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Home My WebLink AboutWQ0007569_Monitoring - 11-2021_20220104 (3)Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * November Report Information Type * GW-59 WQ0007569 Brandywine Bay Confirmation Email Address:* Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* Brandywine MW.pdf 1.32MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). stacy.goff@carolinawaterservicenc.com Stacy Goff Reviewer: Saunders, Erickson G 1 /4/2022 This will be filled in automatically Is the project number correct?* WQ0007569 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Accepted Date: 1 /28/2022 GIV-!59A (.,"0N/11`L1ANCF,1 R1,',P0RTP'0RM Permit hi WQ0007569 "Siadrrrarrugo each moniforinp,,,perioel with (;H,-59fiArPns,) Enter date monitoring results were due. (-E2y2—mb—e—r) Will this monitoring report (GW-59 and GW-59A) YES NO .1 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.)? U'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 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: 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? X 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 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? 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 disi2osal system is having at the review and compliance boundaries surrounding this facility. Failure to do so ma Lf subLect the permittee to a Notice of Violation, fines, andlor 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 CAV59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-2 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7 units Temp. 000lo: °C DRY at Depth to Water Level 82546:6.1 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: Norte 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:11/03/21 to 11/16/21 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 .08 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 360 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 20.08 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 38 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 .37 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% Dana Hill, Director of Operations Dana Hill Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.3 units Temp. 000lo: °C DRY at Depth to Water Level 82546:5.63 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 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/03/21 to 11/16/21 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 .10 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 690 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 22.62 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 222 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 7.83 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% Dana Hill, Director of Operations a n a Hill man @ a aWMP5PN1 e m Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Perm1i ee or Aut orized gent) F tt DFEam, 1 o, (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.2 units Temp. 000lo: °C DRY at Depth to Water Level 82546:4.12 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: 4 gallons Appearance clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/03/21 to 11/16/21 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 .14 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 600 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 10.19 mg/L Ca - Calcium 00916 mg/L Chloride 00940 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 1.37 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% Dana Hill, Director of Operations Dana HIII Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-8 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.2 units Temp. 000lo: °C DRY at Depth to Water Level 82546:5.55 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: 3 gallons Appearance clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/03/21 to 11/16/21 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 .10 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 660 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 13.72 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 224 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 5.9 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% Dana Hill, Director of Operations Af1A �--�j Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) °`E'°° °ef°° III (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-9 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 21.18 ft. Well Diameter: 2 in. pH 00400: 5.6 units Temp. 000lo: °C DRY at Depth to Water Level 82546:7.43 ft. below measuring point Screened Interval: 5 ft. to 21.18 — 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:11/03/21 to 11/16/21 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 .05 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 93 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 9.1 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 25 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 .49 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% Digitally signed by Dana Hill Dana Hill, Director of Operations li r, I__I i I I RDN ._n s DWStdQDN=Dana Hill E=danahill@�`nli°awa`e`se"ice°c�m Reas°m. am the author °f this document Permittee (or Authorized Agent) Name and Title - Please print or type Signature of t (r riz A oaiehioii.oio' Z 04. osonfe (Date) F-it PDF Edit., Ve i°m. 11.0.1 GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print clearly or Type Facility Name: Brandywine Bay WWtP Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A Morehead City NC 28557 County Carteret intact Person: Stacy A Goff Telephone#: 252-808-5955 ell Location/Site Name: WWTP No. of wells to be sampled. 6 PERMIT Number: Expiration Date: 1-31-2017 Non -Discharge WQ0007569 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 ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-10 Date sample collected: 11/03/21 FIELD ANALYSES: WAS Well Depth: 26.81 ft. Well Diameter: 2 in. pH 00400: 5.0 units Temp. 000lo: °C DRY at Depth to Water Level 82546:6.95 ft. below measuring point Screened Interval: 5 ft. to 26.81 — 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: 3.5 gallons Appearance clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/03/21 to 11/16/21 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 .05 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 120 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.07 mg/L Ca - Calcium 00916 mg/L Chloride 00940 14 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) pecific 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; 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% Dana Hill, Director of Operations Dana HIII Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) ...... (Date) GW-59 Rev.2/2010