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WQ0007798_GW Monitoring_19970911
DIVISION OF WATER QUALITY - GROUNDWATER SE GROUNDWATER QUALITY MONITORING: P.O. 29578 For additional forms RALEIGH, NNCC 276262f6- r0578 COMPLIANCE REPORT FORM please write or call: (919) 733.3221 Type or Use as ball-point pen and press firmly. PERMIT NUMBER: (REQUIREDi Facility Name tnnrAY`yNA Non -Discharge t4lu fib`rqg an - Address --- NPDES LOtAt�ldlhu Cnii.n.fy� TYPE OF DISPOSAL OPERATION BEING MONITORED (' .. � t (REQUIRED) Well LocationLsat 6LA KatL2(' r XIL-� Ll � r Well Identification Number WlW rl Well Depth ;Zgy15— Ft. Well Diameter 1 •'ZS Sample (Screened) Interval Ft. To 03.5"Ft. Depth to Water Level t5,70 ft. below measuring point (before sampling) Measuring point is I • ZA-l' ft. above land surface Gallons of water pumped/bailed before sampling 2•qco — L Field Analysis: pH 'tS Specific Conductance — uMhos Temp. `ems°C Odor 0I1 Qi Cf� IS•9`-7 Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) 1, _ % Land Application of Slud e Other -- Rotary Distributor Appearance — Date Sample Colle�ed Date Lab Sample Analyzed i� l L EibO�-Mpy-leIS No. L( cJ Laboratory Name C radGat.'� ) VNnn !"f _ Certification LO SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED 'JLt _YES NO - r-t - COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel L+ng/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead Thng/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc ° -,frig/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) Co. CI units Ca - Calcium mg/I o .; ugn TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/1 Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I 1��Chbeboat- n - S( Phenol mg/I K - Potassium mg/I Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and 2 colloidal concentrations. (see #3 on back) -See back for instructions. iinatu(e)6± e (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8196 "'k COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 94. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY • GROUNDWATER SECTION. QUALITY MONITORING: PG 'RALEIGH, [GROUNDWATERetlditlonal forms NC127626.0578 NO276 6-For COMPLIANCE REPORT FORM please write or call: (919) 733.3221 Type or Use a II -point pen and press firmly. c)csi- )c2sI �4er-, Facility Name L^ PERMITsc arge"-"' QUIRE N n-D �7% Address am ( ( NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED l G (urirD i �G Ci Lu County t� Well LocationCA'T � l,0 LIT' �i �I' rVYA `�LI Z7 L4 to. t0(n (REQUIRED) Lagoon Septic TanWDrain Field Well Identification Number 16M Well Depth 3 D•o Ft. Well Diameter (r Z5 Sample (Screened) Interval Ft. To &�.O Ft. Spray Field facetow-Pressure Piping (LPP) Piping Depth to Water Level 17 QS ft. below measuring point (before sampling) , Land Application of Slud e Other Measuring point is ( r30 ft. above land surface 2 32 Rotary Distributor Gallons of water pumped/bailed before sampling � Field Analysis: pH Specific Conductance uMhos Temp.�OC Odor Appearance Date Sample Collecjgd a' I It Ck1-7 Date Lab Sample Analyzed L=V_G(0✓1GS UU Laboratory Name (� M A�Utf-hc-.l Certification No. SAMPLES FOR METALS Vf RE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO f; COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel 2 _ := mg/I Coliform: MF Fecal /100ml Nitrate (Nog) as N mg/I Pb - Lead ~t < mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc �' mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/1 Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/1 (Specify Compounds) f pH (when analyzed) units Ca - Calcium mg/I = ug/I TOC mg/I Cd - Cadmium mg/I 'ug/I Chloride mg/I Chromium: Total mg/I C3 =; ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) 161ChleXoelt��—fhq�< Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/1 I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and q % colloidal concentrations. (see #3 on back) i� f �J t 3 1 ` L [ See back for instructions. Signatu of Permi ee (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION .OFWATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, NC 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name -� 'CYO Non -Discharge NPDES Address n+ LLLAw-iTl ID�TYPE OF DISPOSAL OPERATION BEING MONITORED nG ,.�n/COUnty (REQUIRED) Well Location r tt c (ALO 6 o L t Lagoon Septic Tank/Drain Field Well Identification Number Well Depth 30.0 Ft. Well Diameter I , Sample (Screened) Interval Ft. To 3aaFt. spray Field Subsurface Low -Pressure Piping.(LFP.)�— Depth to Water Level II -I' E� ft. below measuring point (before sampling) Land Application of sludge Measuring point is tr,_•r/ ft. above land surface3 O other Rotary Distributor Gallons of water pumped/bailed before sampling Field Analysis: pH fn.t-12 Specific Conductance uMhos Temp. D Odor �' aS' _ -Appearance Date Sample Collee,,G�ted " • Date Lab Sample Analyzed �l t Laboratory Name I��t�Gl��(tth�l lf-i cj!Llt ([�I�O�o (pLf�S SAMPLES FOR METALS W E COLLECTED UNFILTERED AND FIELD ACIDIFIED COD _ Coliform: Coliform: MF Fecal MF Total mg/I 00ml 00ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium Certification No. Lie I YES NO mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I �i w = mg/I mg/I ug/I o ug/I ug/I Other (Specify Compounds and r-=- C� gentration units) j Ni - Nickel Pb - Lead Zn - Zinc Pesticides/Herbicides (Specify Compounds) I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and ((�� colloidal concentrations. (see #3 on back) \ 1& 31 ,9 (7 See back for instructions. ig of Per a (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. �i GW-59 REV. 8/96 I COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.Q. sox zss7a For additional forms RALEIGH, NC 27626.0578 COMPLIANCE REPORT FORM please write oraa:l; (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REOUIR ED) FacilityName- :�+Vosla--Lr`G' Non -Discharge "CCI_r?i� Address. NPDES 1_42AV-WOL,isnA r OL Counfv 517sY1QnC(, TYPE OF DISPOSAL OPERATION BEING MONITORED --- � (REQUIRED) Well Location Lagoon Septic Tank/Drain Field Well Identification Nu ber � L4 Well Depth Z) • L) Ft. - Well Diameter 1 25 Sample Screened Interval Ft. To �Ft. Spray Field ; Piping race Low- Pressure p (Screened) 'Piping (LPP) Depth to Water Level lift. below measuring point (before sampling) Land Application of Sludge Measuring point is ft. above land surface ),C— Other Gallons of water pumped/bailed before sampling (. O Rotary Distributor Field Analysis: pH & � S q Specific Conductance uMhos Temp.23� C Odor — Appearance Date Sample Collegr,led a, 114_' Date Lab Sample Analyzed a ' Z2 61 7 -r Laboratory Name I���Gir�Qt'Y1t cct l ��V�fXL? 10(1G�S _ Certification No. Ui� I : ; SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO n COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel = `',mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N mg/I Pb - Lead '= mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc = = rTIg/I Note: Use MPN method for highly turbid samples) ( g y P ) AlAI -Aluminum mg/I Pesticides/Herbicides - .� 3; Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) — T, pH (when analyzed) • (o units Ca - Calcium mg/I ug/1 TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I c�centration units) 1 Hardness: Total mg/I Hg - Mercury mg/I 1 C;rhlor��frnr,e—!55c D yl Phenol mg/I K - Potassium mg/I ! Sulfate mg/I Mg - Magnesium mg/I �-- Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) II See back for instructions. Si- nature f Pg mittee or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT -THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental . Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write orcaM DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 .0578 RALEIGH,.NC 27826626- (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) }y� y} U)WQ� 2 Facility Name I0-osff oS'e?,— �• Non -Discharge /` Address Wuurf nla o- G Co in NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED Well LocationLa"r 3L(U° e�gti (WC-)�9o22lL-SO.PRtt (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number MILO'S Sample Well Depth�Ft. 2 Spray Field Subsurface ow -Pressure Well Diameter (Screened) Interval Ft. To ,D Ft. pingr(LPP) Depth to Water Level ( .9LA ft. below measuring point (before sampling) Land Application of Sludge Measuring point is&SO ft. above land surface Other _ Gallons of water pumped/bailed before sampling � Rotary Distributor Field Analysis: pH_ Specific Conductance — uMhos Temp. D , S °C Odor Appearance Date Sample Colle d ^OL� . t t l a!7 Date Lab Sample Analyzed Q - KP R7 fCKyQfft Gl`�-NCQ ( LCtvDDectlort2S Certification LAN ' Laboratory Name No. SAMPLES FOR METALS WORE COLLECTED UNFILTERED AND FIELD ACIDIFIED ffi__YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead `D mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) ca f pH (when analyzed)— —, R0 units Ca - Calcium mg/I ug/I TOC mg/I Cd - Cadmium mg/I `- ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe -Iron mg/I Concentration units) Hardness: Total mg/I Hg- Mercury mg/I (trlC1)hirn�N1Ql1Q I Phenol mg/I K - Potassium mg/I \ / Sulfate mg/I Mg - Magnesium mg/I —` Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Sinatur of ermi e (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD Ilt Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: For additional Corms COMPLIANCE REPORT FORM please write or call: DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 7626- RALEIGH, NC 27628.0578 (919)733.3221 1-Type or Use a ball-point pen and press firmly. Facility Name'�S�Y u �� - PERMIT NUMBER: (REQUIR D) Non -Discharge f~-) r1plo%-pg Address + I : Ci IG NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED Illt;;l.Cl'C1 Cnuntv !71 riI-,,KV� '7Q 0 Zr% r tAiQ l` Well Location L-A� (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number MW ' Lg Well Depth __K , Q_Ft. 2- CD'Sam le Screened Interval Ft. To 35iL�Ft. Well Diameter p (Screened) spray Field Piping Subsurface Low -Pressure --_Piping (LPP) Depth to Water Level Ito .'7_7 ft. below measuring point (before sampling) Land Application of Sludge. 7� Measuring point is L ,v ft. above land surface �. Other Gallons of water pumped,/�;�alled before sampling Q � Rotary Distributor Field Analysis: pH 1u3�Specific Conductance IuMhos Temp.°C Odor Appearance Date Sample Colle ed Q 114 7 Date Lab Sample Analyzed " 7_2-'cl - VCAI �( I AQ obca-teS Laboratory Name Certification No. d SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel r mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead `' mxng/1 Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc rr� -ing/I (Note: Use MPN method for highly turbid samples) AI -Aluminum mg/I Pesticides/Herbicides M Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) ' pH (when analyzed) units Ca- Calcium mg/I 'qjg/I o TOC mg/I Cd - Cadmium mg/I Chloride mg/I Chromium: Total mg/I r, ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Co centration unit ) ' CIS % I Hardness: Total mg/I Hg - Mercury mg/I �t ICY- 20L Phenol mg/I K - Potassium mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Mg - vlagneslum mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. S natur of ermitt (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD 111 Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION _QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L; analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: AOr additional forms COMPLIANCE REPORT FORM please write or call: DIVISION OF WATER QUALITY- GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NC 27626.0578 (919) 733.3221 Type or Use a ball-point pen and press firmly. ��5� V I" ` fir G PERMIT NUMBER: (REQUIR�E�j Non C) !-7 C?P Facility Name • -Discharge (,,.�j Address i:(.t✓1 Jl I'DUI�Ot . tr1 G( County Li NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED Well Location `� c f r• i Z (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number ' Well Diameter 2. OD Sample (Screened) Interval Well Depth Ft. Ft. To •O Ft. Spray Field Subsurface Low -Pressure _ Piping jLPP) ' Depth to Water Level fb,9 3 ft. below measuring point (before sampling) Land Application of Slug u ; Measuring point is L4, %r7 it. above land surface oD Other Rotary Distributor 7 Gallons of water pumped/b b before sampling � „ Field Analysis: pH Specific Conductance uMhos Temp.l� C Odor Appearance Date Sample CDlle d f q! Date Lab Sample Analyzed G , Z 2 ' 4 `i 1 �j 4i Laboratory Name Certification No. 7 ( _ SAMPLES FOR METALS WE E COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N mg/I Pb - Lead e ; _' mg/I Coliform: MF Total /100m1 Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides •�--�;; Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I _= ug/I TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I a ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Goncentr tion units) Hardness: Total mg/I Hg - Mercury mg/1 [Li CI'l 0124^"r Phenol mg/l K - Potassium mg/I \ 1 Sulfate mg/I Mg - Magnesium mg/I ' Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/1 I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Sig tua re Jf P mlttee r Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or call or Facility N pen and press Well Location - I Well Identification Numper — Well Depth 7—CpQ_Ft. Well Diameter ` am le le (Screened) Interval Ft. To �,O Ft. Depth to Water Level ft. below measuring point (before sampling) Measuring point is ft. above land surface Gallons of water pum edibailed before sampling 12 Field Analysis: . � Specific Conductance uMhos Temp. l Date Sample Colle d q r7 —Date Lab Sample Anal zed Laboratory Name SAMPLES FOR METALS WE COLLECTED ONFILTERED AND FIELD ACIDIFIED DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NC 27626.0578 (919) 733.3221 PERMIT NUMBER: (REOUIR• Eq)�wcn n 96 Non -Discharge LJC ) NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low-Pressure —Piping�(L�P) -- - Land Application of Slud e" � - Other Rotary Distributor Odor Appearance Certification No. LO YES NO - COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel `4�_,=� mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead --�_mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc " 1ng/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides c,� -•:c Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) ; pH (when analyzed) L(L units Ca - Calcium mg/IIg/I TOC mg/I Cd - Cadmium mg/I Chloride mg/I Chromium: Total mg/I %tig/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and o Grease and Oils mg/I Fe - Iron mg/I Concentration units / Hardness: Total mg/I Hg - Mercury mg/I I .� t C In I[�P a — I nuQ / Phenol mg/I K - Potassium mg/I Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and / �j colloidal concentrations. (see #3 on back) ZGEY�(D r See back for instructions. S natur o ermi e (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY •GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. NO276 6- For additional forms RALEIGH, NO 27620.0878 COMPLIANCE REPORT FORM please Write or call: (919) 733-3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name I( �� �nC- Non -Discharge (ate C�'70 Address ) -LIZI - NPDES L/il lirl fi �1�. �C County TYPE OF DISPOSAL OPERATION BEING MONITORED ��� Well Location lAA- I r LW �7 r SS' (.o r (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number Well Depth Ft. Well Diameter -Wn Sample (Screened) Interval Ft. To �� Ft. spray Field rSubsurface ' ow -Pressure Depth to Water Level l� ,�i (7 ft. below measuring point (before sampling) Land Application of Slud e Measuring point is 0 ft. above land surface �.otber . 1 `O Rotary Distributor Gallons of water pum e b iled before sampling l .���� cc// Field Analysis: pH Specific Conductance uMhos Temp.l C Odor — Appearance Date Sample Col]eQted q' (t a —7 Date Lab Sample Analyzed Laboratory Name 6� Ginn [ (��\�7 _0i A Xrn tP S Certification No. l SAMPLES FOR METALS W'ER COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD m /I Nitrite NO as N m /I Ni - Nickel o n /I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) _,rl pH (when analyzed) S. 20 units Ca - Calcium mg/I — T g/I TOC mg/I Cd - Cadmium mg/I -"Ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I CoC entration units) -TV- lDip�i�PJle—All � l Hardness: Total mg/I Hg - Mercury mg/I V- Ch Ltq Phenol mg/I K - Potassium mg/I 1 f Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. S nat r ee (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY •GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, NO 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733-3221 Tvnp nr I Ica a hall-nnint npn and nrpce tirmhr Facilil Well Location Well Identification Number VA1,A) I Well Depth_Ft. Well Diameter Qb" Sample (Screened) Interval Ft. Tc' D Ft. Depth to Water Level 1:3,S5 ft. below measuring point (before sampling) Measuring point is 3d2 ft. above land surface 2� Ol7 Gallons of water pumped/bailed before sampling 2� o Field Analysis: pH u Sped' Conductance f uMhos Temp. C Date Sample Collaeted _ ,) 4 4 Date Lab Sample Analyzed Laboratory Name I SAMPLES FOR METALS WE COLLECTED UNFILTERED AND FIELD ACIDIFIED COD Coliform: MF Fecal Coliform: MF Total mg/I /100ml /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) = units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N _ Nitrate (NO3) as N_ Phosphorus: Total as AI - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium PERMIT NUMBER:(REQUIREJ�) nn(� Non -Discharge I� 8) c0�1-7gq NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure., Piping (LPP) Land Application of SI dge " Other Rotary Distributor 1 •717 Odor Appearance Certification No. u8t YES NO mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/1 mg/I Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc "mg/I Pesticides/Herbicides —t (Specify Compounds) co �" —I ;, /I Other (Specify Compounds and I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) Or * See back for instructions. Si of , erm' e (or Authorized Agent`) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See 44. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATERSECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, NC27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED ,,eecc�� '! Facility Name (Q ��as'�-� Non -Discharge Address NPDES I'n G Cut TYPE OF DISPOSAL OPERATION BEING MONITORED 1, O i , p r „ (REQUIRED) Well Location .0 t Q - 2 I 2. r% Q3 , / Lagoon Septic Tank/Drain Field Well Identification Number nAW � t I --' Well Depth 2Sd� Ft. Well Diameter •0It Sample (Screened) Interval Ft. To '_e-CFt. Depth to Water Level ILI ?(Oft. below measuring point (before sampling) Measuring point isft. above land surface Gallons of water pu ped/bai d before sampling 7 2-.O(-) Field Analysis: pH Specific Conductance uMhos Temp. ZL_-- Date Sample Colle d I t. i � hm rfc 1 �h cz le Anoly>o i U• I t n 4 Laboratory Name SAMPLES FOR METALS COD Coliform: Coliform: NFILTERED AND FIELD ACIDIFIED mn/I MF Fecal /100ml MF Total 1100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) 5,9 0 units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total AI - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium_ Chromium: Total _ Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium _ Mn - Manganese _ Na - Sodium as P Spray Field Subsurface Low -Pressure Piping.(LPP) Land Application of Slu e Other Rotary Distributor . - . 1-,?7 Odor Appearance Certification No. YES NO mg/I Ni - Nickel mg/I mg/I Pb - Lead mg/I mg/I Zn - Zinc " mg/I mg/I Pesticides/Herbicides o mg/I (Specify Compounds) c-3 mg/I E <-C ug/I mg/I ,ug/I mg/I --mug/I mg/I Other (Specify Compounds and=rr'- mg/I Concentration units) t u mg/I mg/I j mg/I ' mg/I mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and �/ colloidal concentrations. (see #3 on back) 0 -33 ' / / See back for instructions. Si nature f ermitt (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NQT THOSE THAT ARE A PART PFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or call: or Facility Name pen and press Well Location Well Identification Number Well Depth Well Diameter LrS�mple (Screened) Interval Ft. To�� Depth to Water Level ft. below measuring point (before sampling) Measuring point is ft. above land surface Gallons of water pumped/b iled before sampling — Field Analysis: pH Specific Conductance uMhos Temp. Date Sample Colleptgd Date Lab $ample Analysed_ Laboratory Name iT t( SAMPLES FOR METALS UNFILTERED AND FIELD ACIDIFIED DIVISION OF WATER QUALITY • GROUNDWATER SECTION P.O. BOX 295M RALEIGH, NC 27626.0578 (919)733-3221 PERMIT NUMBER: (REQUIRE[p• OOD"79n9 Non -Discharge t '1 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Odor Certification No. YES Spray Field Subsurface Low -Pressure .Piping(LPP)• Land Application of SIyd �e - _]7 Other Rotary Distributor _ Appearance LAB I Mko COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel . o rlmt mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead ' `' • mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) F" lrri pH (when analyzed) units Ca - Calcium mg/I 4c ug/I TOC mg/I Cd - Cadmium mg/I =� T ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and o Grease and Oils mg/I Fe -Iron mg/1 Centration units) Hardness: Total mg/I Hg - Mercury mg/I Pa — Phenol mg/I K - Potassium mg/I TWCh 1 Sulfate mg/I Mg - Magnesium mg/I lc_ Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. ignatu f Perm tee (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0..45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, NO27626.0578 COMPLIANCE REPORT FORM please write or eau: (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIgE�) Facility Name S Non -Discharge CeYJ�/7C7%� Address NPDES 'F,ra TYPE OF DISPOSAL OPERATION BEING MONITORED v L County/ it (REQUIRED) Well Location 3L I r` 2` ir7 7 Lagoon Septic Tank/Drain Field Well Identification Number MW— ell Depth '50.0D Ft. Well Diameter LCUt Sample Screened Interval Ft. To �1CUFt. spray Field subsurface Low -Pressure p (Screened) Piping (LPP) Depth to Water Level O.qb ftbelow, measuring point (before sampling) Land Application of Sludgy Measuring point is 2,'i ft. above land surface —� Other Gallons of water pumped ailed before sampling I S-oo Rotary Distributor Field Analysis: pH S ecific Conductance ' uMhos Temp. S°C Odor Appearance Date Sample Colle�st�d () '� Date Lab Sample Analyzed Laboratory Name M (�±lQ C Q l L���( t� �2C Certification No. n SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO W b �n� COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel :M" Coliform: MF Fecal /1 ooml Nitrate (NO3) as N mg/I Pb - Lead ,- mg/I Coliform: MF Total /t ooml Phosphorus: Total as P mg/I Zn - Zinc /I (Note: Use MPN method for highly turbid samples) Al -Aluminum mg/I Pesticides/Herbicides �`•' �", Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) to, units Ca - Calcium mg/I ug/I TOC mg/I Cd - Cadmium mg/I Ug/1 Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/1 Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/1 _Q ncen on units . J�p Hardness: Total mg/1 Hg - Mercury mg/I l rIC t cG�t4\¢n2 —! (fir J /I Phenol mg/I K - Potassium mg/I _ 1 Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and A^l V���((/^��\�^ �1/ y colloidal concentrations. (see #3 on back) l Y v ) 1 ' \ 1 31 '_l ( See back for instructions. SidQature f Rermltt (or Authorized Agent') Date *• Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; L (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Facility Name pen and press DIVISION OF WATER QUALITY • GROUNDWATER SECTION P.O. BOX 29578 For additional forms RALEIGH, NC27626.0578 please write or call: (919) 733.3221 ` t IILXIr County t Well Location fR) I ° D'1 l onGl '7�i° Z 1 G) •to r' Well Identification Numbers - 1W Well Depth '7�0,00 Ft. Well Diameter L!-Od°Sample (Screened) Interval Ft. To t. Depth to Water Level 1�5-,SCI ft. below measuring point (before sampling) Measuring point is .0i , 7 Oft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH Specific Conductance --- uMhos Temp. Q l Date Sample Colle ed G Date Lab Sample Analyze t Laboratory Name -) I ok SAMPLES FOR METALS W E COLLECTED UNFILTERED AND FIELD ACIDIFIED COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/1 PERMIT NUMBER: (REQUIRED) Non -Discharge r��i7%die ll.��CC....�� NPDES - - TYPE OF DISPOSAL OPERATION BEING MONITORED — (REQUIRED) ' Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge Other Rotary Distributor C Odor Appearance - ertification No. L49) l -� 'YES NO p n Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. S gna ur of ermitte (or Authorized Agent`) GW-59 REV. 8/96 Ni - Nickel I w < �'2--mg/I Pb - Lead D�Tng/I Zn - Zinc _s � rmg/I Pesticides/Herbicides (Specify Compounds) [1i Y^ ug/ ug/I ug/I Other (Specify Compounds and -- Co centrafon units) } Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 0131 •(Q / See back for instructions. Date *" Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE a PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION 2 SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or call: Type or Use a ball-point pen and press firmly. Facility Name Address Well Location ts/Lar-uLruiww.,5- C�+a 1°1-Z1 Well Identification Number lZC-1� Well Depth -72• S Ft. Well Diameter 00` Sample (Screened) Interval Ft. To22-.SFt. Depth to Water Level %ft. below measuring point (before sampling) Measuring point is Z• SLZft. above land surface Gallons of water pumped/b ''fed before sampling Co Oct Field Analysis: pH S �I . Specific Conductance uMhos Temp. Date Sample Collec,)ed Date Lab Sam Analyzed ti t ti Laboratory Name SAMPLES FOR METALS WE COLLECTED UNFILTERED AND FIELD ACIDIFIED DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NC 27626.0578 (919)733.3221 PERMIT NUMBER: (REQU 75 Non -Discharge %Jt'FX��1 �a8 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED j (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of QOther Rotary Distributor `Odor — Appearance Certification No. Ue k YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel a , j C' l mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead q Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc �2mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides _ Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) �: ' pH (when analyzed) ri .LI r7 units Ca - Calcium mg/I o < ug/I TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I m== ug/I ug/I Other (Specify Compounds and Concentration units) I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and C� colloidal concentrations. (see #3 on back) IO r3 r (� See back for instructions. Si atur f ermitte (or Authorized Agent') Date *• Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance.with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY —GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 7626- For additional forms RALEIGH, NC 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733-3221 Type or Use a ball-point pen and press firmly. Facilit Well Location Well Identification Number Well Depth !SO•00 Ft. Well Diameter "Sample (Screened) Interval Ft. To 5D.09 Ft. Depth to Water Level 22, LAD ft. below measuring point (before sampling) Measuring point is f . O ft. above land surface JrS- Gallons of water pum ed/ a' ed before sampling Field Analysis: pH Specific Conductance — uMhos Terri ,` 7 oC- Date Sample Coll ed Date Lab Sa�}pie Analyzed �t I t Laboratory Name �G QYYI flQ lCL�I L U?2t�lPS SAMPLES FOR METALS VVEAE COLLECTED UNFILTERED AND FIELD ACIDIFIED COD _ Coliform Coliform MF Fecal MF Total _ mg/I /100ml /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) ,'7Zi units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N_ Phosphorus: Total as AI - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese _ Na - Sodium 0 PERMIT NUMBER: (REQUI Non -Discharge C_A_V TIJ' P /"r) NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) "') '---� Lagoon - Septic Tank/Drain Field , Spray Field Subsurface Low -Pressure Piping'(LPP), 1 I Land Application of SI dge Other Rotary Distributor Odor Appearance '-' Certification No. Lie YES NO mg/I Ni - Nickel mg/I mg/I Pb - Lead mg/I mg/I Zn - Zinc mg/I mg/I Pesticides/Herbicides o �; g (Specify Compounds) —+ -` mg/I w ugh mg/I =rqug/I mg/I , :�<ug/I mg/I Other (Specify Compounds and r T mg/I Concentration units) - ^' mg/I I rf � 1 LOM Ctl (�Od1P — l7 (71 I mg/I mg/I mg/I mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and � colloidal concentrations. (see #3 on back) /M 10. 3' 19 / f See back for instructions. tn:aju:ro of ermitt e or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure.and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY- GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.Q. BOX29578 For additional forms RALEIGH, NO27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRE6X0.7,79� ✓• LLLVJ Facility Name' 1CQS_fmaS-ter .71 f - Non -Discharge Address 1— a NPDES LGtc ,(rc n (Q I YIC� County _ n 4 I/]/1/ ( TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location Lagoon Septic Tank/Drain Field Well Identification Number Well Depth _Ft. Well Diameter �0 Sample (Screened) Interval Ft. To t. Spray Field subsurface Low -Pressure Piping (LPP) Depth to Water Level LJwit. below measuring point (before sampling) Land Application of Sludge Measuring point is 'X, (O ft. above land surface _!>— other Gallons of water pumped/bailed before sampling ,'21 00 Rotary Distributor J Field Analysis: pH Specific Conductance uMhos Temp 20C Odor Appearance Date Sample Colle P, d r7 Date Lab Sa le At Anal zed I t t o ,a � Laboratory Name f _ Certification No.