HomeMy WebLinkAboutWQ0008764_GW Monitoring_20080428SUBMIT
Name:yyestroina. nome, Inc.
Name (it different): WestPoint Stevens, Inc.
Address: P.A. Box 38B
ant _ NC 28396 County. Scotland
Telephone#: _
Name: Wagram - No. of wells to. be
FLING INI-UHMA I [UN
L ID NUMBER (from Permit): BMW-1 :bate sam 03/24/2008
Depth: 30.0 ft, Well uumieter: 2 In..
h to Water Level: 8.96 ft. below measuring point Screened Interval: _ft. to _ft
suring Point is ft. above land surface Relative M.P. Elevatiom, 'ft.
me of water pumpedibailed before sampling:. 10.5 gallons _ ^
sample analyzed: U3/Z4-.U4/l ZIZUUC
AMETERS NOTE: Values should reflect dissolve
COD
mg/l
Coliform: MF Fecal
< 1 col /loom]
Coliform: MFTotal -
1100ml
(Note:. Use MPN meftd for highly WNid
eemples)
Dissolved Solids: Total -
135 mgn
pH (when analyzed)
5.07 units
TOC
1.77 mgfl
Chloride.
18 mg/I
Arsenic.
mgA
Grease and Oils
mgA
Phenol
- mg/I
Sulfate
mgA
Specific Conductance
pMhos
Total Ammonia
< 0.121 mg/I
(Ammonia Nitrogen; NHHsea N; M Dnia Ni"On, Tolal).
TKN as N
mgA
Lab Reports):
C.( D. 42FLTGN VI,U
Number. Expiratior
harge W00008764 UIC
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:
FIELD ANALYSES:
pH 5.07 units Temp. 14.4 aC
Spec. Cond. pMhos
Odor
Appearance -
Laboratory Name: Carolina Environmental Laboratories
and colloidal concentrations. _
Nitrite (NO2) as N mg/l Pb- Lead
Nitrate (NO3) as N _ 11.8 Mgt' Zn - Zinc.
Phosphorus: Total as P - mgil
Other (Specify Compping d ppnppn t�� nits):
ay
Influent
Orthophosphate
mgll
At -Aluminum.
mg/I
Be - Barium
mg/I
Ca- Calcium
Mg/l
Cd-'Cadmium
mg/I
Chromium; Total
mg/l
Cu- Copper..
mgA
£e--'Iron .
-mgA
Hg - Mercury
mg/1
K-Potassium
mg/l
Mg - Magnesium
mgA
Mn-. Manganese
mg/I
Ni:-'Nickel,
mg/l
Certification No. 306
mg/I
mg/I
mAT
Informa Ion
BW4180�
ORGANICS: (by GC; GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) Q No (0)
'VOC , method # -.
method #
method
method #
at
GW-59 Rev. 1/2007
Name
Name
Addre
Person:
IDNUMBER (from .Permit): MW-2
eplh: 39.0 ft. _ -
to water Level: 21.80 ft..below. measuring point
iOng Point is it. above land surface
e of water pumped(bailed before: sampling: _ 8.75
tAMETERS NOTE: Values should. reflectmssolvt
COD
mg/l
Colifonn: MF Fecal_
<1 col 1100ml
Coliform[ MF Total
/100ml
(Note: Use MPN method for highly NtW
samples)
Dissolved Solids; Total.
113 mg/1-
pH'(when analyzed)
4.58 units
TOC
< 1:0 mg/l
Chloride
24 mgtl
Arsenic
mg/l
Grease and 'Oils
mg/l
Phenol
mgn
Sulfate
mg/l
Specific Conductance
µMhos
Total Ammonia
<0.121.mg/1
(Ammonia N"n, NH3 as N; Ammonia Nitrogen: TamO
TKN as N mgrl
J;
Telephone#: _
No. of wells to
Number. ExpirationDate:
iharge W00008764 UIG._
Other
PE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation Infiltration Gallery
❑.Spray Field ❑..Remediation:..
❑ :Rotary Distributor 5d Land; Application of Sludge
❑ Water. Source. Heat Pump ❑'Other: - -
Date sample collected:
03/24/2008
FIELD ANALYSES:
n
Well Diameter:
2 in.
pH 4.58 units
Temp. 15.7 eC p
i
.Screened Interval:
_ft. to _ft.
Spec..Cond.
pMhos s
Relative-M.P.. Elevation:.
ft.
Odor
_ c
gallons
Appearance
h
JO and field acidified: . DYES El NO
-
Laboratory Name: Carolina Environmental Laboratories
Certification No. '306
colloidal concentrations.
Nitrite (NO2) as N
mg11
Pb - Lead
mg/l
Nitrate (NO3)as N _
7.2 mg/l
Zn-Zinc
- mg/l
Phosphorus:' Total as -
mg/i
Orthophosphate
mg/l
Other (Specify,.Compounds and Concentration Units):
AI - Aluminum
mg/I
_
\ IG�_
Ba-Barium
mg/1
Q' Cell
Ca - Calcium
_mg/l
Cd- Cadmium
mg/l
Chromium: Total
m911
Cu-Copper
mg/l
Fe - Iron -.
mg/l
Hg - Mercury
mgll
K-.Potassium
_mg/l
Mg -Magnesium
-mg/l
Mn- Manganese
mgll
Ni -Nickel
-mg/1
MA7
_ sin9 Uri(
ORGANICS: (by GC, GRiMS!'� �ICVB�'
(Speedy test and method-#. ATTACH LAB REPORT.)
Report Attached? ❑ Yes(1) ❑ No
VOC , method#
method #
method #
method #
at
of
GW59. Rev. 1/2007
1NDWATER QUALITY MONITORING s e
rs97N:grwwmnuuwun.nr nm«:. vn a r _-
)LIANCE REPORT FORM
817 llIAll SERNICECEN_TER,RAC�I 14C?'760,9ti�'one ,tePh4919)7733121
TY INFORMATION Flea;e vnnt Cleody or Type
PERMIT Number:
Expiration Date:. 0913012010,
Name: WestPoint Home, Inc.
Non -Discharge WQ0008764
UIC
Name (if different): WestPoint Stevens, Inc. _
NPDES
Other
P.O.
Address: Box 388 _
TYPE OF PERMITTED OPERATION BEING MONITORED
NC 28396 County Scotland
❑ Lagoon
❑ Remediation: Infiltration Gallery
am
P.,; - -
❑ Spray Field
❑Remediation: ...-
Telephone#:
❑ Rotary: Distributor
®Land Application of Sludge
t Person:
3cation/SiteName: Wagram No. of wells to be sampled: 8
❑Water SourceHeafPump
❑Other.
L ID NUMBER (from Permit): MW-3
Depth: 44!0ft.
h to Water Level _ 19.44 tt..below. measuring point
:wring Pointis ft..above land surface
me of water pumped/bailed before sampling: - 12.0
COD
mg/1
Coliform: MF Fecal
< 1 col /loom)
Coliform: MFTotal
/toomi-
(Note: Use MPN meewtl for eig* tarVid samples) -
Dissolved Solids: Total
- - 95 mg/I
pH (when analyzed).
4.59 units
TOC
< 1.0 mg/I
Chloride
16.mg/l
Arsenic.
mg/t
Grease and Oils
mg/1
Phenol
mg/l
Sulfate.
mg/I
Specific Conductance _
.µMhos
Total Ammonia -
0.138 mg/I
'(Ammonia Nitmgen; NH�as N; Ammonia Nitrogen; Total)
TKN as N
--mg/I
f IV4-'7 1), f{-a.-v1.) >IV.
Date sample collected: 03124/2008 FIELD. ANALYSES:
Well Diameter: _2 in. pH 4:59 units Temp. 17.2 °C
Screened Interval:.. ft. to ft. Spec. Cond. _ µMhos
.Relative M.P. Elevation: ft. Odor
gallons Appearance
VO and field acidified: ❑ YES ❑ NO
LaboratoryName: Carolina Environmental Laboratories Certification No. 306
colloidal concentrations.
Nitrite (NO2) as N 'mg/I. Pb - Lead mg/I
Nitrate (NO3) as'N 6:5171911 Zn-Zinc ,—•(��J'vE
Phosphorus: Total as:P
mg/I
Orthophosphaie
mgll
AI - Aluminum
mg/I
Ba -Barium
mgA
Ca - Calcium
mg/I
Cd-Cadmium
mg/I
Chromium Total
mg/I
Co -Copper
mgn
Fe - Iron
_mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn- Manganese
mg/I
Ni- Nickel
mg/I
61kt�e'atw
Other (Specify Compounds and:Gorcentrjttid *%):
UjIlt
������processingNatlProcessin9
D`N
ORGANICS: (by GC,GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑. Yes(1) ❑ No.(0)
yOC , method'#
method #
,method# -
method#
at
of
GW-59 Rev. 112007
Inc.
Name (if i
Address:
'Person: Telephone#:..
at on/Sile Name: Wagram No. of wells to be sampled: 8_^
) NUMBER .(from Permit): MW-9
otht 34.0 ft,
Water Level: 18.06 ft. below measuring point
rig Point is -ft. above land,surface
of water pumped/bailed before sampling: 8.0
COD
mg/I
Doliform: MF Fecal _
< 1 Col /loom]
Coliform: MF Total
_ - /looml
(Note: use MPN method ror highly turbid samples)
Dissolved Solids: Total
_ 100 mg/I
PH (when analyzed)
4.80. units
TOC
< 1.0 mg/I
Chloride
30 mg/I
Arsenio
_.mg/I
,Grease and Oils
rirg/I
Phenol -
mg/I
Sulfate
- mg4
Specific Conductance
µMhos
Total Ammonia
0.137 mg/l
(Ammonia Nitrogen; NHsas N; Ammonia Noose-, Total)
TKN as N
mg/1
Date sample collected: 03/24/2008
Well Diameter: 2. in.
Screened Interval:,—ft. to _ft.
Relative M.P. Elevation: ft.
er: Expiration Date:
WQ0008764 UIC_
'DES Other
rPE'OF PERMITTED OPERATION BEINGMONITORED
❑Lagoon ❑Remediation:Infiltration Gallery
❑ Spray Field -❑Remediation:..
❑ Rotary Distributor ® Land Application of Sludge
Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 4.80 units Temp. 15.6 'O
Spec. Cond. µMhos
Odor
7allons Appearance 'flier
V0 and field acidified: ❑ YES ❑ NO
Laboratory,Name: Carolina Environmental Laboratories Certification No. 306
colloidal concentrations.
Nitrite NO,) as N mg/I Pb - Lead mg&
Nitrate (NO3) as N 4.4. mg/I Zn:=Zinc mg/1..
Phosphorus: Total as P mg/l
Orthophosphate mg/I Other (Specify Compounds ar pi trdA) lt�rD
AI - Aluminum.
mg/l
Be - Barium
mgn
Ca - Calcium
mg/I
Cd- Cadmium
mgp
Chromium: Total
_ mg/I
Cu'-Copper..
_mgll
Fe -Iron
mg/I
Hg - Mercury
mg/I
K- Potassium_
mg/I
Mg - Magnesium
mg/I
Mn.- Manganese
mg/I
Ni- Nickel
mg/I
JA I
, orlon Pro4Es
ORGANICS: (by GC,GC/MS; HPLC),
(Specify test and method #. ATTACH LAS REPORT.)
Report Attached? ❑ Yes' (1) ❑ No (0)
VOC , method #
method #
method #
method #
For.Remediat]on Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:, mg/L VOC':Removat%a
D, Au. -01
0
attee(or Authorized Aaehn Name and Title- Please print or type - signetu of tee(or Authorized Anen) (Hate)
GW-59 .Rev. 112007
at
TY MONITORING:
FORM
Name (If different):
Address: P.O.
SUBMIT
act'Person: Telephone#:
Location/Site Name: Wagram. No. of wells to
ONLY
LT: Expiration Date:
WQ0008764 UIC_
Other_
PE OF PERMITTED OPERATION BEING MONITORED
Lagoon❑.Remediation:Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ®Land Application. of Sludge
❑ Water Source Heat Pump ❑Other
ID NUMBER (from Permit): MW-12 Date sample collected: 03/24/2008 FIELD ANALYSES:
spth: 25.0 ft, Well Diameter:: 2 in. pH 5.12 units Temp. 14:8 °C
o Water Level: '20:30 ft. below measuring. point Screened Interval: —ft. to _ft. Spec. Cond. µMhos
ring Point is ft. above land surface Relative M.P. Elevations -ft. Odor
of water pumped/bailed before sampling: 2•5 gallons
Appearance
'ORATORY INFORMAT ION
sample analyzed:
03/24 - 04/12/2008
Laboratory Name: Carolina Environmental Laboratories Certification No. 306
WMETERS NOTE: Values should reflect dissolvedand colloidalconcentrations.
COD
mg/I
Nitrite (NO2) as N
mg/I Pb - Lead mgA
Coliform: MF Fecal
< 1 col /loom]
Nitrate (NOa)asN _
<. 0.5 mg/t Zn - Zinc. mg/I
Coliform: MF Total
1100ml
Phosphorus Total as P
mg/I
(Note:' Use MEN meftwafor higNy t id samples)
Orthophosphate
mg1l Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
_ 13mg/I
AI -Aluminum,.
mgll
r
pH (when analyzed)
5.12 units
Ba- Barium
mgll V
'TOG
< 1.0 mg/I
Ca -Calcium
mg/t
Chloride
5 mg/I
Arsenic.
- mgll
Grease and Oils
mg/I
Phenol
_1119/1
.Sulfate
mg/l
Specific Conductance
pMhos
Total Ammonia
<0.121 moll
(Ammonia Nigpgenl NHsas N; Ammonia Mtragen, Tct r)
TKN as'N
mgll
Systems Only (Attach Lab Reports):
Cd -:Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mgA
Hg- Mercury
_mgli
-mg/l
K- Potassium
Mg -Magnesium
mgfl
Mn- Manganese
mg/I
Ni-Nickel
mgn
J, Ale �r�b/AIS� dE
int or type _
PrOcessiag umt
ORGANICS: (by GC,. GCr ,.HPt,s,M, 1gOC''
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0)
VOC . , method #
method#
method #
method #
GW-59 Rev. 112007
Name: vvcsu
Name (if different):
Address: P_O.
county. 'Scotland
c,=r; e . -
act Person: Telephone*.
Location/She Name: Wagram No.. of wells to
MW-13
Depth:25.0 ft;
i to Water Level: 18.75 ft. belowmeasuring point
tudng'Point is ft. above land surface
ne of water pumped/bailed before sampling:
sample
COD
mg/l
Coliform: MF Fecal
< 1 col /loom[
Coliform: MF Total
/loomi
(Note: use MPN method for highly snoia samples)
Dissolved Solids: Total
85 mg/l
pH (when analyzed),
4.49 units
TOC
< 1.0 mg/i.
Chloride
1.9 mg/I
Arsenic
mg/I
Grease and Oils
m9A
Phenol
mg/l
Sulfate
mgA
Specific Conductance
µMhos
Total Ammonia
4 2.121 mg/I
(Ammonia Nitrogen; N%as N; Ammonia Nitrogen; Total)
best of my knowledge and belief, the information submill
oratory. I am aware that there are stgmficznt penalties for
r / /
[Mee (or Authorized Apart) Name and Title. Please print or type
GW-59 Rev; 1/2007
Datesample collected: 03124/2008 ..
Well Diameter: 2 in.
