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HomeMy WebLinkAboutWQ0023896_Monitoring - 09-2021_20211027Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * September Report Information Type * GW-59 WQ0023896 UNC-CH Bingham Facility Confirmation Email Address:* jldaw@ehs.unc.edu Name of Submitter: * J Laurence Daw Signature: Year:* 2021 Upload Document* WQ0023896 GW-59 September 2021.pdf PDF Only 9.67MB Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Date of submittal: 10/27/2021 This will be filled in automatically Initial Review Reviewer: Saunders, Erickson G Is the project number correct?* WQ0023896 Is the monitoring report accepted?* Yes No Regional Office* Raleigh Accepted Date: 11/1/2021 GW-59A COMPLIANCE REPORT FORM Permit #_WQ00238.96 (Submit one each monitoring period with Gli'-59 forts.) 1 Enter date monitoring results were due. (10-30-2021) 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 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 NO identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Officefir 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: 9-9-2021 \{5Y-1 pH 5.9 SU 9-9-2021 hiW-3 pH 6.0 SU 9-9-2021 NINV-4 Fecal Coliform 1 I colonies! 100 ml 9.9.2021 M5V-4 pH 5 8 SU 9.9.2021 \IW-6 pH 64 SU 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? x If the answer to question 5 is "NO", skip to section B. 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 ffor the last two years). 9-13-2019 \lW L pH 5.74 SU 6-7-2021 4IW-1 pl i 6.0 SU 3-4-2021 XAV-3 pH 5.6 SU 6-12-2020 MAY-4 Fecal Colifonn 11 colonies1100 ml 12.10-2019.Nff I pH 5.5 SU 9-13-2019 s1W.3 pl1 6.15 SU 6 7-2021 NW-3 pH 5.7 SU 6-12-2020 MW-4 pl1 5.6 SU 3.13-2020 M51'-1 pH 3.9 SU 12-10-2019.\ AV 3 pH 5.6 SU 9� 13-2019 NINVA pH 4,89 SU 9-10-2020 M1V-4 Fecal Colifonn 3 colonies7100 ml 6-i2-2020 M%V-1 pH 6.0 SU 3.13.2020 NI1V-3 pH 5.6 SU 12� 10-2019 MWA Fecal Colifurm I colunies1100 ml 12-3-2020 M1V-4 Fecal Colifonn 22 colonies/100 ml 9-10.2020 \IW-t pH 6.0 SU 6-12-2020 %RV 3 pH 5.7 SU 12-10-2019 NIWA pH 5.4 SU 12-3-2020 MLV-4 pH 5.9 SU 12.3.2020 \RV-S pH 6.2 SU 9-10.2020 MW-3 pH 5.8 SL' 12-10-2019 MW-4 TOC 14.1 mg1L 3-4-2021 M W-4 pH 5.6 SU 3-4-2021 MW-1 pH 5.9 SU 12-3-2620 MW-3 p1l 6.3 SL' 3 13-2020 M11'-4 pli 5,7 SU 6-7-2021 MW-4 pH 5.8 SU 12-10-2019 MWV 6 pH 6.3 SU 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. x 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 boundarie surrounding this facili . Failure to do so maX sub act the germittee to a Notice of Violation fines, and/or penalties. Larry Daw of UNC ernailed Scott Vinson of DEQ on October 19, 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 GW-59 forms for required wells to the address provided at the top of the current G W-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report ( omp( nce Report GW - . 9A);.fa true and cpmpteto best of my knowledge.. io" �a"zj Sig to of Permittee (or Authorized Agent) Date La rence Daw, Environmental Compliance Officer GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Permit Name (if different): Facility Address: Please Print Clearly or Type UNC-CH BINGHAM FACILITY 1907 ORANGE CHAPEL CLOVER GARDEN ROAD Contact Person: LARRY DAW Well Location/Site Name: DRIP IRRIGATION SITE County ORANGE Telephone#: 919,962.6666 No. of wells to be sampled: 5 DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 PERMIT Number: Expiration Date: 11/30/2026 Non -Discharge WQ0023896 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump b§ Other: Drip Irrigation SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-1 Date sample collected: 9/9/2021 FIELD ANALYSES: WAS Well Depth: 38 ft. Well Diameter: 2 in. pH 00400: 5.9 units Temp. 000ic 17 oC DRY at Depth to Water Level 82546: 34 ft. below measuring point Screened Interval: 23 ft. to 38 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2.5 ft. above land surface Relative M,P. Elevation: 522.8 ft. Odor 000mNID check Volume of water pumped/bailed before sampling: 2 gallons Appearance Mostly Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: [I YES El NO Date sample analyzed: 9-9, 10, 15, 46, 21-2021 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 oe615 0.05 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.7 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.31 mg/L (Nate: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 87 mg/L Al - Aluminum oil o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo6ao <0.5 mg/L Ca - Calcium oos16 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 0094E 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 olo55 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 1' ID Permittee (or Authorized Agent) Name and Title - Please print or type eolnjure 6fPermitlee (or Authorize Agent) (Date) GW-59 Rev.812013 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6366 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 Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-3 Date sample collected: 9/9/2021 FIELD ANALYSES: WAS Well Depth: 39 ft. Well Diameter: 2 in. pH 00400: 6 units Temp. 0001[ "' oC DRY at Depth to Water Level 82546: 8.1 ft. below measuring point Screened Interval: 19 ft. to 39 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 497.11 ft. Odor a0oes: Sulfur 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: 9-9, 10, 15, 16, 21-2021 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 <.02 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L (Nate: use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 68 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oomo 1.4 mg/L Ca - Calcium oo916 mg/L Chloride 00940 <5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 11 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) C� No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200C Total Ammonia oo610 <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 Agent) Name and Title - Please print or type Permittee (or Authorized to -lli•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 r 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 9 Other: Drip Irrigation (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 9/9/2021 FIELD ANALYSES: WAS Well Depth: 60 ft. Well Diameter: 2 in. pH 00400: 5.8 units Temp. 00oic 1$ °C DRY at Depth to Water Level 82546: 21 ft. below measuring point Screened Interval: 25 ft. to 60 ft. Spec. Cond. 00094: pMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 512.79 ft. Odor o0oa5: N/D check Volume of water pumped/bailed before sampling: 5 gallons Appearance Light Brown here:❑ Samples for metals were collected unfiltered: ElYES ❑ NO and field acidified: ❑YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 9-9, 10, 15, 16, 21-2021 Laboratory Name: ENVIRONMENTAL CHEMISTS, INC. Certification No. 94 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2J as N 00615 <0.02 mglL Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 11 /1001 Nitrate (NO3) as N 00620 0.25 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.19 1 (Note: use i method ior highly turbid samples) Orthophosphate 70507 1 Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 74 mg/L Al - Aluminum o11o5 ri pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 8.9 mg/L Ca - Calcium oo916 ni Chloride 00940 <5 mg/L Cd - Cadmium 01027 uglL Arsenic 01002 uglL Chromium: Total 01034 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, Hi Phenol 32730 11 Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 ri Hg - Mercury 71900 11 Lab Report Attached? ❑ Yes (1) 9No (0) Specific Conductance 00095 pi 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 o1c55 uglL , method # TKN as N 00625 mglL Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total Vi i VOC Removal% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permittee (or Authorized Agent) Name and Title - Please print or type ttee (or Authorized Agent) to 15' 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: 919-1307-6306 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 �4 Other: Drip Irrigation from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 9/9/2021 FIELD ANALYSES: WAS Well Depth: 50 ft. Well Diameter: 2 in. pH 00400: 7.3 units Temp. 000tc 12 °C DRY at Depth to Water Level 82546: 15 ft. below measuring point Screened Interval: 35 ft. to 50 ft. Spec. Cond. 00094: µMhos time of sampling,check Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 489.95 ft. Odor 00085: N/D 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: 9-9, 10, 15, 16, 21-2021 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 of osi ug/L Coliform: MF Fecal 31616 <1 /1 Ol Nitrate (NO3) as N 00620 <0.02 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oosss 0.06 mg/L (Note, use MPN method for highly turbid Samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 254 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 11 TOG oos8c 0.8 mg/L Ca - Calcium 00916 mg/L Chloride 00940 27 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 1 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) 1� No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200C Total Ammonia owo <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 ill method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: ni VOC Removal% J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER Permittee (or Authorized Aqent) Name and Title - Please print or type (Date) III 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 ElRotary Distributor ElLand 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 Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-6 Date sample collected: 9/9/2021 FIELD ANALYSES: WAS Well Depth: 51 ft. Well Diameter: 2 in. pH 0040o: 6.4 units Temp. 0001( "' oC DRY at Depth to Water Level 82546: 19 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 000as: N/D check Volume of water pumped/bailed before sampling: 6.4 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 9-9, 10, 15, 16, 21-2021 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 oo615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.02 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 315o4 /100mL Phosphorus: Total as P oo665 0A mg/L (Note: use MPN method ior highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 257 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 0.8 mg/L Ca - Calcium oo916 mg/L Chloride o0940 17 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 uglL 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) 156 No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7673 method # SM 6200C Total Ammonia omio <0.2 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total) Mn - Manganese 01055 ll , 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 Permittee (or Authorized f0-19-Zt GW-59 Rev.8/2013