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HomeMy WebLinkAboutWQ0023896_Monitoring - 03-2021_20210421 (3)Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0023896 Name of Facility:* Month:* March Report Information Type * GW-59 UNC Bingham Facility Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review jldaw@ehs.unc.edu J Laurence Daw Reviewer: Williams, Kendall Year:* 2021 Upload Document* WQ0023896 GW-59 March 765.56KB 2021.pdf FDF Cnly Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). 4/21 /2021 This will be filled in automatically Is the project number correct?* WQ0023896 Is the monitoring report t: Yes r No accepted?* Regional Office* Raleigh Accepted Date: 4/21/2021 G W-59A COMPLIANCE REPORT FORM Permit # W 0023896 (Submit one each monitoring period with GW-59 jornm) I Enter date monitoring results were due. (4--iU-20711 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 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. Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing 3 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 x 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- 3 -4 -2021 MW -1 pH 5.9 SU 3-4-2021 MW-3 Fecal Coliform I colonies/100 ml 3.4.2021 M W -3 pH 5 6 SU 3.4-2021 MW4 pH 5-6 SU 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituents) 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 12.3-2020 MW-1 pH 6.2 SU 3-13-2020 MW-3 pH 5.6 SU 6-1 1-2019 MW-4 pH SA8 SU 6•I I-2019 MW1 pH 5.97 SU 3-14-2019 MW-3 pH 5.64 SU. 6-12-2020 MW-3 Fecal Coliform 12 colonies/100 ml 9-13-2019 MW-4 pH 4.89 SU 9-13-2010 MW-1 pH 5.74 SU 6-11-2019 MW-3 pH 5.48 SU 6.12-2020 MW-3 pH 5.7 SU 12-10.2019 MW-4 pH 5.4 SU 12-10-2019 MW-1 pH 5.5 SU 6-11-2019 MW-3 Fecal Coliform 10 colonies/100 ml 9-10-2020 MW-3 pH 5.8 SU 3-13-2020 MWA pH 5.7 SU 3-13-2020 MW-1 pH 5.9 SU 9-13-2019 MW-3 pH 6.15 SU 12-3-2020 MW-3 pH 6.3 SU 6-12-2020 MW-4 pH 5.6 SU 6-12-2020 MW-1 pH 6.0 SU 12-10.2019 MW3 pH 5.6 SU 3-14.2019 MW-4 pH 5.62 SU 12-3-2020 MW-4 pH 5.9 SU 9-10.2020 MW-1 PH 6.0 SU 12-10-2019 NIW-3 Fecal Coliform 3 colonies/100 ml 6 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 Is "NO", monitoring wells may be 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? See response in 7 below. _ If the answer to question 7 is 'YES", describe those actions in the space provided below. x 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 surroundina this facility.- Failure to do so may sublect the vermittee to a Notice of Wolation fines. and/or penalties. Larry Daw of UNC emailed Scott Vinson of DEQ on April 21, 2021 regarding results of groundwater sampling. 8 The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with G W-59 dorms for required wells to the address provided at the top of the current GW-59 form. I here acknowledge that the above Information was evaluated and the Information submitted In this Report Is true and complete to the best of my knowledge. faTence -Zl-Zaz lttee (or Autho ed ent) Date vironmental Compliance Officer GW-59A 1218/2003 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: 11/30/2026 Facility Name: UNC-CH BINGHAM FACILITY Non -Discharge WQ0023896 UIC Permit Name (if different): NPDES Other Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED County ORANGE ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ 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 14 Other: Drip Irrigation Ifrom Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-1 Date sample collected: 3/4/2021 FIELD ANALYSES: WAS Well Depth: 38 ft. Well Diameter: 2 in. pH 00400: 5.9 units Temp. 000lc 157 oC DRY at Depth to Water Level 82546: 30 ft. below measuring point Screened Interval: 23 ft. to 38 ft. Spec. Cond. 000sa: µMhos time ofsampling, 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 Lt Tan/Turbid here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑YES El NO LABORATORY INFORMATION Date sample analyzed: 3-4, 5. 8, 10, 11, 18-2021 Laboratory Name: ENVIRONMENTAL CHEMISTS, INC. Certification No. 94 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO.) as N 00515 0.08 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.68 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00885 0.61 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 79 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 0.9 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 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: mg/L VOC Removal% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permittee (or Authorized Aqent) Name and Title - Please print or type Lf-Z) -ZoZ (Date) 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 orType PERMIT Number: Expiration Date: 11/30/2026 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 County ORANGE ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ 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 4 Other: Drip Irrigation from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-3 Date sample collected: 3/4/2021 FIELD ANALYSES: WAS Well Depth: 39 ft. Well Diameter: 2 in. pH 00400: 5.6 units Temp. 000lc 12.2 °C DRY at Depth to Water Level 82546: 1.8 ft. below measuring point Screened Interval: 19 ft. to 39 ft. Spec. Cond. 00094: µMhos time of sampling,check Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 497.11 ft. Odor 00085: None Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear/Mild Turb here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3-4, 5, 8, 10, 11, 18-2021 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 1 /100mL Nitrate (NO3) as N 00620 0.05 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.29 mg/L (Note; Use MPN method for highly turbid samples). Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 63 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 2.6 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 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% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permlttee (or Authorized Aqent) Name and Title - Please print or type for -Z/ -ZvZ (Date) 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: 11/30/2026 Facility Name: UNC-CH BINGHAM FACILITY Non -Discharge WQ0023896 UIC Permit Name (if different): NPDES Other Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED County ORANGE ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ 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 V� Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 3/4/2021 FIELD ANALYSES: WAS Well Depth: 60 ft. Well Diameter: 2 in. pH 00400: 5.6 units Temp. 000lc 16'2 oC DRY at Depth to Water Level ersas: 14 ft. below measuring point Screened Interval: 25 ft. to 60 ft. Spec. Cond. 000sa: µMhos time ofsampling, 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 Mostly Clear here:❑ Samples for metals were collected unfiltered: El ❑ NO and field acidified: ❑YES El NO LABORATORY INFORMATION Date sample analyzed: 3-4. 5, 8, 10, 11, 18-2021 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 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.34 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.26 mg/L Note •. se MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 52 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 6.4 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) `P" No (0) pecific 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; NH3 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% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permittee (or Authorized Aqent) Name and Title - Please print or type (or -Z1- Z 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: 11/30/2026 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 County ORANGE ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ 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 0 Other: DriR Irrigation ifrom Permill SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 3/4/2021 FIELD ANALYSES: WAS Well Depth: 50 ft. Well Diameter: 2 in. pH 00400: 7.5 units Temp. 000lc 14,8 °C DRY at Depth to Water Level 82546: 12 ft. below measuring point Screened Interval: 35 ft. to 50 ft. Spec. Cond. 000sa: µMhos time ofsampling, 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: 3-4, 5, 8, 10, 11, 18-2021 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 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.4 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.97 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 250 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 3.5 mg/L Ca - Calcium 00916 mg/L Chloride 00940 19 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 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 o1067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permittee (or Authorized Aqent) Name and Title - Please print or type (or q- Zl -zaz. (Date) 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: 11/30/2026 Facility Name: UNC-CH BINGHAM FACILITY Non -Discharge WQ0023896 UIC Permit Name (if different): NPDES Other Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED County ORANGE ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ 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 Other: Drip Irrigation +,from Permlo SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-6 Date sample collected: 3/4/2021 FIELD ANALYSES: WAS Well Depth: 51 ft. Well Diameter: 2 in. pH 00400: 6.7 units Temp. 000lc ",Z °C DRY at Depth to Water Level 82546: 16 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: ❑ YES ElNO and field acidified: [IYES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3-4, 5, 8, 1011, 15. 18-2021 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 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO,) as N 00620 0.15 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.41 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 268 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 14 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 o0095 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; Ammons Nitrogen. Totall 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% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permfttee (or Authorized Aqent) Name and Title - Please print or type (or q-21-Z021 Date; GW-59 Rev.8/2013