WQ0035049_Monitoring - 10-2023_20231130

Monitoring Report Submittal
..................................................
Permit Number#* WQ0035049
Name of Facility:* Maple Hill Wastewater Treatment Facility
Month: * October Year: * 2023
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Upload Document*
(Revised) Maple Hill October 2023 NDAR, 1.24MB
NDMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Anthony Colon
Signature:
Date of submittal: 11/30/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00035049
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 12/5/2023

FORM. NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of -4-
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Pender
Month: October
Year: 2023
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
172
at this facility?
Cover Crop:
p:
Bermuda
Cover p:
Bermuda
Cover p:
Bermuda
Cover p:
Bermuda
O YES ❑ NO
Hourly Rate (in):
0..41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0,41
58
Annuat Rate (in):
29.71
Annual Rate (in):
29,71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
2 YES 0 NO
Field Irrigated?
0 YES ❑ NO
>
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1
2
C
58
0
3.7
3
C
61
C
3.7
14.840
40
0.32
0.32
14,720
40
0.32
0.32
13,760
40
0.29
0.29
14,520
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0.31
0.31
4
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62
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CL
67
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3.8
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69
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14,400
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0.31
0.31
14,480
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0.31
0.31
13,440
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0.29
0.29
14,320
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0.31
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1 41
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13,36:0
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0.29
0.29
13,440
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0.29
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12,320
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0.26
0.26
13,840
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0.30
0.30
18
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47
0
3.8
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CL
49
0
3.8
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C
56
0
3.8
21
22
231
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48 1
0
3.8
13,760
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0.29
0.29
13,200
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0.28
0.28
12,040
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0.26
0.26
13,640
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0.29
0.29
241
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251
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3.8
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29
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3.9
7,18.,0
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0.15
0.15
7,160
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0.15
0.15
6,56.0
20
0.1.4
0.14
7,100
20
0.15
0.15
311
CL
59
0 1
3.9
Monthly Loading:
12 Month Floating Total (in):,
63,540
1.36
11.11
63.000
1.35
10.85
58,120
1.24
1f1.2
63,420
1.36
10.87

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2 of `4_
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Pender
Month: October
Year: 2023
Did irrigation
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
occur
Area (acres):
1.72
Area (acres):
1 72
Area (acres):
1.74
Area (acres):
1,71
at this facility?
Cover Crop:
p��
Bermuda
Cover P�
Bermuda
Cover p�
Bermuda
Cover A:
Bermuda
o YES ❑ No
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (In):
0.41
Hourly Rate (in):
0.41
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
2971
Annual Rate (in):
29,71
Weather
Freeboard
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
CD YES ❑ NO
Field Irrigated?
0 YES NO
Field Irrigated?
❑ YES ❑ NO
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gal
min
in
in
1
2
C
58
0
3.7
3
C
61
0
3.7
13,640
40
0.29
0,29
15,080
40
0.32
0.32
4
C
62
0
3.7
15,000
40
0.32
0.32
14,400
40
0.31
0.31
5
CL
67
0
3.8
6
CL
69
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3.8
7
8
9
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42
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3.8
10
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52
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3.8
13,6aO
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0,29
0.29
11
C
58
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14,920
40
0.32
0.32
14,880
40
0.31
0.31
14,720
40
0.32
0.32
12
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61
0.2
3.8
13
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50
0.3
3.8
14
15
16
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46
0.1
3.8
171
C
41
0
3.8
1.2,280
40
0.26
0.26
13,520
40
0.29
0.29
13,600
40
0.29
0.29
18
C
47
0
3.8
19
CL
49
0
3.8
20
C
56
0
3.8
13,800
40
0.30
0.30
21
22
23
C
48
0
3.8
12,880
40
0.28
0.28
14.080
40
0.30
0.30
13,680
40
0.29
0.29
18,920
40
0.41
0.41
24
C
40
0
3.8
25
C
52
0
3.8
26
C
52
0
3.8
27
C
54
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3.9
28
29
30
C
62
0
3 9
6,600
20
0 14
0.14
7,360
20
0.16
0.16
7,400
20
0.16
0.16
7,160
20
0.15
0.15
31
CL
59
0
3-9
Monthly Loading:
59,080
"`- .`'
_
1.27
10.85
64,960
1.39
11.71
64,5 i041
1.37
11.84
69,000
1.49
ii.91
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3_ of,4`
Permit No.: VVQ0035049
Facility Name: MAPLE HILLWWTF
County. Pender
Month: October
Year: 2023
Did irrigation
Field Name:
9Field
Name:
10
Field Name:
11
Field Name:
occur
this facility?
