HomeMy WebLinkAboutWQ0004972_Monitoring - 04-2023_20230621Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lakes Preserve ELS
Month: * April Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes —April 2023.pdf 1.65MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * Jessica. Mize@pacelabs.com
Name of Submitter: * Jessica Mize
Signature:
je"&A lot
Date of submittal: 6/21/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/11/2023
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: April YEAR: 2023
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent:
ly I
Influent:
Parameter Monitoring Point:
Effluent: I
Influent: Surface Water S
SW Code/Name:
Was There Effluent Flow for this Month Generated At This Facility: Yes:
Operator
50050 1
00400
1 50060
1 00310 1
00610
1 00530
31616 1
00665
00625 1
00630
1 00600
1 00620
1 70300 1
00940
D
Arrival
Daily Rate
Fecal
A
Time
Operator
1
ORC
(Flow) into
Colif—
TIXaI
Total
T
2400
Time On
on
Treatment
Residual
BOD•S
(Gco•metric
Taal
Kjeldhal
Taal
Nitmle
Dissoleod
Clock
Silo
Sib?
System
DH
Chlorine
ZO°C
NH-3-N
Ts5
Mean•)
Phos
Nitrogen
NO2+NO3
Nitrogen
NOJ•N
Solids
Chloride
1 4 1 0930 1 0.25 1 B 1 6.306 1 6.9 1 <0.01 1 43.1 1 55.5 1 211.2 1 2420 1 10.0 1 75.7 1 <0.040 1 75.7 1 <0.040 1 1 1
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Operator in Responsible Charge (ORC): Glenn Price Grade: If Phone: 336-996-2841
Check Box if ORC Has Changed: I ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Serivices (2):
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant Y N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant
penalties for submitting false info ation, including the possibility of fines and imprisonment for knowing violations."
V —.13 `)- 3 Baron Neal McDuffie
(Signature of Petmitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent) Field Services Director (Pace Analytical Services
(Permittee-Please print or type) (Position or Title)
2N Riverside Plaza , Suite 800 3/31/21
Chicago, Il 60606 (Permit Exp. Date)
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN (Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929 Sodium
00931 SAR
00745 Sulfide
00515 TDS
00010 Temperature
00625 TKN
00680 TOC
00530 TSS/TSR
00076 Turbidity
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00004972 MONTH: April YEAR: 2023
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Da% ie
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)) / [Area Sprayed (acres) x 43,560 (square feetracre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-Inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time irrigated (minutes) / 60 (minutes/hour)) Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this monlh's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month )) x 7 (days/week)
Did Irrigation Occur At This Facility:
Did Irrigation Occur On This Field:
Did Irrigation Occur On This Field:
1
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• Wealher Codes: C-clear, PC -partly tloudy. Ct-tloudy, R-rain, Su -snow, SI-steel
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: F1
Mail ORIGINAL and Two COPIES to: ,I- Li
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLL-C-Ii/
By this signature. I certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Z Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the /
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false inform,gtion, including the possibility of fines and imprisonment for knowing violations."
