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Home My WebLink AboutWQ0031030_Monitoring - 07-2020_20200814 (2)Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0031030 Name of Facility:* Month:* July Report Information Type * GW-59 NORTH ELEMENTARY Year:* 2020 Upload Document* WQ0031030 North Elem GW59.pdf ITF Only Please upload only one combined pdf document. Upload GW-59 individually. Confirmation Email Address:* KGEE@ENVIROLINKINC.COM Name of Submitter:* TINA GEE Signature:* Date of submittal: 8/14/2020 This will be filled in automatically Initial Review Reviewer: Williams, Kendall Is the project number correct? * WQ0031030 2.45MB Is the monitoring report 6' Yes C NO accepted?* Regional Office* Washington Accepted Date: 8/14/2020 GW-59A COMPLIANCE REPORT FORM Permit # W''1 00 0 3 0 (Submit one each monitoring period with GW-59 forms.) ] Enter date monitoring results were due. l Will this monitoring report (GW-59 and GW-59A) E NO be submitted after the established due date? 2 Was any required information missing on the GW-59 report forms? YES O 1F 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 welts in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES 1�0 identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Ofce forguidance. 1 4 Are any monitored constituents equal to or above the established standards? YES N0. 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: 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES 1S same constituent(s) in the same wells} 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 constituents) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 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 IMMEDIA TELY FOR GUIDANCE. If the answer is "NO", monitoringr wells may be improperly located; contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this —YES— NO 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 Rectional Office within 90 days' an evaluation maybe required to determine the impact the waste disposal system having at the review and compliance „is boundaries surrounding this facility, Failure to do so may subject the permittee to a Notice of Violation fines andlor oenalties. 8 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 a� nowledge that the above information was evaluated and the information submitted in this report (£'o p fiance Report GW-59A) is true and complete to the best of my know dge. 7nature of Permittee (or Authorized Agent) Date GW-59A 1218!2443 GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Facility Name: Permit Name (if different): Facility Address: shawbarow Please Print Clearly or North eiem North efem 40 NC 23976 Contact Person: Kristina Gee Well LocationlSite Name; surrounds holdino bond Well Identification Number(from Permit): mw1 Well Deptr 21.9 ft. Well Diamete 2 tn. Screened Interval: ft. to 152" ft. Depth to Water Level: 5.5 ft. below measuring point. Measuring Point is 1.5 0 ft. above land surface. Gallons of water pumped before sampling 10.0 ph 6.6 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENT & NATURAL. RESOURCES ■ ■ • DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT Countv Currituck Tel ep h one#: 252-4 91-5277 No. of wells to be sampled; 7 �Jrm Fem If WELL WAS DRY at time of sampling, Check here E lInfluent Relative M.P. Elevation in Date collected samole 711 l2a20 1617 MAIL SERVICE CENTER RALEIGH,.NG 27699.1617 Phone: HERMIT No. WQ0031030 Non -Discharge NPDES 3J 733.3221 EXPIRATION DATE: 12/1/2015 UIC PE OF PERMITTED OPERATION BEING MONITORED _Lagoon Remediation: lnflilration Gallery Spray Field Remediation: Rotary Disidbutor Land Application of Sludge Water Source Heal Pump Other For Remediation System fnfiuentlEffluent Only (Attach Lab Reports.)I Influent mg IL (Total VOC Concentration) Effluent mgfL (Total VOC Concentfation) VOC Removal % Date samDle analvzed Temp._15.2 °C Odor none apperance dark 4 (Laboratory Name: Envirochem I ((Certification No. 