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Home My WebLink AboutWQ0002503_Monitoring - 11-2016_20161230GW -59A COMPLIANCE REPORT FORM Permit # W 0 D 025 0 5 (Submit one each monitoring period with GN' --59 forms.) 1 Enter date monitoring results were due. 12-13111 (o Will this monitoring report (GW -59 and GW -59A) YES NO be submitted after the established due date? 2 Was any required information missing on the GW -59 report forms? YES NO IF the answer to question 1 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. 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 answer is "Yes", contact the Regional Officefor guidance. 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 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). 6 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 may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be 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 permittee to a Notice of Violation, fines, and/or penalties. -,1 Cn g The person completing this portion (GW --59A) of tkW egnitWngjr`eport should sign below and submit this form with GW -59 forms for required wells to the address pi�%ided at the top of the current GW -59 form. tt be eb a tcr�owl ,.9? that tie b�ive �nfgrrna#�on a ev ittyk and anfprma on syb> n it�d to tats' rgpci Cor plia c, ,Repori GW-sB 17s true ara i cora i to to tree best tai myr kreowrlet#ge ElZZIZoI& Signature of Termittee (or Autho ' gent) Date GW -59A 12/8/2003 SUBMIT POW ON YELLOW PAPIER ONLY For Remediation ms 6 te V - ys - Only (Attach Uab Reports), Influent Total OCs: Michael K Newby, Vice President of -Operations _Verftifteb (or Authorlized A_qent) Nanne and Title- - Please _Pnnt6F-fvPe OW -59 Rev. 812013 mg/L Effluent Total VOCs: Permittee mg/L VO C Removal% 6ROUNDWATER QUALITY MONITORING: 0 01JR, POWCESSITNGUN F WATEk Re$ COMPLIANCE REPORT FORM FACILITY INFORMATION Please PAMCleaPy orType PE - .. . - Expiration Date: 6/3012017 SIRMIT Number - Facility Name- FRIT CAR., INC.- - Non -Discharge UIC - -----I Permit Name (if different): NPDES WQ0002503 Other-- ___ _ Facility Address, - 2012 HIGHWAY 17 NORTH TYPE OF RPH TION BEING MONITORED MITTED OPERA Cour!V CRAVEN- 7- Lagoon E] Remediation: InfiltrationG21lery _ R�Fft5 _' z�� X EJ Spray Field LJ Remediation: Contact Person: ICHAELK.- NEWBY Telephone* 251=8674752 ED Rotary Distributor M Land Application of Sludge WellLocation/Site Name FRIT CAR SPRAY— LD - FIE-__ No. of wells to be sampled: 4 Ll Water Source Heat Pump El Other. SAMPLING IN -FORMATION If WELL WIELL ID NIUMB E_ R_ (from Permit):- Date sample collected: 11/8/2016 FIELD ANALYSES- WAS _MWI Well Depth: 12 Well Diameter. in, 20.2 OC pH 00400: 6.1 units Temp- 0001c - DRY at -ft Depth to Water Level 82546: 564 FT _2 Screened Interval, ft. to ft. S pec. Cond. 000,94, gMhos Time of Measuring Point is ft. above land surface Relative M.P. Elevation- ft. odor 000m: NONE sampling, check Volume of water pumped/balled before sampling: gallons Appearance TAN Samples for metals were collected unfiltered= ❑YES :3 NO and field acidified-. - M YE -8— M - LABORATORY INFORMATION -NO Date sa rnp—le analyzed: __11./8A_ If iIJ2016 Laboratory Name: ENVIRONMENTAL CHEMISTS, 'INC. Ceftficabono. iN37720 I PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. -_ -` -_- -_ -_ --- -_ -_ COD 00336 mg/L Nitrite (NO2) as N oasis 0.09 mg/L Pb - Lead oio81 29 ug/L Coliform- MF Fecal 31o1 6 /I 00mL Nitrate (N.03) as N 006203.43 62o - Zn - Zinc 01092 mg/L mg/L Coliform: MF Total 315o4 1100mL P I'voschorus'. Total as P oow5 _Mg/L (Note: Use MPN method for NgIbly turbid samples) Orthophosphate 70507 ----.