Area {acres):
1.75
Area (acres):
1 77
Area (acres):
1.72
Area (acres):
at
Cover crop,
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
0 YES -7 NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0
Annual Rate (in):;
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
L YE5 D NO
Field Irrigated?
El YES 13 No
Field Irrigated?
21 YES 1 NO
Field Irrigated?
0 YES ❑ NO
N
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gal
min
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min
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gal
min
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in
gal
min
in
in
1
2
C
58
0
3.7
3
C
61
0
3.7
4
C
62
0 1
3.7
14,520
40
0.31
0.31
14,480
40
0.30
0.30
12,8110
40
0.28
0.28
51
CL
67
0
3.8
6
Cl_
69
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3.8
7
8
9
C
42
0
3,8
10
C
52
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3,8
11
C
58
0
3.8
14,880
40
0.31
0.31
14,720
40
0.31
0.31 1
13,200
40
0.28
0.28
12
R
61
0.2
3.8
13
C
50
0.3
3-8
14
15
16
R
46
0.1
3.8
17
C
41
0
3.8
18
C
47
0
3.8
19
CL
49
0
3.8
20
C
56
0
3.8
13,920
40
0.29
0129
14,080
40
0.29
0.29
12,"0
40
0.27
0,27
21
22
23
C
48
0
3.8
14,040
40
0.30
0.30
13.480
40
0.28
0.28
12,840
40
027
027
24
C
40
0
3.8
25
C
52
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3.8
26
C
52
0
3.8
27
C
54
0
3.9
28
29
30
C
62
0
1
3.9
7,260
20
0.15
0.15
7,140
20
0.15
0.15
6,480
20
0.14
0.14
31
CL
59
0
3.9
Monthly Loading:
64,620
1_36 1
63 900
1.33
57,840
�`= -,
�.t___V
`="
1.24
10.02
� =
w
0
0.00
12 Month Floating Total (in):� .
11-04
10.78

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _4_of_4_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
O Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant C] Non-Comphart
p Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain In the space below the reason(s) the faculty was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
v retnn/c1 takan Attarh arlditinnal sheets if necessarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Christopher Pickett Permittee: Pender County Utilities
Certification No.: 1010919 Signing Official: Anthony Colon
Grade: WW-SI Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? ❑ Yes CI No Phone Number: 910-259-1570 Permit Exp.: 8/31/26
Signature
Date Signature Date
By this signature. I certify that th s report is accurrate and complete to the best of my knowledge 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 all qualified pared nnei properly gathered and evaluated 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
penaltres for submitting false information, including the possibility of fines and imprisonment for knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ,_,1_of_2_
Permit No.: W00035049
Facility Name: Maple Hill WWTF
County: Pender
Month: October
Year: 2023
PP1: 001
Flow Measuring Point: El Influent ❑ Effluent ❑ No now generated
Parameter Monitoring Point: Influent 0 Effluent O Groundwater Lowering 0Surface Water
Parameter Code
50050
00400
00310
00530
00610
00620
00625
31616
00600
00665
00940
70300
d
a 1=
O
c
O
E:3
F�
O
Q
p
D
Ti
is a2
o Qo
�0U)
N
0
E
`�
rt
z
r
i
0
p
v=
u-0
3 °{
o g
"'
nt
o CL
�0
a
a
'o
Tt
o °'
"oN
24-hr
hrs
GPD
su
mg1L
mg1L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg1L
mg/L
mg/L
1
9,084
2
07:30
6
8,V3
7.8
_
3
07:30
7
8,375
7.8
4
07:30
6
6,004
8
5
07:30
6
7.536
T9
10
8.4
<0.2
26.5
<0.5
<1
26.5
131
6
07:30
5
6,048
8
7
9-803
8
9A51
9
07:30
6
5,575
7.8
10
07:30
6
7,692
7.9
11
07:30
7
8,655
7.7
12
07:30
5
7,001
7.8
13
07:30
6
7,663
7.8
14
9,411
15
9,923
16
07:30
6
7,497
7.7
17
07:30
7
9,045
7.6
18
07:30
5
7,363
7.6
