Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
WQ0035049_Monitoring - 11-2023_20231222 (3)
Monitoring Report Submittal Permit Number#* WQ0035049 Name of Facility:* Maple Hill Wastewater Treatment Facility Month: * November Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR MH November 2023 NDMR Report.pdf PDF Only 1.18MB Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * acolon@pendercountync.gov Name of Submitter: * Anthony Colon Signature: Date of submittal: 12/22/2023 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0035049 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Reviewer: _anonymous Review Date: 12/22/2023 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of -4- Permit No.: W00035049 Facility Name: Maple Hill WWTF County: Pender Month: November Year: 2023 Name.,FieName.,1 Field Name: 2 Field Name: 3 Field Name: 4 Did irrigation occur Area (acres): 1.72 Area (acres): 1.72 Area (acres): 1.72 Area (acres): 1.72 at this facility? I C:overCrop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda O YES 0 No Hourly Rate (in): 0,41 Hourly Rate (in): 0.41 Hourly Date (in): 0,41 Hourly Rate (in): 0.41 58 Annual Rate (in): 29,71 Annual Rate (in): 29.71 Annual Rate (in):1 29.71 Annual Rate (in): 29.71 Weather Freeboard Field Irrigated? 21 YES C 140 Field Irrigated? 0 YES U NO Field Irrigated?. o YES ❑ NO Field Irrigated? E] YES 0 NO %N a O U ., N w 3 E H c ° N 0. i 0. o v 01 � U) 4 O Q R v N is 0. a e a _ Q) •_ 1- v O Q1.. ++ ]- OJ c v f7 O J a 3 ?" C 'D tXa T m a E. d 3 p. O a a al r •C c a W O J .� a E rn 7 �' S £ 7 = O m <t is R 7� o f W. 1- 'C v d J p B za C f4 Q . O v v E D 7 4. v W „dam W '_ v E T ca 0 y J 3 O 'X O I6 a to T °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 43 0 3.9 2 C 35 0 3.9 3 C 45 0 3.9 4 5 6 C 48 0 3.9 7 C 55 0 3.9 6,720 20 014 0.14 6,880 20 0.15 0.15 6,100 20 0.13 0.13 6,620 20 0.14 0.14 8 C 54 0 3.9 9 C 61 0 3.9 10 PC 70 0 3.9 11 12 13 C 47 0.5 3.9 14 C 46 0 3.9 15 CL 46 0 3.9 16 PC 55 0 3.9 17 PC 62 0 3.9 6,820 20 0,15 0.15 6,740 20 0.14 0.14 6,200 20 0.13 0.13 6,020 20 0.13 0.13 18 19 20 C 43 0 3.9 21 CL 56 0 3.9 22 R 66 0A 3.9 23 C 41 0.5 3.9 24 CL 51 1 0 1 3,9 25 26 27 CL 48 0.4 3.9 28 CL 1 34 0 3.9 29 C 25 0 3.9 30 C 29 0 3.9 31 Monthly Loading: 13,540 t0.29 13,620 0.29 12,300 Q 26 t 2.640 0.27 10.57 12 Month Floating Total (in): 10.56 0 10.00 1 FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of _4_ Permit No.: WQ0035049 FacilityName: Maple Hill WWTF County: Pender Month: November Year: 2023 Field Name: 5 Field Name: 6 Field Name: 7 Field Name: S Did irrigation occur Area (acres): 1.72 Area (acres): 1.72 Area (acres): 1.74 Area (acres): 1.71 at this facility? CoverCrop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda O YES ❑ No Hourly Rate (in): 0.41 Hourly Rate (in): 0.41 Hourly Rate (in): 0.41 Hourly Rate (in): 0.41 Annual Rate (in): 29.71 Annual Rate (in): 29.71 Annual Rate (in): 29.71 Annual Rate (in): 29.71 Weather Freeboard Field irrigated? F1 YES ❑ No Field Irrigated? ❑ YES ❑ NO Field Irrigated? 