WQ0004967_DWR ARO Groundwater Split Sampling Results_20221128

PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:Monitoring Well
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:10:46
Date Received:11/30/2022
Time Received:07:00
Location ID:1P45MW7
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:GROUNDWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
River Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04927
1/19/23Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04927
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NUNH3 as N in liquid7664-41-7 12/13/220.02 0.02
EPA 353.2 REV 2 ALWILLIAMSmg/L as NPNO2+NO3 as N in liquidE701177 12/13/220.04 1.7
EPA 365.1 REV 2 ALWILLIAMSmg/L as PUPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.02
EPA 351.2 REV 2 ALWILLIAMSmg/L as NUTotal Kjeldahl N as N in liquidTKN_N 12/14/220.3 0.3
MET
EPA 200.8 Rev5.4 JJURGEVICHug/LUAs by ICPMS7440-38-2 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LBa by ICP7440-38-3 1/9/2310130
EPA 200.7 Rev4.4 JJURGEVICHug/LUCobalt by ICP7440-48-4 1/9/235050
EPA 200.8 Rev5.4 JJURGEVICHug/LUCu by ICPMS7440-50-8 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LUFe by ICP7439-89-6 1/9/235050
EPA 200.7 Rev4.4 JJURGEVICHug/LMn by ICP7439-96-5 1/9/2310330
EPA 200.7 Rev4.4 JJURGEVICHmg/LNa by ICP7440-23-5 1/9/230.10 6.2
EPA 200.8 Rev5.4 JJURGEVICHug/LUPb by ICPMS7439-92-1 12/21/222.0 2.0
EPA 200.8 Rev5.4 JJURGEVICHug/LUZn by ICPMS7440-66-6 12/21/221010
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:River/Stream
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:11:00
Date Received:11/30/2022
Time Received:07:00
Location ID:1P45BDUS
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:SURFACEWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
FRBRiver Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04928
12/21/22Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04928
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NNH3 as N in liquid7664-41-7 12/13/220.02 0.03
EPA 353.2 REV 2 ALWILLIAMSmg/L as NNO2+NO3 as N in liquidE701177 12/13/220.02 0.08
EPA 365.1 REV 2 ALWILLIAMSmg/L as PPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.53
EPA 351.2 REV 2 ALWILLIAMSmg/L as NTotal Kjeldahl N as N in liquidTKN_N 12/14/220.3 3.0
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:River/Stream
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:11:35
Date Received:11/30/2022
Time Received:07:00
Location ID:1P455W1
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:SURFACEWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
FRBRiver Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04929
1/19/23Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04929
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NNH3 as N in liquid7664-41-7 12/13/220.02 0.13
EPA 353.2 REV 2 ALWILLIAMSmg/L as NUNO2+NO3 as N in liquidE701177 12/13/220.02 0.02
EPA 365.1 REV 2 ALWILLIAMSmg/L as PPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.28
EPA 351.2 REV 2 ALWILLIAMSmg/L as NTotal Kjeldahl N as N in liquidTKN_N 12/14/220.3 1.3
MET
EPA 200.8 Rev5.4 JJURGEVICHug/LUAs by ICPMS7440-38-2 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LBa by ICP7440-38-3 1/9/231012
EPA 200.8 Rev5.4 JJURGEVICHug/LUCd by ICPMS7440-43-9 12/21/220.50 0.50
EPA 200.7 Rev4.4 JJURGEVICHug/LUCobalt by ICP7440-48-4 1/9/235050
EPA 200.8 Rev5.4 JJURGEVICHug/LUCr by ICPMS7440-47-3 12/21/225.0 5.0
EPA 200.8 Rev5.4 JJURGEVICHug/LCu by ICPMS7440-50-8 12/21/222.0 14
EPA 200.7 Rev4.4 JJURGEVICHug/LFe by ICP7439-89-6 1/9/23501900
EPA 200.7 Rev4.4 JJURGEVICHug/LMn by ICP7439-96-5 1/9/231044
EPA 200.7 Rev4.4 JJURGEVICHmg/LNa by ICP7440-23-5 1/9/230.10 22
EPA 200.8 Rev5.4 JJURGEVICHug/LPb by ICPMS7439-92-1 12/21/222.0 3.2
EPA 200.8 Rev5.4 JJURGEVICHug/LZn by ICPMS7440-66-6 12/21/221017
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:Monitoring Well
