WQ0023310_Monitoring - 02-2020_20200306

Rl IRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV„OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCE$SINO UNIT
COMPLIANCE REPORT FORM
1017 MAI4 6ERVICE CENTER, RALEIOH, INC 27699.1617 Phone: [phone]
FACILITY INFORMATION%� Please Print Clearl�or{Tpe,�
PERMIT Number: Q 316xpiration Date:
Facility Name: l/'\J QCS�(� (S �l1 �2
i w �l l�
Non -Discharge UIC
Permit Name (if different :
NPDES Other
n
Facilit Address: W 9
C
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
9
(Street) Count
('S Q,U.� C. � Y �� t�
(city) (State) (zip)
l
❑ Spray Field ❑ Remediation:
'T "�M\(�---Telephone4�\13-9(12—S33Cj
El Rotary or ❑ RDistributor Land Application of Sludge
Contact Person:
Well Location/Site Name: M
No. of wells to be sampled:
ElWater Source Heat Pump Other: (� WCA 111,
(from Permit)SAMPLING
INFORMATION
Permit): $
Date sample collected: a'� Iq a� FIELD ANALYSES:
If WELL
WAS
WELL ID NUMBER (from
°C
DRY at
Well Depth: ft.
Well Diameter: in.
pH 00400: units Temp. 000lo:
time ofsam
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094: µMhos
sampling,
g,
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: ❑ YES ❑ NO
LABORATORY INFORMATION
1
Date sample analyzed: — a,D
Laboratory Name: \1�C-o ('Q'('�
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 ug/L
Coliform: MF Fecal 31616 y p V /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 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):
issolved Solids:Total 70300 �3 mg/L
Al -Aluminum olim
mg h ; '?�#'
pH (Lab) 00403 units
Ba - Barium 01007
ug/ d
TOC oomo mg/L
Ca - Calcium 00916
mgll, � t ' (.t J
Chloride 00940 mg/L
Cd - Cadmium 01027 t
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L OWO,°r ;N-
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 00937
mg/L VOC 7873 method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
GW-59 Rev.05-02-2017