0 YES 0 NO Field Irrigated? O YES O No a y 2 U d 'Q. W Q .t+ E d d F a d v d i 7 V O N 19 Qa. I tn a 37. a CL > xt V ]= •� or `st -1 a 0 X � O J E 61 3 Q O Q. Q ! C c mom: o J � •i _ , co E a m ' �� 0 IxC = p rz J d o E .w C 4 O. Q as '' °,,,' I- ;:. c a o J T p f�6 � � p J E .2 Q O 2 Q d m E m E- i _ o E 'v J O l6 a+ � = p J °F in ft ft gal Cain in in gal min in in gal mm in in gal min in in 1 C 43 0 3.9 2 C 35 0 3.9 3 C 45 0 3.9 4 5 6 C 48 0 3.9 7 C 55 0 39 6,280 20 0.13 0.13 7,220 20 0.15 0.15 81 C 54 0 3.9 9 1 C 61 0 3.9 6,820 20 0.14 0,14 5,620 20 0.14 0.14 10 PC 70 0 3.9 11 12 13 C 47 0.5 3.9 14 C 46 0 3.9 151 CL 46 0 3,9 161 PC 55 0 3.9 17 PC 62 0 3.9 6,680 20 0.14 0.14 18 19 20 C 43 0 3.9 6,860 20 0.15 0.15 7,120 20 0.15 0.15 6,920 20 0.15 0.15 21 CL 56 0 39 22 R 66 0.4 3, 9 23 C 41 0.5 3.9 24 CL 51 0 3.9 25 26 27 CL 48 0.4 3.9 28 CL 34 0 3.9 29 C 25 0 3.9 301 C 1 29 0 3.9 L13940 31 Monthly Loading: 12,960 0.28 10.57 14,080 0.30 11.41 0.30 11.55 13,540 029 11 62 12 Month Floating Total 1in1:1 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3_ of _4_ Permit No.: W00035049 Facility Name: MAPLE HILLWWTF County: Pe der Month: November Year: 2023 Did irrigation Fief Name: 9 Field Name: 10 Field Name: 11 Field Name: occur facility? Area (acres): 1,76 Area (acres): 1.77 Area (acres): 1.72 Area (acres): at this Cover Crop: P� Bermuda Cover p: Bermuda CoverCro P: Bermuda CoverCro p: 3 YES ❑ NO Hourly Rate (in): 0.41 Hourly Rate (in): 0.41 Hourly Rate (in): 0.41 Hourly Rate (in): 0 Annual Rate (in): 29.71 Annual Rate (in): 29.71 Annual Rafe (in): 29.71 Annual Rate (in): Weather Freeboard Field Irrigated? 3 YES ❑ No Field Irrigated? 3 YES ❑ NO Fuld Irrigated? M YES ❑ NO Field Irrigated? ❑ YES NO Q (D a d) m « f�6 Q ;o r Q a w °' f�0 4. W 7 ,V ° -Ln v A? 7 p, o a o W ate+ i- O� 'aB co J 0 " 'Y yt } tc m a 7 O- o n. v d ++ lw rn a p J R 0 E a� i C .E J 'Q K O ro ar 2 3 C. tis d as v p ..l 0 3 K p0 m a E N 2 Q CL a W y a> v p J co 0 a� C E £ 7 V X o m °F in ft ft gal min in in gal min in in gal min in in gal min In in 1 C 43 0 3.9 2 C 35 0 3.9 3 C 45 0 3.9 4 5 6 C 48 0 3.9 7 C 55 0 3.9 8 C 54 0 3.9 9 C 61 0 3.9 6,820 20 0.14 0.14 6,700 20 0.14 0.14 6,100 20 0.13 0.13 10 PC 70 0 3.9 11 12 13 C 47 E05 3.9 14 C 463.9 15 CL 463.9 16 PC 55 0 3.9 17 PC 62 0 3.9 18 19 20 C 43 0 3.9 6,740 20 0,14 0.14 6,760 20 0.14 0.14 6,340 20 0.14 014 21 CL 56 0 3,9 22 R 66 0.4 3, 9 23 C 41 0.5 3.9 24 CL 1 51 0 3.9 25 26 27 CL 48 0.4 3.9 28 CL 34 0 3.9 29 C 25 0 3.9 301 C 29 0 3.9 31 Monthly Loading: 13.560 0.29 10.75 13,460 0.28 10.49 12,440 0.27 9.77 0 0 00 12 Month Floating Total (in): FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Page _4_of_4— Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? o Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? o Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 9 Compliant ❑ Non-Compliart Were all freeboards maintained in accordance with the specified freeboard heights in your permit? a Compliant ❑ Non-Complort If the facility is non -compliant, please explain to the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Christopher Pickett Permittee: Fender County Utilities Certification No.: 1010919 Signing Official: Anthony Colon Grade: VVV11-SI Phone Number. 910-259-1570 Signing Official's Title: Director Has the ORC changed since the previous NDAR-1? ❑ Yes C No Phone Number: 910-259-1570 Permit Exp.: 8/31 /26 a3 Signature Date de Signature Date By this signature. I certify that this report is accurrate and complete to the best of my knowledge I certify ender penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wth a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM. NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1^ of _2_ Permit No.: WQ0035049 Facility Name: Maple Hill WWTF County: Pender Month: November Year: 2023 PPI: 001 Flow Measuring Point: � Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: u Influent ]Effluent 0 Groundwater LoweringSurface Water Parameter Code 10. 50050 00400 00310 00530 00.610 00620 00625 31616 00600 00665 00940 70300 O 61 U W O C O d iz m O a a C 'O Frq N rtf Q Z d lC O o U m F- Z 3 W t£ o a 'O O?