� SAMPLES FOR METALS WEFfE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N mg/I Pb -Lead r-mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc -' mg/I (Note: Use MPN method for highly turbid samples) Al -Aluminum mg/I Pesticides/Herbicides -p- Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) �units Ca - Calcium mg/I '--mug/I TOC mg/I Cd - Cadmium mg/I r*c mug/I Chloride mg/I Chromium: Total mg/1 Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils Hardness: Total mg/I mg/I Fe -Iron Hg - Mercury mg/I con entration units) mg/I I r n l — Phenol mg/I K - Potassium mg/I Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 10 3 I R17 * See back for instructions. Si nature f ermitte (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART _QFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION 9RR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; t (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility'name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official docbments. GROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or call: or Facility N pen and press Well Location Well Identification Number r Well Depth U0.00 Ft. Well Diameter l f. Q BampI (Screened) Interval Ft. To(JQ.60Ft. Depth to Water Level I • �t ft. below measuring point (before sampling) Measuring point is /, 00 ft. above land surface Gallons of water pumped/ led before sampling Field Analysis: pHt Specific Conductance P uMhos Temp. C Date Sample Collect f ( D to ab Sa pie An lyzedg Laboratory Name iCCI i V CQ �Q CCU IYIC�� DIVISION OF WATER QUALITY- GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NIC 27626.0578 (919)733.3221 PERMIT NUMBER: (REQUIRED Non -Discharge f nrl r)G{ NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge �_ Other Rotary Distributor Appearance Certification No. iC3 1 SAMPLES FOR METALS WER COLLECTED UN ILTERED AND FIELD ACIDIFIED 4_0'__YES NO o .M:�L' COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) S(42 units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I Ni - Nickel 3, g/I Pb - Lead E `-21ng/I Zn - Zinc $'g/I Pesticides/Herbicides m = (Specify Compounds) —' m — N ug/I ug/I Other (Specify Compounds and ;.. Con entration units) �r� I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and �} colloidal concentrations. (see #3 on back) See back for instructions. Si atur of P rmitte (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD IfI Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART PFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION -R SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least.3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY. GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX29578 For additional forms RALEIGH, NO 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIREDL Facility Name -t n Non -Discharge 1n)(�2Li�D-7'iC1 e E Address NPDES,` County I✓� TYPE OF DISPOSAL OPERATION BEING MONITORED — (REQUIRED) Well Location Lagoon Septic Tan0rain Field, Well Identification Number Well Depth Ft. ( Well Diameter — Sample Screened Intl Ft. To Ft. Spray Field Subsurface Low -Pressure p (Screened) Piping (LPP) Depth to Water Level ft. below measuring point (before sampling) Land Application of Sludge Measuring point is ft. above land surface }C Other Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pHSpe ific Conductance '— uMhos Temp. °C Odor — Date Sample Collecte tt - -I Date Lab Sample Analyzed 167—fir% Laboratory Name CaQAA t L,t'b0V-4+Q If IeS Certification No. SAMPLES FOR METALS WEht COLLECTED UNFILTERED AND FIELD ACIDIFIED fJ t YES Appearance — �� t NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc - f (Note: Use MPN method for highly turbid samples) Al -Aluminum mg/I Pesticides/Herbicides CDr, .mg/I U�r; Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) b r 2Lo units Ca - Calcium mg/I G-' '<Ug/I TOC mg/I Cd - Cadmium mg/I =cug/I Chloride rng/I Chromium: Total mg/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils Amg/I Fe - Iron mg/I Concentration units) ��� �� Hardness: Total 71 mg/I Hg - Mercury mg/I ['�icln to -off ff�GwtP� I Phenol mg/I K - Potassium mg/I� Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. i na a of ermi 0ee (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. ARAM %: VA W. A RL COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.Q. BOX 29578 :For additional forms RALEIGH, NC 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Facili PERMIT NUMBER: (REQUIRED)�,��� - Non -Discharge WW I r NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED •- (REQUIRED) Well Location " Lagoon Well Identification Number-TV*t��N - �rt-lACh25r Well Depth — Ft. Well Diameter r Sample (Screened) Interval — Ft. To Ft. spray Field TvnP nr I Ica a hall-nnlnt npn ann nrPAS tIrMIV Septic Tank/Drain Field Subsurface Low -Pressure Piping (LPP) - Depth to Water Level ft. below measuring point (before sampling) Land Application of Sludge Measuring point is ft. above land surface 5�, Other Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pH Specific Conductance — uMhos Temp. oC Odor — Appearance Date Sample Collecd ^ (O�� "4� Datg Lab Sample Analyzed in--)-'q"l Laboratory Name l�Q QCI+QTY1 (Yl��hClai 11�D��C%O�C� _ Certification No. 481 SAMPLES FOR METALS W E COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Coliform: MF Fecal Coliform: MF Total /100ml /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) 1- units TOC mg/I Chloride mg/l Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I Ni - Nickel c; mg/I Pb - Lead mg/I Zn - Zinc o ,= g/I Pesticides/Herbicides (Specify Compounds) ug/I .2 n ug/1 =ug/I Other (Specify Compounds and _ d U) Concentration units) c; I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and (/ colloidal concentrations. (see #3 on back) zJ� �i' 9 ( * See back for instructions. S gnatur of ermit ee (or Authorized Agent*) Date •* Submit blue and yellow copies only to address above. GW-69 REV. 8/96 . I . COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples shouldbe analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986,, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure.and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. pry DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING:' yaV P.O.G, NC 29578 Foratltlitional torms RALEIGH, NC 27626.0578 626- COMPLIANCE' REPORT FORM please write or ealu (919) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) LU Facility Name �SfM�3FJZ vC �ICauNt 1��4. r, Non -Discharge GJ4? OL27751& me Q Address ?I~-;- 2-wh,'� County NPOES ®� ldl� TYPE OF DISPOSAL OPERATION BEING MONITORED 'r �C Well Location 29� (REQUIRED) Lagoon Septic an rain,Eisld Well Identification Number Well Depth Ft. Spray Field f ow-PressurgLy L. Well Diameter '— Sample (Screened) Interval � Ft. To Ft. Piping Piping (l Depth to Water Level ft. below measuring point (before sampling) Land Application of Sludge / f� y Measuring point is ft. above land surface Other Rotary Distributor Gallons of water pumped/bailed before sampling Field Analysis: pH Specific Conductance _ uMhos Temp. oC Odor Appearance Date Sample Collected 6 ZI - 17 Date Lab Sample Analyzed 6 Z3 - S7 Laboratory Name a-S Certification No. SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel r— cn:q:mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead r C-DTmg/I Coliform: MF Total /loom[ Phosphorus: Total as P mg/I Zn - Zinc ' - p mg/I (Note: Use MPN method for highly turbid samples) Al -Aluminum J frl mg/I Pesticides/Herbicides ra Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I t =_ug/I TOC mg/I Cd- Cadmium mg/I , ugh Chloride mg/I Chromium: Total mg/I o 'r' ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I See A xoce r -p /L4a Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 7 -Z -qi See back for instructions. Signa a of Permfitee (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 11 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples shodfd be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- ...-FlED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2., Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD!!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the ?: lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES RE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION 2 SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any'corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. 1. DIVISION OF WATER QUALITY - GROUNDWATER SECTION LGROUNIJIDWATER QUALITY MONITORING; P.O.GNC 29578. For forms RALEIGH; NC 27626-0578. MPLANCE REPORT FORM please Write or call: (91s) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) .� Facility Name /oAJj.ct.wsTd'R Zia, /JM �pir/ Non -Discharge G/cJ 00o77g Address 1Pu+N7 ^ NPDES Li TYPE OF DISPOSAL OPERATION BEING MONITORED t �.1+��^..✓Eivi7w Ate- County -%Try-.Jo� (REQUIRED) o^. Well Location Lagoon Septic Tan>in Fiap* Well Identification Number .BUT Well Depth Ft. -- t Spray Field Subsurfac -Pressure Well Diameter Sample (Screened) Interval — Ft. To — Ft. Piping (LP Depth to Water Level — ft. below measuring point (before sampling) Land Application of Sludge Measuring point is ft. above land surface Rotary Distributor v Other g B g ? Gallons of water pumped/bailed before sampling — Field Analysis: pH — Specific Conductance -- uMhos Temp. —0C Odor — Appearance Date Sample Collected cl1� 17—/9970ate Lab Sample Analyzed ✓✓e 2-3 /99 7 Laboratory Name /f&i� P tab Certification No. 9-q SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Coliform: MF Fecal /loom[ Coliform: MFTotal /loom[ (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Ni - Nickel :mg/I Nitrate (NO3) as N mg/I Pb - Lead ing/I Phosphorus: Total as P mg/I Zn - Zinc t=5rrlg/I AI - Aluminum mg/I Pesticides/Herbicides Ba - Barium mg/I (Specify Compounds) Ca - Calcium mg/I y"—"_ug/I Cd - Cadmium mg/I ' ug/I Chromium: Total mg/I a `2 ug/I Cu - Copper mg/I Other (Specify Compounds and Fe - Iron mg/I Concentration units) Hg - Mercury mg/I K - Potassium mg/[ %e AD59_.-� CAd Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) .4P'_/j 1�9L 7hl-77 See back for instructions. Signature o ermitte or Authorized Agent*) ate •• Submit blue and yellow copies only to address above. GW-59 REV. 8/96 C7 LU x COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION -R SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 1 O.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. 5 Richard Catlin & Associates, Inc. ENVIRONMENTAL ENGINEERS AND HYDROGEOLOGISTS July 2, 1997 North Carolina Department of Environmental, Health and Natural Resources Ground Water Section Attn: Mr. Jack Floyd P.O. Box 29535 Raleigh, North Carolina 27626-0535 Re: Results of the June Influent/Effluent Sampling Permit No. WQ0007798 Toastmaster, Inc. Ground Water Remediation Infiltration Gallery Scotland County, North Carolina RC&A Project No. 92196-I Dear Mr. Floyd: jot 1 1 1911 FAYi=i� �4U RM Of Enclosed please find the GW-59 Forms and a copy of the laboratory report. If you have any questions or require any additional information, please contact our office at your convenience. Sincerely, A-Z' A.,Tyler, Manager SAT/kns Enclosures cc: Mr. Larry Clark, Toastmaster, Inc., w/encs. Mr. Rudy Smithwick, P.G., Richard Catlin & Associates, Inc. P.O. Box 10279 220 Old Dairy Road Wilmington, NC 28405-3755 Telephone: (910) 452-5861 Fax: (910) 452-7563 Wilmington • Atlanta • Charleston • Charlotte • Americus CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 18-JUN-97 2609 A411032 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 25-JUN-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 25-JUN-97 17-JUN-97 14:20 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202�������® WILMINGTON, NC 28405-3755 CLIENT ID: INFLUENT Semple Description JUL 1 11997 DESCRIPTION: GROUND WATER PROJECT NAME: TOASTMASTER, INC. FAYETTEVILLE REG. OFFICE VOLATILE PRIORITY POLLUTANTS EPA 624 Anatyst."8 Mg2Uk;g Ariakysis Pete 23 JUN gT, 2Zi D3 knstruneni GClM9 VDq Test b502, Oy. Parameter ACROLEIN BDL Result Det. Limit 50 Units ug/L AGRYI3ONITRILE..;,........................................................................................BAL.-:.-..:..:.-..:::::....:::.:::::.::.-:::.-:.::.::: -::.-:.-:.-:.::-:::.-.:-7.Q;:; •:ilg/L �;: ;: ;;:; sss:> ..BENZENE .......................................................... BDL..................... ................................ ............................5.....u9/L.................. ;i:BROMOEAR . t.:iii ...... 2 r::::: a:€::: is:;' :;` =y ' i i is is? :>si::aa:::a':r:::.' i :i > T1.........................................................:..:.:.....::::::.:.-.-:.-:::.-:.-:.-:.-:.:.-:.......::.:<BDL:.-:.:-.-:.-.-::::::.-:::.:::::::::::::.::-:::::::::,:.:::.-:.-:::::::::::-::;��.; ... 9/ CARBON TETRACHLORIDE BDL 5 ..................... ug/L ::CHL .ROBENZ-EN.::;::;::•:;;;:;:;;::::::s:s:;»::;::;:<a;;;;s:;:>::•:::::::::::::::::::a::n:;;;::;x:•::a:.::;;::. a;;;:;;;;:::�:.:::::;;::;;z:;;:;;::::;;::>;;:::::.-.:;.,;:::::::::.:::..:.::::.::::...::..::.-:::;;;;:;.:; CHLOROETHANE ..E..::.:::. BDL 10...::.: :-::::.:-:::::..:--:.. . ---- .°. ...:......:.:.:..:..::..::.:.:.:.:.::.-.::.:-:::::..... ................... ... CHLOROFORM BDL ...-:.-:::.-....:•:.-..-.:.-:::..-..-..:.:::::...:.....:.:......; 5 ug/L D IBROMO:CHLORO a;>;;;:;;> :::::::::::::::::::•:;:::;;::;:;;:;>:;::•:;:;:;;: -:a: .... BROMODICHLOROMETHANE.._ .............................................. .......................... . BDL....................._........... 5..:._99/..L................:: 1 :1..:D.I:CHLOROETHAN :-:::::s:;;;;;;i;%>'i ss;::•:;i';:: c ;;::;;;;.s;; .............................................._E............................................................:.:.:::..:..:..:..::::..::: ..::::...............: :..:::::::::.:..:::::.:.99/L:.:..::..:.:;;;:: 1, 2-DICHLOROETHANE:•::::::..:::..:::..:BDL::::..:..::::::..:...,...........:.............................................`5..... u.9/L..................... ...........::::.-..:::.-::::::::::..:..:::::•..:::::::..::..:..:..:..:..:..:..:..:::::,.:BD.L�;;:;;:;:;:;:;:;:;:;;::;;::;:..;;;>:;:;:;;;;: ......:.:.::.:...:::•....::..:::..:.:.:.. ::.:...:...:.:.:.::. ........ ;:;;:.;..::�:::..::::..:::::::•. .:..:...:........:. :�:::.:::.:.:::: 1, 2-DI.CHLOROPROPANE........................ B.D.-L ........................... ,... ............_5... .:;;;:.,•::::::::::.:::::::>::;::;:::::;;.;.;..;;...::.::.— .........................................................................................................:..::..:..::.:..:::.::..:BDL::::..::::::..:..::;:::;::5..:...... :-:;::;:as;:;::;;.:;:.>:::x::.::•:.:aaa: a:;::.:.:;;,;:.y?>.;:: ;:;;....:...:......:::...... ........DICHLOROEROP...... TRANS-1, 3-DICHLOROPROPENEBDL 5....u9/L..................: T. YL...Ii.ENZi;NE•::;;::....::::::::::::::: :>;:::;;;;;;: ;;;:;;;;;;::;;.;•;:;•>;:>:-;:::::;;;;::;:;::::;: .:.............................................................................. ::...........::.::.:.:...........:.....:.....::..::.:.::....:::::..:. :...:....:..::..:.:::. BROMOMETHANE ............................. ... BDL............................ lO.....U9/L................... ;CHLORO i-.HA: i; MET NE : ; ;i:'::'` :"::::a:=':`:` ::':r':: ;: ;' ':::: ':i4f:.2F?.' ......................BDL.............................................................................l.O.....ug/L................:: .................................................................................................................................................................................................................... . is;;s:;;;ti;;;;> ::: :::...:::t ........................................ ........................ DICHL...... HANE...;.(METHYLENE CHLORIDE)BDL.:::.. .....:.................................................................._5...._U9/L.................. I.1 Z ;2.-T TPA MEO OETHANE :.........:::..:..::.. .:.;::;::.::;.:.:;.:.,.::.;.:..,:::; a:::;:..;::...,.::::....;.:....: ...:..:.::.:.::.. TETRACHLOROETHENE .................................................:... BDL......... ..................................5`.....u9/L.................. i : ::::::..:::::..:::........::::..::•:::..:.::.::,...:..:::.:.-:::;::a:<;;;z;;-,.....: .................................................................................ug/L.................. .::..:..::..::::::: TRANS-1 2 DICHLOROETHENE BDL ;;;1:;'�':?1;-TRICHE?RO.:., NE.;;::::;:y;;;;;>;;;:::;;;;;:;•;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; 1.,_1.:2.-TRICHLOROETHANE................................................. BDL........... 5.....U9/..L.................. :TRIGHLOROETHEN:;:>>?»??>:FsF>:iii;:s»>?:>';::i:;::r:=is�taaa:ss............................................_:::::::::..:::::::::::::::::::..::::.-:::::::..:...:...... ...................0.M.........................:::..:..::::::::::.........:::::..:::::::..:::::..:..:..::.-:::::::::::::.:::::::::..:..:..::..::.:::::..:::.::::::<5a.:;. TRLCHLOROFLUOROMETHANE BDL 5 ag/L .V.i$N:XI;<::CIiEDR'IQE?::::>.: ::;:: ;:;;;i;; ;;;;;;;;;;;; ;;;;;;;;; ;;;;;;;; ;;;;;;�:: >:;;::>;;:;;:;: ;;;;;: -::;;:;;;::;;::;;:;:;;;;;:>:;;:;;;;: ;;;;:a;;::a::;•:;:: _ s;;=;;;;:;;;;;>:;:.; .;;: .............. ;:....., .::;;;:: ;;: ;;;:;; 1, 2-DICHLDROBENZ,ENE.:,:(O:-DICHLOROBENZENE.) `�..:.. u.9/L. :::::::::::::::::•::•::.:::BDL::::::::.-:::::::::............................................................. 1. 3....DICHLOROB NZENE..:.:- HLDROB WE ;;;.::....,...: t..............._................_ E....................(M. � IC...........-,.... .):...::::.:.BDL5 s>;i:;':;3r;;>.>::::ry:;;;:;:I_:.`::;?:>.:;.:::><:::::: .... ............. .....::.::... u9l..................� 1 4-DICHLOROBENZENE P-DICHLOROBENZENE BDL 5 u L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID:.A411032 INFLUENT Parameter Result Det. .Limit Units ATE...RECDYERYI....................................................................................... near range -- please see rep TWO',PryRIORITY POLLUTANTS EPA b24 'Ari9(yst.� ll, HA2UR: Ana4YsiS pace .:23 JUR 97 2qT . instr�inent :DG/MS VOA, ,' TBSt 0502 3.j; ` Parameter ACROLEIN Result BDL Det. Limit Units AC R . NiTRI.LE.............................................................................................:.:-:.-.� ,:-::BD.L.:-.:-:.-::::.-.:-.:-:::::.::::-.:-:::.>:.-::.-:.-:: -.::::.�:;:::;;::is101t:.;:,ug/:L;:::;:;::;;:;:;; BENZENE ........................ ;;;;;;:;;::::::::::: ::::<:;:>:;;;;:;:::;::.,,:,:;::::::::::::::::::::.-:::::::.:.:.::::::.. BDL.................. . 9 BROM E 0 ::::::.-:::::::.-::::::.::.:::::.-:.-::. ................................................................:.::.::.:.�::::::::::::::::::.-::::::::.::.:::::BDL:::::.-:.:.-::.-::: .:::.::::::::::.-:.-::•:.::::::........................................... ................. .... ::::120:: �� .. .L . . ug/.L::.-:::::::.::-.. CARBON TETRACHLORIDE BDL ............. 120 u L CHLOROB.ENZENE.::::::::::::::::::::....................... ................................................... ..................................................................................BDL........::-:.:::::::::::,-:..:::::::::::::::.::.-:120.:. ;.::::::::::::::::;::;;::;:;;:;;;:�:�;:;::;;;: ;. .:... ...................... ;:�:ug/L;:::::;::;::; :;:: CHLOROETHANE ......................... BDL.............. ' B�:CHLOBQ ::H:: , ;.:. ; -...: ; :::::.- :::.::.:::::::::.:-::::::.-;..;:::a: ;::: ;:s;::s: .................._ET.._YL1Ii.NYLE7HEft:::::::::....................................................................BDL;;;;: ;:;r::;::c;;. :::::::.-:::.-::;:::;>:rz:;:::;;;::a;:;•;:::;:: ;;:•;:;:;::::.,.::,-:::.::::::::::.::-:::.-:.� ;;::;;s•:•;;;::s;:>r;;:::::.::.::;;>;:;;;;;;: ,:::.-.-:.-.-:.-.-.:. ::..:: ..................... CHLOROFORM BDL 120 u L ::D:I.BROMOCEILO.ROMEIHANE:::::::::.-::.�::::::::::::.:................................................... ................................................. BD.t:Fis:?:i::.;::::€:.;::1:2€.0 . BROMODICHLOROM ::.:-:...-:..,.......,...:.........:...._ETHANE BDL.::::.:::::::::.;............................ :}: •.i:rIlICH - ,.............. LORDETHANE;::;:;;::::::::;;:;:;;>;:::;;::::::;:;::;;:;;:;::;:;::;;;::;:;::•;:;::;:::;:..:::. ::::::::.:::.-nn:;>:•::s:::: ;n;»::;: ss ...................................... s::::::asss;:;; ; ::::.......: u L :11.+.2-DICHLOROETHANE.::..-:.-.-:::.:-.-:::.-:.-.:-::.-:::::•:.-:::.-:.-.:-:.-:.-.-::.:.-:.-.-:.-:.-:.-:::.:::::BDL :..: i::: D:I,C.H l 0.ROE.TH E N::::.-:.-:::::.:::::::.-:::.:-::.-:.-:.-:..:-...........:.:::.-:::.:.:.-::•:.-:::::.-:: ..............................................BDL:::>s::;::;:;;;::;;;;;;;:::;: :::......................................................................120 s;s•;::;; ;;;:-:> :iii::a:::rsitis>12Osa;:ugAm ti s» 1, 2.-DICHLOROPROPANE ................... BDL..... ..............._IiLDRORROPEN€........................................................................ ::::: ;:::•;;::;::::;::::>:;:;::;: ;>;;;; .;.:.:::...,..::.................... TRANS-I,3-DICHLOROPROPENE:::::.>:.- •:::::BDL..........................................................................120 u L 9� ... .:::::.::::::.-::::.-.-:::::::::::::::::::::::.-:::•: HYL...RENZENE....................................................................... •BD.L.........::......... ::;:;;:-:;:�:;;;:�;;:�;::;:-::-:;;;;:;:•;::::;:;::::: ,::::::::.::.-::::.-::.::.-::::.-.-:.>.-.-:::.-:.>:I.20 ;;::::::;:;;;;;::.:;;; •:::.ug/L:::.:::::::::;:;;: BROMONETHANE ....................... BDL................ 250 u L LDROMETHANE........................................................................... .................................................................................................:::::::.-:::::.-.-:.::;::; : ...... ::;:;:;;;:;::;::;:::;:;;;;:::::>:;:::::;;;;;;:;:::;:;:::;;:.:;:: �:::::::.:::::::�:.::250;;::; .... DICHLOROMETHANE METHYLENE CHLORIDE BDL ,.i,,Z..IEIRAGHLQROEFHANE .. ::::;;::�;;:;;;;:;;;;12Q=t:u 9/L.................. TETRACHLOROETHENE ..............:.......... :::::;::::.:::::..........:::::::::.-::.::.::.-:::::.:::::::::::::.:.::::::.-.::::::::::::::::.-:.-:.-.-:.:-.-:::::::::::BDL.::::.-::::.-:::.........................................................120... u L 9/...::.:::.-::::.:::: ::::::::::.............................................::.-:.-:::.-::::::::.:.:.::::::..:.....:...........:::::.... TOLUEN........:::.......:::::::::::::::.....................................................................................::.-: E....................................::.::::...............................:::...::...-:.-:....:::::..........................BDL::::.-:::.-:.:.:.:-:.-.:-.-::::::.:::.-:::.:::,:::::::.-.:.-...........::. .................................................................................-:.::-.-120. :::::::.-:.-:;:::;:;;;;;:::;;;;;;;;;;;::;;;;;>;:::;;::;;;:::•;: ;;;:;: ::..::.... . -: ::: ;;;;:: ;;:::;: -:UsIL.:-:::::::::::::::. TRANS-I,2-DICHLOROETHEN:E:::::.-:::::::.-:::.::.>BDL::::...,................................................................._120.... u L 1,1,2 TRICHLOROETHANE S BDL 120 U 9/L F tLT.'.n .Y.u.n - .y- T�'��rHE�`OETHENE—�-�-�--- + � x „�-� y • ..�._._,. ........ ........... , n---,-Tx..,.,� �,.•�.�,., ..............: TRICHLOROFLUOROMETHANE BDL 120 HLORiDE..........................................................................................:.::.::.:.-:,BDL:.-:::;::.;:;:::;:;;;:;:;;;;::;;:;;:::;:;;:;;;:;;;;::::::::::;::;:;;;:;2a.4:;:>:u ..................... .ug/L g/ .,.:z-PICHLOROBENZENE::::(0.-_DICHLOROBENZENE).:::::::::::::.::.-:.::::::BDL_:::::::::::::::::::...........................-..-................ 120... .................. u9/ Di:CliLOROBENZENE.:: sMeIlICHLORO :;::;::::::::::.::::- ........................................................_(..........................-..._BENZENE}..::BDL;.:::;:;:;;::;::-:::.:.-:......:............::.:::::::::::: :::;;.:::::::::.:::::::;;-.;:::::::-:.-::-........:::;;::.: ................................................................._U9 ................. - HLOROBENZENE P-DICHLOROBENZENE 1 4 DIC (.. ) BDL 120 :.......9/ u L ..................... SURROGATE RECOVERY DICHLOvV .:., ... O R O E T H A N E. - D 4.::::.:::..::::.::::::::::::.-:.:::::::::::.-:.-:::.-:.-:.-::::::::.-::::::::.-:::...:::: 121............... %Rec ::.-::::::::.-:::::::.-.-:.-:::::.:.-::::::.::::.::::.................................................... 1.04........................:.-:.::::::::::.-.-.-:.-.-:.:::.-::::•::.:-:.-.-:::::::::.-:::./.-.Rea:::::::�:;;; 4-BROMOFLUOROBENZENE 105 % Rec 1:25 dilution Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID:.A411032 INFLUENT Suple Comments * See Note for Parameter BDL Below Detection Limit Sample chain of custody number R10921. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved : ?.K- /A. o Page 3 (last page) CERTIFICATEl0F ANALYSIS Service Location. Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 18-JUN-97 2609 A411033 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 25-JUN-97 59240 INDIANAPOLIS, IN 46231 Printed SampLed (317)243-8304 25-JUN-97 17-JUN-9-97 14:34 Report To STEVE TYLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 BILL To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 CLIENT ID: EFFLUENT Sample Description DESCRIPTION: GROUND WATER PROJECT NAME: TOASTMASTER, INC. HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID:.A411033 EFFLUENT Sample Coons BDL Below Detection Limit Sample chain of custody number R10921. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Q•�. Sc�¢v co Page 2 (last page) DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O.Box zes7a For additional forms RALEIGH,NC 27626.0573 COMPLIANCE REPORT FORM please write or cad: (919) 733-3221 Type or Use a ball-point pen and press firmly. Facilit Well Well Identification Number g&j-3 Well Depth Vo Ft. Well Diameter4 ofSample(Screened) Interval zo Ft. To VOFt. Depth to Water Level // Syft. below measuring point (before sampling) Measuring point is / ft. above land surface Gallons of water pumped/bailed before sampling a_ FieldAnalysis: pH 6.2 Specific Conductance — hos Temp. oC Date Sample Collected V— 78— 97 Date Lab Sample Analyzed Laboratory Name 4k&f�Ac= 4A. 6 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED A COD mg/I Coliform: MF Fecal A00ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved SOIIdS: Total" " `-ingl_ pH (when analyzed) units.. TOC ( —.- — = mg%1 Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I PERMIT NUMBER: (REQUIRED) Non -Discharge GJQ 00077927 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Sub ` ce Low-PresSl Pipi � P) Land Application of Sludg rn y Oth Rotary Distributor r, „ u rr; L Odor — Appearance Certification No. !�A YES NO Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I AI - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I } Lu W in: Ni - Nickel�mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides ; r (Specify Compounds) I — 1 _ -„ Other (Specify Compounds and Concentration units) o ns r rl li>�7f�T> ug/I ug/I ug/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) E-13-1/7 ` See back for instructions. Signatup6 of Permi e (or Authorized Agent') Date R* Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation Qnercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!v Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A_ PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION R SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Pelluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1.^Authorized agent' is any corporate officer or public -official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY- GROUNDWATERSECTION GROUNDWATER QUALITY MONITORING: P.O. BOX29578 For additional forms RALEIGH, NO 27626-0578 COMPLIANCE REPORT FORM please write or call: (919)7333221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 25_& t "rP' 1vG ��� t�f < Non -Discharge GJQ oo07796 Address �r_�„� T %Z NPDES 4Avi-i.✓d"-rs4 ii%G Count Su�7d TYPE OF DISPOSAL OPERATION BEING MONITORED y (REQUIRED) Well Location Lagoon Septic Tank/Drain Field Well Identification Number `%" Rw-Z Well Depth So Ft. Spray Field ow-Pressure Well Diameter Sample p (Screened) Screened Interval 50 Ft. To 5b Ft. Pipingm�p�Subsur Piping t Depth to Water Level 32..7 Z. / ft. below measuring point (before sampling) Land Application of Slud en _ 2/ �� wc� Other t Measuring point is ft. above land surface �E 4 Gallons of water pumped/bailed before sampling REca✓�i 4/Aa._ Rotary Distributor Field Analysis: pH to, 7- Specific Conductance r uMhos Temp. '-- oC Odor r— Appearance Date Sample Collected 'Y-Z5-97 Date Lab Sample Analyzed �� ?T G Laboratory Name Certification No. g8 p� Ems' SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED iV YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) `-� ,: pH (when analyzed) units Ca - Calcium mg/I - . TOC mg/I Cd - Cadmium mg/I .ug/I ='-!:--.ug/I Chloride mg/I Chromium: Total mg/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) n Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I 5AO&Omo( LAZ c Sulfate mg/I Mg - Magnesium mg/I r s Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. .Z,//- '�_ 7�L S- /3 q 7 Sig ure of Permitt (or Authorized Agent*) Date GW-59 REV. 8/96 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. ** Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 30300 for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10:The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM DIVISION OF WATER QUALITY - GROUNDWATER SECTION B.O. BOX 29578 For additional forms RALEIGH, NC 27626.0578 please write. or call: (919) 733.3221 Type or Use a ball-point pen and press firmly. Facility Name 7-_"-7/h.A;SrrC lZue, :iuru Drw Address 4I� Z /&4z1 1420-1,vbrr,^n y/'_ County Sr_,5>crs/cr Well Location Well Identification Number kfm / Well Depth 5D Ft. Well Diameter41" Sample (Screened) Interval 30 Ft. TO-�o Ft. Depth to Water Level ZN.So ft. below measuring point (before sampling) Measuring point is / ft. above land surface Gallons of water pumped/bailed before sampling ca tj&VZC Field Analysis: pH 4.2 Specific Conductance — bhos Temp. — oC Odor Date Sample Collected Y - 7-4 —9 7 Date Lab Sample Analyzed PERMIT NUMBER: (REQUIRED) Non -Discharge 000779� NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tan n Field SubsurfPressure Piping (LP� ON Other .,,�„ Spray Field Land Application of Sludg?,/ Rotary Distributor Appearance — Laboratory Name > G 6Z5 Certification No. 99 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO COD Coliform: MF Fecal Coliform: MF Total (Note: Use MPN method for highly turbid samples) _ mg/I /100ml /100ml Dissolved Solids: Total. 9/1 pH (when analyzed)( its TOC - - mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I LM Nitrite (NO2) as N mg/I Ni - Nickel mg/I Nitrate (NO3) as N mg/I Pb - Lead mg/I Phosphorus: Total as P mg/I Zn -Zinc mg/I Al - Aluminum mg/I Pesticides/Herbicides � Ba - Barium mg/I (Specify Compounds) 'p n Ca - Calcium mg/I c ug/I Cd - Cadmium mg/I _ ug/I Chromium: Total mg/I — nug/1 Cu - Copper mg/I Other (Specify Compounds and Fe - Iron mg/I concentration units) - - r Hg - Mercury mg/I K - Potassium mg/I <���_� Lag�o Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) — 4 7 See back for instructions. Sign re of Perm ee (or Authorized Agent`) Date •* Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3: ANALYSES;ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QFSEDIMENT ASSOCIATED WITH WELL CONSTRUCTION � SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. A"s per Titlel5, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental . Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 1_ 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATERQUALITY MONITORING: COMPLIANCE REPORT FORM DIVISION OF WATER QUALITY • GROUNDWATER SECTION P.O. BOX 29578 For additional forms RALEIGH, NC 27626.0578 please write or call: (919) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name /CA;,7HAS?ek Z G.flur'aArA'Ph —1>y Non -Discharge WQ Ooo?7--,5 Address NPDES LAu�rJ r/✓u A/G County - TYPE OF DISPOSAL OPERATION BEING MONITORED /",,� Well Location glA 3Y' Y8� Oy 3�r Loud 7`i ` Z%r yf , 3r� REQUIRED ( ) Lagoon Septic rain Field Well Identification Number RC — /.i Well Depth Ft. Spray Field ow-Pcx, E-UE E Well Diameter. (Screened) Interval Ft. To Ft. PipingSubsu Piping cyewy � Xyl n1 ;� Depth to Water Level / ,'& ft. below measuring point (before sampling) Land Application of Sludge r� Other LUM 1 i Measuring point is Z.,S ft. above land surface Rotary Distributor F_ Gallons of water pumped/bailed before sampling Field Analysis: pH S. Specific Conductance uMhos Temp. — ° C Odor Appearance I� EL CE Date Sample Collected y�7-2'�ti7 Date Lab Sample Analyzed q U- Laboratory Name 6 Certification No. iB SAMPLES FOR METALS W RE COLLECTED UNFILTERED AND FIELD ACIDIFIED �/ YES NO COD Coliform: Coliform: MF Fecal MF Total (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total pH (when analyzed) TnC Chloride ArGanin.. Grease and Oils Hardness: Total Phannl Sulfate Specific Conductance Total Ammonia TKN as N _ mg/I 100ml 100ml mg/I _units mg/I mg/I _ mg/I _ mg/I _ mg/I _ mg/I _ mg/I uMhos _ mg/1 _ mg/I Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/1 Cd - Cadmium mg/1 Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. 