WQ0035049_Monitoring - 09-2024_20241028

Monitoring Report Submittal
Permit Number#* WQ0035049
Name of Facility:* Maple Hill WWTF-Wastewater Irrigation System
Month: * September Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Maple Hill September 2024 NDMR, NDAR-1.pdf 1.27MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Anthony Colon
Signature:
Date of submittal: 10/28/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0035049
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 11/7/2024

FOR}: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of J2_
Permit No.: W00035049
Facility Name: Maple Hill WWTF
County: Pender
Month: September
Year: 2024
PPI: 001
Flow Measuring Point: 71 infiuent O Effluent El No flaw generated
Parameter Monitoring Point: Lt influent 0 Effluent 3 Groundwater Lowering Surface Water
Parameter Code -►
60050
00400
00310
00530
00610
00620
00626
31616
00600
00665
00940
70300
p
f4
;= w
U h
O
c
O
E :�
1- y
O
3
M
=
qQQ
t$
m
7s e v
h y N
N
4
ca
Z
e
v a�
.5
o Z
`0 0
0_ O
U
c
CID
1- "�"
Z
`3 t
CL
h
a
•.
O
U
a
c„a v_
~ N O
n N
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
1
12,406
2
07:30
6
23,049
8.1
3
07:30
6
15,705
8.1
4
07:30
7
11,334
7.8
5
07:30
7
7,890
7.8
6
07:30
7
8,6
7.9
7
9,936
a
9,684
9
07:30
7
10,464
6.7
10
07:30
7
7,317
7.3
11
07:30
7
7,554
6.7
12
07:30
6
8,613
6.8
13
07:30
7
7,267
6.7
4
7.1
<0.2
20.4
<1
20.4
6.92
141
11,939
151
11,739
16
07:30
7
76,415
6.7
17
07:30
6
26,726
6.9
18
07:30
7
14,034
7.3
19
07:30
6
11,900
6.5
20
07:30
6
11,730
6.5
21
11,151
22
12,945
23
07:30
7
10,729
6.5
24
07:30
5
11,172
7.1
25
07:30
6
8,908
7.3
26
07:30
7
10,340
7.8
271
07:30
6
11,451
7.3
281
11,312
29
11,565
30
07:30
7
9,844
7.1
31
Average:
13,774
4.00
710
0.00
20.40
0.00
20.40
6.92
Daily Maximum:
76,415
8.10
4.00
7.10
0.20
20.40
1.00
20.40
6.92
Daily Minimum:
7,267
6.50
4.00
7 10
0.20
20.40
1.00
20.40
6.92
Sampling Type:
Recorder
Grab
Composite
Composite
Composite
Composite
Ccmcasito
Grab
Composite
Grab
Composile
Composite
Monthly Avg. Limit:
42,000
n/a
30
30
15
n/a
n/a
200
n/a
n/a
n/a
n/a
Daily Limit:
rVa
6 to 9
n/a
n/a
n1a
n/a
n/a
nla
rif/a
nr'a
n/a
n/a
Sample Frequency:
Continous
5XWK
Weedy
Weekly
Wee My
Weekly
VJeek!y
Weekly
Monthly
idlontly
3XYR
3XYR