Screened Interval:—ft. to _ft.
Relative M.P. Elevation: ft.
Number: Expiration
;harge W00008764 UIC.
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
El Spray Field ❑ Remediation:
❑ Rotary Distributor 5d Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:.
FIELD ANALYSES:
pH 4.49 units Temp. 15.4 oC DRY at
.µMhos ime of
Spec. Cond. samplir
Odor _
Appearance
Laboratory Name: Carolina Environmental Laboratories Certification No. 306
colloidal concentrations.
Nitrite (NO2) as N mg/I Pb - Lead mg/I
Nitrate (NO3) as N 4.2 m9/1 Zn-Zinc mg/l
Phosphorus: Total as P' _ mgll
Orthophosphate mg/1 Other (Specify Compoun n ti i r is
AI - Aluminum,
mgll
Be - Barium
mgll
Ca - Calcium
mg/I
Cd - Cadmium
mg/l
Chromium: Total
m91I
Cu- Copper
m9/I
Fe - Iron
mg/l
Hg - Mercury
mg1I
K - Potassium
mg/l
Mg- Magnesium
111911
Mn- Manganese
mgn
Ni - Nickel
m9n
raYian-Pr ,Pssinq Unit
mjOour nWCIBOG
ORGANICS: (by GC/MS, HPLC)
(specify testand method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0)
VOC , method #
method #
method #
method #
Effluent Total
Name: VVVbLr Ullll Iuu.
Name (if d fferent): WestPoint Stevens, Inc.
Address; P b Box 388
a . is"``" NC 28396 CountyScotland
act Person:_ - Telephone#:.
Location/SiiteName, Wagram No. of wells to be
MW-14
Depth:. 25.0 ft,
itoWater Level: 13.88ft. .below measuring point
wring Point is ft. above land surface
ne of water pumpedfbailed before sampling: 6.0
COD
mg/i
Coliform: MF Fecal
<.1 C017100ml
Coliform:' MF Total
1100ml
(Note: Use MPN method W Nghly 1Wbid53mp1es)
- DissolvedSolids:Total.
40 mg/I
pH (when analyzed)
5A 1 units
TOG
1.36.mg/I
Chloride,
- 8 mg/I
Arsenic
mg/I.
Grease and Oils
mg/I
Phenol
_ mg/I
Sulfate
mgA
Specific Conductance
µMhos
Total Ammonia
< 0.121 mgA
(Pnumnia Niwgen; NH.ae N; Ammonia Nitrogen; Totep
TKNas N - mgA
ONLY
Date sample collected:. 03/24/2008
Well Diameter: 2 in.
Screened Interval: _ft. to _ft.
Relative M.P. Elevation: ft..
Number: Expiration
harge WQ0008764 UIC.
Other
'PE OF PERMITTED OPERATION 'BEING MONITORED
❑ Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
❑ Rotary Distributor ®Land Application of Sludge
❑ Water Source Heat Pump ❑Other. -
FIELD ANALYSES:
pH 5.11 units Temp. 15.9 PC
Spec. Cord. _µMhos
Odor
.Appearance -
Laboratory Name: Carolina Environmental Laboratories
idal concentrations.
Nitrite (NO,) as N
mgA
Nitrate,(NO3) as'N
1.2 m9/i
Phosphorus: Total as P..
-mg/I
Orthophosphate
mg/1
AID- Aluminum
mg/I
Be - Barium
mg/I
Ca -Calcium
_ mg/I
Cd- Cadmium
mg/I
Chromium: Total
M9/l
_
Cu-Copper
-'mg11
Fe -.Iron
mgA
Hg:-Mercury
mg/I
K- Potassium
mg/I
Mg -Magnesium
- mg/I
Mn- Manganese.
mg/I
Ni- Nickel
m9/l
Pb - Lead
Zn- Zinc
Certification No..306
mgA
mg/I
Other (Specify Compounds an¢Cjo r� e% = r " D
��� Cell!!
nit
�nOW
Processin9
��rm�
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0)'
VOC , method#
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs> mg/L Effluent Total VOCs` - - mg/L voc Removar is
y/-i p r f eyTi � 2t � .
at
of
GVV-59 Rev. 112007
Name (if different):
FORM
County
_. Telephone#:_
Name: Wagram No. of wells to be
L ID NUMBER (from Permit): MW"15
Depth: 25.0 ft.
T to Water Level: 11.60 ft. below measuring point
,wring Point is ft. above land surface
ne of water pumped(bailed before sampling: 6.75
ONLY
Number: Expiration
harge W00008764 UIC.
Other
'PE .OFPERMITTED OPERATION BEING. MONITORED
❑ Lagoon ❑Remediation: Infiltration Gallery
Date sample collected: 09/24/2008
Well Diameter: _2 in.
Screened Interval _ft. to ft.
Relative M.P. Elevation:.. 'ft.
❑ Spray Field
❑ Rotary Distributor
13 Water Source Heat Pump
®'Land Application of Sludge
❑ Other,
FIELD ANALYSES: rhe
"
H 4.79 units Temp. 15.7 eC Y at
p of
Spep.Cond. µMhos. tin ,
P 9
Odor ck
Appearance e:❑
eBO ATORY INFORM, ION.
)ate sample analyzed:
03/24 - 04/12/2008
Laboratory Name: Carolina. Environmental Laboratories "Certification No. 306
?ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mgA
Nitrite (NO2) as N
mgA
Pb - Lead mgA
Coliform: MF Fecal
< 1 col /100ml
Nitrate (NO3) as N
2.1 10911
Zn -Zinc mgtl
Coliform: MF Total /loom]
,Phosphorus: Total as P
. mgtl
mgA
Other (Specify and Concentration Units):
.(Note: use MEN metfiee fir MINY
Wpid WeTks)
Orthophosphate.
Dissolved Solids: Total
37mg/I
AI -Aluminum,
-mgtl
--
pH (when analyzed)
439 units
Ba-Barium
mgAnIV
-�
TOG
< 1.0 mg/I.
Ca - Calcium
_ mgtl
IVIA
Chloride
5 mgA
£d-.Cadmium
mgtl
emit
Arsenic
_ mg/l
Chromium: Total.
mgtl
mgA
iocese{a9
ORGANICS: '(by GC, .GOlA1S(xP%j3 6G
Grease and Oils
mg/I
Cu-copper-
(Specify test and method #. ATTACH. LAB REPORT.)
Phenol
rrig/l
Fe - Iron
Hg- Mercury
_mgA
mg/I
Report Attached? ❑ Yes (1) ❑ No (g)
Sulfate
Specific Conductance
mgA
µMhos
K- Potassium
mgtl
VOC ,method#
Total Ammonia
< 0.121 mgA
Mg - Magnesium
mgtl
, method#
(Ammonia Nitrogen; W385 N; AmmaNa Nitrogen, Toteq
Mn- Manganese
mgtl
,.method# -_
TKN.as..N
mgA
Ni- Nickel
rngll
,method'#
malL Effluent Total VOCsi mglL 'VOC Removal%e-
J.
W-71
GW-59 Rev.
CAROUNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: March MWs
Artn: Yancey Helton REPORT DATE: 04/14/08
PO Box 388
Wagram, NC 28396-.0388
SAMPLE NUMBER- 79746 SAMPLE ID- MW-1 SAMPLE MATRIX- GW
DATE SAMPLED- 03/24/08 TIME SAMPLED- 140.0
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1640 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH
4500pH-B
03/24/08
SMM
5.07
Std Units
Temperature
2550B
03/24/08
SMM
14.4
Celsius
Depth to Water
03/24/08
SMM
8.96
ft
Fecal Coliform
9222D
03/24/08
ERP
< 1
col/100 mL
1
Total Ammonia
4500NH3-F
03/28/08
ERP
< 0.121_.mg/L
0.121
Chloride
450001-C
'03/27/08
ERP
18
mg/L.
1.0
Nitrate Nitrogen
450ONO3-E
04/01/08
ERP
11.8
mg/L
0.1
Total Dissolved Solids
2540C
03/26/08
ERP
135
mg/L
10..
Total Organic Carbon
'5310C
04/12/08
DMG
1.77
mg/L
1.0
LRL = Lower Reporting Limit`
LABORATORY DIRECTOR jf ,
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROLINA ENVIRONMENTAL LABORATORIES, LL C
WestPoint Home, Inc.
Artn: Yancey Helton
PO Box 388
Wagram, NC 28396-0388
SAMPLE. NUMBER- 79747
DATE SAMPLED- 03/24/08
DATE RECEIVED- 03/24/08
TIME RECEIVED- 1640
Page 1 of 1
ANALYSIS
Field pH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total. Organic Carbon
FINAL REPORT OF ANALYSES
PROJECT NAME: March MWs
REPORT DATE: 04/14/08
SAMPLE ID- MW-.2 SAMPLE MATRIX- GW
TIME SAMPLED- 1345
SAMPLER- Mark Malloy RECEIVED BY- hcg
DELIVERED BY- Mark Malloy
LRL = Lower Reporting Limit
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS.
LRL
4500pH-B
03/24/08
SMM
4.58
Std Units
2550B
03/24/08
SMM
15.7
Celsius
03/24/08
SMM
21.80
ft
9222D
03/24/08
ERP
<.1
col/100 mL
1
4500NH3-F
03/28/08
ERP
-< 0.121
mg/L
0.121
450001-C
03/27/08
ERP
24
mg/L
1.0
450ONO3-E
04/01/06
ERP
7.2
mg/L
0.1
2540C
03/26/08
ERP
113
mg/L
10
5310C
04/12/08
DMG
< 1.0
mg/L
1.0
n
LABORATORY DIRECTOR (iJ
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
a
CAROLINA ENVIRONMENTAL LABORATORIES, .LL C
WestPoint Home, Inc.
Attn: Yancey Helton
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 79748
DATE SAMPLED- 03/24/08
DATE RECEIVED- 03/24/08
TIME RECEIVED- 1640
Page 1 of 1
ANALYSIS
FINAL REPORT OF ANALYSES
PROJECT NAME: March MWs
REPORT DATE: 04/14/08
SAMPLE ID- MW-3
SAMPLER Mark Malloy
DELIVERED BY- Mark Malloy
ANALYSIS
METHOD DATE BY
SAMPLE MATRIX- GW
TIME SAMPLED- 1330
RECEIVED BY- hcg
RESULT UNITS LRL
Field pH
4500pH-B,
03/24/08
SMM,
4.59
Std Units
Temperature
2550B
03/24/08
SMM
17.2
Celsius
Depth to Water -
03-/24/08
SMM
19.44
ft
Fecal Coliform -
9222D
03/24/08
ERP
< 1
col/100 mL,
1
Total Ammonia
4500NH3-F
03/28/08
ERP
0.,138
mg/L
0.121
Chloride
4b0001-C
03/27/08
ERP
16
mg/L
1.0
Nitrate Nitrogen
4500NO3-E
04/61/08
ERP
6.5
mg/L
0.1
Total Dissolved Solids
2540C
03/26/08
ERP
95
mg/L
10
Total Organic Carbon
5310C
04/12/08
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
LABORATORY DIRECTOR 0
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/776-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROUNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: March MWs
Attn: Yancey Helton REPORT DATE: 04/14/08
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 79749 SAMPLE ID- MW-9 SAMPLE MATRIX- GW
DATE SAMPLED- 03/24/08 TIME SAMPLED- 1440
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1640 DELIVERED BY- Mark Malloy -
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD DATE BY RESULT UNITS LRL
Field pH
4500pH-B
03/24/08
SMM
4.80
Std, Units
Temperature
2550B
03/24/06
SMM
15.6
Celsius
Depth to Water
03/24/08
SMM
18.06
ft
'
Fecal Coli form
9222D
03/24/08
ERP
< 1
col/100 mL
1
Total Ammonia
4500NH3-F
03/28/08
ERP
0.137
mg/L
0.121
Chloride
4500C1-C
03/27/08
ERP
30
mg/L
1.0
Nitrate Nitrogen
450ONO3-E
04/01/08
ERP
4.4
mg/L
0.1
Total Dissolved Solids
2540C
03/26/08
ERP
100
mg/L
10
Total Organic Carbon
5310C
04/12/08
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
LABORATORY DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741 `
CAROLINA ENVIRONMENTTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: March MWs
Attn: Yancey Helton REPORT DATE: 04/14/06
PO Box 386
Wagram,NC 28396-0388 '
SAMPLE. NUMBER- 79750 SAMPLE ID- MW-12 SAMPLE MATRIX- GW
DATE SAMPLED- 03/24/08- TIME SAMPLED- 14SS
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY- hcg'
TIME RECEIVED- 1640 DELIVERED BY —Mark Malloy
Page l of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field PH
4500pH-B
03/24_/08
-SMM
5.12
'Std Units
Temperature
2550B
03/24/08
SMM
14.8
Celsius
Depth to Water
03/24/08
SMM
20.30
ft
Fecal Coliform
9222D
03/24/08
ERP
< 1
col/100 mL
1
Total Ammonia
4500NH3-F
03/28/08
ERP
< 0.121
mg/L
0.121
Chloride
450OCl-C
03/27/08
ERP
5
mg/L
1.0
Nitrate Nitrogen
-450ONO3-E
04/01/08
ERP
< 0.5
mg/L
0.1
Total Dissolved Solids
2540C
03/26/08
ERP
13
mg/L
10
Total Organic Carbon
5310C
04/12/08
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
LABORATORY DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
a
CAROUNA .ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: March MWs.
Attn: Yancey Helton REPORT DATE: 04/14/08
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 79751 .SAMPLE ID- MW-13 SAMPLE MATRIX- GW
_DATE SAMPLED- 03/24/08 TIME SAMPLED- 1515
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1640 . DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
Field pH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia +
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon
LRL = Lower Reporting Limit
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
4500pH-B
03/24/08
SMM
4.4'9Std
Units.
2550B
03/24/08
SMM
15.4
Celsius
03/24/08
SMM
18.75
ft
9222D
03/24/08
ERP
c 1
col/100 mL
1
4500NH3-F
03/28/08
ERP
< 0.121
mg/L
0.121
450OCl-C
03/27/08
ERP
19
mg/L
1.0
450ONO3-E
04/01/08
ERP
4.2
mg/L
0.1
2540C
03/26/08
ERP
85
mg/L
10
5310C
04/12/08
DMG
< 1.0
mg/L
1.0
LABORATORY DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741 1
CAROUNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: March MWs
Attn: Yancey Helton REPORT DATE: 04/14/08,
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 79;752 SAMPLE ID- MW-14 SAMPLE MATRIX- GW
DATE SAMPLED- 03/24/08� TIME -SAMPLED- 1420
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY -.hog
TIME RECEIVED- 1640 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
Field pH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon
LRL = Lower Reporting Limit
a
"
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
4500pH-B
03/24/08,
SMM
5.11
Std Units
2550B
03/24/08,
SMM
15.9
Celsius
03/24/08
SMM
13.88
ft
9222D
03/24/06
ERP
<,1
col/100 mL
1
4500NH3-F
03/28/08
ERP
<0.121
mg/L
0.121
450OCl-C
03/27/08
ERP
8
mg/L
1.0
450ONO3-E
04/61/08.
