WQ0028693_Groundwater Monitoring Report March 2024_20240418

G"-59A COMPLIANCE REPORT FORM I'eritiit # W00028693
6"1?r1i1erne grief me korinper•iod wish (il3=.i9.ft+Furs j � -
I IEnter date monitoring results were due. (4/30/2024 ) will this monitoring report (GW-59 and GW-59A) YES
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or 2 is "YES", list in the space provided below the
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing; cap, missing YES NO
identification p[ate, area overgrown,)':' etc.If fhe arrs1"0' is `Yes Contact the Regional Office for garidcuue.
4 Are any monitored constituents equal to or above the established standards? YES NO
If the answer to question 4 is "NO", skip to section B.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space pro vidod below:
6
7
8
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).
MW-01R: pH 5.51
MW-2: pH 5.88
MW-3: pH 6.04
the monitoring wells listed in section 5 located at or beyond the review boundary? YES I NO
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAI
OFFICE fMMEDIATELY FOR GUIDANCE If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
]s the permittee implementing previously approved actions required by the Division involving this YES N,'p
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 911 days; an evaluation maybe
t ne person completing this portion (GW-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 Report GW-59A) is true and complete to the best of my knowledge.
0AN-ol— gbghY
Signature of Permittee (or
GW-59A 12r8(2003
Agent)
Date

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT.
COMPLIANCE REPORT FORM
`
`
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617
FACILITY INFORMATION
Please Print Cfearly or Type
PERMIT Number: Expiration Date: 4130/2025
Facility Name: Mountaintop Goff & Lake Club
Non -Discharge WQ0028693 UIC
Permit Name (if different): Mountaintop Community Association Inc
NPDES Other
Facility Address: P.O. Box 1460
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Cashiers NC 28717 County Jackson
❑■ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-01 R
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
From Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-01 R
Date sample collected: 3/1412024
FIELD ANALYSES:
WAS
Well Depth: �5.6 ft.
Well Diameter: 2 in.
pH 00400: 5.51 units Temp. oaaio: 12.7 °C
DRY at
Depth to Water Level 82546: 13,2 ft. below measuring
point Screened Interval: 15.6 ft, to
25,6
ft. Spec. Cond. 00094: 110.0 uMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Flevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
gallons
Appearance Cloudy
here:
❑
Samples for metals were collected unfiltered: *YES
❑ NO and field acidified: © YES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/28/2024
Laboratory Name: Pace Analytical
Certification No. 40
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOJ as N oo615
mg1L
Pb - Lead 01c5i ug1L
Coliform: MF Fecal 31616 c1
1100rr1L
Nitrate (NO3) as N 00620 0.60
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P o0665 0.3C
mg/L
(Nota: Use MPN method for highly turbid samples)
orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 62.0
mg1L
Al -Aluminum C1105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC o068o 1.8
mg1L
Ca - Calcium oo9i5
mg/L
Chloride 00940 16.7
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
(LMhos
K - Potassium 00937
mg1L
VOC 7873 method # SB 6200B
Total Ammonia oost0 <0.10
mg1L
Mg - Magnesium 00927
mglL
method #
(Ammonia Nitrogen. NH, as N Ammonia Nitrogen, Total)
Mn - Manganese o1o5s
UglL
method #
TKN as N 00625
mglL
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Robert P. Barr 1 Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
Agent)
(Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
"
`
1617 MAIL SERVICE CENTER, RAL.EIGH, NC 27699.1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4130/2025
Facility Name: Mountaintop Golf & Lake Club
Non -Discharge WQOC)2B693 UIC
NPDES Other
Permit Name (if different): Mountaintop Community Association Inc
Facility Address: P.O. Box 1460
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Cashiers NC 28717 County Jackson
10 Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-2
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 3/14/2024
FIELD ANALYSES:
WAS
Well Depth: 33.73 ft.
Well Diameter: 2 in.
