operation level/compliance level on
embankment interior), berms, pipe runs, and storm water diversions with the goal of preventing
erosion. Lagoon/storage pond areas shall be accessible and vegetation shall be kept mowed.
(Permit AWG100000 Condition II 12).
Mr. Marlow was informed during a routine compliance inspection on 1-21-2018 to repair the
lagoon banks and remove small trees. On November 16, 2020, it was documented with photos
that the small trees have been removed but there is still evidence of erosion and bare areas and
the lagoon bank needs mowing.
Required Corrective action for Violation 3
Repair eroded areas and seed and mulch bare areas so vegetation can be established.
Violation 4:
Failure to inspect and document at a frequency to insure proper operation but at least monthly
and after all storm events of greater than one (1) inch in 24 hours the waste collection, treatment,
and storage structures, and runoff control measures. For example, lagoons/storage ponds, and
other structures should be inspected for evidence of erosion, leakage, damage by animals or
discharge. Inspection shall also include visual observation of subsurface drain outlets, ditches,
and drainage ways for any discharge of waste. (Permit AWG100000 Condition III 1).
Mr. Marlow stated it never occurred to him to walk around his lagoon. DWR staff surveyed Mr.
Marlow's lagoon on September 9, 2019 and observed and documented that the marker was off
(less freeboard then marker indicates). Mr. Marlow was made aware of DWR's discovery of his
lagoon survey findings, but never had the marker replaced to correct elevation.

Page 4
Mr. Raymond C. Marlowe
December 7, 2020
Required Corrective action for Violation 4 :
In the future, after any rain event of more than one (1) inch rainfall or more within a twenty-four
(24) hour time period, or at least monthly you must walk and inspect all areas mentioned above
to prevent possible discharges. If the lagoon was walked on a regular basis as the permit requires,
this discharge could have been reported. Your lagoon should be resurveyed and marker should
be placed at proper elevation.
The Division of Water Resources requests that, in addition to the specified corrective action
above, please submit the following items on or before (January 7, 2021):
1. An explanation from the OIC for this farm regarding how these violations occurred.
2. A list from the OIC concerning the steps that will be taken to prevent these violations
from occurring in the future.
You are required to take any necessary action to correct the above violations on or before
January 7, 2021 and to provide a written response to this Notice by January 7, 2021. Please
include in your response all corrective actions already taken and a schedule for completion of
any corrective actions not addressed.
As a result of the violations in this Notice, this office is considering a recommendation for a civil
penalty assessment to the Director of the Division. If you wish to present an explanation for the
violations cited, or if you believe there are other factors, which should be considered, please send
such information to me in writing within ten (10) days following receipt of this letter.
Your response will be reviewed, and, if an enforcement action is still deemed appropriate, it will
be forwarded to the Director and included for consideration.

Page 5
Mr. Raymond C. Marlowe
December 7, 2020
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more that twenty-five thousand ($25,000) dollars against any "person" who violates or
fails to act in accordance with the terms, conditions, or requirements of a permit under authority
of G.S. 143-215.6A.
If you have any questions concerning this Notice, please contact Katie Fontenot at (910-433-
3327) or me at [phone].
Sincerely,
DocuSigned by:
n nZ __
l
"-5189C2D3DD5C42B...
J. Trent Allen
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: FRO Compliance Animal Files-Laserfiche
Smithfield Farms