1 -14 5'-/3-77 Signature of r ittee (or horized Agent') Date GW-59 REV. 8/96 Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc a; mg/I Pesticides/Herbicides —1 (Specify Compounds) V O Rl C7_ ate, ug/I ug/I 'c ug/I Other (Specify Compounds and 'ss Concentration units) = rri o rn Sriitrrfr�� / a 3 c-i Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. '• Submit blue and yellow copies only to address above. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT AREA PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Pelfuants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumpedibailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 1 O.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. ]."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, NO 27626- 7626.0578 COMPLIANCE REPORT FORM please Write or call. (gig) 733-3221 Type or Use a ball-point pen and press firmly. Facility Name T/ks-Ma-sT�� La/� �� M 3>/ County Wig, Well Location PERMIT NUMBER: (REQUIRED) Non -Discharge c4Q 00o779$ NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Identification Number QT /y VreII Depth 30 Ft. Well Diameter7-" Sample (Screened) Interval 6 Ft. To 30 Ft. Depth to Water Level o,BS ft. below measuring point (before sampling) Measuring point is 3.2_ ft. above land surface Gallons of water pumped/bailed before sampling 6 L Field Analysis: pH S, 3 Specific Conductance — uMhos Temp. — oC Odor Date Sample Collected `/_Z8- CY7 _Date Lab Sample Analyzed Laboratory Name SAMPLES FOR METALS COD Coliform: Coliform: COLLECTED UNFILTERED AND FIELD mn/I MF Fecal /100ml MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N_ Phosphorus: Total as Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium 0 Lagoon Septic Tarin Field Spray Field Subsurfact., w-Pre�re Piping (LPSf°'°' Land Application of Sludge J ✓Other Rotary Distributor _ Appearance — Certification No. IUOA mg/I Ni - Nickel mg/I mg/I Pb - Lead mg/I mg/I Zn - Zinc mg/I mg/I Pesticides/Herbicides; mg/I (Specify Compounds) mg/I .fig/I mg/I — �.Mjg/I mg/I -0 -rtg/I mg/I Other (Specify Compounds and n mg/I Concentration units) ;;o� �' mg/I n mg/I S�� /Ys}i iraa t,ts mg/I mg/I mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) �'J See back for instructions. Sign re of ermitt e (or Authorized Agent`) Date •• Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD H1 Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated, nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes Are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. IGROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or call: Type or Use a ball-point pen and press firmly. Facility Name ie4s>^x s.cii ✓o,Utw.+.-M Iry Address a4w> A'- Well DIVISION OF WATER QUALITY -GROUNDWATER SECTION P.O. BOX.29578 RALEIGH,NC 27626.0578 (919)733.3221. PERMIT NUMBER: (REQUIRED) Non -Discharge 'WQ 0007 793 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septi 0 Drain Field Well Identification Number iri —/.3 Well Depth SO Ft. Well Diameter Zrr Sample (Screened) Interval `/S Ft. To 5'6 Ft. Spray Field Pubs6f" ow&esst Depth to Water Level ZZ 7,N/ ft. below measuring point (before sampling) Land Application of Sludg� n Measuring point is 3-7- ft. above land surface Othe -� Gallons of water pumped/bailed before sampling If/ Distributor Field Analysis: pH 57,6 Specific Conductance uMhos Temp. C Odor —Appearance U-D Date Sample Collected y 1$ 97 Date Lab Sample Analyzed f Laboratory Name fivrrcTAAr_ 4Q& Certification No. i8 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED NIA —YES NO COD _ Coliform Coliform MF Fecal MF Total (Note: Use MPN method for highly turbid samples) mg/I /loom[ /loom[ Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/1 Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I o a r I e Ys o Al Nitrite (NO2) as N mg/I Ni - Nickel mg/I Nitrate (NO3) as N mg/I Pb - Lead mg/I Phosphorus: Total as P mg/I Zn - Zinc mg/I AI - Aluminum mg/I Pesticides/Herbicides Ba - Barium mg/I (Specify Compounds)`nt Ca - Calcium mg/I 6gll Cd - Cadmium mg/I " ? cg/I Chromium: Total mg/I Cu - Copper mg/I Other (Specify Compounds and iV Fe - Iron mg/I Concentration units) Hg - Mercury mg/I K - Potassium mg/I .few Zg2Whf1&n Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signa,WAre of Permi e (or Authorized Agent") Date GW-69 REV. 8/96 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) • See back for instructions. •` Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible alter collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 04. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD HI Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15;.`North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumesPare removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. PERMIT NUMBER: (REQUIRED) Non -Discharge 00 000779d NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location L.!r> 3yo yy 06. 2N LOA%H. 71 0 Zi' -/3. Z Lagoon Septic Ti eN. rain Field Well Identification Number G7—/ Well Depth 7-5— Ft. Well Diameter�Sample (Screened) Interval— Ft. To ZJ— Ft. Spray Field DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITYMONITORING: P.O. BOX 29578 For additional forms RALEIGH, NO 27626-0578 COMPLIANCE REPORT FORM please write or call (919)733-3221 Facility Name Address I ype or use a ban -point pen ana press firmly. L,o�-i� st/C County Scvf[aac✓ H Piping Depth to Water Level /o, 7O ft. below measuring point (before sampling) Land Application of Sludg� a Measuring point is 3,1 ft. above land surface Other I' L Gallons of water pumped/bailed before sampling % Rotary Distributor l Field Analysis: pH S.S Specific Conductance ^ uMhos Temp. — oC Odor —Appearance Date Sample Collected `/—zK 9'i Date Lab Sample Analyzed Laboratory Name Certification No. �/ 6 SAMPLES FOR METALS WERE OLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO r' U J' CE COD mg/1 Nitrite (NO2) as N mg/I Ni - Nickel ` t mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N mg/I Pb - Lead "mg/l Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc /I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I --UR TOC mg/I Cd - Cadmium mg/I -< 491 Chloride mg/I Chromium: Total mg/I 091L Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and o n, Grease and Oils mg/I Fe - Iron mg/I Concentration units) rJ' Hardness: Total mg/1 Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I fA� . /a7fvrsfa� La Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signat of Perm (or Authorized Agent*) GW-59 REV. 8/96 S-1'3 -9 7 Date Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. `* Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 94. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO -NOT FILTER METALS SAMPLES IN THE FIELD !!� Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHEOlk WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. " 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the•methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measttte and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.Q. Box 29578 For additional forms RALEIGH, NC 27626.0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen and press firmly. Facility Name Address Well PERMIT NUMBER: (REQUIRED) Non -Discharge 620'90&77q 8 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drld Well Identification Number 7_ /O Well Depth ZS Ft. Well Diameter " Sample (Screened) Interval 6 Ft. To ZS Ft. Depth to Water Level ft. below measuring point (before sampling) Measuring point is 3, 2S ft. above land surface Gallons of water pumped/bailed before sampling %5-- Field Analysis: pH S. S Specific Conductance — uMhos Temp. T °C Odor Date Sample Collected 'V—LS —97 Date Lab Sample Analyzed Laboratory Name j%mr>r' c.Fs SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD COD mg/I Coliform: MF Fecal Coliform: MF Total /100ml /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N_ Phosphorus: Total as P Al - Aluminum Ba -Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Spray Field Subsurface L Piping (LPP) Land Application of Sludges V Other Rotary Distributor Appearance— Certification No. YES NO L ;,er- / 3 —1 7 Signatur f Periffiltee r Authorized Agent") Date GW-59 REV. 8/96 mg/I Ni - Nickel in a4yjg/I mg/I Pb - Lead _ rri wl mg/I Zn - Zinc ':rn�/1 mg/I Pesticides/Herbicides •c c rti mg/I mg/I (Specify Compounds) r� 'LagXl mg/I _ u & mg/I qg/ mg/I Other (Specify Compounds and cn ram,. mg/I Concentration units) mg/I mg/I mg/I t« A?ga`n Gab mg/I mg/I Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. " Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). -DO NOT FILTER METALS SAMPLES IN THE FIELD IN Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION _QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 For additional forms RALEIGH, NC 27626.0578 please write or call: (919) 733.3221 Type or Use a ball-point pen and press firmly. Facility Name Toi+s7.�asT�n l,r� lu�,.r Div, Address ��a ✓br yc County ' c'w7c w Well Location- 1_47� 30- 51e, oY.yCava ")9- �7i .s�6 " Well Identification Number a T— 9 Well Depth Zb Ft. Well Diameter Z" Sample (Screened) Interval z• 5- Ft. To 46 Ft. Depth to Water Level iys, ft. below measuring point (before sampling) Measuring point is O ft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH _Specific Conductance — uMhos Temp. oC PERMIT NUMBER: (REQUIRED) Non -Discharge l.JQ 00077c5 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) ff�� pp Lagoon Septic Tank/Dralg�F,,i�ld Spray Field Subsurface LowEFFessure Piping (LPP) i; :`-f; Land Application of Sludge 1. :-ai �-'Other Rotary Distributor Odor I Appearance Date Sample Collected y ZJr— 9 7 Date Lab Sample Analyzed Laboratory Name Certification No. 99 SAMPLES FOR METALS WER COLLECTED UNFILTERED AND FIELD ACIDIFIED kLYES NO COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/1 Chloride mg/I Arsenic mg/1 Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total Al - Aluminum__ Be - Barium Ca - Calcium_ Cd - Cadmium_ Chromium: Total _ Cu - Copper Fe - Iron Hg - Mercury_ K - Potassium Mg - Magnesium _ Mn - Manganese _ Na - Sodium I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. as P. l Signat,Kre of Permit e (or Authorized Agent*) Date GW-59 REV. 8/96 mg/I mg/I mg/I mg/I mg/1 mg/1 mg/I mg/1 mg/I mg/1 mg/1 mg/I mg/I mg/I mg/I r Ni - Nickel mg/I Pb - Lead mg/1 Zn - Zinc Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and x Concentration units) o u1 c� S.z hbrlA&:� Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. ** Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 44. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Samplepreparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QRR SAMPLING PROCEDURES. CHE& WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per'' fle 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure.and record the depth of water in the well prior to pumping or bailing any water from the well. r 6. At least 8 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is. collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with,the facility name, well identification number and date and time collected. !."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or pen and press .DIVISION OFWATER QUALITY - GROUNDWATER .SECTION P.O. BOX.29578 For additional forms RALEIGH, NC 27626-0578 please write or call.:. (919) 733.3221 Facility Name % 2T6dc7r-7e ZV4 :17ry. Address P4asf2f_ Z County Sc&;ZZo-yn Well Location / > 3 - ya'" //,6 `` Zadz4 79 " 7d71 9.5,y " Well Identification Number 67t—e Well Depth Zr Ft. Well Diameter L Sample (Screened) Interval Z. S Ft. To ZC Ft. Depth to Water Level D o7ft. below measuring point (before sampling) Measuring point is O ft. above land surface Gallons of water pumped/bailed before sampling If - Field Analysis: pH —Specific Conductance — uMhos Temp. — oC Date Sample Collected — 7-9 --�7 Date Lab Sample Analyzed Laboratory Name Lirr=!q IT SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED H COD mg/I Coliform: MF Fecal /100m[ Coliform: MF Total /100m[ (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I PERMIT NUMBER: (REQUIRED) Non -Discharge /.J 0 000.77`j$ NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank Drae Field f�((�� Spray Field Subsurface 'RN'Press8re Piping (LPP�,, v� Land Application of Sludge/ •�/ Other Er, Rotary Distributor F, Odor — Appearance p Certification No. 98 YES NO Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. d7 1 -7�L s 13-99 SignaturZ8/96 Permit e (or uthorized Agent*) Date GW-59 R Ni - Nickel _ 'Mg/I Pb - Lead Zn - Zinc 'mg/I Pesticides/Herbicides _ c (Specify Compounds) -dg/I n r ug/I Other (Specify Compounds and Concentration units) Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. ** Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION _R SAMPLING PROCEDURES. CHECK -WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As perTitl.e 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure'and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official docu.Ments. DIVISION OF WATER QUALITY -GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. BOX29578 For COMPLIANCE REPORT FORM please olr cams RALE(919IGH, 73-322s-os7a _ (919) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name %.ASTro'4- r7°.t 1.tC. 1,c%i/'wsrRrt. �i✓ Non -Discharge (JQ 00 072 V Address ?d � NPDES ,Ue D.County So,Ti�.vn TYPE OF DISPOSAL OPERATION BEING MONITORED ` oii a (REQUIRED) Well Location � 3Y r/B G✓Cf. %i` 27 f rf7. Z Lagoon Septic TanWDraain eld Well Identification Number AW—'7 Well Depth 35- Ft. ,,. Spray Field Subsurface Lo&Pr9ssur Well Diameter —Sample (Screened) Interval�� Ft. To Slf Ft. Piping(LPP) Depth to Water Level /3%y ft. below measuring point (before sampling) Land Application of Sludge Other L1127 , I, M t' �!Z 4b I d f easuring porn is . a ove an Sur ace Gallons of water pumped/bailed before sampling S , 57— Rotary Distributor Field Analysis: pH S.O Specific Conductance — uMhos Temp. — oC Odor — Appearance Date Sample Collected V—ys —en Date Lab Sample Analyzed Laboratory Name Certification No. 99 SAMPLES FOR METALS WER COLLECTED UNFILTERED AND FIELD ACIDIFIED N/4—YES NO CSR� COD mg/I Nitrite (NO2) as N mg/1 Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/l Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) Al -Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba -Barium mg/I (specify Compounds) pH (when analyzed) units Ca - Calcium mg/I -- = ag/I TOC mg/I Cd - Cadmium mg/I = g/I Chloride mg/1 Chromium: Total mg/I = rg/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/1 Fe - Iron mg/I Concentration units) o Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I See AIYAr c� L-';-6 Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/1 Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. signature of Permitte or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!l Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT AREA PART 9FF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION _QRR SAMPLING PROCEDURES. CHECK -WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM DIVISION OF WATER QUALITY GROUNDWATER SECTION P.O. BOX 29578 For additional forms RALEIGH, NC 27626-0578 please write or call:: (919) 733-3221. type or use a oats -point pen ana press firmly. Facility Name %a_s7 Na sTWL :rAee� 2;�f .z9MPa'I 7)v. �yvri�b ra Ale- County Sm7cs+.�� Well Location'A -76 Well Identification Number Mw- 6 ell Depth 3S Ft. Well Diameter Z" Sample (Screened) Interval /'7 Ft. To3S_ Ft. Depth to Water Level /K 6Y' ft. below measuring point (before sampling) Measuring point is 'b z ft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH Specific Conductance uMhos Temp. — oC Date Sample Collected `% Ze-9 7 Date Lab Sample Analyzed Laboratory Name hex+- SAMPLES FOR METALS WER UNFILTERED AND FIELD ACIDIFIED COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/1 TKN as N mg/1 PERMIT NUMBER: (REQUIRED) Non -Discharge 6,.)Q 000771S NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drpir( ,. aId lltz Spray Field Subsurface Lov%prsssur Piping (LPP) c> Land Application of Sludgi,< tr Other C�=�.J Rotary Distributor r Odor Appearance Certification No. %8 YES NO Nitrite (NO2) as N mg/I Ni - Nickel mg/I Nitrate (NO3) as N mg/I Pb - Lead- mg/I Phosphorus: Total as P mg/I Zn -Zinc � .r. c) �Irtg/I Al - Aluminum mg/I Pesticides/Herbicides Ba - Barium mg/I (Specify Compounds); Ca - Calcium mg/I o cug/I Cd - Cadmium mg/1 1 =: -mug/I Chromium: Total mg/1 .1 —' -ug/I Cu - Copper mg/1 Other (Specify Compounds and Fe - Iron mg/I Concentration units) in c) Hg - Mercury mg/1 K - Potassium mg/I !�e� AvA'-e r z;, 14W Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signal of Per ittee r Authorized Agent*) GW- �REV. 8/96 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) r 13 - 9 -7 See back for instructions. Date ** Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT AREA PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental - Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polivants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY -GROUNDWATER SECTION GROUNDWATER QUALITY' MONITORING: PGH, NC 29578 626- Foraddltional farms IRALEIGH, NC 27628.0578 COMPLIANCE REPORT FORM please write or call: (919)733-3221 Type or Use a ball-point pen and press firmly. Facility Name 75_Ar%Hf+ x7L-rc -7A/-.]r ✓ 46r,2�,✓ i County S�Q/ r v PERMIT NUMBER: (REQUIRED) Non -Discharge W42 00077`tti NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location C.rt>. 3y S-2 oP., 9' 4A✓A 79 0 7-7' rlv B Lagoon SepticTank/Drai,F Well Identification Number Mc%S Well Depth zf Ft. I{� � Well Diameter Sample Screened Interval No dry+ Ft. To 2-f Ft. Spray Field Subsurface Lowa2 e�5ure p (Screened) Piping (LPP) Depth to Water Level 9' 10 ft. below measuring point (before sampling) Land Application of Sludges Measuringpoint is 3,2. ft. above land surface otner i I Gallons of water pumped/bailed before sampling Rotary Distributor _w Field Analysis: pH 6,7 Specific Conductance — uMhos Temp. -'oC Odor Date Sample Collected 'Y Z8 9 % Date Lab Sample Analyzed Laboratory Name Certification No. SAMPLES FOR METALS WE E COLLECTED UNFILTERED AND FIELD ACIDIFIED YES COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/1 Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Appearance — =° NO Nitrite (NO2) as N mg/I Ni - Nickel -� �L .mg/1 Nitrate (NO3) as N mg/I Pb - Lead &- r` �mg/I Phosphorus: Total as P mg/I Zn - Zinc Al - Aluminum mg/I Pesticides/Herbicides Ba - Barium mg/I (Specify Compounds) Ca - Calcium mg/I Ug/I Cd - Cadmium mg/I Ug/I Chromium: Total mg/I Ug/I Cu - Copper mg/I Other (Specify Compounds and Fe - Iron mg/I Concentration units) Hg - Mercury mg/I K - Potassium mg/I SPG .9-'i�ur7 4+6 Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. �'-u 2z-s--i3 - ti'7 Signature# Per ittee Authorized Agent*) Date GW-59 REV. 8/96 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. *• Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD III Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY'- GROUNDWATER, SECTION GROUNDWATER QUALITY MONITORING: P.Q. eox For additional forms RALEIGH, NG27626- 7626.0578 COMPLIANCE REPORT FORM please write or call: (919) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 70ASTMnQL Z� Sle' 7. rr a a .Rr7 a.> V. Non -Discharge— GIJQ 000771 Address Pc4,v' IlAA'7> '� NPDES Lrgtm ✓d der' �3L/ County �cnTi o ✓ e7 TYPE OF DISPOSAL OPERATION BEING MONITORED Well Location L47 2jm;ems 6�� L" �/�%' Z�Ir Yh 3" (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number Mw-3 —Well Depth 30 Ft. °o Well Diameter r�4 ` Sample Screened Interval A b7AWA Ft. To _30Ft. Spray Field Subsurface Low -Pressure P (Screened) Piping (LPP) r Depth to Water Level /2. f/ ft. below measuring point (before sampling) Land Application of Sludg✓ Measuring point is S: 7 ft. above land surface Other Gallons of water pumped/bailed before sampling 3 Rotary Distributor r.r Field Analysis: pH 523 Specific Conductance — uMhos Temp. — °C Odor Appearance Date Sample Collected Y—ZBr-1;7 Date Lab Sample Analyzed r-- T. = Laboratory Name Certification No. g �' U SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED A, YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/1 Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I ug/I TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I 'See Bees—v (A -A Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 7 See back for instructions. Signatur of er(rii to or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 3i 9(I �e COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses:'Use Standard Method 3030C for sample preparation (mercury excluded)._DO NOT FILTER METALS SAMPLES IN THE FIELD!!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION -OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See 44. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. "Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Type or pen and press DIVISION OF WATER QUALITY - GROUNDWATER SECTION `P.O. BOX 29578 For additional forms RALEIGH, NO 27626.0578 pleasewriteor call; (919) 733-3221 Facility Name jo arTrie�s�sK 1',rN 1r0/6i?iFM.4M DIY Address Well Location CAZ a5Y" Y7' 9� 13' %mil — �-/' •(6 66 /e ��j Well Identification Number Nh/- Z Well Depth 34) Ft. Well Diameter /4'v N Sample (Screened) Interval/lb .Dsr1A Ft. To 30 Ft. Depth to Water Level ,_ 8z_ it. below measuring point (before sampling) Measuring point is 4 3 ft. above land surface Gallons of water pumped/bailed before sampling y Field Analysis: pH l- 7 Specific Conductance — uMhos Temp. _ oC Date Sample Collected %- 49- 5 7 Date Lab Sample Analyzed Laboratory Name SAMPLES FOR METALS WERE UNFILTERED AND FIELD ACIDIFIED PERMIT NUMBER: (REQUIRED) Non -Discharge L.14> ao 0 7796� NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED' i o~ (REQUIRED) 01 Lagoon Septic Fank/Drain7ield n q In Spray Field Subsurface Low-Pff Piping PP Land Application of Sludge` Rotary Distributor E- Odor � Appearance Certification No. 9B YES NO COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel -+ mg/I Coliform: MF Fecal /loom[ Nitrate (NO3) as N mg/I Pb - Lead n mg/I Coliform: MF Total /loom) Phosphorus: Total as P mg/I Zn -Zinc >- r mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) -c pH (when analyzed) units Ca - Calcium mg/1 -° ==. ug/I TOC mg/I Cd - Cadmium mg/I r n= ug/I Chloride mg/I Chromium: Total mg/[ /I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and c-n Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I _ A-o..fcA� L.y Sulfate mg/1 Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 2 Tt 5--/3 -1, 7 See back for instructions. Signat# orPdrmp4e (or Authorized Agent') Date •* Submit blue and yellow copies only to address above. GW-59 REV. 8/96 r- COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of -sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION QR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filterimmediately after collection when a dissolved analysis is required. (See 44. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. 'GROUNDWATER QUALITY MONITORING- For additional forms COMPLIANCE REPORT FORM please write or call: Type or Use a ball-point pen and press firmly. Facility Name Z-k- M 4&g".11.vr County > R/G 0: 7" Well Location L .3`t Y9' Gn.✓9 7- z17/ Well Identification Number 'Na-/ Well Depth 28,5- Ft. Well Diameter r n Sample (Screened) Interval N - Ft. To 'AB. C_Ft. Depth to Water Level Z z. ft. below measuring point (before sampling) Measuring point is /. Z ft. above land surface Gallons of water pumped/bailed before sampling .5': - Field Analysis: pH 4�8 Specific Conductance — uMhos Temp. — oC DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NC27626.0578 (919) 7333221 PERMIT NUMBER: (REQUIRED) Non -Discharge GJD 00077�78 NPDES ` TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic TakWDrain Field c Spray Field Subsurface Low-PrMure Piping (Ltp) `^ Land Application of Sludge � / ✓Other E Rotary Distributor Odor Appearance Date Sample Collected ='4-7 7 Date Lab Sample Analyzed Laboratory Name�-x�e �6 Certification No. SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED /% -YES NO COD _ Coliform: Coliform: mo/I MF Fecal /100ml MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total pH (when analyzed) TOC Chlnride Arsenic Grease and Oils Hardness: Total Phenol Sl llfata Specific Conductance Total Ammonia TKN as N _ mg/I _units _ mg/I _ mg/I _ mg/I _ mg/I _ mg/I _ mg/l mg/I uMhos mg/I mg/I Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. _a_'j lKe 5--/r3 ---77 Signature of rermltfee (or uthorized Agent*) Date GW-59 REV. 8/96 Ni - Nickel mg/I Pb - Lead k r; mg/I Zn - Zinc -_f tmg/I Pesticides/Herbicides G (Specify Compounds) — `f,ug/I Other (Specify Compounds and ;;u- Concentration units) o � r rn SeIRE ,95MEM tan Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. ** Submit blue and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD!!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. -3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Ti6b 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods; 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. . "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. GROUNDWATER,QUALITY MONITORING: COMPLIANCE REPORT FORM or pen and press DIVISION OF WATER QUALITY- GROUNDWATER SECTION P.O. BOX. 29578 For additional forms RALEIGH,'NC 27626.0578 please write or call: (919) 733.3221 Facility Name %oerr!%Aszrvz 1 C' J2>1 le, Address Pcq�;9 'P')A.! Lgu,er,vbrmry uC County Sco��n Jci Well Location E�Gtu�i 71 Well Identification Number — Well Depth Ft. Well Diameter --Sample (Screened) Interval Ft. To Ft. Depth to Water Level — ft. below measuring point (before sampling) Measuring point is — ft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH — Specific Conductance uMhos Temp. —oC Date Sample Collected Z9 — 97 Date Lab Sample Analyzed Laboratory Name Ai�zjzqp 6411, SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100m1 (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N _ Nitrate (NO3) as N_ Phosphorus: Total as AI - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium 0 PERMIT NUMBER: (REQUIRED) Non -Discharge LJO ODD7"7a/F? NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED ' (REQUIRED) k r` .0 Lagoon Septic TgnWDrain Freld a. r Spray Field Subsurf ce Low -Pressure f Piping (RPP) _ Land Application of Sludge Other '- Rotary Distributor Odor — Appearance — Certification No. _= YES NO mg/I Ni - Nickel mg/I mg/I Pb - Lead mg/I Zn - Zinc G ` '?rng/I mg/I Pesticides/Herbicides mg/I (Specify Compounds) cr mg/I Ng/I mg/Iic /I `rrg;I mg/I mg/I Other (Specify Compounds and CD mg/I Concentration units) S' mg/I mg/I S¢v .4-./ar.r.Z 445 mg/I mg/I mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Sig ure of Per tee (or. Authorized Agent') Date Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD III Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab withih24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3.' ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION 2 SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measur;° and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of Collection with the facility name, well identification number and date and time collected. '."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Facility Name Address QUALITY MONITORING: For additional forms please writeor calf: DIVISION OF WATER QUALITY , GROUNDWATER SECTION PERMIT NUMBER: (REQUIRED) Non -Discharge 60C? 04py'7' -j0 a NPDES ff t �t TYPE OF DISPOSAL OPERATION BEING MONITORED t*,. Z� (REQUIRED) `"'.?;, rn Well Location Well Identification Number L�J7 Well Depth — Ft. Well Diameter � Sample (Screened) Interval — Ft. To Ft. Depth to Water Level ft. below measuring point (before sampling) Measuring point is ft. above land surface Gallons of water pumped/bailed before sampling L— Field Analysis: pH — Specific Conductance uMhos Temp. °C Odor Date Sample Collected —6— 17 Date Lab Sample Analyzed Laboratory Name SAMPLES FOR METALS Type or Use a ball-point pen and press firmly. COLLECTED UNFILTERED AND FIELD ACIDIFIED COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Lagoon Septic Tank/Dr�)n Fjeld n , Spray Field Subsurface 1-1-Pr9ssure,� Piping (LPP) a Land Application of Stud� Other Rotary Distributor Appearance — Certification No. B YES NO Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I AI - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signa GW-59 M. r Authorized Agent") Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc A mg/I Pesticides/Herbicides _" ' r (Specify Compounds) C=ci ug/I — , ug/I ug/I Other (Specify Compounds and �A Concentration units) r =� O N sPP 471-4rn.. 1.6 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 1-4 — 9 7 See back for instructions. Date ** Submit blue and yellow copies only to address above. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD 111 Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT AREA PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECKWITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S.. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. if the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance; temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer.. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10. The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER SECTION GROUNDWATER QUALITY MONITORING: P.O. sox 626- For additional Corms pALE1GH, NC 27626-0578 COMPLIANCE REPORT FORM please write or call: (919)733.3221 Type or Use a ball-point pen ana press tlrmly. PERMIT NUMBER: (REQUIRED) Facility Name X;"'4_xzAg4sazK 1 �• 1NgrA ,fg�M Z>ruc Non -Discharge Glut 00077 91f ��� ��� ^ NPDES Address TYPE OF DISPOSAL OPERATION BEING MONITORED County�4�/- (REQUIRED) Well Location ) Lagoon SepticTa`daC ainFiC� Well Identification Number FiLUFA/9 Well Depth Ft. Well Diameter — Sample (Screened) Interval Ft. To — Ft. Spray Field S r(� re 1"-Pr Piping Depth to Water Level — ft. below measuring point (before sampling) Land Application of Sludge Otry q Measuring point is ft. above land surface Rotary Distributor her Gallons of water pumped/bailed before sampling Field Analysis: pH — Specific Conductance — uMhos Temp. — °C Odor Appearance Date Sample Collected Z-10 - 9 7 Date Lab Sample Analyzed ?