4�'�'` ) Z -,�_ 9 ,.�- 3 Baron Neal McDufl'ie
(Signature o Permiee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago, 11 60606
(Permittee Address)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31 /2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
aceAnalXical
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
April 13, 2023
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lake Monthly
Pace Project No.: 92660178
Dear Tracy Overdurf:
Enclosed are the analytical results for sample(s) received by the laboratory on April 04, 2023. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services -Asheville
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Stephanie Knott
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 16
aceAnalytical
www.pacelabscom
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lake Monthly
Pace Project No.: 92660178
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Flodda/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
Vrginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 16
aceAnalytical
www.pacalabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
SAMPLE ANALYTE COUNT
Project: Forest Lake Monthly
Pace Project No.: 92660178
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92660178001 Effluent
SM 2540D-2015
VLG
1
PASI-E
EPA 353.2 Rev 2.0 1993
AED
2
PASI-E
SM 521OB-2016
SRS
1
PASI-E
Colilert-18
SRS
1
PASI-E
TKN+NO3+NO2 Calculation
MDW
1
PASI-A
EPA 350.1 Rev 2.0 1993
ARJ
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, I.I.C. Page 3 of 16
aceAnalXical
www.pacelabs.ccm
I
ANALYTICAL RESULTS
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lake Monthly
Pace Project No.: 92660178
Sample: Effluent Lab ID: 92660178001 Collected: 04/04/23 08:30 Received: 04/04/23 09:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services - Eden
Total Suspended Solids
28.2 mg/L 14.7 1
04/06/23 13:50
353.2 NO2/NO3 unpres EON
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1
04/04/23 15:17
Nitrogen, Nitrate
ND mg/L 0.040 1
04/04/23 15:17 14797-55-8
5210B BOD, 5 day EON
Analytical Method: SM 521 OB-2016 Preparation Method: SM 521 OB-2016
Pace Analytical Services - Eden
BOD, 5 day
43.1 mg/L 2.0 1 04/05/23 17:13
04/10/23 15:59
Colllert-18 Fecal Coliforrn EON
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Colifarms
2420 MPN/100mL 1.0 1 04104/23 15:21
04/05/23 10:04
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
75.7 mg1L 0.040 1
04/12/23 16:35
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
55.5 mg/L 1.0 10
04/11/2311:19 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
75.7 mg/L 2.5 5 04/06/23 18:27
04/07/23 05:41 7727-37-9
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Phosphorus
10.0 mg1L 0.15 3 04112/2310:12
04/12/2313:23 7723-14-0
Date: 04/13/2023 09:03 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
B1
D6,EI
M1
Page 4 of 16
aceAnalj6cal
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 766413
Analysis Method:
SM 254OD-2015
QC Batch Method: SM 254OD-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92660178001
METHOD BLANK: 3979336
Matrix: Water
Associated Lab Samples: 92660178001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 04/06/23 13:49
LABORATORY CONTROL SAMPLE: 3979337
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 240
96 90-110
SAMPLE DUPLICATE: 3979338
92660297001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
180
176 2
SAMPLE DUPLICATE: 3979339
92660409002 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
585
440 28 D6
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 16
aceAnalyfical
www.pacglabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 765827
QC Batch Method: EPA 353.2 Rev 2.0 1993
Associated Lab Samples: 92660178001
METHOD BLANK: 3976202
Associated Lab Samples: 92660178001
Parameter Units
Nitrogen, Nitrate mg/L
Nitrogen, NO2 plus NO3 mglL
QUALITY CONTROL DATA
Analysis Method:
Analysis Description
Laboratory:
Matrix: Water
EPA 353.2 Rev 2.0 1993
353.2 Nitrate + Nitrite, Unpres. EDN
Pace Analytical Services - Eden
Blank Reporting
Result Limit Analyzed
ND 0.040 04/04/2315:07
ND 0.040 04/04/2315:07
Qualifiers
LABORATORY CONTROL SAMPLE:
3976203
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Nitrogen, Nitrate
mg1L
1.5
1.6 105 90-110
Nitrogen, NO2 plus NO3
mg/L
2.5
2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3976204
3976205
MS
MSD
92660145001 Spike
Spike
MS
MSD MS
MSD % Rec
Parameter Units
Result Conc.
Conc.
Result
Result % Rec
% Rec Limits RPD Qual
Nitrogen, Nitrate mg/L
5.9 1.5
1.5
7.2
7.4 87
99 90-110 3
Nitrogen, NO2 plus NO3 mg/L
5.9 2.5
2.5
8.2
8.4 91
101 90-110 3
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, I.I.C.
Page 6 of 16
aceAnalytical
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I
QUALITY CONTROL DATA
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 766197 Analysis Method: SM 521OB-2016
QC Batch Method: SM 521 OB-2016 Analysis Description: 5210E BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92660178001
METHOD BLANK: 3978226
Associated Lab Samples: 92660178001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 3978227
Parameter Units
BOD, 5 day mg/L
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27204
(704)977.0981
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 04/10/2315:18
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 191 97 84.6-115
SAMPLE DUPLICATE: 3978229
92660335001 Dup
Parameter Units Result Result
BOD, 5 day mg/L 452 504
RPD Qualifiers
11
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presentad to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/13/2023 09:03 AM wlthout the written consent of Pace Analytical Services, LLC. Page 7 of 16
aceAnalj6cal
www.pacclabg.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 765931 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Labo6tory: Pace Analytical Services - Eden
Associated Lab Samples: 92660178001
SAMPLE DUPLICATE: 3976839
Parameter Units
Fecal Coliforms MPN/100ml-
SAMPLE DUPLICATE: 3976840
Parameter Units
Fecal Collforms MPN/100mL
92660292001 Dup
Result Result RPD Qualifiers
ND 1.0 D6
92660387001 Dup
Result Result
ND 4.1
RPD Qualifiers
D6
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, LLC.