INSPECTION REPORT / NOTES

Facility Number
'vision of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review SStructure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency eThther 0 Denied Access
Date of Visit:
Arrival Time:
Farm Name: I 1 )
Owner Name: b4,e47
Mailing Address:
Physical Address:
Facility Contact:
/.r
Departure Time:
Owner Email:
Phone:
County: Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
44///1;i4A/
Title:
Latitude:
Phone:
Integrator: ' r
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Dry Poultry
Design Curren
Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Pouets
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑Structure ❑ Application Field ❑ Other:
Yes ❑No ❑NA ❑NE
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
FT Yes ❑ No ❑ NA 0 NE
Yes ❑ No ❑ NA ❑ NE
.❑''es ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA 0 NE
❑ Yes ❑'No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
Structure 2 Structure 3
Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
El Yes
❑ Yes
Structure 5
El No ❑NA ❑NE
❑No ❑NA ❑NE
Structure 6
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
Yes ❑ No ❑ NA ❑ NE
❑ Yes 0- No ❑ NA ❑ NE
FT -Yes ❑ No ❑ NA ❑ NE
Yes ❑ No ❑ NA ❑ NE
0 Yes ❑No ❑ NA 0 NE
❑ Yes ❑ No ❑ NA alSiE
O Yes ❑ No ❑ NA ONE
❑ Excessive Ponding ❑ Hydraulic Overload n Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus n Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift n Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
n WUP n Checklists ❑ Design 0 Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard n Waste Analysis ElSoil Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
Monthly and 1" Rainfall Inspections
❑ Yes ❑ No ❑ NA [-NE
❑ Yes ❑ No ❑ NA ❑'NE
❑ Yes ❑ No ❑ NA 0-NE
n Yes ❑ No ❑ NA ❑-NE
❑ Yes ❑ No ❑ NA 0-'NE
n Yes 0 No ❑ NA ❑ NE
❑ Yes ❑No ❑NA ❑NE
❑ Other:
Yes n No ❑ NA NE
n Waste Transfers ❑ Weather Code
❑ Sludge Survey
❑ Yes ❑ No ❑ NA ❑NE
n Yes 0 No ❑ NA D" NE
2/4/2015 Continued

24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ❑ No 0 NA ❑RNE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No 0 NA 0 NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? n Yes ❑ No ❑ NA ❑`NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? n Yes ❑ No 0 NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 0-No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
❑ Yes ❑°No ❑ NA ❑ NE
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑'es ❑ No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. n Yes ❑ No 0 NA 0 NE
❑ Application Field ❑ Lagoon/Storage Pond n Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑"'No ❑ NA 0 NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 0 Yes 0'. No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ['es ❑ No 0 NA 0 NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
2/4/2015

VIOLATORS RESPONSE AND NOTES

To: J Trent Allen
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
My name is Raymond Clyde Marlowe II, OIC and owner of Squirrel Hill Finishing. I am writing this letter
in response to the violations on November 16, 2020 at Squirrel Hill Finishing located at 415 Culbreth
Smith Rd Elizabethtown N.C. 28337.
In response to violation 1
I recovered around 100 gallons of contaminated water from surface waters at the toe of the lagoon
bank behind house 9 with a small sump pump and it was returned to lagoon via hoses from the pump.
All contaminated water was recovered that I could recover. Once Inspector Guyton text me and notified
me the lagoon was seeping I left my nursery where I was welding and went to the finishing farm. Once I
arrived I got the tractor with front bucket and moved dirt to the area of the lagoon bank where the
seeping was occurring. I put six scoops of dirt from the bucket of the tractor on the lagoon bank to stop
the seeping.
Violation 2-4
I did not walk lagoon bank on November 13,2020. I told inspector Steve Guyton I checked lagoon marker
and saw it was above structure and called it in to him as well as Becky Spearman, I also told inspector
Guyton I had been so busy it did not occur to me to walk the bank of the lagoon. I was told of the
erosion and that I needed to fix it. Again I got busy in my daily chores on the farm, being the only
employee of the farm and had not got around to fixing the eroded areas as they should be.
I have contacted John Pate with Smithfield and scheduled the company technician to come out and
correct the issue with the lagoon marker reading incorrectly. On January 5, 2021 at 10:00 a.m. I met
with Travis Craft of Smithfield Hog Production and he surveyed the lagoon bank for the placement of the
new lagoon marker. Upon completion of the survey Travis advised me to fill in the eroded areas which
he pointed out to me so the new lagoon marker could be set at the correct height. He advised me once
this was done to contact John Pate again and let him know the task was completed and he would come
out and set a new lagoon marker. Once the lagoon bank and surrounding area dries out some I will haul
dirt in to solve the erosion issue with the lagoon bank at two areas shown to me by Travis Craft. I will
then sew cover seed on the new soil and cover with hay to ensure no further erosion occurs until the
seed germinates. Since the violation the surrounding areas of the lagoon have been to wet to use any
heavy equipment without risk of further damage to the lagoon bank. I am hoping to have this action
corrected within the next thirty days but may be longer depending on the weather and rainfall but rest
assure it will be corrected in a timely manner as I do not intend for an incident like this to occur again.

