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Home My WebLink AboutWQ0008489_Monitoring - 12-2020_20210122CW-59A COMPLLA.1"+TCE REPORT FORM Pennit # Wa Qex.1109 (Submit one each monitoring period with GW-59 forms.) 1 Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) YES NO 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 NO 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? YES If the answer to question 4 is "NO", skip to section 8. "YFrS" individually with consti[uent�s) and concentration(s) If the answer to question 4 is list the affected wells exceeding standards in the space p i rovided below. 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 B. 5 is "YES". list in the space provided below, each well with constituent(s) exceeding If the answer to question standards, ooncentration(s) reporter, and sample collection date for each occurrence (for the last two years). 6 Are the monitoring wells listed in section 5 located at or beyond the review bound ry? YES NO 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 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 "Nib'; 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 surrou Ong this facil►ty. Failure to do so may subiedt the permittee to a Nonce of Violation, fines andlorpenXItips. �. n � z ND ar g The person completing this portion (G W-59A) of the hilt itoring report should sign below and submit this form with G W-59 forms for required wells to the address provided at the top of the current G W-59 form. �_.;....:..9'%�L....._.:....:t-'�::..:i�. ?" �.a: " ' �th t the3atib ''f6' "a 'n,iiVas-'evaluated?an"ci.' `. nfo. ' ati''`ii, iteii . i(• r a�IcOled9e ?, / `r p~F.° .orrm 1 a or Z� Signa a of P ittee (or Authonzed Agent) ate GW-59A 12/82003 GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM P/ease Print Clearly or Facility Name: Permit Name (if dl Facility Address: SUBMIT FORM Co 'APER ONLY Contact Person: 3-0S'�7-pff F. SAO(� Telephone#: t5ZZcj 21_. 7 2.2 , Well Location/Site Name: pl �(J� Woof). rr)j,)-pp No. of wells to be sampled: qe� Well Depth: 1 q, 2-1 Screened Interval: 12, L4 Depth to Water Level: 4,35 Measuring Point is 3.0 Gallons of water pumped/bal from Permit): nn ft. Well Diameter: 2-- in. ft. to I ` .2 ft. ft. below measuring point. ft. above land surface, d before sampling:_ 2.,0 WELL WAS DRY. time of sampling, Check here Date sample col DA PE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedlation: Infiltration Gallery (Spray Reid Remedlation: _ Rotary Distributor _ Land Application of Sludge Water Source Heat Pump Other mt � niglL (Total VOC Concentration) ant mglL (Total VOC Concentration) Removal (A FIELD ANALYS IS: pH Specific Conductance uMhos Date sampleanalyzed: Temp. °C Odor Appearance Laboratory Name: A) C Certification No. p PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal L /loom] Nitrate (NO3) as N p,p(p mg/I Coliform: MF Total /loom] Phosphorus: Total as P 1,31 mg/I (Note: Use MPNmethod for highly turbldsamples) Orthophosphate mg/1 Dissolved Solids: Total a �.