Page 8 of 16
aceAnalytical
www.pacclabi.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 766903 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92660178001
METHOD BLANK: 3982215
Matrix: Water
Associated Lab Samples: 92660178001
Blank
Reporting
Parameter Units
Result
Limit
Analyzed
Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10
04/11/23 10:48
LABORATORY CONTROL SAMPLE: 3982216
Spike
LCS
LCS % Rec
Parameter Units
Cone.
Result
% Rec Limits
Qualifiers
Nitrogen, Ammonia mg/L
5
4.9
98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3982217
3982218
MS
MSD
92660857001
Spike
Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Cone.
Cone. Result
Result % Rec
% Rec
Limits RPD Qual
Nitrogen, Ammonia mg1L ND
5
5 5.0
5.0 100
100
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3982219
3982220
MS
MSD
92660905003
Spike
Spike MS
MSD MS
MSD
% Rec
Parameter Units Result
Cone.
Cone. Result
Result % Rec
% Rec
Limits RPD Qua]
Nitrogen, Ammonia mg/L ND
5
5 5.0
5.0 98
98
90-110 0
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 16
aceAnalytical
www.pacslabs.com
Pace Analytical Sorvices, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 766422
Analysis Method:
EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993
Analysis Description:
351.2 TKN
Laboratory:
Pace Analytical Services - Asheville
Associated Lab Samples: 92660178001
METHOD BLANK: 3979453
Matrix: Water
Associated Lab Samples: 92660178001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50 04/07/23 05:06
LABORATORY CONTROL SAMPLE: 3979454
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 9.4
94 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3979455 3979456
MS MSD
92660589001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 1.2
10 10 12.2 12.6 110 114 90-110 3 M1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, I.I.C.
Page 10 of 16
aceAnalj6cal
www.pacelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lake Monthly
Pace Project No.: 92660178
QC Batch: 767304
QC Batch Method: EPA 365.1 Rev 2.0 1993
Associated Lab Samples: 92660178001
METHOD BLANK: 3984016
Associated Lab Samples: 92660178001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 3984017
Parameter Units
Phosphorus mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 365.1 Rev 2.0 1993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 0.050 0411212313:21
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.5 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3984018 3984019
MS MSD
92660178001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 10.0 2.5 2.5 11.7 12.8 65 113 90-110 10 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3984020 3984021
MS MSD
92660199001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.22 2.5 2.5 2.9 3.0 107 110 90-110 2
Results presented on this page are In the unite Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, LLC.
Page 11 of 16
Pace Analytical Services, LLC
aceAnalXical a 1377 South Park Drive
Kemersville, NC 27284
www.pae¢hb&XcM (704)977-0981
QUALIFIERS
Project: Forest Lake Monthly
Pace Project No.: 92660178
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acroleln and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
ANALYTE QUALIFIERS
B1 Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is
calculated for the dilution using the least amount of sample.
