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HomeMy WebLinkAboutWQ0023634_Monitoring - 12-2021_20220131 (2)DWR - NonDischarge Monitoring Report Submittal NORTH CAROLINA Environmental Qualify Monitoring Report Submittal Permit Number#* Name of Facility: * Month:* December Report Information WQ0023634 Waterside Villages WWTP Year:* 2021 Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: * Name of Submitter: * Signature: Waterside Villages DMR_01312022... 790.08KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). rod.holley@currituckcountync.gov Rod Holley Date of submittal: 1 /31 /2022 This will be filled in automatically Initial Review Reviewer: Gerald, Wanda Is the project number correct?* WQ0023634 Is the monitoring report accepted?* Yes No Regional Office* Washington Accepted Date: 3/21/2022 GW-59A COMPLIANCE REPORT FORM Permit # IA Q 00 Z 3 3 `-I (Submit cure each monitoring period with GW-59 forams.) } Ernte- date monitoring results were due. ( / /3, /ZZ) Will this monitoring report (GW-59 and GW-59A) YES NO `4 be submitted after the established due cate? 2 Was any required information missing on the GW-59 report forms? YES F the answer to question 1 cr 2 is "YES", last in the space provided below the well dentification number(s) and explai7 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 inent£cation plate, area overgrown. etc.)? If the answer is "Yes-, contact the Regional Office for guidance. YES ', 4 Are any monitored constituents equal tc or above the established standards? YES NO i 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 constluent(s) and concentration's) exceeding standards in the space provided below: 5 For the constituents identified it question 4 above, have standards been exceeded previously for the same constituent(s) in the same well(s) n the last two years? YES NO If the answer to question 5 is "VO , skip ro section 8. 'f 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 CFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly Located; contact the Regional Office. ' Is the permittee implementing previously approved actions required by the Division involving this groundwater quality problem? YES NO e the answer to question 7 is `YES", describe those actions in the space provided below. If the answer to question 7 is "ND", contact the Regional Office within 90 days; an evaluation may be regutred to determine the impact the waste disposal system is having at the review and compliance t unciaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation, fines. and/or penalties. 8 7 e person completing this port?on (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 nereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is t-ue and complete to the best of my knowledge. Signature of Permittee (or Iguthorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY Mail Original DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT and 1: copy to COMPLIANCE REPORT FORM 1617276991617 Phone: (919) 733-3221 , =: ,MAIL SERVICE CENTER, RALEIGH, NC I ACILI I Y INI ORMAI ION Please Print ('.ready or Type PERMIT Number: W00023034 Expiration Date: 2/28/23 Facility Name. Waterside Villages WWFP Nun-Dlscllarye UIC Permit Name (if different): Facility Address: 100 Pirate Quay NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED Grandy NC (streat) NC 27939 CountyCurrituck ■Lagoon • Remediation: Infiltration Gallery jOity} (siutel (,-iir) Contact Person: Rod Holley Telephone#: 252-232-6065 • Spray Field • Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4 • Water Source Heat Pump 0 Other: Infiltration (from Permit) SAMPLING INFORMATION FIELD ANALYSES: pH 00400: 6.9 units Temp. 00010: 18.4 °C If WELL WAS DRY at time of sampling, check WELL ID NUMBER (from Permit): MW10 Date sample collected: 12/6/21 Well Depth: 16 ft. Well Diameter: 3 in. to 17 Depth to Water Level 82646:12 1 ft. below measuring point Screened Interval: 12 ft. ft. Spec. Cond. 00094. ItMhos Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None Volume of water pumped/bailed before sampling: 4.0 gallons Appearance Rust here: Samples for metals were collected unfiltered: tI YES ❑ NO and field acidified: • YES • NO LABORATORY INFORMATION Certification No. 94 Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 04335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead o1os1 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N noszo 0.03 mg/L Zn - Zinc 01092 mg/L