I want the Division of Water Resources to know that I did not intentionally let this incident occur. I have
always tried my best to be a good steward of the land and take care of our environment. I ask the
Division for forgiveness being that I am truly sorry for the inconvenience I have caused. I have struggled
with lagoon levels at this farm due to weather conditions as well as over population due to covid and
having to keep full houses of hogs complete turns. I have never had a violation, this being my first one
and 1 plan on it being my last. Since the date of the incident we have had rainfalls of over an inch and I
have checked around the lagoon structure to ensure no further incidents occur. Again I am truly sorry
for the inconvenience and thank you for your cooperation.
Raymond Clyde Marlowe II OIC/Owner

SAMPLE RESULTS/DATA

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU. Nov 20, 2020
Page:
INVOICE NUMBER
176866
Invoice Date:
1
Customer ID
Customer PO Payment Terms
19020022 9-14, 9-99
Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date Due Date
56-1894379 11 / 16/20
12/20/20
Quantity
Description Unit Price Amount
REPORT #2020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM 35.00 245.00
1.00 TRAVEL/PICKUP - AMENDED TO CORRECT - 12/10/2020 - PER JCB - tlw 100.00 100.00
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal 345.00
Payment/Credit Applied
Total Amount Due $ 345.00

EN TIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Page:
1
Customer ID
Customer PO Payment Terms
19020022
9-14, 9-99 Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date Due Date
56-1894379 11 / 16/20
12/20/20
Quantity
Description Unit Price Amount
REPORT 42020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM 35.00 245.00
3.00 HOURS TRAVEL/TIME ONSITE 100.00 300.00
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal 545.00
Payment/Credit Applied
Total Amount Due $ 545.00

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Page:
Customer ID
Customer PO Payment Terms
19020022
9-14, 9-99 Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date Due Date
56-1894379 11/16/20
12/20/20
Quantity
Description Unit Price Amount
REPORT #2020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM
1.00 TRAVEL/PICKUP - AMENDED TO CORRECT - 12/10/2020 - PER JCB - tlw
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
35.00 245.00
100.00 100.00
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal 345.00
Payment/Credit Applied
Total Amount Due $ 345.00

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Page:
Bill To: I
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
Customer ID
Customer PO Payment Terms
19020022
9-14, 9-99 Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date Due Date
Quantity
56-1894379
Description
11/16/20
12/20/20
Unit Price Amount
REPORT #2020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM 35.00
3.00 HOURS TRAVEL/TIME ONSITE 100.00
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
245.00
300.00
Subtotal 545.00
Payment/Credit Applied
Total Amount Due $ 545.00

vino a tal C e fists, I
6602 Windmill Way, Wilmington, NC 28405 4 910.392.0223 Lab W 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 252,473,570.2 Lab/Fax
255-.A Wilmington Highway, Jacksonville, NC 28548 910,347,584:3 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS
info'a environ, entalcbe ists.cor;
NCDEQ/DWR-Fayetteville Date of Report: Nov 18, 2020
225 Green Street Customer PO #:
Fayetteville NC 28301 Customer ID: 19020022
Attention: Trent Allen Report #: 2020-19 07
Project ID: 9-14
Lab ID
20-49632
Test
Sample ID:
Site: Downstream
Fecal Coliform
Collect Date/Time Matrix
11/16/2020 2:01 PM Water
Method
Results
SM 9222D MF
Lab ID
20-49633
Test
Sample ID:
Site: Source
Fecal Colifarm
ethod
SM 9222D MF
Sampled by
Katie Fontenot
Date Analyzed
14000 Colonies/100mL 11/16/2020
Collect Date/Time Matrix
11/16/2020 1.50 PM Water
Results
Sampled by
Katie Fontenot
Date Analyzed
37000 Coloniesi100m
Lab ID
20-49634
Test
Sample ID:
Site: End of Pipe
Fecal Coliforrn
Comment:
Reviewed by:
Method
SSA 9222D MF
Collect Date/Time
Matrix
11/16/2020 1:56 PM Water
Results
Sampled by
Katie Fontenot
16/2020
Date Analyzed
26000 0oionies1100mL 11/16/2020
Repo" # 2 2J-19507
Page 1 of 1