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:12:58
Date Received:11/30/2022
Time Received:07:00
Location ID:1P45MW2
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:GROUNDWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
River Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04930
1/19/23Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04930
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NPNH3 as N in liquid7664-41-7 12/13/220.5 28
EPA 353.2 REV 2 ALWILLIAMSmg/L as NNO2+NO3 as N in liquidE701177 12/13/220.02 0.04
EPA 365.1 REV 2 ALWILLIAMSmg/L as PUPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.02
EPA 351.2 REV 2 ALWILLIAMSmg/L as NPTotal Kjeldahl N as N in liquidTKN_N 12/14/22628
MET
EPA 200.8 Rev5.4 JJURGEVICHug/LUAs by ICPMS7440-38-2 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LBa by ICP7440-38-3 1/9/2310130
EPA 200.7 Rev4.4 JJURGEVICHug/LUCobalt by ICP7440-48-4 1/9/235050
EPA 200.8 Rev5.4 JJURGEVICHug/LUCu by ICPMS7440-50-8 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LFe by ICP7439-89-6 1/9/23504300
EPA 200.7 Rev4.4 JJURGEVICHug/LPMn by ICP7439-96-5 1/9/2310012000
EPA 200.7 Rev4.4 JJURGEVICHmg/LPNa by ICP7440-23-5 1/9/230.3 72
EPA 200.8 Rev5.4 JJURGEVICHug/LUPb by ICPMS7439-92-1 12/21/222.0 2.0
EPA 200.8 Rev5.4 JJURGEVICHug/LUZn by ICPMS7440-66-6 12/21/221010
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:Monitoring Well
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:13:32
Date Received:11/30/2022
Time Received:07:00
Location ID:ARO_NLC
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:GROUNDWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
River Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04931
1/19/23Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04931
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NPNH3 as N in liquid7664-41-7 12/13/220.1 3.5
EPA 353.2 REV 2 ALWILLIAMSmg/L as NPNO2+NO3 as N in liquidE701177 12/13/220.1 4.6
EPA 365.1 REV 2 ALWILLIAMSmg/L as PUPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.02
EPA 351.2 REV 2 ALWILLIAMSmg/L as NPTotal Kjeldahl N as N in liquidTKN_N 12/14/220.6 3.4
MET
EPA 200.8 Rev5.4 JJURGEVICHug/LUAs by ICPMS7440-38-2 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LBa by ICP7440-38-3 1/9/2310580
EPA 200.7 Rev4.4 JJURGEVICHug/LUCobalt by ICP7440-48-4 1/9/235050
EPA 200.8 Rev5.4 JJURGEVICHug/LUCu by ICPMS7440-50-8 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LUFe by ICP7439-89-6 1/9/235050
EPA 200.7 Rev4.4 JJURGEVICHug/LPMn by ICP7439-96-5 1/9/23505300
EPA 200.7 Rev4.4 JJURGEVICHmg/LNa by ICP7440-23-5 1/9/230.10 15
EPA 200.8 Rev5.4 JJURGEVICHug/LUPb by ICPMS7439-92-1 12/21/222.0 2.0
EPA 200.8 Rev5.4 JJURGEVICHug/LUZn by ICPMS7440-66-6 12/21/221010
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
PO Number #
Loc. Descr.:ALL JUICE REALTY 352 JET STREET HENDERSONVILLE
Loc. Type:Monitoring Well
Collector:B LAVERTY
Collect Date:11/28/2022
Collect Time:14:31
Date Received:11/30/2022
Time Received:07:00
Location ID:ARO_NLC
County:Henderson
Region:Asheville
Labworks LoginID TASCENZO1Sample Matrix:GROUNDWATER
Report Print Date:
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
VisitID
Sample Depth
AROReport To
River Basin
04/10/2023
Emergency
COC Yes/No
Sample ID:AD04932
1/19/23Final Report Date:
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
NC CourierDelivery Method
ROUTINEPriority
Analysis
Date
Method
Reference
Result/
QualifierPQLAnalyte NameCAS #Units Validated by
AD04932
LAB
MSWIFT°CSample temperature at receipt by lab 11/30/223.9
NUT
EPA 350.1 REV 2 ALWILLIAMSmg/L as NUNH3 as N in liquid7664-41-7 12/13/220.02 0.02
EPA 353.2 REV 2 ALWILLIAMSmg/L as NNO2+NO3 as N in liquidE701177 12/13/220.02 0.43
EPA 365.1 REV 2 ALWILLIAMSmg/L as PUPhosphorus_total as P in liquid7723-14-0 12/14/220.02 0.02