� I mg/1 A 1- Aluminum mg/1 pH (when analyzed) ,(o units Ba - Barium mg/I TOC p , Sn mg/I Ca - Calcium mg/I Chloride 1 3 mg/l Cd - Cadmium mg/I Arsenic mg/I _ Chromium: Total mg/I Grease and Oils mgll Cu - Copper mg/I Phenol mg/l Fe - Iron mg/1 Sulfate mg/1 Hg - Mercury mg/1 Specific Conductance uMhos K- Potassium mg/1 Total Ammonia mg/1 Mg - Magnesium mg/I (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/1 TKN as N mg/I Rev. 11 /2005 Ni - Nickel m9/1 Pb - Lead mg/I Zn - Zinc mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? Yes_(I) No (0) VOC : method # method #= method #= method #= SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM l FACILITY INFORMATION Please Print Clearly or Type PERMIT NoEXPIRATION DATE: Facility Name: PIN�I W 0o O S 4J W TP _ Non -Discharge 060 jAq jL UIC i�� Permit Name (If differ COC�V Q F y& �— NPDES .nt): Facility Address: /� D. An X 10 (e,n.t) Z7 5' TYPE OF PERMITTED OPERATION BEING MONITORED County p[ We p `✓ Lagoon Remedlation: Inflitralion Gallery Contact Person: In -SF F. SF�10LZ)E vt Telephone#:(2.S7AZ(.-2.2Z-4_ vSpray Reld _Remediation: -Ply- Well Location/Site Name: i ) —r p No. of wells to be sampled: Rotary Distributor Land Application of Sludge m ° Water Source Heat Pump Well Identification Number (from Permit): OOZ ` If WELL WAS DRY other. Well Depth: ft. Well Diameter: in. at time of sampling, Check here For Remediation System Influent/Effluent Only {Attach Lab Reports.) Screened Interval: 12,0 ft. to O ft. Sample is from system: Depth to Water Level:3r"1p ft. below measuring point: ❑ Influent E3ffluent Influent mgn.. (Totalvoc concentration) Effluent- ng/L (Taal voc concentration) Measuring Point is _ ft. above land surface. Relative M.P. Elevation in ft. voc Removal Gallons of water pumped/balled before sam ling: D Date sam le collected: U2= I L FIELD ANALYSIS; pH Specific Conductance uMhos Date sample analyzed: Z. o C Temp. °C Odor Appearance Laboratory Name: U /p0 - Certification No. Co PARAMETERS (Samples for metals were collected unfiltered - YES NO and field acidified YES NO:) NOTE: Values should reflect dissolved and colloidal concentrations. mg/I COD mg/l Nitrite (NO2) as N mgA NI - Nickel Coliform: MF Fecal L / /100mi Nitrate (NO3) as N 0.6 1+ mg/I Pb - Lead mg/I Coliform: MF Total Mooml Phosphorus: Total as P_ p, 0P mg/I Zn - Zinc mg/I ` (Note: Use MPN method for highly turbid samples) S �( mg/l Orthophosphate A 1- Aluminum mg/I - mg/l Other (Specify Compounds and Concentration Units) Dissolved Solids: Total F pH'(when analyzed) . 5 units Bat - Barium ►ng/I TOC , `? A mg/l Ca - Calcium mg/I Chloride mgll. Cd - Cadmium mg/I Arsenic m /1 Chromium: Total mg/1 Grease and Oils m /l mg/I Cu - Copper Fe - Iron mg(I mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol Sulfate mg/I Hg - Mercury mg/l (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos• K - Potassium mg/I Report Attached? Yes_(I) No (0) _ Total Ammonia L p d 4 mg/I Mg - Magnesium mg/I VOC ; method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method #= -vnr-- KI mn/I -- method #= Rev. 1112005 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM 'nnt Cleany or type cilityName: PIIULkf W(Y)ASAA) U)TP rmlt Name (if different): CDUA;u OF d j fu cilityAddress: pry'6-y (Oil _ JRl1/i �vi"L�i � t.�" 2rXJ �vu��y 1711y Ct bee i � Contact Person *:T sgeM I=. SAICILt=p— Telephone#: (^05,2 92L.-2 2,2-% Weil Locatlon/Site Name: PJAZO No, of wells to be sampled: m .rm Well Identification Number (from Permit): p0 It WELL WAS DRY Well Depth: /qr" ft. Weil Diameter: 3, in. at time of sampling, Check here Screened interval: It. to Aft. Sample !s from system: Depth to Water Level: t� ft. below measuring point. ❑ influent Offluent Measuring Point is ft, above land surface, Relative M.P. Elevation In ft. Gallons of water pum ed/balled before sampling: Zi. D Date sample collected: / 2 ERMIT No. 1114 onl) S V g? EXPIRATION DATE: on -Discharge I J pnO IN 99 UIC POES t' YPE