NC0006351_Compliance Report Form_20230123

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
and 1 co to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM PY 1617 MAIL SERVICE CENTER,RALEIGH,NC 276 9 9-1 61 7 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date:
Facility Name: Venator Chemicals LLC Non-Discharge UIC
Permit Name(if different): NPDES NC0006351 Other
Facility Address: Harrisburg, NC 28075 TYPE OF PERMITTED OPERATION BEING MONITORED
Harrisburg, NC 28075 """"'
County Cabarrus ❑■ Lagoon ❑Remediation:Infiltration Gallery
;s-,::; rziv;
❑ Spray Field ❑Remediation:
Contact Person: Gerri Bowman Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: ❑ Water Source Heat Pump ❑Other
(from Permit)
SAMPLING INFORMATION �q,Y If WELL
WELL ID NUMBER(from Permit): M W`—II Date sample collected: Ohl I 2.02.2— FIELD ANALYSES: WAS
Well Depth: ft. Well Diameter: in. pH 00400: 6•(,01 units Temp.00010: 18.t4 °C DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to _ft. Spec.Cond.00094: (2(g,4 µMhos time of
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered:X YES ❑ NO and field acidified: V YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N o0615 mg/L Pb-Lead o1051 G 1.0 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N oos' 4.6
_mg/L Zn-Zinc 01092 Q o it/C, mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P oosss mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11os mg/L 00 I-Z -a.5/-Q_,
pH (Lab)00403 _units Ba-Barium 01007 .2 1 ,3 ug/L Ivo_ 7 ?1O JL y. L�
TOC 00680 mg/L Ca-Calcium 00916 /1 5 mg/L 'TetY. f tkr0 e rn&G L I-0 /L
Chloride 00940 S. 1 mg/L Cd-Cadmium 01027 L 0,2J0 ug/L i I ZI tf Titchio c ht°.I�ra?.. 4- I -o `1,A-1(/L
Arsenic 01002 4I .0 ug/L Chromium:Total 01034 1, 9 ug/L J
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 .iMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia o0610 mg/L Mg-Magnesium 00927 //,3 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Man anese 01055
9 25-: ( 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 Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
-CT if)nq S /I q N5 niC(. OE / /?/Z�iZ3
Permittee(or Authorized Agent)Name and Title- se print or type Signa.re of Permittee(or Authorized Agent) / (Date)
GW-59 Rev.3-1-2016
_ _ 1

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
COMPLIANCE REPORT FORM and 1 copy to: INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:
Expiration Date:
Facility Name: Venator Chemicals LLC Non-Discharge UIC
Permit Name(if different): NPDES NC0006351 Other
Facility Address. Harrisburg,NC 28075 TYPE OF PERMITTED OPERATION BEING MONITORED
Harrisburg,NC 28075 I""ri'
County Cabarrus 0 Lagoon ❑Remediation: Infiltration Gallery
(city) (Stoic) (Zip)
❑ Spray Field ❑Remediation:
Contact Person: Gerri Bowman Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION ,Q3Q If WELL
WELL ID NUMBER(from Permit): Al W� "Qti Date sample collected: (0/II I Z.0 2 — FIELD ANALYSES: P. WAS
Well Depth: ft. Well Diameter: in. pH 00400: bill units Temp.0o010: P.j °C DRY at
Depth to Water Level 82546: ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: /,S�Dp µMhos time of
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling,
check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered:14 YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 Z.