ERP
1.2
mg/L
0.1
2540C
03/26/08
ERP
40
mg/L
10
5310C
04/12/08
DMG
1.36
mg/L
1.0
LABORATORY DIRECTOR'
j M
1229 North Horner Boulevard, Sanford, North Carolina 27330 9191775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROUNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WescPoint Home, Inc.- PROJECT NAME: March MWs
Actn: Yancey Helton REPORT DATE: 04/14/08
PO Box 388
Wagram, NC. 28396-0388
SAMPLE NUMBER- 79753 SAMPLE ID- MW-15 SAMPLE MATRIX- GW
DATE SAMPLED- 03/24/08 TIME SAMPLED- 1430
DATE RECEIVED- 03/24/08 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1640 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
Field pH
Temperature
Depch to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon.
.LRL = Lower Reporting Limit
ANALYSIS
METHOD DATE BY RESULT UNITS LRL
4500pH-B 03/24/08 SMM
2550B
03/24/08
SMM
03/24/08
SMM'
9222D
03/24/08
ERP
4500NH3-F
03/28/08
ERP
450OC1-C
03/27/08
ERP
450ONO3-E
04/01/08
ERP
2540C.
03/26/08
ERP
5310C
.04/12/08
DMG
LABORATORY. DIRECTOR
4.79 Std Units
15.7 Celsius
11.60 ft
< 1 col/100 mL 1
< 0.121 mg/L 0.121
5 mg/L 1.0
2.1 mg/L 0.1
37 mg/L 10
< 1.0 mg/L 1.0
1229 North Horner Boulevard, Sanford, North Carolina 27330, '919/775-1880 Fax 919/776-5724
,NC WW/GW 306 NC DW 37741
CAROLINAENVIRONMENTAI, LABORATORIES, LLC
1229 N. HORNER BLVD. • SANFORD, NC 27330�
(919) 775-1880 - FAX (919) 776-5724
CHAIN OF CUSTODY
Page of
CLIENT: WestPoint-Stinveng, Inc.
---------Contact:
Address: PO Box. 388 v 0
ANALYSES
REQUIRED
BILL TO:
Phone #: Fax
Puichase Order 4i:
Turnaround Time:
E] Normal (2 we pksl Rush (I week)"COLLEN-D
'
E] Rush (48 hours) Rush (24 hours)*
0
LO
�3
0
n
-3
2:
�a
Uj
X
X
1-j
(D
X
X
X
X
City: Wagram NC 28396
State: Zip:
PROJECT NO:
PROJECT NAME:
Monitoring Wells
BY: (Signalure —
PRINTED NAME
IrM-e sample chlorinated? Yes -4-
No
Will the results be used for regulatory monitoringLU
purposes? Yes X--- No
PRESERVATIVES
PRESERVED IN FIELD
PRESERVED IN LAB E
RECEIVED ON ICE 1!
0
X
X
X
a-
0
0
<
0
w
X
X
X
X
0
C-)
X
X
X
C)
X
X
X
SAMPLE it
77-747
DATE
TIME
P,
COMP
CRABX X
X
X
x
MW SAMPLE I.D.
-1
MW-2
MW_'3
mw-9
SAMPLE
MATRIX
GW
GW
GW
GW
#OF
OONTAIMERS
4
4X
4
REMARKS
7175a
X
MW-12
GW
4
X
X
X
X
X_
X
X
MW-13
GW
4
X
'X
X
X_
X
_)5_7S_2
X,
MW-14
GW
4
X
X
X
Ic93
MW-15
GW
4-
x
x
X
X
X
---X
-
X
L5
ARELINQUISH Z BY
7
DATE TIME
RECEIVED BY
DATE TIME
ADDITIONAL INSTRUCTIONS
/aC.
2.
M
2
I- I * RUSH WORK MUST BE APPROVED PRIOR TO SAMPLE SUBMISSION. ADDITIONAL CHARGES MAY APPLY.
"� rmrcn urvt-1
., rr ;DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: HtUtiftu DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 16.17 MAILSERACE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221
FACILITY INFORMATION Please riot creari PERMIT Number: Expiration Date: 09/30/2010
Facility Name: WestPoint Home, Inc. Non -Discharge WQ0008764 UIC
Permit Name (if different): WestPoint Stevens, Inc. OENR—FAYETTENLLEREGIONAL FRCE NPDES Other
Facility Address: PO Box 388 TYPE OF PERMITTED OPERATION BEING MONITORED
Wa ram NC County Scotland ❑ Lagoon ❑ Remediation: Infiltration Gallery
�❑ Spray Field ❑ Remediation:
Contact Person: Telephone#: ❑ Rotary Distributor W Land Application of Sludge
Well Location/Site Name: Wagram No. of wells to be sampled: 13 ❑ Water Source Heat Pump ❑ Other:..
L ID NUMBER (from Permit): MW4
Depth: 25.0 ft.
h to Water Level: 10.44 ft. below measuring point
luring Point is ft. above land surface
The of water pumped/bailed before sampling: 7.5
72 no
Date se nplelcollected s1y1/28%2007v
Well Diameter:. 2 in.
Screened Interval: _ft. to _ft.
Relative M.P. Elevation: ft.
FIELD ANALYSES:
pH 5.11 units
Spec. Cond.
Odor
Appearance
?sample analyzed: 11/28-12110/07 Laboratory Name: Carolina Environmental Labs
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO,) as N mg/I Pb - Lead
Coliform: MF Fecal < 1 COI /100ml Nitrate (NO3) as N < 0,5 mg/1 Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P mg/1
Temp. 18.3 eC DRY at
)(Mhos time of
Certification No. 306
mg/1
mg/l
(Note: - -Use MPN method for highly turbid samples) ,.
Orthophosphate
mg/I
Other (Specify��p a �r (�en e (ration Units):
Dissolved Solids: Total
62 mg/1
AI - Aluminum
mg/I
pH (when analyzed)
5.11 units
- Ba - Barium
mg/I.
TOC
2.16 mg/1
Ca - Calcium
mg/I
ru i a, ir Y SECTION
Chloride
17 mg/I
Cd - Cadmium
mg/I
Information Processing Unit
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu -.Copper
mg/1
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mgfl
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/1
Fig - Mercury
< 0.0002 mg/1
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance
ItMhos
K - Potassium
mg/I
VOC , method # 6230D
Total Ammonia
0.229 mg/I
Mg - Magnesium
mg/I
, method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/1
, method #
r- .. .•
fy thaf. to the best of my knowledge and betel, the infg[matign submitted'Ir this repdn is true. accurate: and complete. ant
re°.
certified laborato I am aware that there are sl -nificant enatties for 9,L;i ittrn false,inforniation, indudin 'the ossibilii
thee (or Authorized Agent) Name and Title - Please print or type Shonature
GW-59 Rev. 11
Effluent Total VOCs:
VOC Removal%
-,
SUBMI I FORM ON YFI I OW PAPER ONLY
r ,DEPARTMENT
OF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
rDIVISION
IG17 MAIL SERVICE CENTER, RALEIGH,NC27699.1617 Plione:(919)733.3221
FACILITY INFORMATION
Please Print Clearly or Type -
PERMIT Number: Expiration Date: 09/30/2010
Facility Name: WestPoint Home, Inc.
Non -Discharge WQ0008764 UIC
NPDES Other
Permit Name (if different): WestPoint Stevens, Inc.
Facility Address: PO BOX 388
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Galiery
Wa ram NC County Scotland
❑ Spray Field ❑ Remediation:
Contact. Person:
Telephone#:
❑ Rotary Distributor Land Application of Sludge
Well Location/Site Name: Wagram
No. of wells to be sampled: 13
❑Water Source lieal Pump ❑ Other:
tram Permit
SAMPLING INFORMATION
"
If WELL
WELL ID NUMBER (from Permit): MW-6
.Date sample collected: 11/28/2007
FIELD ANALYSES:
WAS
Well Depth: 25.0 ft.
Well Diameter: 2 in.
pH Temp. °C
DRY,at
Depth to Water Level: ft. below measuring point
-
Screened Interval: ft. to
_units
ft. Spec. Cond. liMhos
time
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailedbefore sampling:
. 0 gallons .
Appearance
here: ❑
Samples for metals were collected unfiltered:
❑YES
❑ NO and field acidified: [--]YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
-
Laboratory Name: Carolina Environmental Labs Certification No. 306
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD
mg/I
Nitrite (NO,). as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note'. Use MPN method for highly turbid samples),
Orthophosphate
mg/l
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
mg/l
AI - Aluminum
mg/I
_
pH (when analyzed)
units
Ba --Barium
mg/I
pRF-
TOC
mg/l
Ca - Calcium
mg/I
Chloride
mg/I
Cd- Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
'mg/I
e1UAl-ri Y SEinCT lON
Grease and Oils
mg/I
Cu - Copper -
mg/I
odAFFR rocessgHrdt—
ORGANICS: (by GC, GCtt rggIk
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
pMhos
K- Potassium
mg/I
VOC , method #
Total Ammonia
mg/I
Mg - Magnesium
mg/I
, method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen. Total)
Mn - Manganese
mg/l
method #
TKN as N
mg/I
Ni - Nickel
mg/I
, method #
Influent Total VOCs:
I certify that, to thebest or my knowledge and belief, the information at
DWQ-certified laboratory. I am aware that then are at nificant enalli
Effluent Total VOCs: moll- VOC Removal%
tee (or Authorized Agent) Name and Title - Please print or type
GW-50 Rev. 112007
Agent)
(Dale)
' auomn r�Rw vry ,yyrw r-.,rr_n vR�r
EPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
UNDWATER QUALITY MONITORING: /]SION OF WATER QUALITY -INFORMATION PROCESSING UNIT
PLIANCE REPORT FORM 617 MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: 1919) 733-3221
TY INFORMATION Please Pnnf Cleany or type
Name: WestPoint Home, Inc.
Name (if different): WestPoint Stevens, Inc.
Address: PO Box 388
NC
County Scotland
act Person: Telephone#:
Location/Site Name: Wagram _ No. of wells to be sampled: 13
PERMIT Number: Expiration Date: ualJulzu lu
Non -Discharge WQ0008764 UIC
NPDES - Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remedialion: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor, ® Land Application of Sludge
❑ Water Source Heal Pump ❑ Other:
L ID NUMBER (from Permit): MW-7 Date sample collected: 11/28/2007
Depth: 25.0 ft. Well Diameter: 2 in.
1 to Water Level: ft. below measuring paint Screened Interval: — ft. to _ Q.
luring Point is ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 0 gallons
FIELD ANALYSES:
pH _units
Spec. Cond.
Odor
Appearance _
Temp. oC DRY at
It Mhos time of
sampling,
VRN Vnl ,YrVn
sample analyzed:
Laboratory Name:
Carolina Environmental Labs Certification No. 306
AMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD
mg/I
Nitrite (NO,) as N
mg/I
Pb - Lead mg/l
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mgll
(Nola. Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
mg/l
AI - Aluminum
mg/I
REGEI fE®
pH (when analyzed)
units
Be -Barium
mg/I
2 1
TOC
. mg/I
Ca - Calcium
mg/I
FER
Chloride
Cd- Cadmium
mg/I
_mgll
Arsenic
mgll
Chromium: Total
mg/I
u�ti�YyTION
w��aiion Processing Und
Grease and Oils
mg/I
Cu - Copper
mg/l
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
- Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mgll
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
IlMhos
K - Potassium
mg/I
VOC , method #
Total Ammonia
mg/I
Mg- Magnesium
mg/I
, method #
(Ammonia Nilragen: NHsas N: Ammonia Nitrogen. Total
Mn - Manganese
mgll
method #
TKN as N
mg/I
Ni - Nickel
mg/I
, method #
u
For Remedlatlon Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: 111"g1L vL)c Hemovamo _
Permittee (or Authorized Agent) Name and Title - Please print or type Signalur T e millee (or Authorized Agenll (Date)
GW-59 ' Rev. 112007
SUBMI I FORM ON YFI I OW PAPER ONLY
r ,
GROUNDWATER QUALITY MONITORING: r
COMPLIANCE REPORT FORM
Please Prinr Clearly or Type
FACILITY INFORMATION _
Facility Name: WestPoint Home, Inc.
Permit Name (if different): WestPoint Stevens, Inc.
Facility Address: PO Box 388
Wa ram NC county Scotland
Contact Person: Telephone#:
Well Location/Site Name: Wagram No. of wells to be sampled: 13
Ihom Permit)
LID NUMBER (from Permit): MW-8
Depth: 36.5 ft.
h to Water Level: 10.33 ft. below measuring point
luring Point is ft. above land surface
ne of water pumped/bailed before sampling:
sample analyzed: 11 /"Zt3-1 Z/"I Utu r
AMETERS NOTE: Values should reflect dissolve
COD
mg/I
Coliform: MF Fecal
< 1 col /100ml
Coliform: MF Total
I100m1
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
46 mgA
pH (when analyzed)
4.89 units
TOC
9.03 mg/I
Chloride
8 mg/I
Arsenic
mg/I
Grease and Oils
mgll
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
µMhos
Total Ammonia
0.244 mgll
(Ammonia Nitrogen; NH3 as NI Ammonia
Nitrogen, Tofal)
TKN as N mg/1
13.5
UNIT
1617 MAIL SERVICE CENTER, RALEIGH,'NC 27699.1617 Phan&:'(919) 733-3221
PERMIT Number: Expiration Date: 09I30I2010
Non -Discharge WQ0008764 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remedialion: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 11/28/2007
Well Diameter: 2 in.
Screened Interval: _ft. to _ft.
Relative M.P. Elevation: ft.
FIELD ANALYSES:
pH 4.89 units Temp. 15.4 eC
.Spec. Cond. µMhos
Odor
Appearance
_ Laboratory Name: Carolina Environmental Labs Certification No. 306
and colloidal concentrations.
Nitrite (NO,) as N mg/l Pb - Lead m9/I
Nitrate (NO3) as N < 0.5 mg/I Zn - Zinc mg/I
Phosphorus: Total as P
mg/I
^�` ,1�rC njpGlrl
Orthophosphate
mg/I
nits)
Other (Specify Compo rt LR
AI - Aluminum
mg/I
Ba - Barium
mg/I'
. Y SECTION
Ca - Calcium
mg/l
Processing lilt
Cd -Cadmium
mgll
Information
Chromium: Total
mg/I
Cu - Copper
mg/l
ORGANICS: (by GC, GC/MS, HPLC)
mg/I
(Specify, test and method.#. ATTACH LAB REPORT.)
Fe -Iron
Hg - Mercury
< 0.0002 mgll
Report Attached? ® Yes (1) ❑ No (0)
K- Potassium
mgll
VOC method# 6230D
Mg - Magnesium
mg/I
, method #
Mn - Manganese
mg/I
, method #
Ni - Nickel
mg/I
, method #
o
I certify that. to the best or my knowledge and belief. the information submifled in this report is true. occur
GWo-certified laboratory, I am aware that there are sl nificant enalties forsubrnitling false information.
Total VOCs:
G/ r
VOC
at
of
70
Tile (or Authorized Anent) Name and Tire - Please print or woe
n..., uonnv
u mn,n. moon nr., vr. , ,,m vap4R ratdl Y
QUALITY MONITORING:
Name: WestPoint Home, Inc.
Name (if different): WestPoint Stevens, Inc.
Address: PO Box 388
am NC County Scotland
)of Person: Telephone#:
Location/Site Name: Wagram No. of wells to be sampled:
r- ..r..,r., ,...