� 'o o6 COIn 24-hr hrs GPD su rtmg1L mg1L mgfL mg/L mg/L #/100 mL mg/L mglL mg/L mg/L 1 07:30 6 6,481 2 07:30 7 10,023 3 07:30 7 7,439 4 8,239 5 10,906 6 07:30 5 5,531 7 07:30 6 9,950 8 07:30 6 7,278 7.5 6 8.5 <0.2 34 <0.5 36 34 8.4 76 636 9 07:30 6 8,491 10 07:30 7 5,988 11 7,799 12 10.442 13 07,30 7 6,815 14 07:30 7 10,290 15 07 30 6 7,256 16 07:30 5 8,980 17 09:00 6 9,027 18 7,723 19 10,919 20 07:30 6 7,597 21 07-30 7 7,797 22 09:00 6 11,810 23 07 30 7 13,673 24 09.30 7 11,505 25 11,262 26 10,147 27 07:30 7 10,075 28 07:30 6 10,950 29 07:30 7 10,156 30 07:30 7 8,889 31 Average: 9,148 6.00 8.50 0,00 34.00 0.00 36.00 34,00 8.40 76.00 636.00 Daily Maximum: 13,673 7.50 6.00 8.50 0.20 34.00 0.50 36.00 34.00 8.40 76.00 636.00 Daily Minimum: 5,531 7.50 6.00 8.50 0.20 34.00 0.50 36.00 34.00 8.40 7600 636.00 Sampling Type: Recorder Grab Composite Composite Composite Composite Composite Grab Composite Grab Composite Cc^ 2:)s to Monthly Avg. Limit: 42,000 n1a 30 30 15 n/a n1a 200 n/a n1a n/a n/a Daily Limit: n/a 6 to 9 n1a n/a n1a n/a n/a n/a n/a n/a n/a n/a Sample Frequency: Corttinous 5XWK Weekly Weekly Weekly Weekly Weekly Weekly Monthly Montly 3XYR 3XYR FORM NDiPAR 10-1:': NON -DISCHARGE MONITORING REPORT (NDMR) Page_2_ot_2, Sampling Personis) Certified Laboratories Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc. Name Name: Jay Baker Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? a compliant ❑ Non -Compliant 'f the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) talrpn Attarh arirdinnal sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Christopher Pickett Permittee: Pender County Utilities Certification No.: 995432 Signing Official: Anthony Colon Grade: WW2 Phone Number: 910-259-1570 Signing Official's Title: Director Has the ORC changed since the previous NDMR? I Yes C No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026 Signature Date Signature Date By this signature, I certify thatthis report is accurrate and co pieta to the best of my knowledge I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information. the information submitted is, to the best of my knowledge and belief true accurate, and complete I am aware that there are significant peneltresfor submitting false information, including the possibility of fines and imprisonment for imawing violations Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Environmental Chemists, Inc. envirochem J6602 Windmill Way, Wilmington, NC 28,405 * 910.392.0223 Lab * 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 * 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 * 910.347.5843 Labr'Fax ANALYTICAL & CONSULTING CHEMISTS info`o,,environmentalchemists.com Pender County Utility Operations Date of Report: Dec 05, 2023 Post Office Box 995 Customer PO #: Burgaw NC 28425 Customer ID: 08100095 Attention: Report #: 2023-26137 Project ID: Maple Hill WWTP Lab ID Sample ID: Collect DatelTime Matrix Sampled by 23-63294 Site: Effluent 11/8/2023 10:00 AM Water JCB/Envirochem Test Method Results Date Analyzed Ammonia Nitrogen EPA 350 1 Rev 20 1993 <0.2mg/L 11/1512023 Total Kjeidahl Nitrogen (TKN) EPA 351 2 Rev 2 0, 1993 < 0.5 mg/L 11/16/2023 Total Dissolved Solids (TDS) SM 2540 c-2015 636 mg/L 11/09/2023 Residue Suspended (TSS) SM 2540 0-2015 8.5 mg/L 11/09/2023 BOD SM 5210 B-2016 6 mg/L 11/09/2023 Chloride SM4500 C E-2011 76 mg/L 11/17/2023 Nitrate Nitrogen (Cale) Nitrite Nitrogen EPA 3532,Rev 2.0, 1093 0.22 mg/L 11/08/2023 Nitrate+Nitrite-Nitrogen EPA 353 2, Rev 20. 