OF PERMITTED OPERATION BEING MONITORED f/ Lagoon _Remedlation:Inflitration.Gallery t,/ Spray Feld _Remediatiom Rotary Distributor _Land Application of Sludge Water Source Heat Pump Other. -or Remediation System Influent/Effluent Only (Attach Lab Reports.) nfluent ng/L (Total VOC Concentration) 9fiuent mg/L (Total VOC Concentration) /OC Removal % d� 2 FIELD ANALYSIS: pH . O Specific Conductance uMhos bate sample analyze : C Temp. °C Odor Appearance Laboratory Name: L r� Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified - YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. mg/1 COD mg/I Nitrite (NO2) as N mg/I Ni -Nickel Coliform: MF Fecal 5 /100ml Nitrate (NO3) as N 0.51b mg/l Pb - Lead mg/I mgli Coliform: MF Total /100ml Phosphorus: Total as P 4 0. (3!+ mg/I Zn -Zinc (Note: Use MPN method for hlghly turbid samples) `7 S mg/I Orthophosphate A I- Aluminum mg/I mg/I - - Other (Specify Compounds and Concentration Units) Dissolved Solids: Total PH (when analyzed) D units Be - Barium mg/1 TOC [ K� mg/I Ca-- Calcium mg/l - Chloride 10 mg/I Cd- Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I mg/I Cu - Copper Fe - Iron mg/I mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Hg - Mercury mgll (Specify test and method #. ATTACH LAB REPORT.) Sulfate Specific Conductance uMhos K- Potassium mg/I Report Attached? Yes (1)'No (0) Total Ammonia L p, ep�f mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method #= : method #_ TKN as N . m9/l : method #= Rev. 11 /2005 SUBMIT FORM ON YELLOW PAPER ONLY FACILITY INFORMATION - . Please Print Clearly or Type "PERMIT No. RAT DATE: Facility Name: P(N�Y ( oba 1 LAAJTP Non•Dlscharge lllC Permit Name (if differ n : pUIU NPDES Facility Address: -u• O (stre.p c�t,lJR ty Coun(•{ E YQ TYPE OF PERMITTED OPERATION BEING MONITORED � � °T 8 p Lagoon Remediaton: Infiltration Gallery e �sffContact Person`. 3Q5Ci� F. SAOL�Q Telephone#: ��^�� Spray Feld _Remediation: Land Application of sludge Well Location/Site Name:._rlN a/ lt�bptlS t4,W TP No. of wells to be sampled: Rotary Distributor Water Source Heat Pump Well Identification Number (from Permit): CIO if WELL WAS DRY Other: Well Depth: Well Diameter jn. at time of samPlln9 Check here For System Influent/Effluent Only (Attach tab Reports) Screened Interval: 3 ft. to `S ft. Sample !s iipm system: ❑went [&ffluent Remediation Influentrrg1L(TotalVocconcentration) Depth to Water Level:5":0o ft. below measuring point. Effluent mg1L (Total voc concentration) Measuring Point is 3 ft. above land surface. Relativ§'M.P.`Elevation in ft. 1' voc Removal / ' Gallons of water pumpedlbailed before sampling: Date sample collected: FIELD ANALYSIS: pH ' Specific Conductance °C Umhos Date sample analyzed: Laboratory Name: N) ' Temp. Odor - Appearance Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and'field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations, mg/l COD mg/I Nitrite (NO2) as N mg/l Ni - Nickel mg/I Coliform: MF Fecal q /1 ooml Nitrate (NO3) as N (�� 6 mg/l Pb -Lead mg/l Coliform: MF Total /100m1 Phosphorus: Total as P O.O% rn9/I Zn -Zinc (Note: Use MPN method for highly turbid samples) Orthophosphate mgll mg/I Other (Specify Compounds and Concentration Units) Dissolved Solids: Total mg/I A I- Aluminum mg/l pH (when analyzed) I units Ba - Barium mg/l TOC 1 r etc mg/l Ca - Calcium Chloride mg/I Cd - Cadmium m9/I Arsenic mg/l Chromium: Total mg/I Grease and Oils mg/I Cu -Copper mg/I - mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Fe -Iron mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/1Fe uMhos -Mercury K - Potassium mg/I Report Attached? Yes (1) No (�) Speolfic Conductance mg/l Mg - Magnesium mg/I VOC : method #_ Total Ammonia (' Q (Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, Total) Mn - Manganese mg/l :method #_ ; method #= TKN as N mg/1 method #_ ® using approved methods of analysis by. a ivorin uat onna uvvu (iul ii-Py �` uv � �u .0 , .