WQ0000185_Monitoring - 08-2021_20211001

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0000185
Name of Facility:*
Month:* August
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 Signed 735.87KB
GW59.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
elegy
Reviewer: EADS\Irau p-plu mmer
10/1 /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: 10/6/2021

GW-59A COMPLIANCE REPORT FORM Permit # 0 e) 0 /JIN'
(Submit one each monitoring period with Gll -59 formK)
j
Enter date monitoring results were due. { -) --- z r _] Will this monitoring report (GW-59 and GW-59A)
YES
0,
be submitted after the established due date?
2
Was any required information missing on the GW-59 report farms?
YES
NW
IF the answer to question i 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
O
identification plate, area overgrown, etc.)? ff the answer is "Yes", contact the Regional OJIce 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 concentrations;
exceeding standards in the space provided below_
T, S 7&(1 �t�s plc A):"-23,2
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
0S.
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).
f,l
7I,��11 T b S '! L l� �>� S 6 b')
Are the monitoring welts listed in section 5 located at or beyond the review boundary?
YES
NO
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?
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 ff_eqljonal Office within 90 days; an evaluation ma be
reauired to determine the impact the waste dis 1 sntm is having at the review and cam Rance
boundaries surrounding this facility. Failure to' do so m to a Notice of Viiolation
idte
fines, andtor penalties. Cs A I a %jj Wyr 2.) �4Z i �►2 n ers, �7 ��-- 5 d
g
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.
4 z9 z 1
Signature of Permittee (or Apfhorized Agent) Date
GNV,-59A 12/8/2003

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