Environmental Chemist, Inc,, Wilmington, NC Lab #94
Client: i`
Receipt of sample: ECHEIVI Pickup
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Date:. 0 Report Number: 020 --
Client Delivery 0
UPS 0 FedEx 0 Other 0
1. Were custody seals present on the cooler?
.......... ............
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 2. °C Corrected temperature upon receipt
How temperature taken: 0 Temperature Blank
Against Bottles
IR Gun ID: Thomas Traceable S/N 925.1657 IR Gun Correction Factor °C: 0.0
NO 4. Were proper custody procedures (relinquished/received) followed?
3. If temperature of cooler exceeded 6°C, was Project Mgr./CIA notified?
....................................
NO 5. Were sample ID's listed on the COC?
....................... .
.......................
6. Were samples ID's listed on sample containers?
YES NO 7, Were collection date and time listed an the COC?
8. Were tests to be performed listed on the COC?
...................
.....................
....................
..................................
9. Did samples arrive in proper containers for each test?
..............................
.................................. ..................................
....................... ...................... ......................
10 Did samples arrive in good condition for each test?
....................................
........................ . ..................... .
...........................
11, Was adequate sample volume available?'
................................
.........................................................................
12. Were samples received within proper holding tirr e for requested tests?
0 YES 0 NO 13 Were acid preserved samples received at a pH of <2?
YES0 NO 14, Were cyanide samples received at a pH >12?
0 YES
es received at a pH >9?
16. Were NH3/TKN/Phenol received at a chlorine residual of <Q.5 m/L? **
..........
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
18. Were orthophosphate samples filtered in the field within 15 minutes?
........... ................
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comen ts below
.....................
...................
..........................
.................
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample
CO
were received with headspace
ENTS:
DOC, QA,002 Rev

envi1-c the n
Analytical & Consulting Chemists
N
T
L
T,
NCOENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
into@u environmentalchemists.com
Client:
�`"`""�a �._ �
:,
� # j
_ .-.
tw4
PROJECT NAME:
REPORT NO: l - l Sd --
ADDRESS:
-
-/
{---f
CONTACT NAME:
PO NO:
n
�4
2
,
REPORT TO:
PHONE/FAX:
COPY TO:
email:
Sampled By: <` 1 - Vf.), � SAMPLE TYPE. i = influent, E = Effluent, W = Well, ST = Stream, SO = Soil, St� = Sludge, Other:
Sample Identification
Collection
B.
us
Composite
or
Grab
Container
(P or G)
�,
a ,�
r
U
Rec'd pH
o uU
m;
g Z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
w
z
U
=
o
N
0
T
0
Z
0
r
r
0
II/Pi
I i.,-0/
C
/16)
4
r—
')
n: IZO
i
;;.:_,,C35
d :}
jiv
LL
IN
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
_
G
G
Transfer
Relinquished By:
Date/Time
Recei d By:
D te/Time
1.
,,'"..--7
le /‘
2.4
P
,t,' i
'_
1
r
Temperature 1(rhen Received °C: L Accepted:
Delivered By: r r,--
Comments: (iI
Rejected:
Resample R
sted:
Received By: Date: t ,kJ Time:
TU' N i - OUND:
kad

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
Customer ID
19020022
Quantity
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Page:
1
Customer PO Payment Terms
9-14, 9-99 Net 30 Days
ENVIROCHEM'S FEDERAL ID # Ship Date Due Date
56-1894379 11 / 16/20 12/20/20
Description Unit Price Amount
REPORT #2020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99: 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM 35.00 245.00
3.00 HOURS TRAVEL/TIME ONSITE 100.00 300.00
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal 545.00
Payment/Credit Applied
Total Amount Due $ 545.00

