4101_HighPointRiverdale_LFG_Q4MonitoringRpt_20171220

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

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&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
Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid, IGN, IGP, swisstopo, and the GIS User Community
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300 0 300150Feet
&3 LFG Probes
H:\Projects\High Point (NC)\HPOINT-10-2 (LFG Training)\GIS\High_Point GP.mxdDRAWN:APPROVED:SCALE:FIGURE NO.:FILENAME:PROJECT NO.:DATE:D.M.M.J.A.S.1AS SHOWNDEC. 2010HPOINT 10-2High_Point GPLFG MONITORING PROBES LOCATIONCLOSED RIVERDALE LANDFILLCITY OF HIGH POINT,NORTH CAROLINA