EPA 351.2 REV 2 ALWILLIAMSmg/L as NUTotal Kjeldahl N as N in liquidTKN_N 12/14/220.3 0.3
MET
EPA 200.8 Rev5.4 JJURGEVICHug/LUAs by ICPMS7440-38-2 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LBa by ICP7440-38-3 1/9/231012
EPA 200.7 Rev4.4 JJURGEVICHug/LUCobalt by ICP7440-48-4 1/9/235050
EPA 200.8 Rev5.4 JJURGEVICHug/LUCu by ICPMS7440-50-8 12/21/222.0 2.0
EPA 200.7 Rev4.4 JJURGEVICHug/LUFe by ICP7439-89-6 1/9/235050
EPA 200.7 Rev4.4 JJURGEVICHug/LMn by ICP7439-96-5 1/9/231018
EPA 200.7 Rev4.4 JJURGEVICHmg/LNa by ICP7440-23-5 1/9/230.10 4.7
EPA 200.8 Rev5.4 JJURGEVICHug/LUPb by ICPMS7439-92-1 12/21/222.0 2.0
EPA 200.8 Rev5.4 JJURGEVICHug/LUZn by ICPMS7440-66-6 12/21/221010
WSS Chemistry Laboratory>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Page 1 of 1
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
X X
X
X
Thallium (Tl)
Tin (Sn)
X Titanium (Ti)
X Vanadium (V)
X Zinc (Zn)
Mercury 1631, low-level
X
X
X
X
X
X
X X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
X Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Monitoring well MW7
County:Henderson Water Matrix:
ARO
Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)10:46 AM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
1
Priority:
Ambient
Location Code:1P45MW7
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Nitric Acid Lot #NA2263080; Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.
X X
X
X
Thallium (Tl)
Tin (Sn)
Titanium (Ti)
Vanadium (V)
Zinc (Zn)
Mercury 1631, low-level
X
X
X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Boundary Ditch Upstream
County:Henderson Water Matrix:
ARO
French Broad River Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)11:00 AM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
2
Priority:
Ambient
Location Code:1P45BDUS
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.
X X
X
X
Thallium (Tl)
Tin (Sn)
X Titanium (Ti)
X Vanadium (V)
X Zinc (Zn)
X Mercury 1631, low-level
X
X
X
X
X
X
X
X X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
X Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Boundary Ditch SW-1
County:Henderson Water Matrix:
ARO
French Broad River Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)11:35 AM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
3
Priority:
Ambient
Location Code:1P45SW1
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Nitric Acid Lot #NA2263080; Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.
X X
X
X
Thallium (Tl)
Tin (Sn)
X Titanium (Ti)
X Vanadium (V)
X Zinc (Zn)
Mercury 1631, low-level
X
X
X
X
X
X
X X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
X Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Monitoring well MW2
County:Henderson Water Matrix:
ARO
Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)12:58 PM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
4
Priority:
Ambient
Location Code:1P45MW2
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Nitric Acid Lot #NA2263080; Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.
X X
X
X
Thallium (Tl)
Tin (Sn)
X Titanium (Ti)
X Vanadium (V)
X Zinc (Zn)
Mercury 1631, low-level
X
X
X
X
X
X
X X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
X Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Monitoring well MW6
County:Henderson Water Matrix:
ARO
Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)1:32 PM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
5
Priority:
Ambient
Location Code:1P45MW6
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Nitric Acid Lot #NA2263080; Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.
X X
X
X
Thallium (Tl)
Tin (Sn)
X Titanium (Ti)
X Vanadium (V)
X Zinc (Zn)
Mercury 1631, low-level
X
X
X
X
X
X
X X
X Residue: Suspended (Suspended Solids )A
Residue: Volatile/Fixed, Suspended A
TDS - Total Dissolved Solids A
Silica A
Sulfide A - J
X Phytoplankton / Algae
A - T
A - C - F - LVolatile Organics (VOA)
1,4-Dioxane
A - D
A - C - F - L
A - C