• r : � : - _ _ _. _ _ GW-59 Rev. 11 /2005 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING:• COMPLIANCE REPORT FORM or Name: Name (if t Address: act Person: Seel-i S14 f) Lan Telephone#: q 26— ZZ.Z 44 Locatlon/Site Name: PIJV421 Wp(,)nq 'I,() (A) TiP- No. of wells to be sampled: m a°n Identification Number (from Permit): If WELL WAS DRY Well Depth: IS ft. Well Diameter: 2 in. Screened interval: ft. to JC-ft. Depth to Water Level: q It. below measuring point. Measuring Point is—LLOA ft. above land surfs5, Gallons of water pumped/bafled before sampling: jo pH 6--, 1— Specific G Temp. aC Odor at time of sampiing, Check here Sample Is from system: ❑ Influent [ Relative M.P. Elevation In Date sample collected: uMho Appearance i OF PERMITTED OPERATION BEING MONITORED _Lagoon Remedlatlon: inflitration Gallery —Spray Feld _ Remediation: —Rotary Distributor _ Land Application of Sludge —Water Source Heat Pump Other. Remediation System Influent/Effluent Only (Attach Lab Reports.) nt rrg/L (Total VOC Concentration) tnt mg/L (Total VOC Concentration) Removal/6 Date sample analyzed: Laboratory Name: = INC, Certification No. in PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mgA Coliform: MF Fecal L / /100ml Nitrate (NO3) as N O , L� Z mg/I Coliform: MF Total /100ml Phosphorus: Total as P o,07 mgA (Nate: Use MPNmethod for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total 2 Z mg/I A i- Aluminum mg/I pH (when analyzed) g ; ( units Ba - Barium mg/I TOC / (o. Z L( mg/I Ca - Calcium mgA Chloride mgA Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mgA Grease and Oils mg/1 Cu - Copper mgA Ni - Nickel mg/I Pb - Lead mgA Zn - Zinc mg/I Other (Specify Compounds and Concentration Units) Phenol mg/I Fe - Iron mg/I ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/I Hg - Mercury mgA (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/1 Report Attached? Yes (1) No (0) Total Ammonia 0 4 mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mgA : method #= TKN as N mg/I : method #= method #= GW-59 Rev. 11 /2005 I CnAV OF HUE nE emu ee ldl\Authorized Agen me Signature of rmttte (or Authorized Agent) OI'//9 /Z GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Facility Name: Permit Name (If c Facility Address: SUBMIT FORM ON YELLOW PAPER ONLY •v/ %v..ma1 %cry/ J Contact Person: to utpa Telephone#: S2a C12J-- 2-12- f Well Location/Site Name: r/(J/=Y l i)[]o�S No, of wells to be sampled: 11 m.snn) Well Identification Number (from Permit): Oole if WELL WAS DRY Well Depth: [ S ft. Well Diameter: 2, in. at time of sampling, Check here . Screened Interval: 3 ft. to Is' ft. Sample is from system: Depth to Water Level: 3,(05' ft. below measuring point. ❑ Influent fnuent Influent ng1L (Total VOC copcentration) Measurin Point IS Effluent mglL (Total VOC Concentratlon) g 3 ft. above land surface. Relative M.P. Elevation In ft. VOC Removal Gallons of water pumped/balled before earn ling: . 