pH 00400 5.88 units Temp. ooata: 12.7 oC
DRY at
Depth to Water Level 82546: 13.89
p ft. below measuring point Screened Interval: 42 ft. to
32
ft. Spec. Cond. o0o9a: 127.0 u M#1os
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor ooae5: None
check
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 312812024
Laboratory Name: Pace Analytical
Certification No. 40
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o5t ug/L
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO,) as N 00620 1.4
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
I10timL
Phosphorus: Total as P umEi5 <0.50
mg/L
(Note. use MPNI method fur highly turbid Samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total70300 93.0
mg/L
Al -Aluminum o11ns
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC ooma <1.0
mg/L
Ca - Calcium oosls
mg/L
Chloride 0094o 3.5
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury moo
uglL
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 000ss
pMhos
K - Potassium 00937
mg/L
VOC 7673 method # SM 6200E
Total Ammonia oualo <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug1L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs� mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
s
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
s s
s
4517MAIL SERVICE CENTER, RALEIGH,NC27699.1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4130l2025
Facility Name: Mountaintop Golf & Lake Club
Non -Discharge WQ0028693 UIC
NPDES Other
Permit Name (if different): Mountaintop Community Association Inc
Facility Address: P.O. Box 1460
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Cashiers NC 28717 County Jackson
❑■ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-3
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permff
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 3/14/2024
FIELD ANALYSES:
WAS
Well Depth: 160 ft.
Well Diameter: 4 in.
pH 00400: 6.04 units Temp. 000lo: 17.9 °C
DRY at
Depth to Water Level 82546: 10.82
p ft. below measuring
point Screened Interval: ft. to
ft. Spec. Cond. 000sa: 84.3 t tMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor oams: None
sampling,
check
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3128)2024
Laboratory Name: Pace Analytical
Certification No. 40
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
m,g/L
Pb - Lead oic51 ug1L
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 00620 0.46
mglL
Zn - Zinc 01092 mg1L
Coliform: ME Total 31504
1100ml
Phosphorus: Total as P ons65 <0.50
mglL
(Nola: Use MPN method for highly turbid Samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total70300 57.0
mg/L
AI - Aluminum u110s
mg/L
pH (Lab) 004D3
units
Ba - Barium 01007
ug1L
TOC 00680 <1.0
mg/L
Ca - Calcium acs16
mg/L
Chloride 0094a 2.8
mg/L
Cd - Cadmium o1a27
ug/L
Arsenic 0101J2
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper o1042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance aao95
µMhos
K - Potassium 00937
mg1L
VOC 71373 method # SM 6200E
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium CD927
mg/L
method #
(Ammonia Nitrogen: NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug1L
method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Robert P. Barr 1 Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
signature of F'ermittee (or Authorized Agent)
(Date)
GW-59 Rev.06-07-2018

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
March 28, 2024
Kimber Reese
RPB Systems Inc.
P.O. Box 1325
Asheville, NC 28802
RE: Project: Mountain Top MW
Pace Project No.: 92719155
Dear Kimber Reese:
Enclosed are the analytical results for sample(s) received by the laboratory on March 14, 2024. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Asheville
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
(Z/� ` -
Lord Patton
[e-mail]
828-417-6055
Project Manager
Enclosures
cc: Mr. Robert Barr, RPB Systems Inc.
Ms. Liz Barr, RPB Systems Inc.
Lorri Patton
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Mountain Top MW
Pace Project No.: 92719155
Pace Analytical Services Charlotte
South Carolina Laboratory ID: 99006
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Laboratory ID: 99006
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
CERTIFICATIONS
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DoH Drinking Water #: LA029
VirginiaNELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
SAMPLE ANALYTE COUNT
Project: Mountain Top MW
Pace Project No.: 92719155
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92719155001 MW-01R
SM 2540C-2015
JAY
1
PASI-A
SM 9222D-2015
YEG
1
PASI-A
EPA 350.1 Rev 2.0 1993
EGC
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
SM 4500-CI-E-2011
Zip
1
PASI-A
SM 531OB-2014
MJP
1
PASI-A
92719155002 MW-2
SM 2540C-2015
JAY
1
PASI-A
SM 9222D-2015
YEG
1
PASI-A
EPA 350.1 Rev 2.0 1993
EGC
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
SM 4500-CI-E-2011
Zip
1
PASI-A
SM 531OB-2014
MJP
1
PASI-A
92719155003 MW-3
SM 2540C-2015
JAY
1
PASI-A
SM 9222D-2015
YEG
1
PASI-A
EPA 350.1 Rev 2.0 1993
NCF
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
SM 4500-CI-E-2011
Zip
1
PASI-A
SM 531OB-2014
MJP
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Project: Mountain Top MW
Pace Project No.: 92719155
Sample: MW-01R Lab ID: 92719155001 Collected: 03/14/24 13:35 Received: 03/14/24 15:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Monitoring Well Data
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Pace
1
03/15/24 15:04
Collected By
Mark
1
03/15/24 15:04
Swann
Collected Date
3/14/24
1
03/15/24 15:04
Collected Time
13:35
1
03/15/24 15:04
pH
5.51 Std. Units
1
03/15/24 15:04
Temperature
12.7 deg C
1
03/15/24 15:04
Static Water Level
13.20 feet
1
03/15/24 15:04
Specific Conductance
110.0 umhos/cm
1
03/15/24 15:04
Oxygen, Dissolved
4.31 mg/L
1
03/15/24 15:04
7782-44-7
REDOX
73.9 my
1
03/15/24 15:04
Turbidity
111.1 NTU
1
03/15/24 15:04
Odor
No Odor
1
03/15/24 15:04
Appearance
Cloudy
1
03/15/24 15:04
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
62.0 mg/L 25.0
1
03/19/24 11:34
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D-2015 Preparation
Method: SM 9222D-2015
Pace Analytical Services -Asheville
Fecal Coliforms
ND CFU/100 mL 2.0
2
03/14/24 16:20 03/15/24 15:11
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
ND mg/L 0.10
1
03/23/24 14:48
7664-41-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
0.60 mg/L 0.020
1
03/15/24 00:07
14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
0.30 mg/L 0.050
1
03/27/2419:45 03/28/2413:22
7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
16.7 mg/L 1.0
1
03/27/2418:10
16887-00-6
5310B TOC
Analytical Method: SM 531OB-2014
Pace Analytical Services -Asheville
Total Organic Carbon
1.8 mg/L 1.0
1
03/20/24 17:56
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Project: Mountain Top MW
Pace Project No.: 92719155
Sample: MW-2 Lab ID: 92719155002 Collected: 03/14/24 12:10 Received: 03/14/24 15:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Monitoring Well Data
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Pace
1
03/15/24 15:19
Collected By
Mark
1
03/15/24 15:19
Swann
Collected Date
3/14/24
1
03/15/24 15:19
Collected Time
12:10
1
03/15/24 15:19
pH
5.88 Std. Units
1
03/15/24 15:19
Temperature
12.7 deg C
1
03/15/24 15:19
Static Water Level
13.89 feet
1
03/15/24 15:19
Specific Conductance
127.0 umhos/cm
1
03/15/24 15:19
Oxygen, Dissolved
4.34 mg/L
1
03/15/24 15:19
7782-44-7
REDOX
81.2 my
1
03/15/24 15:19
Turbidity
0.27 NTU
1
03/15/24 15:19
Odor
No Odor
1
03/15/24 15:19
Appearance
Clear
1
03/15/24 15:19
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
93.0 mg/L 25.0
1
03/19/24 11:34
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D-2015 Preparation
Method: SM 9222D-2015
Pace Analytical Services -Asheville
Fecal Coliforms
ND CFU/100 mL 1.0
1
03/14/24 16:20 03/15/24 15:11
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
ND mg/L 0.10
1
03/23/24 14:50
7664-41-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
1.4 mg/L 0.020
1
03/15/24 00:05
14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
ND mg/L 0.050
1
03/27/2419:45 03/28/2413:27
7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
3.5 mg/L 1.0
1
03/27/2418:12
16887-00-6
5310B TOC
Analytical Method: SM 531OB-2014
Pace Analytical Services -Asheville
Total Organic Carbon
ND mg/L 1.0
1
03/20/24 18:50
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Project: Mountain Top MW
Pace Project No.: 92719155
Sample: MW-3 Lab ID: 92719155003 Collected: 03/14/24 13:10 Received: 03/14/24 15:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Monitoring Well Data
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Pace
1
03/15/24 15:24
Collected By
Mark
1
03/15/24 15:24
Swann
Collected Date
3/14/24
1
03/15/24 15:24
Collected Time
13:10
1
03/15/24 15:24
pH
6.04 Std. Units
1
03/15/24 15:24
Temperature
17.9 deg C
1
03/15/24 15:24
Static Water Level
10.82 feet
1
03/15/24 15:24
Specific Conductance
84.3 umhos/cm
1
03/15/24 15:24
Oxygen, Dissolved
5.81 mg/L
1
03/15/24 15:24
7782-44-7
REDOX
85.0 my
1
03/15/24 15:24
Turbidity
7.90 NTU
1
03/15/24 15:24
Odor
No Odor
1
03/15/24 15:24
Appearance
Clear
1
03/15/24 15:24
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
57.0 mg/L 25.0
1
03/19/24 11:34
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D-2015 Preparation
Method: SM 9222D-2015
Pace Analytical Services -Asheville
Fecal Coliforms
ND CFU/100 mL 1.0
1
03/14/24 16:20 03/15/24 15:11
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
ND mg/L 0.10
1
03/25/24 18:51
7664-41-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
0.46 mg/L 0.020
1
03/15/24 00:06
14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
ND mg/L 0.050
1
03/27/2419:45 03/28/2413:31
7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
2.8 mg/L 1.0
1
03/27/2418:13
16887-00-6
5310B TOC
Analytical Method: SM 531OB-2014
Pace Analytical Services -Asheville
Total Organic Carbon
ND mg/L 1.0
1
03/20/24 19:44
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 839965 Analysis Method: SM 2540C-2015
QC Batch Method: SM 2540C-2015 Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4338414 Matrix: Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Dissolved Solids mg/L ND 25.0 03/19/24 11:32
LABORATORY CONTROL SAMPLE: 4338415
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Dissolved Solids mg/L 250 256 102 90-110
SAMPLE DUPLICATE: 4338416
92719301001 Dup
Parameter Units Result Result RPD Qualifiers
Total Dissolved Solids mg/L ND ND
SAMPLE DUPLICATE: 4338417
92719310008 Dup
Parameter Units Result Result RPD Qualifiers
Total Dissolved Solids mg/L 836 822 2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 839342 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF) -AVL
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4335597 Matrix: Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 03/15/24 15:11
SAMPLE DUPLICATE: 4335598
Parameter
Fecal Coliforms
92719155002 Dup
Units Result Result RPD Qualifiers
CFU/100 mL ND ND
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 841333 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002
METHOD BLANK: 4345827
Matrix:
Water
Associated Lab Samples: 92719155001, 92719155002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Nitrogen, Ammonia
mg/L
ND
0.10
03/23/24 14:08
LABORATORY CONTROL SAMPLE:
4345828
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Nitrogen, Ammonia
mg/L
5
5.4
107 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4345829 4345830
MS MSD
92720380005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.2 5.2 105 105 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4345831 4345832
MS MSD
92720380006 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.2 5.2 105 104 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 841343 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155003
METHOD BLANK: 4345857
Associated Lab Samples: 92719155003
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4345858
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 03/25/24 18:49
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.3 106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4345859 4345860
MS MSD
92719155003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.3 5.3 106 106 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4345861 4345862
MS MSD
92719156001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.3 5.3 106 106 90-110 0
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 839181 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, Unpres.
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4334959
Matrix:
Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Nitrogen, Nitrate
mg/L
ND
0.020
03/14/24 23:34
LABORATORY CONTROL SAMPLE:
4334960
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Nitrogen, Nitrate
mg/L
1.5
1.6
106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4334963 4334964
MS MSD
92718921001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 8.5 1.5 1.5 10.1 10.2 106 107 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4334969 4334970
MS MSD
92718872006 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L <0.020 1.5 1.5 1.6 1.6 108 106 90-110 2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 842155 Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4349433
Matrix:
Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Phosphorus
mg/L
ND
0.050
03/28/2413:20
LABORATORY CONTROL SAMPLE:
4349434
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Phosphorus
mg/L
2.5
2.6
104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4349435 4349436
MS MSD
92719155001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.30 2.5 2.5 2.9 2.8 102 100 90-110 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4349437 4349438
MS MSD
92719155002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L ND 2.5 2.5 2.6 2.6 103 102 90-110 1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 842247 Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011 Analysis Description: 4500 Chloride
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4350027
Matrix:
Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Chloride
mg/L
ND
1.0
03/27/2418:05
LABORATORY CONTROL SAMPLE:
4350028
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Chloride
mg/L
20
20.6
103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4350029 4350030
MS MSD
92720523003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 89.8 10 10 98.2 95.6 83 58 90-110 3 M1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 13 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALITY CONTROL DATA
Project: Mountain Top MW
Pace Project No.: 92719155
QC Batch: 840465 Analysis Method: SM 531 OB-2014
QC Batch Method: SM 531 OB-2014 Analysis Description: 5310E TOC
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92719155001, 92719155002, 92719155003
METHOD BLANK: 4341103
Matrix:
Water
Associated Lab Samples: 92719155001, 92719155002, 92719155003
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Organic Carbon
mg/L
ND
1.0
03/20/24 17:19
LABORATORY CONTROL SAMPLE:
4341104
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Organic Carbon
mg/L
25
24.2
97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4341105 4341106
MS MSD
92719155001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Total Organic Carbon mg/L 1.8 25 25 26.7 26.7 99 100 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4341107 4341108
MS MSD
92719155002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Total Organic Carbon mg/L ND 25 25 25.0 25.3 97 98 90-110 1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC.
Page 14 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
QUALIFIERS
Project: Mountain Top MW
Pace Project No.: 92719155
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TN -The NELAC Institute.