--Iv— 9 7 Laboratory Name L42e7aa Certification No. alb SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED IW4 YES NO COD mg/I Coliform: MF Fecal /100m1 Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/1 Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Ni - Nickel _ mg/I Nitrate (NO3) as N mg/I Pb - Lead mg/I Phosphorus: Total as P mg/I Zn - Zinc -' '-_mg/I Al - Aluminum mg/I Pesticides/Herbicides c .;f Ba - Barium mg/I (Specify Compounds) — c— Ca -Calcium mg/I — -, .Ug/I Cd - Cadmium mg/I Chromium: Total mg/I =fig/I Cu - Copper mg/I Other (Specify Compounds and Fe - Iron mg/I Concentration units) C3 Hg - Mercury mg/I K - Potassium mg/I s-w 6loru� 4 Mg - Magnesium mg/I Mn - Manganese mg/1 Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 97-V 2< -5-/3—ei7 * See back for instructions. SignatrEV. er itte or Authorized Agent*) Date ** Submit for and yellow copies only to address above. GW-59/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD If' Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. r 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. b'etermination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 1 o.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent" is any corporate officer or public -official authorized by the company, corporation, or governmental body to sign official documents. [D © DIVISION OF WATER QUALITY - GROUNDWATER SECTION 29578 LGROUNDWATERFor QUALITY MONITORING:. P.Q. sox additionalonal forms RALEIGH, NC 27626-7626.0678 MPLIANCE REPORT FORM Please Write or call: (919) 733-3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 73AsT.y,VS7,9Z 1r-st/C. �i�Crr.�4HM .Z%/V Non -Discharge 00d77-78 Address �Ze a NPDES lye County Jm�e'*u _ TYPE OF DISPOSAL OPERATION BEING MONITORED Well Location Csr-Gc-u��✓Y (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number I Well Depth Ft. Spray Field su �Mr¢7 Well Diameter — Sample (Screened) Interval Ft. To — Ft. Pi �� Depth to Water Level --ft. below measuring point (before sampling) Land Application of Sludgo, Measuring point is ft. above land surface Other _Rotary Distributor Gallons of water pumped/bailed before sampling _ Field Analysis: pH Specific Conductance — uMhos Temp. °C Odor —Appearance Date Sample Collected // .13 - S_ Date Lab Sample Analyzed �2--� x - y FAYETTEVILLE Laboratory Name 140Ztza g or 114ff Certification No. !�!' REG.OFMCE SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Al - Aluminum mg/I Dissolved Solids: Total mg/I Ba - Barium mg/I pH (when analyzed) units Ca - Calcium mg/I TOC mg/I Cd - Cadmium mg/I Chloride mg/1 Chromium: Total mg/I Arsenic mg/I Cu - Copper mg/I Grease and Oils mg/l Fe - Iron mg/I Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/1 Total Ammonia mg/I Na.- Sodium mg/l TKN as N mg/I Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/I Other (Specify Compounds and V Concentration units) jaz I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 7 See back for instructions. Signatur of PerVnittor Authorized Agent") Date *• Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !11 Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALY-SES ARETO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART _QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION f2 SAMPLING PROCEDURES. '6RECK-WiTH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4 As'per Title 15,-North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of tFiefollowing publications, or by other methods approved beforehand by the Director, Division of Environmental. Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. "Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. IGROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM please write or°all; Type or Use a ball-point pen and press firmly. Facility Name %%1STiv7 r: Zle- • :ZtJ&lZaHr4 J- Address pb+�/> /Zo+D (ndeiA)buji1,rr ,tlC County Sr�r a.✓� Well Location 4F � r-r/ T Well Identification Number - Well Depth Ft. Well Diameter Sample (Screened) Interval I Ft. To — Ft. Depth to Water Level � ft. below measuring point (before sampling) DIVISION OF WATER QUALITY - GROUNDWATER. SECTION P.O. BOX 29578 RALEIGH, NC 27626.0578 (919) 733.3221 PERMIT NUMBER: (REQUIRED) Non -Discharge We? 00B'7-790 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Measuring point is ft. above land surface 1 Gallons of water pumped/bailed before sampling Field Analysis: pH Specific Conductance —nMhos Temp. —oC Odor Date Sample Collected /Z-S- q 6 Date Lab Sample Analyzed !Z-/z- 97 Spray Field Land Application of Sludg!/ Rotary Distributor Subsurface Low -Pressure Piping (LPP) MAR 3 1 19971 Laboratory Name /71Lxr&r7irf-..rs Lays Certification No. iB SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO FAYETTEVILLE R. o^arr: rtr COD Coliform: Coliform: MF Fecal MF Total (Note: Use MPN method for highly turbid samples) _ mg/I /100ml /100ml Dissolved Solids: Total mg/1 pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Appearance - Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and Concentration units) ug/I ug/I ug/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) % FSee back forinstructions. Sig ure of Per ee (or Authorized Agent') Date bmit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT RE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management; (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed; samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 'I . "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official'documents. DIVISION OF WATER QUALITY- GROUNDWATER SECTION' GROUNDWATER QUALITY MONITORING: P.O. BOX 29578 For additional forms RALEIGH, No 27626.0578 COMPLIANCE REPORT FORM please write or call: (919) 733-3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name %oAJZV.4-1>ea2 ,. 74(l2LJHN/ D/K Non -Discharge &JQ 000 s Address Pcn/+/7 )2.9,4 -> NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED G4oRi.✓bri2 Aye- County (REQUIRED) Well Location Lagoon Septic Tank/Drain Field Well Identification Number Well Depth Ft. Spray Field Subsurface Low -Pressure Well Diameter — Sample (Screened) Interval Ft. To Ft. Piping (LPP) Depth to Water Level ft. below measuring point (before sampling) Land Application of Sludg EI p D Measuring point is — ft. above land surface Rotary Distributor — Gallons of water pumped/bailed before sampling Field Analysis: pH — Specific Conductance uMhos Temp. — °C Odor — Appearance — MAR 3 1 1997 Date Sample Collected 1-13 - 97 Date Lab Sample Analyzed /-00- 97 Laboratory Name &&�2" f /_!fR Certification No. �1S FAY TTEVILLE SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO REG. CFF)CE COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/I Other (Specify Compounds and Concentration units) - r J 77 I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) Z-Z� q rJ See back for instructions. Signature o ermittee;o Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8196 Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD III Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO -BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE •GRO:UNDWATER, RIOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984;, 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed; samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1 ."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. IGROUNDWATER QUALITY MONITORING: For additional forms COMPLIANCE REPORT FORM Please Write or call; Type or Use a ball-point pen and press firmly. Facility Name 7c-4d7M ':Z7aiG. =✓16-ARa.H 7-)r 1 Address &AA42- R-eAo LaolLrJbott� A/c, County Sr�7� ai✓,a Well Location DIVISION OF WATER QUALITY - GROUNDWATER SECTION P.O. BOX 29578 RALEIGH, NO 27626.0578 (919)733.3221 PERMIT NUMBER: (REQUIRED) Non -Discharge t—'Q 000779 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number Well Depth —Ft. Well Diameter — Sample (Screened) Interval — Ft. To _ Ft. spray Field Subsurface Low -Pressure Depth to Water Level ft. below measuring point (before sampling) Land Application of Sludg ��� er Measuring point is ft. above land Surface Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pH — Specific Conductance — uMhos Temp. '�C Odor — Appearance Date Sample Collected 97 Date Lab Sample Analyzed Z —/' LaboratoryName /&7Z' n� ! Gs8 Certification No. 9a FF1YL=�TE�IiLLc SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO REG. OFF•C COD mg/I Coliform: MF Fecal /100m1 Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/1 Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al -Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/1 Chromium: Total mg/I Cu - Copper mg/1 Fe - Iron mg/1 Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) Ug/I Ug/I ug/I Other (Specify Compounds and Concentration units) �o I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved -a d '? colloidal concentrations. (see #3 on batik) Z—ZS— q 7 See back for instructions. SignatU of l5erm' e (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES'QRE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER,'NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH,YQUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As. per Title_15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with tha methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10. The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 1. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. or Facility Name Address Well pen and press rE Well Identification Number 14w-I Well Depth 08, S Ft. Well Diameter yowtr Sample (Screened) Interval Ale DA7-A Ft. To 28,5- Ft. Depth to Water Level 6-75"_ ft. below measuring point (before sampling) Measuring point is 1.2. ft. above land surface Gallons of water pumped/bailed before sampling 7,0 PERMIT NUMBER: (REQUIRED) Non -Discharge Gila 00077y3 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Field Analysis: pH 6.2 Specific Conductance — uMhos Temp. — oC Odor Date Sample Collected //3/? Date Lab Sample Analyzed z//Z/-?7 Laboratory Name Certification No. `7 4S SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Coliform: MF Fecal /100m1 Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mgj Chloride mgj Arsenic mg4 Grease and Oils mg/I Hardness: Total mg/1 Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge Other Rotary Distributor�® 11= n Appearance Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I MAR 3 1 1991- Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I Ug/I ug/I Other (Specify Compounds and Concentration units) Sc-I A'ac�a+s-D r -r•• IV "'7' : r, I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) Z5� 97 See back for instructions. 4:;/A Signature of Per I e(o AXorized Agent') Date • Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CFJECK:IIVITN,VOUR.LA.BORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. r.. 4. As per T� 1,5, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the folly Mg:pLTbl6fi`bns, or by other methods approved beforehand by the Director, Division of Environmental ManagemgRi;-__ (a).= Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by ` American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846 (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least;3•volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or Use a ball-point pen and press firmly. Facility Name o_A-sjir9q-si� =ya �eXiRAi�.ti err! Address GCd&Z 12'n A--7 Well Location LA7. 3Y� 1/7' S!a 3' Le Ally 717"Z7'y6, Well Identification Number MW —2 Well Depth 30 Ft. Well Diameter, / '1q4Sample (Screened) Interval Alo Ft. To 30 Ft. Depth to Water Level /3a ZZ ft. below measuring point (before sampling) Measuring point is A3 ft. above land surface Gallons of water pumped/balled before sampling PERMIT NUMBER: (REQUIRED) Non -Discharge WO Obc59'79,$ NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge,/ Other Rotary Distributor Field Analysis: pH 7 o Sp cificConductance uMhosTemp. , oC Odor Appearance ^ ���� �Ld Date Sample Collected Date Lab Sample Analyzed i /.3 2 Laboratory Name Certification No. 981 MAR 3 11997. SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO r e i�iet COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mgA Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I Ug/I TOC mg/I Cd - Cadmium mg/I Ug/I Chloride mg/I Chromium: Total mg/I Ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I l -= Phenol mg/I K- Potassium mg/I 5QE Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I = ` TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. No e: iJ --- C O Values should reflect dissolved fnd colloidal concentrations. (see #3 on back) Z - ZS = 9 7 See back for instructions. Signature of P m A uthorized Agent') Date Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. ,CHECKK VIIITH NOUR ,LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. t A 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the fol(rawmg publications, or by other methods approved beforehand by the Director, Division of Environmental Management: z:- : " (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name �Q4ST.Y7AS Z-9 !,,/_l Xa_ KAe. .Div, Non -Discharge (JQ G o 0779 v Address PZ-4&r r{oon NPDES Z ,zi,✓. zm I& County—.545;;A TYPE OF DISPOSAL OPERATION BEING MONITORED Well Location L9T. .3Y0 e/r/1 56,6/1 Cvy 71 � Z7' 'Ir? V (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number M —°1 Well Depth 30 Ft. Well Diameter f I� 04 Sample (Screened) Interval Wo DNFt. To 3'0 Ft. Spray Field Piping P 9ubng (PPLow-Pressure ) Depth to Water Level //r 69 ft. below measuring point (before sampling) Land Application of sludge Measuring point is 5.9 ft. above land surface other Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pH Specific Conductance _ uMhos Temp. oC Odor Appearance Date Sample Collected /-3/-9, F Date Lab Sample Analyzed ;7 —13 —117 ��Q��Qa 9y� Laboratory Name / TIC '14& Certification No. 9B J t,,5 E7D SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO iiittd i 1 1987 COD Coliform: MF Fecal Coliform: MF Total (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total pH (when analyzed) TOC rhlnrirta Araanin Grease and Oils Hardness: Total Phenol c1 tlfnfA Soecific Conductance Total Ammonia TKN as N mg/I 00ml 00ml _ mg/I _units mg/l — mg/I _ mg/I mg/I mg/I mg/I __ mgA uMhos mgA mgA Nitrite (NO2) as N mg/I Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mgA Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. �� Signaturf of Permi e (or Authorized Agent') \GW-59 REV. 6193 Ni - Nickel Pb - Lead gll Zn - Zinc �' ° mg/I Pesticides/Herbicides (Specify Compounds) ug/1 ug/I ug/I Other (Specify Compounds and Concentration units) rV r� No e: Values should reflect dissolved and colloidal concentrations. (see #3 on back) Z ZS GI % ' See back for instructions. Date " Submit blue, green, and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. r 4-.-As per-Title,15; North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of x =the fbllov5ing publit;ations, or by other methods approved beforehand by the Director, Division of Environmental Management: Pf t ) Fc;'xC (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by - American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition,'1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No: 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least,3 -volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed; samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. ,Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See 44. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) �� �oQ 7798 Facility Name /o,as7-/4'aSTelZ Zw LirlGlAta44M 1>1V Non -Discharge Address Pe Rnun NPDES L adw u/ocN ei /dC County �—'r�a/� TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location (.a? 3Y" Yqc cog'-1 LoY 7ef f2-7`L,,b"` Well Identification Number AW -.5J Well Depth _/ Ft. Well DiameterI f/10 Sample (Screened) Interval Ma Aira Ft. To Zt Ft. Depth to Water Level f 0, 3?- ft. below measuring point (before sampling) Measuring point is 3. Z ft. above land surface Gallons of water pumped/bailed before sampling a. Field Analysis: pH 4 . rq Specific Conductance — uMhos Temp. — oC Odor Date Sample Collected 1- 31-9'7 Date Lab Sample Analyzed Z- /2 __q_7 Laboratory Name Certification No. SAMPLES FOR METALS WERE C ELECTED UNFILTERED AND FIELD ACIDIFIED AYES Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge ✓Other Rotary Distributor Appearance — NO MAR 3 1 1991- COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel REG. CF tOt= mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I ug/I TOC mg/I Cd - Cadmium mg/I Ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) 1-0 _ Hardness: Total mg/I Hg - Mercury mg/I Phenol mg/I K -Potassium mg/I 9r nrtati� c�� "a 1 Sulfate mg/I Mg - Magnesium mg/I 3 Soecific Conductance uMhos Mn - Manganese mg/I , Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I -_ I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) z �Z5_"— q 7 See back for instructions. Signature of Perri ittee or Authorized Agent') Date " Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 44. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION _QR SAMPLING PROCEDURES. CHi=CRK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. Asper Title 1'6 Ndrth Cardjina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the folloong publications, or by other methods approved beforehand by the Director, Division of Environmental Management: ' (a) .Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; ' (tb)° Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3'volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or use a ball-point pen and press firmly. Facility Name Address Well Location PERMIT NUMBER: (REQUIRED) Non -Discharge WQ 00077Rb' NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Nu�mber Well Depth 3s Ft. Z Well Diameter Sample (Screened) Interval 15 Ft. To 3S Ft. Depth to Water Level I?.6 Sft. below measuring point (before sampling) Measuring point is V, Z- ft. above land surface Gallons of water pumped/bailed before sampling 10r S Field Analysis: pH 661 Specific Conductance — uMhos Temp. — oC Odor — Date Sample Collected /-3/-97 Date Lab Sample Analyzed Z Date Laboratory Name Certification No. SAMPLES FOR METALS WET COLLECTED UNFILTERED AND FIELD ACIDIFIED /(/L-_YES Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge Rotary Distributor Other Appearance — �9 ®® NO MAR 3 1 199T COD mg/I Nitrite (NO2) as N mgA Ni - Nickel FAYM VILL'Emg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead eta. mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I ug/I TOC mg/1 Cd - Cadmium mg/1 Ug/1 Chloride mg/I Chromium: Total mg/I ug/1 Arsenic mg/1 Cu - Copper mg/1 Other (Specify Compounds and Grease and Oils mg/1 Fe - Iron mg/1 Concentration units) Hardness: Total mg/I Hg - Mercury mg/I -� Phenol mg/1 K - Potassium mg/I Z4Z Sulfate mg/I Mg - Magnesium mg/I Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mgA Na - Sodium mg/I TKN as N mg/1 - I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: _ - Values should reflect dissolvedd colloidal concentrations. (see #3 on back) See back for instructions. SignKure of Perm' ee (or Authorized Agent') Date " Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within24 hours. , - 1 Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. per;Title -5., Jbrtt Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of .the following publications, or by other methods approved beforehand by the Director, Division of Environmental ManMpjrnent. rj,., - (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (p) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water the well. 6. At least-3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or use a ball-point pen and press firmly. Facility Name %3 s7-mASTrnz rA :T&iIi aHA1 0,V PERMIT NUMBER: (REQUIRED) Non -Discharge W4 0007728 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED Well Location LA-7-3°/" of AS' GL KW4 7q-7-7f (REQUIRED) Well Identification Number R1.1- 7 Well Depth 35' Ft. Well Diameter Z`r Sample (Screened) Interval 1. Ft. To 35 Ft. Depth to Water Level /i. y'1 ft. below measuring point (before sampling) Measuring point is % 7- ft. above land surface _ Gallons of water pumped/bailed before sampling 7 5 Field Analysis: pH 6. S Specific Conductance — uMhos Temp. — oC Odor Date Sample Collected 3/^ 97 Date Lab Sample Analyzed Z- /Z-9,7 Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping.(LPP) Land Application of Sludge !V Other Rotary Distributor — Appearance — Laboratory Name /7'rgi>2W 1r eAg Certification No. SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO MAR j 1 199i COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel F1WETThViLLEng/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead R`EGOF io mg/I Coliform: MF Total /100m1 Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I ug/I TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I _ Phenol mg/I K - Potassium mg/I S-V�F/�iiisr �7 Lass _3 Sulfate mg/I Mg - Magnesium mg/I 1-0 Specific Conductance uMhos Mn - Manganese mg/I ' = Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. SignatuFqof Pe itte (or Authorized Agent') Date " Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. . r 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. _ a Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. r 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4..As. PQrr tritle,11 kfq rth Carolina Administrative Code, Subchapter 21_ analytical procedures shall be in accordance with the methods described in one of °"''the following publications, or by other methods approved beforehand by the Director, Division of Environmental ManagernentF (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected, 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or use a loan -point pen and press firmly. Facility Name T*s7rvcLc—ex .7Ae _ rLa/+s.v aDrV Address Puby> _ 4e. jyPijJ&C/ A/C County-5�.,>�.4,u,,� Well Location PERMIT NUMBER: (REQUIRED) Non -Discharge &Q OOD77%B NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Well Identification Number as r-8 Well Depth ZC- Ft. Well Diameter Z- Sample (Screened) Interval Z. S Ft. To 7.6 Ft. Depth to Water Level 0-of ft. below measuring point (before sampling) Measuring point is ft ft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH 4. Specific Conductance uMhos Temp. ^ oC Date Sample Collected f-35 /—7 Date Lab Sample Analyzed Z - i2�r Laboratory Name 1-&;U2nGc Lin 8 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge / V other Rotary Distributor Odor -- Appearance — ��� �Q ®�® 7 i5 Certification No. 106 YES NO MAR 3 11997 Ohl e-Tq-=;-y m COD m /I Nitrite NO as N m /I Ni - Nickel /I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total A 00ml Phosphorus: Total as P mg/I Zn - Zinc mg/1 (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/1 Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I Ug/I TOC mg/I Cd - Cadmium mg/I Ug/I Chloride mg/I Chromium: Total mg/I Ug/I Arsenic mg/1 Cu - Copper mg/I Other (Specify Compounds and � Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/1 Hg - Mercury mg/I Phenol mg/I K - Potassium mg/I .505141 D Sulfate mg/I Mg - Magnesium mg/I SDecific Conductance uMhos Mn - Manganese mg/I -3 Total Ammonia mg/I Na - Sodium mg/I TKN as N mg/I —" c� CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signature a ermittee ( Authorized Agent') Date GW-59 REV. 6/93 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions. " Submit blue, green, and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS, SAMPLES IN. THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml cor&entrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed wiilhin 72 hours�of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4 `�As pbrTitle '1'5, 46fto-parolina Administrative Code, Subchapter 2L„analytical procedures shall be in accordance, with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Magageme(�t:r,, - , (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; ,(b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. or pen ana press Facility Name T sropig'sny?_ ZNe. 1.ylKI(/fHr J// Address J&4& , j�oa7 PERMIT NUMBER: (REQUIRED) Non -Discharge &AQ 0007798 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location 0' cEdl -/ - G'/' Well Identification Number T- Well Depth ZG Ft. Well Diameter Z`r Sample (Screened) Interval Z.I' Ft. To Z- Ft. Depth to Water Level 13.` 5— ft. below measuring point (before sampling) Measuring point is O ft. above land surface Gallons of water pumped/bailed before sampling $• S Field Analysis: pH-ti Specific Conductance uMhos Temp. — oC Odor Date Sample Collected 1-31- 917 Date Lab Sample Analyzed Z—rZ—' 7 Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge Other Rotary Distributor — Appearance Laboratory Name r-r 6425 Certification No. MAR 3 1 1997 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO ,i L.i fl�VILL;e COD mg/I Nitrite (NO ) as N mg/I Ni - Nickel REG. GFRC'; mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I 2 Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/I Other (Specify Compounds and Grease and Oils mg/I Fe - Iron mg/I Concentration units) Hardness: Total mg/I Hg - Mercury mg/I —' Phenol mg/I K - Potassium mg/I See .t I_A..vftW Cfia = Sulfate mg/I Mg - Magnesium mg/I =' Specific Conductance uMhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I - TKN as N mg/I =_ I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. r� Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) Z- ZS-77 See back for instructions. Signature of ermittee (qAuthorized Agent') Date • Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !rr Unfiltered samples must be collected for metals, then field acidified with 5 ml concen_ trated.nitric acid per liter. of,sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. l 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH Y0I1R LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per'Title 15, North Carolina Administrative Code, Subchapter 2L-, analytical procedures shall be in accordance with: the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental , ManagE)Ment:�- ' -(a) ,, Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by ,`American Public Health Association, American Water Works Association and Water Pollution Control Federation; Tbi Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 GFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes -are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See 44. above) 10,The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 7o—^j7H4J7L-7L LA/C� J� &zxtyNJ Div. Non -Discharge WQ 0007719 Address PANT Z04;D NPDES e4&ArP.601 d/G County SU7chNA TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location % 64- 3TO V-7 Sg.9 & LoNC� %N- Z9 13,7" Lagoon Septic Tank/Drain Field Well Identification Number C77/0 Well Depth Zs' Ft. Spray Field Subsurface Low -Pressure �� Well Diameter z Sample (Screened) Interval _� Ft. To � Ft. Piping (LPP) Depth to Water Level 7- y/ ft. below measuring point (before sampling) Land Application of Sludge Measuring point is 3, ZS ft. above land surface other Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pH 6 •`? Specific Conductance — uMhos Temp. — oC Odor — Appearance — Date Sample Collected & 3/— 97 Date Lab Sample Analyzed Z—/3 17 Laboratory Name mew ZR20a e4a Certification No. 96? MAR 3 1 1997 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO li= Ayt'�°�r—�r— hiEfS. COD mg/1 Nitrite (NO2) as N mg/I Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/1 ug/I TOC mg/I Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/1 Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and __j Grease and Oils mg/1 Fe - Iron mg/I Concentration units) is Hardness: Total mg/1 Hg - Mercury mg/I Phenol mg/1 K - Potassium mg/I SEc 47/-4a,-z-m LrF3 - Sulfate mg/1 Mg - Magnesium mg/I Specific Conductance ufvlhos Mn - Manganese mg/I Total Ammonia mg/I Na - Sodium mg/I -� TKN as N mg/I = I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Signatur of Pe'hrdee (or Authorized Agent") Date • Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded).' DO NOT FILTER METALSSA I MPLES IN THE FIELD III Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and sho_ uld, be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WtTH'YaU'.R,_1 ABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, No Carolina Administrative Code, Subchapter 2L,,analytical procedures shall be in accordance with the, methods described in one of the fo9100,ing j ulilf63tions, or by other methods approved beforehand by the Director, Division of Environmental Management: (a) i Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. or pen and press Facility Name �o *s9r+ras;ay 1Nc, �- .y.Ulr 4"M Div. Address 44VA<111ddm A/C County Scoz%.*yy Well LocationyY3 8� o00z" sn- C r75 z7 Y-M- Well Identification Number _T—/I Well Depth ZS Ft. Well Diametery" Sample (Screened) Interval 6 Ft. To Z.S Ft. Depth to Water Level 9. /Y ft. below measuring point (before sampling) Measuring point is 1 15' ft.-above land surface Gallons of water pumped/bailed before sampling 9 Field Analysis: pH 4.0 Specific Conductance uMhos Temp. — PERMIT NUMBER: (REQUIRED) Non -Discharge NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic TanWDmin Field _oC Odor Date Sample Collected Date Lab Sample Analyzed Z 13-12 Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge Other Rotary Distributor Appearance RECEI !3' E® Laboratory Name 4r: Gab Certification No. 9S SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO LIAR 3 1 1997 Ff',Y.2 iTPJiLI COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel R :ter m /I — Coliform: MF Fecal A 00ml Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) Tnr: r:hlnridin Arcanir. Grease and Oils Hardness: Total Phannl Si ilfaf n Specific Conductance Total Ammonia TKN as N _units Ca - Calcium mg/I _ mg/I Cd - Cadmium mg/I _ mg/I Chromium: Total mg/I mg/I Cu - Copper mg/I _ mg/I Fe - Iron mg/I _ mg/l Hg - Mercury mg/I _ mg/I K - Potassium mg/I __ mg/I Mg - Magnesium mg/I uMhos Mn - Manganese mg/I _ mg/I Na - Sodium mg/I mg/I ug/I ug/I ug/I Other (Specify Compounds and Concentration units ,077 Jc� I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and � "`' colloidal concentrations. (see #3`On back) See back for instructions. Signa re of er ttee (or Authorized Agent') Date " Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 30300 for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE , GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As der Title,15; N6rth,Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Managemi�i:; (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b): •;Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes -are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a •0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11. "Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 7o_4-5-nW,4.T ie'/L :Qr,y Non -Discharge 4/0 000779 f3 Address 'PrA.v-r led»D NPDES ,,4wz//J6Urdj /�/G County -SCe [a.t/D TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIREDI Well Location (6Z 31t" y9-1 0y,3" Coati- 79Q z-7/ Well Identification Number C T— /3 Well Depth 5—D Ft. Well Diameter 7-" Sample (Screened) Interval_ Ft. To Sa Ft. Depth to Water Level /9, Z8 ft. below measuring point (before sampling) Measuring point is 3, Z ft. above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH 6. 