Magnesium (Mg)
E
Manganese (Mn)
Mercury (Hg)
Strontium (Sr)
E
A - C
A - R
Biological:
E
Tannin & Lignin
Perfluorinated Compounds (PFAS)
Organics Parameters:
Dissolved Oxygen
(ppm):
Salinity
(ppt):
Metals Parameters Con't:
A - C
A - C
Semi-Volatile Organics (BNAs)
E
E
Organophosphorus Pesticides
Preservative
E
E
E
E
E
E
E
Preservative
Alkalinity, as CaCO3, to pH 4.5/8.3
BOD: Biochemical Oxygen Demand, 5-day
cBOD: Carbonaceous BOD, 5-day
Coliform: Fecal MF
Coliform: Total MF
Nutrients Parameters:
A - H - P
COD: Chemical Oxygen Demand
A
A
A
A
B - C
Orthophosphate as P (PO4)
Ammonia as N (NH3-N)
Nitrate-Nitrite as N (NO3+NO2-N)
A
A - D
Arsenic (As)
Color: Platinum Cobalt
A
B - C
A
A - G
Fluoride
Sulfate
A
A
Hexavalent Chromium (Cr6+)
MBAS (surfactants)
A
A - D
A
Color: ADMI
Cyanide, Total
Nitrite as N (NO2-N)
Total Phosphorus as P (TP)
Nitrate as N (NO3-N calculated)
Phenols, Total Recoverable
Residue: Total (Total Solids )
Residue: Volatile/Fixed, Total
Preservative
A
Specific Conductance, at 25 oC
TOC - Total Organic Carbon
Turbidity
pH
Bromide
Chloride
A
Other Parameters:
Microbiology Parameters:Wet Chemistry Parameters:
Aluminum (Al)
A - D
A - D
A
A - Z
E
A
A - I
Preservative
Antimony (Sb)
Chlorophyll a
Y
E
E
Selenium (Se)
Silver (Ag)
Total Kjeldahl Nitrogen as N (TKN)
TPH Diesel Range
Boron (B)
Hardness, Total as CaCO3 - by titration
Acid Herbicides
Molybdenum (Mo)
Nickel (Ni)
A
A
Microcystin
E
Cobalt (Co)
Oil and Grease, HEM, Total Recoverable
TPH Gasoline Range
A - D - MA - C - D
Potassium (K)
Temperature on
Arrival (°C):
Delivery Method:
Barium (Ba)
Beryllium (Be)
Cadmium (Cd)
Copper (Cu)
Iron (Fe)
Lead (Pb)
E
E
E
E
E
E
Field Blank
Calcium (Ca)
Other:
E
A - C
Login file:
Conductivity
(µmhos/cm):
Metals Parameters:
North Carolina Division of Water Resources
Laboratory (Water Sciences Section)Water Sample Collection & Submittal Form
Waste
Blank
Notes:Monitoring well MW9
County:Henderson Water Matrix:
ARO
Solution
Routine
Compliance
COC
Emergency
QATime (24 hr):
(begin/end)2:31 PM :
11/28/2022
Visit ID:
(optional)
Laboratory
Sample Number:
Collector:
DWR Office:
(or agency name)
Date
(m/d/y):
(begin/end)
6
Priority:
Ambient
Location Code:1P45MW9
Brett Laverty Location Type:
Monitoring Well
Trip Blank
/ /
Influent
Filter Blank
Lab Use Only:
Time Received:
(24 hr format)
Date Received:
M/D/Y
:
Received By:
E
E PCBs (polychlorinated biphenyls)
E
E
E
Tag
ID
Hand Delivered
State Courier
.
Canal
Stormwater
LakeRiver/Stream
Estuary
Effluent
/ /
Lithium (Li)A - C
A - C
Chromium (Cr), Total
AllJuice Realty, LLC. - 352 Jet Street HendersonvilleLocation Description:
DWR Region:
(based on county)
River Basin:
Surface
Ground
Water SupplyFoam
Other:
E
Secchi
Depth:
Lot #s /
Collector
Comments:
Filtered
in Field
Water Temp (oC):pH (s.u.):
Nitric Acid Lot #NA2263080; Sulfuric Acid Lot#SA2263030
Field Parameters (optional):
Preservative : Y
Composite
Grab
De-chlorinated in Field
ChlorinatedSampling
Method:
Other:Dissolved analysis: Enter "DIS" in
check-boxes for parameters
Sample
Depth:
Lab Comments:
Sodium (Na)E
Cyanotoxins:
C - L
Organochlorine Pesticides
Organonitrogen Pesticides
Revision 4/4/2022
Preservative Legend (circle above as needed): (A) cool ≤6°C, (B) cool <10°C, (C) 0.008% Na2S2O3 [when chlorine is present], (D) H2SO4 to pH <2, (E) HNO3 to pH <2, (F) HCl to pH <2, (G) H3PO4 to pH <2, (H) 6N NaOH to pH >10<11, (I) (NH4)2SO4 pH=9.3-9.7, (J) zinc acetate
& NaOH to pH to >9, (K) pH 6-9 ascorbic acid [when chlorine is present], (L) leave no headspace, (M) ferrous ammonium sulfate [when chlorine is present], (P) ascorbic acid [when chlorine is present], (R) Lugols, (T) Trizma [when chlorine is present], (Y) analyzed within
15 minutes of sample collection, (Z) filtered in field within 15 minutes using 0.45um pore size
Required: 1) Collector Initials and Date, 2) Circle each preservative option utilized next to each parameter.