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WQ0006785_Monitoring - 03-2024_20240410
Monitoring Report Submittal ..................................................... Permit Number#* WQ0006785 Name of Facility:* Month: * March Report Information Murfreesboro WWTF Year:* 2024 Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR 3-24 NDAR and NDMR.pdf 2.01MB PDF Only GW-59 3-24 GW-59.pdf 1.1MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * eparker@murfreesboronc.net Name of Submitter: * Eric M Parker Signature: Date of submittal: 4/10/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0006785 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 4/11/2024 SUBMIT FORM ON YFLLOVV PAPER nNt Y GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES COMPLIANCE REPORT FORM a DIVl5ION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U,S. Hwy 258 N. ^� TYPE OF PERMITTED OPERATION BEING MONITORED Murfreesboro NC 27855 County Hertford ■ Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No, of wells to be sampled; 7 ❑ Water Source Heat Pump ❑ Other: from Pennll SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 1 Date sample collected: 3/14/2024 FIELD ANALYSES: WAS Well Depth: 12.0 ft. Well Diameter: 3.0 in. pH 00400: 5.6 units Temp. 000lc 117.5 DRY at Depth to Water Level 82546: 8' ft. below measuring point Screened interval: 2.0 ft. to 12 ft. Spec. Cond. 00094: pMhos time of Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 000m: None sampling, Volume of water pumped/bailed before sampling: 6.5 gallons Appearance Clear checkhere: Samples for metals were collected unfiltered: ❑ YES ElNO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment I, Inc Certification No. 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead oio51 ug1L Cal€form: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 1,33 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 1 /100mL Phosphorus: Total as P oo665 <0.04 mg/L (Note: Use MPN method for highly turbid samptes) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 61 mg/L Al -Aluminum ol1o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.83 mg/L Ca - Calcium 00916 mg/L Chloride 00940 7 mg/L Cd - Cadmium 01027 ug1L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 000m VMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia o0610 0.09 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn Manganese 01o55 uglL method # TKN as N 00625 mg/L Ni - Nickel 01067 ug1L method # ror memeaianon aysierns Vmy (Attach Lail Reports): Eric Parker/ Backup ORC Permittee (or Authorized Apent) Name and Title - Please print or type GW-59 Rev.8/2013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YFLL.OW PAPFR ONI Y GROUNDWATER QUALITY MONITORING: e e DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES COMPLIANCE REPORT FORM e e e • DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U.S. Hwy 258 N. TYPE OF PERMITTED OPERATION BEING MONITORED Murfreesboro NC 27855 County Hertford Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton _ Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No. of wells to be sampled; 7 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 2 Date sample collected: 3/14/2024 FIELD ANALYSES: WAS Well Depth: 12.0 ft. Well Diameter: 3.0 in. 17.3 pH ooaao: 6.4 units Temp. 000lt DRY at Depth to Water Level 82646: 5'8" ft. below measuring point Screened Interval: 2.0 ft. to 12 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2.0 ft. above land surface Relative MR, Elevation: ft. Odor 000m: None sampling, Volume of water pumped/balled before sampling: 6.5 gallons Appearance Clear check here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment I, Inc Certification No. 