Conform: MF Total 31504 /100mL Phosphorus: Total as P o0665 0.16 mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Dissolved Solids:Total 743v0 183 mg/L Al - Aluminum a1105 mg/L pH (Lab) 00403 6.9 units Ba - Barium 01007 ug/L TOC 00680 8.3 mg/L Ca - Calcium yogis mg/L Chloride 00940 15 mg/L Cd - Cadmium 01027 ug/L Arsenic o14o2 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ug/L ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 ug/L Fe - Iron o1a45 Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? • Yes (1) ❑ No (0) VOC 78732: , method # Specific Conductance mom i.IMhos K - Potassium 00937 mg/L Total Ammonia o0610 0.7 mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, 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 VOCe: mg/L VOC Removal% I.certify that, to the best of my knowledge and belief, Ilia information submitted m this r.epotl is true accurate, and complete, and Shot the laboratory arralyhi ai data was produced using approved methods of analysis by a DUN codified laboratory. I am aware that lhoro aro significant ponaltlos tar submitting false information, including the possibility of lines and imprisonment for.linowing violations. Rod Holley Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 2/2010 Auth 1/28/22 Signature of Permiltee (or 'zed Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Mail original and 1 copy to DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH NC 27699 1617. Phone`:(919) 733-3221 FACILITY INFORMATION Hoes& Prlrrf CIRarly or Typ PERMIT Non NPDES TYPE Number. WQ0023634 -Discharge Expiiatiuli Date. 2/28/23 Facility Name: Waterside Villages WWTP UIC Permit Name (if different): Facility Address: 100 Pirate Quay Other BEING MONITORED OF PERMITTED OPERATION Grandy NC Istreen NC 27939 County Currituck • Lagoon • Spray pray Field ❑ Rotary Distributor • Water Source Heat Pump • Remediation: Infiltration Gallery ❑Remediation: (City) (State) {Zip) Contact Person: Rod Holley Telephone#: 252-232-6065 • Land Application of Sludge ❑ Other: Infiltration Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4 {from Permit) SAMPLING INFORMATION Date sample collected: 12/6/21 ft. FIELD ANALYSES: pH 00400: 7.0 units Temp. 00o10: 18.6 °C If WELL WAS DRY at time of sampling, check WELL ID NUMBER (from Permit): MW11 Well Depth: 16 ft. Well Diameter: 3 in. 17 Depth to Water Level 82540:11.3 ft. below measuring point Screened Interval: 12 ft. to Spec. Cond. 00094. 1.tMho9 Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Clear here. ■ Samples for metals were collected unfiltered: ® YES D NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Laboratory Name: Enviro Chem Certification No. 94 Date sample analyzed: 12/6/21 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L mg/L mg/L mg/L mg/L ug/L mg/L ug/L ugfL moll uglL uglL mglL mglL ug/L ug/L Pb - Lead 01os1 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.45 Zn - Zinc at092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.06 Other (Specify Compounds and Concentration Units): (Note: Use MPN method for highly turbid samples) Dissolved Solids:Total 70300 310 mg/L Orthophosphate 70507 Al - Aluminum 01105 pH (Lab) 00403 7.0 units Ba - Barium 01007 TOC cow 2.6 mg/L Ca - Calcium 00916 Chloride 00940 83 mg/L Cd - Cadmium 01027 Arsenic 01002 ug/L Chromium: Total 01034 Grease and (Oils 00552 molt Cu - Copper 01042 ORGANICS: (by GC, GC/MS, (Specify test and method Lab Report Attached? VOC 78732: HP( C) #. ATTACH LAB REPORT.) Phenol 3273a uglL Fe - Iron 01045 Sulfate 00945 mg/L Hg - Mercury 71900 • Yes (1) • No (0) , method # Specific Conductance 00095 µMhos K - Potassium 00937 Total Ammonia costa <0.2 mg/L Mg - Magnesium 00927 , method # (Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total) TKN as N 00625 mg/L Mn -Manganese 01055 ,method # Ni - Nickel 01067 , method # for Remediation Systems Only (Attach Lab Reports): Influent Total VOCa• mg/L rffltient Total VOC,a: mg/I. VOC Removal% I cortify that, to thn but of my knowledgo and bailor, !ha information subrnitiod in thi! roport ir, trim, accurate, and complain, and Mat tho laboratory analytical data waw pruducpd ueing approved methods of an alyefs by DWG) certified laboratory, l am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations.' Rod Holley Permiltee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 2/2010 et. Signature of Pennittee (or Authorize Agent) 0 1/28/22 (Date) SUBMIT FORM ON YELLOW PAPER ONLY Mail original GROUNDWATER QUALITY MONITORING: ar'Id 4;copy to COMPLIANCE REPORT FORM DFPARTMFNT OF F.NVIRCINMFNT& NATURAL RFSOURCES DIVISION OF WATERQUALITY INFORMATION PROCESSING UNIT:, 1617 MAIL SERVICE CENTER RALEIGH NC 27699-1617�' Phone: (919) 733-3221 FACILITY INFORMATION Flua+r.F'rrrrfCkaailvorType. PERMIT Number: WQ0023631 Exptlabort Date. 2128/23 Facility Name: Waterside Villages WWTP Non -Discharge UIC Permit Name (if different): NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED Facility Address: 100 Pirate Quay Grandy NC (Street) NC 27939 County Currituck ■ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field • Remediation: (cm tsldle) (70 Contact Person: Rod Holley Telephone#: 252-232-6065 • Rotary Distributor • Land Application of Sludge Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4 • Water Source Heat Pump D Other: Infiltration(from Permit) SAMPLING INFORMATION FIELD ANALYSES: pH 00400: 6.6 units Temp. 00010: 18.2 °C If WELL WAS DRY at Limo of sampling, check here: WELL ID NUMBER (from Permit): MW12 Date sample collected: 12/6/21 Well Depth: 16 ft. Well Diameter: 3 in. le 17 Depth to Water Level 02546.10.8 ft. below INULiburirig poirit Screened Inter vol. 12 ft. Il. Speo. Cond. 00094. (Mhos Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 0oo85: None Volume of water pumped/bailed before sampling: 4.0 gallons Appearance Clear Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: 0 YES • NO LABORATORY INFORMATION Certification No. 94 Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead elos1 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N Dom 0.41 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Dissolved Solids:Total 70300 106 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 6.6 units Ba - Barium 01007 ug/L TOC 00650 4.4 mg/L Ca - Calcium 00916 mg/L Chloride 00940 11 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 uglL Chromium: Total 01034 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? 0 Yes (1) ❑ No (0) VOC 78732: , method # Phenol 3273o ug!L Fe - Iron o1045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug!L Specific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia o0610 <0.2 mg/L Mg - Magnesium 00927 mg/L , method # (Aminoriia Nitrogen, NH3as N, Ammonia Nitrogen, Total) Mn - Manganese 01055 ug1L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug1L , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/I. Effluent Total VOCs: mg/L VOC Removal% r r f molten ti to in t� t ru tt is hut), a ccuiar and co ti tutu aitt3 that the 1 buratoi :analytical data ward roduced.ut.in approved rnetliad>'uf.dnal ik by'a I;tiortdy llrai;'au tiro btrgt c f my legtwlcrd,in .ntcl t alurT,lltu lii ul &ubrt l d t t pU t . <� ... U I ... ! N < ... Y I? 41 uP.,.,, `1� DWQ-certified laboratory. I am ayraro that ltiore are slgniflcant penalties for submitting false Inrormotion, Including the possibility of fines and imprisonment for knowing violaltonar Rod Holley Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 2/2010 Signature of Permittee (or Author i d Agent) 1/28/22 (Date) SUBMIT FORM ON YELLOW PAPER ONLY Mail original GROUNDWATER QUALITY MONITORING: and 1 copy to COMPLIANCE REPORT FORM DEPARTMENT. OF ENVIRONMENT'8. NATURAL RESOURCES DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT 1617MAIL SERVICE CENTER, RALEIGH, NC 27699 1617. Phone:(919) 733;3221 FACILITY INFORMATION Pipast, Rini e•1r.Twly w Type PERMIT Number: W00023034 Expiration Dale: 2/28/23 racility Name: Watersido Villago€ WWTP Non Discharge UIC Permit Name (if different): NPDES Other _ Facility Address: 100 Pirate Quay TYPE OF PERMITTED OPERATION BEING MONITORED Grandy NC (Sheet) NC 27939 County Currituck ■ Lagoon • Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: (Lily) `slag) PP) Contact Person: Rod Holley Telephone#: 252-232-6065 ❑ Rotary Distributor • Land Application of Sludge • Water Source Heat Pump 0 Other: Infiltration Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4 {from Permit) SAMPLING INFORMATION FIELD ANALYSES: pH 00400: 7.0 units Temp. 00o10: 19.7 °C If WELL WAS DRY at timo of sampling, check WELL ID NUMBER (from Permit): MW13 Date sample collected: 12/6/21 Well Depth: 16 ft. Well Diameter: 3 in. Depth to Water Level 82546:10.0 ft. below measuring point Screened Interval 12 ft. to 17 ft. Spec. Cond. 00094: µ Mhos Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Clear here: Samples for metals were collected unfiltered: M YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Certification No. 94 Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00s20 1.77 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Dissolved Solids:Total 70300 103 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 7.0 units Ba - Barium 01007 ug/L TOC 006s0 1.1 mg/L Ca - Calcium 00910 mg/L Chloride 00940 5 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/I. . ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 ug1L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) • No (0) VOC 78732: , method # Specific Conductance moss [Mhos K - Potassium 00937 mg/L Total Ammonia 0os10 <0.2 mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 uglL , 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% I codify that, to tho bust of my knowledge and belief, the information subntittod in this report is true, accurate, and coniplolo, and that the laboratory analytical data was produced using approved methods of analysis by a DWc1-certified laboratory. I am award that there aro significant penalties for submitting false information, irioluding the possibility of fines and imprisonment for I nowing violations. Rod Holley Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 2/2010 ell Signature of Permitlee (or Auth/zed Agent) 1/28/22 (Date) SUBMIT FORM ON YELLOW PAPER ONLY Mail original GROUNDWATER QUALITY MONITORING: -and 1 copy to COMPLIANCE REPORT FORM DFPARTMFNTOF ENVIRONMENT & NATURAL. RESOURCES DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER,RALEIGH, NC 27699 1617 Phone: (919).723.3221 FACILITY INFORMATION Proatv Print Coady su Typt, PERMIT Number. WQ0023634 Expiration Date. 2/28/23 Fac:lllty Name: Waterside Villages WWTP Non-Dlscharge UIC Permit Name (if different): NPDES Other Facility Address: 100 Pirate Quay TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray field El Remediation: Grandy NC (sines) NC 27939 County Currituck (City) (Slate) (Zip) Contact Person: Rod Holley Telephone#: 252-232-6065 • Rotary Distributor • Land Application of Sludge Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4 • Water Source Heat Pump 0 Other: Inf itration (from Permit) SAMPLING INFORMATION FIELD ANALYSES: pH 00400: 6.5 units Temp. 00010: 18.4 °C If WELL WAS DRY at time of sampling, check WELL ID NUMBER (from Permit): MW14 Date sample collected: 12/6/21 Well Depth: 16 ft. Well Diameter: 3 in. to 17 De tll lU Water Level 82546.10.3 R. below me ieurin 12 ft. u y point Suruuriud Interval. R. Spou. Cond. 00094. [Mhos Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft, Odor 00085: None Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Clear here: Samples for metals were collected unfiltered: 0 YES 0 NO and field acidified: ■ YES • NO LABORATORY INFORMATION Certification No. 94 Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.04 mg/L Zn - Zinc o1os2 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.20 mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Dissolved Solids:Total 70300 256 mg/L Al - Aluminum o1105 mg/L pH (Lab) 00403 6.5 units Ba - Barium 01007 TOC 00680 2.3 mg/L Ca - Calcium 00916 ug/L mg/L Chloride 00940 26 mg/L Cd - Cadmium 01027 ug/L Arseriic 01002 uylL CIitulniuin. Total 61034 ug1L Grease and Oils 00562 mglL Cu - Copper o1042 mg/1 - ORGANICS: (by GC, GC/MS, HPL.C) (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 uglL Fe - Iron 01045 ug1L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? 0 Yes (1) • No (0) VOC 78732: . method # 'Specific Conductance 00095 iuMhos K - Potassium 00937 mg/L Total Ammonia o0s10 0.2 mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen; NH1as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug!L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L , method # For Retnediallon Systems Only (Attach 1 ab Reports)• influent Total VOfg• mg/1 Effluent Total V005- m f1/t VOC Removal% 'certify/that, to the boat of myknowlndgo and holiof, tho information submitlod in this roport fr true, aoeurato,.and complete, and That tho.laboratory anolytionl'dnta was prodcseod;tieing approved methods of anolyaio by a L)WQ-certified laboratory I am aware that there are significant penallies for submitting false information, including the possibility of fines: and imprisonment for knowing violations. Rod Holley Permittee (or Authorized Agent) Name and Title . Please print or type GW-59 Rev. 2/2010 1/28/22 Signature of Permittee (or Authorizgli Agent) (Date)