ANALYTICAL & CONSULTING CHEMISTS
flViI'OL ent al C ists, Inc.
6602 Windmill Way, Wilmington, NC 28405 * 910,392.0223 Lab • 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info4environmentalchemists.com
NCDEQ/DWR-Fay tteville
225 Green Street
Fayetteville NC 28301
Attention: Trent Allen
Lab ID
20-49632
Test
Sample D:
Site: Downstream
Fecal Coliform
Lab ID
20-49633
Test
Sample ID:
Site: Source
Date of Report: Nov 18, 2020
Customer PO #:
Customer ID: 19020022
Report #: 2020-19507
Project ID: 9-14
Collect Date/Time Matrix
11/16/2020 2:01 PM Water
Method
SM 9222D MF
Method
Collect DateMme
Results
Matrix
11/16/2020 1:50 PM Water
Results
Fecal Coliform
Lab ID
20-49634
Test
Sample ID:
Site: End of Pipe
Fecal Coliform
SM 9222D NIF
Collect Date/Time
Matrix
11/16/2020 1:56 PM Water
Method
Results
Sampled by
Katie Fontenot
Date Analyzed
14000 Colonies/100mi. 11/16/2020
Sampled by
Katie Fontenot
Date Analyzed
37000 Colonies/100mL 11/16/2020
Sampled by
Katie Fontenot
Date Analyzed
SM 9222D MF
Comment:
Reviewed by:
26000 Colonies/100mL 11/16/2020
Report 4:: 2020,-19507
Page 1 of 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
Client:
0 YES
............... .
0 YES
O NO
O N O
Q NO
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Report Number: 40 — ) 14
UPS FedEx 0ther 0
4. ..:..:::....
Were proper custody procedures (relinquished/received) followed?
5. Were sample 1D's listed on the COC?
6. Were samples 1D's listed on sample containers?
7 Were collection date and time listed on the COC?
8. Were tests to be performed listed on the COC?
......................
....................
9. Did samples arrive in proper containers for each test?
10, Did samples arrive in good condition for each test?
..................... .
....................... .
11. Was adequate sample volume available?'
............................. 12.
...............................................................
Were samples received within proper holding time for requested tests?
13. Were acid preserved samples received at a pH of <2?
.......:......
14. Were cyanide samples received at a pH >12?
15. Were sulfide samples received at a pH >9?
YES 0 NO 16 Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
YE5 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TCC/volatile$ are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any y sample(s) ... incorrectly
y preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one). H25O4 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
,r
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
COMMENT
DOC, QA.002 Rev 1

canvii ochern,
Analytical Consulting CIhem?sts
Client: 1
ADDRESS:
T 3
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: Dt_S CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
PROJECT NAME:
CONTACT NAME:
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 91€-392-4424
info@u environmentaIchemists.com
REPORT NO:
. r
49,JL
REPORT TO:
COPY TO:
Sampled By:
Collection
Sample Identification
Date Time Temp
n
SAMPLE TYPE:
C
G G
PO NO:
PHONE/FAX:
email:
nt uent, E = Effluent ' = Well, ST = Strew, SO Sail, SL = Sludge, Other:
PRESERVATION
a 0 w
re
c> ? z -J O oo o O LU
3Z _ z < i- 0
6-
44(.0
C P
G G
C P
Transfer Relinquished By:
Date/Time
Recejed By:
Temperature when Received "C:
Delivered By
Comments:
Date/Time
AAj'it ,r 4.4
Accepted:
Received By:
Rejected:
Resample R qu steel:
Date: 11 !L TIrne:
TURNAiOUND:

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Page:
Customer ID
Customer PO Payment Terms
19020022
9-14, 9-99 Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date Due Date
56-1894379 11/16/20
12/20/20
Quantity
Description Unit Price • Amount
REPORT #2020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM 35.00 245.00
3.00 HOURS TRAVEL/TIME ONSITE 100.00 300.00
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal 545.00
Payment/Credit Applied
Total Amount Due $ 545.00

vino e tat C a fists, 1
6602 Windmill Way, Wilmington, NC 28405 910,392.0223 Lab 0 910 392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252,473.5702 Lab/Fax
255-A Wilmington _Highway, Jacksonville, NC 28540 . 910,347,5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS
NCDEQIDWR-Fayetteville
225 Green Street
Fayetteville NC 28301
Attention: Trent Allen
nfo4 environamentaichemists.cor;
Date of Report: Nov 18, 2020
Customer PO #:
Customer ID: 19020022
Report #: 2020-19507
Project ID: 9-14
Lab ID
20-49632
Test
Sample ID:
Site: Downstream
Method
Collect Date/Time Matrix
11 /16/2020 2:01 PM Water
Results
Sampled by
Katie Fontenot
Date Analyzed
Fecal Coliform
Lab ID
20-49633
Test
Sample ID:
Site: Source
SM 9222D MF
hod
Collect Date/Time Matrix
11/16/2020 1:50 PM Water
Fecal Coliform
Lab ID
20-49634
Test
Sample ID:
Site: End of Pipe
Fecal Coliform
Comment:
Reviewed by:
SM 9222D MF
Method
Results
Collect Date/Time
Matrix
11/16/2020 1:56 PM Water
Results
SM 9222D MF
14000 0oloniesf100mL 11/16/2020
Sampled by
Katie Fontenot
Date Analyzed
37000 Colonies/100mL 11/16/2020
Sampled by
Katie Fontenot
Date Analyzed
26000 Colonies1100mL 11/16/2020
Report # 2020- 9507
Page 1 N , `