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00336 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead oio51 ugJL Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 0.78 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31604 <1 /100mL Phosphorus: Total as P oo665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 84 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo66o 5.54 mg/L Ca - Calcium 00916 mg/L Chloride 00940 11 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ugJL Fe - Iron 01045 ug/L (Specify test and method M ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 000m µMhos K - Potassium 00937 mg/L VOC 7973 method # Total Ammonia oo6lo 0.15 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese o1055 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation systems Only (Attach Lab Reports): Eric Parker/ Backup ORC Permittee (or Authorized Auent) Name and Title - Please print or type GW-59 Rev.812013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPFR nNl Y GROUNDWATER QUALITY MONITORING: Em" DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT COMPCOMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306 FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 8/31/2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U.S. Hwy 258 N. TYPE OF PERMITTED OPERATION BEING MONITORED Murfreesboro NC 27855 County Hertford ■ Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: Contact Person: _Raymond S. Eaton Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 4 Date sample collected: 3/14/2024 FIELD ANALYSES: WAS Well Depth: 12.0 ft. Well Diameter: 3.0 in. pH 0040o; 6.7 units Temp. 000lc 18.2 DRY at Depth to Water Level 92646: 7'4" ft, below measuring point Screened Interval: 2.0 ft. to 12 ft. Spec. Cond, 00094: µMhos time of Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 000as: None sampling, check Volume of water pumped/bailed before sampling: 6.6 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment I, Inc Certification No, 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1051 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 2,35 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 <1 /100mL Phosphorus: Total as P owm <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 230 mg/L Al - Aluminum o1105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 5.24 mg/L Ca - Calcium oo916 mg/L Chloride 00940 42 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug1L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug1L Fe - Iron 01046 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance doom µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.1 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Ftemealation Systems Vnly (Attach Lab Reports): Eric Parker/ Backup ORC Permlttee (or Authorized Aqent) Name and Title - Please print or tvpe GW-59 Rev. 8/2013 Influent Total VOCs; mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT Ft7RM nN YFI I nw PAPFi2 01,11 V GROUNDWATER QUALITY MONITORING: a a DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES COMPLIANCE REPORT FORM . s ` DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919.807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U.S. Hwy 258 N. TYPE OF PERMITTED OPERATION BEING MONITORED ■ Lagoon ❑ Remediation: Infiltration Gallery _ Murfreesboro NC 27855 County Hertford ■ Spray Field ❑ Remedlation: Contact Person: Raymond S. Eaton Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑ Other: Tom Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 5 Date sample collected: 3/14/2024 FIELD ANALYSES: WAS Well Depth: 12.0 ft, Well Diameter: 3,0 in. ».2 pH o0400; 6.7 units Temp. 000lc DRY at Depth to Water Level 82546: 8' ft, below measuring point Screened Interval: 2.0 ft. to 12 ft. Spec, Cond. 00094: µMhos time of Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 00065: None sampling, Volume of water pumped/balled before sampling: 6.5 gallons Appearance Clear check here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1, Inc Certification No, 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead oiom ug /L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 3.66 mg/L Zn - Zinc 01092 mg/L Collform: MF Total 31504 <1 /100ml- Phosphorus: Total as P oow5 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Soiids:Total 70300 140 mg/L Al - Aluminum ollo5 mg/L pH (Lab) 00403 units Ba - Barium oiow ug/L TOC oomo 3.69 mg/L Ca - Calcium oo916 mg/L Chloride oo94o 31 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug1L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.1 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NHas N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug1L method # TKN as N 00626 mg/L Ni - Nickel o1067 ug/L method # For Remealazion systems uniy (Attaen Lab Reports): Eric Parker/ Baoku ORC Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 812013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Clearly or Type Facility Name: Town of Murfreesboro Permit Name (if different): Facility Address: 138 U,S. Hwy 268 N. Murfreesboro NC 27855 County Hertford act Person: Raymond S. Eaton Telephone#: 252-398-7559 Location/Site Name WWTF Irrigation Fields No. of wells to be sampled: 7 IEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES IIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 HERMIT Number: Expiration Date: 8/31/2028 Jon -Discharge W00006785 UIC JPDES Other 'YPE OF PERMITTED OPERATION BEING MONITORED ■ Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): 10 Date sample collected: 3/14/2024 Well Depth: 12.0 ft. Well Diameter: 3.0 in. Depth to Water Level 82546: 9'6" ft, below measuring point Screened Interval: 2.0 ft, to 12 ft. Measuring Point is 2.0 ft, above land surface Relative M.P. Elevation: ft, Volume of water pumped/bailed before sampling: 6,5 gallons ,Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: pH 0040o: 6.6 units Spec. Cond. oo094: Odor 000e5: Temp. 000lc 17'5 uMhos None Appearance Cloudy Date sample analyzed: Laboratory Name: Environment I, Inc Certification No, 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo335 mg/L Nitrite (1402) as N oo615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 3181e /100ml- Nitrate (NO3) as N 00620 1.76 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 460 /100ml- Phosphorus: Total as P oo665 0.11 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 140 mg/L Al - Aluminum oil o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo66o 3.63 mg/L Ca - Calcium 00916 mg/L Chloride 00940 25 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and 011s 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.12 mg/L Mg - Magnesium 00927 mg/L method # (Ammonla Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese of o55 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # ror McMeOW10FT systems Vnly IlA[tacn Lap KepOrtS): Eric Parker/ Backup ORC Permiftee (or Authorized Assent) Name and Title - Please print or type GW-59 Rev.812013 Invuent I otai VOcs mg/L Effluent Total VOCs: mg/L VOC Removal% WAS DRY at time of sampling, check here: ❑ S(1E3MIT FORM ON YFI I OW PAPFR r)NI Y GROUNDWATER QUALITY MONITORING: , e. : DEPARTMENT OF ENVIRONMENT tip NATURAL RESOURCES DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM e, ` 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807.6308 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U.S. Hwy 258 N. TYPE OF PERMITTED OPERATION BEING MONITORED Murfreesboro NC 27865 County Hertford ■ Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: Contact Person; Raymond S. Eaton Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 11 Date sample collected: 3/14/2024 FIELD ANALYSES: WAS Well Depth: 12.0 ft. Well Diameter: 3.0 in. pH 00400: 6.6 units Temp. 000lc 16'6 DRY at Depth to Water Level 82546: 9` ft, below measuring point Screened Interval: 2.0 ft. to 12 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2,0 ft. above land surface Relative M.P. Elevation; ft. Odor 00085: None sampling, check Volume of water pumped/bailed before sampling: 6.5 gallons Appearance Cloudy here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment I, Inc Certification No. 