4101_HighPointRiverdale_LFG_Q3MonitoringRpt_20170928

NC Division of Waste Management - Solid Waste Section
Landfill Gas Monitoring Data Form

Notice: This form and any information attached to it are "Public Records" as defined in NC General Statute 132-1. As such, these documents are available for inspection and
examination by any person upon request (NC General Statute 132-6).

Facility Name: ______________________________________________ Permit Number: ____________________________
Date of Sampling: ___________________ NC Landfill Rule (.0500 or .1600): _____________________________________
Name and Position of Sample Collector: _________________________________________
Type and Serial Number of Gas Meter: _______________________________ Calibration Date of Gas Meter: ___________
Date and Time of Field Calibration: _____________________
Type of Field Calibration Gas (15/15 or 35/50): ____________ Expiration Date of Field Calibration Gas Canister: ________
Pump Rate of Gas Meter: _____________
Ambient Air Temperature: __________ Barometric Pressure: ______________ General Weather Conditions: _____________

Instructions: Under “Location or LFG Well” identify the monitoring wells or describe the location for other tests (e.g., inside buildings). A drawing showing the location of test
must be attached. Report methane readings in both % LEL and % methane by volume. A reading in percent methane by volume can be converted to % LEL as follows: % methane
by volume = % LEL/20

If your facility has more gas monitoring locations than there is room on this form, please attach additional sheets listing the same
information as contained on this form.
Certification To the best of my knowledge, the information reported and statements made on this data submittal and attachments are true and correct. I am aware that
there are significant penalties for making any false statement, representation, or certification including the possibility of a fine and imprisonment.
__________________________________ ________________________
SIGNATURE TITLE

&3
&3
&3
&3&3
&3 &3 &3 &3 &3 &3 &3 &3
&3
&3&3
&3
&3
&3&3
&3
8B8A
1-1
9-1
8-5
8-4
8-3
8-2
8-17-47-3
7-27-1
LFG-3
LFG-4
LFG-5
LFG-6
LFG-9
LFG-8
LFG-7
LFG-10
F
LFG MONITORING PROBE LOCATIONSCLOSED RIVERDALE LANDFILLNORTH CAROLINACITY OF HIGH POINT,D.M.M.1AS SHOWNJ.A.S.DEC. 2010HPOINT 10-2H:\Projects\High Point (NC)\HPOINT-10-2\GIS\High_Point GP.mxd 12/21/2010 11:30:30 AM300 0 300150Feet
&3 LFG Probes