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Home My WebLink AboutWQ0003067_Monitoring - 07-2020_20200824M01 SUSMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: • • DIVISION OF WATER RESOURCES-INFORMATIONPROCESSINGUNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH. NC Z7699-1617 Phones 91n 06 PERMrf Numbe� Expiration Date: Non Discharge G(,(� UIC FACILriY INFORMATI Q p- A"' gT�� Facility Name: li / G _r/ NPDES Omer Permit Name (if dlfferen : Facility Address: TYPE OF PERMrITED OPERATION BEING MONrrORED ElRemediation: Infifttion Gallery County z0 ,❑,/Lagoon IQ- Spray Field ❑ Remediatwn: ❑ Persor� Teiephonefl �? ❑-Rotary Distritwtor Land Application of Sludge Contact r Well LocationlSite Name __1V1 No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other_ SAMPLING INFORMATIONWELL %jam 77/ 3 6C.AIELD YS Ifs WAS DRY ID NUMBER (from rmit): Date sarriPte collected at time of Q /� Well Depth: Y fL 5 Well Diameter in. Screened Interval: fL to pH ooaoo nits Temp. ooma `C mhos Spec. Cond. 00094: sampling, check ae:fL measuring point Depth to Water Level ns/ 3� _fL here. Measuring Point is fL above land surface Relative M.P. Elevation: fL Odor 000ss: Volume of Water pumped/bailed before sampling: gallons l ■ Samotes for metals were collected unfiltered: YES ❑ NO and field acidified: ❑ YES ❑ NO sample analyzed: and COD o0335 # mg/L Coliform: MF Fecal 31616 /100mL Coliform: MFTotal 31soa /100mL (Notes Use MM MWtl 0d for hi9*Wrhid samples) DissoiVed Solids. -Total 7o3oo CY mg/L pH (Lab) 0o403 units TOC oo6eo i mg/L Chloride oow ro gn- Arsenicotoo2 u9/L Grease and Oils ooss2 mg/L Phenol 3273o ug[L Sulfate 00945 mg/L Specific Conductance goo9s µMhos Total Ammonia wslo mg/L (A--nia NaogM h1i -M,, A-wia rrmoyen Total) . TKN as N om2s mg/L For Remediation.Systerns Only (Attach Lab Reports): _ LaboratoryName: :olloidal concentrations - Nitrite (NO2) as N oo6is mg/L Nitrate (NO,) as N oo62o ♦ C mg/L Phospllorus: Total as P o0665 Q nrg/L Orthophosphate 70507 mg/L Al -Aluminum 01105 mg/L Ba - Barium 01007 ug/L. Ca - Gallium W916 mg/L. Cd - Cadmium m o27 P _, I \ / Ls Chromium: Total o1o34 T V LQ CU - Copper 01042 i I G 2 4 2 (1 i DxA Fe - Iron moos ug/L Hg - Mercury 71M rHaaUon Proc asinpUnh K - Potassium oo937 D WR Section mg/L Mg - Magnesium oo927 mg/L Mn - Manganese moss ug/L Ni - Nickel mo67 ug/L Influent Total VOL:s: mg/L Pb - Lead o1o51 Zn - Zinc 01092 Certification No. kQ U91L mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORAP, q n Lab Report Attached? ❑ Yes (1) ❑ No (01 VOC 78M . method # i a method # method # method # Gf1UC11L JUL VWW. lC21) rngfL VOC Removal% GW-59 Rev.8l2013 /Y) � '--3 SUSMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: NT DEPARTMENT OF ENVIRONME8 NATURAL RESOURCES DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT Ida COMPLIANCE REPORT FORM 1617 "L SERVICE c= RALEIGH, NC n 1617 Phone: 919-8D FACIL.IYY INFORMATION PeP nrC{ea fyorType PERMIT Number_ iration Date: Facility Name: (� �/v 90"" ��A/1� Q� � Non -Discharge L1IC NPDES Other Permit Name (if different): Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery County �l Contact Person: 2wieL t5. r0A*/1 �p�.. C.i�0 Telephone# j�e�—_ a fG�/ Spray Feld ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: ri Y� No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other_ SAMPLING INFORMATION �n z If WELL WAS DRY WELL ID NUMBER (from Perm t)_ _ � Date sample collected: (�! KJ FIELD A%%�ALY S `C Well Depth: ft Well Diameter in_ pH ooaoo(0�units Temp_ 00010 ssampling Depth to Water Level 6: fL below measuring point � �� Screened Interval: ft to ft. Spec_ Cond_ oo094: hOS check here: Measuring Point is ft above land surface �j Relative M_P_ Elevation: fL Odor 00085: Volume of water pumped/bailed before sampling: Q gallons r ra Samples for metals were collected unfiltered: YES ❑ NO and field acidified: ❑ YES ❑ NO �.