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N om2o <0.04 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 <1 /100mL Phosphorus; Total as P oo665 3.74 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 170 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oosso 8.37 mg/L Ca - Calcium 00916 mg/L Chloride 00940 31 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug1L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes(l) ❑ No(0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oosso 0.16 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mom ug/L method # TKN as N 00625 mg/L Ni - Nickel 01087 ug/L method # For Kemematlon systems Unly (Attach Lab Reports): Eric Parker/ Backup ORC Permittee (or Authorized Aqent) Name and Title - Please print or type GW-69 Rev, 812013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPFR ONI Y GROUNDWATER QUALITY MONITORING: e e DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM e . e e 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31 /2028 Facility Name: Town of Murfreesboro Non -Discharge WQ0006785 UIC Permit Name (if different): NPDES Other Facility Address: 138 U.S. Hwy 268 N. TYPE OF PERMITTED OPERATION BEING MONITORED Murfreesboro NC 27855 County Hertford N Lagoon ❑ Remediation: Infiltration Gallery ■ Spray Field ❑ Remediation: Contact Person: Raymond S. Eaton _ Telephone#: 252-398-7559 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name WWTF Irrigation Fields No, of wells to be sampled: 7 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 12 Date sample collected: 3/14/2024 FIELD ANALYSES. WAS Well Depth: 12.0 ft. Well Diameter: 3.0 in. pH 00400: 6.3 units Temp. 000ic 17A DRY at Depth to Water Level 82646: 10' ft. below measuring point Screened Interval: 2.0 ft. to 12 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2.0 ft. above land surface Relative M.P. Elevation: ft. Odor 000m: None sampling, check Volume of water pumped/bailed before sampling: 6.5 gallons Appearance Cloudy here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment I, Inc Certification No. 110 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o5i ug/L Collform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 <0,04 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 <1 /100mL Phosphorus: Total as P 00665 4.18 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issoived Solids:Total 70300 84 mg/L Al -Aluminum of im mg/L pH (Lab) 00403 units Bat - Barium oioo7 ug/L TOC omw 10.7 mg/L Ca - Calcium oo916 mg/L Chloride 00940 5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 000m µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia omo 0.28 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports) Eric Parker/ Backup ORC Permittee (or Authorized Agent) Name and Title - Please print or type GW-69 Rev.812013 Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% 1 ;i SAz v' z i $ Monitoring Well Samples Well # PH Depth_ Temp Time Date CIL2 V'/ l o4jy =17� 2-4 .65 k u 1/ - e Effluent PH Temp Time Date CL2 /e7 �Qz v��-zGZy Drinking Water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 110 TOWN OF MURFREESBORO RAYMOND EATON P.O. BOX 6 DATE COLLECTED: 03/14/24 MURFREESBORO, NC 27855 DATE REPORTED : 04/09/24 REVIEWED BY: Effluent Wen #1 Well #2 Well #4 Well #5 Analysis Method PARAMETERS Date Analyst Code BOD, mg/l r 114 03/14/24 HMM 521OB-16 Fecal Coliform (MF),cfu/100 mLs 260 1 <1 <1 <1 03/14/24 AMC 9222D-15 Total Suspended Residue, mg/l 33 03/15/24 JMS 2540D-15 Ammonia Nitrogen as N, mg/l 6.36 03/25/24 HMM 350.1 R2-93 Ammonia Nitrogen as N, mg/l 0.09 0.15 0.10 0.10 03/20/24 HMM 350.1 R2-93 Total Kjeldahl Nitrogen as N,mg/l 8.43 03/19/24 TRJ 351.2 R2-93 Nitrate+Nitrite as N, mg/I (calc) 6.00 353.2 R2-93 Nitrate Nitrogen as N, mg/I 1.40 03/19/24 BNC 