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/13/2023 09:03 AM without the written consent of Pace Analytical Services, LLC. Page 12 of 16
aceAnalj6cal
www.patelabs.com
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lake Monthly
Pace Project No.: 92660178
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92660178001
Effluent
SM 254OD-2015
766413
92660178001
Effluent
EPA 353.2 Rev 2.0 1993
765827
92660178001
Effluent
SM 521OB-2016
766197
SM 521OB-2016
766471
92660178001
Effluent
Colilert-18
765931
Colilert-18
765932
92660178001
Effluent
TKN+NO3+NO2
767656
Calculation
92660178001
' Effluent
EPA 350.1 Rev 2.0 1993
766903
92660178001
Effluent
EPA 351.2 Rev 2.0 1993
766422
EPA 351.2 Rev 2.0 1993
766602
92660178001
Effluent
EPA 365.1 Rev 2.01993
767304
EPA 365.1 Rev 2.0 1993
767554
Date: 04/13/2023 09:03 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Page 13 of 16
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DC#_Title: ENV-FRM-HUN1-0084 v0'1_Tech Spec Sample Condition
ace,Upon Receipt
( ««++mar Effective pate: 05/1212022
.aboratory receiving samples:
%sheville ❑ Eden ❑ Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ Atlanta[] Kernersvilleo
Sample Condition Upon Client Name:
Receipt Project #:
,ro Ye J i`
Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client
❑ Commercial (pace ❑Other: L Gl
Carrier Tracking Number:
Custody Seal Present? ❑Yes 2fNo Seals Intact? Dyes ❑No Date/Initials Person Examining Contents: f
racking Material: ❑Bubble Wrap ❑Bubble Bags [None ❑ Other Biological Tissue Fr zen?
❑Yes ❑No [�fV/A
'hermometer: ❑ IR Gun ID: K/12. 7 0 U 2 Type of Ice: wet ❑ Blue ❑ None
aoler Temp ('C ):111- � - Correction Factor: Add / Subtract ('C J Temp should be above freezing to VC
orrected Cooler Temp ('C ):
V. U []Samples out of temp criteria. Samples on ice, cooling pro
has begun
ISDA Regulated Sall ([3N/A, water sample)
lid samples originate in a quarantine zone within the United States: CA, NY, or SC (check mapsj? Did samples originate from a foreign source (internationally,
❑Yes []No including Hawaii and Puerto Rico)? [Dyes ❑No
... ..... ..___
Chain of Custody Present?
_
(Yes No
l
N/A
1.
-- -- .._...._..._..__..
Comments/Discrepancy:
Samples Arrived within Hold Time?
(15yes
[:]No
❑N/A
2.
—
Short Hold Time Analysis (02 hr.)?
6Yes
[:)No
❑N/A
3.
Rush Turn Around Time Requested? _
❑Yes
Utio
❑N/A
4.
Sufficient Volume?
[2-fes
❑No
❑NIA
S.
Correct Containers Used?
-Pace Containers Used?
[ayes
QYes
[]No
E]No
[]N/A
N/A
6.
Containers Intact?
Zyes
C]No QN/A
7.
Dissolved analysis: Samples Field Filtered?_____
Dyes
[]No
Qfl/A
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Sample Labels Match COV
-includes Date/Time/ID/Analysis Matrix:
❑Yes
wT
[:]No
❑N/A
9.
Headspace in VOA Vials (>5-6mm)?
(lYes
[]No
N/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
QYes
T QYes
[]No
[jNoE
N/A
N/A
11.
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LUlYlMtNIb/bAMYLt VIJG.KtYAN-_T
Temp log: Temp must be maintained
at <6 C during login, record temp
every 2D minutes.
Time opened: b Temp: y_I
Time: 09 k4 U put in cooler
Time: TTemp:
Person Contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Qualtrax Document ID: 70677
Field Data Requlred7 0yes ❑No
Lot 10 of split containers:
CLIENT NOTIFICATION/RESOLUTION
Date/Time:
Date:
Date:
Page 1 of 2
Page 15 of 16
DC#_Title: ENV-FRM-HUN1-0084 v01_Tech Spec Sample Condition
4alce Upon Receipt
Effective Date: 05112/2022
*Check mark top half of box if pH and/or dechlorination
is verified and within the acceptance range for
preservation samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC. LLHg
"Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
Project #
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Sample 90
Type of Preservative
PH upon receipt
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Time preservation
adjusted
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added
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,--- —II-1-1 11-In 17 d u xrCV.I MY duecung worm t.aronma campuance sampres, a copy or this form will be Sent to the North Carolina DEHNR Certification Olhce {) e.
Out of hold, incorrect preservative, out of temp, incorrect containers}
Qualtrax Document ID: 70677
Page 2 of 2
Page 16 of 16