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgll Nitrite (NO.) as N mg1l Coliform: MF Fecal <1 M00ml Nitrate (NO.) as N 0.61 mg11 Coliform: MF Total 1100mt Phosphorus: Total as P mg/1 [Nate: Use MPN rnwhod for hlghty turNd samplesy Orthophosphate mgll Dissolved Solids: Total 259 mgll A I- Aluminum mgll pH (when analyzed) 6.49 units Ea - Barium mgll Ni - Nickel mgll Pb - Lead mgll Zn - Zinc mgll Other (Specify Compounds and Concentration Units) TOO 1.6 mg/1 Ca - Calcium mgll Chloride 16 mgli Cd - Cadmium mgll Arsenic mgli Chromium: Total mgll Grease and Oils mgli Cu - Copper mgil Phenol mgli Fe - Iron mgh ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgli Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mgll Report Attached? Yes (1) No_x_ (0) Total Ammonia <.2 mgll Mg - Magnesium mg/1 VDC : method #= 6200 [Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total] Mn - Manganese mg/1 method #_ TKN as N mgll : method #_ method #_ 14Oi 6t;~760_ AgZA M6fb GW-59 Signature Rev. 11 l2005 SUBMIT FORM ON YELLOW PAPER ONLY Mail original and DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: 1 copyto: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER RALEIGH, NC 27609.1617 Phone: (819) 733-3221 Facility Name: Permit Name (if different): Facility Address: shawbcrow Please Print Clearly or North elem North elem NC 23976 County Currituck Contact Person: Kristina Gee Telephone#: 252-491-5277 Well Location/Site Name: surrounds holding pond No. of wells to be sampled: �" ;irom eri Well Identification Nu Well Deptf 21.9 Screened Interval:_ Depth to Water Level: Measuring Point is 1.5 Gallons of water pump, ph 6.8 fiber (from Permit): mw2 ft. Well Diamete 2 In. ft. to 152" ft. 5.1 ft. below measuring point. 0 ft. above land surface. 1 before sampling 10.0 Temp. 14.7 °C Odor none if WELL WAS DRY at time of sampiing, Check here Sample is from system: ❑ Influent [ Relative M.P. Elevation in Date collected sample apperance dark 4 ent 7/1/2020 PERMIT No. WgD03103D Non -Discharge EXPIRATION DATE: 12J112015 UIC PE OF PERMITTED OPERATION BEING MONITORED _ Lagoon Remediation: Inflitration Gailery _Spray Field Remediallon: Rotary Distributor Land Application of Sludge Water Source Heat Pump Other For Remediation System InfluenVEffluent Only (Attach Lab Reports.) Influent mg1L (Total VOC Concentration) Effluent mglL (Total VOC Concentration) VOC Removal Date sample anal, Laboratory Name: Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgll Nitrite (NO2) as N mg/1 Coliform: MF Fecal <1 1100ml Nitrate (NO3) as N 0.03 mgll Coliform: MF Total 1100ml Phosphorus: Total as P mgll (Note: Use MPN method for highly tLWd samples) Orthophosphate mgil Dissolved Solids: Total 246 mgll A I- Aluminum mg/I pH {when analyzed] 6.31 units Ba - Barium mgli N1- Nickel Pb - Lead Zn - Zinc Envirochem Other (Specify Compounds and Concentration Units) TOC 1.9 mg/1 Ca - Calcium mg1l Chloride 21 mgll Cd- Cadmium mgll Arsenic mg/1 Chromium: Total mg11 Grease and Oils mgll Cu - Copper mg/1 Phenol mg/1 Fe - Iron mgli ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgll Hg - Mercury mgli (Specify test and method #, ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mgll Report Attached? Yes {1) No_,x_ (0) Total Ammonia mg/1 Mg - Magnesium mgil VOC method #= 6200 (Ammonia Nitrogen; NH$, as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method #= TKN as N mgll : method #= method #n (Date) GW-59 Rev. 11 /2005 SUBMIT FORM ON YELLOW PAPER ONLY � DEPARTMENT OF ENVIRONMENT a NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATiON PROCESSING UNIT COMPLIANCE REPORT FORM 1817 MAH_SERVICE CENTER RALEIGH, NC 27699.1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT No. wg0031030 EXPIRATION HATE: 121112015 Facility Name: North elem Nan -Discharge uiC Permit Name (if different): North elem NPOES Facility Address: shawborow sss"l NC 23976 County Currituck TYPE OF PERMITTED OPERATION BEING MONITORED �Ultyje `p Lagoon