6 Specific Conductance — uMhos Temp. —oC Odor Date Sample Collected 3/^ 9 7 Date Lab Sample Analyzed Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge / V Other Rotary Distributor Appearance — RECE p p ® Laboratory Name /-eESU Ys-'er, Lr GP"?q Certification No. 19 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED _YES NO MAR 3 1 1997 COD mg/I Coliform: MF Fecal Coliform: MF Total /100ml /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I CA,YETTE VILLA Ni -Nickel ,fit mgA Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and Concentration units) v ug/I ug/I ug/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) 2�2J = 1 % See back for instructions. Sign f re of erm' _e (or Authorized Agent') Date Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection, SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of,sample, and should be submitted to the lab within 24 hours. , Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. , 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OFF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION 9R SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4.As:pet1T1tl6J._5,hlb.rth?Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Man"ent; c (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and_time collected. 11. "Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Type or use a ball-point pen and press firmly. Facility Name %n_i tips2 mod- %vim J7r v, Address P«u1ZPA-0 _�.4�,rLaLj'zq Ale County .Seesu«Jo Well Location -(em 3y° yK& 07,-3 /_owisT 79" Z7' L^ Well Identification Number Well Depth 36 Ft. Well Diameter Z' Sample (Screened) Interval (Q Ft. To -SO Ft. Depth to Water Level 6.07 ft. below measuring point (before sampling) Measuring point is 3 •- 7- ft. above land surface Gallons of water pumped/bailed before sampling PERMIT NUMBER: (REQUIRED) Non -Discharge /+JS' 6007-7 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Pi ing (LPP) Land Application of Sludg� Other Rotary Distributor Field Analysis: pH 4.1 Specific Conductance — uMhos Temp. oC Odor — Appearance _ Date Sample Collected Date Lab Sample Analyzed 7 - / z -9 7 Laboratory Name GR-$ Certification No. 478 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO MAR 3 1 1997 F11YETTEVILLE COD mgA Nitrite (NO2) as N mg/I Ni - Nickel REG. GFF;G mgA Coliform: MF Fecal /100m1 Nitrate (NO3) as N mg/I Pb - Lead mg/I Coliform: MF Total /100m1 Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPN method for highly turbid samples) AI - Aluminum mg/I Pesticides/Herbicides Dissolved Solids: Total mg/I Ba - Barium mg/I (Specify Compounds) pH (when analyzed) units Ca - Calcium mg/I ug/I TOC mgA Cd - Cadmium mg/I ug/I Chloride mg/I Chromium: Total mg/I ug/I Arsenic mg/I Cu - Copper mg/I Other (Specify Compounds and `n - Grease and Oils mg/I Fe - Iron mg/I Concentration units) _= Hardness: Total mg/I Hg - Mercury mg/I = Phenol mgA K- Potassium mg/1 <Cr Arw�rr�a ; Sulfate mgA Mg - Magnesium mg/I ; Specific Conductance ulvlhos Mn - Manganese mg/I Total Ammonia mgA Na - Sodium mgA '. TKN as N mg/I - <_J I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) ��Z;k ZZZ—LS' `T 7 " See back for instructions. Sign a of Per ittee ( Authorized Agent') Date "" Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE 94. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury exc)uded). DO NOT FILTER METALS SAMPLES IN THE FIELD M Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK. WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4 'As -per Title 1r5; North�Carolina Administrative Code, Subchapter 2,L, analytical procedures shall be in accordance with -the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Mari�g'ement;;_, ' (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by _ American Public Health Association, American Water Works Association and Water Pollution Control Federation; ::(b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples, can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by tfie company, corporation, or governmental body to sign official documents. Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name 7Z_AgTi^M57aaEM zye� T RNK 17rr/ Non -Discharge e/fa oor)7 7ajs Address nG46'r '9&'4�rj NPDES (,�uei�6rxzc NC COunty�?-a TYPE OF DISPOSAL OPERATION BEING MONITORED ,r (REQUIRED) Well Location Lag 3X` °Yy f Or/ 3" /e'er. 79' Z,7 ` '/i. 3 Well Identification Number & — /S Well Depth 7Z, T' Ft. Well Diameter Zo Sample (Screened) Interval 67. S Ft. To 7Z. Ft. Depth to Water Level /S.9 Zft. below measuring point (before sampling) Measuring point is 2, S ft. above land surface _ Gallons of water pumped/bailed before sampling Field Analysis: pH —Specific Conductance —uMhos Temp. —oC Odor _ Date Sample Collected / =3t- 17 7 Date Lab Sample Analyzed e'o- L- /3 --17 Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludg� Other Rotary Distributor Appearance _ Laboratory Name &CiT.g{E Certification No. 9 SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/1 Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I MAR 3 11997, REG. OFF-3 NI - Nickel Mgt Pb - Lead mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I Ug/I Other (Specify Compounds and Concentration units) i '- r_0 I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Sign5fure of Permi .,e (or Authorized Agent') Date •• Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. r 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, anc( should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. .CHECK WITH %Q.t)k'tABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the fglf¢W og p6blications, or by other methods approved beforehand by the Director, Division of Environmental, , Management: (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No, 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. DIVISION OF WATER QUALITY - GROUNDWATER: SECTION GROUNDWATER QUALITY MONITORING: P.O. Box 7626- COMPLIANCE REPORT FORM pleaseriteadditional caM RALEIGH, NC 27628.0578 lease write or calk .(gig) 733.3221 Type or Use a ball-point pen and press firmly. PERMIT NUMBER: (REQUIRED) Facility Name /3A,STA4j*.s use .L,U�, J-�/�/If}ii/N Jf IK Non -Discharge !s%Q 00077-78 Address F/rdAeZe Zo.aD NPDES Lnria�NL � �G County SCd>cA ems! TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Well Location Well Identification Number 94/-3 Well Depth Yo Ft. Well Diameter6_Sample (Screened) Interval zo Ft. To Y0 Ft. Depth to Water Level Z1. 5 ft. below measuring point (before sampling) Measuring point is ft. above land surface Gallons of water pumped/bailed before sampling co Field Analysis: pH — Specific Conductance umos Temp. °C Odor Date Sample Collected y 9 Date Lab Sample Analyzed Z - /2 -5 7 Laboratory Name /-fEa tzwja l-4__A Certification No. SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES Lagoon Septic Tank/Drain Field Spray Field Subsurface Low -Pressure Piping (LPP) Land Application of Sludge,— Y Other Rotary Distributor n Imo^ T� R8 pr ,r Appearance Im NIAR 3 1 1997 ;_; xv? ; h -r Pn: 9 i COD Coliform: Coliform: mn/I MF Fecal /100m[ MF Total /100m[ (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I Nitrate (NO3) as N mg/I Pb - Lead mg/I Phosphorus: Total as P mg/I Zn - Zinc mg/I Al - Aluminum mg/I Pesticides/Herbicides Ba - Barium mg/I (Specify Compounds) Ca - Calcium mg/I ug/I Cd - Cadmium mg/I ug/I Chromium: Total mg/I - _ug/I Cu - Copper mg/I Other (Specify Compounds and Fe - Iron mg/I Concentration units) Hg - Mercury mg/I K - Potassium mg/I tg� Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Signat re of Pe mi (or Authorized Agent*) Date ** Submit blue and yellow copies only to address above. GW-59 REV. 8/96 COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD Ill Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should be submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF -THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART QF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION -R SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. As per Title 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental. Management: (a)' Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as thewell recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. S. Field equipment must be calibrated in accordance with recommendations by the. manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. I ."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. or Facility Name Address Well and press firmly. PERMIT NUMBER: (REQUIRED) Non -Discharge Wo 6002g4v NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Septic TanWDrain Field Well Identification Number Ew —Z Well Depth .moo Ft. Spray Field Subsurface Low -Pressure Well Diameter Sample (Screened) Interval 30 Ft. To Sb Ft. Piping (LPP) Depth to Water Level �j ft. below measuring point (before sampling) Land Application of Sludge✓ Measuring point is 30.8 7 ft. above land surface other Gallons of water pumped/bailed before sampling -� Gd� Rotary Distributor Field Analysis: pH — Specific Conductance u hosTemp. — DC Odor Appearance Date Sample Collected /— — i'7 Date Lab Sample Analyzed z — /z-9 RECEIVE® Laboratory Name Lfa?yZ2 .1F L47A Certification No. 9g SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO mitp i 1 1997 COD mg/I Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOG mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/l Sulfate mg/I Specific Conductance ufvlhos Total Ammonia mg/I TKN as N mq/1 Nitrite (NO2) as N mg/1 Nitrate (NO3) as N mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/1 Fe - Iron mg/I Hg - Mercury mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mg/I Na - Sodium mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signa e f P rmitt (or Authorized Agent') Date GW-59 REV. 6/93 Ni - Nickel F,x'.ri=TTF_xlIL1..E mg/I Pb - Lead RE , OFFC'; mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/1 Other (Specify Compounds and Concentration units) Sg;ar-rsast Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) ' See back for instructions. '* Submit blue, green, and yellow copies only to address above. COLLECTION AND ANALYSIS OF GROUNDWATER SAMPLES 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI- FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT'FILTER METALS SAMPLES IN THE FIELD Itt Unfiltered samples must be collected for metals, then field acidified with 5 ml concentrated nitric acid per liter of sample, and should lie submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection. 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT, THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. J... 4. A's..perTftleNb; Nocth Ca€blina Administrative Code, Subchapter2L; analytical procedures shall be in accordance with the methods described in one of the following publfcatioris; or by other methods approved beforehand by the Director, Division of Environmental Manageppn�: - ;"(a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; _ (b)., Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number ' EPA-600/4-79-020, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well. 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 1 O.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent" is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. or Use a ball-point pen and press Facility Name Address Well Location Septic Tank/Drain Field Well Identification Number RW —i Well Depth So Ft. Spray Field Subsurface Low -Pressure Well Diameter ` Sample (Screened) Interval 30 Ft. To ZTO Ft. Piping (LPP) Depth to Water Level Z2. Ym ft. below measuring point (before sampling) Land Application of Sludge Measuring point is / ft. above land surface other Gallons of water pumped/bailed before sampling /Z�c.varry, &C Rotary Distributor Field Analysis: pH Specific Conductance — uMhosTemp. — °C Odor — Appearance ������® Date Sample Collected /-3 /— 97 Date Lab Sample Analyzed Z TZ- �7 Laboratory Name A1gx.r�-� 8 Certification No. IR SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED YES NO hf 1g j t 1997 COD mg/1 Coliform: MF Fecal /100ml Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total mg/I pH (when analyzed) units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/1 Hardness: Total mg/I Phenol mg/I Sulfate mg/I Specific Conductance uMhos Total Ammonia mg/I TKN as N mg/I Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese Na - Sodium PERMIT NUMBER: (REQUIRED) Non -Discharge Lu0 0007798 NPDES TYPE OF DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/1 mg/I mg/I mg/I mg/I mg/I mg/I mg/I Ni - Nickel FT"i--_iTFV:L'-_mg/I Pb - Lead f E a. Or:=:i: mg/I Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/I Other (Specify Compounds and Concentration units) -- I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Sig ure of er 6e (or Authorized Agent') Date '" Submit blue, green, and yellow copies only to address above. GW-59 REV. 6/93 1. Samples should be analyzed as soon as possible after collection. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECI-FIED FOR THE METHOD USED (SEE #4. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED. 2. Metals Analyses: Use Standard Method 3030C for sample preparation (mercury excluded). DO NOT FILTER METALS SAMPLES IN THE FIELD !!! Unfiltered samples must be collected for metals, then field acidified with 5 ml concgptrazecj. nitric acid per liter of sample, and should. be' submitted to the lab within 24 hours. Sample preparation in the laboratory (extraction and filtration) must be completed within 72 hours of collection., , 3. ANALYSES ARE TO BE MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF SEDIMENT ASSOCIATED WITH WELL CONSTRUCTION OR SAMPLING PROCEDURES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 4. iAs per:Tltle 15, North-'Qarolina Administrative Code, Subchapter 2L..analytical procedures shall be in accordance wjth,the. methods described in one of fhe foltowfri4'p6&cations, or by other methods approved beforehand by the Director, Division of Environmental, Managetnen (a) Standard Methods for the Examination of Water and Wastewater, 16th Edition, 1985 and 17th Edition, 1989, published jointly by American Public Health Association, American Water Works Association and Water Pollution Control Federation; (p) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number EPA-600/4-79-020, as revised March 1983 (c) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW-846; (d) Test Procedures for the Analysis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 40 CFR Part 136, October 26, 1984; , 5. Measure and record the depth of water in the well prior to pumping or bailing any water from the well 6. At least 3 volumes of water in the well should be pumped or bailed prior to collecting a sample for analysis. If the well is pumped/bailed dry before 3 well volumes are removed, samples can be collected as soon as the well recovers to the point where enough water is available to collect your sample. 7.. Determination for pH, Specific Conductance, temperature, odor and appearance must be made in the field on unfiltered samples when the sample is collected. 8. Field equipment must be calibrated in accordance with recommendations by the manufacturer.. 9. Samples must be filtered through a 0.45 micron filter immediately after collection when a dissolved analysis is required. (See #4. above) 10.The sample container should be labeled at the time of collection with the facility name, well identification number and date and time collected. 11."Authorized agent' is any corporate officer or public official authorized by the company, corporation, or governmental body to sign official documents. Richard Catlin & Associates, Inc. ENVIRONMENTAL ENGINEERS AND HYDROGEOLOGISTS . March 14, 1997 North Carolina Division of Environmental Management Ground Water Section Attn: Mr. Jack Floyd P. O. Box 29535 Raleigh, North Carolina 27626-0535 Re: Results of 1st Trimester Ground Water Sampling (1997) Permit No. WQ0007798 Toastmaster, Inc. Ground Water Remediation Infiltration Gallery e Scotland County, North Carolina ^f RC&A Project No. 92196-1 0 Dear Mr. Floyd: — = ; r Tl n e'_ Enclosed please find the monitoring report concerning the second trimester of 1996 requir`gmeits for the above referenced site. The requirements are as follows: Ground water pump and treat remediation site data sheet (Part`A); • Table with ground water depth data; • Table with ground water trichloroethane concentration data; Graphs. illustrating trichloroethane quality data for monitoring wells MW-2, MW- 4, MW-6, GT-8, GT-10, GT-12, and GT-14; and, • GW-59 'forms for November 1996 through January 1997. If you have any questions, please contact our office at your earliest convenience. e Sincerely, Step A. jr, ager���� Mo toring r ons �ItL4-� cc: Mr. Larry Clark, Toastmaster; Inc., w/encs. rFEC'^ Mr. Rudy Smithwick, P.G., Richard Catlin & Associates, Inc. R�G P.O. Box 10279 220 Old Dairy Road Wilmington, NC28405-3755 Telephone: (910) 452-5861 Fax: (910) 452-7563 Wilmington • Atlanta • Charleston r Charlotte • Americus NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES Division of Environmental Management, Groundwater Section Background Site Name: Location: (To be each submission) Toastmaster, Inc./Ingraham Division Incident No: Date- 3/10/97 Plant Road, Laurinburg, NC Region: Fayetteville County: Scotland Date Release Identified: 4/90 Responsible Party: Toastmaster, Inc. Date CAP Completed: 2/2/93 PART B (To be completed for initial report or to update information previously provided) Hvdrogeologv Alternating silty clays and sands. A consistent clay Description of Aquifer Lithology: layer was encountered from 45 to 62 feet below the ground Is bedrock aquifer/fractured saprolite impacted? Describe. No surface. Average Hydraulic Conductivity (ft./day): 2.33 Average Groundwater Gradient (t): 1.6 How were above determined? Boring Logs/Pump Test Major Pumping Influences Which may Affect GW Flow: NA Distance from Site: -- Pumping Rate: --at iffn Pen, AEOE Location and Distance from Site of Nearest Supply Well(s): -- Description of Release FRfETTEVILLE Type of Product:-_ Tr9chloroethene (TCE)- Estimated Volume Released:-RMPV-);:1=10E Average Plume Dimensions(ft.)--Width: 1,100 Length: 2,000 Depth Interval: 45' Ranges of Concentrations from CSA: TCE BDL - 12,000 ppb Emergency Response/Initial Remedial Actions Date Source Removed/Repaired: -- Free Product Recovered (gal.): 0 Soil Excavation (tons): 0 Average Contaminant Concentration (mg/kg): -- Type of Treatment or Disposal: -- Remediation Goals of Remediation: Mitigate ground water contamination in the areas of greater contamination. Description of Treatment System- Three recovery wells pump ground water to an aeration carbon filtration system prior to discharge into an infiltration gallery. Pilot test conducted? (Type)No. Experience with similar cites Date: -- Method of System Effluent Disposal-: Infiltration Gallery No. of Monitoring We1Is: 15 Monitoring Schedule: Monthly Date GW System Started: 8/30/93 No. of Recovery Wells- 3 Recovery Well Flowrate Drawdown Radius of Pump Type/ R-1 GPM (ft.) Influence(ft.) Ca acit 7 10 100 Submersible/4- 4G R-2 9 20 150 Submersible/4-14G R3 4 20 100 Submersible/4-14G Are any other remediation systems used in conjunction with Pump & Treat? Describe ND C. GW-79/5-94 PART C SYSTEM PERFORMANCE MONITORING (To be completed with each submission) PERIOD OF OPERATION Report for: 9 / 16 / 96 to 1 / 31 / 97 Days of Operation this Period: 96 SYSTEM DOWNTIME SUMMARY (current reporting period only) DATE From/To FREE PRODUCT RECOVERY Total Gallons Recovered Since Last Report: Total -Gallons Recovered to Date: Well'I.D.: Reason Date, Screened Interval* FP.'; Thickness.; (in.) Avg. GW Level* J Recovery Method *Depth in Feet from Top of Casing Provide similar table for each well containing free product by attaching additional sheet(s). INFLUENT S EFFLUENT CONCENTRATION DATA - TREATMENT SYSTEM Gallons Treated Since Last Report: 3,437,510 Total Gallons Treated To Date: 21,569,550 Parameter/Units: TCE/ppb parameter/Units: _ Date 11/96 12/96 1 1/97 Influent 1,400 .1,400 1,200 Effluent 3 < 5 <5 Attach additional sheet(s) as needed. COMMENTS: Note: Attach a current map showing locition 'of all monitoring/recovery wells, trenches, remediation system components, and the extent of the contaminant -plume. GW-7915-94 TABLET Ground Water Table Data Toastmaster, Inc.; Ingraham Division Laurinbur , North Carolina Top of Casing De th To Ground Water Well ID Date Elevation Ground Water Table Elevation Monitoring wells M W -1 9/9/93 116.41 14.07 102.34 1/14/94 116.41 10.35 106.06 4 / 21 / 94 116.41 12.57 103.84 9/8/94 116.41 14.35 102.06 1/16/95 116.41 9.04 107.37 4/6 /95 116.41 11.51 104.90 9/26/95 116.41 12.11 104.30 1 /16/96 116.41 11.73 104.68 5/23/96 116.41 11.15 105.26 9/16/96 116.41 15.66 100.75 1 /31 /97 116.41 8.75 107.66 MW-2 9/9/93 113.76 15.17 98.59 1/14/94 113.76 12.41 101.35 4/21 /94 113.76 13.37 100.39 9/8/94 113.76 15.53 98.23 1/16/95 113.76 11.15 102.61 4 /6 /95 113.76 12.90 100.86 9/26/95 113.76 16.87 96.89 1/16/96 113.76 15.57 98.19 5/23/96 113.76 15.72 98.04 9/16/96 113.76 17.82 95.94 1 /31 / 97 113.76 13.26 100.50 GT-3 9/9/93 112.34 11.97 100.37 1/14/94 112.34 9.64 102.7 4 / 21 / 94 112.34 10.85 101.49 9/8/94 112.34 12.52 99.82 1/16/95 112.34 8.71 .103.63 4/6/95 112.34 10.62 101.72 9/26/95 112.34 13.64 98.70 1 / 16 / 96 112.34 12.41 99.93 5/23/96 NO DATA - WELL DAMAGED 9/16/96 NO DATA - WELL DAMAGED MW-4 9/9/93 115.12 13.57 101.55 .1/14/94 115.12 10.67 104.45 4/21 /94 115.12 12.42 102.7 9/8/94 115.12 14.24 100.88 1/16/95 115.12 9.25 105.87 4/6 /95 115.12 11.96 103.16 9/26/95 115.12 15.31 99.81 1 / 16 / 96 115.12 14.08 101.04 5 /23 / 96 115.12 13.64 101.48 9/16/96 115.12 16.58 9854 Page 1 of 5 TABLE Ground Water Table Data Toastmaster, Inc.; Ingraham Division Laurinbur , North Carolina Top of Casing Depth To Ground Water Well ID Date Elevation Ground Water Table Elevation 1 / 31 / 97 115.12 11.89 103.23 MW-5 9/9/93 119.78 9.26 110.52 1/14/94 119.78 7.25 112.53 4/21/94 119.78 9.21 110.57 9/8/94 119.78 9.98 109.8 1/16/95 119.78 6.17 113.61 4/6/95 119.78 8.46 111.32 9/26/95 119.78 9.81 109.97 1/16/96 119.78 9.00 110.78 5/23/96 119.78 8.73 111.05 9 / 16 / 96 119.78 10.32 109.46 1/31/97 119.78 7.15 112.63 T-6 9/9/93 112.94 13.98 98.96 1/14/94 112.94 11.69 101.25 4/21/94 112.94 12.69 100.25 9/8/94 112.94 14.73 98.21 1/16/95 112.94 10.98 101.96 4/6/95 112.94 12.54 100.4 9/26/95 112.94 15.77 97.17 1/16/96 112.94 14.52 98.42 5 / 23 / 9 6 112.94 14.51 98.43 9/16/96 112.94 16.82 96.12 1 /31 / 97 112.94 12.65 100.29 MW-7 9/9/93 120.81 14.8 106.01 1/14/94 120.81 11.91 108.9 4/21/94 120.81 13.32 107.49 9/8/94 120.81 14.82 105.99 1/16/95 120.81 10.17 110.64 4/6/95 _ 120.81 12.03 108.78 9/26/95 120.81 13.65 107.16 ' 1/16/96 120.81 14.41 106.4 5/23 /96 120.81 13.88 106.93 9 / 16 / 9 6 120.81 16.52 104.29 1 /31 /97 120.81 11.44 109.37 GT-8 9/9/93 114.82 0.00 114.82 1/14/94 114.82 0.00 114.82 4/21/94 114.82 0.92 113.9 9/8/94 114.82 0.80 114.02 1/16/95 114.82 0.02 114.8 4/6/95 114.82 0.03 114.79 9/26/95 114.82 1.65 113.17 1/16/96 114.82 0.4 114.42 Page 2 of 5 S;o 9 a6ed SEZOI Z6'9 SZ'60I 96/9/i, ZS'i3OI EL'TI SZ'60I 96/9I/I SL'66 S'6 SZ'60I 56/8/6 ZS'i0I EL'L SZ'60I WIZ/V 6VEOI 96'9 9Z'60I b6/i,I/I 19'001 i19'8 SZ'60I E6/6/6 ZI-19 EY'80I 111'6 LS'LII WWI Z6'SOI 99'11 LS'LII 96/91/6 90'90I ZS'II LS'Lii 96/EZ/9 SL'SOI Z8'II LS'LII 96/91/1 s£'IOI 61'Ei LS'LII 96/9Z/6 OY'80i Li'6 LS'LII 96/9/h WIii 89'S LS'LII 96/91/I SE'SOI ZZ'Zi LS'LII i,6/8/6 Z8'901 SCOT LS'LiI WIZ/i, ES'Oii 60'L LS'LiI b6/K/i L9'90I II LS'LII E6/6/6 ii-19 Z6'EOI IVZ E8'Oii MAUI 8Z'L6 S9'EI E9'0II 96/9I/6 99'10I LL'6 E8'0II 96/EZ/9 SE'OOi SVOi £s'OII 96/91/I 19'86 ZZ'Zi 68'0II 96/9Z/6 EO'EOL 8'L E8'0I1 96/9/i' SCZOi 80'8 Es'OIl 96/9I/I V66 E6'II £s'OIl WS/6 WWI I'6 £9'Oii T,6/IZ/i, LO'ZOI 9L's E8'011 i'6/i'I/i IE'66 ZS'iI ES'OIi E6/6/6 01-19 OCEOI 9VEi sl'LIi L6/IE/i K'66 is'LI Si'Lii 96/91/6 6I'ZOi 96'iI SI'LII 96/EZ/2 96'I01 Z'Si Si'Lii 96/91/1 "10I IL'Si SI'Lii 96/9Z/6 fs'EOi WET SI'LII 96/9/i' EZ'SOI Z6'11 SI'M 96/91/1 96001 Z'91 SI'LII 66/8/6 Z{"ZOI EL111 SI'Lii ik6/iZ/i' LI'E01 WET SI'LII i' K/I E9'001 ZS'9i SI'Lii E6/6/6 6-19 Zs'ilii 00'0 Zs'ilII L6/IE/I Zs'6ii 00'0 Z8111 96/9i/6 19'EII ITI Zs'4II 96/EZ/9 uopenalg algey za;eiy punozf) not;enalg a;eQ QI IIaM za;eM punoz f) o f Iv aQ ulsez);o cToi eugozeJ tpzoN' mquuneZ uoTsrn.au:etle ul:•oul'za;seugseoL e;eQ alge.L za;eM punozq I a"MVI TABLE Ground Water Table Data Toastmaster, hic.; Ingraham Division Laurinbur , North Carolina Top of Casing Depth To Ground Water Well ID Date Elevation Ground Water Table Elevation 9/26/95 109.25 10.94 98.31 1/16/96 109.25 8.77 100.48 5/23/96 109.25 7.93 101.32 9/16/96 109.25 12.85 96.40 1/31/97 109.25 INACCESSIBLE GT-13 9/9/93 120.35 16.13 104.22 1/14/94 120.35 29.32 91.03 4/21/94 120.35 26.55 93.8 9/8/94 120.35 19.16 101.19 1/16/95 120.35 22.3 98.05 4/6/95 120.35 20.73 99.62 9 / 26 / 95 120.35 18.66 101.69 1/16/96 120.35 23.5 96.85 5/23/96 120.35 21.73 98.62 9/16/96 120.35 21.55 98.80 1/31/97 120.35 19.28 101.07 GT-14 9/9/93 119.03 13.09 105.94 1/14/94 119.03 9.41 109.62 4/21/94 119.03 11.58 107.45 9 / 8 / 94 119.03 12.91 106.12 1/16/95 119.03 9.56 109.47 4/6/95 119:03 9.72 109.31 9 / 26 / 95 119.03 13.91 105.12 1/16/96 119.03 12.02 107.01 5/23/96 119.03 11.12 107.91 9/16/96 119.03 15.82 103.21 1/31/97 119.03 6.07 112.96 RC-15 9/9/93 121.15 17.22 103.93 1/14/94 121.15 15.67 105.48 4/21/94 121.15 16.18 104.97 9 / 8 / 94 121.15 17.54 103.61 1/16/95 121.15 16.05 105.1 4/6/95 121.15 15.30 105.85 9 /26 / 95 121.15 17.09 104.06 1/16/96 121.15 17.29 103.86 5/23/96 121.15 19.80 101.35 9/16/96 121.15 19.74 101.41 1/31/97 121.15 15.82 105.33 Recovery Wells R-1 9/9/93 112.38 27.32 85.06 1/14/94 112.38 14.51 97.87 4/21/94 112.38 25.63 86.75 Page 4 of 5 TABLE Ground Water Table Data Toastmaster, Inc.; Ingraham Division Laurinbur , North Carolina Top of Casing Depth To Ground Water Well ID Date Elevation Ground Water Table Elevation 9/8/94 112.38 21.8 90.58 1/16/95 112.38 20.75 91.63 4/6/95 112.38 23.14 89.24 9/26/95 112.38 24.51 87.87 1/16/96 112.38 18.14 94.24 l5/23/96 112.38 15.42 96.96 9/16/96 112.38 19.92 92.46 1/31/97 112.38 18.71 93.67 R-2 9/9/93 117.48 34.65 82.83 1/14/94 117.48 25.56 91.92 4/21/94 117.48 24.73 92.75 9/8/94 117.48 26.23 91.25 1/16/95 117.48 28.85 88.63 4/6/95 117.48 25.21 92.27 9/26/95 117.48 24.07 93.41 1/16/96 117.48 22.99 94.49 5 /23 / 96 117.48 18.61 98.87 9/16/96 117.48 34.78 82.70 1/31/97 117.48 24.51 92.97 R-3 9/9/93 117.09 36.48 80.61 1/14/94 117.09 17.93 99.16 4/21/94 117.09 27.61 89.48 9/8/94 117.09 20.95 96.14 1/16/95 117.09 21.03 96.09 4/6/95 117.09 22.17 94.92 9/26/95 117.09 23.97 93.12 1/16/96 117.09 19.93 97.16 5 / 23 / 96 117.09 16.31 100.78 9/16/96 117.09 34.30 82.79 1/31/97 117.09 28.97 88.12 Page 5of5 TABLE2 Selected Ground Water Table Data Toastmaster, Inc., Ingraham Division Laurinburg, North Carolina Well ID Date Trichloroethene PPB Monitoring Well MW-1 9/9/93 1,000 MW-1 1/14/94 290 MW-1 4/21/94 250 MW-1 9/8/94 44 MW-1 1/16/95 1,300 MW-1 4/6/95 480 MW-1 9/26/95 1,100 MW-1 1/16/96 930 MW-1 5/23/96 96 MW-1 9/16/96 510 MW-1 1/31/97 730 AM-2 9/9/93 940 NM-2 1/14/94 <5.0 MW-2 4/21/94 90 MW-2 9/8/94 <5.0 NM-2 1/16/95 330 MW-2 4/6/95 1,200 MW-2 9/26/95 160 MW-2 1/16/96 1,100 MW-2 5/23/96 29 MW-2 9/16/96 8.0 NW-2 1/31/97 14.0 GT-3 9/9/93 970 GT-3 1/14/94 500 GT-3 4/21/94 2,100 GT-3 9/8/94 200 GT-3 1/16/95 1,300 GT-3 4/6/95 1,700 GT-3 9/26/95 No Data GT-3 1/16/96 No Data GT-3 5/23/96 No Data GT-3 9/16/96 No Data GT-3 1/31/97 No Data MW-4 9/9/93 11,000 MW-4 1/14/94 3,300 MW-4 4/21/94 11,000 MW-4 9/8/94 830 MW-4 1/16/95 9,800 MW-4 9/26/95 2,300 MW-4 1/16/96 6,100 MW-4 5/23/96 3,100 MW-4 9/16/96 1,600 MW-4 1/31/97 5,000 Page 1 of 5 TABLE2 Selected Ground Water Table Data Toastmaster, Inc., Ingraham Division Laurinburg, North Carolina Well ID Date Trichloroethene PPB MW-5 9/9/93 6,900 MW-5 1/14/94 11,000 MW-5 4/21/94 6,600 MW-5 9/8/94 16,000 MW-5 1/16/93 7,200 MW-5 4/6/95 3,600 MW-5 9/26/95 43,000 NM-5 1/16/96 13,000 MW-5 5/23/96 14,000 MW-5 9/16/96 9,000 MW-5 1/31/97 8,400 NM-6 9/9/93 2,500 MW-6 1/14/94 5,400 NM-6 4/21/94 1,500 NM-6 9/8/94 1,500 NM-6 1116195 7,400 MW-6 4/6/95 3,000 NM-6 9/26/95 3,800 MW-6 1116196 2,500 MW-6 5/23/96 1,800 NM-6 9/16/96 1,000 NM-6 1/31/97 1,800 MW-7 9/9/93 5,800 1,,W-7 1/14/94 4,100 MW-7 4/21/94 <5.0 MW-7 9/8/94 6,400 MW-7 1/16/95 6,200 NM-7 4/6/95 12,000 MW-7 9/26/95 1,600 NM-7 1/16/96 1,200 MW-7 5/23/96 14,000 MW-7 9/16/96 1,600 MW-7 1/31/97 12,000 GT-8 9/9/93 43 GT-8 1/14/94 120 GT-8 4/21/94 40 GT-8 9/8/94 <5.0 GT-8 1/16/95 <5.0 GT-8 4/6/95 42 GT-8 9/26/95 11 GT-8 1/16/96 15 GT-8 5/23/96 20 GT-8 9116196 <5.0 Page 2 of 5 TABLE2 Selected Ground Water Table Data Toastmaster, Inc., Ingraham Division Laurinburg, North Carolina Well ID Date Trichloroethene PPB GT-8 1/31/97 <5.0 GT-9 9/9/93 430 GT-9 1/14/94 27 GT-9 4/21/94 230 GT-9 9/8/94 59 GT-9 4/6/95 <5.0 GT-9 9/26/95 20 GT-9 1/16/96 16 GT-9 5/23/96 49 GT-9 9/16/96 54 GT-9 1/31/97 23 GT-10 9/9/93 13 GT-10 1/14/94 <5.0 GT-10 4/21/94 <5.0 GT-10 9/8/94 6 GT-10 1/16/95 <5.0 GT-10 4/6/95 230 GT-10 9/26/95 820 GT-10 1/16/96 17 GT-10 5/23/96 <5.0 GT-10 9/16/96 1,700 GT-10 1/31/97 <5.0 GT-11 9/9/93 420 GT-11 1/14/94 140 GT-11 4/21/94 99 GT-11 9/8/94 160 GT-11 1/16/95 97' GT-11 4/6/95 160 GT-11 9/26/95 320 GT-11 1/16/96 280 GT-11 5/23/96 240 GT-11 9/16/96 230 GT-11 1/31/97 ' 94 GT-12 9/9/93 170 GT-12 1/14/94 140 GT-12 4/21/94 98 GT-12 9/8/94 130 GT-12 1/16/95 77 GT-12 4/6/95 120 GT-12 9/26/95 48 GT-12 1/16/96 90 GT-12 5/23/96 41 GT-12 9/16/96 110 W; Page 3 of 5 TABLE2 Selected Ground Water Table Data Toastmaster, Inc., Ingraham Division Laurinburg, North Carolina Well ID Date Trichloroethene PPB GT-12 1/31/97 14 GT-13 9/9/93 170 GT-13 1/14/94 140 GT-13 4/21/94 140 GT-13 9/8/94 210 GT-13 1/16/95 400 GT-13 4/6/95 350 GT-13 9/26/95 170 GT-13 1/16/96 340 GT-13 5/23/96 230 GT-13 9/16/96 160 GT-13 1/31/97 62 GT-14 9/9/93 580 GT-14 1/14/94 1,200 GT-14 4/21/94 930 GT-14 9/8/94 140 GT-14 1/16/95 110 GT-14 4/6/95 170 GT-14 9/26/95 35 GT-14 1/16/96 28 GT-14 5/23/96 87 GT-14 9/16/96 460 GT-14 1/31/97 60 RC-15 9/9/93 6.9 RC-15 1/14/94 <5.0 RC-15 4/21/94 <5.0 RC-15 9/8/94 <5.0 RC-15 1/16/95 <5.0 RC-15 4/6/95 <5.0 RC-15 9/26/95 <5.0 RC-15 1/16/96 <5.0 RC-15 5/23/96 <5.0 RC-15 9/16/96 <5.0 RC-15 1/31/97 <5.0 R-1 9/9/93 1,300 R-1 4/21/94 2,400 R-1 1/16/95 2,500 R-1 4/6/95 2,500 R-1 9/26/95 1,900 R-1 1/16/96 1,600 R-1 5/23/96 1,800 R-1 9/16/96 1,500 R-1 1/31/97 1,400 Page 4 of 5 TABLE2 Selected Ground Water Table Data Toastmaster, Inc., Ingraham Division Laurinbur , North Carolina Well ID Date Trichloroethene PPB R-2 9/9/93 3,600 R-2 4/21/94 2,900 R-2 1/16/95 2,900 R-2 4/6/95 2,000 R-2 _ 9/26/95 1,800 R-2 1/16/96 2,300 R-2 5/23/96 2,900 R-2 9/16/96 2,000 R-2 1/31/97 2,000 R-3 9/9/93 1,000 R-3 4/21/94 990 R-3 1/16/95 1,300 R-3 4/6/95 450 R-3 9/26/95 210 R-3 1/16/96 410 R-3 5/23/96 1,700- R-3 9/16/96 310 R-3 1/31/27 460 Page 5 of 5 CHART TOASTMASTER, INC. INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE FOR TRICHI MONITORING WELL MW-2 1200 1000 :11 400 200 0 1 iecs I 24 I I I I 9/9/93 1/14/94 4/21/94 9/8/94 1/16/95 4/6/95 9/26/95 1/16/96 5/23/96 9/16/96 1/31/97 Date Sampled 12,000 10,000 ffif 4,000 2,000 0 4- 9/9/93 Chart 2 TOASTMASTER, INC. INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE DATA FOR TRI( MONITORING WELL MW-4 1/14/94 4/21/94 9/8/94 1/16/95 9/26/95 1/16/96 5/23/96 9/16/96 Date Sampled 1/31/97 8,000 7,000 ff2 5,000 a a a V 3,000 2,000 1,000 0 4--- 9/9/93 Chart 3 TOASTMASTER, INC INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE DATA FOR TRICHLOROEFHENE MONITORING WELL MW-6 1/14/94 4/21/94 9/8/94 1/16/95 4/6/95 9/26/95 1/16/96 5/23/96 9/16/96 1/31/97 Date Sampled 120 100 T U 40 20 09- 9/9/93 CHART4 TOASTMASTER, INC. INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE DATA FOR TRIC MONITORING WELL GT-8 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1/14/94 4/21/94 9/8/94 1/16/95 4/6/95 9/26/95 1/16/96 5/23/96 9/16/96 1/31/97 Date Sampled IBItDI 1600 1400 1000 d 800 V •O1 Will 200 CHARTS TOASTMASTER, INC. INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE DATA FOR TRICHLOROETHENE MONITORING WELL GT-10 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I - - - F - - - - -I { - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A- - - - - - - - - - - - - - - - - - - I - - - - - - - -I- - - -I 0 9/9/93 1/14/94 4/21/94 9/8/94 1/16/95 4/6/95 9/26/95 1/16/96 5/23/96 9/16/96 1/31/97 Data Sampled 01.101 160 140 120 m 40 99 CHART6 TOASTMASTER, INC. INGRAHAM DIVISION LAURINBURG, NORTH CAROLINA SELECTED GROUND WATER TABLE DATA FOR TRICHLOROETHENE MONITORING WELL GT-12 t-----------V ------ /--- \-------------n---------------------------------------1 0 -- 9/9/93 1/14/94 4/21/94 9/8/94 1/16/95 4/6/95 9/26/95 1/16/96 5/23/96 9/16/96 1/31/97 Date Sampled CERTIFICATE OF ANALYSIS Service Location Received Project Lab io HERITAGE ENVIRONMENTAL SERVICES, INC. 14-NOV-96 2609 C182498 COMMERCIAL LABORATORY OPERATIONS Complete PO Number 1319 MARQUETTE DRIVE 19-NOV-96 59213 ROMEOVILLE, IL 60441 Printed Sampled (708)378-1600 20-NOV-96 13-NOV-96 10:45 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID:'EFFLUENT PROJECT NAME: TOASTMASTERS, INC. SAMPLE ID: INFLUENT SAMPLE DESCRIPTION: SLUDGE SAMPLE - WWTP VOLATILE PRIORITY pOLtUTANTS EPA fi24` AnelysT-: -T I;TT, JR ;, Anakysis„Date 1iS NOY 96 20 5G instriment; GE/NS 40A .