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Home My WebLink AboutWQ0007569_Monitoring - 03-2020_20200511GW-59A COMPLIANCE REPORT FORM Permit # WQ0007569 (.Submil (11rE' eurk monitoring period with GII -59 f nrmj I Enter date monitoring results were due. ( March ) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? X 2 Was any required information missing on the COY-59 report forms? YES NO IF the answer to question 1 or 2 is "YES" list in the space provided below the well identification number(s) and x explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged castbnik unlocked or missing cap, missing YES NO identification plate, area overgrown, etc.)? Ifthe answer is -)es", contact the eg l Qfce•forguidance. 4 "'� < Are any monitored constituents equal to or above the established standards? l ES X NO - X If 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 constituent( and,rbncentration(s) exceeding standards in the space provided below: - r-+ n M See Attachmento0 Q 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same well(s) in the last two years? X If the answer to question 5 is NO", skip to section 8. If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentrations) reported, and sample collection date for each occurrence (for the last two years). See Attachment 6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO x If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE 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 YES NO groundwater quality problem? x If the answer to question 7 is "YES", describe those actions in the space provided below. If the answer to question 7 is "NO", contact the Regional Office within 90 days • an evaluation may be reauired to determine the impact the waste disposal system is haven i at the review and compliance boundaries surrounding this facility Failure to do so may subiect the permittee to a Notice of Violation fines, and/or penalties. g The person completing this portion (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 hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is true and complete to the best of my knowledge. 2d' Signature of Permittee (or Authorized Agent) Date (AV-59A 12/8/21H)3 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM , _nmm 11 W R --ab-e r-nnr u earry or i ype Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (street) NC 28557 (city) County Carteret (State) (Zip) 'ontact Person: Stacy A Goff Telephone#: 252-808-5955 Nell Location/Site Name: WWTP No. of wells to be sampled: 6 (DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-8221 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery WN Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MW-2 Date sample collected: 3/23/20 Well Depth: 20 ff. Well Diameter: 2 in. Depth to Water Level 82546: 5.19 ft. below measuring point Screened Interval: 5 ft. to 20 ft. Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 2.5 gallons Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:3/23/20 to 3/30/20 Laboratory Name: Environmental Chemist PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Coliform: MF Fecal 31616 �1 /100mL Nitrate (NO3) as N 00620 <0.04 mg/L Coliform: MF Total 31504 (Note: use MPN /100ml- Phosphorus: Total as P 00665 .05 mg/L method for highly turbid samples) Orthophosphate 70507 mg/L lissolved Solids:Total 703oo 377 mg/L All - Aluminum oil o5 mg/L PH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 38.44 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 29 mg/L Coll - Cadmium 01027 ug/L Arsenic oloo2 ug/L Chromium: Total olo34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 m /L g Phenol 32730 ug/L Fe -Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 u /L g oecif(c Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia ooslo .33 (Ammonia Nitrogen; mg/L Mg - Magnesium 00927 mg/L NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: FIELD ANALYSES: PH 00400: 7 units Spec. Cond. 00094: Odor 00085: None Appearance clear Pb - Lead olo51 Zn - Zinc 01092 Temp. 000lo: 17 °C uMhos Certification No. 94 ug/L mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method A ATTACH LAB REPORT.) Lab Report Attached? X Yes (1) ❑ No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs: VOC Removal% Dana Hill, Regional Manager Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.2/2010 Signature of Permittee (or Authorized Agent) (Date) WAS DRY at time of sampling, SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM .�. u�rvR117H11V1V creaser-nnrcaearly Or Type Facility Name: Brandywine Bay WIMP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (street) NC 28557 _ County Carteret (cit9) act Person: Stacy A Goff Telephone#: 252-808-5955 Location/Site Name: WWTP No. of wells to be sampled: 6 L ID NUMBER (from Permit): MW-4 Depth: 20 ft. i to Water Level 82546:5.1 ft. below measuring point uring Point is 1.5 ft. above land surface ne of water pumped/bailed before sampling: 2.5 gallon des for metals were collected unfiltered: ❑ YES 0 NO Date sample collected: 3/23/20 Well Diameter: 2 in. Screened Interval: 5 ft. to 20 ft. Relative M.P. Elevation: ft. and field acidified: ❑ YES 0 NO Date sample analyzed:3/23/20 to 3/30/20 PARAMETERS Laboratory Name: Environmental Chemist NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.04 Coliform: MF Total 31504 (Note: use MPN /100mL Phosphorus: Total as P 00665 .07 mg/L mg/L method for highly turbid samples) Orthophosphate 70507 mg/L iissolved