WQ0000185_Monitoring - 06-2021_20210730 (2)

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0000185
Name of Facility:*
Month:* June
Report Information
Type *
GW-59
Ocean Sands WWTP
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Ocean Sands 696.18KB
G W 59_07302021150809. pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
Reviewer: Saunders, Erickson G
7/30/2021
This will be filled in automatically

Is the project number correct?* WQ0000185
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 8/18/2021

GW-59A COMPLIANCE REPORT FORM Permit # tJQ 000 c) l 5
(Submit one each monitoring period with GW-59 forms.)
X
Enter date monitoring results were due.( 3t- 3D- 2) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
Z
Was any required information missing on the GW-59 report forms?
YES I
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
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:
m Vj - A !>M1
1"�5 - S ( 7-
TDS (oqq
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 bo section 8.
If the answer to question 5 is `YES", ust 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).
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Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
Q O
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 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 "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. LA) il , q
W+'n!C kia� GiVGtJ�K�.IL� tNSt�}}!`Yc'( V�s� Wgg�ro�Sa
11�
t%+E�M�nt r�sk�S lAN� 144 2�c.�� ►," rriDrv,dvr7a,Y4/� IwiL1`i
Cp � S � ,„ l; .,� g , N a de l �.y 4 4 JJ4-S ' ora/
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S
The person completing this portion (-W-59A) of the monitor ng 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.
R, � a IL 7 /29 /zl
Signature of Permittee (or Aut rized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPAitTMENT OF ENVIRONMENT $ NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY INt ORiUTATION PROCESSING UNIT;
COMPLIANCE REPORT FORM
16f7MAlLSERVICECENTSR,RALEIGHNG276991fi17 Phone`(919j7833221
FACILITY INFORMATION
Please PnnfCleaHyorType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
El Lagoon ❑Remediation: Infiltration Gallery
(city) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑■ Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 6/10121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.9 units Temp. 000la: 23.4 °C
DRY at
Depth to Water Level 82546:5•8 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec, Cond, 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/balled before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:6/10121
LaboratoryName: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mglL Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 <0.02
mglL Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 3.15
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Total m3oo 562
mg/L
Al - Aluminum 011o5
mg1L
pH (Lab) 00403 6.9
units
Ba - Barium 01007
uglL
TOC oo680 4.0
mg1L
Ca - Calcium 00916
mg1L
Chloride 00940 186
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
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 78732: method #
Total Ammonia 00610 1.0
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug1L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Aqent) Name and Title - Please print or type
mg1L Effluent Total VOCs:
2
mglL VOC Removal%
7/29121
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT.&:NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY414FORMATION PROCESSING UNIT'
COMPLIANCE REPORT FORM
1fii7 PVAAIL,SERVICE CENTER, RALEIGH, NC 27699 7fi1T; ,Phane.;I919},733-3221
FACILITY INFORMATION
Please Print
Cleady or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
El Lagoon ❑Remediation: infiltration Gallery
(city) (stag)
(-zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 6110/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 0040D: 6.5 units Temp. ot)o10: 24.7 °C
DRY at
Depth to Water Level 82546:3.3 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES
El NO and field acidified: El YES
El NO
LABORATORY INFORMATION
Date sample analyzed:6110121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00616 <0.02
rnglL Pb - Lead 01051 uglL
Coliform: MF Fecal 31616 1
1100mL
Nitrate (NO3) as N 00620 0.70
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 0.47
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 464
mg/L
At -Aluminum 011o5
mglL
PH (Lab) 00403 6.5
units
Ba - Barium 01007
uglL
TOO oo6an 4.1
mgh
Oa - C:alCiLlm 00416
mpll
Chloride 00940 174
mg1L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00652
mg1L
Cu - Copper 01042
mglL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 00610 <0.2
mg1L
Mg - Magnesium oa927
mglL method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Perrnittee (or Authorized Agenl) Name and Title - Please print or type
GW-59 Rev.2/2010
mg1L Effluent Total VOCs:
mg1L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATUL:RARESOURCES
GROUNDWATER QUALITY MONITORING:
DIvISION OF WATER QUALITY ]NFORMATION PROCESSING UNIT!
COMPLIANCE REPORT FORM
1617 MAIL SERVICE C) NTER RALEIGH, NC27fi99 16i7:; phpne [phone]
FACILITY INFORMATION
Please Print CleadyorType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
❑ Lagoon ❑Remediation: Infiltration Gallery
(city) (State)
(ZiO
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑■ Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 6/10121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.9 units Temp. 00010: 24.2 °C
DRY at
Depth to Water Level 82546:4.4 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor o0085: none
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:6110/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00015 <0.02
mg/L Pb - Lead oiosi uglL
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.27
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 0.53
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved SolidS:Total 703oo 644
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.9
units
Ba - Barium 01007
uglL
TOG oo6so 5.1
mg/1
Ga - C,alrlum Q0916
molt
Chloride 0094o 211
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia m6ia <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
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.212010
mg/L Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT $ NATURAL RESOURCE$
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
ib!7,MAIL" SERVICE CENTER, RALEIGHNC 27699 1617 Phone `(919) 733r3221
FACILITY INFORMATION
Pleas& Print
Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (Slate)
(zip)
❑ Spray Field ❑Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑ Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 6/10/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.4 units Temp. eooio: 25.0 °C
DRY at
Depth to Water Level 82546:3.9 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/balled before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:6/10121
Laboratory Name: Enviro Chem
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 o1o5i ug/L
Coliform: MF Fecal 31616 >60
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4
/100mL
Phosphorus: Total as P 00665 0.73
mg/L
{Note: UseMPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 131
mg/L
Al - Aluminum o11o5
mg/L
PH (Lab) 00403 6.4
units
Ba - Barium 01007
ug/L
TO('. oo68o 5.0
mg/L
0a - Calcium 00C116
mg/L
Chloride 0094o 33
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GO/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 oflo95
pMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia oomo <0.2
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
ug1L method #
For Remediation Systems Only (Attach Labfteports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
7/29/21
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
REPARTMENT OF ENVIRONMENT & NATURAL RESOIiRCE&
GROUNDWATER QUALITY MONITORING:
D)VISIRN OF WATER QUALITY INFO}tMATION PROCESSING UNIT.
COMPLIANCE REPORT FORM
1617MAILSERVICE,cENTER,RALEIGH NC.2769s 161T':, Pitonts::"(919}7333221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Nan -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County CurritucEc
El Lagoon ❑Remediation: Infiltration Gallery
(city) (state)
(Lip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Halley
Telephone#: [phone]
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump 9 Other: Infiltration
(from Permil)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 6/10121
FIELD ANALYSES:
WAS
Well Depth: 17,6 ft.
Well Diameter: 3 in.
pH 00400: 6.9 units Temp. oo01o: 21.8 °C
DRY at
Depth to Water Level 82546:4.6 ft. below measuring
p g point Screened Interval: 12 ft. to
17 ft. Spec. Gond. ooasa: µ Mhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: El YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:6110121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 00620 0.49
mg1L Zn - Zinc 01092 mg1L
Coliform: MF Total 315o4
/100ml-
Phosphorus: Total as P 00665 3.12
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 429
mg/L
Al -Aluminum 01105
mg1L
PH (Lab) 00403 6.9
units
Ba - Barium 01007
ug1L
TOC oow 5.1
mg1L
Ca - Calcium 00916
mg1L
Chloride 00940 128
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 010a5
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000s5
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia 00610 1.2
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug/L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of Permittee
mg1L VOC Removal%
7/29121
GW-59 Rev.2/2010