L ID NUMBER (from Permit): MW-10 .Dale sample collected: 11/28/2007
Depth: 26.0 ft. Well Diameter: 2 in.
h to Water Level: 13.26 ft. below measuring point Screened Interval: _ft. to _ft.
luring Point is ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling:. 6.75 gallons _ ^
NC 27699.1617 Phone: (919) 733-3221
RMIT Number: Expiration Dale: uarowtu I u
n-Discharge W00008764 UIC
DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remedialion: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 5.55 units Temp. 18.6 eC
Spec. Cond. I,Mhos
Odor
Appearance
ORATORY INPUKMA I [UN306
sample analyzed: 11/28-12/10/07 Laboratory Name: Carolina Environmental Labs Certification No. _
AMETERS NOTE: Values should reflect dissolved and colloldal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/l
Coliform: MF Fecal < 1 Col 1100ml Nitrate (NO3) as N < 0.5 mg/I Zn - Zinc mg/l
Coliform' MF Total /100ml Phosphorus: Total as P mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds
s-aandd Con rpztjon Units):
Dissolved Solids: Total
245' mg/I
AI -Aluminum
mg/I
RE EC
EN
pH (when analyzed)
5.55 units
Be - Barium
mg/I
TOC
< 1.0 mg/I
Ca - Calcium
mg/I
Chloride
66mg/l
Cd- Cadmium
mg/l
,,..,;,tfv
verrii.,.,t'aEC71pit
Arsenic
mg/I
Chromium: Total
mg/I
Informauo�PtO�ssilTg
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/l
Fe - Iron
mg!1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
< 0.0002 mgn
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance
ItMhos
K - Potassium
mg/1
VOC , method # 6230D
Total Ammonia
0.410 mg/l
Mg - Magnesium
mg/I
, method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen.
Total)
Mn - Manganese
mg/I
, method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
at
of
For RemediationSystems Only (Attach Lab Reports): Influent TotalVOCs: mg/L C.muenttUlm vul,. ,,,a,� •�— •-•••-••••••
Ira��
Rise (or Authorized Apent) Name and Title - Please print or type Sipnalure y ermitle (or Authorized Agent)
GW-59 Rev. 1/2007
SUBMII FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENWRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OFWATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: (919) 733-3221
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 09/3012D10
Facility Name: WestPoint Home, Inc.
Non -Discharge WQ0008764 UIC
NPDES Other
Permit Name (if different): WestPoint Stew;ns, Inc.
Facility Address: PO Box 388
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery .
Wa ram ""' NC County Scotland
❑Spray Field El Remediation:
Contact Person:
Telephone#:
❑ Rotary Distributor ® Land Application of Sludge
WellLocation/Site Name: Wagram
No. of wells to be sampled: 13
❑ Water Source Heal Pump ElOther:
hom Permit
_ _
SAMPLING INFORMATION -
- _ -
If WELL
WELL ID NUMBER (from Permit): MW-4
Dale sample collected:
11/28/2007
FIELD ANALYSES:
WAS
Well Depth: 25.0 ft.
Well Diameter:
2 in.
pH 5.11 units Temp. 18.3 °C
DRY at
Depth to Water Level: 10.44 ft. below measuring point
Screened Interval:
ft. to
ft. • Spec. Cond. µMhos
time of
—
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:.
7.5 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered; ®YES
❑ NO and field acidified: RYES
El NO
LABORATORY INFORMATION - -
Date sample analyzed: 11128-12/10107
- -
Laboratory Name: Carolina Environmental Labs Certification No. 306
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NOz)asN
mg/I
Pb - Lead mg/I
Coliform: MF Fecal < 1 col /100ml
Nitrate (NO3) as N
< 0.5 mg/I
Zn - Zinc mg/I
Coliform: MF Total . Mooml
Use MPN for highly turbid
Phosphorus: Total as P
mg/I
`,C
(Note. method samples)
Orthophosphate
mg/I
Other (Specify Compf kEA3n �b�gVE1D Units):
Dissolved Solids: Total 62 mg/I
At - Aluminum
mg/I
pH (when analyzed) 5.11 units-
Be - Barium
mg/1
TOC 2.16 mg/I
Ca - Calcium
mgll
ul IALITY SECTION
-
Chloride 17, mg/I
Cd - Cadmium
mg/I.
d�fi�TER ss'In9 Unit
information Proce
Arsenic mg/l
Chromium: Total
mg/I
Grease and Oils mg/l
Cu - Copper
mg/l
ORGANICS: (by GC, GC/MSi HPLC)
Phenol . mg/I
Fe -Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/l
Hg - Mercury
< 0.0002 mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K- Potassium
mg/I
VOC , method # 6230D
Total Ammonia 0.229 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen: NHeas NI Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N - mg/l .
Ni - Nickel
mgll
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
10NCg I ftr'I,T6,v Do ✓ f>, P- EUGI,Li�Mir rJ6- 7 G of
Permillee (or Authorized Agent) Name and Title- Please print or type Sitinatu're ol6rnilltWor Authorized Anent - (Dale)
GW-59 Rev. 1/2007
SUBMI I FORM ON YFI I OVV PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
]VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617MAIL SERVICE CENTER, RALEIGH,NC27699-1617 Plione:(919)733-3221
FACILITY INFORMATIOR Please Print clearly or Type
PERMIT Number: Expiration Date: 09/30/2010
Facility Name: WestPoint Home, Inc.
Non -Discharge W00008764 UIC
NPDES Other _
Permit Name (if different): WestPoint Stevens, Inc.
Facility Address: PO Box 388
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wa ram NC County Scotland
'
❑ Spray Field ❑ Remediation:
Contact Person:
Telephone#:
❑ Rotary Distributor ® Land Application of Sludge
Well Location/Site Name: Wagram
No. of wells to be sampled: 13
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
-
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 1112812007
FIELD ANALYSES:
WAS
Well Depth: 25.0 ft.
Well Diameter:. 2 in.
pH Temp. °C
DRY at
Depth to Water Level: ft. below measuring point
Screened Interval: _ft. to
_
_units
ft. Spec. Cond. ) (Mhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
0 gallons
Appearance -
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Carolina Environmental
Labs Certification No. 306
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD - mg/l
Nitrite (NO2) as N
mg/I
Pb - Lead mg/l
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
mg/I
Zn - Zinc mgll
Coliform: MF Total /100ml
Phosphorus: Total as P
mg/I
(Nola: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Com ouunnd a n lion Units):
Dissolved Solids: Total mg/I
At -Aluminum
mg/I
KC" " '--""-
pH (when analyzed) units
Be - Barium
mg/I
FEB Ow �80�
TOC mg/1
Ca - Calcium
mg/I
Chloride mg/I
Cd - Cadmium
m g /I
WATER QUALITY SECT] u
Arsenic mg/I
Chromium: Total
mg/I
Informs tonr0 essinglln
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe,- iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.) -
Sulfate mg/I
Hg - Mercury -
mg/1
Report.Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC • method #
Total Ammonia mg/I
Mg - Magnesium
mg/I , method #
(Ammonia Nitrogen, NH°as N; Ammonia Nilogen, Total)
Mn - Manganese
mg/I , method # -
TKN as N mg/I
Ni - Nickel
mg/I , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Y/1-A!GN.0 fk:LT&,y r✓l&' AL L'k6lAitZ'V, e
Permittee (or Authorzed Agent) Name and Title - Please print or type
Authorized Agent)
GW-59 Rev. 112007
JVOIVI,1 , _
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
=R QUALITY MONITORING: HVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
REPORT FORM r 617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-3221
Name: WestPoint Home, Inc.
Name (if different): WestPoint Stevens, Inc.
Address: PO Box 388
NC
County Scotland
act Person: Telephone#:
Locallon/Site Name: Wagram No. of wells to be sampled:
PERMIT Number: Expiration Date: UU/31L/LUTU
Non -Discharge WQ0008764 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
EJ Water Source Heal Pump ❑ Other:
L ID NUMBER (from Permit): MW-7 Date.. sample collected: 11/28/2007
Depth: 25.0 ft.. Well Diameter: 2 in.
If to Water Level: ft, below measuring point . Screened Interval: _ft. to _ ft.
:wring Point is ft. above land surface Relative M.P. Elevation: ft.
me of water pumped/bailed before sampling: 0 gallons
FIELD ANALYSES:. -
pH _units Temp.
Spec. Cond. it Mhos
Odor
Appearance
oC DRY al
It
lime of
sampling,
sample analyzed`
Laboratory Name: Carolina Environmental Labs Certification IJo.. 306
AMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD
mg/t
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal
1100m1
Nitrate (NO3) as N
mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
rrig/I
(Note:'" Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compo� �yrgry@r1fD on Units):
LL- 6s��
Dissolved Solids: Total
mg/I
At -Aluminum
mg/l
�� ��//
pH (when analyzed)
units
Ba - Barium
mg/I
TOG
mg/l
Ca - Calcium
mg/l.
Chloride
mg/I
Cd -Cadmium
mg/I
F R OUA' 116E Gina Unit
V+1 A P
Arsenic
mg/I
Chromium:_ Total
mg/I
Inform at1e
Grease and Oils
mg/I -
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
high
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
ReportAttached? ❑ Yes (1) ❑ No (0)
Specific Conductance
IlMhos
K - Potassium
mg/I
VOC , method #
Total Ammonia mg/I
(Ammonia Nitrogen; NHoas N; Ammonia Nilrogen, Total)
TKN as N
mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
Ni - Nickel mg/I
For Remediation Systems Only (Attach Lab Reports): Influent t otal vqi
UWU-cenmeo iaooraro . i am envare coal mere are sl mncam11FJ1 Am
elmlr,es ,mot �w,mr,l„
Milli IULdt vws.
method #
method #
method #
2 161e;r
IN
Permitted (or Authorized Apenp Name and Title - Please print or type Sin na a of Permittee (or
GW-59 Rev. 112007
FORM ON YFI L oW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
- COMPLIANCE REPORT FORM loam
Please Print Cleady or Type
FACILITY INFORMATION
Facility Name: WestPoint Home, Inc.
Permit Name (if different): WestPoint Stevens, Inc.
Facility Address: PO Box 388
tnh.,r�.,; -' - NC county Scotland
act Person:
LocationlSite Name: Wagram
Telephone#:
No. of wells to be sampled: 13
ien i ur o,- - - - -- --
OF WATER QUALITY -INFORMATION PROCESSING UNIT
SPRMr.F CENTER. RALEIGH. NC 27699•1617 Phone: I
RMIT Number: Expiration Dale: ua/roufz.0 lu
n-Discharge WQ0008764 UIC
'DES. _ Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
AMPLING INFORMATION -
TELL ID NUMBER (from Permit): MW-8
Date sample collected:
11I28/2007
FIELD ANALYSES:
WAS
15.4 °C DRY at
36.5 ft.
Well Diameter:
2 in.
pH 4.89 units
Temp.
time of
tell Depth:
epth to Water Level: 10.33 ft. below measuring point
Screened Interval:
_ft. to —ft.
Spec.Cond.
ItMhos
sampling,
leasuring Point is ft. above land surface
Relative M.P. Elevation:
13.5
ft.
Odor
Appearance
check
here: ❑
olume of water pumped/bailed before sampling:
gallons
am les for metals were collected unfiltered: ®YES
❑ NO and field acidified: ®YES ❑ NO
eBORATORY INFORMATION
)ate sample analyzed: 11/28-12/10/D7
Laboratory Name: Carolina Environmental
Labs
Certification No. 3
'ARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
Pb Lead
mg/l
COD mg/l
Nitrite (NO2) as N
mg/I
-
Coliform: MF Fecal < 1 col /100m1
Nitrate (NO3) as N
< 0.5 m 9 /I
Zn - Zinc
mg11
Coliform: MF Total 1100ml
Phosphorus: Total as P
mg/I
mg/I
Other (Specify Compounds and Co1`nc'e �tiQn Units):
(Note- UseMPNmethod for highly esbidsample.)
Orthophosphate
Dissolved Solids: Total 46mg/I
AI - Aluminum
m9/I
��CIV
pH (when analyzed) 4.89 units
Be -Barium
mg/I
FEB
TOC 9.03 mg/I
Ca - Calcium
mg
SECTION
Chloride 8 mgll
Cd -Cadmium
mgll
. ,tY
Arsenic mg/l
,. Chromium: Total
m 9 /I
mg/l
ORGANICS: (by GC,
W rrrmatronProcess
GC/MS, HPLC) -
Grease and Oils mg/I
Cu - Copper
mg/I
(Specify test and
method #. ATTACH LAB REPORT.)
Phenol mg/I
Fe - Iron
Hg- Mercury
<.0.0002mg/l
Report Attached?
® Yes(1) ElNo(0)
Sulfate mg/I
µMhos
K - Potassium
mg/I
VOC
, method # 6230D
Specific Conductance
mgll
, method #
Total Ammonia 0.244 mg/I
Mg - Magnesium
method #
(Ammonia Nitrogen; Miss N: Ammonia Nitrogen, Total
Mn - Manganese
1119/1
TKN as N mgll
- Ni -Nickel
mg/l
, method #
For Remedlatlon Systems only (Attach Lab Reports):
Influent Total VOCS:
L Effluent Total VOCs:
m /����
mg/L VOC Removal%
Y/4N,`I A htaar,✓ 0'y 41"
itlee for Authorized Agenq Name and Title- Please print or type
rw-FN Rev. 1/2007
vry 1C r_ rnr-Un Urv�,
1 - tPAli I MCNI UP CtlYIKUn Men. onnrUnw.nwuunvw
GROUNDWATER QUALITY MONITORING: VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM �I , 617MAIL SERVICE CENTER, RALEIGN,NC21699.1617 Phone: (919)7aa-9221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 09/30/2010
Facility Name: WestPoint Home, Inc. Non -Discharge WQ0008764 UIC
Permit Name (if different): WestPoint Stevens, Inc. NPDES Other
Facility Address: PO Box 388 TYPE OF PERMITTED OPERATION BEING MONITORED
Wa ram NC County Scotland ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Telephone#: ❑ Rotary Distributor 5d Land Application of Sludge
Well Location/Site Name: Wagram No. of wells to be sampled: 13 ❑ Water Source Heat Pump ❑ Other:
hem Permit
If WELL
"•'CLING INFORMATION 11/28/2007
LID NUMBER (from Permit): MW-10 Dale sample collected:
Depth: 26.0 ft. Well Diameter: 2 in.
h to Water Level: 13.26 ft. below measuring point Screened Interval: _ft. to — ft.
curing Point is ft. above land surface Relative M.P. Elevation: ft.
me of water,pumped/bailed before sampling: 6.75 gallons ^
sample analyzed: 11IZU-1 Z11 U/U /
AMETERS NOTE: Values should reflect dissolve
COD mg/I
Coliform: MF Fecal < 1 COI /100ml
Coliform: MFTotal /100ml
(Note' Use MPN method for highly turbid samples)
Dissolved Solids: Total
245 mg/I
pH (when analyzed)
5.55 units
TOC
< 1.0 mg/1
Chloride
681
Arsenic
mg/I
Grease and Oils
rngll
Phenol
mg/I
Sulfate
mg/l
Specific Conductance
)tMhos
Total Ammonia
0.410 mg/l
(Ammonlo Nitrogen: NHaas N; Ammonia
Nitrogen, Total)
TKN as N mg/l
For Remediation Systems Only (Attach Lab Reports):
FIELD ANALYSES:
pH 5.55 units
Spec. Cond. _
Odor
Appearance
Temp. 18.6 eC DRY at
F1Mhos time of
Laboratory Name: Carolina Environmental Labs Certification No. 306
and colloidal concentrations.
