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Home My WebLink AboutWQ0023896_Monitoring - 06-2020_20200805GW-59A COMPLIANCE REPORT FORM Permit # WQ0023896 (Submit one each monitoring period with Gp=59 furnm) - j Enter date monitoring results were due. (7-30-2020 ) 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 GW-59 report forms? YES NO X 1F the answer to question t 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 NO identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance. x 4 Are any monitored constituents equal to or above the established standards? YES 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 constituents) and concentration(s) exceeding standards in the space provided below: 6 12-2020 M W - I pli 6.0 SU 6-12-2020 MW-3 Fecal Coliform 12 colonies/100 ml 6-12-2020 MW-3 pIl 5.7 SU 6-12-2020 MW-4 Fecal Coliform 11 colonies/100 ml 6-12-2020 M W -4 pI 15.6 SU 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, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 3-14-2019 MW-1 pH 6.04 SU 3-14-2019 MW-3 pH 5.64 SU 3-14-2019 MW-4 pH 5.62 SU 9-27-2018 MW-3 Fecal Coliform 12 colonies/100 ml 6-11-2019 MW-1 pH 5.97 SU 6-11-2019 MW-3 pH 5.48 SU, 6-11 2019 MW-4 p1-1 5.48 SU 6-11-2019 MW-3 Fecal Coliform 10 colonies/100 ml 9-13-2019 MW-1 pH 5.74 SU 9-13-2019 MW-3 pH 6.I5 SU 9-U-2019 MW-4 pli 4.89 SU 12-10-2019 MW-3 Fecal Coliform 3 colonies/100 col 12-10-2019 MW-I pH 5.5 SIJ 12-10-2019 MW-3 pH 5.6 SU 12-10-1019 MW-4 pH 5.4 SU 9.27-2018 MW-4 Fecal Coliform 210 colonies/100 ml 3-13-2020 MW-1 pH 5.9 SU 3-13-2020 MW-3 pH 5.6 SU 3-13-2020 MW-4 pH 5.7 SU 12-6-2018 MW-4 Fecal Coliform 7 colonies/100 col 12-6-2018 M`W-3 pH 5.87 SU 9-27-2018 MW-4 pH 6.07 SU 6-I1-2019 MW-4 Fecal Coliform 64 colonies/100 ml 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 /s "NO". monitoring wells may be Improperly located; contact the Regional Office. See response in 7 below. 7 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 wftWn 90 days: an evaluation may reou/red to determine the IRUNKt the waste dkwasa/ system is having at the review and comollancq boundaries surrounding this facility.Failure to do so may sublect the Dena ee to a Notice of 1. fines, and/or oena des, Q Tarry Daw of U\C emailed Ray Milosh of DP.Q on July 21, 2020 regarding results of groundwater sampling. 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. `% - 3 �2.a gnatratfle,*Irl mittae (or Authorized Agent) DateGeorge E I Vice Chancellor of Institutional Integrity & Risk Management G1Y-59A 12/&7(iO3 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Permit Name (if different): Facility Address: Contact Person: Well Location/Site Name: Please Pnnt Clearly or Type UNC-CH BINGHAM FACILITY 1907 ORANGE CHAPEL CLOVER GARDEN ROAD tic sr LARRY DAW County z'P, DRIP IRRIGATION SITE ORANGE Telephone#: 919.962.6666 No. of wells to be sampled: 5 PERMIT Number: Expiration Date: 9/30/2020 Non -Discharge WQ0023896 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 X Other: Drip Irrigation WELL ID NUMBER (from Permit): MW-1 Date sample collected: 6/12/2020 FIELD ANALYSES: WAS Well Depth: 38 ft. Well Diameter: 2 in. pH 00400: 6 units Temp. 0001[ 174 °C DRY at Depth to Water Level 82546: 32 ft. below measuring point Screened Interval: 23 ft. to 38 ft. Spec. Cond. 000sa: µMhos time of sampling, Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: 522.8 ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Tan/Turbid here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 6-12, 13, 17, 22, 23, 25-2020 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 0.73 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.53 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 76 mg/L Al - Aluminum oil o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <0.5 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) ® No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200C Total Ammonia ooslo <0.2 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% GEORGE E. BATTLE, III VC OF INSTITUTIONAL INTEGRITY & RISK MGMT v J -ZA ( �2�a a Permittee (or Authorized Agent) Name and Title - Please print or type Signature o rmittee (or AuthorWed Agent) (Date) GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM TY INFORMATION mease r'nnt weany or Type Name: UNC-CH BINGHAM FACILITY Name (if different): Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD i;iiA-Et riu__ ray: zrste County ORANGE act Person: Location/Site Name: LARRY DAW DRIP IRRIGATION SITE Telephone# : 919.96 2.6666 No. of wells to be sampled: 5 DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306 PERMIT Number: Expiration Date: 9/30/2020 Non -Discharge WQ0023896 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 Nr Other: Drip Irrigation SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-3 Date sample collected: 6/12/2020 FIELD ANALYSES: WAS Well Depth: 39 ft. Well Diameter: 2 in. pH 00400: 5.7 units Temp. 000lc 15 °C DRY at Depth to Water Level 82546: 4.3 ft. below measuring p g point Screened Interval: 19 ft. to 39 ft. Spec. Cond. 00094: µMhos S time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 497.11 ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Mostly Clear here: ❑ Samples for metals were collected unfiltered: El YES ❑ NO and field acidified: El YES ❑ NO Date sample analyzed: 6-12, 13, 17, 22, 23, 25-2020 Laboratory Name: ENVIRONMENTAL CHEMISTS, INC PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 Coliform: MF Fecal 31616 12 /100mL Nitrate (NO3) as N 00620 0.06 Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.07 (NoteUse MPN method for highly turbid samples) Orthophosphate 70507 dissolved Solids:Total 70300 63 mg/L Al - Aluminum 01105 pH (Lab) 00403 units Ba - Barium 01007 TOC 00680 0.9 mg/L Ca - Calcium 00916 Chloride 00940 5 mg/L Cd - Cadmium 01027 Arsenic 01002 ug/L Chromium: Total 01034 Grease and Oils 00552 mg/L Cu - Copper 01042 Phenol 32730 ug/L Fe - Iron 01045 Sulfate 00945 mg/L Hg - Mercury 71900 Specific Conductance 00095 µMhos K - Potassium 00937 Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 (Ammonia Nitrogen. NH3 as N. Ammonia Nitrogen, Total) Mn -Manganese oloss TKN as N 00625 mg/L Ni - Nickel 01067 mg/L mg/L mg/L mg/L mg/L ug/L mg/L ug/L ug/L mg/L ug/L ug/L mg/L mg/L ug/L ug/L Pb - Lead o1o51 Zn - Zinc 01092 Certification No. 94 ug/L mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ;] No (0) VOC 7873 method # SM 6200C method # method # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% GEORGE E. BATTLE, III VC OF INSTITUTIONAL INTEGRITY & RISK MGMT ) Permittee (or Authorized Agent) Name and Title - Please print or type ignature of rmittee (or, GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2020 Facility Name: UNC-CH BINGHAM FACILITY Non -Discharge W00023896 UIC Permit Name (if different): NPDES Other Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery c�ir.�>e.i.r+r_l. Nc vi5 County ORANGE ❑ Spray Field ❑ Remediation: Contact Person: LARRY DAW Telephone#: 919.962.6666 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: DRIP IRRIGATION SITE No. of wells to be sampled: 5 ❑ Water Source Heat Pump IN Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 6/12/2020 FIELD ANALYSES: WAS Well Depth: 60 ft. Well Diameter: 2 in. pH 00400: 5.6 units Temp. 000l[ "Z oC DRY at Depth to Water Level 82546: 17 ft. below measuring point Screened Interval: 25 ft. to 60 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 512.79 ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Lt Tan/Turbid here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 6-12, 13, 17, 22, 23, 25-2020 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 o1o51 ug/L Coliform: MF Fecal 31616 11 /100mL Nitrate (NO3) as N 00620 0.29 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.05 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 45 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 <5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total o1o34 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 7873 method # SM 6200C Total Ammonia 00610 <0.2 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 # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: I mg/L VOC Removal% GEORGE E. BATTLE, III VC OF INSTITUTIONAL INTEGRITY & RISK MGMT Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM � 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/30/2020 Facility Name: UNC-CH BINGHAM FACILITY Non -Discharge W00023896 UIC Permit Name (if different): NPDES Other Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery CHAPEL w -i. NC 275'6 County ORANGE ❑ Spray Field ❑ Remediation: Contact Person: LARRY DAW Telephone#: 919.962.6666 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: DRIP IRRIGATION SITE No. of wells to be sampled: 5 ❑ Water Source Heat Pump A Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 6/12/2020 FIELD ANALYSES: WAS Well Depth: 50 ft. Well Diameter: 2 in. pH 00400: 7.5 units Temp. 0001C 169 °C DRY at Depth to Water Level 82546: 14 ft. below measuring point Screened Interval: 35 ft. to 50 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 489.95 ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 6-12, 13, 17, 22, 23, 25-2020 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 oio51 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 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 229 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 0.8 mg/L Ca - Calcium 00916 mg/L Chloride 00940 23 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) A No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200C Total Ammonia 00610 <0.2 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 # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: GEORGE E. BATTLE, III VC OF INSTITUTIONAL INTEGRITY & RISK MGMT Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.8/2013 and that the laboratory analytical data ility of fines and imprisnnment for kric d. mg/L VOC Removal% a -J/20 (Date) SUBMIT FORM ON YELLOW PAPER ONLY (GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Permit Name (if different): Facility Address: act Person: Location/Site Name: Please Print Clearly or Type UNC-CH BINGHAM FACILITY 1907 ORANGE CHAPEL CLOVER GARDEN ROAD \ 27515 County I Stal P,l IL. n; LARRY DAW Telephone#: 919.962.6666 DRIP IRRIGATION SITE ORANGE No. of wells to be sampled: 5 PERMIT Number: Expiration Date: 9/30/2020 Non -Discharge WQ0023896 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 X Other: Drip Irrigation SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-6 Date sample collected: 6/12/2020 FIELD ANALYSES: WAS Well Depth: 51 ft. Well Diameter: 2 in. pH 00400: 6.6 units Temp. 0001c 16 °C DRY at Depth to Water Level 82546: 18 ft. below measuring point Screened Interval: 36 ft. to 51 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 492.88 ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: El YES ❑ NO and field acidified: ❑ YES ❑ NO (LABORATORY INFORMATION Date sample analyzed: 6-12, 13, 17, 22, 23, 25-2020 Laboratory Name: ENVIRONMENTAL CHEMISTS, INC PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.02 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.06 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L issolved Solids:Total 70300 277 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 21 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 Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Specific Conductance 00095 I.tMhos K - Potassium 00937 mg/L Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen, NH,as N. Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L 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? ❑ Yes (1) 50 No (0) VOC 7873 method # SM 6200C method # method # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% GEORGE E. BATTLE, III VC OF INSTITUTIONAL INTEGRITY & RISK MGMT 3/ Permittee (or Authorized Agent) Name and Title - Please print or type Signat f Permittee (or Affhorized g n (Date) GW-59 Rev.8/2013