� .Test 0502 3.G` Parameter Result Det. Limit Units ACROLEIN BDL 50 _ ugA....:.:-.»,:;,: ................_ .........:::.::.:...:............::.: .:::........................:::,,........-:........ ACRYLUNIIRILE.............................................................................................................BDE:.-:::....::::......:,.:.::.._:.::.:.:.:..-.:.::.-:.,:::::::.:::::::.:.....Z.O:.::.:ug/E.. ........................... :..:..:........................ ...............-..-..:. ;;_;;:s: BENZENE BDL 5 ug/L B)tOMOFQRM........:::::.:>.;;:<>::.::<:ts>;;;::;;.•::;:;,;:::::::::.:::.......... ..BDL...:.............:,.-.. :.. �. 09�I CARBONTETRACHLORIDE BDL...................:............................................................5..... u.4/�:::......:::::::. CHLOROBENtfNEsi .....................................................................................: :..............:......::::::::::::%;=:',:.:;_:.:;:;::';:::?:::;i:;::::.`.::.:':::'::..........:BDL:::,:.::;:e>::;:.:::.:.::�:.: ,<,:-:::>::.:: , ::....5 CHLOROETHANE BDL 10 ug/L 2..CHLOROE7HYlVINYLETHER....: ....::.:.:..:::. :::.::::. %;':'::'::> :.. . ST L.... ........... 30 _ugJL ........ . CHLOROFORM BDL 5 ug/L . DIBROMOCHLOROMETHANE..;:..... ... ..:. .:.:...: . ...BDL..:........ .. ' : ..:.:::. 5 ;ug%L........ BROMODICHLOROMETHANE BDL 5_ ug/L BDL ; 5 . u9zt 1,2 DICHLOROETHANE BDL 5 ug/L. 1,1.DFCHLOROETHENE....._..:ri:>:.'::::::;::-::.:: -; .;.:` BDL..:......... 1,2-DICHLOROPROPANE BDL _ 5 ug/L CT5 L 3 DICHLDItOpROpENE";:.::>:::::`:;.;::.:;•:;'::>..'. BpE 5 u9/L TRANS 3 DICHLOROPROPENE _. .BDL ........_ 5 ug/L .1 .... ETHYL>:BENZENE;;.<,;>?;>.:.:.::::::.<::::f::..... BDL:3 ........ .:.....:.:....: ,....... BROMOMETHANE BDL 10 ug/L . .- ......:.......:............... CHLOROME7HANEs:::::::;>>.:::.:.>;>s:::::.::..:::.::::.:.:::........::.::;;;:::::::....BDE;.i;.::°.'..:::.:•.;::,:>1Q. u 9/ .......... DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L .. L,.i,:2: 2..TETRAENLOROETHANE .... .::......... BDL... ....... .: :.... , .... TETRACHLOROETHENE BDL 5 ug/L TOLUENE:;:;:;<:::::.:::::.:.:.<;::;><:,:::.::::,:.:.:;::;:::;.;• -::..... . ......: BDl r . CIS.... 1,2 DICHLOROETHENE BDL.. ?...u9/L ................: TRANS .i,Z DICHLORUE HENS ..:.. ; :.';::;::;i::. ..__.. BDE.;: ..::........:.-... 1,1,1-TRICHLOROETHANE BDL 5 ug/L X.111.2HT ICHCOROETHANE:' .. _..... .: ...... BDk:;. ..::. ... ;:.> ::::`s>:; 5 :u9iL RM TRICHLOROETHENE............_ EST.-:3:......::,:.......-.::.:::::.-::::::::::-:.-:..::::.:....:......5.::: 9/ ........................................_............,........._..,....:-.:..... TRICHLOROFLUOROMETHANE .. ....BUL i .. .....5. ::::::.-:::::.:... ;ug/G;>.. ::: VINYL CHLORIDE BDL 10 ug/L 1 2=0TCHLOR�BENZENE::O D.TCHLOROB(NZENE BbL:....... ::. .. 5...u' L .: Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: C182498 EFFLUENT Parameter Result Det. Limit Units 1.3-DICHLOROBENZENE (M-DICHLOROBENZENE) BDL 1 5 ug/L Sample Comments BDL Below Detection Limit EST Estimated Value Sample chain of custody number R-10014. This Certificate shall not be reproduced, except in full, without the written approval of,the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 06-DEC-S 2609 C182936 COMMERCIAL LABORATORY OPERATIONS - complete Po Number 1319 MARQUETTE DRIVE 13-DEC-96 59226 ROMEOVILLE, IL 60441 Printed Sampled (708)378-1600 13—DEC-96 05—DEC-96 13:19 Report To BiLL To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: GROUNDWATER PROJECT NAME: TOASTMASTERS, INC. SAMPLE ID: EFFLUENT SAMPLE DESCRIPTION: SLUDGE SAMPLE - WWTP VOLATILE PRIORITY POLLU.-M.. EPA 624 Ana lYst'7 NL'DEVI'IT, 3R _...�;. ... AnalY9i.3 pate 1=DEC,% 1850 . ;IifsYPilllent GCJNS YOA :; Parameter Result Det. Limit Units ACROLEI_N BDL50 ug/L.::.::.-:.:::::: ...........................................................................:......:::.::::::::::::::::.::::::.:.-:.:::.: BENZENE..............................................................................::::::::::::::::::::::::.-:::::::::•::::BDL 5u:9L:::::::::.:::..-:. CARBON..:TETRACHLORI DE ....................................................................................._BDL:.......-:.-.......:::::::.-.::.......::......:::::::::......::.::::::::::•:::5::::...9 _EHLOROBENZENE,.>z.......................................................................:..:_.::...............:.:.::.BOL:?;:;:: ;;;;i :::;:;:::;::;:.;:;;;;;:;::::::: ;::;:::::::::-;i';x( ..5 :.:::::::::::,:. CHLOROETHANE BDL 10 ug/L Z..CHLOROETHYLY.xNYETHER.............:::.:......::...:.. Bpk::.:�::.::..::.:..:................ ug/ CHLOROFORM..........................................................:::::::::::::::..-:.-::::.-::::::;::.::::: BDL:•::::::::::::::::::::::.:.....:..:....:.......:::.::..:.......:.:...........5:..:_°gn........::....... ................................. DIBROMOCHLOROMETHANE....:::::::::::::.::::•::;::::::::;::::::::-;::::...::.::.:.::.....:....._,BOL..............................,._ ; ....::..: ; <. ;::.;......:::: . ;;;::::..:; .:::::;;. 5 ...0 J/ BROMODICHLOROMETHANE BDL 5 ug/L CHLOROi;7HANE ...........: . , ...... H _.k.._........................ 9/... I:.,.2.-DICHLOROETHANE ............................................_..:..:....................:.............,.,..BDL.......:.......::::::::::::::::::::::......::::::.:::<::5::.:....9 1,,.1.-:D IC HLUBQEItiE N E::::..::.:.:....::::::::::.-:::.::.::.::.::..::..:....:..:::.......................:.::BDL:.-:..-:::.-.:.:.:....:..::.:..:.::.:.:.-..::.:.:... 9/ 1,2—DICHLOROPROPANE BDL 5 ug/L ................... CT5.::1,3..pTCHLOROPROP.ENE.........................................................8 _L............_................. 9I .............. TRANS-1, 3.-DICHLOROPROPENE 5: .�9/�.......::::::::::: ..................................................................,.,,BDL.::::::::.-:.-.......:::::::::::.-:::.......:::::::.:::::::.......:........... .. :::::::::::::::: :...... .:.:::::::.:.:..:...............................................................................................BDL;:::;i:;;:;;;;;:;:=:;:e>;:;>.:.::::;;';;:;"'::` ETHYL...BENZf[JE............................................................................................................ J/ BROMOMETHANE.........................................................................................................BDL 10 ug/L.................. CHLORONETHANE-:::..:.::.-:::::::::..........:....:..........:.................... .... HOk:::::::.::.::.:. ........................... DICHLOROMETHANE.....(METHYLENE...CHLORIDE)...,..:....;::::::BDL.-::::;::.-::::::.-:::::::::::::.-:::.-:, :::.:.-::::....:..._.::,.;:..:.:: 5:..::q9/�...:...._:.;::.::. I,I:,:?is2...TETRACHEDROETHANE........... BDL._;t;: <:.:::;::.:.:`.:::.;:..:;.i..:..... ':::;,<:..5.....ug/L TETRACHLOROETHENE..................................................:.........::..:,..,.::.::::.:... BDL:::.:.:.:::.:.::::::::::::::::::::::::::::::.:.::::::::::.:::::.:::::::::5 u9/L::::::::::::::: - CIS...1_, 2,-DICHLOROETHENE BDL 5 u L ......:.......................:................::::::::::::::.-:.:-:.-:.-:.......:;:..............-:.-::::::.:-:.:.-::::.::::::•::::::.9/..:::::;::::::.::: TRANS:�>L,:?.-DI:CHLUHt1ETHENE.:.........:;.:.:..:.:.::::..:.:::::.::.::.:..:.............._........BDL.......:.:::.-:::.-:.-::..::.:..:.:....:..:,::�:.,-.:....::.: ;...5. ug/t:::-::.....:: 1,1,1-TRICHLOROETHANE ..........:..:................................................................:..,BDL 1,1>�-?RICHLORgE'FHAN.E.......................................... Hpk...........:::, :..:........:::.:::::......:.:.... :.....-::......::...-....5.::.::,.....- u9/: TRICHLOROETHENE BDL 5, ug/L. •. FRICHLOROFLh .....::.::.:.... :::>:;i: ;:.::..... i:::;l:. <::::::;a:...5_ . ,_u :L .......... 9/ VINYL CHLORIDE BDL 10 ug/L 1 2=DICH[OROBENZEHE. O..:DICHLOROBEMZENE BDL: 5...0 :_L ......... Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Parameter 1,3-DICHLOROBENZENE (M-DICHLOROBENZEN :1 dilution Sample ID: C182936 GROUNDWATER Result Det: Limit I Units BDL b ua/L Sample Canments BDL Below Detection Limit Sample chain of custody number R-10108. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Page 2 (last page) • R r-- Cr- ruffl [-: D CERT I F I CATE 0 F ANALYS I S ay DATE J Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 14-JAN-97 2609 IC183439 COMMERCIAL LABORATORY OPERATIONS complete PO Number 1319 MARQUETTE DRIVE 24-JAN-97 59237 ROMEOVILLE, IL 60441 Printed Sampled (708)378-1600 25-JAN-97 13-JAN-97 13:45 Report To STEVE TYLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 CLIENT ID: EFFLUENT PROJECT NAME: TOASTMASTER, INC. SAMPLE DESCRIPTION: GROUNDWATER Bill To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 Sample Description Parameter Result ACROLEIN L %ACR . ........ . ..... ... .. .. .. .. ... ... .. .. ...... ........ .. .... BENZENE L ... ..... ............ ....... ...... ........... .................... ........ --- ............. ..... ......... ........ ............................. .......... .. . ... . .. .... ............. .. -- ... ...... ......... L.... : ........... CARBON TETRACHLORIDE .. ........ * ........ * .. .... , IL CHLOROFORM BDL .D.10ROMOCHEOR0M ETHANE:*..'' BROMODICHLOROMETHANE BD-L- ... ...... 1,2-DICHLOROETHANE BDL -.0I.CHLOROFTHENE- .... . . .... 27A.I C.H.L.P.R.O.P.R.O.PARE .1.7 ........... .. . ......... ............... I HLOROPROPENE-..-'....� - . ....... .. ... C .. ... ........ - . .. . ... . ...... ... .. . . . .... ;:..BDL::`. .... ...... . ... . ...... ..... ... B ..... .. TRANS-1,3-DICHLOROPROPENE BDL .......................... ....... . . . ... .... . .... E ...... ..... .. ....... ... . .. . .. . . . . .. ... . BDL BROMOMETHANE BDL B DICHLOROMETHANE (METHYLENE CHLORIDE) BDL -TET CHLOROETHANE .,.I. 2,2..L.M ...T,E,T.R.AC.H..L..O..R.O.E.T�H..E.N..E� ...... . ....... .... OLUENEBDL ... . . ... ... .. TRANS-1 2-DICHLOROETHENE BDL 1--j- -1 4CHLOROETHANE., . .. . .... .... L...- 1.2-i I 27TRI CH LOROETHA N E.. , :-TR ...... . ..... . --1 .. .... ..BDL..__ ..... BDG TRICHLOROFLUOROMETHANE BDL ;VINYL..CHLORIDE*,..*.*. `* ...... 1.,17DICHLOROBE NZENE (O-DICHLOROBENZENE) . . ...BDL BDL 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL Panes 1 Det. Limit 50 5 Units 5 1 uq/L inued on next Daqe) HERITAGE ENVIRONMENTAL SERVICES, INC. i Sample ID: C183439 EFFLUENT Sample Comments BDL Below Detection Limit Sample chain of custody number R10461. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project. Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400023 COMMERCIAL LABORATORY OPERATIONS complete PO Nudber 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: MW1 PROJECT NAME: TOASTMASTER, INC. - Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L BENZENE__.. BDL 5 ug[L...... Y BRO. OFORM ......;;;sr;:;::::;:: ;>: a::::::::::::::::>;;::c::;;;::>;:: ;:ra:a;;>s:::.,>;z,:;-:;: ;::...... .. ... ;;:::BDEi _,...... CARBON TETRACHLORIDE BDL 5 ug/L CH O OBE Z E....': i`:?>:;">';:';'::;:yss;;;;;;;;;;;;;;;>•:;>.<::;;;<::;;:>`:;::;::;:`:::';":`::.::: L._13. __ N E.N _.............................. ..:.. ;<':. :;.:;;;:;.:;;:::;;;:.;> :.:,,?,,. °':::: EAL..... 5.. u9l:L....::...:::.: CHLOROETHANE_.._.... BDL 10... s.2.-CHLOROETHYLV>iNXLETHER 1Q....ugfL.... CHLOROFORM BDL 5 ug/L R, BROMODLCHLDROMETHANE....._._ BDL .............._......................._........_........................ 2>1...D.-I-flu 'OETHANE....._..:;:?!i::::":':';'',:i::!.:::>.:.......:..:::...:.::::::i::;<60E;:;;::';:;<:;i':;;;i;:;::.:-:.., ........................................................_ ... ....-:........ ............`�....u9/..L..__.._._.... .... 1,2 DICHLOROETHANE BDL 5 ug/L ....:.... . BDL 5... .1_,.2,-DICHLOROPROPANE GIS::I,3..DICHLOBOPRO:PENE __.......:>°>::.;:,.,-:::;::::::::.:.:.:...:,.... '>;iBDt;=; .._..:: _49L........_ .__.._ TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L ETHY.L..:HENZENE .: ' :;`:?;,`;:.;;:., ..:.:. BDL ..:::: `::::;:: :.:..:..: ...... 5.......Vk BROMOMETHANE BDL 10..._�9/..L....__ ..................... .. CHCOROMETHANE..::=::::; ;: ;.:r.;.:; . .: :.......... .. BDL ...:.:::::.*...:; ::::... ....... ........ DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L .x,2,2-TETRAC{(LOROETNANE ......... ....... ... TETRACHLOROETHENE...__.-_._.. BDL •..:.........::........ 5 _._ug/L._ ............... :..:...:...:......:.........,,.:..................:......:.............................,....::.... .IOLUENE:.............................................::::::::::.::::::.i.:::i::.::;:iiir;::.°i.:::::::::::::::i;:'::i :s.BD' ....... ::::::::::::::°;:r::;;:::;;::-:i>. ;:, ..: ::::..;...... .:... TRANS-I,2-DICHLOROETHENE 55 ug/L : /L: 1,1,2 TRICHLOROETHANE ..... 0 BDL � - 5 ug/L TRICHLOROETHENE ................... :. * , . Q,........ 5 :ug/L TRICHLOROFLUOROMETHANE BDL 5 ug/L VINYL : c(�► oRIOE::;::::::; ::>;;;>::. .... ..... .. ug%L 1,.2.-DICHLOROBENZENE....(O.-DICHLOROBENZENE)........_._......._ BDL.._...._ I,3r.:DICHLOROBENZENE.`(M:=DIGHLOROBENZENE} .:::; _......................._..__......._....._.....5_...u.9LL... .BDL'' _ . 5 ....... ,.ug/,:L. 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400023 MW1 Parameter (Note: * Above linear range -- please see replicate 1. ** COMPOUND COELUTES WITH CIS 1,2 DICHLOROETHENE. Parameter ACROLEIN iida011111l:? 1:3174 ResultLimit Units Result Det. Limit 1 Units 500 uo/L 50 1 uo/L L L Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400023 MW1 Sampie Ca nts * See Note for Parameter ** See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 IA400026 COMMERCIAL LABORATORY OPERATIONS CoupLete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To BiLL To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: MW2 PROJECT NAME: TOASTMASTER, INC. ACROLEIN 9TRUM9, BENZENE.......... CARBON TET THLOROSENZ. CHLOROETHA ;2`TCH[Oftdff CHLOROFORM Parameter LORIDE 1,2-DICHLOROETHANE JO.QMWMHENE .-.-.i;,.?_-..D.I.C.H.L.O..R.O.P.R.O.,P.AN. -.-.015- HLOROPR TRANS-1.3-DICHLORO ENE Result Det. Limit 1 Units BDL 1 50 uq/L 4 BDL 5 ug/L OM��� RRERME s `.; ' BDL 5... u9 IL ........ .......... - ... -- ....... ...... -- ............. .. ... BDL 5 ug/L BDL `5..... 4g/l BDL 5 uq/L BDL 1 5 ...................... . ..................... .. . . . .............. ............................ ....... ............. ... ... . * ... * . ... ... ... .... .. .. ... . ....... .... .... .. ...... . . ... ............... ........ . ..... ....... . ........... ... . . . . . . . . . . . ............. . .. . .... . i. TRANS-1,2-DICHLOROETHENE 5......u.g.. LB.bL ... . . . .... . . "BDL ........ ....... ........... . . ... .......... ..... ....... ..... .... ... .......... ......... . ...... .... .. .. .. .. g CH LORD ETHANE BDL ......... u.. . ............... .- *I —RICHEOkd T ... . ..... ...... lA. ...... ....... .... 5lg/ ...... ....... TRICHLOROFLUOROMETHANE BDL 5 ug/L . .......... 1,.2 BDL 5...0 /................ .-4�DICHLOROBENZENE*(0.-DICHLOROBENZENE) ...DICHLOROBENZENE..(MnDICHLOROBENZENE . 9TL 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) ..... BDL ................ ....................... ......... ...................... .5. YR/.L. ...... ............ Paqe 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample I0: A400026 MW2 Sanple Ca nts BDL Below Detection Limit Sample chain of custody number R9273. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved : p.'�', 41 '/' a Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400027 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 17-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 18-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 ' Sanple Description CLIENT ID: MW4 PROJECT NAME: TOASTMASTER, INC. Parameter CARBON TETRACHLORIDE CHLOROFORM 1,2-DICHLOROETHANE 1,2,-D ICHLOROPROPANE............._... iCI S._1;:3�D.LC#ILOROPROPENE TRANS-I,3-DICHLOROPROPENE DICHLOROMETHANE TRANS-I,2-DICHLOROETHENE T:RICHLOROERA NE;>;..: 1,.I., 2-TRICHLOROETHANE._., TRICHLOR6 THENE TRICHLOROFLUOROMETHANE VINYL'GHLDRIR�:: 1,2 DICHLOROBENZENE (0- ................ O 1,3.DCHLOAOBENZENE 1,4DICHLOROBENZENE (P-D Result BDL BDL 9DL BDL BDL BDL s1 Det. Limit Units 50 ug/L.._, ._...... 5..._lg/..L. 5 ug/L 5 1 ug/L 5 ug/L 5. Ug/L ......... _5...9g/L _ :._.. 5 ug/L 5:.;...u9lt . lO....yg/L IO ug/L 5 ug/L 5..._ugLL 5 ug/L S ugjL 5 ug%L 5 ug%L 5 ug/L e 1 (cont inued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400027 MW4 Parameter Result Det. Limit Units ACROLEIN BDL 2500 ug/L ............ ..: ACRYLON:ITRiLE....> ......:.. ......: :.:::.:•.:.:..:.:; :::: ,;::;:- .. ..:................ ..BDL.;:::::::..;:>:.:;.;'-::':':.:::.::. 3.5:00. ug/t. BENZENE BDL .... - _..... qg/L... ..,, CARBON TETRACHLORIDE BDL 250 ug/L ;CHLORoBENZiNE....:;..: ;. .::. ;' ....BbL..:....;. CHLOROETHANE .........:..... BDL 500 ug/L: 2...CHLOROETHYLYINYLETHER .- :.:.... ` ..:....BDL:;.: - - .:... .....:. CHLOROFORM BDL 250 ug/L D.iB.R01NOCHLDROM. ETHANE:.:: ; ...........BDL.......::::::;::'::::::::': ..:...... ?50....ug/..k........ BROMODICHLOROMETHANE BDL 250...._ug/L i., I:�.DICHLDROETHRNE :::`i::.:.i•::;..,:r:;';::. '::.... ...:....:::::.-::r;:-': ...BDL.....:::;::r :>'::'i:>i: ...:.: 250.. ug/:L 1> 2 DICHLOROETHANE BDL 250 ug/L ............... ._l.>_2.-DI_CHLOROPROPANE:::::::,-:.-:.-::::::::::::::.:..-,::..::::::::::.:::.:::::.::::::BDL.:::::.:::.-:::.:.:....-:.-.:::::::::.:-::.-:::::.:::.-::.,._::z5:�•:: QICHLOR02ROPENE':F...... :::;;:;:<::::::;:;;:.BQC°::.::;: .:. TRANS-I,3-DICHLOROPROPENE BDL 250 ug/L A/. BROMOMETHANE.._.__ BDL ..................................._...............,..::-:::::.-::::.::::.-:.-::::.-::::::::. :::::::::::::'::;:'s;::.':;:.:.:;.;<:;:::::;.;:.:';:<>'° .,.BDL.:::::::;:;.;::<:.:'::':... .>..... e.500 ::ug%E.. DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 250 ug/L :. . Bpk .....:;<` `_: ;.:':::.;::. .... ;250._ . ugJl . TETRACHLOROETHENE 25:0::. U9/L.. :....:.....::::::-::.:::-:::...... ...-........::.::BDL:.....:-:::.-.::.:. ...._.....:.:.:..... -...,:. 60L; ,::,.:..:.......:.:... _: ....... ;. 250...ug/i .. _ . TRANS-I,2-DICHLOROETHENE * 600 ug/L... 1.,1,1....7RXCHC UWUHANE _...:...250 1_,_1..,2-TRICHLOROETHANE BDL.. 250 ug/L TRI:CHLOROET}IENE;:?-: <.:.'>;;i;.' 8U:00.;:. 250.:: ug/t . ... <.. TRI CHLOROFLUOROMETHANE BDL 250 ug/L VTNYL.GHLORIDEi .. 1,2 DICHLOROBENZENE (0-DICHLOROBENZENE) BDL_; BDL :;500 250 ugJL ug/L 1,3..:D.IGOROB HLENZENE...(M=DICHLOROBENZENE)...:..... > BQL;:?:: 250.. . ug/L ' - - _1,4_DICHLOROBENZENE...(P__DICHLOROBENZENE:�:::::.::::.-:::.:-::::::::::::::::..::::::::::::::.-::::::::::.::::::::::::.:::... BDL 250 ..._..........._...9/._. u L (SURROGATE RECOVERY ..:..... :..:..:.....:.: DICHLOROETHANE-D4 ........ 122 . % Rec .....--..... 98.. `. ....;. . 4-BROMOFLUOROBENZENE 110 %Rec 1:50 DILUTION *COMPOUND COELUTES WITH CIS 1,2 DICHLOROETHENE Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES,-INC. Sample ID: A400027 MW4 Sempte Comments * See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9273. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. IBO1 STADIUM BLVD., COLUMBIA, MO 65202 Approved : Q.k Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400019 COMMERCIAL LABORATORY OPERATIONS complete PO NumUer 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: MW5 PROJECT NAME: TOASTMASTER, INC. YOLATIlE PRIORITY POLLUTANTS EPA fi24 . pnaLYet. B NAZUR R ;: s'Analysis Date ;12;,:PE6 9i 19.5 ,:Instrwant. GCYMS VOA - Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L ...................... BENZENE............._..............................................._:........_....................._........,..:................BDL:...:.-::::::::::, ::BROMOFORM;;;-;;:::;>;>:;-;:;:�;;;;;;;;;; -:::.::::::::.-::::::::.-:.-::::::::::::::::::::::::::::::::::.:.:::.:.:: ?:.B ;;;;;>:;:;:;;;:;s;;:- :::;�>::;�;:�>::;;;;::�:�;;:;;:;;:;;;:;;: ;;;:........ L:t< i::<s:;s r s;:tat<;;; Q............................T�......ug/L................. ::.-:::::..:_.........._`�..._u9/..L:................. CARBON TETRACHLORIDE 5 ......................................................................................BDL ............:: ;>:........................ ::: .........................:.................................................._............._..............8._.k....:..................................................................................9/__._........_..... ...: D €;:>;>:: >:>' ::; `»s»><:; »za: f»? :'-.`-is? ?i»;:'>;;:? ;i.........:i5 i> _u9/L.................. >a ' lI>:=;>: ;»;:;:; CHLOROETHANE................................................................... ...................................... ..... BDL.....,.......................................................................10...._u.9LL.................. 2. _CHLORDE.THYLV3NYLETHER ::.-::.:-:...:::...: •:.:.::...: •...:::.:::.:.:....:.::.... BDL.................................................... :...................................................::.::..» ::::::::..... ..ug/L . .... CHLOROFORM BDL 5.... ug/L ,Ug/:L BROMODIC ............._HLORONETHANE.:.._............._.._........................_........._..:_................_BDL............_............... ;;:;;:;.::::..:. .: E>:a;;;;t:;::;i;;:ii;;;;;;:;:;';;;:;:i;;;s;;;;;;;;;;;;;;;;;i;:;;S;: i::;:; 1,,:1-D:LCHLOROETHAN ........ _-........`�....U.9/..L g/ 1,2-DICHLOROETHANE BDL 5 ug/L 1.>1.._DTCHLORgEC1ENB .....:......:.:. BDL 5 ....... ug/L _!,.2.-DICHLOROPROPANE......_:.................: BDL- ........................................................_.._.......... `�...._U9LL_ DIGIiLOROPROPENE.;;=;;:;;:..>:':;:;; ;.;'':;"?.:;;:::?......:;;:4_ .... ........_...:............... TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L .:...........?::: ::....:::::::. ....BDL ............... ..............:..... _..........._gl.. ., _.......... BROMOMETHANE::`..:.'<:' BDL ... 10 u L 9 / ................... CHLOROMETHANE... ..:.:.:::.:..,,....:.:::::..::...:.......:.:::.....::::.::............:......::::....;,.........................::....:..::.....: i:::::: Sr::....::<:::.:....:....:::.::.::.:..::::.:..::::.::::::...................B ::;_:..; :.:.:;;:;.-:.:.:..:...:::.... . 10....ug/L DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L 1.>.I:>.Z>:2.._TETRAC.HLUROETHANE..:.°.;=..;::::;`;:..,;`.i:::=;.;:;:`';:....._BbL ........... .: _:.:..... 5 ug/L, TETRACHLOROETHENE... BDL 5 ug/L ,.,..:...... ;::::: TOLUENE > ...BDL..... ....... :... .' .......:. 5.... ug/:L... TRANS-I,2-DICHLOROETHENE * 5 ug/L 1,1,2-TRICHLOROETHANE ............. .... .. .. BDL._............................... _.-._....._ 5....u9/.L . TRICHLO.ROETHENE ' * .......... .. . 5. ug/L TRICHLOROFLUOROMETHANE BDL 5 ug/L VLNYC;;•CHLORIDB...................................._.............................:...:...............................9.__.._......._..........._.__.................................._..........1.�......9/__ ..::. 1_,2_-DICHLOROBENZENE:._(D.-DICHLOROBENZENE)...........................BDL....................._.:............._...._......_._..._ ...:::;::;:;`a::::;:: .............. 5... _4g/L_..........._ I,3=DICHLOROBENZENEs(M.DICHLOROBENZENE).: BDL :,:::;`;;; .. --- .:.:..5 -; L 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400019 M145 Parameter Result lz Limit Units i.i.:..F..U...WWI .C�US:isiSii}!i5ii isiihi iii3)::4:{ . ...............................................................4...—__..i.5. 4-BROMOFLUOROBENZENE 713 % Rec5..i.i.i. Note: * Above linear range -- please see replicate 1. Parameter Result .Det. Limit Units ACROLEIN BDL 5000 ug/L BENZENE..............._........ ..... ..... _.__....._..__......_................. .........._._............. o-:BROMOF RM.................:::::..-:.::::.::::::.-:::::,::::::::::::::::::::::::::::::::.-:.-:.-::::..::.-::::::::.:-:....... ...... .:..:iDa;:::;:: .....BDL.........................._....._..... ,....................-_..........................:.500:.::ug/.:Lz;;;;>;::;>;:;;; ............. ....... .....__.._500..._u4/L..._......_. CARBON TETRACHLORIDE BDL 500 ug/L ::::::::::::.::::: .CHL..RO.BE.Nx.N.E;;;:::::;:;>;;>;;>s:::;:::.: . 5._.4......_9IL......_ _........ CHLOROETHANE BDL 1000 ug/L.__.. ....:..:.:...:...:.....:::::.-:::...:.::.::.:..........::.:.-:.- 2. `I H£ORflfTHi(LYI$YLETHER'i :::::::>:: :::::.:.:;:y:::::::::::::: ::::>::::>:;:.:;:. ................................ ;.::iBdE?;;:':':;'::'T.':'';r;i:`:ii?':i; ::;:::;.:::: ......... ;>::::::;::`IODO ug/L...._ ......... CHLOROFORM BDL 500. ug/L `f3i6R..�CO...N R_....�'fHANE......... .................... �__......................................... q..._ug/L.......... BROMODICHLOROMETHANE �9LL... :I 1:=.dICHLOROfTHANE , . .................................... ............................................. ..............:i'_;?:::::'::"';."i.`::>`:>r:;r'":;.:ss:e.:::.:::; .....BDL..........;.....-:::::..,,.,....;,...... .BDL....._. ........... ................. .._500..... ..... ....... ugiL.................. 1,2-DICHLOROETHANE BDL 500 ug/L �..lii5i3: U......�9/.L...:.........._ 1.z2.-DICHLOROPROPANE......._........._ ................_............................... ....BOL.....................-............. 500 .....0 ug/..�...__. __.. CIS...i,3=DIEHLOROPROPENE;:?;>:-`:.: ::.. : ..;i;;: i;..::;,::;>;; SDO.. _ug/_L;. TRANS-1,3-DICHLOROPROPENE BDL 500 ug/L ::; . _....... 0::.:;: BROMOMETHANE............................................................:.................................................. BDL.:...................................................................._1000..... qg/L.................. CHLOROMEFHANE::-::.; a:;:>;:;>;::;:?:"> :;?;;::`:::;;i:;::;::;::;:?;::::i:?:.'::::::::::..:.:::...........BDL....:......................................:.:'..:..::::..'...:....::::::....I .•.....: 00:,:.. :.......... ........ .:...:..-.:_...::: u g / L .................. DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 500 ug/L ................. . TETRACHLOROETHENE...,.___—. BDL 500 ug/L_.._,....__.. ......... __- TOLUENE................................................. B _ug/L..._.. __..... TRANS-I,2-DICHLOROETHENE * 1500 500 ug/L ... I.>.I., 2_-TRICHLOROETHANE ...............................:...................................:............._BDL...................................................................._ 500...._ug/L...... . -.;iRi.CHLOROETHENE :......................::::::::.-:::::::;::.-:::..:::..;.:::..:.::::.:::;:>::;;::: :.:.-:::.-..:::..-..:.-::::.:.:.....::.::.:............... ; ....84fl0....::;.;:::.::.::;;:.::.;,';::::,::: ?::`:`'` ._ _..:.500.: ug/_L;.._. TRICHLOROFLUOROMETHANE BDL 500 ug/L Y.T.NYL.....#iC.OR.Ip.�..........................................................................................................Bp.............._....................._................................._ �O.Q......u9/..._ ........ 1.,2.-DICHLOROBENZENE(O-DICHLOROBENZENE)_ BDL 500.....Yg/..L .... ....... ................. :1,3..:D;IiGHLORUBENZENE...:(M=DICHLOROBENZENE)': : :.:::::.:::.i>::: .............................................................._..._..... »6aE ._.._ _.._. 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) ...................................................................................................................................................................................................................................................................................... BDL 500 ....................... ..................................................... ug/L .......... .............................................................................................................................................................................................................................................................................. SURROGATE RECOVERY DICHLOROETHANE-D4 117 % Rec ..:::.;_..._...............::.:: TOLUENR:DB . g4....... .— . 4-BROMOFLUOROBENZENE 113 % Rec * COMPOUND CO -ELUTES WITH CIS-1,2-DICHLOROETHENE. 1:100 DILUTION Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample I0: A400019 MW5 Sample Ca nts * See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 180I STADIUM BLVD., COLUMBIA, MO 65202 Approved K C Page 3 (last page) CERTIFICATE OF ANALYSIS service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400028 COMMERCIAL LABORATORY OPERATIONS complete Po Number 7901 W. MORRIS ST. 17-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed sampled (317)243-8304 18-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 sample Description CLIENT ID: MW6 PROJECT NAME: TOASTMASTER, INC. - Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L :.