WQ0003271_Monitoring - 07-2021_20210830 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmerttat Quaffty
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0003271
Name of Facility:* Hestron Park WWTP
Month:* July Year:* 2
Report Information
Type* Upload Document*
GW-59 Hestron MW.pdf 1.25MB
FIDE Oily
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Stacy A. Goff
Signature:
Date of submittal: 8/30/2021
This w ill be filled in autorratically
Initial Review
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0003271
Is the monitoring report C' Yes C No
accepted?*
Regional Office* Wilmington
Accepted Date: 9/4/2021

GW-59A COMPLIANCE REPORT FORM Permit# WQ0003271
(Submit one each monitoring period with GW-59 forms.)
Enter date monitoring results were due.( July ) 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.
x
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:
See Attachment
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 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).
See Attachment
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? 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 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?
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.
8 The person completing this portion(GW-59A)of the monitoring 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.
Signature of Permittee(or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 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: 12-31-2023
Facility Name: Heston Park Non-Discharge WQ0003271 UIC
Permit Name(if different): NPDES Other
Facility Address: 5058 Hwy 70 Westridge Center Unit N2 TYPE OF PERMITTED OPERATION BEING MONITORED
Morehead City NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Stacy A Goff Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 07/19/21 FIELD ANALYSES: WAS
Well Depth: 21.5 ft. Well Diameter: 2 in. pH 00400:7.1 units Temp. 00010: 22 °C DRY at
Depth to Water Level 82546:7.2 ft. below measuring point Screened Interval: 5 ft. to 21.5 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 3.5 gallons Appearance clear here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/19/21 to 8/3/21 Laboratory Name: Enviroment 1, Inc Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620 .12 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 .09 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 130 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 12.05 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 13 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 78732: , method#
Total Ammonia 00610 .04 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 asN;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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Digitally signed by Dana Hill
Dana Hill, Regional Manager ■ DN:C=US,O=CWSNC,CN=Dana Hill,
(orAgent) printtypeDaPrttrA} 4el II Reason theauthor.ofthisdocu ent ( )
Permittee Authorized A ent Name and Title-Please or Reason: am the author Orions document Date
Location:your signing location here
GW-59 Rev.2/2010 Date:2021.08.2914:31:10-04'00'
Foxit PDF Editor Version:11.0.0

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 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: 12/31/2023
Facility Name: Heston Park Non-Discharge WQ0003271 UIC
Permit Name(if different): NPDES Other
Facility Address: 5058 Hwy 70 Westridge Center Unit N2 TYPE OF PERMITTED OPERATION BEING MONITORED
Morehead City NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Stacy A Goff Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 07/19/21 FIELD ANALYSES: WAS
Well Depth: 19.95 ft. Well Diameter: 2 in. pH 00400:6.9 units Temp. 00010: 22 °C DRY at
Depth to Water Level 82546:9.34 ft. below measuring point Screened Interval: 5 ft. to 19.95 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance clear here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/19/21 to 8/3/21 Laboratory Name: Environment 1, Inc Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620 .33 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665<.04 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 230 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC o0680 14.09 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 31 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 78732: , method#
Total Ammonia 00610<.04 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 asN;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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Digitally signed by Dana Hill
Dana Hill, Regional Manager . DN:C=DS,o=CWSNC,CN=Dana Hill,
(or type
��t L III E=dana hlll®rar author document
(Date)
Permittee Authorized Agent)Name and Title-Please print or t e na r r t r A e Reason: am the author a this document Date
Location:your signing location here
GW-59 Rev.2/2010 Date:2021.08.2914:31:39-04'00'
Foxit PDF Editor Version:11.0.0

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 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: 12-31-2023
Facility Name: Heston Park Non-Discharge WQ0003271 UIC
Permit Name(if different): NPDES Other
Facility Address: 5058 Hwy 70 Westridge Center Unit N2 TYPE OF PERMITTED OPERATION BEING MONITORED
Morehead City NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Stacy A Goff Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 07/19/21 FIELD ANALYSES: WAS
Well Depth: 24.44 ft. Well Diameter: 2 in. pH 00400:7.0 units Temp. 00010: 22 °C DRY at
Depth to Water Level 82546:6.5 ft. below measuring point Screened Interval: 5 ft. to 24.44 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 3 gallons Appearance clear here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/19/21 to 8/3/21 Laboratory Name: Environment 1, Inc Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620<,04 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 .09 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 790 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 5.7 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 204 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 78732: , method#
Total Ammonia 00610 .21 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 asN;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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Dana Hill, Regional Manager . Digitally signedby NC Hill
DN:C=US,O=CWSNC,CN=Dana Hill,
( type
a� III Reason- ohe author
)
Permittee or Authorized Agent)Name and Title-Please print or t e na r r tt r A e Reason:I am the author of this document (Date)
GW-59 Rev.2/2010 Location:your signing location here
Date:2021.08.29 14:32:04-04'00'
Foxit PDF Editor Version:11.0.0

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 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: 12-31-2023
Facility Name: Heston Park Non-Discharge WQ0003271 UIC
Permit Name(if different): NPDES Other
Facility Address: 5058 Hwy 70 Westridge Center Unit N2 TYPE OF PERMITTED OPERATION BEING MONITORED
Morehead City NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Stacy A Goff Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 07/19/21 FIELD ANALYSES: WAS
Well Depth: 19.81 ft. Well Diameter: 2 in. pH 00400:6.8 units Temp. 00010: 22 °C DRY at
Depth to Water Level 82546:8.54 ft. below measuring point Screened Interval: 5 ft. to 19.81 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance clear here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/19/21 to 8/3/21 Laboratory Name: Environment 1, Inc Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620 10.05 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 .14 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 980 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 6.92 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 354 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 78732: , method#
Total Ammonia 00610 .1 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 asN;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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Digitally signed by Dana Hill
Dana Hill, Regional Manager � DN:C=US,O=CWSNC,CN=Dana Hill,
Permittee(or Authorized Agent)Name and Title-Please print or type . r t r A Reason:I'am the author of this'document (Date)
Location:your signing location here
GW-59 Rev.2/2010 Date:2021.08.29 14:32:29-04'00'
Foxit PDF Editor Version:11.0.0

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 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: 12-31-2023
Facility Name: Heston Park Non-Discharge WQ0003271 UIC
Permit Name(if different): NPDES Other
Facility Address: 5058 Hwy 70 Westridge Center Unit N2 TYPE OF PERMITTED OPERATION BEING MONITORED
Morehead City NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Stacy A Goff Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-5 Date sample collected: 07/19/21 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.7 units Temp. 00010: 23 °C DRY at
Depth to Water Level 82546:5.95 ft. below measuring point Screened Interval: 5 ft. to 20 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance clear here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:7/19/21 to 8/3/21 Laboratory Name: Environment 1, Inc Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620 7.6 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665<.04 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 590 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 18.46 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 194 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 78732: , method#
Total Ammonia 00610 .08 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 asN;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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Digitally signed by Dana Hill
Dana Hill, Regional Manager . DN:C=US,o=CWSNC,CN=Dana Hill,
an tar(or Authorized Agent)Name and Title-Please print or type S t r Au Reason: m ng o do cument (Date)
Location:your signing
location
here
GW-59 Rev.2/2010 Date:2021.08.29 14:32:56-04'00'
Foxit PDF Editor Version:11.0.0