353.2 R2-93 Nitrate Nitrogen as N, mg/l 1.33 0.78 2.35 3.66 03/15/24 HMV 353.2 R2-93 Nitrite Nitrogen as N, mg/l 4.60 03/14/24 HMV 353.2 R2-93 Total Phosphorus as P, mg/I 2.18 03/19/24 TRJ 365.4-74 Total Phosphorus as P, mg/I <0.04 <0.04 <0.04" <0.04 03/21/24 HMM 365.4-74 Total Organic Carbon, mg/1 TESTED TESTED TESTED TESTED Chloride, mg/l 19 7 11 42 31 03/18/24 10D 4500CLB-11 Total Dissolved Residue, mg/I 200 61 84 230 140 03/18/24 AMC D5907-13 Total Nitrogen, mg/l (calc) 14.43 Z�� 11,�-eloz /d -20zy All QC requirements were not met: r Replicate varied by more than 30%. NO'11:: nn}' I'esull listed ahcsvc ati "'!'!?5"CAa)" was sins-amtracicd lu souther lslnu<stnry. 'i he corresponclinr resLaitS src sUaehcd. TOWN OF MURFREESBORO RAYMOND EATON P.O. BOX 6 MURFREESBORO, NC 27855 PARAMETERS Fecal Coliform W),cfu/100 mLs Ammonia Nitrogen as N, mg/l Nitrate Nitrogen as N, mg/l Nitrate Nitrogen as N, mg/l Total Phosphorus as P, mg/1 Total Organic Carbon, mg/1 Chloride, mg/1 Total Dissolved Residue, mg/l Drinking water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 110 DATE COLLECTED: 03/14/24 DATE REPORTED : 04/09/24 REVIEWED BY: Wen #10 Well #11 Well #12 Analysis Method Date Analyst Code 450 < 1 < 1 03/14/24 AMC 9222D-15 0.12 0.16 0.28 03/20/24 HMM 350.1 R2-93 1.76 03/15/24 HMV 353.2 R2-93 <0.04 <0.04 03/19/24 BNC 353.2 R2-93 0.11 3.74 4.18 03/21/24 HAM 365.4-74 TESTED TESTED TESTED 25 31 5 03/18/24 K3D 4500CLB-11 140 170 84 03/18/24 AMC D5907-13 All QC requirements were not met: r Replicate varied by more than 30%. NOIT: Any result listed above as-11'S'11?1)' wms sub-cantmctcd to another laboratory. The correspondinh results arc attached. Waypoint: CHAIN OF CUSTODY RECORD ANM1LY11CAl Waypoint Analytical - Greenville Page }_ of .__._1_ t A n 1..«...,1 n I 1 EY -@1 All I VIIL -1. 3menville, NC 27858 D1SIN ECTiON CHLORINE CHECK (LAB) www.WaypointAnalytical.co,n <0.5 mg/L - Yes M or No (N) Phom (252) 756-6208 • Fax (252) 756-0633 CHLORINE CLIENT: 110 Week: 15 UV v pH CHECK (S,U,) (LAB) CONTAINER TYPE, PIG OWN OF MURFREESBORO Ij NONE P P P P P P P P P P P P AYMOND EATON .O. BOX 6 CHEMICAL PRESERVATION IURE REESBORO NC 27855 A G A C C' A Al C C A] A' I I E __C A -NONE D-NAOH vi :52) 398 5904 F Q o o L d C B-HNO E.HCL 3 o F cr ��- w C- HzSO4 F- ZINC ACETATE/NAOH COLLECTION Q Poo¢ UJUt— � 'd o 0 A U V � Ac z oSAMPLELOCATION ¢Q G NATHIOSULFATE DATE TIME Effluent ! x`� L'. SSA a 5 %� 7 z== s::is s< ::<, r t: ?> s,< :`. :` <k CLASSIFICATION: Well#1 3-i�(-z� L�.I.S ,0 d " WASTEWATER(NPDES) DRINKING WATER Well #2'f, ~ �30,- f?, '_ ' Well // 314 Z-`� Z llaci,�1,- , �g,� d: DWR/GW Z� p Well #S ���iTvk LvS , d _( 3 `� �4I f e.ao ��� r j 6 f: '.a SOLID WASTE SECTION WeU #10 , , ��-1�L t �0, (� (� 6 .:.a >`:: • = ,• .:: `+x CHAIN OF CUSTODY (SEAL) MAINTAINED Well #11 I , t'i. DURING SHIPMENT/DELIVERY Well #12 A _tg4`C q'1,.Ui'w I LI RIM 1 [ I 6 ' > : ;' Y ' N SAMPLES COLLECTED BY. (Please Print) {: (_ G�lu SAMPLES RECEIVED IN LAB AT ` °C RELINQUISHED BY (SIG;) PLE9) DATTEITIME RE, IVED (SIG,) 7 pATEMME 1 Lill COMMENTS: � SAMPLES RECEIVED ON IC NO RELINQUISHED BY (SIG.) DATF1iiME A EI ED BY (SSG.) DATElTIME RELINQUISHED BY (SIG.) DATEITIME RECEIVED BY (SIG.) DATE MME PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM H5 Grab sample in the blocks above for each parameter requested. (2) Waypoint, ANALYTICAL 4/5/2024 Waypoint Analytical - Greenville Ron Boquist 114 Oakmont Dr Greenville, NC, 27858 Ref: Analytical Testing Lab Report Number. 24-094-0068 Client Project Description: Analytical Testing 2790 Whitten Road; Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www,waypointa n alytical.com Dear Ron Boquist Waypoint Analytical, LLC. received sample(s) on 4/3/2024 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling stage (refer to the chain of custody) results apply to the sample as received. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2021) and NELAC unless othdMise indicated. Any 'parameter forwhich the laboratory is not officially NELAP accredited is indicated by a' —'symbol. These are.not.included in the scope because NELAP accreditation is either not available or has not been applied for_ Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or. applicable. A full list of certifications is available upon request. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is•outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and'relates only to the samples included in this report. . Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Andrea R Brownfield Project manager Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 14 0 Waypoint, avkel'T�� 2790 Whitten Road, Memphis, TN 3M3 Main 901.213.24001 Fax 901.213,2440 www.waypointanalytical.com Certification Summary Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN State Alabama Arkansas California Florida Georgia Georgia Illinois Kentucky Kentucky Louisiana Louisiana Mississippi North Carolina North Carolina Pennsylvania South Carolina Tennessee Texas Virginia Virginia Program Lab 1D State Program 40750 Expiration Date 02/28/2025 State Program 88-0650 02/07/2025 State Program 2904 06/30/2024 State Program - NELAP E871157 06/30/2024 State Program C044 11/14/2025 State Program 04015 06/30/2024 State Program - NELAP 200078 10/31/2024 State Program 80215 06/30/2024 State Program KY90047 12/31/2024 State Program - NELAP LA037 12/31/2024 State Program - NELAP 04015 06/30/2024 State Program MS 11/14/2025 State Program 47701 07/31/2024 State Program 415 12/31/2024 State Program - NELAP 68-03195 05/31/2024 State Program 84002 06/30/2024 State Program 02027 11/14/2025 State Program - NELAP T104704180 09/30/2024 State Program 00106 06/30/2024 State Program - NELAP 460181 09/14/2024 Page 1 of 1 00001124-094-0068 Page 2 of 14 2790 Whitten Road, Memphis, TN 38133 VV' point, Main 901,213.2400 ° Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Plumber: 24-094-0068 Client Project Description: Analytical Testing Lab No Client Sample ID Matrix Date Collected Date Received 86321 110 Well #1 Aqueous 03/14/2024 10:15 04/03/2024 86322 110 Weil #2 Aqueous 03/14/2024 10:30 04/03/2024 86323 110 Well #4 Aqueous 03/14/2024 11:00 04/03/2024 86324 110 Well #5 Aqueous 03/14/2024 10:45 04/03/2024 86325 110 Well #10 Aqueous 03/14/2024 10:00 04/03/2024 86326 110 Well #11 Aqueous 03/14/2024 09:30 04/03/2024 86327 110 Well #12 Aqueous 03/14/2074 09:45 04/03/2024 Page 2 of 14 W"alwk-poil ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boqulst 114 Oakmont Dr Information Greenville , NC 27858 Report Number: 24-094-0068 Lab No : 86321 Sample ID : 110 Well #1 Test T. - 27910WRitten-96ad, Mempi)%TN36133 -A Main 9101.213.2400 0 Fax 901.213.24d0 www.waypointanalytical.com Analytical Testing REPORT OF A NA L Y515 Results Units MQL Report Date 04/05/2024 Received 04103/2024 it Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3114/2024 10:15 DF Date / Time By Analytical Analyzed Method TOC 1.33 mg/L 1.00 1 04/04124 22:51 JJT 531OC-2014 Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 4 of 14 A Waypoint, ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Dr Information Greenville , NC 27858 Report Number: 24-094-0068 Lab No : 86322 Sample ID : 110 Well #2 b 279U hl i oad, Memphis, TN 38133 °t y 9 �" k wr Main 901.213.2400 °Fax 901.253.24440 www.waypointa nalytical.com Analytical Testing REPORT OFANALYSYS Report Date : 04/05/2024 Received : 04/03/2024 U Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/14/ 202410:30 - Test Results Units MQL DF Date / Time By Analytical Analyzed Method TOC 5.54 mg/L 1.00- • 1 04/04/24 23:29 JJT 531OC-2014 Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 5 of 14 ,may '� t" ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Dr Information Greenville , NC 27858 Report Number:24-094-0068 Lab No : 86323 Sample ID : 110 Well #4 2790Whitten