—MqTL Other (Specify Compounds and Concentration Un issolved Solids:Total 703o0 162 mg/L Al - Aluminum- 01105 mg/L pH (Lab) 00403-6.13 units Ba - BariUrn 01007 -ug/L TOC omao - 18.6 mg/L Ca m Calcium o0916 mg/L Chloride cog40<5 0 mg/L Cd - Cadmium oiovug/L Arsenic 01042 ug/L Chromium; Total o1034 _83- ug/L Q -tease and Oils 00552 mg/L Cu - Copper m042 0102 -2 ma/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 3273o ug/L ;:a - Iron 01045 35900 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 -11 mg/L Hg - Mercury 71900 �Ug[ I L Lab Report Attached? El Yes (1) El No (0) 3oecific Conductance 00095 gMhos K Potassium 00937- mg/L VOC 7073 method # Total Ammonia 00810 Mg - Magnesium 009:27 mg/L method # (Ammonia Nitrogeri; KH. as N; Ammarfa Nitrogen, Total) Mn ^ Manganese oio55 ug/L method # TKN as N u0625 mg/L Ni - Nickel moe7 71 ug/L method # For Remediation ms 6 te V - ys - Only (Attach Uab Reports), Influent Total OCs: Michael K Newby, Vice President of -Operations _Verftifteb (or Authorlized A_qent) Nanne and Title- - Please _Pnnt6F-fvPe OW -59 Rev. 812013 mg/L Effluent Total VOCs: Permittee mg/L VO C Removal% �:en.yir, • C� ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax iiifo@environmentafeliemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO #: Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #: 2016-16043 Project ID: Monitoring Wells Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-38734 Site: MW -1 11/8/2016 10:35 AM Water Will Coggins Test Method Results Date Analyzed Color color Tan • 11/08/2016 Depth to water, ft. Depth to Water, Ft. 5.4 feet a 11/08/2016 Chromium EPA 200.7 0.083 mg/L 0 11/15/2016 Copper EPA 200.7 0.022 mg/L• 11/15/2016 Iron EPA 200.7 35.9 mg/L* 11/23/2016 Lead EPA 200.7 0.029 mg/L 0 11/15/2016 Nickel EPA 200.7 0.071 mg/L 49 11/15/2016 Sulfate EPA 300.0 11 mg/L • 11/15/2016 Ammonia Nitrogen EPA 350.1 < 0.2 mg/L 9 11/09/2016 Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons ® 11/08/2016 Total Dissolved Solids (TDS) SM 2540 C 162 mg/L a 11/08/2016 Temperature SM 2550 B 20.2 C a 11/08/2016 Chloride SM 4500 CI E < 5 mg/L # 11/15/2016 pH SM 4500 H B 6.13 units ® 11/08/2016 Total Organic Carbon (TOC) SM 5310 B 18.6 mg/L 11/10/2016 1,1,1,2 -Tetrachloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,1 -Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2,2 -Tetrachloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2 -Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloropropene SM 6200C <0.50pg/L 11/11/2016 1,2,3-Trichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2,3-Trichloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,2,4-Trichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2,4-Trimethylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Report #:: 2016-16043 Page 1 of 9 Environmental Chemists, Inc. on�virocbbm 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@env ironmentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO M Brewton AL 36427 Customer 1D: 08100062 Attention: Jim Daugherty Report M 2016-16043 Project ID: Monitoring Wells 1,2-Dibromo-3-Chloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,2-Dibromoethane SM 6200C <0.50pg/L 11/11/2016 1,2 -Dichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2-Dichloroethane SM 6200c < 0.50 pg/L 11/11/2016 1,2-Dichloropropane SM 6200C < 0.50 pg/L . 11/11/2016 1,3,5-Trimethylbenzene SM 6200C < 0.50 pg/L 11/11/2016 1,3 -Dichlorobenzene SM 6200C < 0.50 pg/L 11/11/2016 1, 3-Dich loropro pane SM 6200C < 0.50 pg/L 11/11/2016 1,4 -Dichlorobenzene SM 6200C <0.50pg/L 11/11/2016 2,2-Dichloropropane SM 6200c < 0.50 pg/L 11/11/2016 2-Chlorotoluene SM 6200C < 0.50 pg/L 11/11/2016 4-Chlorotoluene SM 6200c < 0.50 pg/L 11/11/2016 Benzene SM 6200C <0.50pg/L 11/11/2016 Bromobenzene SM 6200c < 0.50 pg/L 11/11/2016 Bromochloromethane SM 62000 < 0.50 pg/L. 11/11/2016 Bromodichloromethane SM 6200c < 0.50 pg/L 11/11/2016 Bromoform SM 6200c < 0.50 pg/L 11/11/2016 Bromomethane SM 62000 < 0.50 pg/L 11/11/2016 Carbon tetrachloride SM 62000 < 0.50 pg/L 11/11/2016 Chlorobenzene SM 6200C <0.50pg/L 11/11/2016 Chloroethane SM 6200c < 0.50 pg/L 11/11/2016 Chloroform SM 62000 < 0.50 pg/L 11/11/2016 Chloromethane SM 6200c < 0.50 pg/L 11/11/2016 cis-1,2-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 cis-1,3-Dichloropropene SM 6200C < 0.50 pg/L 11/11/2016 Dibromochloromethane SM 6200C < 0.50 pg/L 11/11/2016 Dibromomethane SM 6200C < 0.50 pg/L 11/11/2016 Dichlorodifluoromethane SM 62000 < 0.50 pg/L 