Client Delivery 0
UPS❑
FedEx 0
Other 0
1. Were custody seats present on the cooler,
2. If custody seals were present, were they intact/unbroken?
........................
°C Corrected temperature upon receipt
How temperature taken: 0 Temperature Blank
Environmental Chemist, Inc., Wilmington, NC Lab #94
Clien
Sample Receipt Checklist
Date: k
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
0 Report Number: 020 )9
Receipt of sample:
YES
0 YES
ECHEM Picku
O NO frit N/A
O NO f'!' N/A
Original temperature upon receipt
Against Bottles
R Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C; 0.0
YES 0 NO 3. If temperature of cooler exceeded 6°C, was Project Mgr,/QA notified?
O YES
0 YES
O YES
ere proper custody procedures (relinquished/received) fol
5. Were sample lD's listed on the COC?
.................
..................... . .................... .
❑ NO 6. Were samples ID's listed on sample containers?
............
❑ NO 7, Were collection date and time listed on the COC?
❑ NO 8. Were tests to be performed listed on the COC?
..................... ......................
YES NO 9, Did samples arrive in proper containers for each test, p p p �
owed?
°
YES
NO
4
NO 10. Did samples arrive in good condition for each test?
YES 0 NO
YES 0 NO 12. Were samples received within proper holding time for requested tes
1, Was adequate sample volume available?'
❑ NO
13. Were acid preserved samples received at a pH of <2? *
NO 14. Were cyanide samples received at a pH >12?
ere sulfide samples received at a pH >9?
6. Were NH3/TKN/Phenol received at a chlorine residual of <0,5 rn
YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m
❑ YES ❑ NO
Were orthophosphate samples filtered in the field within 15 minutes?
.....8,
.........................
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet,
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one). 1-42504 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Samples) were received with headspace
CO
ENT
DOC, QA.002 Rev

(,n ��i i•ocheth
Analytical Consulting Chemists
1 L
T,
NCOENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
environmentalchomists.com
Client: v
PROJECT NAME:
REPORT NO:
ADDRESS: -.„ ) ,/
CONTACT NAME:
PO NO:
Fi_tu (0 2
REPORT TO:
PHONE/FAX:
COPY TO:
email:
Sampled By: ?
SAMPLE TYPE.
Influents E = Effluent, W = Well, ST = Stream, SO = Soil SL = Sludge, Other:
Sample Identification
Collection
d
n a
Composite
or
Grab
Container
(P or G)
Chlorine
mg/L
Rec'd pH
LAB ID
NUMBER
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
w
z°
0
=
v
N
i
r7
o
2
x
0
z
0Ill
,_
,_
fl
i
g
i
i
C
,15)
,
%:°
t
a
P
tIOL;/
,--
G
t'
'.
4404i
IN
,
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Date/Time
Recei d By:
D te/Time
1.9
!eA La
P
. _
,.
Temperature when Received °C:
Delivered By: 3 ..
Comments:
Rejected:
Accepted:
Resample R qu ted:
Received By: Date: !
1.4,6
TU - N OUND:

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
Quantity
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
Customer ID Customer PO
19020022 9-14, 9-99
ENVIROCHEM'S FEDERAL ID #
56-1894379
Description
REPORT 42020-19506, 2020-19507
WATER: BARRRY BILLUPS 9-99; 9-14
DATE SAMPLED: 11/16/2020
CONTACT - TRENT ALLEN. STEVE GUYTON, KATIE FONTENOT
7.00 FECAL COLIFORM
3.00 HOURS TRAVEL/TIME ONSITE
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Ship Date
INVOICE NUMBER
176866
Invoice Date:
Nov 20, 2020
Payment Terms
Net 30 Days
11/16/20
Page:
Due Date
12/20/20
Unit Price Amount
35.00 245.00
100.00 300.00
Subtotal 545.00
Payment/Credit Applied
Total Amount Due $ 545.00

