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Home My WebLink AboutWQ0000165_Monitoring - 11-2022_20230104GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name:_ Permit Name (if Contact Person: I LC4 1 a Well Location/ Site Name: SUBMIT FORM ON ELL W PAPER ONLY Please Print Clearly or Type County k— C] C:W - Telephone #:,tt .-I No. of Wells to be Sampled: Well Identification Number (from Permit): For Groundwater Treatment Systems Well Depth: ) " ft. Well Diameter, in. Check One: ❑ Influent (98) Screened Interval: ft. to tL ❑ Effluent (99) Depth to Water Level:ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in fL: Gallons of water purnpFd/baited before sampling: Date sample collected: Field analysis: pH w , Specific Conductance uMhos Temp. —°C, Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION. GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non -Discharge's j- +) � UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Rernedalion: Infiltration Gallery Spray Field Retrtediatlon VFlotary Distributor land Application of Sludge Km NOTE, Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: p Laboratory Name: Certification No. „ KI A A ones PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Coliform: MF Total /100ml Phosphorus: Total as P 1") - l L mg/I (Note: Use MPH method for highly turbid samples) Orthophosphate mgA mg/I Dissolved Solids: Total t�C�-- mg/l Al - Aluminum pH (when analyzed) units Ba - Barium mgn TOC mg/I Ca - Calcium mg/I Chloride mg/l Cd - Cadmium mgn Arsenic mg/l Chromium: Total man —YES NO) Ni - Nickel Pb - Lead mgn Zn - Zinc - mg/l Ammonia Nitrogen 0 L mg/I Other (Specify Compounds and Concentration Units) Grease and Oils mg/l Cu - Copper mg/I ORGANICS: PLC) Phenol mg/I Fe - Iron mgn ( , Sulfate mgn Hg - Mercury mg/1 (Specify test and method #. Attoch lab report.) Specific Conductance uMhos K - Potassium mg/I mg/I Report Attached? Yes (1) No (0) VOC : method # _ LQ l Total Ammonia mgn Mg - Magnesium TKN as N mg/I Mn - Manganese mg/I : method # = : method # = EiT 04fe--1rlrlt1 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM F 4C� INFORMATION Please Print Clearly or Type Facility Name: !� ,(\Cy \s ' V 0, Permit Name (if different Fa #ity Address: �t County Contact t Person2- ^ Ct"k-D-C � I Telephone C. —7 Z -,L\ Well Location/ Site Name: No. of Wells to p be Sam led: 564,11. Well Identification Number (from Permit): For GrowdrraterTmgment Systems Well Depth: y ft. Well Diameter �_ in. Meek One: ❑ Influent (98) Screened Interval: It. to ft. ❑ Effluent (99) Depth to Water Level: ' 3 it. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ff.: Gallons of water pumped/bailed before sampling: �, U Date sample collected: "' e Field analysis: pH z `� , Specific Conductance uMhos Temp. °C, Odor Appearance DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES WATER DUALITY DIVISION, GROUNDWATER SECTION 1638 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non -Discharges l\ UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedation: Infiltration Gallery Spray Feld Remediallon: L-Rotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: - Certification No. kC) PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/l Nitrite (NO2) as N mg/l Coliform: MF Fecal /100ml Nitrate (NO3) as N QL_ mg/I Coliform: MF Total /100ml Phosphorus: Total as P Z 1 °-t i mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mgA Dissolved Solids: Total mg/I AI - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/1 TOC - mg/l Ca - Calcium mg/I Chloride mg/l Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I YES NO) Ni - Nickel mg/l Pb - Lead mg/l Zn - Zinc mg/I Ammonia Nitrogen 0 • mg/1 Other (Specify Compounds and Concentration Units) Phenol mg/l Fe - Iron mg/I ORGANICS: (GC,GCIMS,HPLC) Sulfate mg/I Hg - Mercury mg/l (Specify test and method #. Attach lab report.) Specific Conductance uMhos K - Potassium mg/1 Report Attached? Yes 1�j1) No (0) Total Ammonia mg/I Mg - Magnesium mgA VOC : method # _ n c> > c_ TKN as N mg/1 Mn - Manganese mg/I : method # : method # ; nuv. varcuvu SUBMIT FORM ON YELL W PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATIQN Please Print Clearly or Type Facility Name:- n�k \` Permit Name (if different): Well Location/ Site Name: County t—,rx �_'k r-'_� Telephone #: � S l --I 'S No. of Wells to be Sampled:; Well Identification Nufnber (from Permit): 7 For GrawxWAw Tteatmet# System Well Depth: P; 14 ft. Well Diameter. �_ in. Check one: ❑ Influent (98) Screened Interval: fL to fL ❑ Effluent (99) Depth to Water Level: -Ll 'S ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in fL: Gallons of water pu ed before sampling: J . 3 Date sample collected: Field analysis: pH � , Specific Conductance uMhos Temp. �—'C, Odor Appearance DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non-Discharye,&I�l 1 UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Remedfa6on: j ►Rotary Distribute land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: LaboratoryName:�c- Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/l Nitrite (NO2) as N — mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N + mg/I Coliform: MF Total /100ml Phosphors: Total as P e mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/l Dissolved Solids: Total lS C) mg/l Al - Aluminum mg/i pH (when analyzed) units Ba - Barium mg/1 TOC _ 4, mg/l Ca - Calclum mg/I Chloride )5 mg/I Cd - Cadmium mg/I Arsenic mg/l Chromium: Total mg/l Grease and Oils mg/I Cu - Copper mgA YES NO) Ni - Nickel mg/l Pb Lead mg/{ Zn - Zinc mg/I Ammonia Nitrogen mg/1 Other (Specify Compounds and Concentration Units) Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC) Sulfate mg/I Hg - Mercury mg/I (Specify test and method #. Attach lab report.) Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes � (1) No (0) Total Ammonia mg/I Mg - Magnesium mg/I VOC : method # = ( c- t < TKN as N mg/l Mn - Manganese mg/I method # = method # A- r-t,C--- GW-59 Rev. 0312000 or" Z7/,?�' SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name:. S � CSC \) l 0- Permit Name (if different : Well Location/ Site Name: County ( - C-1 C aazl- Telephone #: �5: 1 --1.L'S No. of Wells to be Sampled:; Well Identification Number (from Permit): For Groundwater Treatment Systems Well Depth: ft. Well Diameter: in. Chink One: ❑ influent (98) Screened interval: ft. to ft. ❑ Effluent (99) Depth to Water Level:_f 0-1 '4 ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in It.: Gallons of water pumpg12 i fled before sampling: E Date sample collected: Field analysis: pH ` , Specific Conductance uMhos Temp. °C, Odor Appearance DEPARTMENT OF ENVMONMENT & NATURAL RESOURCES WATER QUALITY DIVISIDN, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non -Discharge►„ L UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediiation: Infiltration Gallery Spray Field Remediallon: L�Aotary Distributor land Application of Sludge Other. NOTE: Values should reflect dissolved and. colloidal concentrations. Date sample analyzed: Laboratory Name: T n k j, crr�,k�-, (� r, c+ Certification No. 1c�) PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/l Nitrite (NO2) as N _ mgA Coliform: MF Fecal 1 /100ml Nitrate (NO3) as N 7 mg/I Coliform: MF Total /100m1 Phosphorus: Total as P _ I mg/I (Note: Use MPH method for highly turbid samples) Orthophosphate mg/l Dissolved Solids: Total i o i-� mg/I AI - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/l TOC _ �: Z mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I YES NO) Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/l Ammonia Nitrogen mgn Other (Specify Compounds and Concentration Units) Phenol mg/I Fe - Iron mg/l ORGANICS: (GC,GC/MS,HPLC) Sulfate Specific Conductance mg/I uMhos Hg - Mercury K - Potassium mg/l mg/I (Specify test and method #. Attach lab report.) Report Attached? Yes —'---(I) No (0) Total Ammonia mg/l Mg - Magnesium mg/l VOC : method # = C.P ZA�,O C_— TKN as N mg/I Mn - Manganese mg/I : method # = : method # GW-59 Rev. 0312000 Z L