1993 34.0 mg1L 11/1412023 Nitrate Nitrogen Subtraction Method 34.0 mg/L 12/0512023 Lab ID Sample ID: Collect DatefTime Matrix Sampled by 23-63295 Site: Effluent - Grab 11/8/2023 10,25 AM Water JCB/Envirochem Test Method Results Date Analyzed Fecal Coliform tdexxCotilert-16 36MPNI100ml 11/08/2023 Temperature SM 2550 0-2010 19.6 C 11/08/2023 pH SM 4500 H B-2011 7.5 units 11 /08/2023 Total Phosphorus SM 4500 P (F-H)-2011 8.40 mg/L 11/15/2023 Comment: Reviewed by: Report # . 2023.26137 Page 1 of 1 Date: Analyst: Jay 13aktt Certitica ' n 4 a < < Facility Name- V 1G}Cj 7 pH I J J ReferP a Meth-i CM.tann u� n �n Calibration Time Cal Buffer 4.0 s.0 .-_-_. _..__ Cal Buffer to o s.0 ,.. ,.... ,. - - Check Buffer 7 0 s u unulranout tv 01MIW6Gt RUU/YS Comments r4 u ni....-t budr.. A . � A -. .,..... ... �.. .. .,.. yn wiuu vi uIc um mr 5 true venue 4 so butler Lot#F R� L304. t 1 7 so buffer Lot#/ Ricca 2210640 Fgp -10 d 10 su buffer Lot#. RECCA 1304P74 Ext) t nn4n Sample location t Sample Collection Time* : 00 Sample Analysis Time * �Q: CAD pH Result s u �•SZ ►Pose -analysts Buffer Check value s.0 Comments/Data Qua:ifters ► pncr analvcie tt..rr rnI—t. -A... t.,... -_-c_-.__...__. _-._. -•- _-. _. , ,, i...�r, t,I% non Yy dl mu 'Pic sampling lacanons Ono must oe %Yitnin $ o I units of the bufFer's true va?ue All pit values in pit units (i,e., s.0 ). Record all data to the nearest o of s u and report to the nearest 0 1 s u Total Residual Chlorine (TRC) Reference Methnit- vM acnn r`I_r,'fnI l u�.,.r, uiK r uo .tit____ _-_t_ 1. .. - ------- ------ --'- ---- --- —• ---• ,. • •""• "•`• ..+.. bIibie dVPJULUUIU WIemVV instrument iiJ nACaY i-otorimeter i5iLuumug Daily Check Past -analysis Check Sid. Time check . Sannplc Sample Sample Standard Result or mg/L (when analyzing Standard Location Collection Analysis TRC Result N� or in Commenis/Dala Q ta, i Hers pglt at multiple sites Analyzed Time Time I R. t,any r_acCA aianuaro true vaiue_ µg/L or mg/L acceptance range pg/L or mg/L GEL SIDS HACH A0038 Check standards must recover within *10%of the check standard's true value Annual Calibration Curve Verification Date 11/25/22 LOT # IDEX (Free) 230401 Exp 11/23 . Date Date,1/2 Reagent Blank Value (When applicable Analyze and document a reagent blank when standards, sample dilutions or PT Samples are prepared) Dissolved Oxygen (DO) RPrerenee M, r!hc I CM 450ft n n _• IIIA vc■ onra �n Calibration Verification Time Calibration variable Meter reading or % effictency after calibration - s Post -analysis calibration verficatian (when necessar)) t 6\V LV Lbu1V VVVJ Comments Temp Barometric Salinity, Theoretical Calculated C pressure mmlig ppt Value mg1L Value mg/L Use this roe when performing a verifrcalion instead of Sample Location Sample Collection Time *Sample Analysis Time DO reading mgiL CommentsrData Qualifiers rynell pot Inrrniag analyses at multiple locations, me meter must be recalibrated at etch site before analysis or a post -analysis calibration verification must be performed 11'sample is measured directly in the stream and/or onsue, only time anal} zed could he recorded w lilt a note that the/ are measured in situ or immediately Temperature _- RYfPrt'nI-r Mnrlsnri SM 7S{n q_'rnln I..na....., e.,r In €'TA D A 9'1 r KI -par Sample Location Sample Collection Time *Sample Analysis Time Time Temperature C JJ CommentslDate Qualifiers cc 'O- A lr� oIT s: is tile: suleu illlfells in me stream anoror on sue, only time anai%Zed would be recorded w ith a note that they are measured in situ or immediat.. Annual Verification Date 11-25-22 