Nitrite (NOO as N mg/I Pb - Lead mg/l
Nitrate (NO3) as N < 0.5 mg/I Zn - Zinc mgll
Phosphorus: Total as P mg/l
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
AI - Aluminum
mgll
6— tl v ee �—
Ba - Barium
mg/l
V
Z��a
Ca - Calcium
mg/IR
Cd- Cadmium
mg/I
WATER c1UA ' Unit
Chromium: Total
mg/I
processing
Cu - Copper
mg/I
ORGANICS: (by GC, C/M5, HPLC) ,
Fe - Iron
Mgt!
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury
< 0.0002 1
Report Attached? ® Yes (1) ❑ No (0)
K - Potassium
ni
VOC , method # 6230D
Mg - Magnesium
mg/1
, method #
Mn -Manganese
mg/I
, method #
Ni - Nickel
mg/I
method #
mnuent i oral
0
N
and Title- Please print or
GW-59 Rev. 112007
GNV-59A COMPLIANCE RE PORT FORti1 Permit # W Q 000 S7G4
(Submit ane each mmniroring period whh GfV-;9 forms.)
I
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
X
2
Was any required information missing on the GW-59 report forms?
YFS
NO
IF the answer to question f or 2 is "YES" list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
1HO6 4 Hu/ 7 lxle%2F A10— : 4-M iFO Ali-- 7d M*Ae1r /NLv2,L�
Dbd./Lr.L<, LAC 6,1A/G
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the ansver is "Yes", contact die RegimralOfficeforguidmrce.
x
4
Are any monitored constituents equal to or above the established standards?
YES
N�
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "YES"list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below-
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
. If the answer to question 5 is "NO" skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring, wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES" a.groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. 'Failure to do so may subject the nermittee to a Notice of Violation
fines, and/or penalties.
g
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance. epart/W;PIA, istrue and complete to the best of my knowledge.
Sign of Per tee (or Authorized Agent) Date
CAROUNA ENVIRONMENTAL :LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396-0388 _
SAMPLE NUMBER- 77099 SAMPLE ID- MW-4 ' SAMPLE MATRIX- GW
DATE SAMPLED- 11/28/07 ,TIME SAMPLED- 1335
DATE RECEIVED- 11/28/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1505 DELIVERED BY- Mark Malloy '
Page 1 of 1
ANALYSIS
Field PH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon
Mercury
SAMPLE PREP ANALYSIS `
METHOD DATE BY DATE BY RESULT UNITS
4SOOpH'-B
11/28/07
SMM
5.11
Std Units
2550B
11/28/07
SMM
18.3
Celsius
11/28/07
SMM
10.44
ft
92221)
11/28/07
ERP
< 1
col/100'mL
450ONH3-F
12/04/07
ERP
0.229
mg/L
45000l-C
11/30/07
ERP
17
mg/L
4SOONO3-E
12/10/07
ERP
< 0.5
mg/L
2540C
11/29/07
ERP
62
mg/L
5310C
12/08/07
DMG
2.16
mg/L
245.1
11/29/07 ERP 11/29/07
ERP <
0.0002
mg/L
LRL = Lower Reporting Limit
LABORATORY DIRECTOR
i
LRL
1
0.121
1.0
0.5
10
1.0
0.0002
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/776-1880 Fax 919/776-5724
NC WW/GW 306- NC DW 37741
CAROLINA ENVIRONMENTAL LABORATORIES, LL C
WestPoint Home, Inc.
Attn: Yancey Helton
PO Box 388
Wagram, NC 28396-0388
FINAL REPORT OF ANALYSES
PROJECT NAME: November MWs
REPORT DATE: 12/12/07
SAMPLE NUMBER- 77100 SAMPLE ID- MW-8
DATE SAMPLED- 11/28/07
DATE RECEIVED- 11/28/07 SAMPLER- Mark Malloy
TIME RECEIVED- 1565 DELIVERED BY- Mark Malloy
Page 1 of 1
SAMPLE PREP ANALYSIS
ANALYSIS METHOD DATE BY DATE BY
SAMPLE MATRIX- GW
TIME SAVMPLED- 1255
RECEIVED BY- hcg
RESULT UNITS
Field pH
4500pH-B
11/28/07
SMM
Temperature
2550B
11/28/07
SMM
Depth to Water
11/28/07
SMM
Fecal Coliform
9222D
11/28/07
ERP
Total Ammonia
4500NH3-F
12/04/07
ERP
Chloride
4500C1-C
11/30/07
ERP
Nitrate Nitrogen
450ONO3-E
12/10/07
ERP
Total Dissolved Solids
2540C
11/29/07
ERP
Total Organic Carbon
5310C
12/08/07
DMG
Mercury
245.1
11/29/07 ERP 11/29/07
ERP < 0
LRL = Lower Reporting Limit
4.89 Std Units
15.4 Celsius
10.33 ft
< 1 col/100 mL
0.244 mg/L
8 mg/L
< 0.5 mg/L
46 mg/L
9.03 mg/L
.0002 mg/L
LABORATORY DIRECTOR
LRL
1
0.121
1.0
0.5
10
1.0
0.0002
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/776-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROMNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396;0388
SAMPLE NUMBER- 77101 SAMPLE ID- MW-10 SAMPLE MATRIX- GW'
DATE SAMPLED- 11/28/07 TIME SAMPLED- 1320
DATE RECEIVED- 11/28/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME 'RECEIVED- 1505 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
Field pH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon
Mercury
LRL = Lower Reporting Limit
SAMPLE PREP ANALYSIS
METHOD DATE 'BY DATE BY
4500pH-B
11/28/07
SMM
2550E
11/28/07
SMM
11/28/07
SMM
9222D
11/28/07
ERP
4500NH3-F
• 12/04/07•ERP
450OC1-C
11/30/07
ERP
450ONO3-E
12/10/07
ERP
2540C
11/29/07
ERP
5310C
12/08/07
DMG
245.1•
11/29/07 ERP 11/29/07
ERP <
LABORATORY DIRECTOR
RESULT UNITS
5.55 Std Units
18.6 Celsius
13.26 ft `
< 1 col/100 mL
0..410 mg/L
68 mg/L
< 0.5 mg/L
245 mg/L
< 1.0 mg/L
0.0002 mg/L
rj
LRL
1
0.121
1.0
0.5
10
1.0
0.0002
1229 North Horner Boulevard,Sanford, North Carolina 27330' 919/775-1880 Fax 949/776-5724
NC WW/GW 306 NC DW 37741
0
0
�Q0TEST
Telephone: (919) 8344984
Fax: (919) 834-6497
670.1 Conference Drive
Ral&igh, NC 27607
Laboratory Report
,- Prepared for -
Mr. David. M. Graves
Carolina Environmental Labs
1229 North Horner Blvd.
Sanford, NC 27330
Page 1 of 5
NC/W W Cert. #: 067
NC/DW Cert. #: 37731
Report Date: 12/11/2007
Date Received: 11/29/2007
Work Order #: 0711-01539
Project No.: 01 Cust. Code: CA1880
Project ID: WEST POINT HOME Cust. P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 77099 11/28/2007 13:35 GW Grab 4+1-2deg C
Analyzed
Test Performed Method Results Date Time Qualifier
VOCs in GW by 6230D
6230D
12/5/07
6:32
Benzene
6230D
<0.5 uglL
12/5/07
6:32
Bromobenzene
6230D
<0.5 ug/L
1215107
6:32
Bromochloromethane
6230D
<0.5 ug/L
1215107
6:32
Bromodichloromethane
6230D
<0.5 ug/L
12/5I07
6:32
Bromoform
6230D
<0.5 ug/L
12/5107
6:32
Carbon tetrachloride
6230D
<0.5 ug/L
12/5107
6:32
Chlorobenzene
6230D
<0.5 ug/L
1215107
6:32
Chloroethane
6230D
<0.5 ug/L
12/5107
6:32
Chloroform ,.
6230D
<0.5 ug/L
1215107
6:32
Chloromethane
6230D
<0.5 ug/L
12/5107
6:32
2-Chlorotoluene
6230D
<0.5 ug/L
12/5107
6:32
4-Chlorotoluene
6230D
<0.5 ug/L
1215107
6:32
Dibromochloromethane
6230D.
<0.5 ug/L
1215/07
6:32
1,2-Dibromo-3-chloropropane
6230D
<0.5 ug/L
1215/07
6:32
1,2-Dibromoethane
6230D
<0.5 uglL
12/5/07
6:32
Dibromomethane
6230D
<0.5 ug/L
1215/07
6:32
Dichlorodifluoromethane
6230D
<0.5 ug/L
1215/07
6:32
1,1-Dichloroethane
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichloroethane
6230D
<0.5 ug/L
1215107
6:32
1,1-Dichloroethene
6230D
<0.5 ug/L
12/5107
6:32
cis-1,2-Dichloroethene
6230D
<0.5 ug/L
12/5/07
6:32
trans-1,2-Dichloroethene
6230D
<0.5 ug/L
12/5107
6:32
1,2-Dichloropropane
6230D
<0.5 ug/L
1215107
6:32
1,3-Dichloropropane
6230D
<0.5 ug/L
1215107
6:32
2,2-Dichloropropane
6230D
<0.5 ug/L
12/5/07
6:32
1,1-Dichloropropene
6230D
<0.5 ug/L
12/5107
6:32 .
cis-1,3-Dichloropropene
6230D
<0.5 ug1L
1215107
6:32
trans-1,3-Dichloropropene
6230D
<0.5 ug/L
12/5107
6:32
Ethylbenzene
6230D
<0.5 ug/L
1215107
6:32
Hexachlorobutadiene
6230D
<0.5 ug/L
1215107
6:32
Isopropylbenzene
6230D
<0:5 ug/L
1215107
6:32
.4-Isopropyltoluene
6230D
<0.5 ug/L
1215107
6:32
Methylene chloride
6230D
<0.5 ug/L
1215107
6:32
Naphthalene
6230D
<0.5 ug/L
1215107
6:32
O
• O
TOGRoTEST
6701 Conference Drive
Raleigh, NC 27607
Telephone: (919) 8344984
Fax: (919) 834-6497
Laboratory Report
Work Order #: 0711-01539
Page 2 of 5
NCNM Cert. #: 067
NCIDW Cert. #: 37731
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
OD1 77099 11/2812007 13:35 GW Grab 14 +/- 2 deg C
Analyzed
Test Performed
Method
Results
Date
Time Qualifier
n-Propylbenzene
6230D
<0.5 ug/L
12/5107
6:32
Styrene
6230D
<0.5 ug/L
1215107
6:32
1,1,1,2-Tetrachloroethane
6230D
<0.5 ug/L
1215107
6:32
1,1,2,2-Tetrachloroethane
6230D
<0.5 ug/L
1215107
6:32
Tetrachloroethene
6230D
<0.5 ug/L
1215/07
6:32
Toluene I
6230D
<0.5'ug/L
1215107
6:32
1,2,3-Trichlorobenzene
6230D
<0.5 ug/L
12/5107
6:32
1,2,4-Trichlorobenzene
6230D
<0.5ug/L
12/5107
6:32
1,1,1-Trichloroethane
6230D
<0.5 ug/L
1215107
6:32
1,1,2-Trichloroethane
6230D
<0.5 ug/L
1215107
6:32
Trichloroethene
6230D
<0.5 ug/L
1215107
6:32
TrichlorofluorometKane
6230D
<0.5 ug/L
1215/07
6:32
1,2,3-Trichloropropone
6230D
<0.5 ug/L
1215/07
6:32
1,2,4-Trimethylbenzene
6230D
<0.5 ug/L
12/5/07
6:32
1,3,5-Trimethylbenzene
62301)
<0.5 ug/L
1215/07
6:32
Vinyl chloride
6230D
<0.5 ug/L
12/5107
6:32
o-Xylene
6230D
<0.5 ug1L
12/5107
6:32
m,p-Xylene
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichlorobenzene
6230D
<1 ug/L
1215107
6:32
1,3-Dichlorobenzene
6230D
<1 ug1L
1215/07
6:32
1,4-Dichlorobenzene
6230D
<1 ug/L
12/5107
6:32
No. Sample ID Date Sampled . Time Sampled 'Matrix Sample Type Condition
002 77100 11/,28/2007 12:55 GW Grab' 4 +1- 2 deg C
Analyzed
Test Performed Method• Results Date' Time Qualifier
VOCs in GW by 6230D
6230D
12/5107
6:32
Benzene
6230D
<0.5 ug/L
12/5107
6:32
Bromobenzene
6230D
<0:5 ug/L
1215107
6:32
Bromochioromethane
6230D
<0.5 ug/L
1215107
6:32
Bromodichloromethane
6230D
<0.5 uglL
12/5/07
6:32
Bromoform
6230D
<0.5 ug/L
12/5/07
6:32
Carbon tetrachloride
6230D
<0:5 ug/L
1215107
6:32
Chlorobenzene
6230D
<0.5 ug/L
1215107
6:32
Chloroethane
62.3ODL
<M5 ug/L
1215/07
6:32
Chloroform
6230D
<0.5 ug/L
1215107
6:32
Chloromethane
6230D'
<0.5 ug/L
1215107
6:32
2-Chlorotoluene
6230D
<0.5 ug/L
1215107
6:32
•4-Chlorotoluene
6230D
40.5 ug1L
1215107
6:32
Dibromochloromethane
6230D
<0.5ug/L
12/5/07-
6:32
1,2-Dibromo•3-chloropropane -
6230D -
= <0.5 ug/L
1215107
6:32
Telephone: (919) 834-4984
Fax: (919) 834-6497
0
0
�Q0TEST
6701 Conference Drive
Raleigh, NC 27607
Laboratory Report
Work Order #: 0711-01539
Page 3 of 5
NCIW W Cert. #: 067
NCIDW Cert. #: 37731
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
002 77100 11/28/2007 12:55 GW Grab 4.+/- 2 deg C
Analyzed
Test Performed
Method
Results
Date
Time Qualifier
1,2-Dibromoethane
6230D
<0.5 ug/L
1215/07
6:32
Dibromomethane
6230D
<0.5 ug/L
1215107
6:32
Dichlorodifluoromethane
6230D
<0.5 uglL_
12/5107
6:32
1,1-Dichloroethane
6230D
<0.5 ug/L
1215/07
6:32
1,2-Dichloroethane
6230D
<0.5 ug/L
1215/07
6:32
1,1-Dichloroethene
6230D
<0.5 ug/L
1215167
6:32
cis-1,2-Dichloroethene
6230D
<0.5 ug/L
1215107
6:32
trans-1,2-Dichloroethene
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichloropropane
6230D
<0.5 ug/L
1215/07
6:32
1,3-Dichloropropane
6230D
<0.5 ug/L
1215107
6:32
2,2-Dichloropropane
6230D
<0.5 ug/L
1215107
6:32
1,1-DIchloropropene
6230D
<0.5 ug/L
12/5107
6:32
cis-1,3-Dichloropropene
6230D
<0.5 ug/L
12/5107
6:32
trans-1,3-Dichloropropene
6230D
<0.5 ug/L
1215107
6:32
Ethylbenzene
6230D
<0.5 ug/L
12/5/07
6:32
Hexachlorobutadiene
6230D
<0.5 ug/L
12/5107
6:32
Isopropylbenzene
6230D
<0.5 uglL
12/5107
6:32
4-Isopropyltoluene
6230D
<0.5 ug/L
1215107
6:32
Methylene chloride
6230D
<0.5 ug/L
1215107
6:32
Naphthalene
6230D
<0.5 ug/L
12/5107
6:32
n-Propylbenzene
6230D
<0.5 ug/L
1215107
6:32
Styrene
6230D
<0.5ug/L
12I5/07
-6:32
1,1„1,2-Tetrachloroethane
6230D
<0.5 ug/L
1215/07
6:32
1,1,2,2-Tetrachloroethane
6230D
<0.5 ug/L -
J215107
6:32.
