HomeMy WebLinkAboutWQ0001817_Monitoring - 07-2021_20210827 (2)Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0001817
Name of Facility:* Albemarle Utility Company
Month:* July Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR July's MR's.pdf 8.93MB
FDF Only
GW-59 July's MW's.pdf 15.46MB
ITF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* danny.perry@albemarleplantation.com
Name of Submitter:* Danny Shelton Perry
Signature:
Date of submittal: 8/27/2021
This will be filled in automatically
Initial Review
Reviewer:
Plummer, Lauren
Is the project number correct?*
WQ0001817
Is the monitoring report
Yes r NO
accepted?*
Regional Office*
Washington
Accepted Date: 9/1/2021
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1 6602 Windmill Way, Wilmington, NC 28405 " 910.392.0223 Lab * 910.392.4424 Fix
710 Bowsertown Road, Manteo, NC 27954 s 252.473.5702 Lab/Fax
'M 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/ Fax
ANALYTICAL & CONSULTING CHEMISTS info(o.'environmen IaIchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30913 Site: MW-t 7/23/2021 9:40 AM Water Jay Baker
Test Method Results Date Analyzed
Color
color
White/Turbid
07/23/202 "1
Depth to water, ft.
Depth to water, Ft.
11.3 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1. Rev. 2.0, 1993
: 0.2 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07/23/2021
Odor
Qualitative
Sulfur
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
153 mg/L
Or7/26/2021
Temperature
SM 2550 B-2010
18.0 C
07/23/2021
pH
SM 4500 H R-2011
6.4 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
4.5 mg/L
07/27/2021
Fecal Coliform
SM 9222 0-2015 MF
<1 Colonies/100ml-
07/23/2021
Chloride
SM4500 Cl E-2011
11 mg/L
07/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.04 mg/I_
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0,1993
< 0.02 mg/L
07/27/2021
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
08/10/2021
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ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC'28405 a 910.392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/ Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab. Fax
info@enviromnentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30914 Site: MW-2 7/23/2021 9:50 AM Water ,lay Baker
Test _ Method Results Date Analyzed
'Color
oo!oP
Tan/Brown/Turb
07/23/202,1
Depth to water, ft.
Depth to Water, Ft.
6.3 feet
07/23/2021
,'ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
1.1 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
3 (dry) gallons
07/23/2021
Odor
Qualitative
Sulfur
07123/?..02.1
dotal Dissolved Solids (TDS)
SM 2540 C-2015
401 mg/L.
07/26/2021
Temperature
SM 2550 B-2010
20.0 C
07/23/2021
pH
SM 4500 H B-2011
5.2 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
23.2 mg/L
07/27/2021
Fecal Coliform
SM 9222 D-2015 MF
13 Colonies/100mL
07/23/2021
Chloride
SM4500 Cl E-2011
9 mg/L
07/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2, Rev. 2 0, 1993
< 0.02 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA353.2, Rev. 20, 1993
0.05mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.05 mg/L
08/10/2021
a
Report #, 2021.12367 Page 2 n>r 10
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6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab " 91.0.392.4424 Iw(
710 Bowsertown Road, Manteo, NC 27954 " 252.473.57021,ab/Pax
255-A Wilmington Highway, Jacksonville, NC 28540 ' 910. 47.5843 I,ab/ Fax
ANALYTICAL & CONSULTING CHEMISTS info•`u environmentalchemsts.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30915 Site: MW-3 7/23/2021 10:00 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
Tan/Grey/Turb
07/23/2021
Depth to water, ft.
Depth to water, Ft.
6.3 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0,1993
0.4 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
3 (dry) gallons
07/23/2021
Odor
Qualitative
Sulfur
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
1730 mg/L
07/26/202.1
Temperature
SM 2550 B-2010
19.6 C
07/23/2021
pH
SM 4500 H B-2011
5.4 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
24.4 mg/L
07/27/2021
Fecal Coliform
SM 9222 D-2015 MF
27 Colonies/100ml-
07/23/2021
Chloride
SM4500 Cl E-2011
< 5 mg/L
07/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA353.2, Rev. 2.0, 1993
0.07 mg/L
07/28/2021
Nitrate Nitrogen
subtraction Method
0.07 mg/L
08/10/2021
a
Report #. 2021-12367 Page 3 of 10
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ANALYTICAL $ CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ° 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab / hoax
info(iUenvironmentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PC #.
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30916 Site: MW-4 7/23/2021 10:10 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
Tan/Grey/Tu rb
07/23/2021
Depth to water, ft.
Depth to Water. Ft.