- .::.......:.::.::::::.:.-..-.....::::.::.-:::::::....::::. _.a r:xk..►� Ts �.......................................... DID Lza. uglL.. BENZENE................ BDL............................................................_ ........................................................................................................... .. DL>::'-ii>:: ?stts :isy:;;:>;3.: y:::?:::::;:;::;:;:>:':i ............`�... ;:i:i> _u.9/L... ....::: CARBON TETRACHLORIDE BDL 5 ug/L CHLOROETHANE BDL .................................................................................................................................................. 2...CHLOROETHYLYINYLEf.HER......::;: :::..................... . ........................._.....................................-_.........10...._Ug/L ......::;:;:.::>s:; .... ,:;::;::y...::..:: :::.::': ;:YO,.. .... _..._....... ug/,.L.. ... CHLOROFORM BDL 5 ug/L BROMOOI.CHLOROMETHANE _.__ . ..._._ - ...,._„__ . ___._. 1,1.:D:I;CHLOROETHANE....,.... .'.,:;.....,::`:..... .. _BDL .. E° :; :. ::.; .. .A. 1,2-DICHLOROETHANE BDL 5 ug/L 1s.1._DICHLOROETHENE :::; 5. ug/k - 1,.2.-DICHLOROPROPANE._.__ ..... BDL... EIS DFCHLOROEROB.ENE. .... ......BDL.:: . ..... ..:'ug/C TRANS- I,3-DICHLOROPROPENE BDL 5 ug/L E7HYk. E eNZEr�E...: i' i;... >.:..... .:..>:. ........ >::... BDL....:....... ..... BROMOMETHANE... D..._�g/L.............. CHLOROMEIHANE::.-:::.:::::.-:.-.- ....................................... .................. ............... .............................. :::::::.:.::..................:...:.. . .....BDL............................................................................1 g/ ........ . DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L 5 ...WL TETRACHLOROETHENE..,.._ BDL 9/L.. TOLUENEi ....................................................._.._._..........._..._........ ,...::::;'.......BDL. ........._.........................................._.........._..........5... ,;<.:>;::;:.::..;;> 5: .4..... ugfL. TRANS-I,2-DICHLOROETHENE * 5 ug/L 1;L,L.TRICHLO.RQETHANE:. :::.._. ..........BDL . .. 5 ug L; 1.� . 2-TRICHLOROETHANE...._.:....: _.:...........BDL....... .......... ..... 5.. .Yg/..L ::TRICHLOROETHENE... ; ..:... .. * .....:..... TRICHL_OROFLUOROMETHANE BDL 5 ug/L .,2;-DICHLOROBENZENE-:::(O.-DICHLOROBENZENE).::.::.:.::::::.:....BDL:::::::.-::::.-:.:::::-:::::.-:::.-::,:.:: 1,3sDICHLOROBENZENE.(M-DIGHLOBOBENZENE:):::..:.::::.:::.::: ...BDL..:: -,..- .:.:::::.:::5::...0 - ,_.::...5, .ug/.L 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400028 MW6 IPRIORITY POLLUTANTS ;PA Q624..5i. i:P* ............. .n........... ... ..... . . . . . . ........ �VDLATIL...E...... 4: 7. i. Ann A4KAZUW-eqk6i,.".. � o vp Parameter Result Det. Limit Units ACROLEIN SOL 1200 ug/L ........... . . ............ . . . ... . ..... . ... . ... .. ....... ...... .. ..... .. . ........ ..... .. ............. ............. SOL ........................... ..... ......... ............... ... . ...... .. ....... ..... -7 4 ., _4 L BENZENE... qg/L.. ........ . .. ........ ..................... ..............................................BDL ........... . - IJO/. CARBON TETRACHLORIDE SOL 120 ug/L .. . .. ............. .......... ............... ..... .. . .. .. .... . .. . . . . . ............ ;..w �MMOBENZENE �=MM�MM"� . . . .... .... 1.10 .. ...... I . . .... — - 9 . . ...... . - CHLOROETHANE SOL ... .... . . H **y -.INY "ER .. .... . .. ....... ................ .. .d LbAbElff, 'Ev ill-TH . ......... .. ... ... BDL".'.--.... .. .. .. ........ ..... CHLOROFORM SOL 120 u... g/L DE ...0. .. UgA BROMODICHLOROMETHANE u 9 OMET .......... .................... .... .... ....... - . ....... ....... ..... . ..... .. . .... .... BDt.0 1,2-DI-CHLOROETHANE SOL 120 ug/L . . ................ .............. I .. I .. I .. . . .......... . . ..... ... ...... ..................... .... .......... ............... I., ........ .... - I I. ...................... I ........ ............ - U . J,�.-PIPHLOROPROPANE ........ ................... ........... .. ... ........ ..................................................................... B D L 120 .... - ... ..................... .... U.g/t ................. ..... ....................... Dlf ...... ........ .... ............ .... .. ... ... .. ............... --GIS�12. CHLOROPROPENEK.. . . .. ................ ..... . ... ...... ..... ........... TRANS-1,3-DICHLOROPROPENE SOL 120 ug/L -ET .......... ... ............. ... BROMOMETHANE SOL ............. .. ... ... ... .. ....... .. . .................... .................. I .......................... ... ..... ......................... . ..•. ............... ........ ........... ............................ ...... .............. ............ .......................... ....... .......................... B ................. .............. . . ......... ... ... DICHLOROMETHANE (METHYLENE CHLORIDE) SOL 120 ug/L . .... ..... I .... ... T . ... TIRACH E-T .. HAN ............... .. TETRACHLOROETHENE BDL JZP.. ug/L TOLUENE.................................... ..... . . . . .. ... . ........... . ......... TRANS-1,2-DICHLOROETHENE 280 120 ug/L IfT ..-RUHL HARE . . . .................. .. .... ...... ...... ..... ....... . . . . ........... - ..... -.1 ... ...... . .. .. ....... .. ............. ... . ..... . . ... ... 1.J,?.-TRICHLOROETHANE ........ * SOL 129 ug& TRICHEUUT .*....*....*.,*�*;.."..'-...*..I .. . . ....... .... ..... .... ..... .... ..... ............ 120 9 TRICHLOROFLUOROMETHANE SOL 120 ug/L ....... .. . .. . 3.1. ......... .... ................... ............ ........ . .................... ............ . .......... % -Z 5 .PICHLORO'BENZ'EN .............. ..... mg ...... ICHL0RGBENZENE)..BDL. �..... -u§/L'- ......................... 1--4...--..-..-.D........I.... ..I..............N...E(P.-..D....I..C...H...L...O...R...O....B...E...N...Z...E..I..N........E......)....................... 120 ug/L .... ... -C....-................................N.... .1-1.-.-.S..-.O-�.-.-L.-.- .................... -SURROGATE RECOVERY ;.% %. . ...... . .. .%-.-..-.-...-..-.-.� ......... ....... .......... ........... .......... . .. ........... I ................ ................... ... . ... . .... . .. DICHLOROETHANE-D4 ...... . .......... .. . . ..... .... ...... .. ........ � � . .... . ..... ... �. , : � ........................ I ........... ...... . ..... .. ...... 124 1 . % - :-,. - . ....... . ..... . ... . .......... % Rec ............ .. .... ....... .... . .. ... . .. . ... .. .. .......... ......................... . ... . ... ...................... --T . .... - . ..... ...... ..... .. . ...... .. .. .... . ... . .... .. ...... . ...... .... ... . . ec— 4-BROMOFLUOROBENZENE 113 Rec 1:25 DILUTION COMPOUND COELUTES WITH CIS 1,2 DICHLOROETHENE Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400028 MW6 Semple Comments * See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9273. This -Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved : Q .k 1[2 Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Proj eet Lab 1D HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400021 COMMERCIAL LABORATORY OPERATIONS Complete PO Nudmer 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To STEVE TVLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 CLIENT ID: MW7 PROJECT NAME: TOASTMASTER, INC. Bill To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 Semple Description HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400021 MW7 Parameter Result I Det. Limit Units TE RECOVERY Note: * Above linear range -- please see replicate 1. ** COMPOUND COELUTES WITH CIS 1,2 DICHLOROETHENE. VOLATILE PRIORITY POLLUTANTS EPA 624 r; pna LYSt,�. MAZU1€. : ... .; Analysis Daie 13 FER 97,'14 t�. .'instrument .GC(N5 VOA Test,.;'. QSQ2 3 1 Parameter Result Det. Limit Units ACROLEIN BDL 10000 ug/L >:ACRYLQNiTR LE....>.. .....BDL .: .....:.. .... BENZENE............ BDL...:. .........._.... 1.000. ug/L...... .. _..._........... _._ BROMDFORM::::>::::....:...... ?::::<;:;.. BDL ::..... -:: i:UQO uglC.. CARBON TETRACHLORIDE_ BDL 1.000 ug/L CHLORO.HENZENE kUOCk .ug/L CHLOROETHANE_ ............._.......:.....__..._..._...............::....,.,..::::::::::::._:::::: ,::;:::..::::BDL.::::::::::::.:::::::::::::::;..::::::::,:.:::::::..:::::::::::::........... ... .. . 2 CHLOROETHYLV,1.IVYLETHEft. ..:. :. .` . ......;.:::::.::>::::::...BDL. .::::;:::.":::::;:' 2d0U.. :u9/4:;::::::::::;-: CHLOROFORM BDL 1000 u L :DIBR4MUCHtORQMETHANE......: a-; BROMODICHLOROMETHANE ..... BDL..............::::::::::::::.::::.:::::::::::::::::.-:::::....:1000...._ Ug/L..-..._...... . .... ........................ .......... ............................................ 1 I.-DIiHLOROETHANE........:..:.:-•:::;-:_:.-::;::;:....:......::r::............:; .....................................................................................................................................................................................................:.....:.........................................9I................... ..BDL......':':.'":::;>;:'..<.:;;::...;>:.-K k000....0 ..L;::,.,.......:. 1,2-DICHLOROETHANE BDL 1000 ug/L .:.:.. ......................:.::.:::.. ::._ Q00..... ug/_L.......... .1.,.Z-DICHLOROPROPANE.__......_..._.__.._ .............................................................BDL...............................................:....................._1000:.... ..L......._ ..... .. .........:...• ,.....:............::::::.::::....::...• 3.-DICHLOROPROPENE::::........::::::::::.::;::::::a:::::::::........:...... ...... s......... _....... _......... _........_............................................................................................. BDE'i;;'.;.: ::;>......::,.,.:'a::.;`.::;':::::::.:::.IOOO:..0 _.................................................................... _... _........ _........9/............:..:; :L`>: TRANS-I,3-DICHLOROPROPENE BDL 1000 ug/L ........ .......: EIHYL:;;BENZENE:.:::........................................... ......:.......... . k000 u t 9/ BROMOMETHANE...........:..................:...::.........................................................:................_BDL......- 2000..... q.9/L.................: e:CHLOROMETHANE ;..... ';`<_;;:.'::.°; ';;i :. :::.-...,..,:..,.:.:,....::::::::::::::::::.,...,.. BDL .. ....... Z000.:.p .:L.. 9/ DICHL0ROMETHANE....(METHYLENE...CHLORIDE) ..................................._BDL...:...-.....................................,.....: 1,1,.2., 2;= fETRACHGOROETHANE ..:...... .:.:::......::r ...BDL...... .......... ........1000_ 100Q:.ug/t. .:�.9/L.... . TETRACHLOROETHENE........................._:.....:...::..-:..:::::-:.-:..:::-:.-:::.-:::.-::::.-.:::..-:. 2000........... ........_.:.:. _ _.._.. _:......_ ..:.:..090..:. �9/ -. TOLUENE: ..........:.:.::..:::..:...:.:. . ........::...:;:;. BDL .:;:.., .... 7:000 g9/:L TRANS 1,2 DICHLOROETHENE BDL 1000 ug/L ::..::;:=:;>:;`.....BDL..: ..a: k:0:0O..ug/..L 1,1•, 2-TRICHLOROETHANE BDL ._.. TRIGHLDROETHENE 120OQ:.... .... k 300_ yg/L. TRICHLOROFLUOROMETHANE BDL 1000 ug/L :.VINYL. CHLORIDE;>. BDC.. ........ :............ 2000 1.tZ-DICHLOROBENZ.... ...(O-DICHLOROBENZE...... ...................:..:.BDL:::::::::::::,::::; :::::::.:::::::::::..-......;;::::...10..... .P9/..L.................. 1.,3.DI:C.HLOROBEMZENE..(M DICHCOR..OBENZENE) ............BDL...:::::.:::::::?;;:;::>: ............. :.;.. ._,.,...1DOD. 1,4 DICHLOROBENZENE (P DICHLOROBENZENE) .... ,BDL 1000 ug/L ................................. SURROGATE.. RECOVERY.....................................................................: u..........W... .....,....::..:...::::.::: . :.................. .. DICHLOROETHANE-04 128 % Rec TOLUkNE:D8 ...........; : •:;::.;<.:: > ..: kOQ ::: .:Rec 4-BROMOFLUOROBENZENE 112 % Rec 1:200 DILUTION Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400021 MW7 Sample Convents * See Note for Parameter ** See Note for Parameter BDL Below Detection Limit E Estimated or exceeds calibration range Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, M0 65202 Approved �.k . 1� Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-S 2609 A400015 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To STEVE TYLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 CLIENT ID: GT8 PROJECT NAME: TOASTMASTER, INC. Bill To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 Sample Description HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400015 G178 Sample Comments BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved P. tea_. Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400013 COMMERCIAL LABORATORY OPERATIONS compLete Po Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed SampLed (317)243-8304 17-FEB-97 30-JAN-97 Report To Bi LL To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: GT9 PROJECT NAME: TOASTMASTER, INC. - Parameter Result Det. Limit Units ACROLE-IN BDL 50 ug/L BENZENE BDL .................... ..............................................:.i:3i s : $' :'i i:: ri :BDG»i......................................:.... .....................................:.......:.......... : ..........._5....U9/.L......-. ............ i:..............:::: .........5......ug/L........_....... ... .......... :::::::'; CARBON TETRACHLORIDE BDL 5 ug/L ... tOROB.I;NZENf ;. , ; :.:::::..:::::::.::: ;:;:;:......9pk... :.: ,::.::r.:;.:.... =..5.. U9/L CHLOROETHANE_________________.._.____ .....;.:..........:;....:::.-::.:.:...::. BDL ......................... 10. ug[L.._ 2.:CHLORDETHYLVINYLETHER ....._.::....;_.:.;:;:.-:..::::::: ..BDL,-..::;.:;.;:::r:::::::::.:::.:....::''`:::..: a.1D.. _ugj:L : . CHLOROFORM BDL 5 ug/L OOM THANE .:.. p.I_B...R...O..M.O...C._ ...-_._.................................................... ....._ . .. ............._........_ . . _.._...._......_` � BROMODICHLOROMETHANE .....................................................................................BDL........... .. .......................... .. 5.. 1,1...DIfC OROEs: NE......:>>..::?:'.:::;:;::.::..:;:y::.:,,....:.:.:.:;: :::....::.::...:.�.:�.,.,,';:::::.:::::::...:_5::;.:.ug/L.:;::;..::.::::.: _�9/..L.:.............. ;.. 1,2—DICHLOROETHANE BDL . 5 ug/L t,1:p:i:CNLQRp€1HN .: .: 1..:.2.-D I CHLOROPROPANE U.9/L.._._......._ ................................_.........................................._.........._BDL ..........:._...............................................:...._.:.._.....:5:.... . TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L RTHYL:BENZENE..:: .........:.,,;....::::...:....:;•:-:::::::.:::..::.:..:.:;:...:.;.:.. ....BDL..... BROMOMETHANE,. BDL 10 ug/L GHLDRDMETHANE.:._;:::.::::.;:.::s:::::;i;';: ............................................................_...................__...................:....._.._............_.................................. ;;;:;';;::::::'::;';.i::::::':::;;::;"':>;' ::.::.;_;.; ;;:..;:::-;:;:-:.-::.....-::.:.'::::._........:.::....I,O:..._ug/L:.: DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L 1,.1:�2i.2. T.BTRAGHLUROETNANB ...;: BDk...; :....S...U9/:L. . TETRACHLOROETHENE BDL 5. ug/L ..................... ........::.:.:............:......:.:..............................::.:::.- ...::.-.:.....:..:.......................:::: TOLUENE.. ........::.:.::....:.:... • ...... . ......... ::::.:BDL:::::>:>::::.; :-;;.,.;;;:::,::::;. . 5:.:ug/L ... ...__...... TRANS-I,2-DICHLOROETHENE BDL 5 ug/L ...;.:;::,;:: BUL;:.... _ 5..u9/L". . 1,_1,2_-TRICHLOROETHANE...._....._...._...__......_...__ ..............__.__ TRIGHLOROEIHENE..: .... .....BDL....__ ...__...._. .. 21..:; . ,: .. ..... .::. .5... _u.9/.L. TRICHLOROFLUOROMETHANE BDL 5 ug/L VINYL:CHLORIDE... BDL..::: 1,2 DICHLOROBENZENE (0 DICHLOROBENZENE) BDL 5 ug/L DItHLOR06ENZENE (M DIMEOROBENZENE). BDL.;:.. 5.::ug%:L: 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE). BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400013 GT9 Sample Ca nts BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO'65202 Approved : F.K �iog � Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400024 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed sampled (317)243-8304 1 17-FEB-97 30-JAN-97 Report To Bit l� To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Semple Description CLIENT ID: GTIO PROJECT NAME: TOASTMASTER, INC. VOLATILE PRIURTTY POLLUTANTS EPA 524 ': -�� Armiyst .B NAZUR Analysis ,Date , 13 E8 9T DttU2 , , trwtrlinent „GC(FSS VOR Test.; 0502 3 4. ' , ' Parameter Result Det. (Limit Units ACROLEIN BDL 50 ug/L X 'si::;5plsss:=;::':;:>:: i?:;;:;;::>;::;::;'>;::;:;:.;;;:>:;:;>::;::-:::::.::: -::vam BENZENE..............................................................................................................................B6QE DL 5.....u/..L................... •:BROM 0 F.ORMii;'i;>;»t:?:ti':i:'>;'>?:<tS>?:<t?>s»;;;;i;<;:i'i>:;tssa;:t»i>s:;;>:;:::»»s»;»;>:s>:�:;si> =.................................. is i?ii::is3:: ;:; aii:;;2isir Si:>ssirtr;: .g 9/ CARBON TETRACHLORIDE BDL 5 ug/L .._�#k .R .BONZE . E................................................................_.........................................5p ......................................................._......................ug/.k.................. .. .:::::::..:;..::..;..;.. 5.... CHLOROETHANEBDL 10._.._ug/L is2...CHLOROETHYLVINY.LETHERi:::::::.::::::::.:::::::::::':..:.....:::��::r .......:::.::::...:......:...::...:..:::.::::.-:.-:::::::.-::. a:.;.:;;...`..... ...................................... � ..BDL......::"`:�::::::;;:�::=>:s'�:;i.;.::.:;;;.::i . � ..................._IO....u. 9/ �L .................. ............. CHLOROFORM BDL 5 ug/L ::::: ....:.........;.....,.;...;..::::::..-.........::.:::::.;......,,WEME BROMODI,CHLOROMETHANE ............................................._....................................._BDL............................................-_............._....._..._5..._u9/..L._ :I>.I-D;ICHLOROETHANE.................. .............................................. b . ug/L..:_......... . 1,2-DICHLOROETHANE BDL 5 ug/L L,1... DTCHLORQETHNR.........::..::::....::::.:: ........_... .H..k ..... ......... ........... ., 1..:_2-DICHLOROPROPANE..._......... ....._....................._....................................... ...._BDL ... ..............................I.................., .........._...._......._`�...._U9LL CIS. I,:3wDICHLOROPROPENE:::::;3::..,..' TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L �TH�'k..8.5NX�NE ......5 k...... _............ SIL ......... BROMOMETHANE BDL 10....�9/..L..... ttGHLOROMETHANE»: ..........................._.. _.._.....- g/ DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L ;:.;.;:::-;-;._:::...5.:wk ......... TETRACHLOROETHENE 55....9g/L.:._ :. . ..........: TOLUENE?:: -:<:;..;:. .. ..:.BDL BDL....:::<::?::°:`:i:::.' .. :::::::.:.::::' : ;.... a'::.::.:::...5:...ug/L.. .... .... TRANS-I,2-DICHLOROETHENE BDL 5 ug/L. TRIGHLUROETNANE: >:......:.::::.`:::::>.:`';.::..:: . 1.,_1.,2--TRICHLOROETHANE........_..._........_......................_..._.....__......_BDL ..._......................_........_..................._..._.._...._5..._u9/L ..._,..... itTRIEHLORgETHENE TRICHLOROFLUOROMETHANE BDL 5 ug/L ;4!TNYk-:CHI:oRLDE:::::::::::::..::::::..:::.-:..:::::.-::..:::::::::::::.:............................................._BD. _.............._........._..._....._........................:..--__..L.......ug/_ _...:.:.:::.s: 1 2-DICHLOROBENZENE....(O-DICHLOROBENZENE.).........................._BDL.:.:.....:....::_:.::_....:..::::::;:::::::::::::::..::::::::::::::::::5.:.::.9/::-:_.-:;.-:::. I,3.-.:DICHLOROBENZENE :(M: DICHLOROBENZENE);:;::::`:s:.::.:..::>-.-::: .... 5....ug%L. .. t 1,4-DICHLOROBENZENE-(P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400024 GT10 Parameter SURROGATE RECOVERY Result I Det. Limit I Units Sample Comments BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Q-1:. Srie U Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400025 COMMERCIAL LABORATORY OPERATIONS coapLete PO Nunber 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampted (317)243-8304 17-FEB-97 30-JAN-97 Report To STEVE TYLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 CLIENT ID: GT11 PROJECT NAME: TOASTMASTER, INC. BiLL To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 Sample Description HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400025 GT11 Semple Comments ** See Note for Parameter 8DL Below Detection Limit Sample chain of custody number R9273. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved : Q. K 4 A., c Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab iD HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400020 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: GT13 PROJECT NAME: TOASTMASTER, INC. Parameter ResuLt Det. Limit Units ACROLEIN BDL 50 ug/L . ::::::::::::::........$ .L......:.:................._..:......::::::::..... -._..........:::.70..:: BENZENEBDL ::::::::::.-:::::::::::::::::.::::.:::::::.-:::::::.-:.:::.:-::.::.::.-:.-::::.-::::•.:.:::::.:-.:.-:.... :BROMOfORM;;i;::::::i;;;;;;;;;;;;;;`;::;;::;;;:;;:;::;;;;;;::i;;i;:;:;z :i;iis;:si;;i;;;:i':i;::;;—dLER ........:......:.......................:.......:..............................._5.....�.g/L.......:..-:....... :i>:;':•:: t's::; s:: ? a;:;;;;;;;:;:;_`::;;;a :':;:;.......:,:::; 5......ug/L.........._...... is:`i::ii;: CARBON TETRACHLORIDE BDL 5 ug/L CHLOROETHANE BDL 10...._ug/L_____________ ... ...............-::::...-..::...:....-.:.....:..:.-....:......:..:.......:......................... .2....CHLORDETHYLV:iNYLETHER:::..::..:..:::: .::::::::.::: >::;::;:;;::::.:::::::::. s ;:::..............:..........::::::: ;::::BDL::..:..::.:..:.:.;::::; :::::::::: ;;.;..; ...................-10.:.::ug/L......:_.:. .. CHLOROFORM BDL 5 ug/L ............:.........:.........:........: BRONODICHLORONETHAN::E 1,1-D;I'.CHLOROETHANE ::::.-::::::.:::BDL:.-.-:::.-::::::::.::::.,..:.................5..._99/..L.. ........::::::::....:..;:.:.:.....>.-.;.::......:.::;.; ::;.:.;...... < ;:::....:;.:> 1,2-DICHLOROETHANE BDL 5 ug/L >.J....DTCK.L..R_.E...H N� .......... . ...._... ......................._... ... _L:.... u9/L. _ ...... L.,.2.-DICHLOROPROPANE ... .. BDL. .................._...........5...._u.9/L:.....__...._. CIS 1. 3 DICHCaROEAUPENE.<;,;:::':;:'.'::': ,. .. .....:..:.:::..::.:..:.. (':'i`:i:::r:>?c><':;?';ii.`?;;i.... BDL.:.::::i.;.::;.;;.;:..;:;;:s.::;r:r>;'c: ?:f......'r':.�'' 9/ L TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L . . .............. ................ . »... �i�k...........:. ,::.. _ .:" .._5.... ug/t' BROMONETHANE BDL lO....�9/L.. .................................................................................................. CHLDROMETH: ANEiit;>t>i>ii>it>ris ... ti>;;;;; ;; ; .............................. _ ................... :BD........................................................... :::::; st :i :..... >:a;: IiO :.Li' DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L ..............5... .._ _ag/L _TETRACHLOROETHENE.........__ -T .-DEN ...:.:...:....._.......:.................................................._...BDL..::.......__._ ...........BDL ........__............_._:. .....::..:... ......... ...._..._5... ........5. _9.9/L ug/L TRANS-I,2-DICHLOROETHENE BDL 5 ug/L ._1.,1.,2-TRICHLOROETHANE .........:..:.........__..._...._.............................._..:...BDL .................... ...__......... ....... ......__.._................5..._99/..L... ...._. TRICHLOROETBENE ...... 1 TRICHLOROFLUOROMETHANE BDL 5 ug/L 1 1a ug/L 1,2 DICHLOROBENZENE (0 DICHLOROBENZENE) BDL 5 ug/L DICHLOROBENZENE..:(M..DICHLQROBENZENE}... .::. ;..BDL..t`..... .-. ... 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Paqe 1 (continued on next Daqe) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400020 GT13 e Parameter SURROGATE RECOVERY Sample Comments BDL Below Detection Limit 5 Result I Det. Limit Units Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved,: P k Sae Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400014 COMMERCIAL LABORATORY OPERATIONS Complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: GT14 PROJECT NAME: TOASTMASTER, INC. Parameter IACROLEIN 111filN 1.101?a1:1I:I:[m111111RI11:1 CHLOROFORM ::I}iBRQMQCHIOROME:TNFI' BROMODICHLOROMETHA ;1,.1...D:I:CHLOROETf 1.2-DICHLOROETHANE Result Det. Limit 1 Units BDL 50 ua/L BDL 5 ug/L O :V??ii'isi:?:=i''i%s:'S:?:`s:f'?ii':=;5?sass5t';:.°':.,: :::izs34ss BDL 10...._ug/L .....:............ BDL 5 "ug/L BDL.... 5 ug/L .................................. BDL 5 ug/L .. 5... ug/L: - . ... BDL................-_......................:......... ......__...-........ .................5..... ug/L... . . BDL 5 ua/L BDL 10..._u9/..L. _... - IO......ug/L' . BDL 5 ug/L.. ...:...... `::::..... 5.....0 . ......... BDLBDL ........:................. ......_ ............ _..........5..._ug/L:. -.... 5..,.ug/. ** 64 5 ug/L 5 u9/L BDL...... ...:..............................................._.. 5 - _......_ ug/..L_... ... ._.. ......':;=i: ;:>;s::ir;: i Si 6..................._........................................_......-._-.....5...._ug/L................. r:.`6�;. ;:...... ; i;€;3:4r;ii: '.:: _ ...; .,_::::Fi;;:'.:':;r-:::r: BDL 5 ug/L BDL........:........................._......._..................__._......._5...._49/L 99 .............. BDL 5_ ._�9/�_ ....... Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400014 GT14 Semple Comments ** See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the 7ab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Q.k� _ Page 2 (last page) CERTIFICATE 0F.ANALYSIS Service Location Received Project 'Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400022 COMMERCIAL LABORATORY OPERATIONS Complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N.''STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: RC15 PROJECT NAME: TOASTMASTER, INC. - Parameter Result Det. Limit units ACROLEIN BDL 50 ug/L AGRYIONktexl E.::::.:::> :, .•. . ;xo .._ 4 -gl... BENZENE BDL 5_ ug/L BROMOFORM ......... 8QE .:.:::>::°:`;3.: :.: ....::. :.: 5:...ug .. f L CARBON TETRACHLORIDE BDL 5 ug/L CHLOR B N .......... ....:.:::..:..... .......:........ ....... :.....-.::::.:.::..;...:......;..... 0..::..:::...... :.....................::..:. ...; CHLOROETHANE BDL ug/L ;......;.....;.. ..;; 2.C3LORDETHYLVINYLETHER . D.::::: .. ::.:..-::.:' :.10 .:.ugf......:.....:..... L-.:......:........ _.. CHLOROFORM BDL 5 ug/L ..:....:.-.::...-::::::::.....:.:.:.::::::...:::::: DIBROMOCHLDR.O.METHANE.::.:.:.:.::. <::°:r:>;.;.;::;:;:.:- ;:.:.:;.>;:r:<:>°:......BDL:..;:. `i=:>::';:;; 5... u9/L BROMODICHLOROMETHANE BDL 5 ug/L i,.1..;D;LCHLORDETHANE .......; .........:..: ............... .... BQL.:.: .. ... :: ..:<...... ..ugfE 1,2 DICHLOROETHANE BDL 5 ug/L 1., k DkCHLORO:ETtfN.E. ; :. .......... BDL:..i: ..... 5 . u9/:E 1,2 DICHLOROPROPANE BDL 5 ug..L C.IS...1:,3...DICHLORDPROPENE ................BDL.. ....... . 5...:ugfL . TRANS-I,3-DICHLOROPROPENE 55 ETHY...BE _ENE..........................................................................BBDDLL .. : . ... ........... .uugs//L L.. :.: BROMOMETHANE BDL. 10, ug/L CtIEOROMETHANE..: `::'`. :: ...... I0. .ug f L DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L 2;;. 7 TRACHLOROETHANE ..:::::::: :::> : < .:. BDL.::: 5 l /.L TETRACHLOROETHENE BDL 5 u L g/ TOLUENE... BDL:::::.:. 5.. ugf:L TRANS-I,2-DICHLOROETHENE BDL 5 ug/L 1,1,1::TRICHLOROETHANE°:::. . BDL::: 5.. ug/L 1,1,2-TRICHLOROETHANE BDL 5 gL/ OROETTRICH- HENE...... g/,L TRICHLOROFLUOROMETHANE BDL 5 ug/L VINYL: CHLOR DE:> .. ..:: .::....... . . k.... .. 1,2 DICHHLOOROBENNZENE,(ODICHLOROBENZENE) 5 ug/ 1,3=DICL.ROBEZENE'.(M...DhCHLOROBENZENE) ._. BDL . 5 .. g/L.. . 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE.ENVIRONNENTAL SERVICES, INC. Sample ID: A400022 RC15 Parameter SURROGATE RECOVERY Resu Lt Det. Limit Units Sample Comments BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved Page 2 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400029 COMMERCIAL LABORATORY OPERATIONS complete PO Number 7901 W. MORRIS ST. 17-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 18-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: EFFLUENT PROJECT NAME: TOASTMASTER, INC. VOLATILE PRIORITY POLLUTANTS EPA fi24 - .. AB NAZLR2 € , Analysis Date: 14 nalyst -I'M 97 14:31. tn'str•unerit: GC/NS yDA TesL':'0502 Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L AWN LWVMF q /..L.................. ..BENZENE................................................................................._...........................................BDL.............._........................_..._....................._........5.... :BBO , O.=ORM';>;;;;;:;.;;;:;:5;;>;::;;:iiata;;:;;;;:................:;';%;;;...................:; :;ti;';:y: ;:;:y:;:';;;;`:::: ......................................................... ;:t:BDE: ;i:';;: ;:y» s:.»>':';r�: ;;: ;z i?? >i:? .... .......................................................5......ug/L.................. .;;;:;:i;:i:;:si:;?:?::(; CARBON TETRACHLORIDE BDL 5 ug/L Zs:>:a>r:>r;:r>;>s::r:=ss:::;:»i:; ::::.:..:..:.:....:..:::::..........:- .: , ...... CHLOROETHANE........._..._ BDL ............................. ............................................................................................................................... :':=i i iit ; : si : .........................::: ................: . —1 ...._4g/L............ ;: ;:; : ;:.........::Ili;. 9/ :L-r:::::........ CHLOROFORM BDL 5 ug/L BROMODICHLOROMETHANE 9/..L.... ................_:....:........................................................BDL......................._...................__.......:...._..........._S.. BDE....:. . ;....3... ... . _ug/L 1,2-DICHLOROETHANE BDL 5 ug/L k,1-b.TCHL4RgE;T:HENE .....:..: ....:........ $U.L :..... . ' . 5.:u9/ .:. 5.. .1.,2-DICHLOROPROPANE ..................._.... .. ...........%.......... . �D.LCHLOROEROPENE:>:.;:;:'`;:;..;.:'`.°:::'............''' ...BDL...... .... ..... BDL.:::... _ ..... 5 .. _4g/L ug/L TRANS-I,3-DICHLOROPROPENE BDL 5 ug/L ETHYL $ENZENE ..>: $Dk.:.... 5....u9AE ....:: BROMOMETHANE.........................:.:.:...............................:...:..:.........................._......._BDL........................ lO....uq/L.. ..tKNOM ...'T .;;.::;::i:.;;::;;:.:;:;::::.::::::..::.::.:.. :.. ...._ ....-........ BDL.:::.:. IU.: ug/L.:... DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L 1,,1,,2,2T,ETRgCHLORpE7HANE TETRACHLOROETHENE.....-...,.,_ BDL 5 ug/L ...... ....... _iOLllENE: .: ......... 5..11g/E TRANS-I,2-DICHLOROETHENE BDL 5 ug/L T:RiCHLOROETHpNE..... ...................... $Ok .::: .., ..: .....:...:,.... ...5...49/L BDL ..1.,.1.,2,TRICHLOROETHANE ................_........................................................ .TRICHLOROETHENE.::`:::::ri>;:y.;::;.,::.y;::.<.:.;..... . ......:._.._... .._._..:. _. _ 80L>,:...:::..:..:.....:.... ....._.._......_ ..5..._ug/L.. - - TRICHLOROFLUOROMETHANE BDL 5 ug/L VINYL. 0 LQf. IDE :::;:;<::::::::::::: :: :;::;:.:, ....;.:......$Dk..:. 1,2 DICHLOROBENZENE (0_DICHLOROBENZENE) BDL 5 ug/L 1, 3=DIGHLOROBENZENE...(M-DICHLOROBENZENE.)