Tetrachloroethene
6230D
<0.5 ug/L
1215/07
6:32
Toluene I
6230D
<0.5 ug/L
1215107
6:32
1,2,3-Trichlorobenzene
6230D
<0.5 ug/L
1215107
6:32
1,2,4-Trichlorobenzene
6230D
<0.5 ug/L
12/5107
6:32
1,1,1-Trichloroethane
6230D
<0.5 ug/L
12/5107
6:32
1,1,2-Trichloroethane
6230D
-�0.5 ug/L
1215107
6:32
Trichloroethene
6230D
<0.5 ug/L
1215/07
6:32
Trichlorofluoromethane
6230D
<0.5 ug/L
1215107
6:32
1,2,3-Trichloropropane
6230D
<0.5 ug/L
1215107
6:32
1,2;4-Trimethylbenzene
6230D
<0.5 ug/L
12/5107
6:32
1,3,5-Trimethylbenzene
6230D
<0.5.ug/L
1215107
6:32
Vinyl chloride
6230D
<0.5 ug/L
12/5107
6:32
o-Xylene
6230D
<0.5 ug/L
1215107
6:32
m,p-Xylene
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichlorobenzene
6230D
<1 ug/L
f215107
6:32
1,3-Dichlorobenzene
6230D
<1 ug/L
1215107
6:32
1,4-Dichlorobenzene
6230D
<1 ug/L
1215167
6:32
O
O
7G�OGTEST
6701 Conference Drive Page 4 of•5
Raleigh, NC 27607
Telephone: (919) 834-4984 NCIWW Cert. M 067
Fax: (919) 834-6497 NC/DW Cert. #: 37731
Laboratory Report
Work Order #:. '0711-01539
No,
Sample ID
Date Sampled
Time Sampled
Matrix
Sample Type
Condition
003
77101
11/28120017
13:20
GW
Grab
4 +/_, 2 deg C
Analyzed
Test Performed
Method
Results
Date
Time Qualifier
VOCs in GW by 6230D
6230D
1215107
6:32
Benzene -
6230D
<0.5 ug/L
12/5/07
6:32
Bromobenzene
6230D
<0.5 ug/L
1215/07
6:32
Bromochloromethane
6230D
<0.5 ug/L
1215107
6:32
Bromodichloromethane
6230D
<0.5 ug/L
12/5107
6:32
Bromoform
6230D
<0.5 ug/L
1215107
6:32
Carbon tetrachloride
6230D
<0.5 ug/L
1215107
6:32
Chlorobenzene
6230D
<0.5 ug/L
12/5/07
6:32
Chloroethane
6230D
<0.5 ug/L
12/5107
6:32
Chloroform
6230D
<0.5 ug/L
1215/07
6:32
Chloromethane
6230D
<0.5 ug/L
1215107
6:32
2-Chlorotoluene
6230D
<0.5 uglL
12/5/07
6:32
4-Chlorotoluene
6230D
<0.5 ug/L
1215/07
6:32
Dibromochloromethane '
6230D
<0.5 ug1L
1215/07
6:32
1,2-Dibromo-3-chloropropane
6230D
<0.5 ug1L
12/5107
6:32
1,2-Dibromoethane
6230D
<0.5 ug/L
1216107
6:32
Dibromomethane
6230D
<0.5 ug/L
1215107
6:32
Dichlorodifluoromethane
6230D
<0.5 ug/L
1215107
6:32 ^
1,1-Dichloroethane
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichloroethane
6230D
<0.5 ug/L
1215107
6:32
1,1-Dichloroethene
6230D
<0.5 ug/L
12/5107
6:32
cis-1,2-Dichlor6ethene
6230D
<0.5 ug/L
1215107
6:32
trans-1,2-Dichloroethene
6230D
<0.5 ug/L
1215107
6:32
1,2-Dichloropropane
6230D,
<0.5 ug/L
1215107
6:32
1,3'Dichloropropane
6230D
<0.5 ug/L
1215/07
6:32
2,2-Dichloropropane
6230D
<0.5 ug/L
1215107
6:32
1,1-Dichloropropene
6230D
<0.5 ug/L
1215/07
6:32
cis-1,3-Dichloropropene
6230D
<0.5 ug/L
12/5107
6:32
trans-1,3-Dichloropropene
62306
<0.5 uglL
1215107
6:32
Ethylbenzene (
6230D
<0.5 ug/L
1215107
6:32 .
Hexachlorobutadiene
6230D
<0.5 ug/L
12/5/07
6:32
Isopropylbenzene
6230D
<0.5 ug1L
12/5107
6:32
4-Isopropyltoluene
6230D
<0.5 uglL
12/5107
6:32
Methylene chloride
6230D
<0.5 ug/L
12/5107
6:32
Naphthalene
6230D
<0.5 ug/L
1215/07
6:32
n-Propylbenzene
6230D
<0.5 ug/L
1215107
6:32
Styrene
6230D ..
<0.5 ug/L
1215107
6:32
1,1,1,2-Tetrachloroethane
6230D
<0.5 ug/L
1215107
6:32 '
1,1,2,2-Tetrachloroethane
6230D
<0.5 ug/L
1215/07
6,32
Tetrachloroethene
6230D
<0.5 ug/L
12/5I07
6:32.
Toluene
6230D
<0.5 uglL
1215107
6:32
1,2,3-Trichlorobenzene
62301)
<0.5 ug/L
1215/07
6:32
1,2,4 Trichlorobenzene
_ 6230D,
<0.5 ug/L
1215107
6:32 '
1,1,1-Trichloroethane
6230D
<0.5 ug/L
1215107
6:32
0
0
TQOTEST
6701 Conference Drive Page 5 of 5
Raleigh, NC 27607
Telephone: (919) 834-4984 NCAVW Cart. #: 067
Fax: (919) 834-6497 NCIDW Cart. #: 37731
Laboratory Report
Work Order #: 0711-01539
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
003 77101 11/2812007 13:20 GW Grab 4 +1- 2 deg C
Analyzed
Test Performed Method Results Date Time Qualifier
1,1,2-Trichloroethane
6230D
<0.5.ug/L
1215/07
6:32
Trichloroethene
6230D
<0.5 ug/L
1215/07
6:32
Trichlorofluoromethane
6230D
<0.5 ug/L
1215107
6:32
1,2,3-Trichloropropane
6230D
<0.5 ug/L
12/5107
6:32
1,2,4-Trimethylbenzene
6230D
<0.5'ug/L
12/5107
6:32
1,3,5-Trimethylbenzene
6230D
<0.5 ug/L
12/6107
6:32
Vinyl chloride
6230D
<0.5 ug/L
1215107
6:32
o-Xylene
6230D
<0.5 ug/L
1215/07
6:32
m,p-Xylene
6230D
<0.5 ug/L
12/5/07
6:32
1,2-Dichlorobenzene
6230D
<1 ug/L
12/5107
6:32
1,3-Dichlorobenzene
6230D
<1 ug/L
12/6107
6:32
1,4-Dichlorobenzene
6230D
<1 ug1L
1215107
6:32
Reviewed by: //
for, Tritest, Inc. �� "
CAROLINA ENVIRONMENTAL LABORATORIES, L.LC
1229 N. HORNER BLVD. • SANFORD, NC 27330
(919)775-1880 • FAX (919) 776-5724
ifr
CHAIN OF CUSTODY
Page — 1' of l—
-IENT: WestPoint Stevens, Inc —Contact:, Geo_ r0Wn
--
idress: PO Box 388
ANALYSES
REQUIRED
BILL
n
r-
z
w
H
oC-)
3
y
to
-
Kf
m--
0
x
<
0Purchase
-------
Phone ff: (_ } . Fax ff: )
-_ _— _ --
Order it:
_
ity: W a g r a m State:_ NC ZIP: 28396
ROJECT NO:
PROJECT NAME:
November Monitoring Wells
Turnaround Time:
❑ Normal (2 weeks) ❑ RusIT (1 week)*
❑ Rush (48 hours)' ❑ Rush'(24 hours)'
OLLE E BY: (Signature) PRI4
TEDNAM
PRESERVATIVES
PRESERVED IN FIELD
PRESERVEDINLAB ❑
RECEIVED ON ICE
ifmr%ample chlorinated. Yes__ No-
ill the results be used for regulatory monitoring purposes? Yes
- - A_No
_O
L
O
a)
Q
w
Z
O
Z
=
O
z
_
U
\MPLE W
DATE
TIME
COMP GRAB
SAMPLE I.D.
'
SAMPLE
MATRIX
70F
CONTMERS
--
REMARKS
—
x
MW-1
GW
1 4
x
x
X
x
x
x
X
MW-2
GW
4
X
X
x
x
x
x
-�
x
MW-3
GW
4
x
x
x
x
?09
�r� �I
u00 J
x
MW-4
6
x
x
X
x
x
x
x
x
— .5
_
x
MW-6
GW
6
X
X
X
x
x
x
x
x
W F�oyz r;
1�r�
-�b"I
�
x
MW-7
GW
6
X
x
x
x
x
x
urf
L.>& O
royyeN�
'R't,`{fi0 )
7/60
Z
x
MW-8
GW
6
x
x
X
x
x
x
x
x
_
—'
x
MW-9
GW.
x
X
ID)
l�ii%
x
MW-10
GW
6
X
X
X
x
x
x
X
x
J
ELINQUIS
Y
DATE/TIME
RECEIVED BY
DATE/TIME
ADDITIONAL IN TR CTIONS:
o
I,JaLS t2,es r-oy� Dn'N
LD 4 r
o e'^a-' .
�+ a
' RUSH WORK MUST BE APPROVED PRIOR TO SAMPLE SUBMISSION. ADDITIONAL CHARGES MAY APPLY.
MONITORING:
Name:yyesti'Olnt H,
Name (if different): WeSt
Address: PO Box 388
County
act Person: Telephone#:
Location/Site:Name: Wagram No. of wells to be sampled:
L ID NI
Depth:
(from Permit): MW-1
30.0 ft.
to Water Level: 10.0 f , below measuring point
ring Point is ft. above land surface
t Date_sample-oollected: 11127J2007--�
Well Diameter: 2 in.
Screened Interval: _ft. to
Relative M.R.Elevation: . ft.
of waterpumped/bailed beforesampling: 10.0 gallons
Number:. Expiration Date:
harge W00008764 UIC
Other
rPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor 5d Land Applicationof Sludge
❑ Water Source Heat Pump El Other:
FIELD ANALYSES:
pH 4.58 units Temp. 17.6 9C
ft. Spec. Cond. µMhos
Odor
Appearance
at
of
I A130RATURY INFUKIVIA I WIN.
Date sample analyzed: 11127-12108/07
Laboratory Name:- -Carolina Environmental Labs Certification No. 306
PARAMETERS NOTE: Valuesshould reflect dissolved and colloidal concentrations.
°-- -
COD mg/I
Nitrite (NO,) as N
mg/I
Pb -.Lead mg/I
JAN
Coliform: MF Fecal <.1 col /100ml
Nitrate (NO3) as N
20.2 mg/I
Zn -.Zinc mg/1 29 2MB
Coliform: MF Total /100ml
Phosphorus: TotalasP
mg/I
;--r,
(Note: Use MPN method for highly turhid samples)
Orthophosphate-
mg/I
Other (Specify Com"pounds-and.Cdncentratiori lJnitsf:.
Dissolved Solids: Total 202 mgn
At - Aluminum
mg/1
. - _
-. _
I 00$
pH (when analyzed) 4-.58 units
Be - Barium ..
mg(I
TOC 1.51 mg/l
Ca -Calcium
mg/I
Chloride 44 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/l.Cu
- Copper
mg/I
ORGANICS: (by GC', GC/MS, HPLC)
Phenol lTg/I
!Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB. REPORT.)
Sulfate - ' mg/l
Hg- Mercury.
mgA
Report Attached? ❑ Yes(1) ❑ No
Specific Conductance pMhos
K- Potassium
mg/I
VOC ,.method :#
Total Ammonia - 0.365 rhg/l
Mg -Magnesium
mg/I
, method #
.(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen; Total)
Mn -Manganese
mgA.
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method#
For Remediation Systems Only (Attach Lab Reports):
Influent. Total VOcs:.
mg/L Effluent Total VOCs; mg/L VOC Removal%
YANcY D, 96- v All tom &V& "
Permiftee (or Authorized AAent).Name and Title - Please Print or We -
GW-59 Rev. 112007
Apent)
QUALITY MONITORING:
.Name;.yyestt'c
Name (if different):
Address: PO $0:
NC
County
act Person:Telephone#:
Location/Site Name: Waqram No, of wells to'�be sampled:
L ID NUMBER (from Permit): MW-2
.Depth: _ 39.0 ft.
h to Water Level 22:94 ft. below measuring: point
luring Point is ft. above land surface
me of water pumped/bailed before sampling:. 8.25
COD
mg/I
Coliform: MF Fecal
< 1 c01 /1100ml
Coliform: MF Total
/100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
92 mg/l'..
PH (when analyzed)
4.64 units
TOC
< 1.0 mgA
Chloride
22 mgll
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate -
mg/l
Specific Conductance
_ µMhos
Total Ammonia
0.385 mg/I
(Ammonia Nitrogen{ Nits es:N Ammonla Nitrogen, Total)
TKN as N mg/I
Date sample collected: 11 /27/2007
Well Diameter:,. 2 in.
Screened Interval: _ft. to _ft.,
Relative. M.P. Elevation: ft..
:RMIT Number: Expiration Date: 09/3U/2D10
,n-Discharge WQ0008764 UIC
'DES 'Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration. Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
.FIELD ANALYSES:
PH 4.64 units
Spec. Cord.
Odor
Appearance _
Laboratory Name: Carolina' Environmental Labs
and colloidal concentrations. _
Nitrite (NO2) as N mg/1 Pb - Lead
Nitrate (NO3) as N
8.8 mg/I
Phosphorus:' Total as P
mg/l
Orthophosphate
mg/l
AI -Aluminum -
mg/I
'Be - Barium
mg/I
Ca - Calcium
rngn
Cd - Cadmium_mg/I
Chromium: Total
mg/I
Cu-Copper
mg/1
Fe. -Iron
mg/l
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Nf- Nickel
:mg/I
Zn - Zinc
Temp. 17.3 dC
µMhos
Certification No.. 306
mg/l
mg/I
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC) : -
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0)
VOC , method'#
,method #
method #
method #
For Remediation Systems Only (Attach Lab Reports). Intluent Iotat vucs: mgrL tmuenc tocar Awe:. „y.� „....a.I.