Road, Memphis, TN 311133 ; Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalyticaLcom Analytical Testing REPORT OFANA L YSIS Report Date : 04/05/2024 Received : 04/03/2024 r� Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/ 141202411:00 Test Results Units [VIOL DF Date I Time By Analytical Analyzed Method TOC 5.24 mg/L 1.00 1 04/05/24 00:07 J71- 5310G2014 Qualifiers/ DF Dilution Factor MQL Method Quantitation limit Definitions Page 6 of 14 © 1 sm"t. Waypoin ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Or Information Greenville, NC 27858 Report Number: 24-094-0068 Lab No: 86324 Sample ID : 110 Well #5 s4 2790`Nhiften Road, Memphis, TN 38133 r ; '� °?•.�+=j,:"� �. Main 901.213.2400 0 Fax 901,213.2440 www.waypointa nalytical.com Analytical Testing REPORT OFANALYSIS Report Date : 04/05/2024 Received : 04/03/2024 I �'- ul� 'J7 Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/ 14/ 202410:45 Test Results Units MQL DF Date /Time By Analytical Analyzed Method TOC 3.69 rng/L 1.00 1 04/05/24 00:45 JJT 531OC-2014 Qualifiers/ OF Dilution Factor Definitions MQL Method Quantitation Limit Page 7 of 14 Waypoll ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Dr Information Greenville , NC 27858 Report Number:24-094-0068 Lab No: 86325 Sample ID : 110 Well #10 iAhl� ji+ 2790 Whitten Road, Memphis, TN 38133 Main 901.213.240D ° Fax 901.213.2440 www.waypointanalytical.com Analytical Testing REPORTOFANALYSIS Report Date : 04/05/2024 Received : 04/0312024 it Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/ 14/202410:00 Test Results Units MOL DF Date / Time By Analytical Analyzed Method TOC 3.63 mg/L 1.00 1 04/05/24 01:23 3JT 531OC-2014 Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 8 of 14 Waypa�`� �. ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Or Information Greenville , NC 27858 Report Number : 24-094-0063 Lab No : 86326 Sample ID : 110 Well #11 Test 2790 WhitkenRoad, Memphis, TN 38133 r „' Main 901.213.2400 0 Fax 901.213.2440 , r www.vwaypointanalytical.corn Analytica I Testing REPORT OFANALYSFS Results Units MQL Report Date : 04/05/2024 Received : 04/03/2024 Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/ 14/ 2024 9:30 DF Date / Time By Analytical Analyzed Method TOC 8.37 mg/L 1.00 1 04/05/24 02:01 JJT 531OC-2014 Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 9 of 14 ANALYTICAL 32064 Waypoint Analytical - Greenville Project Ron Boquist 114 Oakmont Dr Information Greenville , NC 27858 2790 Whii"-load, Moin.p.Ms, Tel 35133 � r: `' `; f 5- " ew'• Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Analytical Testing Report Number: 24-094-0068 REPORTDFANALYSIS Lab No : 86327 Sample ID : 110 Well #12 Report Date : 04/05/2024 Received : 04/03/2024 ,1 fJl J Andrea R. Brownfield Project manager Matrix: Aqueous Sampled: 3/14/2024 9:45 Test Results Units MQL DF Date 1 Time By Analytical Analyzed Mathod TOC 10.7 mg/L 1.00 1 04/05/24 02:39 3JT 531OC-2014 Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 10 of 14 1.0 war : 2-Vol. en Road, f phis. TN 38 3, .$ •; ,� �y A ! , i fd � Main 901.213.2400 a Fax 901.213-2440',;' ' � ANALYTICAL www.waypointanalytical.corn Quality Control Data Client ID: Waypoint Analytical - Greenville Project Description: Analytical Testing Report No: 24-094-0068 QC Prep: L742967 QC Analytical Batch(es): L742960 QC Prep Batch Method: 5310C-2011 Analysis Method: 5310C-2014 Analysis Description: Total Organic Carbon Lab Reagent Blank LRB-1-742967 Matrix: AQU Associated Lab Samples: 86321, 86322 Blank MQL Analyzed Parameter Units Result TOC mg/L < 1.00 1.00 04/04/24 12:44 Laboratory Control Sample LCS-1-742967 Spike LCS LCS %Rec % Rec. Parameter Units Conc. Result Limits TOC i mg/L 20.0 19.1 96.0 50-150 Duplicate L 86313-DU P-L742967 Result DUP RFD Max RPD Analyzed - Parameter Units Resul. TOC mg/L 1.00 < 1.00 3.1 15.0 04/04/24 18:25 Matrix Spike L 86312-MS-L742967 • MS Spike MSD MS Result MSD MS o/aRec