19
06:00
5
8.054
T8
201
07:3C
6
8,394
7.8
21
10.859
22
6,426
23
07 3C
7
8,941
7.7
24
07:30
6
10,071
7.7
25
07:30
5
8,947
7.8
26
07:30
5
6,451
7.7
27
07:30
6
7,825
7.8
28
9,29Q
29
7,316
30
07:30
7
9,191
7.7
31
07:30
6
7,920
7.8
Average:
8,270
10.00
8.40
O-DO
26.50
0.00
1.00
217.50
13100
Daily Maximum:
10,859
8.00
10.001
6.40
i0.2'D
26.50
0.50
1.00
26.50
131.00
Daily Minimum:
5,575
7.60
10,00
8.40
0,20
26.50
0.50
1.00
2650
131.00
Sampling Type:
Recorder
Grab
Composite
Composite
Composite
Composite
Composite
Grab
Composite
Grab
Composite
Composite
Monthly Avg. Limit:
42,0.00
n/a
30
30
15
n/a
n/a
200
nM
n/a
n/a
n/a
Daily Limit:
n1a
6 to 9
n/a
n/a
n1a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Sample Frequency:
Continous
5XWK
Weakly
Weekly
Weekty
Weekly
Weekly
Weekly
[iiltan#t:ly
Montly
3D VIX
I 3XYR

FORM_ NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_of_2—
Sampling Person(s) Certified Laboratories
Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc.
Name: Name: Jay Baker
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? a Compliant ❑ Non-comps+ant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dale(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Christopher Pickett Permittee: Pender County Utilities
Certification No.: 995432 Signing Official: Anthony Colon
Grade: WW2 Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDMR? -] Yes I No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
J
Signature
By this ,gnalure, I certify that this repxt is accurrate and complete to the best of my knowledge
Date Signature Date
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 all qualified personnel properly gathered and evaluated the inbrmation
SLI itted 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 camplete. I am
aware that there are significant penalties for submitting false nformation including the possibility of fines and imprisonment for
knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Environmental Chemists, Inc.
•ochem6602 Windmill Way, Wilmington, NC 28405 , 910.392.0223 Lab .= 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 w 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
ANALYTICAL &CONSULTING CHEMISTS [e-mail]
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention.
Lab ID Sample ID:
23-56667 Site: Effluent
Test
Ammonia Nitrogen
Total Kjeldahl Nitrogen (TKN.)
Residue Suspended (TSS)
BOD
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate}Nitrite-Nitrogen
Nitrate Nitrogen
Lab ID Sample ID:
23-56668 Site: Effluent - Grab
Test
Date of Report: Oct 26, 2023
Customer PO #:
Customer ID: 08100095
Report #: 2023-23260
Project ID: Maple Hill WWTP
Collect DatelTime Matrix Sampled by
10/5/2023 10.00 AM Water JCB/Envirochem
Method Results Date Analyzed
EPA 350 1 Rev 2 0 1993 < 0.2 mg/L 10/12/2023
EPA 3512 Rev 2 0 1993 < 0.5 mg/L 10/12/2023
SM 2540 D-2015 8A mg/L 10/09/2023
SM 5210 s-2015 10 mg1L 10/06/2023
EPA 353 2 Rev 2 0 1993 < 0 02 mg+L 10/06/2023
EPA 353 2 Rev 2 0 1993 26 5 mg1L 10/10/2023
Subtraction Method 26.5 mg/L 10/26/2023
Collect DatelTime Matrix Sampled by
10/5/2023 10,05 AM Water JCBIEnvirochem
Method
Fecal Coliform
ids colae[08
Temperature
SM 2550 6.2010
pH
SM 4500 H R-2011
Total Phosphorus
SM 4500 P lF-H1-2011
Comment:
Reviewed by:
J
Results
Date Analyzed
<1 MPN1100ml
10/05/2023
25.3 C
10/05/2023
8.2 units
10/05/2023
131 mg/L
10/13/2023
Report 9 2023-23280 -� Page 1 of 1

Date:
Analyst: ,lay Baker
,,^ � C i"Cation 61 94
Facility Name: 1 �1 ` 11 of
Permit p; ! -1 aole T, L LL i, vL_r! LF"
pH
.,...,...,e... rr, cTAuAT) E • WAA79C
Calibration Time
Cat Buffer 4 0 s.u.