C
iittee (or Authorized Agent) Name and Title- Please print or type Signature of Perptyftea (or Authorized Agent)
GW-59 Rev. 112007 (///
QUALITY MONITORING:
Name: WeSti I
Name (if different):
Address: PO. Bg
County
act Person: Telephone#:
Location/Site Name: Waqram No. of wells to be sampled:
L ID NUMBER (from Permit): MW-3
Depth: 44.0 {t.
i to Water Level: 21.40.ft. below measuring point
;wring Point is ft. above land surface
ne of water pumped/bailed before sampling: 1
NOTE: Values shown renectalsso
COD m9/t
Coliform: MF:Fecal
< 1 C01 /100ml
Coliform: MF Total
/100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
60mg/i
pH (when analyzed)
4.62 units
TOG
< 1.0 mg11
Chloride
10 mgA
Arsenic -
mg/1
Grease and Oils
_
mg/I
Phenol
mg/1
Sulfate
mg/I
Specific Conductance
_ µMhos
Total Ammonia
0.426 mg/l
(Ammonia Nitrogen;'NHsas N; Ammonia Nitrogen, Total)
TKN,as N mg/I
Systems
'), &u'A' r0"V
:RM1TNumber: Expiration Date: uarowcwlg
m-Discharge WQ0008764 UIC
'DES Other
TE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑'Spray Field ❑ Remediation:
Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 11/27/2007
Well Diameter: 2.. in.
Screened Interval ft. to —ft.
Relative M.P. Elevation: ft.
FIELD ANALYSES: WAS
pH 4.62 units Temp. 18.6 eC DRY at
µMhos time of
Spec. Cond. samplin
Odor check
Appearance here:r
_ Laboratory Name: Carolina Environmental Labs
and colloidal concentrations.
Nitrite (NO,) as N _mg/I Pb—Lead
Nitrate (NO3) as N
7.2 m9/1
Phosphorus: Total as P
mg/I
Orthophosphate
mgll
AI` --Aluminum
mg/I
Ba - Barium
mg/1
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
m9/1
Cu -. Copper
mg/l
�
Fe:- Iron
mg/I
Hg - Mercury
_ m9/I
K- Potassium
mg/I
Mg -Magnesium .
mg/I
Mn - Manganese
mgA
Ni - Nickel
mg/I
ww.
2 ed f. �widZf �
Zn - Zinc
Certification No. 306
mg/I
mg/I
Other (Specify Compounds�and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC) `
(Specify test and method #. ATTACH LAB REPORT.),
Report Attached? ❑ Yes.(1) ❑. No
VOC _, method # _
method #
method #
method #
vac
GW-59 Rev. 112007
PERMIT Number: Expiration Date:
Non -Discharge W00008764 UIC
Address: PO
act Person: Telephone#: I
Location/Site Name: Wadram No.of wells to be sampled:. 13'
(from Permit)
vl ING INFORMATION
L ID NUMBER (from Permit): MW-9 Date sample collected 11/27/2007
Depth: 34.0.ft. Well Diameter 2 in.
IT to Water Level: 20.78 ft. below measuring point Screened Interval: —ft. to. —ft.
;wring Point is ft. above land surface Relative M.P. Elevations ft.
meofwater pumped/bailed before sampling: 6.75 gallons ^
AMETERS NOTE: Values should reflect 01I5aO1VE
COD
mg/I
Coliform: MF Fecal
< 1 col /100ml
Coliform: MF Total
/100ml
INote: use MPN method for highly turbid samples)
Dissolved Solids: Total
179 mg/l
pH (when analyzed)
_ 4.82 units
TOC
< 1.0 mgn
Chloride
30 mg/I
Arsenic
mg/l
Grease and Oils
mgll
Phenol
. mgll
Sulfate .
'mgB
Specific Conductance
_ µMhos
Total Ammonia
0.427 mg/I
(Ammonia Nitrogen; NHzes N; Ammonia Nitrogen, Total)
TKN as N
'DES _
Other _
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑.Remediation:Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
R Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
FIELD ANALYSES: WAS
pH 4.82units Temp. 17.4 eC DRY at
µMhos time of
Spec. Cond. Isamplin
Odor
Appearance
Laboratory Name:-- Carolina Environmental Labs
colloidal concentrations.
Nitrite (N%) as N mg/I Pb -Lead
Nitrate (NO3) as N 4.9 mg/l Zn - Zinc
Phosphorus: Total as P
mg/1
Orthophosphate
mg/1
AI -Aluminum
-
mg(l.
-
Be -Barium
mg/I
Ca -Calcium
mg/I
Cd - Cadmium
Mgt[
Chromium: Total
mg/l
Cu - Copper
mg/l
Fe - Iron
_ mg/I
Hg- Mercury.
mg/l
K- Potassium
mg/I.
Mg - Magnesium
mg/]
Mn - Manganese
mg/I
Nir- Nickel
mg/I
Certification No. 306
mg/I
mg/I
Other (Specify. Compounds and Concentration Units):
JAN 2 b 2008
c
ORGANICS: (by GC, GC/MS; HPLC)
(Specify test and method fill. LAB REPORT.)
ReportAttachedT ❑ Yes(1) ❑ No (0)
VOC , method #
method#
method #
method #
alnr odm —lel.
' , , y information
• ~ submitting false information, accurate,
and
the, fete, and of t the l laboratory analytical data was produced using approved methods of analysis
certify that to the best of m-knowledoe and belief, the informaton submitted in this reportisirue. accurate, and complete, and that Ihelabo
DWt certified laboratory. lam aware that there are significant penalties forsu g 'snip: sonnies t fo�knowing violations,
D
SUBMIT FORM
MONITORING:
Names vvestromt nuuic, ,.".
Name .(if different): WestP_ointStevens, .Inc.
.
Address: PO Box 388
nm r,L.' NIC County Scotland
IctPerson: _ Telephone*
Location/Site Name: Wagram No. of wells to be sampled:
LINE; INFOKMA I I V n
ID NUMBER (from Permit): MW-12 Date sample collected: 11/27/2007
epth: 25•0 ft. Well Diameter: 2 in.
to Water Level: 23.20 ft. below measuring, point Screened Interval: _ft. to _ft.
iring Point is ft. above land surface
e of water pumped/bailed before sampling_
COD
mg/I
Coliform: MFFecal
<1 col /loom]
Coliform(MFTotal
/100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
16mg/l
pH (when analyzed)
5.22 units
TOG
< 1.0 mg/i
Chloride
5 mg/I
Arsenic
mg/l
Grease and Oils
mg/l
Phenol
mg/I
Sulfate
-_ mgy
Specific Conductance
_ µMhos
Total Ammonia
0.166 mgn
(Ammonia Nitrogen: NHses N; Ammonia Nitrogen; Tote[)
TKN as N 111119ll
For Remediation Systems Only (Attach. Lab
y61-k/Gy a Hazzt) bL, A/I.
Relative M.P. Elevation: 'ft.
er: Expiration Date:
WQ0008764 UIC
Other
'PE OF PERMITTED OPERATION 'BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Rennedlatiom—
El
Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: wAa
pH 5.22 units Temp. 18.0 oC DRY at
µMhos
Spec. Cond. time of
Odor check
Appearance here:❑
Laboratory Name: Carolina Environmental Labs
filial concentrations.
Nitrite.(NO2) as N mg/I Pb - Lead
Nitrate (NO3) as N
< 0.5 mg/l
Phosphorus: Total as P
mg/I
Orthophosphate
m9/I
AI - Aluminum
m91I
Ba- Barium
moll
Ca - Calcium
mg/l
Cd - Cadmium
mg/I
Chromium: Total
mg/i
Cu - Copper
1111911
Fe - Iron.
_ mg/i
Hg—Mercury
mg/1
K.- Potassium
mg/I
Mg - Magnesium
mg(I
Mn-'Manganese
mg/l
Ni- Nickel
mg/l
Certification No. 306
mg/l
Zn - Zinc mg/l
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC AW K%L5) P008
'(Specify test and method #. ATTACH LAB REPORT.)
'Report Attached?h "` Bt; Yes tl)" ❑ No (0)
VOC _ ; method:#
method #
method #
„method #
GW-59 Rev. 1/2007
MONITORING:
Name (if different): Wesl
Address: PO Box'388
act Person: - - -
Location/Site Name: Wagram
LIDID.NUMBER (from Permit): MW-13
Depth: 25.0 ft.
h to Water Level: 9,94 it. bbfAW Ipeagpring point
wring Point is (t. adove land surface
me of water pumped/bailed before sampling_ 3.0
COD
mg/I'
Coliform: MF Fecal
< 1 col /100ml
Coliform:.MF Total
/100mi
(Note:. Use MPN method (or highlY taroldsamPles)
Dissolved Solids: Total
90'mg/I
pH (when analyzed)
4.61 units
TOC
< 1.0 mg/l
Chloride
21 mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mgA
Specific Conductance
pMhos
Total Ammonia
0.192 mg/I
(AmmoNa Nitrogen; NH3 as N; Pinmonia Nurogen; Totep
TKN as N mgA
, systems Only (Attach Lab Reports
Number: Expiration Date:
barge WQ0008764 UIC_
Other
-
TYPE OF PERMITTED OPERATION BEING MONITORED
County Scotland
❑ Lagoon.
El Remediation: Infiltration Gallery
-
❑ Spray Field
❑ Remediation:
11 Rotary Distributor
® Land Application of Sludge
Telephone*
No. of wells to be sampled: 13 _
❑ Water Source Heat Pump
❑ Other: _
- - from permit
if WE
Date sample collected: 11/27/2007
FIELD ANALYSES:
17.7 eC
AS
DRY
Well Diameter., 2 in.
pH whits
Temp.
µMhos
screener�inktrvel. ft, id
•Sec, o .
_n P F
M.P.'Eledatidh: (t.
Odor
csaml
chec
t
Relative
h,
Appearance
LaboratoryName: Carolina Environmental Labs
and colloidal concentrations.
Nitrite (NO2) as N mgA Pb - Lead
Nitrate (NO3) as N
7.6 m9/I
Phosphorus: Total as P
mg/l
Orthophosphate
mg/l
AI - Aluminum
mg/I
Ba-..Barium - -
_ mg)I
Ca - Calcium
img/I
Cd - Cadmium
mg/l
Chromium: Total
mg/l
Cu.-Copper
mg1I
Fe -Iron
mg/I.
Hg - Mercury
mg/I
K'- Potassium
mg11
Mg - Magnesium -
mg/I
Mn - Manganese
mg/I
Ni - Nickel
mg/I
Influent Total VOCs:
Zn - Zinc
Certification.. No. 306
mg/I
mg/I
Other (Specify Compounds and Concentration Units):
1 ' 08
ORGANICS: (by GC, GC/MS, HPLC)
(Specify testand method M ATTACH LAB REPORT.)
Report Attached? ❑ Yes(1) 0 No.(0)
VOC -,method#
method #
method #
method #',
Effluent Total VOCs:
VOC
at
of
a
ittee (or Authorized Apent) Name and Title - Please print or Nde
GW-59 Rev. 1/2007-
SUBMIT
ONLY
MONITORING:
Name:. WeStNoini numv, 1-
Name (if different): WestPoint Stevens, Inc.
Address: PO Box rll County Scotland
i NC _
No. of wells to be sampled:
ar LNG INFORMATION 11/2712007
LID NUMBER (from Permit): MW-14 Date sample collected;
Depth:. 25.0 ft. Well Diameter _2. in.
h to Water Level: 16.18 ft. below measuring point Screened Interval: _ft. to —ft.
ft.
Turing Point is ft: above land surface Relative M.P. Elevation:
me of water pumpedfoailed beforesampling:. 4.5 gallons J J
_. __
AMETERS NOTE: Values, should renecrmsbor.-
COD
mg/I
Colifonn: MF Fecal
< 1 col /100ml
Couform: MF Total
/l00ml
(Note. Use MPN method for highly turbid samples).
Dissolved Solids: Total.
40mg/I
pH (when analyzed)
4.93units
TOC
1.17 mg/l
Chloride
9 nigh
Arsenic
mg/I
Grease and Oils
mg/l
Phenol
mgil
Sulfate
_mg/I.
Specific Conductance
—._µMhos
Total Ammonia
0.214 rng/1'
(Ammonia Nitrogen; NHsas'N; Ammonia Nitrogen, imap
TKN as N mg/l
For Remediation Systems only (Attach Lab Reports):
RMIT Number:, Expiration Date: uW,3uwc- i o
n-Discharge W00008764 UIC
DES - Other
PE OF PERMITTED OPERATION BEINGMONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Rotary Distributor ®Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:..
FIELD ANALYSES: v"'
18.5 aC DRY at
PH 4:93 units Temp: time of
Spec: Cond.. µMhos It mplir
Odor check
Appearance herer
Laboratory Name: Carolina Environmental'Labs
colloidal concentrations.
Nitrite (NO,) as N. mg/I Pb -Lead
Nitrate (NO3) as N 2.2.mg/I Zn - Zinc
Phosphorus: Total as P
mg"
Orthophosphate
mg/I
Al - Aluminum
mg/I
Be - Barium
mg/l
Ca -Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/l
Cu-Copper
mg/l
Fe - Iron
mg/I
Hg - Mercury,
mg/l
K'-Potassium _
mg/l
Mg -Magnesium
mg1I
Mn - Manganese
mgll
Ni- Nickel,
mg/I
VOCS:
Certification No. 306
mgll
mg/I
Other (Specify Compounds and Concentration Units):
r — r'tt -' -
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) '❑ No (0)
VOC method #
method #
method#
method #
Effluent Total VOCs:
VOC
—ZZ --ems
GW-59 Rev. 112007
-R QUALITY MONITORING:
REPORT FORM
Name: vve=irl
Name (if different):
Address: PO Bo
Person:
Location/Site Name: Wagram
LID NUMBER (fromPermit)e MW-15
Depth: 25.0 ft:
h to Water Level: 14.10 ft. below measuring. point
ng Point is ft.,above land surface
of water. pumpedibailed before sampling:_ 6.0
'.AMETERS NOTE: Values should renect bissorve
COD
mgm
C011ferm: MF Fecal
< 1 .Col /100ml
Coliform: MF Total
L100ml
(Note.'. Uso MPN mend for highly Wrbid samples)
Dissolved Solids: Total
_ 34 mg/I
pH (when analyzed)
4.80 units
TOC _
< 1.0 mg/l
Chloride .
4 mg/l
Arsenic
mg/I
Grease and Oils
mg/l
Phenol -
mg/I
Sulfate
'mg/1
Specific Conductance
µMhos
Total Ammonia
0.223 mg/I
(Ammanla Nitrogen: NHsas N: Ammon Nitrogen, Total)
TKN as N mg/I
For Remediation Systems Only(Attach Lab
ars �• /�22.v
or
County Scotland
Telephone#: No. of wells to be sampled:
Date sample collected: 11/27/2007
Well Diameter:2,in.
Screened Interval: _ft. to —ft.
Relative M.P. Elevation: ft.
RMIT Number: 'Expiration Date:. UW.Juilu-tu
n-Discharge W00008764 UIC
DES Other
PE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑,Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ RotaryDistributor ® LandApplication of Sludge
❑ Water Source Heat Pump. ❑.Other:
FIELD ANALYSES:
pH 4.80 units
Spec. Cond. _
Odor
Appearance _
Laboratory Name: Carolina Environmental Labs
colloidal concentrations.