6.1 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
2.8 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
3 (dry) gallons
07/23/2021
Odor
Qualitative
Sulfur
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C•2015
182 mg/L.
07/26/2021
Temperature
SM 2550 B-2010
19.1 C
07/23/2021
pH
SM 4500 H B-2011
55.5 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
32.4 mg/1-
07/27/2021
Fecal Coiiform
SM 9222 D-2015 MF
15 Colonies/100mL
07/23/2021
Chloride
SM4500 Cl E-2011
< 5 mg/L
07/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.03 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.24 mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.21 mg/L
08/10/202.1
I
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Envir®nmental Chemists, Inc.
envirochem bb02 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab d 9.t0.352.4424 Fax
710 Bowsertown Road, ivlanteo, NC 27954 ' 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, NC 28540 91.0.347..5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO M
Hertford NC 27944 Customer ID: 09110024
Attention: report #: 2.021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30917 Site: MvV-5 7/23/2021 10:20 AM Water Jay Baker
Test
Method
Results
Date Analyzed
Color
Color
Clear
07/23/202",
Depth to water, ft.
Depth to Water, Ft.
7.0 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07/23/2021
Odor
Qualitative
Slight Sulfur
07/23l2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
325 mg/L
07/26/2021
Temperature
SM 2550 B-2010
19.8 C
07/23/2021
pH
SM 4500 H B-2011
5.9 units
07/2.3/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
4.9 mg/L
07/27/2021
Fecal Coliform
SM 9222 0-2015 MF
<1 Colonies/100ml- 07/23/2021
Chloride
SM4500 Cl E-2011
70 mg/L
07/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 ma/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.03 mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.03 mg/L
08/10/2021
9
Report # 2021-12367 Page 5 of i0
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Environmental. Chemists, Inc.
1 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab 910.39'L,1424 Fax
k 710 3owsertown Road, Manteo, NC 27954 d 252.473.5702 Lab j Fex
^' 255-A Wilmington Highway, Jacksonville, NC 285,10 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info a;environmentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab III Sample ID: Collect Date/Time Matrix Sampled by
21-30918 Site: MW-6 7/23/2021 10:30 AM Water Jay Baker
Test
Method
Results
Date Analyzed
Color
Color
Clear
07/23/2021
Depth to water, ft.
Depth to Water, Ft
7.5 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L.
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07/23/2021
Odor
Qualitative
None
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2016
573 mg/L
07/26/2021
Temperature
SM 2550 B-2010
19.3 C
07/23/2021
is H
SM 4500 H B-2011
6.1 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
3.6 mg/L
07/27/2021
Fecal Coliform
SM 9222 D-2015 MF
6 Colonies/100mL 07/23/2021
Chloride
SM4500 Cl E-2011
158 mg/L
07/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
0712812021
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
08/10/2021
a
Report # 2021-12367 Page 6 of 10
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6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab " 910,392,4424. Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info�a),emironmentalchemists.com
Albemarle Utility
862 Holiday Island Road
Hertford NC 27944
Attention:
Date of Report: Aug 10, 2021
Customer PO #:
Customer ID: 09110024
Report #, 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled
21-30919 Site: MW-7
7/23/2021
9:30 AM Water Jay Balser
Test
Method
results Date Analyzed
Color
Color
Red/Tan
07/23/2021
Depth to water, ft.
Depth to water. Ft.
3.9 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
0.3 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07/23/2021
Odor
Qualitative
Sulfur
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
302 mg/L
07/26/2021
Temperature
SM 2550 B-2010
21.4 C
07/23/2021
pH
SM 4500 H B-2011
6.1 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
16.7 mg/L
07/27/2021
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SM 9222 D-2015 MF
<1 Colonies/100mL
07/23/2021
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33 rng/L
07/26/2021
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Nitrite Nitrogen
EPA353.2, Rev. 20, 1993
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07/23/2021
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EPA 353.2, Rev. 2 0, 1993
0.16 mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.16 mg/L
08/10/2021
2
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Albemarle Utility
862 Holiday Island Road
Hertford NC
Attention:
Lab ID Sample ID:
21-30920 Site: Mph/-8
Test
ILI
.Environmental Chemists, Ine.
6602 Windmill Way, Wilmington, NC 28405 910.392.0223 Lab 8 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 " 910.347,5843 Lab/lax
info@environmentalchemists.coln
Date of Report: Aug 'i 0, 2021
Customer PO #:
27944 Customer ID: 09110024
Report #: 2021-12367
Project ID: Monitoring Wells
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
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Temperature
pH
Total Organic Carbon (TOC)
Fecal Coliform
Chloride
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Nitrite Nitrogen
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Collect Date/Time Matrix
7/23/2021 10:45 AM Water
Method
Color
Depth to Water, Ft.