Remediation: Infiltration Gallery Contact Person: Krlstlna Gee Telephone#: 252-491-5277 Spray Field Remediatiow Well Location/Site Name: surrounds holding pond No. of wells to be sampled: 7 Rotary Distributor Land Appiication of Sludge i r°) Water Source Heat Pump X Other: Well Identification Number (from Permit): mw3 If WELL WAS DRY Well DeptIr 22.1 ft. Well Diamete 2 in. at time of sampling, Check here For Remediation System Influent/Effluent Only (Attach Lab Reports.) Screened Interval: ft. to 152" ft. Sample is from system: Depth to Water Level: 12 ft. below measuring point. ❑ Influent fHuent Influent mg/L (Total VOC Concentration) Measuring Paint is 1.5 0 ft. above land surface. Relative M.P. Elevation in ft. Effluent mglL (Total VOC Concentration) Gallons of water pumped before sampling 10.0 Date sample collected: 7/1/2020 VOC Removal % ph 6.3 Date sample analyzed: Temp. 15.2 °C Odor none apperance none Laboratory Name: Envirochem Certification No. 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgli Nitrite (NO2) as N mgli Ni - Nickel Coliform: MF Fecal <1 1100m1 Nitrate (NO3) as N 02 mgll Pb - Lead Coliform: MF Total 1100m1 Phosphorus: Total as P mgli Zn - Zinc (Note: Use MPN method for highly turb!dsamples) Orthophosphate mgli Dissolved Solids: Total 200 mgll A I- Aluminum mgli Other (Specify Compounds and Concentration Units) pH (when analyzed) 6.41 units Ba - Barium mgli TOG 5.5 mg/1 Ca - Calcium mgli Chloride 31 mgll Cd - Cadmium mgli Arsenic mg/1 Chromium: Total mg/1 Grease and Oils mgll Cu - Copper mg/1 Phenol mgll Fe - Iran mg/1 ORGANICS: (by GC, GCIMS, HPLC) Sulfate mgll Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mgll Report Attached? Yes (1) No_x (0) Total Ammonia 0.2 mgll Mg - Magnesium mgll VOC : method #= 6200 (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mgll : method #_ TKN as N mgll : method #_ method #_ GW-59 Rev. 1112005 Wu (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM acility Name: lermit Name (if different) acility Address: shawborow Please Print North elem North elem DEPARTMENT OF ENVIRONMIsNT b NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER RALEIGH, NC 27899.1617 Phone: (9t9] 733-3221 or Type lip PERMIT No, wgt mimo EXPIRATION DATE: 7/31/2021 NorL-Discharge UIC NC 23976 County Currituck Contact Person: Kristina Gee Teiephone#: 252-491-5277 Well Location/Site Name: surrounds holding and No. of wells to be sampled: 7 (Irm mm Well Identification Number (from Permit): PZ1 if WELL WAS DRY Well Depth 20 ft. Wet] Diamete 1 In. at Time of sampiing, Cheek here Screened Interval: 4 ft. to 20 ft. Sample is from system: Depth to Water Level: 5.5 ft, below measuring point. ❑ Influent [ Measuring Point is 1.5 0 ft. above land surface. Relative M.P. Elevation in Gallons of water Dumoed before samolinci Date collected sample nt 711 /2020 E OF PERMITTED OPERATION BEING MONITORED _Lagoon _Remediation:Infiltration Gallery _ Spray Field _ Remediation: _Rotary Distributor Land Application of Sludge Water Source Heat Pump Other: For Remedlatlon System InfluentlEffiuent Only (Attach tab Reports) Influent mglL (Total VOC Concentration) Effluent mg1L (Total VOC Concentration) VOC Removal % (Date sample analyzed: Temp. °C Odor none apperance Laboratory Name: Envirochem Certification No, 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgll Nitrite (NO2) as N mgll Ni - Nickel mgll Coliform: MF Fecal 1100ml Nitrate (NO.) as N mgll Pb - Lead mgll Coliform: MF Total 1100ml Phosphorus: Total as P mgll Zn - Zinc mgll (Note: Use MPN melhod for Wghiyturbid 9an*es) Orthophosphate mgll Dissolved Solids: Total mgll A I- Aluminum mgll Other (Specify Compounds and Concentration Units) pH (when analyzed) units Be - Barium mg11 TOC mgll Ca - Calcium mgll Chloride mgll Cd - Cadmium mgli Arsenic mg11 Chromium: Total mgll Grease and ails mgll Cu - Copper mgll Phenol mgli Fe - Iron mgll ORGANICS: (by GC, GCIMS, HPLC) Sulfate mgll Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mgll Report Attached? Yes (1) No_x_ (0) Total Ammonia mgli Mg - Magnesium mg/1VOC : method #= 6200 (Ammonia Nhrogen; NH3 as N: Ammonia Nitrogen, Total) Mn - Manganese mg/1 method #= TKN as N mgli : method #= method #= SUBMIT FORM ON YELLOW PAPER ONLY Malloriginalland DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: 1 copy to:DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER RALEIGH, NC 27699.1817 Phone: (919) 733-3221 FACILITY INFORMATION Facility Name: Permit Name (if different); Facility Address: shawborow Print Clearly or Type North elem North elem NC 23976 County Currituck ontact Person: Kristine Gee Telephone#: 252-491-5277 fell Location/Site Name: surrounds holding and No. of wells to be sampled: 7 Weil Identification Number (from Permit): PZ2 if WELL WAS DRY Well DepV 20 ft. Well Diametei 1 in. at time of sampling, Check here Screened Interval: 4 ft. to 20 ft. Sample is from system: Depth to Water Level: 5 ft. below measuring point. ❑ Influent I Measuring Point is 1.5 0 ft. above land surface. Relative M.P. Elevation in Gallons of water pumped before sampling Date collected sample (fluent 7/1/2020 PERMIT No. Non -Discharge NPDES 030 EXPIRATION DATE: 7/31/2021 UIC TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: InfIItratlon Gallery Spray Field Remediation: Rotary Distributor Land Application of Sludge Water Source Heat Pump x Other For Remediation System Influent/Effluent Only (Attach tab Reports., Influent mgfL (Total VOC Concentration) Effluent mg1L (Total VOC Concentration) VOC Removal 1/0 Temp. °C Odor none apperance Date sample analyzed: Laboratory Name: Envirochem Certification No. 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field aeldifled YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/1 Nitrite (NO2) as N mgll Ni - Nickel Coliform: MF Fecal 1100ml Nitrate (NO3) as N mg/1 Pb - Lead Coliform: MF Total 1100m1 Phosphorus: Total as P mgll Zn - Zinc (Note: Use MPN method for highly tuff.d samples) Orthophosphate mgll Dissolved Solids: Total mg/1 A I- Aluminum mgll Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mgll TOC tngll Ca - Calcium mgll Chloride mg/1 Cd - Cadmium mgll Arsenic mg1I Chromium: Total mgll Grease and Oils mgll Cu - Copper mgll Phenol mgll Fe - Iron mgll ORGANICS: (by GC, GC/MS, HPLG) Sulfate mgll Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mgll Report Attached? Yes (1) No_x_ (0) Total Ammonia mg/1 Mg - Magnesium mgll V0C : method #= 6200 (Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, Total] Mn - Manganese mgll : method # TKN as N mgll : method #= method & GW-59 Rev. 1112005 SUBMIT FORM ON YELLOW PAPER ONLY ■ , DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: • + ■ DIVISION OF WATER QUALITY-INFOPMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1817 MAIL SERVICE CENTER rvztigran, 14� aepva-rvrr rnurrr. tq rar Ioavcsr PERMIT No. wg0031030 EXPIRATION DATE: FACILITY INFORMATION Please Print Clearly or Type Facility Name: North elem Non -Discharge UIC Permit Name (if different): North elem NPDES Facility Address: shawborow «B°o NC 23976 County Currituck TYPE OF PERMITTED OPERATION BEING MONITORED (City) [state! (ZIP) Lagoon Remadiation:Inflltratior Contact Person: Kristina Gee Telephone#: 252-491-5277 Spray Field Remediatian: Well Location/Site Name: surrounds holding and No. of wells to be sampled: 7 Rotary Distributor Land Application of Slu, {fmm Perm@] Water Source Heat Pump x Other: Well Identification Number (from Permit): PZ3 If WELL WAS DRY Well DeptF 20 ft. Well Diamete 1 In. at time of sampling, Check here For Remediation System InfluentlEffluent Only (Aftach Lab Screened Interval: 4 ft. to 20 ft. Sample is from system: Depth to Water Level: 6.3 ft, below measuring point. ❑ Influent N&ffluent Influent, mg/L (Total VOC Concentration) Measuring Point is 1.5 0 ft. above land surface. Relative M.P. Elevation in ft. Effluent mg[L (Total VOC Concentration) Gallons of water pumped before sampling Date sample collected: 7/1/2020 VOC Remo>!aI °In Date sample analyzed: Temp. °C Odor none apperance none Laboratory Name: Enyirochem Certification No. 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgll Nitrite (NO2) as N mg/1 Ni - Nickel Coliform: MF Fecal 1100ml Nitrate (NO3) as N mgli Pb - Lead Coliform: MF Total 1100mI Phosphorus: Total as P mg11 Zn - Zinc (Note: Use MPN method for highly turbld sarnMes) Orthophosphate mgll Dissolved Solids: Total mg/1 A 1- Aluminum mgli Other {Specify Compounds and Concentration Uni pH (when analyzed) units Ba - Barium mgli TOC mgll Ca - Calcium mg/1 Chloride mg/1 Cd - Cadmium mail Arsenic mg11 Chromium: Total mg/1 Grease and Oils mg/1 Cu - Copper mg/1 Phenol mgll Fe - Iron mgli ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgll Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPO Specific Conductance uMhos K - Potassium mg/1 Report Attached? Yes (1) Nia--x^ (0) Total Ammonia mgll Mg - Magnesium mgil VOC : method #= 6200 (Ammonia Nitrogen; NHs as N; Ammonia Nitrogen, Total) Mn - Manganese mgli : method #= 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 ising approved methods of analysis by a !North Carolina DVVQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for submitting false information, ncluding the possibility of fines and imprisonment for knowing violations. Fli 0 I" v v [v Permittee jor i ed Aga me and Title - Please print or type ig- --- -1 'Z d Z-0 GW-59 Rev. 11 /2005 (or_Xuthorized Agent) SUBMIT FORM ON YELLOW PAPER ONLY ■ ■ DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: ■ ■ ■ DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1817 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT No. wg0031030 EXPIRATION DATE: 7nl/2021 Facility Name: North elem Non -Discharge Ule NPOES Permit Name (if different); North elem Facility Address: shawborow {strw) NC 23976 County Currituck TYPE OF PERMITTED OPERATION BEING MONITORED (City) (State) (21p) Lagoon Remediatian: Infiltration Gallery Contact Person: Ki istina Gee Telephone#: 252-491-5277 Spray Field Remediation: Well Location/Site Name: surrounds holding and No. of wells to be sampled: 7 Rotary D}strfbutor Land Application of Sludge [from PermO) Water Source Heat Pump x Other: Well Identification Number (from Permit): PZ4 if WELL WAS DRY Well Deptr 20 ft. Well Dlamete 1 In. at time of sampling, Check here For Remediation System Influent/Effluent Only (Attach Lab Reports.) Screened Interval: 4 ft. to 20 ft, Sample is from system: Depth to Water Level: 5.6 ft. below measuring point. ❑ Influent fluent Influent mgfL (Total VOC Concentration) Measuring Point is 1.5 0 ft, above land surface. Gallons of water pumped before sampling Relative M.P. Elevation in ft. Date sample collected: 7/1/2020 Effluent mg/L (Total VOC Concentration) VOC Removal % Date sample analyzed: Temp. °C Odor none apperance none Laboratory Name: Fnvirochem Certification No. 543 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/1 Nitrite (NO2) as N mgll Coliform: MF Fecal 1100ml Nitrate (NO3) as N mgll Coliform: MF Total 1100m1 Phosphorus: Total as P mg/1 (Nate: Use MPN method for highly turbid aampias) Orthophosphate mgll Dissolved Solids: Total ingh A I- Aluminum mgll pH (when analyzed) units Ba - Barium mg11 TOO mg/1 Ca - Calcium mg/1 Chloride mgll Cd - Cadmium mg11 Arsenic mgll Chromium: Total mg11 Grease and Oils mg/1 Cu - Copper mg/1 Ni - Nickel Ph - Lead Zn - Zinc Other (Specify Compounds and Concentration Units) Phenol mg/1 Fe - Iron mg/1 ORGANICS., ( by GC, GC1MS, HPLC) Sulfate mgll Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/1 Report Attached? Yes (1) No_x_ (0) Total Ammonia mg/I Mg - Magnesium mg/1 VOC method #= 6200 (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mg1i : method #= TKN as N mgll method #= method #= GVV-59 Rev. 11 /2005 ' iNw CL Perm ittee (or Auth o rfzllllr j ame and " I Please print or type Sao Signature of Pe "e Authorized AVW (Date)