Nitrite (NO2) as N mg/l Pb -'Lead
Nitrate (NO3) as N
3-.1 mg/1
Phosphorus: Total as P
mg/I
Orthophosphate
,mg/1
Al=Aluminum _
mg/i
'Be - Barium
-mg/I
Ca -Calcium
mg/I'
Cd- Cadmium
mg/l
Chromium: Total
mg/I
Cu-Copper
m91I
Fe -Iron
mg/1
Hg - Mercury,
-mg/1
K- Potassium _
. mg/I
Mg' -Magnesium.
mg1i
Mn - Manganese
mg/1
Ni- Nickel
_mg/1
Zn - Zinc
Temp. 18.6 aC time of
µMhos _-,-,,-
Certification No. 306
mgfl
mg/I
Other (Specify Compounds and Concentration Units):
tcc_'•a` c -
ORGANICS: (by GC'GC/MS, HPLC)
(Specify test and method N. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0).
VOC method #
method #
method #
method #
VOC Removal%
/—ZZ dK
GW-59 Rev. 112007
GW-59A COMPLIANCE REPORT FORM Permit # VVt? ?b�
(Submit one each monitoring period will' G{V-59 forms.)
I
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
>t
2
Was any required Information missing on the GW-59 report forms?
YES
NO
X
1F the answer to question t or 2 is "YES , list in the space provided below the well identification numbers) and
explain the problems encountered in obtaining the required information.
LATE 1'Efb27�n/G
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
",
YES
NO
X
Identification plate, area overgrown, etc.)? Ijthe answer is " t'es contact the Regional Ojrce jorguldance.
4
Are any monitored constituents equal to or above the established standards?
Y9
NO
If the answer to question 4 is NO ; skip to section 8.
If the answer to question 41s "YES" list the affected wells individually with constituent(s) and concenfrailon(s)
exceeding standards in the space provided below: MW_ y 20. 2 AO / G
LG9T- '
/t//TCATF
5
For the constituents identified in question 4 above, have standards been exceeded prevlouslyfor the
YES
NO
same constituent(s) in the same well(s) In the last two years?
X
if the answer to question 5 is NO ;skip to section B.
If the answer to question 51s "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
MW—/ 13.�K$�-4 6�1f�°7 /�.(°.sB�P 31i71ob
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
X
!f the answer is "YES'; a groundwater quality problem maybe occurri CONTACT THE REGIONAL .
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer ls"NO'; monitoring-w-ellsrrjay be Improperly
CV
located, contact the Regional Office.
JAP!
� 5 2008
7
Infn _
Is tt(e permittee Implementing previously approved actions required by 1LfiV QSO -,, p tv�ilving this,
YES
NO
groundwater quality problem?
X
If the answer to question 7 js WES ; describe those actions in the space provided below.
71s "NO", contact the Regional Office within 90 days: an evaluation may be
If the answer to question
required to determine the Impact the waste disposal system is having at the review and compliance
the to a Notice of Violation,
boundaries surrounding this facility Failure to do so may subject permittee
fines, and/or penalues.
��yfJL�YNt�/T/tiGG t5'%�%/T� VPgevt-lJ 41Ll)OdJ o.6hU.v/TU2.t.e—
e0W,.1/ovG7-C,v !h/T)-/ �'/4/SUL%40--T A1117n ASSdCr97�
8
The person eompieI Ing this portion (G W59A) cf the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the'top of the current GW-59 form,
l tieieby acknowledge the the above Inforrtlatlor) was a alpated� nd I-, I otmatiotysubm flea n
repoft,(Compllap _.Rep.' istruearidconlplete,YoFte6estofmy)c[19..w1ed8@. y
Signet re ertn ea (or Authorked Agent) Data
1 ,
CAROLINA ENVIRONMENTAL LABORATOms. LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
_PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77045 SAMPLEID- MW-1 SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 1335
DATE RECEIVED- 11127/07 SAMPLER —Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1600 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
Field pH
4500pH-B
11/27/07
SMM
4.58
Std Units
Temperature
2550D
11/27/07
SMM
17.6
Celsius
Depth to Water -
11/27/07
SMM
10.0ft
Fecal toliform
r 9222D
11/27/.07
ERP
< I.col/100
mL
Total Ammonia
4500NH3-F
12/04/07
ERP
0.365
mg/L
Chloride
450OC1-C
11/30/07
ERP
44
mg/L
Nitrate Nitrogen
450ONO3-E
12/10/07
ERP
mg/L
Total Dissolved,Solids
2540C
11/29/07•ERP
.20.2
202
mg/L
Total Organic Carbon
5310C
12/08V07
DMG
1.51
mg/L
LRL = Lower Reporting Limit
a
dj\M
f—
..
LABORATORY
DIRECTOR
LRL
1 � I
0.121
1.0
0.5
10
1.0
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/776-1880 Fax 919/776-57244
NC WW/GW 306 NC DW 37741
CAROLINA ,GNwRONMENTAL LABORATORIES, .LZ C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12'/07
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77046 SAMPLE ID- MW-2SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 _ TIME SAMPLED- 1325
DATE RECEIVED- 11/27/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1606 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE.
BY
RESULT
UNITS LRL
Field .pH
4500pH-B
11/27/07
SMM
4.64
Std Units
Temperature
255OB
11/27/67
SMM
17.3
Celsius
-
Depth to Water
11/27/07
SMM
22.94
ft
Fecal Coliform F
9222D
11/27/07.ERP
< 1
col/100 mL
1
Total Ammonia
450ONH3-F
12/04/07
ERP
0.385
mg/L
0.121
Chloride '..
4500C1-C
11/30/07
ERP
,22
'mg/L
1.0
Nitrate Nitrogen
_ 450.ON63-E
12/10/07
ERP
8.8
mg/L
0...5 '
Total Dissolved Solids, -
2540C
11/29/07
ERP
92
mg/L
10
Total Organic Carbon
5310C
12/08/07
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
LABORATORY
DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROLINA ENwRONM.SNTAL .LABORATORIES, .LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77041 SAMPLE ID- MW-3 SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 1310
DATE RECEIVED- 11/27/07.SAMPLER— Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1600- DELIVERED BY- Mark Malloy
- Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH
4500pH=B
11/27/07
SMM
4.62
Std Units
Temperature
2550B.
11/27/07
SMM
'18.6
Celsius
Depth to Water
11/27/07
SMM
21.40
ft.
Fecal Coliform
e222D
11/27/07
ERP
< I
col/100 mL.
1
Total Ammonia
4'5OONH3-F
12/04/07
ERP
0.426
mg/L
0.121
Chloride
450OCl-C
11/30/67
ERP
10
mg/L
.1.0
Nitrate Nitrogen
450ON63-E
12/10/07
ERP
7.2
mg/L
0.5
Total Dissolved Solids
2540C
11/29/07
ERP
60
mg/L
10
Total Organic Carbon
5310C
12/08/07
DMG
< 1.0
mg%L-
1.0
LRL = Lower Reporting Limit
LABORATORY DIRECTOR V j`�``��
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/776-1880 Fax 919/776-$724
NC, WW/GW 306 NC DW 37741
CAROLINA ENVIRONMENTAL .LABORATORIES, .LL C
FINAL.REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME.: November MWs
Attn: Yancey Helton - REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER= 77048 SAMPLE ID-,MW-9 SAMPLE MATRIX- GW
DATE SAMPLED-.11/27/07 TIMESAMPLED- 1410
DATE. RECEIVED- 11/27/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED-'1600 - DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH
4500pH-B
11/27/07
SMM
4.82.Std
Units
Temperature
2550B
11/27/07
SMM
17.4
Celsius
Depth to Water
-
11/27/07
SMM
20.78.ft
Fecal Coliform
9222D
11/27/07
ERP
< 1
col/100 mL
1
Total Ammonia
450ONH3-F
12/04/07
ERP
0.427
mg/L
0.121
Chloride
450OC1-C.
11/30/07
ERP
30
mg/L'
1.0
Nitrate Nitrogen
4500NO3-E
12/10/07
ERP
4.9
mg/L
0_5
Total Dissolved Solids
2540C
11/29/07
ERP
179�mg/L
10
Total Organic Carbon -
5310C
12/08/07
DMG
c 1.0
mg/L
1.0
LRL = Lower .Reporting Limit
LABORATORY DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC'WW/GW 306 NC DW 37741
C'AROLINA ENVIRONMENTAL LABORATORIEsf Lz C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77049 SAMPLE ID- MW-12 SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 1425
DATE RECEIVED- 11/27/07 SAMPLER- Mark Malloy RECEIVED. BY- hcg
TIME RECEIVED- 1600 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH -
4500pH-B
11/27/07
SMM
5.22
Std Units
Temperature
2550E
11/27/07
SMM
18.0
Celsius
Depth to Water
-
11/27/07
SMM
23.20
ft
Fecal Coliform
, 9222D
11/27/07
ERP
< 1
col/100 mL
'1
Total Ammonia -
450,ONH3-F
12/04/07ERP
0.166.mg/L
0.121
Chloride
450OCl-C
11/30/07.ERP
_ 5
mg/L
1.0
Nitrate Nitrogen
4500N037E
12/10/07
ERP
< 0.5
mg/L
0.5
Total Dissolved Solids,
2540C
11/29/07
ERP
16.
mg/L
10
Total Organic Carbon
5310C
12/06/07
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
LABORATORY DIRECTOR
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROMNA ENVIRONMENTAL LABORATORIES, LL C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs '
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Sox 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77050 SAMPLE ID- MW-13 SAMPLE MATRIX'- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 14.45
DATE RECEIVED- 11/27/07 SAMPLER- Mark Malloy' RECEIVED BY- hcg
TIME RECEIVED- 1600 DELIVERED BY- Mark Malloy
-Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH
4500pH-B
11/27/07
SMM
4.6.1
Std Units
Temperature
255013
11/27/07
SMM
17.7
Celsius
Depth to Water
11/27/07
SMM
19.94
ft
Fecal Coliform
9222D
11/27/07
ERP
< 1
col/100 mL
1
Total Ammonia -
4500NH3-F
12/04/07
ERP
0.192
mg/L
0.121
Chloride
450OCl-C
11/30/07
ERP
21
mg/L
1.0
Nitrate Nitrogen
450ONO3-E.
12/10/07
ERP
7.6
mg/L
0.5
Total Dissolved Solids
2540C
11/29/07
ERP
90
mg/L,
10
Total Organic Carbon
5310C
12/08/0%
DMG
<. 1.0
mg/L _
1.0
LRL= Lower Reporting Limit
LABORATORY DIRECTOR 6k �
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
CAROMNA ,ENVIRONMENTAL LABORATORIES, .L.L C
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. .PROJECT NAME: November MWs
Attn: Yancey Helton REPORT..DATE: 12/12/07
PO Box 38B
Wagram, NC 28396-0388
SAMPLE NUMBER- 77051 SAMPLE ID-'MW-14 .SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 1350
DATE RECEIVED- 11/27/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1600 DELIVERED. BY- Mark Malloy
Page 1 of 1 11
ANALYSIS
Field pH
Temperature
Depth to Water
Fecal Coliform
Total Ammonia
Chloride
Nitrate Nitrogen
Total Dissolved Solids
Total Organic Carbon
LRL =Lower Reporting Limit
ANALYSIS
METHOD DATE BY RESULT UNITS LRL
4500pH-B 11/27/07 SMM
2550B
11/27/07'
SMM
11/27/07
SMM
9222D ""
11/27/07
ERP
4500NH3-F
12/04/07
ERP
450OC1-C
11/30/67
ERP
450ONO3-E
12/10/07
ERP
2540C
11/29/07
ERP
5310C
12/0,8/07
DMG� '
4.93 Std Units
18.5 Celsius
16.18 ft
< 1 col/100 mL
1
0.214 mg/L
0.121
9 mg/L
1.0
2.2 mg/L
0:5
40,mg/L
10
1.17, mg/L
1.0
LABORATORY DIRECTOR,
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880' Fax 9191776-5724
NC WW/GW 306 NC DW 37741
CAROUNA .GNwRONMENTAL LABORATORIES, .LLC
FINAL REPORT OF ANALYSES
WestPoint Home, Inc. PROJECT NAME: November MWs
Attn: Yancey Helton REPORT DATE: 12/12/07
PO Box 388
Wagram, NC 28396-0388
SAMPLE NUMBER- 77052 SAMPLE ID- MW-15 SAMPLE MATRIX- GW
DATE SAMPLED- 11/27/07 TIME SAMPLED- 1400
DATE RECEIVED- 11/27/07 SAMPLER- Mark Malloy RECEIVED BY- hcg
TIME RECEIVED- 1600 DELIVERED BY- Mark Malloy
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
BY
RESULT
UNITS
LRL
Field pH
4500pH-B
11/27/07
SMM
4.80
Std Units
Temperature
2550B
11/27/07
SMM
18.6
Celsius
Depth to Water
1
11/27/07
SMM
14.10
ft
Fecal Coliform
9222D
11/27/07
ERP
< l
col/100 mL
1
Total Ammonia
4500NH3-F
12/04/07
ERP
0.223
mg/L
0.121
Chloride
450OC1-C
11/30/07
ERP
4
mg/L
1.0
Nitrate Nitrogen
450ONO3-E
12/10/07
ERP-
3.1
mg/L
0.5
Total Dissolved Solids
2540C
11/29/07
ERP
34
mg/L
109
Total Organic Carbon
5310C
12/08/07
DMG
< 1.0
mg/L
1.0
LRL = Lower Reporting Limit
+
LABORATORY DIRECTOR _C P N
1229 North Horner Boulevard, Sanford, North Carolina 27330 919/775-1880 Fax 919/776-5724
NC WW/GW 306 NC DW 37741
-AROLINA .UNVIRONMENTAI, LABORATORIES, LLC
1229 N. HORNER 13m. • SANFORD, NC 27330
(919) 775-1880 FAx.(919) 776-5724,
CHAIN OF CUSTODY
Page of
WestPoint Stevens, Inc. _
CLIENT:_ Contact: --
Address: PO Box 388
_
ANALYSES
REQUIRED
BILL TO:
n
z
0
w
y
p
:�
y
Z
w
_
y
17
co
M
m
W
N
'
Phone #: (_) Fax
Purchase Order —
City: Wagram NC 28396
State: Zip:
PROJECT NO:
PROJECT NAME:
Vi Monitoring Wells
Turnaround Time
❑Normal (2 weeks) ❑Rush (1 week)'
❑ Rush (48 how's)` ❑ Rush (24 hours)'
COLLEfl'bp
BY: (Signs , PRINTED NAME
1
PRESERVATIVES _
PRESERVED IN FIELD .oe
PRESERVED IN LAB L
E
RECEIVED ON ICE
e sample chlorinated? Yes o -M_. -
Will the results be used for regulatory monitoring purposes? Yes g_ No _
-
w
Z
p
?
U
O
¢
`�Z'ram
CC[xx
tq
O
O
)
O
U
=
SAMPLE H
DATE
TIME
COMP
GRAD
SAMPLE I.D.
SAMPLE
rot
CUITANERS
REMARKS
(7O-
_MATRI%
3,3
x
MW-,
GW
4
x
x
x
x
x63i
x
MW-2
GW
4
x
x
x
x
x
r
GW
4
x
'x
x
x
x
x_
i
x
MW-9
GW
4"
x
x
x
x
x
x
�D
CC
;�j
GW-
4
x
x
x
x
x
x
I
l
iDSa
N-
x
MW=13
GW
4
x
x
x
x
x
x
77051
6�
x
MW-14
GW
4
x
x
x
x
x
x
3
X
MW-1 5
GW
4
X
x
X
X
X
x
ey
�14 �z
*BUSH WORK MUST BE APPROVED PRIOR TO SAMPLE SUBMISSION. ADDITIONAL CHARGES MAY APPLY.