•i 1 LABORATORY INFORM& 10 Date sample analyzed: Laboratory Name: V I F7 ..! i�� i� Certification NO_ PARAMETERS NOTE- Values s ouid reflect dissolved and colloidal concentrations. COD o033s mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead wo51 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO.) as N oo62o mg/L Zn - Zinc 01o92 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 mg1L (Not,— Use MPN mettrod for highly nand samples) �% Orthophosphate 70507 mgR Other (Specify Compounds and Concentration Units): Dissol4ed Solids:Total 7o3o0 / mg/L At -Aluminum mios mg/L pH (Lab) oo4w units Ba - Barium oio07 ug/L kn," - Abit U, D TOC o06w • mg/L Ca - Calcium 00916 mg/L Chloride oo94o mg/L Cd - Cadmium ot027 ug/L Arsenic o1om ug/L Chromium: Total o10 ,; ug/L Grease and Oils oossz mg/L Cu - Copper moat mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 3z73o ug/L Fe - Iron o1 aa5 ug/L (Specify test and method #. ATTACH LAB REPORT_) Sulfate oo94s mg/L Hg - Mercury 71900 - ug/L Lab Report Attached? ❑ Yes (1) ® No (0) Specific Conductance 00095 [tMhoS K - Potassium oo937 mg/L VOC 78732 method # Total Ammonia oo610 mg/L Mg - Magnesium oo927 mg/L method # (A---o N&-,, C NH�as N; A—T"Iia Nitrogen_ Total) . Mn - Manganese moss ug2 method # TKN as N oo625 mg/L Ni -Nickel mo67 ug/L method # For Rentedintinn Slrsterrtc Only /Attach 1 nh R—t,11- Inch Font Tntal VC),r - —n Ffth v t Tntal V(',C'c- mnrl VOC Removal sGW-59 Rev. 8/20' 3 11no F� GROUNDWATER QUALITY MONITORING_ COMPLIANCE REPORT FORM FACILITY WFORMA , _ , ei..._ I/ Name (if, Address t �rttad Person f ell Location/Site Name: 4MPtlNG INFORMATION Ft -M. PW MBER ( it) - etl Depth: gpth to Water Level, IL below measuring point :asuring Point _tt above land surface ,fume of water pumped/bailed before sampling` mples-for.i»etafs,,were:coiiected:unfltened: YES ) Date sample analyzed '� /�2/ / 40W PARAMETERS NOTE -Values shofild re dissolved COD ooms mg/L Colifomrt_ MF FecaI,3i616 1100mL Coliform: MF Total 3,iso4 /100mL (Note use 1.WNrueliwd•eord:gtd�/.aaLiasampk3)� . Dissolved Sofids-Total zo3oo mg/L pH (Lab).wm units TOC 006e0 • mg/L Chloride o09 w mg/L Arsenicolom u9/L Grease and Oils: oossr mg/L Phenol 3273o ug/L Sutfake:oosas mg/L Specific Conductance,mogs Mhos 7ota4Ammonia,,omia mg/L VN�mNtt�asN;Airirn«eaMboge�TotW) . TKN as Niow2s m91L For Rerrrediabon'Sxstems Ony (Attach tab Repoits)_ SUBMIT FORM ON YELLOW PAPER ONLY TelephonefFI [J No_ of wells to'be sampled: Date sample collected: Well Diameter_ in. Screened interval: fL to Relative M_P_ Elevation: _ . _ R O YES Q.-NO .. n Laboratory Name: nu NJ i. n (1fL(:1>t and colloidal concentrations. Nitdte.(NO2 as N oasis mg/L Nitrate (NO3) as N oo6w • mg/L Phosphorus Total.as P oo66s mg/L Orthophosphate 70507 mg/L At -Aluminum m11os mg/L Ba -'Barium ol007 ug/L Ca - Calcium 00916 mg/L Cd - Cadmium =27 u91L Chromium: Total otm34 u9/L Cu - Copper =42 mg/L Fe - Iron moos ug/L Hg - Mercury 71900 ug/L K- Potassium oo937 rpg/L Mg - Magnesium•mo927 mg2 Mn- Mammanese 01055 ug/L Ni - Nickel m1o67 ug/L Influent Total VOCs_ Ettiu DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES - W FORMATION PROCESSING UNIT 1617 MAIL SERVICE. CENTER, R"G I. NC 27699-1617 Phone:9 PERMIT Number, iration Date: Non -Discharge UIC NPDES Other TYPE:OF PERMITTED OPERATION BEING MONITORED ® Remediation: Infiltration Gallery VSprayReid ❑ Rem ediation: Rotary Distributor ❑ Land Application of Sludge El Water Source Heat Pump 0 Other_ SWELL ';. FIELD ANALYSES: WAS at time of pH owoo: units Temp_ oomo: IC,sampling. f - Spm Cond. oom9o: µMhos check 01or:OW85=MW Here: . Certification No. PO Pb - Lead-olosl u9/L Zn -Zinc olos2 mg/L ORGANICS; (by GC, GC(MS, HPLC) (Specifytest and method #_ ATTACH LAB REPORT) Lab -Report Attached? ❑ Yes -(I) E No (0) VOC 78. . . method'# method # metho # method# tTotal;VOCS:;:. mg/L VOGRemoval% GW-59 Rev_ 8/2013