Max Parameter Units Result Conc. Spike Result %Rec Limits RPD Ccnc. TOC mg/L 1.11 5.26 6.18 96.0 85-115 Date: 04/05/2024 04:43 PM Page I of 2 Page 11 of 14 •��.. } s[Pty' i WA 2796 i en Road, Meanphis, �'fm hl-33 •.:x -1 Main 901.213.2400 ° Fax 901.213.244i~ ANALYTICAL www.waypointanalytr.al.com Quality Control Data Client ID: Waypoint Analytical - Greenville Project Description: Analytical Testing Report No: 24-094-0068 QC Prep: L742968 QC AnaiytiW Batch(es): L742980 QC Prep Batch Method: 531OC-2011 Analysis Method: 531OC-2014 Analysis Description: Total Organic Carbon Lab Reagent Blank LRB-1-742968 Matrix: AQU Associated Lab Samples: 86323, 86324, 86325, 86326, 86327 Blank MQL Analyzed Parameter Units Result TOC mg/L < 1.00 1.00 04/04/24 12:44 Laboratory Control Sample & LCSD LCS-1-742968 LCSD-L742968 Spike LCS LCSD - LCS LCSD % Rec Parameter Units Conc. Result Result %Rec % Rec Limits RPD Max RPD TOC mg/L 20.0 1911 19.1 96.0 96.0 50-150 0.0 20.0 Date: 04/05/2024 04:43 PM. Page 2 of 2 Page 12 of 14 ,s .Waypolnt ANALYTICAL A 279en Road, Memphis, TN 3$133 Main 901:213.2400 'Fax 901.213.2440 www.waypointanalytical.com Shipment Receipt Form Customer Number: 32064 Customer Name: Waypoint Analytical -Greenville Report Number: 24-094-0068 Shipping Method 0 Fed Ex 0 US Postal 0 Lab UPS 0 Client 0 Courier 0 Other: Thermometer ID: 137 Shipping container/cooler uncompromised? Yes 0 No Number of coolers/boxes received F1 Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Present Custody seals intact on sample bottles? 0 Yes 0 No DO Not Present Chain of Custody (COC) present? Q Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed Q Yes 0 No Samples in proper containers? Yes 0 No Sample containers intact? © Yes 0 No Sufficient sample volume for indicated test(s)? Yes 0 No All samples received within holding time? Yes 0 No Cooler temperature in compliance? DO Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved Yes 0 No 0 N/A Water - VOA vials free of headspace 0 Yes 0 No 0 N/A Trip Blanks received with VOAs 0 Yes 0 No 0 N/A Soil VOA method 5035 —compliance criteria met 0 Yes 0 No N/A Nigh concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr) (� High concentration pre -weighed (methanol -14 d) r— Low cone pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes * No Comments: Signature: Amber Smith Date & Time: ,04/03/202411:56:36 Page 13 of 14 k I . Vaypoint W uwrcr�t Vnvpoint Analytical - Greenyil.!e 1.3 64-niont Dr. Al=lvilIc, NC 27853 EC•TION v 5y lt•.44'ay paint.4 n;dytJ a 77c 'hone (252) 7aa-(i2oS -- lax.(2a_") 756-0633 1LQl2[t,,r. LIENT: lro Week:15 U 4r i14i'.iV OF NJURFREESBOR0 i iJralyr.: NYINIOIND :U. BOX G IUP.MESBORO NC 27855 _ 52) 39S-:904 SAMPLE LQCA110M 7 :n G t: Ul V N �" L11 � Ul z j,1"liFE o LL DATE 'AM A,30A,, I Well #4 � W Z-� Well Na 3 `{Li �� WAI,- Well #LO-t�'�� Wk-11a11 o �j o i� P-1 P I P I)) I v I f> I i, -.J -�l -I J :1 era rage .� - of —1 CHLORINE CHECK (LAB) � cO.S mg:l. - Yes fr j 0, NG iFij pH CHECK (S-U-) (UAB) CONTM-11ER TYPE, PI C HE WICAL PR ES EPWATION S i• A - rJOI IE D - HAOHLU ! LU 13-lflq, E-HCL Uj C-HzSO, F-7I1,1CACETATFJ,9A0I4�' I G blATHIOSULFATEcc II C ! CIASSIFICAT10N: `,lASTEti1'ATE ppOES) ORIMAiNGWATIM Q SOLID WAS I E SECTION CHAIN OF CUSTODY (SEAL) MAIN TAIAIE1.6 DURING SWIPMENT;DELIVERY SAMPLES COLL ECT; D GY: Please peati SAIRLES RECEIVED IN LABAI r?=i yMl w �� DaTE/fli�1= 1���L. V p G't ' U r: rYfETitdr COMINIEHTS: L `&WPIJES RL"-CEiVEll (ll lC"t: rx. - iJtJ �UlS4� 8'f i51aj (Si1hrk j a' t 1i I'�: '.j i •. / ` ji �rf y}r�.�r'i.�. �.r•�G."!.. \� .. .,f[/ � � 1 '''• I �D we (SiG:) D:tTc+Tiir1M� a RY t3JG.j. n arF�T !£ ultI p REU&E c DXI Ent A -4 �u,,. ,^��T='O � — SUBBED TO MEMPHIS AELIIJCeIJI�,}iEDl3Y(SiG.) Sampler must place a %;'rot cornposlle. sar;iple ora `U" ror .PLEASE REAQ instructions for completing this form on the reverse side. Grab sampia.in the olocXs.above for each parameter requested. 't F �.