ANALYTICAL & CONSULTING CHEMISTS
viron ental C
e
ists, T c.
6602 Windmill Way, Wilmington, NC 28405 910.392.0223 Lab v 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 252.4473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infog environ;nentalchernists.corn
NCDEQ/DWR-Fayetteville
225 Green Street
Fayetteville NC
Attention: Trent Allen
Lab ID
20-49632
Test
Sample ID:
Site: Downstream
Date of Report: Nov 18, 2020
Customer PO #:
28301 Customer ID: 19020022
Report #: 2020-19507
Project ID: 9-14
Collect Date/Time atria Sampled by
11/16/2020 2:01 PM Water Katie Fontenot
Method
Results
Date Analyzed
Fecal Coliform
SM 9222D MF
14000 Colonies/100mL 11/16/2020
Lab ID
20-49633
Test
Sample ID:
Site: Source
Collect Date/Time Matrix
11/16/2020 1:50 PM Water
Method
Fecal Coliform
Lab ID
20-49634
Test
Sample ID:
Site: End of Pipe
Fecal Coliform
Comment:
Reviewed by:
SM 9222D MF
Results
Collect Date/Time Matrix
11/16/2020 1:56 PM Water
Method
SM 9222D MF
Sampled by
Katie Fontenot
Date Analyzed
37000 Colonies/100m L 11/16/2020
Results
Sampled by
Katie Fontenot
Date Analyzed
26000 Colonies/100mL 11 /16/2020
Report i . 2020-'19507
Page 1 of 1

ust be completed for any samples) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H•H2SO4 HNO3 NCI NaOH
If more than one preservative i
Environmental Chemist, Inc., Wilmington, NC Lab #94
Client:
Sample Receipt Checklist
Date: 1.1
Receipt of sample:
❑ YES ❑ NO
❑ YES 0 NO
ECHEM Picku
N/A
Original temperature upon receipt
Client Delivery 0
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Report Number: r (} — ) 9
UPS ❑ FedEx 0 Other ❑
1. Were custody seals present on the coole
2. If custody seals were present, were they intact/unbroken?
......... ...................
How temperature taken: 0 Temperature Blank
..................
Corrected temperature upon receipt °C
Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
0 YES 0 NO
4 YES
ere proper custody procedures (relinquished/received) followed?
YES NO
5. Were sample la's listed on the COC?
YES
YES
YES
YE
❑ NO
NO 6, ere samples ID's listed on sample containers?
NO 7, Were collection date and time listed on the COC?
3. If temperature of cooler exceeded 6°C, was Project Mgr./CIA notified?
4.
8
ere tests to be per
ormed listed on the COC?
Did samples arrive in proper containers for each test?
Did samples arrive in good condition for each tes
❑ NO 11, Was adequate sample volume available?'
YES ❑ NO
❑ NO
❑ YES ❑ NO 13. Were acid preserved samples received at a pH of <2? *
❑ NO
NO
2. Were samples received within proper holding tune for requested test
.. ..................
14. Were cyanide samples received at a pH >12?
ere sulfide samples received at a pH >9
ere NH3/TKN/Phenol received at a chlorine residua
<D,5m
ere Sulfide/Cyanide received at a chlorine residual of <0.5 m
ere orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatiles are pH checked at tune of analysis and recorded on the benchsheet,
Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
Sample(s)
by adding (circle one)
Time of preservation:
needed, n
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
atiles Sample
ate in comments below
were received with headspace

Aralytica
T L
NCOENR: DWQ CERTIFICATION # 94 NCDHRS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF C11S
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
it f @onvironmentalche ists,corn
Client: °`.
"
7,
i
✓, v , :`
PROJECT NAME:
_ l� s� �—
REPORT NO: ka
ADDRESS:
r
( s ..
2 , .'
CONTACT NAME:
PO NO:
4! , j jLvJC ,IC..
REPORT TO:
PHONE/FAX:
1 .__ .
COPY TO:
email:
Sampled By:
JI'
SAMPLE TYPE. 1 = influent, E = E
ent, W = Weil, ST mm Stream, SO
Sample Identification
Collection
Sample
Type
Composite
or
Grab
Container
(P or G)
.
J
.o t,
Rec'd pH
LAB ID
NUMBER
PRESERVATION
ANALYSIS REQUESTED
Date
TimeU
Temp
w
O
Z
a
x
V
o
N
=
n
0
z
z
=
a
Z
o
E
r
�
w
=
o
ti
i I� i
{#
to V W
,G--,
rt)d
4401
r'
b•'
r
_
Li g Oal
fk
,
G f
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Date/Time
Recei d By:
D te/Time
1.•
--
-
,4 i
9f
i emperature when ReceiveAccepted:
•
Thrttf)
Delivered By:. rt�`%
Comments:
Received By:
Rejected:
Resample R qu sted:
Date: Oi !L Ti
TUN OUND:
e: fCL

DWR LAGOON SURVEY RESULTS

SITE PHOTOS

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CLEAN UP / REPAIRS

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