EPA 350.1, Rev. 2.0, 1993
Gallons Bailed before sampling
Qualitative
SM 2540 C-2015
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SM 4500 H B-2011
SM 5310 B-2014
SM 9222 D-2015 MF
SM4500 Cl E-2011
EPA 353.2, Rev. 2.0, 1993
EPA 353.2, Rev. 2.0. 1993
Subtraction Method
Results
Sampled by
Jay Baker
Date Analyzed
Clear/Tan
07/23/2021
6.2 feet
07/23/2021
< 0.2 mg/L
07/25/2021
5.0 gallons
07/23/2021
Slight Sulfur
07/23/2021
331 mg/L
07/26/2021.
19.9 C
07/23/2021
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07/2 3/2021
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07/27/2021
57 Colonies/100mL
07/23/2021
94 mg/L
07/26/2021
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07/23/202-1
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07/28/2021
0.20 mg/L
08/10/2021
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ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 " 910,392.0223 Lab ° 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ^ 910.347.58431-ab/Fax
info u•environmentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect DatefTime Matrix Sampled by
21-30921 Site: MW-9 7/23/2021 11:10 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
Clear
07/23/2021
Depth to water, ft.
Depth to water, Ft.
7.6 feet
07/23/2021
Ammonia Nitrogen
EPA 350,1, Rev. 2.0, 1993
< 0.2 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07/23/2021
Odor
Qualitative
None
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
60 rng/L
07/26/2021
Temperature
SM 2550 B-2010
19.4 C
07/23/2021
pH
SM 4500 H B-2011
5.6 units
07/23/2021
Total Organic Carbon (TOC)
SM 5310 B-2014
3.0 mg/L
07/27/2021
Fecal Coliform
SM 9222 D-2015 MF
36 Colonies/100mL
07/23/2021
Chloride
SM4500 CI E-2011
< 5 mg/L
07/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.03 mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.03 mg/L
08/10/2021
a
Helrort # 2021-12357 Page 9 of 10
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Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 11 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 2.8540 ° 910.347.5843 Lab jax
ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com
Albemarle Utility Date of Report: Aug 10, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report #: 2021-12367
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-30922 Site: MW-10 7/23/2021 10:55 AM Water Jay Baker
Test Method Results Date Analyzed
Color
color
Tan/Brown/Clear
07/23/2021
Depth to water, ft.
Depth to water, Ft.
9.5 feet
07/23/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L
07/25/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
07123/2021
Odor
Qualitative
Slight Sulfur
07/23/2021
Total Dissolved Solids (TDS)
SM 2540 C-2015
121 mg/L
07/26/2021
Temperature
SM 2550 B-2010
18.2 C
07/23/2021
pH
SM 4500 H B•2011
5.8 units
07/23/?_021
Total Organic Carbon (TOC)
SM 6310 B-2014
1.2 mg/L
07/27/2021
Fecal Coliform
SM 9222 D-2015 MF
<1 Colonies/100ml-
07/23/2021
Chloride
SM4500 Cl E-20,11
22 mg/L
07/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2 0, 1993
< 0.02 mg/L
07/23/2021
Nitrate+Nitrite-Nitrogen
EPA 353 2, Rev. 2 0, 1993
0.20 mg/L
07/28/2021
Nitrate Nitrogen
Subtraction Method
0.20 mg/L
08/10/2021
Comment:
Reviewed by:
I
(=tnpoit # 2021-12367
Page 10 or 10
GW-59A COMPLIANCE REPORT FORM Permit #Wa 06019l 7
(Submit one each monitoring period with GW--59 forms.)
r�
��—I
2
nter date monitoring results were due. ( -31-.ti) Will this monitoring report (GW-59 and GW-55A)
be submitted after the established due date?
Was any required information missing on the GW-59 report forms?
YES
YES
O
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,
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
3
identification plate, area overgrown, etc.)? If the answer is "Yer ", contact the Regional Office for guidance.
I
4
Are any monitored constituents equal to or above the established standards'?
YE
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:
i730 = _,)L„?
57-3
5
_ ___ _
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
I 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 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).
, t;;`4
,ram14
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
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
O
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 bs
i required to determine the irnoact 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 enaltiesr
i
I
8
The person completing this portion (G W-5'9A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address at the top of the current GW-59 form.
�7
provided
i
I hereby acknowledge that the above information was evaluated and the information submitted in this
report ( ompliance Report GW-59A) is true and complete to the best of my know) dge.
4te
Permitte or Au a Bert) eta
I
GW-59A 12/8/200,',
37
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