WQ0024003_Monitoring - 03-2020_20200501

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -I- of
Permit No.: WQ0024003
Facility Name: Harvey Point Defense Facility
County: Perquimans
Month: March
Year: 2020
PPI: 001
Flow Measuring Point: ❑ influent ❑✓ Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent ❑✓ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -p�
50050
00310
00940
31616
00610
00620
00400
00665
70295
00530
00600
00625
00630
0Q`
E
~
O
c
O
E
H to
o
m
o
U
E
i
�w
6
o
E
z
O
z
LL
?
o
ui a
U)
5
cD-rn
m
ao
Fo
Cn to
1
._
z
�
rn
YO
-
+
m
z
zO
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
su
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
7,671
2
07:30
4
9,508
7.2
3
07:30
4
11,238
7.26
4
07:30
4
10,362
7.46
5
07:30
4
8,938
7.21
6
07:30
4
7,333
7.21
7
7,333
8
7,333
9
07:30
4
7,644
7.32
10
07:30
4
10,430
7.38
11
07:30
4
8,300
7.27
12
07:30
4
8,630
7.3
13
07:30
4
5,555
2
8
<0.2
38.1
7.31
2.82
<2.5
38.1
<0.5
38.1
14
5,555
15
5,555
161
07:30
4
5,834
7.48
17
07:30
4
8,258
7.33
18
07:30
4
5,772
7.46
19
07:30
4
4,034
7.42
20
07:30
4
3,803
7.24
21
3,803
22
3,803
23
07:30
4
11,202
7.36
24
07:30
4
18,858
7.5
25
07:30
4
12,971
7.51
26
07:30
4
5,053
7.4
271
07:30
4
4,742
7.38
28
4,742
29
4,742
30
07:30
4
5,608
7.15
31
07:30
4
17,910
7.21
Average:
7,823
2.00
8.00
0.00
38.10
1
2.82
1
0.00
38.10
0.00
38.10
Daily Maximum:
18,858
2.00
8.00
0.20
38.10
7.51
2.82
2.50
38.10
0.50
38.10
Daily Minimum:
3,803
2.00
8.00
0.20
38.10
7.15
2.82
2.50
38.10
0.50
38.10
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
24,300
30
200
15
30
Daily Limit:
1
6-9
Sample Frequency:
I Continuous
Monthly
3 x Year
Monthly
Monthly
Monthly
5 x Week
Monthly
3 x Year
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Dustin Combs Name: Environmental Chemists Inc.
Name: Andy Morgan II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑J Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dustin B.Combs
Permittee: Harvey Point Defense Testing Activity
Certification No.: 1003645
Signing Official: Felicia A. Kraintz
Grade: III Phone Number: 252-562-2684
Signing Official's Title: Enviromental Safety Officer
Has the ORC changed since the previous NDMR? ❑ yes 0 No
Phone Number: 252-426-4360 Permit Expiration: 3/31/2023
Signature Date
Sig ature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page,_ of 'a
Permit No.: W00024003
Facility Name: Harvey Point Defense Testing Activity WWTP
County: Perquimans
Month: March
Year: 2020
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
Area (acres):
1.46
Area (acres):
1.14
Area (acres):
1.38
Area (acres):
1.29
at this facility?
Cover Crop:Cover
Crop:
P�
Cover Crop:
p�
Cover Cro P:
0 YES ❑ NO
Hourly Rate (in):
0.5
Hourly Rate (in):
0.5
Hourly Rate (in):
0.5
Hourly Rate (in):
0.5
Annual Rate (in):
57.2
Annual Rate (in):
57.2
Annual Rate (in):
57.2
Annual Rate (in):
57.2
Weather
Freeboard
Field Irrigated?
2 YES ❑ NO
Field Irrigated?
21 YES ❑ No
Field Irrigated?
D YES ❑ No
Field Irrigated?
❑ YES Q NO
°
E
°a
IL
y
CI
o
w
_
0 AE
CL M
>
as
Lo
CD V
T
aD
°
C
E
, C
x o o
E T
3 Q
, C
mm
E
` C
o m-a
o
E T
o
°
E m
X o m
o
a)
E D
aE
i
y y
a C
J
E rn°
C
7`o
x
J
(D
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
5,700
80
0.14
0.11
5,700
80
0.18
0.14
5,700
80
0.15
0.11
2
C
42
3.25
2,766
40
0.07
0.07
2,766
40
0.09
0.09
2,766
40
0.07
0.07
_
3
PC
51
0.12
5,266
80
0.13
0.10
5,266
80
0.17
0.13
5,266
80
0.14
0.11
4
C
46
5,766
80
0.15
0.11
5,766
80
0.19
0.14
5,766
80
0.15
0.12
5
PC
49
0.38
5,300
80
0.13
0.10
5,300
80
0.17
0.13
5,300
80
0.14
0.11
6
CL
46
0.2
7
4,333
60
0.11
0.11
4,333
60
0.14
0.14
4,333
60
0.12
0.12
8
4,333
60
0.11
0.11
4,333
60
0.14
0.14
4,333
60
0.12
0.12
9
PC
40
3.25
4,366
60
0.11
0.11
4,366
60
0.14
0.14
4,366
60
0.12
0.12
10
PC
49
0.04
2,733
40
0.07
0.07
2,733
40
0.09
0.09
2,733
40
0.07
0.07
11
C
50
2,666
.40
0.07
0.07
2,666
40
0.09
0.
2,666
40
0.07
0.07
12
C
47
2,933
40
0.07
0.07
2,933
40
0.09
0.
2,933
40
0.08
0.08
13
CL
59
1,933
30
0.05
0.05
1,933
30
0.06
EO.0J6
1,933
30
0.05
0.05
14
15
0.1
16
CL
45
3.25
3,100
40
0.08
0.08
3,100
40
0.10
0.10
3,100
40
0.08
0.08
17
C
40
3,000
40
0.08
0.08
3,000
40
0.10
0.10
3,000
40
0.08
0.08
181
C
46
2,833
40
0.07
0.07
2,833
40
0.09
0.09
2,833
40
0.08
0.08
191
CL
1 54
20
C
61
21
22
0.55
23
R
48
0.6
3.15
24
C
45
2,666
40
0.07
0.07
2,666
40
0.09
0.09
2,666
40
0.07
0.07
251
R
55
1.7
261
C
43
2,766
40
0.07
0.07
2,766
40
0.09
0.09
2,766
40
0.07
0.07
27
C
43
2,688
40
0.07
0.07
2,688
40
0.09
0.09
2,688
40
0.07
0.07
28
2,688
40
0.07
0.07
2,688
40
0.09
0.09
2,688
40
0.07
0.07
29
2,688
40
0.07
0.07
2,688
40
0.09
0.09
2,688
40
0.07
0.07
30
PC
63
3.1
2,766
40
0.07
0.07
2,766
40
0.09
0.09
2,766
40
0.07
0.07
31
CL
48
1.4
Monthly Loading:
73,290
1.85
73,290
2.37
73,290
1.96
0
0.00
112 Month Floating Total (in):
23.88
30.09
25.28

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 'a— of S�
Did the application rates exceed the limits in Attachment B of your permit?
❑✓ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? QCompliant [I Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑✓ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? QCompliant El Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Willie Anderson Morgan Jr.
Permittee:
Harvey Point Defense Testing Activity
Certification No.: 998794
Signing Official: Felicia A. Kraintz
Grade: SI Phone Number: 252-426-2373
Signing Officials Title: Enviromental Safety Officer
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 252-426-4360 Permit Exp.: 3/31 /23
la
—
� n�� q I -),o I U -?,o
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

GW-59A COMPLIANCE REPORT FORM Permit # I CN 1-10013 •
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. ( - -� (: Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YESC
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
O
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
ES
NO
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(s) and concentration(s)
exceeding standards in the space provided below: M W -� 1, A W #:2 A k�-tt 3
�� ►� �5s� 1�N : 5.`i s� v-0, 5' , V50
Few: c.1: 3 e 11ck1-)
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?
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, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
))1:-23419 71)2))9 3ii l)q 711.3i15 M6115 1010om
law-. 5 74 ALL, y50 NWL4-N mt,,N�a,4 k ONW6
MI;� 5.1`� MW 35 73 M1i 2y.3'1 M\kA 6 q I M4,\a 5.c�-7 ��� �, Iasi
P1143bA Mw43 .MW35.57 Q— is
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
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.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
groundwater quality problem?
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
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
-n
c� =ram
<
�i i � 'YS' • k
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current G W-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.
Signature of Permittee (or Authorize Agent) Da e
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0024003 Expiration Date: 3/31/2023
Facility Name: Harvey Point Defense Testing
Activity
Non -Discharge UIC
NPDES X Other
Permit Name (if different):
Facility Address: 2835 Harvey Point Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Hertford (Sheet) N.C. 27944 County Perquimans
(city) (State)
(=ia)
9 Spray Field El Remediation:
Contact Person: Andy Morgan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#1
Date sample collected: 3/13/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2
in. pH 00400: 4.65 units Temp. 000lo: 15 °C
DRY at
Depth to Water Level 82546:7 ft. below measuring point Screened Interval: 2
ft. to 20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/13/2020-4/3/2020
Laboratory Name: Environmental Chemists Inc. Certification No. #94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.04
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.37
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 57
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 10.6
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 11
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
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) 0 No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3 as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Felicia A. Kraintz-Environmental Safety Officer HPDTA
Permittee (or Authorized Agent) Name and Title - Please print or type
Effluent.. •
iplete, and that the laboratory analytical data
possibility of fines and imprisonment for knc
I
mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0024003 Expiration Date: 3/31/2023
Facility Name: Harvey Point Defense Testing Activity
Non -Discharge UIC
NPDES X Other
Permit Name (if different):
Facility Address: 2835 Harvey Point Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Hertford (Street' N.C. 27944 County Perquimans
(city) (state)
(7ip)
0 Spray Field ❑ Remediation:
Contact Person: Andy Morgan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#2
Date sample collected: 3/13/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.4 units Temp. 000lo: 12 °C
DRY at
Depth to Water Level 82546:3 5 ft. below measuring point Screened Interval: 2 ft. to
20 ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 000ss: Sulfur
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/13/2020-4/3/2020
Laboratory Name: Environmental Chemists Inc. Certification No. #94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.33
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 133
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 15.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 24
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
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 78732: method #
Total Ammonia 00610 0.3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Felicia A. Kraintz-Environmental SafetyOfficer P D -, t
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of PeTmittee (or Aullhorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0024003 Expiration Date: 3/31/2023
Facility Name: Harvey Point Defense Testing Activity
Non -Discharge UIC
Permit Name (if different):
NPDES X Other
Facility Address: 2835 Harvey Point Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford (street) N.C.
27944 County Perquimans
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(Zip)
N Spray Field El Remediation:
Contact Person: Andy Morgan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#3
Date sample collected: 3/13/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.61 units Temp. 000lo: 15 °C
DRY at
Depth to Water Level 82546:7.5 ft. below measuring point Screened Interval: 2 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 00065: None
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑YES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/13/2020-4/3/2020
Laboratory Name: Environmental Chemists Inc. Certification No. #94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.08
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 3
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.42
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 80
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 6.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
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) X No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
ni method #
(Ammonia Nitrogen: NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
F'ermlttee (or Authorized Agent) Name ano I itle - Please print or type
GW-59 Rev.2/2010
Signature of Permittee (or
Agent)
(Date)