Solids:Total 703oo 778 mg/L Al -Aluminum o11os PH (Lab) 00403 units Ba - Barium 01007 mg/L ug/L TOC oosso 28.2 mg/L Ca - Calcium oo916 mg/L Chloride 0094o 300 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01o34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L )ecific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia oosso 7.56 (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) mg/L Mg - Magnesium 00927 mg/L Mn -Manganese 000ss ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L WARTMENT OF ENVIRONMENT & NATURAL RESOURCES VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (910) 733-3221 °RMIT Number: Expiration Date: 1-31-2017 m-Discharge W00007569 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery N Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: PH 00400: 7. units Spec. Cond. 00094: Odor 00085: None Appearance Clear Temp. 000lo: 19 °C µMhos Certification No. 94 Pb - Lead o1os1 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? RE Yes (1) ❑ No (0) VOC 78732: method # method # method # method # Effluent Total VOCs: VOC Removal% Dana Hill, Regional Manager t Permittee (or Authorized Agent) Name and Title -Please print or typeZ GW-59 Rev.2/2010 ge Signature of Permittee (or Authorized Ant) (Date) WAS DRY at time of sampling, check here:❑ SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Type Facility Name: Brandywine Bay WMP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (Street) NC 28557 (city) (State) (Zip) County Carteret ,ontact Person: Stacy A Goff Telephone#: 252-808-5955 Nell Location/Site Name: V WTP No. of wells to be sampled: 6 L ID NUMBER (from Permit): MW-5 Depth: 20 ft. 1 to Water Level 82546: 3.68 ft. below measuring point uring Point is 1.5 ft. above land surface ne of water pumped/bailed before sampling: 4 gallon Iles for metals were collected unfiltered: ❑YES ® NO !DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge W00007569 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑■ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: Date sample collected: 3/23/20 Well Diameter: 2 in. Screened Interval: 5 ft. to 20 ft. Relative M.P. Elevation: ft. and field acidified: ❑ YES ® NO ate sample analyzed:3/23/20 to 3/30/20 Laboratory Name: Environmental Chemist kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L ColIform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <,04 m9 /L Coliform: MF Total 31504 Use MPN /100mL Phosphorus: Total as P 00665 .11 mg/L (Note: method for highly turbid samples) Orthophosphate 70507 mg/L solved Solids:Total 703oo 549 mg/L Al -Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 15.26 mg/L Ca - Calcium 00916 mg/L Chloride 00940 121 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total olo34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L icific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia oo610 .72 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn -Manganese o1055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: FIELD ANALYSES: pH 00400: 7.2 units Spec. Cond. 00094: Odor 00085: none Appearance clear Temp. 000lo: 18 °C uMhos Certification No. 94 Pb - Lead o1o51 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? N Yes (1) ❑ No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs: VOC Removal% Dana Hill, Regional Manager ,—:>_ J / Permittee (or Authorized Agent) Name and Title - Please print or type y e i' L GW-59 Rev.2/2010 Signature of Permlttee (or Authorized Agent) (Date) If DRY at time of sampling, 07 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM �u�rvra�IN t IVIV rtvdw r-nnr aeaay or Type Facility Name: Brandywine Bay WMP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (Street) NC 28557 (city) County Carteret (State) RiP) act Person: Stacy A Goff Telephone#: 252-808-5955 Location/Site Name: WNTP No. of wells to be sampled: 6 LL ID NUMBER (from Permit): MW-8 I Depth: 20 ft. th to Water Level 82546:5.09 ft. below measuring point isuring Point is 1.5 ft. above land surface Ime of water pumped/bailed before sampling: 3 gallon Iples for metals were collected unfiltered: ❑ YES © NO Date sample collected: 3/23/20 Well Diameter: 2 in. Screened Interval: 5 ft. to 20 ft. Relative M.P. Elevation: ft. and field acidified: ❑ YES ■❑ NO Date sample analyzed:3/23/20 to 3/30/20 Laboratory Name: Environmental Chemist PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Coliform: MF Fecal 31616 < 1 /100mL Nitrate (NO3) as N 00620 <0.04 Coliform: MF Total 31504 (Note: Use MPN /100ml- Phosphorus: Total as P 00665 .14 mg/L mg/L method for highly turbid samples) Orthophosphate 70507 mg/L issolved Solids:Total 703oo 608 mg/L All -Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 32.72 mg/L Ca - Calcium 00916 mg/L Chloride 00940 167 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils oo552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 u /L g )ecific Conductance 00095 µMhos K - Potassium 00937 Total Ammonia 00610 346 (Ammonia Nitrogen; mg/L Mg - Magnesium 00927 mg/L mg/L NH3 as N; Ammonia Nitrogen, Total) Mn -Manganese o1055 ug/L TKN as N oo625 mg/L Ni - Nickel 01067 ua/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: IP-PARTMENT OF ENVIRONMENT & NATURAL RESOURCES HVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 tERMIT Number: Expiration Date: 1-31-2017 Ion -Discharge WQ0007569 UIC IPDES Other YPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑■ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: pH 00400: 6.9 units Spec. Cond. 00094: Odor 00085: none Appearance clear Temp. 000lo: 17 °C itime DRY at µMhos of Certification No. 94 Pb - Lead o1051 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? FNIJ Yes (1) ❑ No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs: Dana Hill, Regional Manager Permittee (or Authorized Agent) Name and Title - Please print or type �1 y s a GW-59 Rev.2/2010 Signature of Permittee (or Authorized Agent) (Date) check here: El SUBMIT FORM ON YELLOW PAPER ONLY DWATER QUALITY MONITORING: IANCE REPORT FORM _a 1 I r nvrUMMA I IUN -ease rnnt cleady or Type Facility Name: Brandywine Bay WVAP Permit Name (if different): 'acility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (Street) NC 28557 (City) County Carteret (State) (Zip) ;ontact Person: Stacy A Goff Telephone#: 252-808-5955 Nell Location/Site Name: WWTP No. of wells to be sampled: 6 WELL ID NUMBER (from Permit): MW-9 Date sample collected: 3/23/20 Well Depth: 21.18 ft. Well Diameter: 2 in. Depth to Water Level 82546:4.44 ft. below measuring point Screened Interval: 5 ft. to 21.18 ft. Measuring Point is 1•5 ft. above land surface Relative M.P. Elevation: ft Volume of water pumped/bailed before sampling: 3 gallons Samples for metals were collected unfiltered: LABORATORY INFORMATION ❑ YES NO and field acidified: ❑ YES ©NO Date sample analyzed:3/11/19 to 3/27/19 Laboratory Name: Environmental Chemist PARAMETERS NOTE: Values should reflect dissolved and colloidal COD 00335 concentrations. Coliform: MF Fecal 31616 < 1 mg/L Nitrite (NO2) as N oo615 mg/L /100mL Nitrate (NO3) as N 00620 <0,04 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 (Note: Use MPN method for highly turbid samples) .06 mg/L issolved Solids:Total 703oo 83 mg/L Orthophosphate 70507 All mg/L - Aluminum o11o5 mg/L PH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 8.35 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 26 mg/L Cd - Cadmium olo27 ug/L Arsenic 01002 ug/L Chromium: Total olo34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate oo945 mg/L H g -Mercury 71soo ug/L pecific Conductance 000ss µMhos K - Potassium 00937 Total Ammonia ooslo .48 mg/L Mg -Magnesium 00927 mg/L (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) mg/L Mn -Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports) Dana Hill, Regional Manager Pernnittee (or,: I i i i i 1;,: gent) Name and Title - Please print or type GW-59 Rev.212010 Influent Total VOCs: )EPARTMENT OF ENVIRONMENT& NATURAL RESOURCES HVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 7333221 IERMIT Number: Expiration Date: 1-31-2017 Ion -Discharge WQ0007569 UIC IPDES Other YPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: PH 00400: 5.5 units Spec. Cond. 00094: Odor 00085: none Appearance clear If WELL WAS Temp. 000lo: 15 °C DRY at uMhos time of Certification No. 94 Pb - Lead o1o51 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC). (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? N Yes (1) ❑ No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs: check here: El VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY UNDWATER QUALITY MONITORING: PLIANCE REPORT FORM n.ryrcmA r wry riease rnnr clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City (street) NC (city) 28557 County Carteret act Person: Stacy A Goff Telephone#: 252-808-5955 Location/Site Name: WWTP No. of wells to be sampled: 6 DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 7333221 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery IN Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MW-10 Date sample collected: 3/23/20 Well Depth: 26.81 ft. Well Diameter: 2 in. Depth to Water Level 82546:4.67 ft. below measuring point Screened Interval: 5 ft. to 26.81 ft. Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 3.5 gallons Samples for metals were collected unfiltered: ❑ YES 0 NO and field acidified: ❑ YES K NO ABORATORY INFORMATION )ate sample analyzed:3/23/20 to 3/30/20 Laboratory Name: Environmental Chemist 'ARAMETERS NOTE: Values should reflect dissolved and colloidal COD 00335 mg/L concentrations. Nitrite (NO2) as N oo615 Coliform: MF Fecal 31616 1 /100mL Nitrate (NO3) as N 00620 <0.04 mg/L Coliform: MF Total 31504 (Note: Use MPN /100mL Phosphorus: Total as P 00665 <.04 mg/L mg/L method for highly turbid samples) Orthophosphate 70507 mg/L ssolved Solids:Total 703oo 200 mg/L AI -Aluminum o11o5 mg/L PH (Lab) 00403 units Ba -Barium o1007 ug/L TOC 0068o 2.33 mg/L Ca - Calcium 00916 mg/L Chloride oos4o 68 mg/L Cd - Cadmium o1o27 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 m /L g Phenol 32730 ug/L Fe -Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 u /L g tecific Conductance 00095 µMhos K - Potassium oo937 mg/L Total Ammonia ooslo <.04 (Ammonia Nitrogen; NHAmmonia ;as N; Aonia Nitrogen, Total) mg/L Mg - Magnesium 00927 mg/L Mn - Manganese 01055 ug/L TKN as N oos25 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports) Influent Total VOCs: FIELD ANALYSES: PH 00400: 4.8 units Spec. Cond. 00094: Odor 00085: none Appearance Clear WAS Temp. 000lo: 15 °C DRY at µMhos time of sampling, check here: ❑ Certification No. 94 Pb - Lead o1o51 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? IN Yes (1) ❑ No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs: Dana Hill, Regional Manager— Permittee (or Authorized Agent) Name and Title - Please print or type - 2d 2 Signature of permmttee (or Authorized Agent) ' (Da GW-59 Rev.212010