11/11/2016 Ethylbenzene SM 6200c < 0.50 pg/L 11/11/2016 Hexachlorobutadiene SM 6200c < 0.50 pg/L 11/11/2016 • Report #:: 2016-16043 Page 2 of 9 Environmental Chemists, Inc. envirochem 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO M Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #: 2016-16043 Project ID: Monitoring Wells Isopropylbenzene SM 6200C < 0.50 pg/L 11/11/2016 M+P Xylene SM 6200C < 1.00 pg/L 11/11/2016 Methylene chloride SM 62000 < 0.50 pg/L 11/11/2016 Naphthalene SM 62000 < 0.50 pg/L 11/11/2016 n-Butylbenzene SM 6200C < 0.50 pg/L 11/11/2016 n-Propylbenzene SM 6200C < 0.50 pg/L 11/11/2016 ortho-Xylene SM 62000 < 0.50 pg/L 11/11/2016 p-Isopropyltoluene SM 6200C < 0.50 pg/L 11/11/2016 sec-Butylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Styrene SM 62000 < 0.50 pg/L 11/11/2016 tert-Butyl benzene SM 6200C < 0.50 pg/L 11/11/2016 Tetrachloroethene SM 6200C <0.50pg/L 11/11/2016 Toluene SM 6200C < 0.50 pg/L 11/11/2016 Trans-1,2-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 Trans-1,3-dichloropropene SM 6200C <0.50pg/L 11/11/2016 Trichloroethene SM 6200C < 0.50 pg/L 11/11/2016 Trichlorofluoromethane SM 6200C < 0.50 pg/L 11/11/2016 Vinyl chloride SM 62000 < 0.50 pg/L 11/11/2016 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 0.09 mg/L% 11/09/2016 Nitrate+Nitrite-Nitrogen EPA 353.2 3.52 mg/L% 11/28/2016 Nitrate Nitrogen Subtraction Method 3.43 mg/L % 11/16/2016 . Report #:: 2016-16043 Page 3 of 9 • ENVIRONMENTAL CHEMISTS, INC Analytical & Consulting Chemists NCDENR: DWQ CERTERICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 CLIENT: Frit Car PROJECT NAME: MW's REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONE/F COPY TO: E-MAIL: Samnlpr1 RVA'Ifl9l! r`t 42Ai801 c -rv. or ca-.. 41 c -G..e._ nWp-q, U-nruuin, rr _ rr_n, Sample Identification Collection w a " e a c t9 E o o e' C " Ix 0 ui S 2 z A l = Alrearrl, PRESERVATION av = aou, aLL. = sluage, viper: ANALYSIS REQUESTED DateTime Temp i Z tJi o = 0 z o Ei o MW:C C P X TDS, Chloride, Nitrite, Sulfate ("Z G G �1 Depth: �y C P X Ammonia, TOC G G pH: C P X VOC(Nov. Only) G G Color: C P X Ni, Fe, Cr, Cu, Pb G G Gallons Bailed: G G C P G G C P G G C P G G C P G G C P G I G NOTICE - DECHLORINATION: Samples for Ammonia, TKN, Cyanide, Phenol and Bacteria must be dechlorinated (0.2 ppm or less) In the field at the time of collection. See reverse for Instructions Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when tM Delivered By: Received Date: Time: Comments: 4 Wells Due March, July, November TURN NR UND: zSUISM-1 F-UKM GROUNDWATER QUALITY MONITORING - COMPLIANCE REPORT FORM FACILITY-INFORKATION crease t-nnt cweany or Type Facility Name: --FRIT' CAR, INC. Permit Name (if different)'i Facility Address: 2012 HIGHWAY 17 NORTH N 1. —77rr County CRAVEN Contact Person: MICHAEL K. NEWBY TeleDhone#.- 251-867 7752 Well Location/Site Name FRIT CARSERAY-FIELD No. of wells to be sampled4_- L ID NUMBER (ficiim Permit): ermit): MW2 Depth; 14-- ft: ,i to Water Level $2646, 5-1 ft. below measuring point wring Point is -- ft- above land surface ne of water pumped/bailed before sampling: 5 Number Date: 6130=117 NonaDischarqe UIC NPDES WQ0002503 Other TYPE OF PERMITTED OPERATION BEING MONITORED Lago6n D. Remediation: Infiltration Gallery K Spray Field Remiediaton: 0 Rotary Distributor Land Application of Sludge Water Source Heat Pump El Other -- Date sample collected-, 11/E12016 FIELD ANAL-YSE$. WAS Well Diameter: 2, in.. pH 00400-. 5.4 units Temp. 000ic DRY at Screened Interval.- ft. to ft Spec. Conti -00064: -Mhos time of Relative M.P. Elevation:n, ft. Odor 00085- NONE' sampling, check gallons Appearance LT. TAN - here -1F Date sample analyzed: 11/8 5/1112016- Laboratory Name- __ ENVIRONMENTAL CHEMISTS, INC. Certification No. 37729 PARAMETERS NOTEE.- Values should reflect -dissolved and colloidal concentratio- ns. COD oo335 mg/L Nitrite (NOO as N o6615 OM mg/L Pb - Lead oio5i <10 U Coliformi MF - Fe ca a) 31616 /100mL Nitrate (NO3) as N =6205186 M91Zn - Zinc oiow mgfi- -L -- Coliform: MF Total 3150A 1100ML Phosphorus: Total 98 P 00665 (Note: Use MPN method for p- —mg[L lved Solids'Totatl n300 457 —MgIL pH (Lab) 00403 5.38 units TOG om8o 18.9 mg/L Chloride oom 103 mg/L Arsenic 01002 UCl/L Grease and Oils 00562 -- mg/L Phenol mg/L. Mg w Magnesium oo92I Sulfate 00945 94 MgfL fic Conductance oco95 X10 ug/L gMhos Total Ammonia oosic) 02 mg/L (Amm.on'19N"er,:NH3aSN,Amir,oniaNitrogen, -TOW TKN as N 0oammg IL - Orthophosphate 70507 mg/L-. All - Aluminum 01105 rrig/L Ba - Barium 0100-7 ug/L Ca � Calcium 00,216 M-qjL Cd - Cadmium uiw U91L Chromium- Total =34, X10 ug[L Cu - Copper 01042 Fe-lronoie* ----2710 ug/L Hg - Mercury 71900 U91L K - Potasslu - ----- I M 00937 mg/L. Mg w Magnesium oo92I mg1L Mn - Manganese o1055 u01L Ni - Nickel oiciv X10 ug/L Other (Specify Compounds and Concentrationton Units)' ORGANICS: (by GC, GCIMS, HPLff-'- (Spectfy test and method #. ATTACH LAB REPORT.) Lab Report Attached? 0 Yes (1) El No (0) VOC 7872 method# method# Method# method# Environmental Chemists, Inc. envirochemm6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax sm 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environtnentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO #: Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #: 2016-16043 Project ID: Monitoring Wells Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-38740 Site: MW-2 11/8/2016 11:20 AM Water Will Coggins Test Method Results Date Analyzed Color color Light Tan f 11/08/2016 Depth to water, ft. Depth to Water, Ft. 5.1 feet 40 11/08/2016 Chromium EPA 2003 <0.01 mg/L i 11/12/2016 Copper EPA 200.7 <0.01 mg/L 9 11/15/2016 Iron EPA 200.7 2.71 mg/L I 11/20/2016 Lead EPA 200.7 <0.01 mg/L • 11/12/2016 Nickel EPA 200.7 <0.01 mg/L ® 11/12/2016 Sulfate EPA 300.0 94 mg/L . 11/15/2016 Ammonia Nitrogen EPA 350.1 0.2 mg/L fA 11/09/2016 Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons s 11/08/2016 Total Dissolved Solids (TDS) SM 2540 C 457 mg/L a 11/08/2016 Temperature SM 2550 B 19.0c • 11/08/2016 Chloride SM 4500 Cl E 103 mg/L d 11/15/2016 pH SM 4500 H B 5.38 units r 11/08/2016 Total Organic Carbon (TOC) SM 5310 B 18.9 mg/L a 11/10/2016 1,1,1,2-Tetrachloroethane SM 6200C < 0.50 pg/L 11/11/2016 1,1,1-Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2,2-Tetrachloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2-Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloropropene SM 6200C <0.50pg/L 11/11/2016 1,2,3-Trichlorobenzene SM 6200C < 0.50 pg/L 11/11/2016 1,2,3-Trichloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,2,4-Trichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2,4-Trimethylbenzene SM 6200C <0.50pg/L 11/11/2016 Report #:: 2016-16043 Page 4 of 9 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 e 910.392.0223 Lab • 910.392.4424 Fax sM 710 Bowsertown. Road, Manteo, NC 27954 e 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmeiitalcliemists.com environmentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO #: Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #: 2016-16043 Project ID: Monitoring Wells 1,2-Dibromo-3-Chloropropane SM 6200C <0.50pg/L 11/11/2016 1,2-Dibromoethane SM 6200C <0.50pg/L 11/11/2016 1,2-Dichlorobenzene SM 62000 < 0.50 pg/L 11/11/2016 1,2-Dichloroethane SM 6200C < 0.50 pg/L 11/11/2016 1,2-Dichloropropane SM 62000 < 0.50 pg/L 11/11/2016 1,3,5-Trimethylbenzene SM 6200C < 0.50 pg/L 11/11/2016 1,3-Dichlorobenzene SM 62000 < 0.50 pg/L 11/11/2016 1,3-Dichloropropane SM 6200C <0.50pg/L 11/11/2016 1,4-Dichlorobenzene SM 6200C < 0.50 pg/L 11/11/2016 2,2-Dichloropropane SM 6200c < 0.50 pg/L 11/11/2016 2-Chlorotoluene SM 6200c < 0.50 pg/L 11/11/2016 4-Chlorotoluene SM 62000 < 0.50 pg/L 11/11/2016 Benzene SM 62000 < 0.50 pg/L 11/11/2016 Bromobenzene SM 62000 < 0.50 pg/L 11/11/2016 Bromochloromethane SM 6200c < 0.50 pg/L 11/11/2016 Bromodichloromethane SM 62000 < 0.50 pg/L 11/11/2016 Bromoform SM 62000 < 0.50 pg/L 11/11/2016 Bromomethane SM 6200C < 0.50 pg/L 11/11/2016 Carbon tetrachloride SM 62000 < 0.50 pg/L 11/11/2016 Chlorobenzene SM 62000 < 0.50 pg/L 11/11/2016 Chloroethane SM 62000 < 0.50 pg/L 11/11/2016 Chloroform SM 6200c < 0.50 pg/L 11/11/2016 Chloromethane SM 62000 < 0.50 pg/L 11/11/2016 cis- 1,2-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 cis-1,3-Dichloropropene SM 6200c < 0.50 pg/L 11/11/2016 Dibromochloromethane SM 62000 < 0.50 pg/L 11/11/2016 Dibromomethane SM 6200c < 0.50 pg/L 11/11/2016 Dichlorodifluoromethane SM 62000 < 0.50 pg/L 11/11/2016 Ethylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Hexachlorobutadiene SM 6200c < 0.50 pg/L 11/11/2016 Report #:: 2016-16043 Page 5 of 9 Environmental Chemists, Inc. envirolchem 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ° 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Frit Car, Inc. Post Office Box 1340 Brewton AL Attention: Jim Daugherty 36427 Date of Report: Nov 29, 2016 Customer PO #: Customer ID: 08100062 Report #: 2016-16043 Project ID: Monitoring Wells Isopropylbenzene SM 62000 < 0.50 pg/L 11/11/2016 M+P Xylene SM 6200C < 1.00 pg/L 11/11/2016 Methylene chloride SM 6200C < 0.50 pg/L 11/11/2016 Naphthalene SM 62000 < 0.50 pg/L 11/11/2016 n-Butylbenzene SM 6200C < 0.50 pg/L 11/11/2016 n-Propylbenzene SM 6200C < 0.50 pg/L 11/11/2016 ortho-Xylene SM 62000 < 0.50 pg/L 11/11/2016 p-Isopropyltoluene SM 6200C < 0.50 pg/L 11/11/2016 sec -B utyl benzene SM 6200C < 0.50 pg/L 11/11/2016 Styrene SM 6200C < 0.50 pg/L 11/11/2016 tert-Butylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Tetrachloroethene SM 6200C < 0.50 pg/L 11/11/2016 Toluene SM 6200C < 0.50 pg/L 11/11/2016 Trans-1,2-Dichloroethene SM 6200C < 0.50 pg/L 11/11/2016 Trans-1,3-dichloropropene SM 6200C < 0.50 pg/L 11/11/2016 Trichloroethene SM 6200C < 0.50 pg/L 11/11/2016 Trichlorofluoromethane SM 62000 < 0.50 pg/L 11/11/2016 Vinyl chloride SM 6200C < 0.50 pg/L 11/11/2016 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 0.03 mg/L ar 11/09/2016 Nitrate+Nitrite-Nitrogen EPA 353.2 5.89 mg/La 11/28/2016 Nitrate Nitrogen Subtraction Method 5.86 mg/Lro 11/16/2016 Report #:: 2016-16043 Page 6 of 9 ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wilmington, NC28405 Analytical &Consulting Chemists NCDENR: DWt1 CERTERICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 OFFICE: 910-392-0223 FAX 910.392-4424 CLIENT: Frit Car PROJECT NAME: MW s REPORT NO: ADDRESS: CONTACT NAME: PO NO: ' REPORT TO: PHONEIFAX: ) �yCOPY TO: E-MAIL: � Sampled Bv: L/ l O�))d 4i RAUDI = TVD=• 1 — 1 R 6 1 C — Sample Identification°: Collection m a o e E 0 a 1 `' 0 i3, E " m Z PRESERVATION ANALYSIS REQUESTED Date Time Tem W z Z " _ C _ z e z o � u�l o MW: 2. I��f X TDS, Chloride, Nitrite, Sulfate G G l i Depth- j H: C P X X Ammonia, TOC VOC Nov. Only) G G C P G G 1!VrdIn Color: [ ' ti C P I X F4 Ni, Fe, Cr, Cu, Pb G G Gallons,Bailed j : G G C P G G C P G G C P G G C P G G C P G G NOTICE - DECHLORINATION: Samples for Ammonla, TKN, Cyanide, Phenol and Bacteria must be dechlorinated (02 ppm or less) in the field at the time of collectlon. See reverse for instruetlons Transfer Relinquished By: DatelrIme Received By: Datefrime 1. 2. .....1........,.. ........ . Delivered By: Received Comments: 4 Wells Due March, July, November Resample ue ted: _ =Date. ` Time: 2— TURN R UND: ____ SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING COMPLIANCE REPORT FORM Name. — FRITCARJNC- Name (if different): Address. 2012- HIGHWAY 17 NORTH County-- CRAVEN act Person: MICHAEL K,.L4E--Wl3Y Telephorie#: 251-867A7752 Location/Sits Name FRIT CAR 8PRAYFIg-!jR No. of wells to be sampled, 4 ffrom rerrmt) MW3 Depth: 12 ft. h to Water Level =46: ft. - wring Point is - — - ft. above land surface rile of water pumped1bailed before sampling: te El niers for metals, were collected unf!-I-red: YES- PERMIT -- Date sample collected, Well Diameter. 2 in. Screened Interval, --ft. to Relative N! P, Elevation' ft, gallons Number: >wxpiranon Date: 613012017 Non -Discharge U 1C NPIDES W00002503L Other TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon 0 Remediation-, Infiltration Gallery X C7 Spray Field 0 Remediation: Rotary Distributor Land Applicotion of Sludge it water Source Heat Pump Other: FIELD ANALYSES - PH 00400 units Te p. 00010 0C DRY at Mhos time of Spec. Cond. 00094.samplir Odor 00085'RONE 'check Appearance -NURGMIRNITURB here: FL LBORATORY INFORMATILON Laboratory Name:artificaton No. 37729 WVIRQNME-NM CHEM1,ST,5_ INC..INC. ite sa im-ple analyzed._ TE Id- kRAmETERs NOTE. V2K s should reflect dissolved and colloidal concentrations. COD 00335 - mg/L Nitrite (NO2) as N 0aB95 mgJL Pb - Lead 0106 -ug!L Coliform: MF Fecal 316-16� -1100mL Nitrate (NO3) as N oowo mg/L Zn - Zinr-01092 mg1L Coliform: MF Total 31504 —1100,ml. Phosphorus: TotalasPoO6155- MgJL (Note! Use Mfl%, mejia4 for Qfify turbidTaffiples) Orthophosphate 70507 mg1L vedSolids.1otaj703G0..— ---mg/L mg/L PH (Lab) 00403 units TOC 00600 mg,/L Chloride oo94o Mq/L Arsenic 0100-2 -ug/L Grease and 0 Is 00552 mg!L Phenol 3273-0 U91L Sulfate 0094z M91L fic Conductance 00095 gmhos Total Ammonia ow o-mg[L mg/ -L Mn - Manganese 01055 uglL 'TKN as N om2s mg/L For Remediation Systems Only (Attach Lab Reports): Michael K Newby- - I-- mr -7- - p6mlitte.- o. Auficift;d - -q Name and TiVe v Please orInt or Me GWZ9 Rev. 812013 At = Aluminum 01105 mg/L Ba - Barium 01007 Ca - Calcium 00316—__ --_ mg/L Cd - Cadmium o1027ug1l. Chromium. Total o1o$4 -ug/L CU m CQpper 01042 mg!L Fe _ Iron 01045 -ug[L Hg = Mercury 71900 ugil- K - Potassium 00937 mg/L Mg = Magnesium 0092--7 mg/ -L Mn - Manganese 01055 uglL Ni - Nickel mos? ug[L Othef (Specify Compounds and Concentration Units): 770=1 41 iflh-"i 9 -- ORGANICS- (by Go, GC/MS, HPLC) (Specify test and Method ATTACH LAS REPORT.) Lab Report Attached? E-1 Yes (1) 0 No (0) VQQ797a method # method method# method # Influent Total VOCs- rngIL Effluent Total VOCs; mg/L VOC Removal% • ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wilmington, NC 28405 Analytical &Consulting Chemists NCDENR: DWQ CERTERICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 OFFICE: 910-392-0223 FAX 910.392-4424 CLIENT: Frit Car PROJECT NAME: MW's REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONE/FAX: COPY TO: E-MAIL: Sampled By: t /4] 4AUD1 c wrvnc. 1 _ 1. a. c _ e -m Sample Identification Collection = h _. ..... __ .. w a cC9 E o E o a _. , — ,uua. a s a,.y -- D� ? z uuuana, ,■ _ fltlll, O l — 0A6isin, PRESERVATION 0V 0011, 01_ = aivage, utner: ANALYSIS REQUESTED Date Time Temp" o = " _ o = os x o MW: C P 7� X TDS, Chloride, Nitrite, Sulfate G G Depth: C P X Ammonia, TOC G G H: C P X VOC(Nov. Only) G G Color: C P X Ni, Fe, Cr, Cu, Pb G G Gallons,Bailed: C P G G �tl C P G G C P G G C P G G C P G G C P G G NOTICE - DECHLORINATION: Samples for Ammonia, TKN, Cyanide, Phenol and Bacteria must be dechlorinated (0.2 ppm or less) in the field at the time of collection. see reverse for instructions Transfer Relinquished By: DateMme Received By: Date/Time 1. 2. Tamnarn•—a wM-.. Nlcu Delivered By: Received Comments: 4 Wells Due March, July, November PAPER ONLY GROUNDWATER QUALITY MONITORING, COMPLIANCE REPORT FORM _GV COMPLIANCE L- ; pript Clearry or Type FA94LITYI 0 Facility NanS. FRIT CAR, 'Q Permit Name (if different): 2012- HIGHWAY 17 NORTH f:acllity Address. - -F-` ' 2 6 County_ CRAVEN - C`7 Telephone#-. 251 ,867:a� 4 ict Person MICHAEL K-_N_F_W_B'___251,867 sampled of wells to bet N FRIT CAR SP Location/Site Name_ — VIT Number. Expiration Date-, 42 __ __ - �2_1� UIC Non -Discharge NPIDES V,fQOQ02503other TYPE OF PERMITTED opeRATIONBF-ING MO_ NRORELD 17 Lagoon r] Remediation- infiltration Gallery Spray Field U Rotary distributor ED Land Application of Sludge 77 Water Source Heat Pump Ej Other: PURR INFO - M!—fiON 4 Date sample collected11/8/2016 L ID NUMB,ER (from e Weil [)jameter: in Do 16 ft; pth, Screened Interval: ft to h to Water Level 82546: _59_ft. below measuring Point 3uhrIg Point is ft. above !and surface Relative M.R Elevation llogans me of water pumped/balled, before sampling m�wifflpwl- I—] YES NO ampler—for metals were collectea unymeireu. t.�- ATI Ato N 0 M 5R." 0=0R, WAS FIE -LE) ANALYSS& 19,6 rc DAY at I pH 004M 5.5 units Temp. 0au1 time of Spec_ Cond. OD094i sampling, NOME check Odor o0oB5. E - N here- Appearance Coliform. MF Feca� 31616 ampler—for metals were collectea unymeireu. t.�- ATI Ato N 0 M 5R." 0=0R, 37729 ENVIRONMENTAL CHEMISTS, INC. Certification Mo. — ate sample analyzed" 11/6-11111/2016 Laboratory Name: _;,v �d�and coiloidall concglitrations. —8- Should reftect diss NOTE; Value mg/L Pb-Lead =51 ug/L ARAmETF-RIS - COD 00= mg/L Nitite(NO asNOG all 2) 0.04 mg/L Zinc ol 092 mg IL Zn - Coliform. MF Feca� 31616 1100mia. Nitrate (NO3) as N 00620 11.4 couform- MF Total 31604 moornL PhQsph0rUs.'T0talasP00665� mg/l. Othe ,Specify Compounds and Corice ntration Unfts)� (Note: UsLz N',PN Method fgfr:vghtjfulbid ;MOZ Orthophosphate 70607 ,hophosphat mg/L issolved Solids'Total 70300 328 — mg[L Al -Aluminum 0 11 -0 5 U91L a-. ;, _4 J31 pH (Lab) OC1403 unit. Bg � Barium 01007 _T mg1L TOO 00580 25A mq[L Ce Calclum 00016 ug/L Al' mq1L Cd - Cadmium 01027 - Chloride 00940 Ic u9ill. Chromiunl'TOWIOIO-U.,�..__�__ <10 u L _q/ ORGANI C-8: (by GO, GGIM5t HPLC) Arsenic 01002 OU9 00552 mg/L Cu - Copper M42 <0.010 mg/L 'T -pow I (specify test and method #� ATTACH LA 8 R -E - Grease and Phatiol 32730 ug/L Fe -Iron Iron 0104b 298 Ug/L ug1L Lab Rep ort Attached? E2 yGs �(1), No (0) Sulfate cog 5 52 4 mg/L H9 � Mercury 719QG mg!4 7 method 4 K - Potagsium 00937 _YRC me0od # specific Conductance oOO95 I <0.2 mg[L Mg IftigneSlum 00927 method# Total Ammon ig 00810 (AMMbfu n�. N.H as M n manganese 01055 uq1L method # TKN as N =25 mg/L Ni Nickel =67 <10 ugiL mg/L-VOC Removal'/ Systems Only (Attach Lab ROPO rts). Inf . luent Total VOCs mq1L Effluent Total VOCs: For Remedlation i_tt,_rQ7_A.i70,Med �Aqe-., GW -59 RL -V. 81*2Q13 Environmental Chemists, Inc. LL�Vnviro6hem,-6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax It (snn 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO #: Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #• 2016-16043 Project ID: Monitoring Wells Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-38741 Site: MW -4 11/8/2016 10:55 AM Water Will Coggins Test Method Results Date Analyzed Color Color Clear/Lt Green . 11/08/2016 Depth to water, ft. Depth to Water, Ft. 5.9 feet 11/08/2016 Chromium EPA 200.7 <0.01 mg/L . 11/12/2016 Copper EPA 200.7 <0.01 mg/L s 11/15/2016 Iron EPA 200.7 0.298 mg/L a 11/20/2016 Lead EPA 200.7 <0.01 mg/L s 11/12/2016 Nickel EPA 200.7 <0.01 mg/L o 11/12/2016 Sulfate EPA 300.0 52 mg/L a 11/15/2016 Ammonia Nitrogen EPA 350.1 < 0.2 mg/L 11/09/2016 Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallonsAW 11/08/2016 Total Dissolved Solids (TDS) SM 2540 C 328 mg/Lar 11/08/2016 Temperature SM 2550 B 19,6 C 0' 11/08/2016 Chloride SM 4500 Cl E 59 mg/L,@ 11/15/2016 pH SM 4500 H B 5.47 unitA 11/08/2016 Total Organic Carbon (TOC) SM 5310 B 25.4 mg/L 0 11/10/2016 1,1,1,2 -Tetrachloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,1 -Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2,2 -Tetrachloroethane SM 6200C <0.50pg/L 11/11/2016 1,1,2 -Trichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethane SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 1,1-Dichloropropene SM 6200C <0.50pg/L 11/11/2016 1,2,3-Trichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2,3-Trichloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,2,4-Trichlorobenzene SM 62000 < 0.50 pg/L 11/11/2016 1,2,4-Trimethylbenzene SM 6200C < 0.50 pg/L 11/11/2016 Report #:: 2016-16043 Page 7 of 9 Environmental Chemists, Inc. envir&&-'�em6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax snn 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL $ CONSULTING CHEMISTS info@environmentalchemists.com Frit Car, Inc. Date of Report: Nov 29, 2016 Post Office Box 1340 Customer PO #: Brewton AL 36427 Customer ID: 08100062 Attention: Jim Daugherty Report #: 2016-16043 Project ID: Monitoring Wells 1,2-Dibromo-3-Chloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,2-Dibromoethane SM 6200C < 0.50 pg/L 11/11/2016 1,2 -Dichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,2-Dichloroethane SM 6200C <0.50pg/L 11/11/2016 1,2-Dichloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,3,5-Trimethylbenzene SM 6200C < 0.50 pg/L 11/11/2016 1,3 -Dichlorobenzene SM 6200C <0.50pg/L 11/11/2016 1,3-Dichloropropane SM 6200C < 0.50 pg/L 11/11/2016 1,4 -Dichlorobenzene SM 6200C < 0.50 pg/L 11/11/2016 2,2-Dichloropropane SM 6200C < 0.50 pg/L 11/11/2016 2-Chlorotoluene SM 62000 < 0.50 pg/L 11/11/2016 4-Chlorotoluene SM 6200C <0.50pg/L 11/11/2016 Benzene SM 62000 < 0.50 pg/L 11/11/2016 Bromobenzene SM 62000 < 0.50 pg/L 11/11/2016 Bromochloromethane SM 62000 < 0.50 pg/L 11/11/2016 Bromodichloromethane SM 6200C <0.50pg/L 11/11/2016 Bromoform SM 6200C < 0.50 pg/L 11/11/2016 Bromomethane SM 6200C < 0.50 pg/L 11/11/2016 Carbon tetrachloride SM 62000 < 0.50 pg/L 11/11/2016 Chlorobenzene SM 62000 < 0.50 pg/L 11/11/2016 Chloroethane SM 6200C < 0.50 pg/L 11/11/2016 Chloroform SM 6200C < 0.50 pg/L 11/11/2016 Chloromethane SM 62000 < 0.50 pg/L 11/11/2016 cis-1,2-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 cis-1,3-Dichloropropene SM 62000 < 0.50 pg/L 11/11/2016 Dibromochloromethane SM 6200C <0.50pg/L 11/11/2016 Dibromomethane SM 62000 < 0.50 pg/L 11/11/2016 Dichlorodifluoromethane SM 62000 < 0.50 pg/L 11/11/2016 Ethylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Hexachlorobutadiene SM 62000 < 0.50 pg/L 11/11/2016 Report #:: 2016-16043 Page 8 of 9 Euviroehe'mn]' ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.391 4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com Frit Car, Inc. Post Office Box 1340 Brewton AL Attention: Jim Daugherty 36427 Date of Report: Nov 29, 2016 Customer PO #: Customer ID: 08100062 Report #: 2016-16043 Project ID: Monitoring Wells Isopropyl benzene SM 62000 < 0.50 pg/L 11/11/2016 M+P Xylene SM 6200C < 1.00 pg/L 11/11/2016 Methylene chloride SM 6200C < 0.50 pg/L 11/11/2016 Naphthalene SM 62000 < 0.50 pg/L 11/11/2016 n-Butylbenzene SM 6200C < 0.50 pg/L 11/11/2016 n-Propylbenzene SM 62000 < 0.50 pg/L 11/11/2016 ortho-Xylene SM 62000 < 0.50 pg/L 11/11/2016 p-Isopropyltoluene SM 6200C < 0.50 pg/L 11/11/2016 sec -Butyl benzene SM 62000 < 0.50 pg/L 11/11/2016 Styrene SM 62000 < 0.50 pg/L 11/11/2016 tert-Butylbenzene SM 62000 < 0.50 pg/L 11/11/2016 Tetrachloroethene SM 6200C <0.50pg/L 11/11/2016 Toluene SM 6200C < 0.50 pg/L 11/11/2016 Trans-1,2-Dichloroethene SM 6200C <0.50pg/L 11/11/2016 Trans-1,3-dichloropropene SM 6200C <0.60pg/L 11/11/2016 Trichloroethene SM 6200C < 0.50 pg/L 11/11/2016 Trichlorofluoromethane SM 6200C < 0.50 pg/L 11/11/2016 Vinyl chloride SM 6200C < 0.50 pg/L 11/11/2016 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 0.04 mg/L s 11/09/2016 Nitrate+Nitrite-Nitrogen EPA 353.2 11.4 mg/L 11/28/2016 Nitrate Nitrogen Subtraction Method 11.4 mg/L • 11/16/2016 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-38744 Site: MW -3 11/8/2016 11:00 AM Water Will Coggins Test Method Results Date Analyzed Dry Dry Comment: Reviewed by: No Sample 11/08/2016 Report #:: 2016-16043 Page 9 of 9 • ENVIRONMENTAL CHEMISTS, INC 6602 WIndmill Way Wilmington, NC 28405 Analytical &Consulting Chemists NCDENR: DWQ CERTERICATION # 94 NCDHHS: DLs CERTIFICATION # 37729 OFFICE: 910-392-0223 FAX 910-392-4424 CUSTO CLIENT: Frit Car PROJECT NAME: MW's REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONE/FAX: COPY TO: E-MAIL: Sampled By:j, N SAMPLE TYPE: I = Influent- F = Fffluant- W = Wall_ ST = Stream An = SMI SI = Clurtnn flfhnn Sample Identification Collection y w Eo�Ea `'E' zz ' PRESERVATION ANALYSIS REQUESTED Time Tem ZSDate y o c z 0 o ,a MW: V 1 r (' ` C P � `l` �{ X TDS, Chloride, Nitrite, Sulfate J G G (i/ Depth: '71G C P X < Ammonia, TOC G —7 H' -1 C P X VOC Nov. Only) G G Iq� Color: (�`/�J�' C P X Ni, Fe, Cr, Cu, Pb G G Gallons Bailed ; , ; G G C P G G C P G G C P G G C P G G C P G G NOTICE - DECHLORINATION: Samples for Ammonia, TKN, Cyanide, Phenol and Bacteria must be dechlorinated (0.2 ppm or less) In the field at the time of collection. See reverse for instructions Transfer Relinquished By: Date/Time Received By: DatefTime 1. 2. Y eneimatwe when Received Delivered By: Received Comments: 4 Wells Due March, July, November ( 1,0 Time•1: �� )UND: