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Home My WebLink AboutWQ0002648_Monitoring - 11-2016_20170103GW -59A COMPLIANCE REPORT FORM Permit # 000 a 6 Yd (SuIn it one each monitoring period with GW-59forms.) I Enter date monitoring results were due. C r3Will 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 O 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 O 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 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 N 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 N If the answer Is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO" monitoring wells 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", conte th ogrional Office within 90 days: an evaluation may be reuired to de rmine the lm a t the waste dis a/ sysmm—aving at the review and contMance boundaries surrounding this facility, Failure o so mgvsumhkct the permittee to a Notice of Violation fines. and/or Penalties. n -n f({ I T hf ea �M 8 The person completing this portion (OW -59A) dr4he monitculiIjoreport should sign below and submit this form with GW -59 forms for required wells to thI ddress provided at the top of the current GW -59 form. a[F063 nature of Permittee (or Authorized Agent) Date GW -59A 12/8/2003 J } GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Name: Name (if different): Address: SUBMIT FORM ON YELLOW PAPER ONLY or SEAGROVE/ULAN METROPOLITAN WATER P.O. BOX 370 County RANDOLPH (City) (State( (Zip) act Person: CATHY MCCASKILL Telephone#: 336-873-9055 Location/Site Name 798 HWY 705 No. of wells to be sampled: 3 DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES - AVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 PERMIT Number: Expiration Date. 9/30/2020 Non -Discharge W00002648 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery X ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land. Application of Sludge ❑ Water Source Heat Pump ❑ Other: ELL ID NUMBER (from Permit): MW#1 Date sample collected: 11/8/2016 FIELD ANALYSES: WAS ell Depth: 90'9" ft. Well Diameter: 4 in. 140 pH oo400: 5.9 units Temp. 000lc 13 °C DRY at pth to Water Level e2546: 39'3" Screened Interval: ft. to Spec. Cond. 00094: µMhos time of Ba - Barium 01007 _ _ft. TOC 00680 sampling, easuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 000me check Hume of water pumped/bailed before sampling: gallons Cd - Cadmium 61027 Appearance here:❑ Implies for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Chromium: Total o1o34 ug/L \BORATORY INFORMATION Grease and Oils 00552 mg/L Cu - Copper 01042 ate sample analyzed: 11/8/16- 11/21/16 Laboratory Name: MERITECH, INC. Certification No. 165 %RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) COD 00335 mg/L Nitrite (NO2) as N oo615 0.33 mg/L Pb - Lead o1051 ug/L ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31604 /100mL Phosphorus: Total as P oo665 <0.02 mg/L (Note: Use MPN method for highly to Dd samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): solved Solids:Total 70300 140 mg/L AI - Aluminum of lo5 mg/L SODIUM 8.71 pH (Lab) 00403 5.8 units Ba - Barium 01007 uglL TOC 00680 <1.0 mg/L Ca - Calcium 00916 mg/L Chloride oo940 17 mg/L Cd - Cadmium 61027 ug/L JAN In 4 2M7 Arsenic 01002 uglL Chromium: Total o1o34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) VME Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 2.5 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # Total Ammonia Uosio <0.1 mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen; NH, as N, Ammonia Nitrogen, Total) Mn - Manganese 01055 ugh- , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal°/ wv-DU Kea. ar<u16 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: Michael Woolard Client: Ulah Metro. (Seagrave) PO Box 370 Seagrove, NC 27341 ReportDate: Date Sample Rcvd: 11/22/2016 11/8/2016 Meritech Work Order # 11081670 Sample: M Well #1 Grab 11/8/16 Parameters Result Analysis Date Reporting 1 imit Method t d Total Dissolved Solids 140 mg/L 11/15/16 10.0 mg/L SM 2540C Chloride, total 17 mg/L 11/9/16 0.1 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/14/16 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 0.33 mg/L 11/9/16 0.10 mg/L EPA 353.2 Phosphorus, total <0.020 mg/L 11/16/16 0.020 mg/L EPA 200.7 Sodium, total 8.71 mg/L 11/16/16 0.100 mg/L EPA 200.7 Sulfate, total 2.50 mg/L 11/9/16 5.0 mg/L SW 846 9038 Fecal Coliform <1 col/100 ml 11/8/16 1 col/100 ml SM 9222 D TOC <1.0 mg/L 11/14/16 1.0 mg/L SW8469060A EPA 624 + TB Attached 11/15/16 624 pH 5.8 S.U. 11/21/16 1.0 - 14.0 S.U. SM 4500 -HB [hereby certify that? have reviewed and approve these data (' Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 teI.(336)342-4748 fax.(336)342-1522 Client: Project: MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Ulah Metropolitan Meritech rD#: 11081670 624 Client Sample ID: M Well # 1 Sample Collection: 11/08/16 Analysis: 11/15/16 Analyst: V\VV Dilution Factor: 1 Report Date: 11/17/16 EPA 624 VOLATILE ORGANICS Parameter Result Benzene < 1.00 ug/L Dichlorobromomethane < 1.00 ug/L Bmmoform < 1.00 ug/L Methyl Bromide <5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1.00 ug/L Chloroethane < 5,00 ug/L 2-Chioroethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride <5.00 ug/l. Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L 1,1-Dichloroethane < 1.00 ug/L 1 2-Dichloroethane < 1.00 ug/L 1,4 -Dichlorobenzene < 1.00 ug/L 112 -Dichlorobenzene < 1.00 ug/L 1,3 -Dichlorobenzene < 1.00 ug/L, 1,1-Dichloroethylene < 1.00 ug/L trans-1,2-Dichloroethylene < 1.00 ug/L 1,2-Dichlompropane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-Dichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2 -Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene < 1.00 ug/L 1,1,1 -Trichloroethane <1.00 ug/L 1,1,2 -Trichloroethane <1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluoromethane <5.00 ug/L Vinyl chloride <5.00 ug/L Additional Comnounds Acrolein <50.0 ug/L Acrylonitrile <10.0 ug/L I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4746 Ph * (336) 342-1522 Fax Chain of Custody Record (COC) Client: Address: Ulah Metropolitan WD PO Box 370 iNPDES #: Phone: Fax: Email: MERITECH INC. Environmental Laboratories A DhrW*n of Water Technology and Control, Inc. 642 Tamco Rd Reidsville, NC 27320 Phone 1-336-342-4748 Fax: 1-336-342-1522 Email: wtclabCa)bellsouth.net Web Site: wwW.meritech-labs.com Seagrove,NC 27341 Project: p0 #; Attention: Cathy McCaskil Turn Around Time* std(1Ddays) 3.5Day 24-4a Hr �•� Sample Sampling Dates & Times person Taking Sample (Signature): Lab Use Only Location/ID # M Well #1 srnRT END Date q T Date Time 9 Cnmpa 9 Of Conts. 1 Tests Required - NOV ONLY TDS On kea pH OK? C120K? 2 Chlon de,Sulfate,Fecal Collform 1 Nitrate,Nitrogen F / 1 NH3 (w1H2SO4 1 Nai,Ptnt (w/HNO3) 1 TOC (w/H2SO4) _ H 3 624 (w/HCI) + TB Method of Shipment: Comments • 90 �9 �� 7-6 /In 56 f — �3 G P,��j _ p� 7%_ wi{ eH / / / ty+" f-1UPS% ❑ Fed Ex Will these results be used for regulatory purposes? Yes x No *RUSH work must be approved prior to submitting samples. EJ Hand Delivery ❑Other Reri wished Date: Qciias,,,1. I/ -g-/6 R ' � �j Tim- nme: Time- !, ,/ / KJ Re D ,� Received q" Date: Time: !_ nme: Re0n9uiahed_by: . . . . .... .... - Dale• — __.--__.___.rt,,,e— �a Ta ___— ._ ij co ON, Time: 31 S" DWATER QUALITY MONITORING: ANCE REPORT FORM U4 SUBMIT FORM ON YELLOW PAPER ONLY Name: SEAGROVE/ULAH METROPOLITAN WATER DISTRICT Name (if different): Address: P.O. BOX 370 SEAGROVE, NC 27341 County RANDOLPH act Person: CATHY MCCASKILL Telephone#: 336-873-9055 Location/Site Name 798 HWY 705 No. of wells to be sampled: 27 L ID NUMBER (from Permit): MW#3 Date sample collected: 11/8/2016 Depth: 266" ft. Well Diameter: 4 in. n to Water Level 82546: 19'4" Screened Interval: ft. to ft. luring Point is ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: gallons ales for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO 'ISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT 7 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919-907-6306 :RMIT Number: Expiration Date: 9/30/2020 in -Discharge W00002648 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other FIELD ANALYSES: pH aG400: 5.9 units Spec. Cond.00094: Odor 000m: Appearance ate sample analyzed: 11/8/16- 11/21/16 Laboratory Name: MERITECH, INC. kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. solved Solids:Total 70300 COD 00335 mg/L Nitrite (NO2) as N oo615 8.86 mg/L Pb - Lead o1o51 Coliform: MF Fecal 31616 1 /100mL Nitrate (NO3) as N oo62o mg/L Zn -Zinc 01092 Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.02 mg/L Temp. 000tr 13 °C µMhos Certification No. 165 ug/L mg/L (Note: Use MPN memool for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): solved Solids:Total 70300 550 mg/L Al - Aluminum 011o5 mg/L SODIUM 55.4 pH (Lab) 00403 5.9 units Be - Barium 01007 ug/L TOC ooaao 1.05 mg/L Ca - Calcium 00916 mg/L Chloride 00940 190 mg/L Cd - Cadmium olo27 ug/L AN A A 2017 Arsenic 01002 ug/L Chromium: Total olo34 ug/L Grease and Oils 00552 mg/L Cu - Copper olo42 mg/L ORGANICS: (by GC, GC/MS, HPVME Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oo945 18.98 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.1 mg/L Mg - Magnesium 00927 ni , method # (Ammonia Nitrogen; NN,as N', Ammonia NiAngen, Total) Mn - Manganese 01055 ug/L method # TKN as N 00625 _ mg/L Ni - Nickel 01067 ug/L , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removale/a DRY at time of sampling, check here: 11 MICHAEL T. WALKER, SECRETARY Permittee (or Authorized Agent) Name and Title - Please Dnnt or type GW -59 Rev. 812013 Meritech, Inc. Environmental Laboratory } Laboratory Certification No. 165 Contact: Michael Woolard Client: Ulah Metro. (Seagrove) PO Box 370 Seagrove, NC 27341 Meritech Work Order # 11081672 Parameters Total Dissolved Solids Chloride, total Ammonia, Nitrogen Nitrate, Nitrogen Phosphorus, total Sodium, total Sulfate, total Fecal Coliform TOC EPA 624 + TB PH Sample: M Well #3 Grab 550 mg/L 190 mg/L 0.1 mg/L 8.86 mg/L <0.020 mg/L 55.4 mg/L 18.98 mg/L 1 col/100 ml 1,05 mg/L Attached 5.9 S.U. 11/15/16 11/9/16 11/14/16 11/9/16 11/16/16 11/16/16 11/9/16 11/8/16 11/14/16 11/15/16 11/21/16 Report Date: 11/22/2016 Date Sample Rcvd: 11/8/2016 10.0 mg/L 0.1 mg/L 0.1 mg/L 0.10 mg/L 0.020 mg/L 0.100 mg/L 5.0 mg/L 1 col/100 ml 1.0 mg/L 1.0 - 14.0 S.0 11/8/16 Metho SM 2540C SM 4500 Cl B EPA 350.1 EPA 353.2 EPA 200.7 EPA 200.7 SW 846 9038 SM 9222 D SW846 9060A 624 SM 4500 -HB 1 hereby certify that 1 have reviewed and approve these data. k � &i Laboratory Representative 642 Tarnco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Client: Project: MERI TECH, INC. Environmental Laboratories Laboratory Certification #165 Ulah Metropolitan Meritech EDM 11081672 624 Client Sample ID: M Well # 3 Sample Collection: 11/08/16 Analysis: Analyst: Dilution Factor: Report Date: EPA 624 VOLATILE ORGANICS Parameter RMR Benzene <1.00 ug/L Dichlorobromomethane < 1.00 ug/L Bromoform < 1.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1,00 ug/L Chloroethane <5.00 ug/L 2-Chloroethyl vinyl ether : < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L I,1-Dichloroethane < 1.00 ug/L 1,2-Dichloroethane < 1.00 ug/L 1,4 -Dichlorobenzene < 1.00 ug/L 1,2 -Dichlorobenzene < 1.00 ug/L 1,3 -Dichlorobenzene < 1.00 ug/L 1,1-Dichloroethylene <1.00 ug/L bans-1,2-Dichloroethylene < 1.00 ug/L 1,2-Dichloropropane < 1.00 ug/L cis-1,3-Dichlompropylene < 1.00 ug/L trans-l,3-Dichloropropylene <1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2 -Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene < 1.00 ug/L 1,1,1 -Trichloroethane <1.00ug/L 1,1,2 -Trichloroethane < 1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluoromethane <5.00 ug/L Vinyl chloride <5.00 ug/L Additional Compounds Acrolein <50.0 ugJL, Acrylonitrile <10.0 ug/L I hereby certify that I have reviewed and approve these data. 11/15/16 VtVV 11/17/16 7 Laboratory Represent five 642 Tamco Road ` Reidsville, NC 27320 (336) 342-4748 Ph " (336) 342.1522 Fax Chain of Custody Record (COC) Client: Ulah Metropolitan WD Address: PO Box 370 Seagrove,NC 27341IPO* Attention: Cathy McCaskil NPDES#: Phone: Fax: Email: Project: MERITECH INC. Environmental Laboratories A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342-4748 Reidsville, NC Fax: 1-336-342-1622 27320 Email: wtclabObellsouth.net Web Site: www.meritech•labs.com Tum Around Time' std (?o days) 3. 5 Day I r— 24 -48 Hr i� Sample LocationllD # Sampling Dates & Times Person Taking Sample (Signature): a4, rk.pvyi. Lab Use Only START END Comp? rab. M of COMB. Tests Required - NOV ONLY on Ice? pH OK? C12 OK? Date Time Date Time M Well #3 ��` 7 �1 1 TDS LL 2 Chloride,Sulfate,Fecal Coliform 11"47`16 %'M14M //-,R-A6 �J /.%S� 1 Nitrate, Nitrogen 1 NH3 (w/H28O4) 1 Na,Ptot w/HNO3) �- 1 TOC (w/H2SO4) PH 3 624 (w/HCI) + TB Method of Shipment: Comments: �� i /CT �. --5,56F j3 G Depr12 — To R19 ❑ UPS Fed Ex Will these results be used for regulatory purposes? Yes Fx No *RUSH work must be approved prior to submitting samples. ❑Hand Delivery Rea o;; ' ' J/-7-:16 The: q e. TJ Recewed by: Dake: Time: Relinquished -by: -- -- — GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Permit Name (if different): Facility Address: SUBMIT FORM ON YELLOW PAPER ONLY SEAGROVE/ULAH METROPOLITAN WATER P.O. BOX 370 County RANDOLPH Contact Person: CATHY MCCASKILL Telephone#: 336-873-9055 Well Location/Site Name 798 HWY 705 No. of wells to be sampled: 3 WELL ID NUMBER (from Permit): MW#2 Date sample collected: 11/8/2016 Well Depth: 29'6" ft. Well Diameter: 4 in. Depth to Water Level 82546: 127' Screened Interval: IL Measuring Point is ft, above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES )EPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES 31VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT f617 MAIL SERVICE CENTER, RALEIGH, NO 27699-1617 Phone: 919-907-6306 PERMIT Number: Expiration Date: 9/30/2020 Non -Discharge W00002648 UIC NPDES Other TYPE OF PERMITTED. OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery X ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge to _ft. ft. ❑ Water Source Heat Pump ❑ Other FIELD ANALYSES: pH o0400: 5.8 units Spec. Cord.00094 Odor 00085: Appearance ate sample analyzed: 11/8/16 - 11/21/16 Laboratory Name: MERITECH, INC. tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. solved Solids:Total 70300 COD 00335 mg/L Nitrite (NO2) as N 00615 8.41 mg/L Pb - Lead o1o51 Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 mg/L Zn -Zinc 01092 Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 <0.02 mg/L Temp. 000lr 13 °C DRY at µMhos time of Certification No. 165 ug/L mg/L (Note_ Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): solved Solids:Total 70300 944 mg/L At -Aluminum o11o5 mg/L SODIUM 70.8 pH (Lab) oo4o3 5.7 units Ba - Barium 01007 ug/L 14",,,,,� TOC 00680 1.02 mg/L Ca - Calcium 00916 mg/L �� Chloride oo94o 192 mg/L Cd - Cadmium o1o27 ug/L VMC Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oo945 164.6 mg/L Hg - Mercury 71900 uglL Lab Report Attached? ❑ Yes (1) ❑ No (0) ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 <0.1 mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen; Nlr3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 uglL , method # TKN as N 00625 mg/1 Ni - Nickel 01067 ugi , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: 1 using approved methods of analysis by a s MICHAEL T. WALKER, SECRETARY Permittee (or Authorized Aaent) Name and Title - Please print or Noe GW -59 Rev. 8/2013 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: Michael Woolard Client: Ulah Metro. (Seagrove) PO Box 370 Seagrove, NC 27341 Report Date: Date Sample Rcvd: 11/22/2016 11/8/2016 Meritech Work Order # 11081671 Sample: M Well #2 Grab 11/8/16 Parameters Result Analysis Date Reporting Liml Method Total Dissolved Solids 944 mg/L 11/15/16 10.0 mg/L SM 2540C Chloride, total 192 mg/L 11/9/16 0.1 mg/L SM 4500 Cl B Ammonia, Nitrogen <0.1 mg/L 11/14/16 0.1 mg/L EPA 350.1 Nitrate, Nitrogen 8.41 mg/L 11/9/16 0.10 mg/L EPA 353.2 Phosphorus, total <0.020 mg/L 11/16/16 0.020 mg/L EPA 200.7 Sodium, total 70.8 mg/L 11/16/16 0.100 mg/L EPA 200.7 Sulfate, total 164.6 mg/L 11/9/16 5.0 mg/L SW 846 9038 Fecal Coliform <1 col/100 ml 11/8/16 1 col/100 ml SM 9222 D TOC 1.02 mg/L 11/14/16 1.0 mg/L SW846 9060A EPA 624+TB Attached 11/15/16 624 pH 5.7 S.U. 11/21/16 1.0 - 14.0 S.U. SM 4500•HB I hereby certify that have reviewed and approve these data. lr l44� Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERI TECH, INC. Environmental Laboratories ' Laboratory Certification #165 Client: Ulah Metropolitan Project: 624 Client Sample ID: M Well # 2 Sample Collection: 11/08/16 Meritech ID#: 11081671 Analysis: 11/15/16 Analyst: VWV Dilution Factor: 1 Report Date: EPA 624 VOLATILE ORGANICS Parameter Result Benzene < 1.00 ug/L Dichlorobromomethane < 1.00 ug/L Bromoform < 1.00 ug/L. Methyl Bromide <5.00 ug/L Carbon Tetrachloride < 1.00 ug/L. Chlorobenzene < 1.00 ug/L Chloroethane < 5.00 ug/L 2-Chlorcethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L 1,1-Dichloroethane <1.00ug/L 1,2-Dichloroethane < 1.00 ug/L, 1,4 -Dichlorobenzene <1.00 ug/L 1,2 -Dichlorobenzene < 1.00 ug/L 1,3 -Dichlorobenzene < 1.00 ug/L 1,1-Dichloroethylene <1.00ug/L. trans-1,2-Dichloroethylene < 1,00 ug/L 1,2-Dichloropropane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-Dichloropropylene < 1.00 ug/L Ethylbenzene < 1.00 ug/L Methylene chloride <1.00ug/L 1,1,2,2 -Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene <1.00 ug/L 1,1,1 -Trichloroethane <1.00 ug/L 1,1,2 -Trichloroethane <1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluoromethane <5.00 ug/L. Vicryl chloride <5.00 ug/L Additional Compounds Acrolein <50.0 ug(L Acrylonitrile <10.0 ug/L I hereby certify that I have reviewed and approve these data. 11/17/16 Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1622 Fax Chain of Custody Record (COC) Client: Utah Metropolitan WD Address: PO Box 370 Seagrove,NC 27341 Attention: Cathy McCaskil NPDES#: Phone: Fax: Email: Project: JP0 #: MERITECH INC. Environmental Laboratories A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342.4748 Reidsville, NC Fax: 1-336342-1522 27320 Email: wtclaW_bellsouth-net Web Site: www.meritech-labs.com 1Tum Around Time* Std (10 days) Room 3-S Day E= 24-48 Hr c� Sample Location/113 # Sampling Dates & Times Person Taking Sample (Signature): Lab Use Only START END Comp? Grob #OtTests Conts. Required - NOV ONLY on Ice? pH OK? C12 OK? Date Time Data Time M Wel! #2 1 TDSILC 6 . 2 Chloride,Sulfate,FecalColiform 1 Nitrate,Nitrogen 1 NH3(w/1-12SO4) 1 Na,Ptot (w/HNO3) 1 TOC (w/H2SO4) ' pH 3 624 (w/HCI) + TB Method of Shipment: Comments: J-a ❑ UPS ❑ Fed Ex El Hand Delivery ❑Other Will these results be used for regulatory purposes? Yes x No a RlJStf work must be approved prior to submitting samples. Reli quashed by: ,71me: %�--3-16 G8 ed ..._. - > Time: - / A, Reli r;,�� te: flimg,.� if. 3'r, L� Received by: Date: Time: Relinquished-W. �-- _.__—_-_—Da[a--.— -T( . r e e a a .-.— h': Date: Time: II -co 7:-/ (..,_ _--1