3 Date sample collected' l FIELD ANALYSISd pH !S,t7 Specific Conductance uMhos " Date sample analyzed: '� Temp. °C Odor Appearance 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 mg/I Nitrite (NO2) as N mg/I Ni - Nickel Coliform: MF Fecal 4 /100ml Nitrate (NO3) as N Z,6�{ mg/1 Pb - Lead Coliform: MF Total /100ml Phosphorus: Total as P co,O�J, mg/I Zn Zinc h WG cloosgg9 EXPIRATION DATE: L4Q oa[ 2%4g4 UIC YPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedlation: Infiitretlon Gallery 1/ Spray Fleig Remedlation: Rotary Distributor _Land Application of Sludge Water Source Heat Pump Other, mg/I mg1I mg/I (Note: Use MPN method for highly turbid samples) `f 6 Orthophosphate Dissolved Solids: Total mg/I A I- Aluminum mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) 376 units Be -,Barium mgll TOC , j R mg/I.:. Ca - Calcium mg/I Chloride q mad Cd - Cadmium mg/l Arsenic mg/I Chromium: Total mg/l Grease and Oils mg/I Cu - Copper mg/i Phenol mg/l Fe - Iron mg/I ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/I Hg - Mercury mg/I (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes (1); Nci (0) Total Ammonia O,p $ mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I : method #= TKN as N mg/I : method #= O/ Z f GW-59 Signaturqy Perm a (or Authorized Agent) (Date) Rev. 1112005 _SUBMIT FORMON YELLOWPAPER • GROUNDW-"Ijgr .x�•,�,,�c �S'o c r A !l"tV{ { _ Ell ffiMail original and CO t0QUALITY.OORt4�t '. ' .Aw+. GY'+"'i. �; �� .A. • �' - . ,'; 6+,,fit^ . . ...._-...... _ __.._. _ . --'—"—Please all .—— - yor PIN 1/0. • • •i.r a e I i ere FacllityAddress: Arj ^ C. $$S' County J� �'tiL TYPE OF PERMITTED OPERATION BEING MONITORED a e ! a Lagoon Remediatlon: Inflitration Gallery Contact Person: —J�C= pht ram, 10C-,p Telephone#: ZS2)qA. -Z,7 2-4 [% Spray Flair, Remediation: Welf Location/Site Name: 1pU�JS W LoTP No, of wells o be sampled: Rotary Distributor _Land Application of Sludge Water Source Heat Pump other. Well Identification Number (from Permit): 007 If WELL WAS DRY Well Depth: � ft. Well Diameter:_�In. at time of samplin, Check here g For Remediation System Influent/Effluent Only (Attach Lab Reports) Screened interval: ft. to IS' ft, Sample is from system: Depth to Water Level:3.65' ft. below measuring point. ❑ influent Dffluent influent rrg/L (TotalVOC concentration) Measuring Point is ft, above land surface. Relative M.P. Elevation In ft, Effluent mglL (rout voc concentration) Gallons of water pumped/balled before sampling:- 6 •3 Date sample collected: VOC Removal / FIELD ANALYSIS: pH 54-Specific Conductance uMhos Date sample analyzed: Temp. °C Odor Appearance Laboratory Name: G V IROYMCA) TINC Certification No. O PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. Cob mg/1 Nitrite (NO2) as IN mg/I Ni - Nickel mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N �O �> mg/1 Pb - Lead mg/l Coliform: MF Total /100ml Phosphorus: Total as P C Ong - mg/I Zn - Zinc mg/I (Note: Use MPN method fa highly lurbldraemples) Dissolved Solids: Total S ;t 4 - mg/1 Orthophosphate A I- Aluminum mg/i mg/I Other (Specify Compounds and Concentration Units) PH (when analyzed) S, 3 units Be - Barium mgli TOC 1 l R .� rq it Ca - Calcium mg/l Chloride g mg/I Cd - Cadmium mg/I _ Arsenic _ mg)1 Chromium: Total mgll Grease and Oils _ mg/1 Cu - Copper mg/I Phenol mg/i Fe - iron mg/1 ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/i Hg - Mercury mg/I (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium__ mg/I Report Attached? Yes (1) No (0) Total Ammonia C�. `l mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mgll method #= TKN as N mg/I : method #= method #= Rev. 11 /2005