Cal Bufrer 10 0 s.u. -
Check Buffer 7 0 s u
Comments
.pH cheek bullet must read within t o 1 pt-i units of me ourter s true value.
4 su buffer Lot#l: Ricca 13NN61 Exo W25 7 su buffer Lotk/: Ricca 23 10 40 Exp. l 4 10 su buffer Loth: R CCA 1304P74 Eyp. 101240
Sample location
Sample Collection
Time+
Sample Analysis
Time*
pH Result
s.0
1 Post -analysis Buffer
Check values u.
Comments/Data Qualifiers
_
+ L>, bb
A-?
► Post analysis Duller MOCK is regUirea tvnen periormmF anaryscs at munlp-alnnPmin.....- ...,.... ..• ,••_ .-_.._. _ ,.__ -_.__
All pH values in pH units (i e , s u ) Record all data to the nearest 0.01 s.0 and report to the nearest 0 1 s u
Total Residual Chlorine (TRC)
^
k.-A, i......,..,e..k rn- 4Pd!'SI ('nlnrimr.iclr 15120F.2R9091
rtCICllilllL IV1Gl111]U
Jlv] ♦JW l.l'Vcu..
..or.. v, yr
a.,w.
• •--�- ----•-
- ------ ---------
Daily Check
Post -analysis
Check Sid
Time check
Standard
Sample
Sample
Collection
Sample
Analysis
TRC Result
Commenis/Dala ualifiers
Q
Standard Result
or mgiL
{when analyzing
Analyzed
Location
Time
Time
pg/� or rnglL
µgtL
at mull( le sites
nneo
TRC Daily Check Standard true value_ ygn or mgrt, acccpiunec ]altgc PAvk, vk Illr . v�� ••• • •• • • --
Check standards must recover tvithm t10°oof the check standard's true value
Annual Calibration Curve Verification Date 11/25/22 LOT# jQEXX (Free) 230401 Exp 11/23 . Date. 1D -XX (Total)221008 EKP, 12MCI1123
Reagent Blank Value (When applicable. Analyze and document a reagent blank when standards, sample dilutions or PT Samples ere prepared)
Dissolved Oxygen (DO)
_. 1n. vat Dun fit 9�TlrtrlllA6
ePost-analysis calibration
Calibration!
Calibration variable
Meter reading
verification (when necessary)
Verification
or % efficiency
Comments
Temp
Barometric
Salinity,
Theoretical
Calculated
Time
after calibration
°C
pressure
ppt
Value mg/t.
Value mg/L
mmHg
Use this row when performing a verification inslead of
Sample Location
Sample Collection
Time
*Sample Analysis
Time
DO reading
rngfL
CommentsiData Qualifiers
r Men performing analyses at multiple locations, me meter must De fecanoruleu at cacn snc ucluic allulyala vl a P a ...h.a •«.• ••-•• •-• •••_ ••_•. --.__. __
If sample is measured directly in the stream andlor onsite, only nine analyzed would be recorded with a note that they are measured in situ of immediately
Temperature
,in arAl2A9It . tid1A79'4
Sample Location
Sample
Collection
Time
*Sample
Analysis
Time
Temperature
°C
Comments/Pata Qualifiers
.0
(5
.3
. .. .. _ .w_ � ..._.� _ __._ .�......... ..... ........•.•.e.l .n e.l.. n. .n.mP.t.al Pll•
tI salnple is tnea5uretr lnrcukiy to kill" in Cal 1, al6 U 1 uil alas —.) .... n, u.��.,r •....• ••••..••• •--•-•---. - ^ •---- ----- ----. - - -
Annual Verification Date 11-25-22
Field Personnel Note:
Rev 1-2022
QA,001 112/0tr22

Environmental Chemist, Inc., Wilmington, INC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client:_ M( ��' _ Date: Report Number: _ 2023- A9 10)
Receipt of sample: ECHEM Pickup Client Delivery 0
JUPS ❑ FedEx 0 Other ❑
0 YES
ID NO
I& N/A 11. Were custody seals present on the cooler?
O YES
10 NO
© N/A 12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt U°C Corrected temperature upon receipt °C
How temperature taken: © Temperature Blank Q Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor "C: 0.0
0 YES
0 NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
0 YES
0 NO
4. Were proper custody procedures (relinquished/received) followed?
9 YES
❑ NO
5. Were sample ID's listed on the COC?
9 YES
0 NO
6. Were samples ID's listed on sample containers?
O YES
0 NO
7. Were collection date and time listed on the COC?
2 YES
13 NO
8. Were tests to be performed listed on the COC?
O YES
D NO
9. Did samples arrive in proper containers for each test?
d YES
❑ NO
10. Did samples arrive in good condition for each test?
0 YES
❑ NO
11. Was adequate sample volume available?'
D YES
❑ NO
12. Were samples received within proper holding time for requested tests?
YES
0 NO
13. Were acid preserved samples received at a pH of <27
IS YES
0 NO
14. Were cyanide samples received at a pH >12?
0 YES
NO
15. Were sulfide samples received at a pH >9?
YES
C] NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L7 **
❑ YES
© NO
17. Were Suifide/Cyanide received at a chlorine residual of <0.5 m/L?
0 YES
D NO
18. Were orthophosphate samples filtered in the field within 1S 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 sample(s) incorrectly preserved or with headspace)
Sample(s) _ _ were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2504 HNO3 HCI 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 Sample(s) were received with headspace
COMMENTS:
DOC, QA.002 Rev 1

Analytical & Consulting Chemists
4=
ENVIRONMENTAL CHEMISTS, INC OFFI E`n9 0`I3 2-02 3Way1tFAX 910392 245
NCDENR: DWO CERTIFICATION # 94 NCDHHS,. DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Pender County Utilities (Wastewater) PROJECT NAME: Maple Hill WWTP (PPI 001) REPORT NO:
ADDRESS: CONTACT NAME: Chris Pickett, ORC I PO NO:
REPORT TO: ORC PHONE./FAX:
COPY TO: email:
C--fti-A Qv• 1 CAIUGI F TVDF• I = Influent F = Fffluanf W c Wall ST = Stream_ SC) = Sail. SL = Sludae_ Other_
Sample Identification
Collection
2
in
m
a
o
V
Gf7
o
U a
c
U
1�u
m
Z
PRESERVATION
ANALYSIS REQUESTED
D to
Time
Temp ]
z
i
=
x
"o
=
o
z
Q
O
WWTP PPI 001 (compos t
X
BOD, TSS, NO2
6®�
X.
NO3, NH3, TKN
WWTP PPE 001
(composite) Triannuals
C
P
X
Chloride, TDS (March, July, Nov)
C
P
G
G
WWTP Effluent (grab)
P
�(to�
X
Total Phos
G
}
H field); �`lt
C
P
X
Fecal Coliform
G G
C P
G
G
Samples due 1/month
C
P
G
G
C
P
G
G
limits: BOD 30 mgrL, TSS 30 mg/L., N1613 15 mglL, Fecal 200 coloniesl100 eni
Transfer
Relinquished By:
Date/Time
Received By:
DatelTime
1.
2.
Temperature when Received: mil. U _Acceptea: Kelectea: Kesarnpie me ea:
Delivered By: Received By: Date: t&454L2 Time: ----
Comments: TU N ROUND: