WQ0024003_Monitoring - 07-2020_20200902

A FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page J of
Permit No.: W00024003
Facility Name: Harvey Point Defense Facility
County: Perquimans
Month: July
Year: 2020
PPI: 001
Flow Measuring Point: ❑ influent PI Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent i] Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code - 0
50050
00310
00940
31616
00610
00620
00400
00665
70295
00530
00600
00625
00630
0
.` CD
(,
C
O
H
O
LL
m
L
E
O
LL
m
O
a
@
y
m
0
a
o
io >
O
N
.6
m
�'n n
C
Ho
zo
.0
a C f
Y
..+.. W
M
,•`_+
zU
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
07:30
4B
14,028
7.31
2
07:30
4B
4,623
7.36
3
H
H
4,623
H
4
4,623
5
4,623
6
07:30
4
9,612
7.33
7
07:30
4
11,546
7.5
8
07:30
4
13,488
7.53
9
07:30
4
10,892
7.48
10
07:30
4
6,774
<2
<1
<0.2
32.2
7.1
3.21
<2.5
32.2
<0.5
32.2
11
6,774
121
6,774
13
07:30
4B
6,800
7.19
14
07:30
4B
10,736
7.14
15
07:30
4B
9,020
6.95
16
07:30
4B
9,604
7.04
17
07:30
4
8,946
7.32
181
8,946
19
8,946
20
07:30
4
6,764
6.98
21
07:30
4
10,326
6.88
22
07:30
4
7,420
6.84
23
07:30
4
12,558
6.87
241
07:30
1 4
7,142
7
1h,
T
251
1
7,142
261
1
7,142
271
07:30
1 4
5,730
6.87
28
07:30
4
6,292
6.8
29
07:30
4
8,348
6.85
30
07:30
4
8,600
6.92
31
07:30
4
3,281
6.91
Average:
8,133
0.00
1.00
0.00
32.20
3.21
0.00
32.20
0.00
32.20
Daily Maximum:
14,028
2.00
1.00
0.20
32.20
7.53
3.21
2.50
32.20
0.50
32.20
Daily Minimum:
31281
2.00
1.00
0.20
32.20
6.80
3.21
2.50
32.20
0.50
32.20
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
24,300
30
200
15
30
Daily Limit:
6-9
Sample Frequency:
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 c- of
Sampling Person(s) Certified Laboratories
Name: Dustin Combs Name: Environmental Chemists Inc.
Name: Andy Morgan 11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� 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. Kralntz
Grade: III Phone Number: 252-562-2684
Signing Official's Title: Enviromental Safety Officer
Has the ORC changed since the previous NDMR? ❑ Yes El No
Phone Number: 252-426-4360 Permit Expiration: 3/31 /2023
&� --R-, ?b- 2 �2_0
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

& FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: WQ0024003
Facility Name: Harvey Point Defense Testing Activity WWTP
County: Perquimans
Month: July
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 Crop:
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?
[] YES ❑ NO
Field Irrigated?
I] YES ❑ NO
Field Irrigated?
2 YES ❑ NO
Field Irrigated?
❑ YES ❑✓ NO
�a
O
U
m
r
m
a+
`�°
m
Q
E
N
C
°
"''
'°
Q
y
�
a
a7
fn
w
v m
W S
a m
u
R Q
m
y v
E d
v a
o a
> Q
a
O N
E a
i- °�
_`-
rn
A C
v
o t°
J
E a)
O C
E va
x° `0
2 J
m y
E N
v Q
o a
> Q
v
0 0
E m
f= °�
rn
�+ C
`a
o f0
J=
E rn
3 T C
E va
X o f6
J
y •v
E d
v a
o a
> Q
•v
y 0
m
F °�
_`-
0)
T C
m v
p f6
J
E a)
7 2 C
E 'v
x o m
S J
m y
E d
3 a
o a
> Q
'v
N d
E
F °>
rn
�. C
R `a
p v
J
E rn
7 , C
E 'v
x o
2= J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
75
1.5
3,766
60
0.10
0.10
3,766
60
0.12
0.12
3,766
60
0.10
0.10
2
PC
70
3
2,975
60
0.08
0.08
2,975
60
0.10
0.10
2,975
60
0.08
0.08
3
2,975
60
0.08
0.08
2,975
60
0.10
0.10
2,975
60
0.08
0.08
4
2,975
60
0.08
0.08
2,975
60
0.10
0.10
2,975
60
0.08
0.08
5
2,975
60
0.08
0.08
2,975
1 60
0.10
1 0.10
2,975
60
0,08
0.08
6
C
76
4,033
60
0.10
0.10
4,033
60
0.13
0.13
4,033
60
0.11
0.11
7
C
75
0.9
1,100
15
0.03
0.03
1,100
15
0.04
0.04
1,100
15
0.03
0.03
8
C
77
0.4
3,800
60
0.10
0.10
3,800
60
0.12
0.12
3,800
60
0.10
0.10
9
PC
76
0.1
4,033
60
0.10
0.10
4,033
60
0.13
0.13
4,033
60
0.11
0.11
10
C
73
3
3,733
60
0.09
0,09
3,733
60
0.12
0.12
3,733
60
0.10
0.10
11
3,733
60
0.09
0.09
3,733
60
0.12
0.12
3,733
60
0.10
0.10
12
3,733
60
0.09
0.09
3,733
60
0.12
0.12
3,733
60
0.10
0.10
13
PC
78
3.5
3,600
60
0.09
0.09
3,600
60
0.12
0.12
3,600
60
0A0
0.10
141
C
72
15
C
76
3,766
45
0.10
0.10
3,766
45
0.12
0.12
3,766
45 1
0.10
0.10
16
C
74
4,366
60
0.11
0.11
4,366
60
0.14
0.14
4,366
60
0.12
0.12
17
C
75
3,633
60
0.09
0.09
3,633
60
0.12
0.12
3,633
60
0,10
0.10
18
3,633
60
0.09
0.09
3,633
60
0.12
0.12
3,633
60
0.10
0,10
19
3,633
60
0,09
0.09
3,633
60
0.12
0.12
3,633
60
0.10
0.10
201
C
80
4,000
60
0.10
0.10
4,000
60
0.13
0.13
4,000
60
0.11
0.11
21
C
79
22
C
80
23
C
80
1
24
PC
74
3.25
3,777
60
0.10
0.10
3,777
60
0.12
0.12
3,777
60
0.10
0.10
25
3,777
60
0.10
0.10
3,777
60
0.12
0.12
3,777
60
0.10
0.10
261
3,777
60
0.10
0.10
3,777
60
0.12
0.12
3,777
60
0.10
0.10
27
C
79
3,800
60
0.10
0.10
3,800
60
0.12
0.12
3,800
60
0A0
0.10
80
74
0.1
77
K12
82
3.5
766
30
0.02
0.02
766
30
0.02
0.02
766
30
0,02
0.02
Monthly Loading:
82,359
2.08
82,359
2.66
82,359
2.20
0
0.00
Month Floating Total (in):
24,19
29.56
24.81

- FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? F1 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑ 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? ❑� Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? R1 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.: 1007989
Signing Official: Felicia A. Kraintz
Grade: SI Phone Number: 252-562-2684
Signing Officials Title: Enviromental Safety Officer
Has the ORC changed since the previous NDAR-1? Yes ❑ No
Phone Number: 252-426-4360 Permit Exp.: 3/31/23
�c s 1 ZI,Zb �
7
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 # W Qua 9 00,113
(Submit one each monitoring period with GIV-59 forms.)
1
Enter date monitoring results were due. ( - 1 -A0 ) Will this monitoring report (GW-59 and GW-59A)
YES
be submitted after the established due date?
2
Was any required information missing on the GW-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
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?
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:
ICCO, qbb
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.
31131
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding,+ram
pj�4_b
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
l}w a
It 5 ,-1
)1116Id675 30LO ?jI�)19 102)19 11
NSi
feral 1�yS �1Wa '9i15-67 �tw ': H:S `)) Awi, l� U57 7 3 ki10 �1 jh515
recti�
!V 103 - G .10 ,ti W3T b- 6 ►"wb N 5•y$
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe 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. �d NUI1dWa0i�
�NIS as
11N(1 we
a0z z a d3s
r-
g
The person completing this portion (GW4 flh nitoring 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.
Signature of Permittee (or Auth ,zed Agent) Da
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�16117
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00024003 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
❑ Lagoon El Infiltration Gallery
g y
Hertford N.C. 27944 County Perquimans
lCityl ISfate)
(%ip)
N Spray Field El Remediation:
Contact Person: Dustin Combs
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: 7/10/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.84 units Temp. 000lo: 19.2 °C
DRY at
Depth to Water Level 82546: 5 ft. below measuring point Screened Interval: 2 ft.
to 20 ft. Spec. Cond. 00094: µMhos
time ofsampling,
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:
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 0.03
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 0.35
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 141
mg/L
Al -Aluminum ol1o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 20.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 43
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)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo6lo 1.8
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 VOC
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accL
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information
Felicia A. Kraintz-Environmental Safety Officer HPDTA
mg/L Effluent Total VOCs:
mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Signature of Permittee (or Autho ized Agent) (Date)

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
El Lagoon ❑Remediation: Infiltration Gallery
Hertford rsveen N.C. 27944 County Perquimans
(City) iS"ate)
(.ip)
X Spray Field ❑Remediation:
Contact Person: Dustin Combs
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: 7/10/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.61 units Temp. 000lo: 22 °C
DRY at
Depth to Water Level 82546:4.5 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 00085: Sulfur
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Light Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
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 0.28
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 0.20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 129
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00660 16.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 25
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) 9 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia 00610 0.6
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: 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
Permit Name (if different):
NPDES X Other
Facility Address: 2835 Harvey Point Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford `Meet) N.C.
27944 County Perquimans
ElLagoon ElRemediation: Infiltration Gallery
(City) (Statei
ip)
K Spray Field El Remediation:
Contact Person: Dustin Combs
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: 7/10/20
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.71 units Temp. 00010: 22 °C
DRY at
Depth to Water Level 62546: 5.5 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: Sulphur
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Light Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/10/2020-7/23/2020
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 4000
/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 0.65
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 116
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 15.3
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)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: method #
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: mg/L VOC Removal%
Felicia A. Kraintz-Environmental Safety Officer HPDTA
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010