..............BDL .:.. 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L_ Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400029 EFFLUENT Sanple Connents BDL Below Detection Limit Sample chain of custody number R9273. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved Page 2 (last page) TO ENSURE PROPER HANDLING OF SAMPLES PLEASE COMPLETE THIS ENTIRE FORM ca'xiA� HERITAGE ENVIRONMENTAL SERVICES R- 09272 i� COMMERCIAL LABORATORY OPERATIONS 1319 Marquette Dnve ' Rnmeoville. IL 60441 (708) 378-1600 Fax (708) 378-2200 . Co. Name: 12 c Analyses Requested Report To: Co: • �_iy�'-•�=.'ate ' � (Note special detection limns or methods) Project Name:-7—u,9r'u=i 3?2' 2 Add: Quote No.: PO No.: w�/ t �� rM h Y o -Y /V c a ENVIRONMENTAL PROGRAM: Attn:�7"l. '•' 7 ! �' i _ Phone: �!� " SL Sb`i o CWA NPDES IWP SLUDGE m g Accelerated Turnaround Requested RCRA MW SW DISPOSAL u' (Subject to Additional Charge) SDWA CERCLA/SUPERFUND OTHER Result Request by: Yr u o Mo Day (Date must be Accepted and Approved by Lab.) Sampled by 2� E m o z y Sample ID. Date: Time: n v Sample Description: fi Remarks: EMS Sample No. 7T9 /3 -7 ri �W Z 4003 . y�tny3 �C g 6-r /3 o� .. >IAIN7 ` 'k 15 ota, 'AAW / Q-3 l T/o &A Relinquished by: (Signature) Date Rime Receled by: (Signature) Relinquished by: (Signature) Date/rime Received by: (Signature) e m uished b : (Si (Signature) q Y 9 Date Rime Received by: (Signature) / Relinquished by: (Signature) ! / ate Mime / Received by (Signature) 'LL4-vri (12 -1 1...,. etinguish by: (Signature) Date [Time ec?lved lost L b . (Signature) - - Date /Time ;! Remarks: Distribution: White original to be retained by client, Yellow copy to accompany sample to laboratory, pink copy ro also be retained by client. TO ENSURE PROPER HANDLING OF SAMPLES PLEASE COMPLETE THIS ENTIRE FORM C"aziJ T�^�+HERITAGE ENVIRONMENTAL SERVICES R- 092'73 ii�7G COMMERCIAL LABORATORY OPERATIONS 1319 Marquette Drive 1 ' Romeoville, IL 60441 (708) 378-1600 Fax (708) 378-2200 Co. Name: /-Z C oPhone: . m gg g3 ace n o m 0 o z (Note Analyses special detection Requested limits or methods) Report To: Co: c- "I - Project Name: 7-,i�j.,7 i1 1A STD! % a - Add: 4 0— u . J ;"• n Z v Quote No.: PO No.: ✓�� h. •. ENVIRONMENTAL PROGRAM: CWA NPDES IWP SLUDGE RCRA MW SW DISPOSAL SDWA CERCLA/SUPERFUND OTHER Attn: TF vf: 1D,4,kii /c-L-/? Accelerated Turnaround Requested (Subject to Additional Charge) Result Request by: Mo Day Yr (Date must be Accepted and Approved by Lab.) Sampled by: Sample Dale: Time: a v n Sample Description: Remarks: EMS Sample No. c=,rii S\A/ Z T 40oo2s Mw 7- Alp Nlwb � ag t1/1./ryN� � Relinquished by: (Signature) Date Rime Received by: (Signature) Relinquished by: (Signalture) Date !time Received by: !(Signature) linquished by: (Signature) Dale (Time Received by: (Signal e) ./LAC Relinquished by: (S�pnalurej / _ j,✓.r •<-iz-. D to /Time 7-fit ,{�� Received by: (Signature) Relinquished y: (Signature) Date /Time / REGeived for L : (Signature) I� . Date / Time Remarks: '7d Distribution: White original to be retained by client, Yellow copy to accompany sample to laboratory, pink copy to also be retained by client. CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400016 COMMERCIAL LABORATORY OPERATIONS complete PO Nuber 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: RW1 PROJECT NAME: TOASTMASTER, INC. Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L AGR:.lO....Z.T.. Lt,ir.....................::.:.::.:..:....::.::.::::::::::::.:::::::.:.:::::::::.:::::::.:.:::..::.-.........DL...............:.:.;:.-.:..:::..:.;::.:::,..........................._ ..Ug/L..:,..:...::;. BENZENE BDL 5..._u9/..L s. BRDMOFORM ...:...............::-:.., ........................................ ligj_L.....:..:: .............. CARBON TETRACHLORIDE BDL 5 ug/L CHLOROETHANE._ 2...G iLaRDETHYLV-INYLETHER;: .:..............................................:.:.:.:,.::::::::::::.-::::.-::::.::::::::::::::::: *"*""" :':::;;::::,.*,.. ...........:::.................BDL.:.:..y ,-:::BDL:::::.-::::::::::::::::::::::.-:.-:::.-:::.-:::::::.-::::::::._:.-::;::-10.....49LL..-:__ ::::::::.::::c a(#. .. . - CHLOROFORM BDL 5 ug/L BROMODICHLOROMETHANE BDL.- 5 ug/L ......................_..............-.......................................... :.`':::::.::: _I,1..:DI;CHLORDETHANE...........:. .................................................. .......................................................... y.-:BDL;>;>.:::<.,:.;<>;.:;< :.:.:::::.::::::.::...:: ... ::..-......., ,:.:.:..:...:::. .--.... 5.:::ug/L .. .: .:.:: 1, 2-D ICHLOROETHANE BDL 5... ug/L-_..... .: ......BDI :...........::: >:::::,........ 5...u9/ .. I,.2.-DICHLOROPROPANE ................................................___ ........................;.........BDL.. _ ... ..:::::::::::::::::.:::-.:::::::::::::::....:::........._5... _49/L..... ...... C.IS-I;:3 DI:.CHLOROPROPENE :::::.::.::::.::.:.:.._. ............................ ::::::;.... BDL .... TRANS-I,3-DICHLOROPROPENE 5..Ug/�.................. ......:..............................................................BDL -ETHYLRENZ N s;;;;;;;;;;;;;;>;::;::::::::;;;:;;:;;>;;:;;>;;:;:::::::::::::::::;::::a:::,:::::..;.-:.:. ::::;(3 i:::' :>i:;a : iii _:.iii ii:.ii t ........:..:.................................................... < : <:k i s:i; iiii:i::iiiiiii: ` ...............;: u9lt BROMOMETHANE BDL 10 ug/L GHEaROMETH{fNE ..................... ...::.......................::::i::::::.::;::::::;;;:;:::.,::..... ;..:.:;:.:;:::.:;.............BDL.::..:;::;;;:;:;:....... - ._ :::.. _ IO....ug/:L DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5 ug/L .�.,.1.>:2,:2-T�TRAGHLOROETH.AN1 96.k .-:s;:.;=::;;;:;:;:.:°;:;;..>:::s':....... ....5.....0 /.L TETRACHLOROETHENE.........._....:...._ ......:.:...............:...::::::::::::::.-:::.--::.-8...-:::::::::::::.-:::.:::::::::......:.::::...... .TOLUENE......... .. : .. . , ....BDL.:.::.. .::::::5::....Ug/L:. TRANS-I,2-DICHLOROETHENE ** 61 5 ug/L TRT.c.HLORoETHANE-_::.......:` . BDI ...::' .....:. _ =;....::_ 5... _u§A 1,1,2.TRICHLOROETHANE ... . BDL 5 ug/.L , .TRICHLOROETHENE:;::.:.:;.;;;<;•:>::: `:...:. * ..:: ..:.::::._..._ _.:; ... 5......ug.;L. .. ,. TRICHLOROFLUOROMETHANE BDL 5 ug/L BDL .>; .............,.. ;,:.:::.....::1t} ............... ...u9l:L. 2_-DICHLOROBENZENE...,(O.-DICHLOROBENZENE).:.- _I, :::::::::...-:,BDL:.:::::::.......::..:::......::.-:..::::::.::.-:::.:::::::5°:9/�:.........,.:. I,3 IlICH'OROSENZENE.;(M:�DIEHLOROBENZENE}._: .... BDL:,<.:;. 5=:-ug/L 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Page 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400016 RW1 Parameter ..................... ..vrn v✓n✓ .v t.' . .."I va.r a,a. ✓a vn wnv�uu.na.. Note: * Above linear range -- please see replicate 1. Parameter E Result Det. Limit Units ./o::.Rec Result Det. Limit 1 Units 2500 uo/L W61 BDL 250 ug/L BDL........................................................................359...._U9/..�_ . _. 250 .ug/L BDL 250 ug/L BDL..........................................................................250...._ g/L.. 1i9:00:>t............................ ................... ..... ....... .... BDL 250 ug/L........_,.... BDC£;:t#<_=:€>_:<€s:as:;::;t;;:';:;;:t;>.i;aa=:;it::t:500;>:>zug/L,^t:';;;ii:6 BDL.................................................... ..... .........25U0..ug/L.. BDL ........................................................................................................................ .................................................................................................................. ................................................................................................................... .................................................................................................................. ............:.:.....250... _yg/�..... .. ...... 122.:.:..:::::...... ::.:.::::::::::.:..:_::,._,.........._ % Rec ..'.... . Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400016 RW1 v Sample Comments * See Note for Parameter ** See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202. Approved : i. K, ]�W ,V,. Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400017 COMMERCIAL LABORATORY OPERATIONS Couptete PO Nunber 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Saapted (317)243-8304 17-FEB-97 30-JAN-97 Report To STEVE TYLER RICHARD CATLIN & ASSOCIATES P.O. BOX 10279 220 OLD DAIRY ROAD WILMINGTON, NC 28405-3755 CLIENT ID: RW2 PROJECT NAME: TOASTMASTER, INC. Bill To LARRY CLARK TOASTMASTER INC. 1801 N. STADIUM BLVD. COLUMBIA, MO 65202 Sample Description HERITAGE ENVIRONMENTAL SERVICES, INC. Sample 10: A400017 RW2 7-'.-fRIORIW-POLLUTANTS ::::: EPA 624 ............VOLATILE..... hd L W, 13 Y'sjfse.0atd:" enM .. ........... Parameter Result Det. Limit Units ACROLEIN BDL 2500 ug/L ACR ERMA BENZENE ...... .................. ......... ........ ............................................. OR 2 0 ................... 5 9 q /L ........................................................................................................................ .................. . . .................. I ........................................................... . .................................................. .................. . . ...... .............. . . . . . . . . .......... . . . .... . . ............. ......... ............. -BROMOFORK."..'...." ........ ............. - .. .. . .. ..... ...... 'tAkbbNjft' SBUM ...... ............. .......250. - ... I ........ ..... . ...... ...... ... .......... . . ... L .......... kdkift BDL 250 ug/L CHEOROBENZENE. . . .. ......... ... ...... .. ..... ...................... ...................... ........ .................... ................. ......... ..................................................... - - . CHLOROETHANE BDL ........... ............... ....... 5.0.0. ... ug&_ . . . ......... -* ....... .. ..... * EVINYLETHE . .. .... ........... .. ..... . ... L CHLOROFORM BDL 25590 uq/ L .. . ... ......... ..... .... ..... ....... .. .. .... ... ...... . ... .. .. .. ............ .... . . . .. . . . .... .. . .............. .................................... ............ ...... ............................... B ......... ......................................... Ot ..... ...... ...... -- ... ..... ..... ...... ....... ............ . .................... ..................... . ...... . . . . B..R.O.M.OD.I.C.H..L..O.R.O.M.E.T.H.A.N..E .............. ......BD.L ............................................... ..... .......... - ....25.0 y.g/ ... ........ .............. ............................. ........... - -..-... ... .L .. .. .......... 1,2-DICHLOROETHANE - - - - - - - - - - - - - - - - - -- - - - - .. - -- .. - - -- - -- - - - - BDL .... .... .. . .... .............................. . . .. . 250 ..uq/L .................. ................................ I ...................... .. .... . . . . ............ . . .. . . . .... ................. .. --.- . -- . - . -- . - . - . - . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . %L 8. ....................... ...... ................ ............ �..% ........... .......... .......... ..... -LEES J.,,�Z.-..P!CHLOROPROPANE ................. * .......... ..................... ........ ... .... BDL .. .. .... * ......... **'**'*'* ...... *- ...... - .. ........... ......... UP—J49A ......................... ....................................................................... ... ........................................ ............................. .... =9UPMEMOOM .............. ........................................................ .. ......................... . .................. ................. ..... .. . .............................................. .............................................. ............................. ---- ... ... .... .................................. .... ........... ......... A§ZV7�� TRANS-1,3-DICHLOROPROPENE BDL L . ....... ..... . . BROMOMETHANE . . . BDL ............... *.'.-- ...... ............................................................ . . . . . .................... ................ .............................. THANE"�'�*'�"*��'�' .............................. . . . . . . . . HE �ML�� "MORE .... ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ... .................................... . . . . . . .... ... ... .................. ... ............ ............. ............... . . . .. . ...... ffffffff Soo' . ....... -- ..................... "b'kH'[0'R'OME'THANE" M E'TH Y'L'E''N E'."C"HLORIDE) BDL 250 ug/L ........... ........ TETRACHLOROETHENE................... L .I......... .L............................................ .5...0.. ... ......................... ..ug/L ..... ....... ......BD . ... ... ....... .. . . ., . .... . TRANS 1,2-DICHLOROETHENE 66E 250 .-..2 ug L ......... Wf�HLOROETHAN ........... 99�5 . ... .................................................................................... RICHLOROETHANE .................................... .............................................................. BDL . ... ... . ... ........ .......... 250 ... 9 ... .... u & X"OROE 25 I- .. . .. ............... BDL 250 ug/L ........................... ........ ... ...................... I .......... . ............... ........ . .... 9 ... (Q-DICHLOROBENZENE) ...................... ..... P4 .................................................... .......... ......... 250 ..... ....... . ... .. - ug/L ..j.,9-DIC%QRQR9N7W ................................ ................................................ 1,.4-DICHLOROBENZENE (P-DICHLOROBENZENQ.. ................................................... ... ....... .. . ..... ................. I ........ ........ ......... ...... ....... ............... ... .......................... . = .................. ....... :% ...... .. ......... ............... ........... . SURROGATE...RECOVERYRT.C.0Y.E.R.Y. .............................. ...................... ..... . ...................... - . -- -- - - - .. . . ... ................... ... ... .. .. ........... ....... ... ........ ......... I ...... I ..... ..' ......................... ................................................... ........ ....... .. .......... I ............. I .......... ................ .............................. -- ......... .... . . .. ... . . . .................. ...... - .... ....... I .................... ................................. ........ * .......... .. .. . ...... . . ... ... . .. .... ... *-I .... 24'- ........ .............. .......... ....... 14-BROMOFLUOROBENZENE 112 1 1:50 DILUTION Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400017 RW2 sanQte Comments * See Note for Parameter ** See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 Approved : P.V, 'S�W2A�r z Page 3 (last page) CERTIFICATE OF ANALYSIS .Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 A400018 COMMERCIAL LABORATORY OPERATIONS complete PO Nurber 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: RW3 PROJECT NAME: TOASTMASTER, INC. - Parameter Result Det. Limit Units ACROLEIN BDL 50 ug/L BENZENE BDL.............................................................................._`�.....U9/..L.............:.... .......................................................................................................... .............................................i:::>t:s................3......0 >s.... f>?s>s?'si>i?i)i'>i?i's>?4'»>s>sS>:>s>a:;t--...:;;»a::asist::>i: s>::is _L J/ s:4zs:saat: ................... CARBON TETRACHLORIDE BDL 5 ug/L ......................................... ......................... CHLOROETHANE_ BDL.. 10...:. U.g./L......-..-....... ..............._............................................................................................. ........................................... ..._... .... I ................... CHLOROFORM BDL 5 49/L BROMODICHLOROMETHANE B.D.L `5. ug/..L...:._......... .:.......::............. 1,.1..:DI,CHLOROETHANE......_......................................:........ ............................................... ..::.......:... 9/ 1,2-DICHLOROETHANE BDL 5 U9/L.. ,T.O.T:CHLORoETHENE.....;;.is:' :::::::::::;:,`:::>:;.. ............BUk ::: 5...u91a ..... 1.+_2-DICHLOROPROPANE ............................................:::...:::::::::::::::::::::.-::.-::BDL ;CIS ..1,.3'DLCHLOROPRO.PENE ........:•;is,-`::..:':':::i'.'::.;rq:r; ..BDL :::.-::.:.-:::::::.-:::::::::::::::::.-:.:::::.:.-.-::::::.-.......:5::.::...9 ....:::::::..':.i`:::.::."s::...::.:;:.::;.::,......... g/L..-: .:.... TRANS-I,3-DICHLOROPROPENE:. BDL 5..u9/L.........__. ........ ETHYL 5.....u9I_L......: BROMOMETHANE BDL:.-::::::::::::::.-.::.::::::::::.-::::::.-.:::::::.:::::::::::::.-.:::::-1:0::.::9/�:.:::.,,._,,... DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 5°9/L::.::::::.::.:::::. TETRACHLOROETHENE.......................:...::::::::::::............::::::::::::.::::.....:.....-:::::. BDL.:.-::..::::::::::::::.-:::::::::::::.-:::::::::......:..::::.::::::::::::......:�9L�,.:::;;::.-:.::-:. TOLUENE;:;:::.:..:..:.:::;;;:;::.-:.:.;::•:::::::-:.:::....BDL...:::..... '....'.....::::::::::: 5... ug/,L .. ...:;; TRANS-I,2-DICHLOROETHENE BDL 5 ug/L .............. T>1;T.TaTCHLORO.ETHANE::`??;;< . OOL....:.:. 5.....u9JL. 17_112-TRICHLOROETHANE BDL 5 ug/L_,__.___.. ..TRICHLOROETNENE:::-::::.- :::...................:...:::..:.............-.:::.;:.;::.:::.......... .:.......;..;., ..;...:......,.: .. -.......... 5..;.. ag%L TRICHLOROFLUOROMETHANE BDL 5 ug/L 1,2-DICHLOROBENZENE..:(O.-DICHLOROBENZENE.) BDL::.- ,- I ug-:.:.,.,.,..-.: ::::::::::::.:.::::::::.-::::::::::.-:::::::::::::::::::.-5. 1,4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 5 ug/L Paqe 1 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400018 RW3 Parameter Result Det. Limit Units ACROLEIN BDL 250 ug/L BENZENE BDL 25 ug& ..............: ;i»> :; . Ug/ . CARBON TETRACHLORIDE BDL 25 cH. o.6NZE.......................... i'::ii s:i;:; .. .. _�9/�....__.......... ugl. ......... CHLOROETHANE BDL..:::....::...................................:............... 50 u.9/L ZiHLOROETHYLVINYLEIHER ................. ::::::..::.:.:;..:::;...::.;:.:::::.::? :;.......6DL...:.::.:.:::;::::..;;:..:::...,::;.;......-;.: . ............ ,;;.:,.:::;:.;50. .............. ... CHLOROFORM BDL 25 ug/L :>?:BD.k°:::?.::: ;;::`;:.._... .:::.y?:".:' BROMODI CHLOROMETHANE ........................ ....................................................................................._BDL.,:::::::: I;;;1;-DICHLOROEZNANE..................._............................................................. ::::::::::::....... ........ ..._ugLL................. 5....ug�L................. 1,2-DICHLOROETHANE BDL 25 ug/L xCagRUE-THENE..-::::::::.:..::..........:..:..:::.:. ::::.::..:.:::.::.::.:::...............:.........::BDL..:....: ;.:: ,; ;:: _ ........._2.5........g/k . .1.,_2:-DICHLOROPROPANE ................. BDL....:..._......._ 25 .u.. �................. 6 t .:,:::...:,, ;..CIS...I,3....DICHLOROPROPENE. .BDL........ .8DL>:>:<, .::::::::::::::.... `i>::.>:`_::'..`;...:..::: •;: 25 L ug/ ....:..::.:: TRANS-I,3-DICHLOROPROPENE 25 ug/L.................. ......................................................................BDL ;>: 'u 9 BROMOMETHANE BDL 5 .... -0...::�9L�..........:..- CHLOROMEFHANE:::::::::.-:::::::.-::::::::.- ::...::.:.-:::::::.:::::::::: ::::::::::::::::.:-:::::.-::::::::::.::::::::::::::::::............... ......._ .......... ....ug/:L DICHLOROMETHANE (METHYLENE CHLORIDE) BDL 25 ug/L TETRACHLOROETHENE................................................................................:......... ..... ... AMEN E::::::::::::::::::::.:::::.......BDL...::;::;:':':;""'::'::":':i.".':.''.'.":::i:;':;'::';:i:::;;:::;;:;.25....;:u ...:.BDL:.-.-:::::::::::.-:::.-:::.-::::::::.-:::::.:.::::::::::::::.::::::.::�5..::.9/:::: '.L....:..:...._':: TRANS-I,2-DICHLOROETHENE BDL 25 ug/L .>1>1.;fRXGNLOROETHANE. .... s. . . .. ...BAI .; . 25. u9/L, 1.:.1.,:2-TRICHLOROETHANE.._ BDL:::.:.::::::::::::::::.:::::::::::::.-::::::::.::::::::.- .TRICHLOROETHENE... TRICHLOROFLUOROMETHANE BDL 25 ug/L ......... .....BDL-.... .............................,....................:._. 25....u9/L_ . ._1.,2-DICHLOROBENZENE....(O-DICHLOROBENZENE)._........_ D;I;CHLdRDBENZENE....(M=DIGHLOROBENZENE) 80 25.....ug%L . . 1.4-DICHLOROBENZENE (P-DICHLOROBENZENE) BDL 25 ug/L DICHLOROETHANE-D4 125 % Rec T06UENC: p8...._... 4-BROMOFLUOROBENZENE 115 % Rec 1:5 DILUTION Page 2 (continued on next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400018 RW3 San,le Con nts * See Note for Parameter BDL Below Detection Limit Sample chain of custody number R9272. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report -sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 11-FEB-97 2609 A400209 COMMERCIAL LABORATORY OPERATIONS complete PO Nunber 7901 W. MORRIS ST. 19-FEB-97 59241 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 19-FEB-97 10-FEB-97 14:00 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: INFLUENT Parameter BENZENE ..:........................... CARBONTETRA W.OMEN CHLOROETHANE 1771 E VINYC CHLORI:DE.: 1,2 DICHLOROBENZENE (O-DICHLOROBENZENE) 1,3...DICHLORO.BENZENE (M=DiCHLO.ROBENZENE}. 1,4 DICHLOROBENZENE (P-DICHLOROBENZENE) Result I Det. Limit I Units �HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400209 INFLUENT Parameter -------------------------------- Resutt Det. Limit Units Parameter ResuLt Det. Limit Units P3ge 2 (continued UD next page) HERITAGE ENVIRONMENTAL SERVICES, INC. Sample ID: A400209 INFLUENT SampLe Comments * See Note for Parameter ** See Note for Parameter BDL Below Detection Limit Sample chain of custody number R10466. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, MO 65202 a c Approved : Q-V- Sae Page 3 (last page) CERTIFICATE OF ANALYSIS Service Location Received Project Lab ID HERITAGE ENVIRONMENTAL SERVICES, INC. 07-FEB-97 2609 IA400030 COMMERCIAL LABORATORY OPERATIONS Complete PO Number 7901 W. MORRIS ST. 15-FEB-97 59240 INDIANAPOLIS, IN 46231 Printed Sampled (317)243-8304 17-FEB-97 30-JAN-97 Report To Bill To STEVE TYLER LARRY CLARK RICHARD CATLIN & ASSOCIATES TOASTMASTER INC. P.O. BOX 10279 1801 N. STADIUM BLVD. 220 OLD DAIRY ROAD COLUMBIA, MO 65202 WILMINGTON, NC 28405-3755 Sample Description CLIENT ID: TRIP BLANK PROJECT NAME: TOASTMASTER, INC. Parameter ACROLE-IN TETRACHLORIDE CHLOROFORM BROMODICHLOROMETHA =MnAmmw 1.2-DICHLOROETHANE Result Det. Limit Units BDL 50 ug/L BDL ............................... ............. ... u BDL 5 ug/L BDL 10 9/ L ..0 L *-,.. ug/L BDL 5 .... ... ... - . . .... - BDL 5 ug/L . . .... .... .. - BDL 5 . . ... .. .. . ...... BDL 5 ug/L ........... BDL ...... .. ... BDL 5 ug/L BOVRR>`i.»: »a>.>:<ii_: ` s»'>:»: 1'..'..11.1 ... BDL 5 ug/L ....................... .... ........... ....... ........ . ..... ......... .... ........... .. BDL 5 ug/L ............. .............. .. . . .. ...... ............ .. ..... BDL 5 ug/.L ............. ... ... ..... .. ... ...... BDL 5 ug/L .. ......... Algl. BDL 5 ug/L ...... .........5 -ug.;.- BDL 5 Ug/L Page 1 (continued on next page) i HERITAGE ENVIRONMENTAL SERVICES, INC. Sample I0: A400030 TRIP BLANK Sample Comments BDL Below Detection Limit Sample chain of custody number R9273. This Certificate shall not be reproduced, except in full, without the written approval of the lab. Additional copies of this report sent to: LARRY CLARK, TOASTMASTER INC. 1801 STADIUM BLVD., COLUMBIA, NO 65202 Approved : Q K . 42A Cs Page 2 (last page) "% .-� Toastmasters Date MW-1 mg/L MW-2 mg/L MW-3 I mg/L MW-4 mg/L MW-5 1 mg/L mg/L 2L 0.0028 0.0700 0.0028 0.0700 0.0028 0.0700 0.00281 0.0700 0.00281 0.0700 0.0070 TCE trans/cis-1,2-DCE TCE I trans/cis-1,2-DCE TCE I trans/cis-1,2-DCE TCE I trans/cis-1,2-DCE TCE I trans/cis-1,2-DCE 1,1-DCE 16-Jan-95 No analyses attached... No analyses attached... No analyses attached... No analyses attached... No analyses attached... 06-Apr-95 0.4500 BDL 0.4800 0.0240 N/A N/A 1.7000 0.2400 3.6000 0.3200 26-Sep-95 No analyses attached... No analyses attached... No analyses attached... No analyses attached... No analyses attached... 16-Jan-96 0.9300 0.0070 1.1000 BDL N/A N/A 6.1000 BDL 13.0000 0.0030 BDL 23-May-96 0.0960 BDL 0.0290 BDL 3.1000 BDL N/A N/A 14.0000 BDL 0.0040 17-Sep-96 0.5100 0.0230 0.0080 BDL N/A N/A 1.6000 0.1800 9.0000 0.013/1.600 0.0050 31-Jan-97 0.7300 0.0230 0.0140 BDL N/A N/A 5.0000 0.6000 8.4000 1.5000 BDL 28-Apr-97 0.1300 BDL 0.0110 BDL 0.1100 BDL 3.6000 BDL 6.4000 BDL BDL 11-Sep-97 0.5600 naa 1.4000 naa 0.1500. naa 5.5000 naa 1.6000 naa naa 28-Jan-98 No analyses attached... - 0.0130 naa 0.0560 0.0080 2.3000 0.3200 6.0000 0.8000 naa Date MW-6 mg/L MW-7 mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L 2L 0.0028 0.0700 0.0028 0.0700 0.00019 0.00038 0.0070 0.0007 0.0290 1.0000 0.2000 TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE chloroform 1,2-DCA 1,1-DCE PCE ethylbenzene toluene 1,1,1-TCA 16-Jan-95 No analyses attached... No analyses attached... 06-Apr-95 N/A N_ /A 12.0000 0.6400 BDL BDL BDL 1.3000 BDL BDL 0.4800 26-Sep-95 No analyses attached... No analyses attached... 16-Jan-96 2.5000 BDL 1.2000 BDL BDL BDL BDL 0.1400 BDL BDL BDL 23-May-96 1.8000 BDL 14.0000 BDL 0.0090 0.0080 0.0320 1.2000 0.0080 0.0240 0.4500 17-Sep-96 1.0000 0.1000 1.6000 0.0320 BDL BDL 0.0060 0.0740 BDL BDL 0.0310 31-Jan-97 1.8000 0.2800 12.0000 0.3300 0.0060 0.0250 0.0180 2.0000 0.0060 0.0160 0.2700 28-Apr-97 1.9000 BDL 4.7000 BDL BDL BDL 0.0120 0.3800 BDL BDL 0.0770 11-Sep-97 0.7200 naa 1.1000 naa naa naa naa naa naa naa naa 27-Jan-98 1.1000 0.1400 8.0000 naa naa naa naa naa naa naa naa Date GT-8 goy mg/L mg/L GT-9 mg/L mg/L GTA0 mg/L mg/L mg/L mg/L 2L 0.0028 0.00019 0.0700 0.0028 1.0000 0.0700 0.0028 0.0700 TCE chloroform trans/cis-1,2-DCE TCE toluene trans/cis-1,2-DCE TCE 1,1,1-TCA PCE Dichloromethane trans/cis-1,2-DCE 16-Jan-95 No analyses attached... No analyses attached... No analyses attached... 06-Apr-95 0.04201 BDL 0.0080 BDL BDL BDL 0.31001 BDL BDL BDL 0.0560 26-Sep-95 No analyses attached... No analyses attached... No analyses attached... 0.0150 BDL BDL 0.0160 BDL BDL 0.0170 BDL BDL BDL BDL 0.0200 0.0040 BDL 0.0490 0.0080 BDL BDL BDL BDL BDL BDL BDL BDL BDL 0.0540 BDL 0.0070 1.7000 0.0110 0.0240 0.0070 0.3700 V28Apr-97 BDL BDL BDL 0.0230 BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL 0.1600 0.0370 BDL BDL BDL BDLBDL BDL 0.0160 naa naa 0.0170 naa naa 0.5800 naa naa naa naa No analyses attached... No analyses attached... 0.0790 naa naa naa 0.0210 f ,., Toastmasters p ex ko r Dale GT-13 mg/L mg/L mg/L mg/L GT-14 �1ca mg/L mg/L RC-15 Ca Sy g/L Effluent I , U. 2L 0.0028 0.0050 0.0010 0.0700 0.0007 0.0028 0.0050 0.0700 0.0028 0.0700 0.0028 TCE dichloromethane benzene trans/cis-1,2-DCE PCE TCE dichloromethane trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE 07-Dec-94 0.0060 16-Jan-95 No analyses attached... I No analyses attached... BDLI BDL No analyses attache 23-Feb-95 BDL 29-Mar-95 0.0610 06-Apr-95 0.3500 BDLI BDLI 003101 BDL 0.17001 BDLI 0.0800 BDLI BDL 0.0600 May-95 13-Jun-95 No analyses attache 18-Jul-95 _ No analyses attache 29-Aug-95 - . No analyses attache 26-Sep-95 No analyses attached... No analyses attached... No analyses attached... No analyses attache 21-Oct-95 0.0410 Nov-95 28-Deo-95 0.0410 16-Jan-96 0.3400I BDLI BDLI BDLI 0.0060 0.0280I BDLI BDL BDLI BDL 0.0410 08-Feb-96 BDL Mar-96 Apr-96 23-May-96 0.2300 BDLI 0.00601 BDLI 0.0040 0.08701 BDLI BDL BDLI BDL BDL Jun-96 _ 28-Jun-96 BDL 25-Jul-96 BDL 22-Aug-96 0.0150 17-Sep-96 0.16001 0.00501 BDLI _0 0150I BDL 0.46001 0.00501 0.0980 0.00501 Oct-96 13-Nov-96 - 0.0030 05-Dec-96 BDL 31-Jan-97 0.06201_ BDLI BDLI BDLI BDL 0.0600] BDLI 0.0640 BDLI BDL BDL 10-Feb-97 . .,, ..,, BDL 06-Mar-97 BDL 28-Apr-97 0.2800 BDL BDL BDL BDL 0.12001 BDLI BDL BDLI BDL BDL 11-Sep-97 0.0660 naa naal naa naa 0.02201 naal naa No analyses attached... 0.1000 06-Oct-97 No analyses attache 28-Jan-98 0.0660 naa naaO.00SOI naa 0.0130 naa 0.002 0 No analyses attached... No analyses attache Toastmasters mg/L (no 2L std.) _ 1,1,2-TCA BDL BDL 0.0110 BDL BDL BDL naa naa GTA 1 mg/L mg/L GT-12 mg/L 0.0028 0.0050 0.0700 0.0028 0.0700 TCE dichloromelhane trans/cis-1,2-DCE TCE trans/cis-1,2-DCE vinyl cl.. toluene No analyses attached... _ No analyses attached... 6.16001 BDL BDL 0.12001 0.0230 No analyses attached... No analyses attached... 0.2800 BDL BDL 0.0900 BDL 0.2400 BDL BDL 0.0410 BDL - 0.2300 0.0090 0.0150 0.1100 0.0210 0.0940 BDL 0.0050 NIA N/A 0.1300 BDL BDL NIA N/A 0.4100 naa naa 0.0030 naa naa 0.0060 0.1400 naa naa 0.0270 0.0020 0.0010 naa Toastmasters mg/L mg/L 0.0700 1.0000 trans/cis-1,2-DCE Toluene BDL BDL BDL 0.0070 0.0090 BDL 0.0100 BDL 0.0060 BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL ' BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL BDL naa naa BDL Toastmasters 3 3 /q 7 Date MW-1 MW-2 MW-3 MW-4 2L 0.0028 0.0700 0.0028 0.0700 0.0028 0.0700 0.0028 0.0700 - 0:0028 0.0700 TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE 31-Jan-97 0.7300 0.0230 0.0140 BDL N/A NIA 5.0000 0.6000 ' 8.4000'�-50D 01-Sep-96 - 23-May-96 0.0960 BDL 0.0290 BDL 3.1000 BDL NIA N(A 14,0_000._ BDL 01-Apr-96 16-Jan-96 0.9300 0.0070 1.1000 BDL N/A NIA 6.1000 BDL - 13.0000 `0.0030 01-Sep-95 06-Apr-95 0.4500 BDL 0.4800 0.0240 N/A N/A 1.7000 0.2400 3.6OQ0. _ 0.3209 16-Jan-95 N/A N/A N/A N/A N/A N/A NIA NIA N/A NIA Date MW-6 MW-7 2L 0.0028 0.0700 0.0028 0.0700 0.00019 0.00038 0.0070 0.0007 0.0290 1.0000 0.2000 (no 2L std.) TCE trans/cis-1,2-DCE TCE .trans/cis-1,2-DCE chloroform 1,2-DCA 1,1-DCE PCE ethylbenzene toluene 1.1.1-TCA 1,1,2-TCA 31-Jan-97 1.8000 0.2800 12.0000 0.3300 0.0060 0.0250 0.0180 2.0000 0.00601 0.0160 0.27001 BDL 01-Sep-96 23-May-96 1.8000 BDL 14.0000 BDL 0.0090 0.0080 0.0320 1.2000 0.0080 0.0240 0.4500 0.0110 01-Apr-96 16-Jan-96 2.5000 BDL 1.2000 BDL BDL BDL BDL 0.1400 BDL BDL BDL BDL 01-Sep-95 06-Apr-95 N/A N/A 12.0000 0.6400 BDL BDL BDL 1.3000 BDL BDL 0.4800 BDL 16Jan-95 N/A NIA NIA N/A NIA N/A NIA WA N/A N/A N/A BDL Date GT-8 GT-9 GT-10 GTA 1 GT-12 21. 0.0028 0.00019 0.0700 0.0028 1.0000 0.0700 0.0028 0.0700 0.0028 0.0700 0.0028 0.0700 TCE chloroform translcis-1,2-DCE TCE toluene I trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-DCE 31-Jan-97 BDL BDL BDL 0.0230 BDLI BDL BDL BDL 0.0940 0.0050 N/A N/A 01-Sep-96 23-May-96 0.0200 0.0040 BDL 0.0490 0.0080 BDL BDL BDL 0.2400 BDL 0.0410 BDL 01-Apr-96 16-Jan-96 0.0150 BDL BDL 0.0160 BDL BDL 0:0170 BDL 0.2800 BDL 0.0900 BDL 01-Sep-95 06-Apr-95 0.0420 BDL 0.0080 BDL BDL BDL 0.3100 0.0560 0.1600 BDL 0.1200 0.0230 16Jan-95 N/A BDL NIA NIA BDL N/A N/A N/A N/A N/A N/A N/A Toastmasters m) L : Date GT-13 GT-14 RC-15 �entl v5l� 0.0028 0.0010 0.0700 0.0007 0.0028 0.0700 0,0028 0.0700 0.002811f-)� 0.0700 1.00001 J)C, I Im-'T, TCE benzene trans/cis-1,2-DCE PCE TCE trans/cis-1,2-DCE TCE trans/cis-1,2-13CE TCE Itrans/cis-1,2-DCE Toluene F 31-Jan-97 05-Dec-96 Lf BDL BDL ATOSOO y 0.0640 BDL BDL BM B6LI BDL BDL M BDL 13-Nov-96 01-Oct-96 N 0.0310 N/A I 0.0100 BDL 0.0090 BDL BDL 0.0070 BDL BDL -Af i7 � Flo - 45z-5b(o3 $-YI�Y� 1 5 �-P� .! a. 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