(,O ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N o0620 3/A mg/L Zn-Zinc 01092 35 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11o5 mg/L Po Nth
pH(Lab)00403 units Ba-Barium 01007 360 ug/L /J /82- 4)40
TOC 00680 mg/L Ca-Calcium oos1s Lao mg/L t /
Chloride 00940 mg/L Cd-Cadmium 01027 0.5+ ug/L /Z. -17 e1•t ti..1 01 cn .— L I r)
Arsenic o1002 1../ .0 ug/L Chromium:Total 01034 L 1.0 ug/L J/
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron 01oa5 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 000ss µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 it 9- mg/L , method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese 0105s
3 y,• Z U g/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 Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
r/)//A 5 ki/1 gd3 f� /l j? zGz3
Permittee(or Authorized Agent)Name and Title-Pleasjror type !gnat e of Permittee(or Authorized (Date)
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
and 1 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date:
Facility Name: Venator Chemicals LLC Non-Discharge UIC
Permit Name(if different): NPDES NC0006351 Other
Facility Address: Harrisburg,NC 28075 TYPE OF PERMITTED OPERATION BEING MONITORED
Harrisburg, NC 28075 ` " ti
cly) County Cabarrus ❑� Lagoon ❑Remediation: Infiltration Gallery
(Sin)c; (Zip)
❑ Spray Field ❑Remediation:
Contact Person: Gerri Bowman Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: ❑ Water Source Heat Pump ❑Other
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MWl—05 Date sample collected: FIELD ANtf LY S: WAS
Well Depth: ft. Well Diameter: in. pH 00400: ' _units Temp.0001o: pf,l °C DRY at
Depth to Water Level 82546: ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: 44/0 µMhos time of
sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered:'YES ❑ NO and field acidified: I YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N o0s15 mg/L Pb-Lead o1os1 L I.0 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N oos2o O.£7,2 mg/L Zn-Zinc 01092 209 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 0osss mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11os mg/L CO 2-3 us/e„
pH(Lab)00403 units Ba-Barium 01007 eq.A ug/L Akt— ,25a 000 ,j </-e
TOC 00680 mg/L Ca-Calcium o0s1s ,5(p(p mg/L Pee- 7 JJ
Ll.l1i�
Chloride 00940 L?�0 mg/L Cd-Cadmium 01027 L G,�U ug/L / a 4-T/!ehlOIOhe✓)- is L/ 0 J_Q_,
Arsenic D1o02 41.0 ug/L Chromium:Total 01034
/-Q 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 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium o0937 mg/L VOC 7873 ,method#
Total Ammonia Dom mg/L Mg-Magnesium 00927 48,-, Li? mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) _
Mn-Manganese 01055 f 5 Li 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 Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratoryy. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
/Yn't 3c,,i `// I i -9- z,
Permittee(or Authorized Agent)Name and Title-Please print or type igna . e Cif Permittee or Authorized Agent) (Date)
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OFWATERRESOURCES
and I co to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date:
Facility Name: Venator Chemicals LLC Non-Discharge UIC
Permit Name(if different): NPDES NC0006351 Other
Facility Address: Harrisburg,NC 28075 TYPE OF PERMITTED OPERATION BEING MONITORED
Harrisburg, NC 28075 (st"`'
County Cabarrus ❑U Lagoon
;ciry) (s;aie, (zip) ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Gerri Bowman Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER(from Permit): mttJ-Q( Date sample collected: FIELD ANALYSES: WAS
Well Depth: ft. Well Diameter: in. pH 00400:5.4 units Temp.00010: 2J °C DRY at
Depth to Water Level 82546: ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: Z{L f30 µMhos time of
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: sampling,
check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 0/II J Lb 23 Laboratory Name: Certification No.
PARAMETERS NOTE:Values shout reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N o0615 mg/L Pb-Lead o1051 u9/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N o062o mg/L Zn-Zinc o1o92 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o1105 mg/L LQ /6)./ -l(y/e--
pH(Lab)00403 units Ba-Barium 01007 04(9 ug/L NG.
IeZi �r ,US/Q-
TOC 00680 mg/L Ca-Calcium 00916 'j ZGj mg/L PCE 5- 2 ,ttC/-L
Chloride 00940 g1,1 mg/L Cd-Cadmium 01027 Z.Q,10 ug/L i Z t -i/iihb1ci , Wye. L i.0 S Le,Arsenic D1oo2 L 1.0 ug/L Chromium:Total 01034 ug/L i / J
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia o0610 mg/L Mg-Magnesium 00927 la(0 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen.Total)
Mn-Manganese 01055 66 L' 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 Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
r1✓lc( 516 A T 115 r V � 11 17-/Z3
(or Authorized Agent)Name and Title- ase print or type iture of Permr:::-
Perrnittee rized Agent) / ( ate)
GW-59 Rev.3-1-2016