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_of_2_
Sampling Person(s) Certified Laboratories
Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc.
Name: 11 Name: Jay Baker
-1 Compliant i , Nan -Col
If the facility is non -compliant, please explain In the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective actions)
fakan Attarh ariddinnal shepts If necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Christopher Pickett Permittee: Pender County Utilities
Certification No.: 995432 Signing Official: Anthony Colon
Grade: WW2 Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDMR? ❑ yes I_' No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
I
Signature
Date Signature Date
By this signature. I certify that this - accumate and complete to the best of my knowedge I cerbfy, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief. true, accurate, and rnmplete. I am
aware that there are significant penalties for submet ..[: false information, including the posstolity, of fines and impneonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of
Permit No.:
Facility Name: Maple Hill WWTF
County: Pe der
Month: September
Year: 2024
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
Area (acres):
1.72
Area (acres):
1.72
Area (acres)':
1.72
Area (acres):
02
at this facility?
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
E7 YES ❑ NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in);
0A1
Hourly Rate (in):
0.41
58
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
2971
Weather
Freeboard
Field Irrigated?
0 YES Cl ND
Field Irrigated?
O YES ❑ NO
Field Irrigated?
o YES ❑ NO
Field Irrigated?
2 YES 0 NO
'06
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F' >=
-
T3 E T m
p O% E
J E a
tii x O
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0
°r
in
ft
ft
gal
min
in
In
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
PC
73
0
3.3
3
C
66
2.6
3.3
4
C
65
0
3.3
15,080
40
0.32
0.32
14,960
40
0.32
0.32
13,960
40
0.30
0.30
14,800
40
0.32
0.32
5
C
67
0
3.3
6
CL
66
0
3.3
13,840
40
0.30
0.30
14,160
40
0.30
0.30
13,320
40
1 0.29
0.29
13,880
40
030
0.30
7
8
9
C
63
0.3
3.3
10
C
54
0
3.3
11
PC
60
0
3.4
14,560
40
0.31
0.31
14,560
40
0.31
0.31
13,560
40
0.29
0.29
14,640
40
0.31
0.31
121
PC
74
0
3.4
131
R
72
0.1
3.4
13,920
40
0.30
0.30
13,800
40
0.30
0.30
13,920
40
0.30
0.3.0
13,920
40
0.30 0.30
14
15
161
R
1 69
1.6
3.4
17
C
I 68
3.5
3A
18
C
64
0
3.4
19
CL 70
0
3.4
20
CL 68
0.3
3.4
21
22
23
C
66
0.2
3.4
14,360
40
0.31
0 31
14,520
40
0.31
0.31
13,440
40
0.29
0.20
14,280
40
0.31
0.31
24
CL
69
0
3.4
25
PC
79
0.1
3.4
26
CL
73
0
3.4
1 13,640.
40
0.29
0.29
14,080
40
0.30
0.30
13,280
40
0.28
0.28
1 13,640
40
0.29
0.29
27
CL
77
0A
3.4
28
29
30
C
73
0.4
3.4
31
Monthly Loading:
85,40D
1.83
1 OA9
86.080
1.84
1049
81,480
1.74
9.76
85,160
1.82
10.43
12 Month Floating Total (in):

FORM: NDAR-1 10-43 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2^ of _4_
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Pender
Month: September
Year: 2024
Field Name:
5
Field Name:
6
Field blame:
7
Field Name:
8
Did irrigation occur
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.74
Area (acres):
1.71
at this facility?
Cover Crop:
P
Bermuda
Cover P
Bermuda
Cover P
Bermuda
over P
Bermuda
❑ YES ❑ NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
041
Hourly Rate (in):
0.41
Annual Rate (in):
20.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
0 YES 0 NO
Field Irrigated?
[71 YES ❑ NO
Fuld Irrigated?
E YES 0 NO
Field Irrigated?
0 YES ❑ NO
❑1>°,
C
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is
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RCL
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dd
CL
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ud
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p
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"all
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3 >1
E
M
W i
o.
S
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i.
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p
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❑
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'e •a'
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-6 CL i=
'0
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y.s o
J
m
❑
'F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in in
1
2
PC
73
0
3.3
3
C
66
2.6
3.3
4
C
65
0
3.3
13,960
40
0.30
0.30
15,040
40
0.32
0.32
15,160
40
0.32
0.32
14,800
40
0.32
0.32
5
C
67
0
3.3
6
CL
66
0
3.3
1 13,160
40
0.26
0.28
15,200
40
0.33
0.33
14,360
1 40
0.30
1 0.30
14,120
4C
0-30
0.30
7
8
9
C
63
0.3
3.3
10
C
54
0
3.3
11
PC
60
0
3.4
13,840
40
0.30
0.30
14,960
40
0,32
0.32
15,120
40
0.32
0.32
15,240
40
0.33
0.33
12
PC
74
0
3.4
13
R
72
0.1
3.4
13.840
40
0.30
0.30
14,480
40
0.31
0.31
14,200
40
0.30
0.30
13,880
40
0.30
0.30
14
15
16
R
69
1.6
3.4
17
C
68
3.5
3.4
18
C
64
0
3.4
19
CL
70
0
3.4
20
CL
68
0.3
3.4
21
22
23
C
66
0.2
3A
13,520
40
0.29
0,29
14,880
40
0.32
0.32
15,080
40
0,32
0.32
13,480
40
0.29
0.29
241
CL
69
0
3.4
25
PC
79
0.1
3.4
26
CL
73
0
3.4
11,560
40
0.25
0.25
14,040
40
0.30
0.30
14,640
40
0.31
0.31
13,760
40
0.30
0.30
27
CL
77
0.1
3.4
28
29
30
C
73
0.4
3.4
31
Monthly Loading:
79;880
1.71
:�
88,600
1.90
88,560
1.87
_
85.280
1 84
12 Month Floating Total (in):
=`.�:`
; =`�
9.48
��..
10 79
10.49
= =
10.721

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3_ of _4_
Permit No.: WQ0035049
Facility Name: MAPLE HILLWWTF
County: Pender
Month: September
Year: 2024
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
Did irrigation occur
Area (acres):
1,75
Area (acres):
1.77
Area (acres):
1.72
Area (acres):
at this facility?
Cover Crop:Bermuda
Cover Crop;
P�
Bermuda
Cover Crop:
P�
Bermuda
Cover Crop:
P:
0 YES ❑ No
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in).
041
Hourly Rate (in):
0
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES L7 No
Field Irrigated?
o YES ❑ No
Field Irrigated?
El YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
1d
d
a
U
R
?
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D.
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Gil 2
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❑ l4
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9 1
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3 ,Q.
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£
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R
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pi -O
d
,� G
d .4+
Ir
C
'Q
q
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7 i=
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J £ 7
O
°F
in
ft
ft
gal
thin
in
in
gal
min
in
in
gal
min
in
in
gal
min
in in
1
2
PC
73
0
3.3
3
C
66
2.6
3.3
4
C
65
0
3.3
14.920
1 40
0.31
0.31
14,800
40
0.31
0.31
13,560
40
0.29
0.29
5
C
67
0
3.3
6
CL
66
0
3.3
14,120
40
0.30
0.30
14,080
40
0.29
0.29
13,120
40
0.28
0.28
7
8
9
C
63
0.3
3.3
10
C
54
0
3.3
11
PC
60
0
3.4
14.840
40
0.31
C 31
14,760
40
0.31
0.31
13,560
40
0.29
0,29
12
PC
74
0
3.4
13
R
72
0.1
3.4
14,240
40
0.30
0-30
13,640
4C
0.28
0,28
12,80.0
40
0.27
0.27
14
15
16
R
69
1.6
3.4
17
C
68
3.5
3.4
18
C
64
0
3.4
191
CL
70
0
3.4
201
CL
68
0.3
3.4
21
22
23
C
66
0.2
3.4
14,950
40
0.31
0.31
14,640
40
030
030
13,960
40
0.30
0.30
24
CL
69
0
3.4
25
PC
79
0.1
3.4
26
CL
73
0
3.4
14,240
40
0.3.0
0.30
13,960
40
0.29
029
12.760
40
0.27
0.27
27
CL
77
0.1
3.4
28
29
30
C
73
0.4
3.4
31
Monthly Loading:
12 Month Floating Total (in):I
87,320
-;
1.84
10.49
85,880
1.79
10.26
79.760
Unliff
1.71
9.63
0
000

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Page _4_of_4_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were ail freeboards maintained in accordance with the specified freeboard heights in your permit?
ca Compliant ❑ Non -Compliant
O Compliant L7 Non -Compliant
17 Compliant ❑ Non-Complrant
G1 Compliant ❑ Non-Comphart
Q Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Christopher Pickett
Permittee:
Pender County Utilities
Certification No.: 1010919
Signing Official: Anthony Colon
Grade: WW-SI Phone Number: 910-259-1570
Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? 0 yes F v;
Phone Number: 910-259-1570 Permit Exp.: 8/31/26
Signature Dale
Signature Date
By this signature, i certify that this report is accu rate and complete to the best or my knowledge
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted Based on my
inquiry of the person or persons who manage the system. or those persons dn:ctly responsible for gathering the hnfomhation the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violators
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