Field Personnel Note: QA.001 12/01/22 Rev I-2022 --i"Villltt'iltal Lnermst, Inc., Wilmington, NC Lab 494 5602 Windm'fi 1Ar Wilmington, NC 284 Saimple Receipt Checklist 910-392,02 Client:N 4 � • ���l�p i� �. —Date:_Q48— Report Number: _ 2023� n` Receipt of sample: ECHEM Pickup Client Defit�ery © UPS ❑ fedEa ❑ ❑ YES ❑ NO L N/A 1. Were custody seals present on the cooler? ❑ YES ❑ NO lJ N/A 2. If custod I Ott, ,Ll y seas were present, were they intact/unbroken? Origins[ temperature upon receipt °C How temperature taken: � ❑ Temperature Blank Corrected temperature upon receipt ❑ IR Gun ID: 1xJ_ Against Bottles Thomas Traceable 5JN 2108$68b9 IA Gun Correction Factor °C: ES ❑ NO 3. O.Q if temperature of Cooler exceeded b°C, LxD G Y YES YES ❑ p NO was Project Mgr./QA notified? 4. Were proper custod Y procedures (relinquished/received) followed? NO S. Were Sam ie iD s listed on the COC? p D YES YES ❑ ❑ NO 6. Were samples 10's listed on sample containers? YES ❑ NO NO 7. Were collection date and time listed on the COC? YES ❑ NO B. Were tests to be performed listed on the COC? 0 YES ❑ NO 4. Did samples arrive in proper containers for each test? ® YES O 10, Did samples arrive in good condition for each test? G NO 11. Was adequate sample volume available?' YES YES ❑ ❑ NO NO 12. Were samples received within proper holding time for requested tests? 13. Were acid preserved samples ❑ ❑ YES O NO received at a pH of 34 Were <2? cyanide samples received at a pW >12? YES YES ❑ ❑ NO 15. Were sulfide samples received at a pH >9? © YES ❑ NO NO 16. Were NH3/TKN/phenol received at a chlorine resid,,,:l of <0 5 m/0 s> 17, Were Sulfide/Cyanide ❑ YES ❑ NO received at a chlorine residual of cas m/i 18. Were orthophosphate samples filtered in the TWO within 15 minutes? 10C/Volat re5 ere PH checked at time of arialy515 and recorded on t'-- b, nchshe,t r Bacteria sample; are checked for Chlorine at time of analysis and recorded on the b-- n: hshc-t ISarnple Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) �5ample;s, were received incorrect) o by add,ng (circle one). k,SQ Y Rreserved and were adjusted a �� HNO1 FECf NaOH ccording'y Time of preservation. If more than n , one preservative is needed n. tate in comments below ,� y• { trq • ia, t v -ted is a^a,,,. Volatiles Sangple(sI wa' -' 2= J3, t , were received w 'h headspa_e COMMENTS: DOC. QA.002 Rev 1 Analytical & Consufting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 C LLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 info@environmentalchemists.com Client: Pender County Utilities Wastewater) O PROJECT NAME: Maple Hill WWTP (PPI 001) _ REPORT NO: ADDRESS: CONTACT NAME: Chris Pickett, ORC PO NO: REPORT TO: ORC PHONE/FAX: COPY TO: email: SAMPLE TYPE• I = Influent E = Effluent W = Well, ST = Stream, SO = Soil, SL = Sludge, t)ther. samples tsy: Ea$ F VS m I e �, U m o a V `-' m c �, a e u I a M g z ' PRESERVATION ANALYSIS REQUESTED Sample Identification Collection D e Time Temp o z U = 3 In i? = - a o WWTP PPI 001 (cam osit C P O��� X L� I QOD, TSS NO2 ,, C P LO' X NO3, NH3, TKN - WWTP PPI 001 (composite) Triannuals C P X Chloride, 7DS (March, Jul Nov C G WWTP Effluent (grab) FG rr 1� j X I X j Total Phos Fecal Coliform G C P _ H (field): 7L• L G G fG c G G C P Samples due 1/month G G C P G G Ilmits: BOD 31) mglL, TSS 30 mg/L, NH3 J$ mg/L, Fecal 200 coloniesnoo mi Transfer Relinquished By: Date/Time Received By: DatelTime 1. z• 0..�-�.....le Cn.,inctnnl• Temperature when Received: Li I Accepted: Delivered By: Received By:. ate: " Y� Comments: TUR AROUND: Time: L