WQ0000962_Monitoring - 11-2020_20210106

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: Expiration Date: 11/30/2021
Facility Name: Culp Ticking Non -Discharge UIC
Permit Name (if different): NPDES Other WQ0000962
Facility Address: 7209 Highway 158 TYPE OF PERMITTED OPERATION BEING MONITORED
Stokesdale ""'" NC 27357
County Guilford ❑Lagoon El Remediation: Infiltration Gallery
""v' ` ' Z''P' ❑ Spray Field ❑ Remediation:
Contact Person: Chris Miles Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Culp Ticking No, of wells to be sampled: 5 ❑ Water Source Heat Pump ❑■ Other: Closed Logoon
ID NUMBER (from Permit):
Well Depth: 13.5 ft,
Depth to Water Level 82546: 5.58 ft. below measuring point
Measuring Point is 0 ft. above land surface
Date sample collected: 11/20/2020
Well Diameter: 2 in.
Screened Interval: 3.5 ft. to 13.5 ft,
Relative M.P. Elevation: 96.98 ft.
Volume of water pumped/bailed before sampling: 2 gallons
Samples for metals were collected unfiltered: 0 YES El NO and field acidified: ® YES
Date sample analyzed: 12/a/2o2o Laboratory Name: Meritech
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 3,35
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
issolved Solids:Total 70300 167 mg/L Al -Aluminum 01105
pH (Lab) 00403 6.0 units Ba - Barium 01007
TOC 00680 2,26 mg/L Ca - Calcium 00916
Chloride 0094o 25.5 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 3350
Sulfate 00945 mg/L Hg - Mercury 71900
Specific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 138
TKN as N 00625 mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
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
FIELD ANALYSES:
pH ooao0: 6.0 units
Spec. Cond. 00094:
Odor 0008s:
Appearance
Temp.
00010: °C
µMhos
Certification No. 165
Pb -Lead o1os1 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) ❑■ No (0)
VOC 78732: method #
method #
method #
method #
mg/L Effluent Total Cs:
mg/L VOC Removal%
H. Derr Leonhardt I I -Authorized Agent � � � �/G/�
Permittee (or Authorized Agent) Name and Title -Please print or type Signature of Permittee (or Au orized Agent) (Date)
GW-59 Rev.2/2010
If WELL
DRY at
time of
sampling,