[enviriocehem
ANALYTICAL & CONSULTING CHEMISTS
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention;
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab , 910,392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 t, 910.347.5843 Lab/Fax
infotaenvironmentalchemistacom
Date of Report: Oct 04, 2024
Customer PO #:
Customer ID: 08100095
Report #: 2024-21546
Project ID: Maple Hill WWTP
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
24-53196 Site: Effluent 9/1312024 10:00 AM Water JCS/Envirochem
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1, Rev. 2.0, 1993 < 0.2 mg/L 09/1712024
Total Kjeldahl Nitrogen (TKN) EPA 351,2, Rev. 2.0, 1993 < 0.5 mg/L 09/23/2024
Residue Suspended (TSS) SM 2540 D-2015 7.1 mg/L 09/1612024
BOD SM 5210 B-2016 4 mg/L 09/13/2024
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2, Rev 2.0, 1993
< 0.02 mg1L
09/13/2024
Nitrate+ N itrite-N itrogen
EPA 363.2,Rev 2.0 1D93
20.4mg/L
09/17/2024
Nitrate Nitrogen
Sublract*n Method
20.4 mg/L
09/17/2024
Lab ID Sample ID:
Collect Dateffime
Matrix Sampled by
24-53197 Site: Effluent - Grab
9/13/2024 10:45 AM
Water JCB/Envirochem
Test
Method
Results Date Analyzed
Fecal Coliform
Idesa Col lect-18
<1 MPN/100ml
09/13/2024
Temperature
SM 255013-2010
24.6 C
09/13/2024
pH
SM 4500 H B-2011
8.1 units
09/13/2024
Total Phosphorus
SM 4500 P (F-H)-2011
6.92 mg/L
09/23/2024
Comment:
a
Reviewed by:
Report M: 2024-21546 Page 1 of 1

,initial: Jat-' BaKer
i.er tt airon � _ d
Frcitit) Name: I-
Permit th
pH
Reference Method SM45t;o H-A
lwarit wnt It') RTARA2211 wili;, )c
Calibration Time
Cal Buffer d 0 s u Cat Buffer 10 0 s u
Check Ciaffrr 7 0 s u
Comments
02. � 0, 00
-7. 01
'pit check aurrer must read vnthm 2 u t pit units of the bullcr's true value
4 su buffer Lott//- Rim 1R061 ExROM 7 su buffer Lot# Ricca 22" 10Cr40 Exo. I nnA 10 su buffer Lott RICCA 1304P74Exa. 10Q4
Sample Location
Sample Collection
l.tn1e+
Sarnple Analysts
Tuneo
pH Result
s u
10.Post anal sis Buffer
Check Value s u
1„
Co mmcntslf)asa Qualifiers
r
(�i
1A,;
b* Post analysis hufEer check is required when performing analyses at multiple sampling locations and nnim tit ;t ,hw - v 1 +Inns Of tide t otter's true V;tlue
A I I pil values in pl I units if e , s u ) Record all data to the nearest 0 01 sm and report to the nearest 0 1 s u
Total Residual Chlorine JRQ
ltefcrence iictliori SM A500CI-G2011 INN 8167 14R t Picric cirt:te ap licable hlethoa/ Instrument 11) HACH Colorimeter 1512OE289091
Daily Cheri;
Post•anal sits
}
Check Sid
Time check
"ample
tiamPle
Sample
TRC Result
tilanderd Result
anal) zing
Standard
ocauou
CollectionAna1^<s
s
pk' 't or ht,,lt Cotnmenis/Data Qualifiers
1k6/LOriTlPfj,
allntJllit:l'S11eil
Analyzed
Analyzed
'
Time
Time
ftmc
�+•
t KC Daily Check Standard true Value_. _ ttgni, or mg/l, acceptance range ,pg1l or mg/1 CEL SIDS HACH A0038
Cheek standards must recover si itlun 110% of the check standard's true value
Annual Calibration Curvc Verification Date- _ 11/25/23 MXX Exp Date- E-ND, Daie
Reagent plank Value: (When applicable Analyze- and document a rcagcnt blank) when standards, sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO)
RefircoccMetbud.Sb14W0G 2015 ingirunicnllr) VC1 PR(1209.211tillltil.,
Calibration/
Verification
Time
Caltbratioll sariable
Meter reading
or^aeliicieney
after calittration
♦ Post -analysis calibration
verification 6-hen necessary)
C`r ttrra la:,
Temp
oC
134111ronttNnc
pressure
mmll
Salinity,
pPt
Thearctical
Value mgA.
Calculated
Value mgil
tti
ve this ro-A vihen perfurming a tcrificWtion instead 4,
f
calibration
Sample Location
Sample Collection
Time
'Sample Anahsis
Time
DO reading
—MeA.
Comments/Data Qualifiers
• » hen performing analyses at multiple locations. Inc mi.,tef must be recalibrateii at each site before analysis or a post.anal"is calibration venfcatuin must be perfinnine i
' It innipte Is measured dirceii} in the stream and or onsite, o!. c• time analy fed %ould be %carded with a rule that dies are measured tit stiff or 1- i it edialell.
Temperature
Releterice kleihml SAt IiSD R.1010 Inunim. m Ill ST A 92 A 7 71 • ven6'79C
Samplo Location
Sample
Collection
Time
*Sample
Analysis
Time
Temperature
C
Commtmts Data Qualifiers
Orr
ti4S
D:45
24. D--
' it sample is measured dnecuN nt the strenni anti or ,in :.m D;d•, tsen:7 an. P. :,i ssuuld •. t ca..la' is fill.-[ riot, 111.11 fh� i M: m--a.ut ill in fila Ur AttlnCdlltelt
Annual Verification oate 11-25-23
Field Personnel :Note:
i�,tt•tNll Izrol,aa
Rev 1-2022