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/28/2024 03:45 PM without the written consent of Pace Analytical Services, LLC. Page 15 of 23

ceo
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Mountain Top MW
Pace Project No.: 92719155
Lab ID
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
92719155001
92719155002
92719155003
Sample ID
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
MW-01 R
MW-2
MW-3
Date: 03/28/2024 03:45 PM
QUALITY CONTROL DATA CROSS REFERENCE TABLE
QC Batch Method
SM 2540C-2015
SM 2540C-2015
SM 2540C-2015
SM 9222D-2015
SM 9222D-2015
SM 9222D-2015
EPA 350.1 Rev 2.0 1993
EPA 350.1 Rev 2.0 1993
EPA 350.1 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
SM 4500-CI-E-2011
SM 4500-CI-E-2011
SM 4500-CI-E-2011
SM 5310B-2014
SM 5310B-2014
SM 5310B-2014
QC Batch Analytical Method
839965
839965
839965
839342
839342
839342
841333
841333
841343
839181
839181
839181
842155
842155
842155
842247
842247
842247
840465
840465
840465
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
SM 9222D-2015
SM 9222D-2015
SM 9222D-2015
Analytical
Batch
839414
839414
839414
EPA 365.1 Rev 2.0 1993 842372
EPA 365.1 Rev 2.0 1993 842372
EPA 365.1 Rev 2.0 1993 842372
Page 16 of 23

1"i~?Ce DC#_Title: ENV-ERM-HUN1-0083 v03 ASample Condition Upon Receipt
Effective Date:12/01/2023
Laboratory receiving samples:
Asheviller-❑ Eden❑ Greenwood ❑ Huntersville ❑ Raleigh[] Mechanicsville❑ Atlanta[] Kernersville❑
�•�i�,,� WOI #+ II ' 9r 2I7I I1 9I
+
Sample Condition 55Client N
Upon Receipt Project .
Courier: ❑Fed Ex ❑UPS ❑LISPS ❑Client II III I II II�II II I I I ��+
❑ Commercial Pace 00ther 92719155 IIII 1
Custody Seal Present? ❑Yes )TNo
Packing Material: ❑Bubble Wrap
Seals Intact?
❑ftubble Bags
Thermometer: _
❑ IRGun ID: �}� Type of Ice:
Correction Factor: 0
Cooler Temp: Add/Subtract ('C)
Dyes []No N/A [C lr
Date/Initials Person Examining Contents:
None ❑ Other
Y /et ❑Blue ❑Nane
Cooler Temp Corrected ("C : Z ,7
USDA Regulated Soil ( /A, water sample)
Did samples originate In a quarantine zone within the United States: CA, NY, or SC
Biological Tissue Frozen?
❑Yes ❑No ❑N/A
Temp should be above freezing to 6'C
❑Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source {internationally,
[check maps)? ❑Yes ❑No
rncivarng nawan ana rucriu rtrcuir u res L-Jrvu
Comments/Discrepancy:
Chain of Custody Present?
Yes
❑No
❑N/A
1.
Samples Arrived within Hold Time?
Yes
El No
[-I NIA
2.
Short Hold Time Analysis (<72 hr.)?
Kres
[:]No
❑N/A
3.
Rush Turn Around Time Requested?
Des
❑No
AiE/A
4.
Sufficient Volume?
kYes
❑No
❑N/A
5. _-
b.
Correct Containers Used? Oyes ❑No ❑N/A
-Pace Containers Used? s ❑No ❑N/A
Containers Intact?
s
[-]No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
❑No
/A
S.
Sample Labels Match COC?
-Includes Date/Time/tD/Analysis Matrix:
Yes
4`
ON,
❑N/A
9.
Headspace in VCIA Vials (>5.6mm)?
]—]Yes
❑No
I fN/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑Yes
[-]No
❑No
/A
KNIA
17.
COMMENTSISAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review:
Date;
sera WaldNequrrear Vies Una
Project Manager SRF Review:
Date:
Page 17 of 23
niinitrax If)* 6A614 Paae 1 of 2

4ace
DC# Title: ENV-FRM-HUNI-0083 03-Sample Condition Upon Receipt
Effective Date: 12/01/2023
*Check mark top half of box if pH and/or dechlorination is verified and
within the acceptance range for preservation samples.
Exceptions: VOA, Coliforrn, TOC, Oil and Grease, DRO/8015 (water) DOC, Wig
**Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
WO#:92719155
Project # PM: LJP Due Date: 03/29/24
CLIENT: 93-RPR
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