Environmental Chemist, Inc., Wilmington, INC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392,0223
Client: NaAJC P1(—L Date: Report Number: _ 2024 - �O
Receipt of sample: ECHEM pickup' Client Delivery 0
UPS ❑ Fed Ex ❑ Other O
❑ YES
❑ NO
N/A
, Were custody seals present on the cooler?
❑ YES 10 NO N/A 12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 2.0 °C Corrected temperature upon receipt _ "C
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N: 230222540 IR Gun Correction Factor QC: 0.0
YES
10 NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./qp, notified?
YES
YES
10 NO
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
5. Were sample ID's listed on the COC?
j8[ YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
YES
YES
❑ NO
0 NO
D NO
7. Were collection date and time listed on the COC?
8. Were tests to be performed listed on the COC?
9. Did samples arrive in proper containers for each test?
YES 113
YES
NO
❑ NO
10. Did samples arrive in good condition for each test?
11. Was adequate sample volume availableT
YES
❑ NO
12. Were samples received within proper holding time for requested tests?
YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES I0
NO
15. Were sulfide samples received at a pH a9?
YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <O.S m/L? **
❑ YES
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2501 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

• - ENVIRONMENTAL CHEMISTS, INC
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28WS
OFFICE: 910-392-0223 FAX [phone]
info c&nvironmentaichemists.com
Client: Pender County utilities (Wastewater)
PROJECT NAME: Maple Hill WWTP (PPI 001)
REPORT NO: OW >'Yi
ADDRESS:
CONTACT NAME: Chris Pickett, ORC
PO NO:
REPORT TO: ORC
PHONEIFAX:
COPY TO:
email:
Sampled By: J SAMPLE TYPE: t = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
_
a
E >1
r
H
o o
m
�t9
o Fo`L
"
m
cw
= E
a
Ow
Z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
o
H
_
o
s
w
o
WWTP PPI 001 (composit
C
P
�cj to
X
BOD, TSS, NO2
S i
,,.o.,
C
P
X
IN03, NH3, TKN
WWTP PPi 001
(composite) Triannuals
C
P
X
Chloride, TDS (March, July, Nov)
C
P
G
G
WWTP Effluent (grab)
l� �'
X
Z
Total Phos
G
phi (field): �' o g
C
P
X
Fecal Coliform
G
G
C
P
G
G
Samples due 1/month
C
P
G
G
C
P
G
G
limits: 1301) 30 mall-, TSS 30 mall-, NH3 15 mglL, Fecal 200 coloniesl100 ml
Transfer
Relinquished By:
DatelTime
Received By:
Date/Time
1.
2.
r
Temperature when Received:y �_ _ _ Accepted: / Re �(tLed Resample R steel:
Delivered By: Received By: Time: Z, Y'V
Comments: T R AROUND: