HomeMy WebLinkAboutWQ0000185_Monitoring - 11-2021_20211231Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
Type *
GW-59
WQ0000185
Ocean Sands WWTP
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Ocean Sands 290.2KB
GW59_12312021184542.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
rod.holley@currituckcountync.gov
Rod Holley
Reviewer: Gerald, Wanda
12/31 /2021
This will be filled in automatically
Is the project number correct?* WQ0000185
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 2/25/2022
GW-59A COMPLIANCE REPORT FORM Permit # hl a 0 0 f) 1$
(Subruil one each monitoring period with GW S9 fortes.)
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A)
YES
O
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
YE
NO
identification plate, area overgrown, etc.)? If the answer is "Yes' , contact the Regional OfJ"rce 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 concentration(s)
exceeding standards in the space provided below:
v? ,N1 �J - 4
M w - 5-,Y► VJ - (,
T 5. 7 Wirt 3 "Tj) S- G Z 1 %r) S- 5 G L-
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 WO", 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, concentrations) reported, and sample collection date for each occurrence (for the last two years).
ti
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 maybe 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
neargim t to determine the imcaact the waste disposal system is having at the review and compliance
boundariessurrounding this facilitV. Failure to do so may sub ect the permittee to a Notice of Violation
/orpenalties. j,vtir k k&4A Lk)totff
fines, and�e �/CSSr 145 MdJJ/c- 2cCcrit. k1�✓ s
y,=
j
IrkL'ii�f /h�nJ n r 2 i+u��.�i'i �iO S4,'P/C i,v C,).:a p�,Jr
Wdlia
6 A1lidt'v S ,,Zpoi4r-J W' � + Ar\l� k"i3C-�
8
The person completing this portion (GW 59A) of the monitoring report should sign below and submit this
form with OW--59 forms for required wells to the address provided at the top of the current GW-59 form.
hereby acknowlottge.that the above information was evaluated and'thb infoirmaition�submitted in this
reporE {CoFnpliaince,Repor# GW-59A) is #rue, and com Iete io th® faest;of my knowledge..... ,
Signature of Permittee (or Author d Agent) Date
GW-59A 1218i2003
SUBMIT FORM ON YELLOW PAPER ONLY
• .
qEP iMENT bF ENVIRONMENT &;NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
gIVISION C3F wnTER QUAI tTY-INFoItATtOiV,PROGIwS$ING UNIT
COMPLIANCE REPORT FORM
•
18t7;MAIL_$ERvic CENT ER,RAi_E](3H NC2'P89916T Phone'(9Il1)7333221
FACILITY INFORMATION
Please PrintCleadyof, Type
PERMIT Number. WQ0000185 Expiration Date: 6/30/2024
Facility Name: Oooan Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla " `" NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
lStAcl
(z'P)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 11/8121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ff.
Well Diameter: 3 in.
pH 00400: 7.2 units Temp. 000% 23.1 °C
DRY at
Depth to Water Level 82546:10.3 ft. below measuring point Screened Interval: 12 ft.
10 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor o0065: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:11/8121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0,02
mg1L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 75
/100mL
Nitrate (NO3) as N 00620 <0.02
mg1L Zn - Zinc oim mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 5.69
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 460
mg1L
Al -Aluminum ol105
mg1L
pH (Lab) oo4o3 7.2
units
Ba - Barium 01007
ug1L
TOC 00680 5.8
mg/L
Ca - Calcium 00916
mail -
Chloride oom 159
mg/L
Cd - Cadmium o1 o27
ug/L
Arsenic olo02
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper ato42
mg/L ORGANICS: (by GC, GC1MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
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
gMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia 00610 0.7
mg/L
Mg - Magnesium 00927
mg/L method #
(Anunonla Mirogen; NH3 as N; Arnmonla Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Anent) Name and Title - Please print or hype
mg/L Effluent Total VOCs:
mg1L VOC Removal%
GW-59 Rev, 2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT aF ENVIRONMENT 8_HATtlRAL RE8AURCES
GROUNDWATER QUALITY MONITORING:
D1VIS€t]NOFVYATERL�tfALtTY�HFORMAT30NPRt7CES81NGUHIT
COMPLIANCE REPORT FORM
1617.M111i SERVICE CENTSR RAt EIGH, NC 27s99 1617 Pttnne,{919) 73§221
FACILITY INFORMATION
Pleasa Print Cleady or type
PERMIT Number: WQOOOO185 Expiration Date: 6/30/2024
Faclllty Name: Ocean Sands
Nan -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla"`'' NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(Cil7# {5(?ai
(Z'pl
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
El Rotary Distributor El Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Pena
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 11/8/21
FIELD ANALYSES:
WAS
Well Depth: 17•6 ft.
Well Diameter: 3 in.
pH 00400: 7.6 units Temp. 000fo: 20.5 °C
DRY at
Depth to Water Level 82546:5.8 ft. below measuring point Screened Interval: 12 ft.
to 17 fl. Spec. Cond. 00094: gMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: none
Volume of water pumpedlbailed before sampling:
5.0
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:11/8121
Laboratory Name: Envlro Chem
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 o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.19
mg/L Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oosss 3.07
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o30o 650
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 7.6
units
Ba - Barium 01007
ug/L
TOG: 00w 8,3
mall
0a - Calcium o091t
mg/L
Chloride oo94o 327
mg1L
Cd - Cadmium 01027
ug1L
Arsenicoioo2
ug/L
Chromium: Total01034
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 o1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oog4s
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0o95
pMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 7.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
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:
Rod Holley Wastewater Superintendent Trainee
Pemtittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature
mg/L VOC Removal%
12/30/21
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
QEPA TMENT OF ENVIRONMENT &NATURAL RESdURCEfi
GROUNDWATER QUALITY MONITORING:
61VISfdNOFWATERg4A40Y-INEO9 itMAT10NPitOCESSIN{31JN1T
COMPLIANCE REPORT FORM
oil
1617MAIL,SERVICECENTE,R,RALEIGH,N0276981697 ,Phone (919j7333221
FACILITY INFORMATION
PleasePrinfClearly orType
PERMIT Number: WOO000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Cun-ituck
El Lagoon ❑Rem®diction: Infiltration Gallery
tC.r] tstaie>
1z3;>i
❑ Spray Field ❑ Remediation:
Contact Person: Rod Halley
Telephone#: 252-232-6065
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: infiltration
from Pam*)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 11/8/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH oo400: 7.4 units Temp. 0009o; 21.6 DC
DRY at
Depth to Water Level s254e:6.0 ft. below measuring point Screened Interval: 12 ft. to
17 rt. Spec. Cond. 00094: gMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft,
Odor o0o85: none
check
Volume of water pumpedlballed before sampling:
4.0
gallons
Appearance clear
here:❑
Sam les for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:1118121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD orins
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 1,67
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
phosphorus: Total as P 00665 3.62
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Tntal 703oo 697
mg/L
Al - Aluminum 01105
mg/L
PH (Lab) 00403 7.4
units
Ba - Barium 01007
ug1L
TOC 00680 5.5
mg/L
Ca - Calcium 00916
mg/L
Chloride oos4o 439
mg/L
Cd - Cadmium 01027
ug1L
Arsenic o1om
ug/L
Chromium: Total 01034
ug/L
Grease and 011s 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L. (Specify test and method #. ATTACK LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
I,IMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 0061014.1
mg/L
Mg - Magnesium o0927
mg/L method #
(Ammonia Nl"en; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N oos2s
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
12/30/21
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
REPAItIMENT OF. ENVIRONMENT &'NATURAL: RESOURCES
GROUNDWATER QUALITY MONITORING:
E3NI5[OH CF WATEI2#UALl7Y-1N 6iW4TtdN PROCE&&INC3UN[T
COMPLIANCE REPORT FORM
.
1617M4tLSER1110ECI=NfER RA[EIGH NC,276A9-16i7 Phone,(979)733221
FACILITY INFORMATION
Meese Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge Ulu
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla `s"``'l NC
27927 County Curritucic
El Lagoon ❑Remediation: Infiltration Gallery
(C'Iyj
❑ Spray Field ❑Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Pemntt)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 1118121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 In.
pH oo400: 7.5 units Temp. o0olo: 20.0 eC
DRY at
Depth to Water Level 82546:4.8 fL below measuring point Screened Interval: 12 ft.
Io 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor oaom: none
check
Volume of water pumped/balled before sampling:
5.0
gallons
Appearance clear
here: El
Sam les for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1118/21
Laboratory Name: Enviro Chem
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 oio51 uglL
Collform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 5.66
mg/L Zn - Zinc 01092 mg/L
Collform: MF Total 31504
1100mL
Phosphorus: Total as P 0066s 2.23
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo 621
mg/L
AI - Aluminum o11os
mg/L
pH (Lab) 00403 7.5
units
Ba - Barium 01007
uglL
TOC 00680 5.0
mg/L
Ca - Calcium 00916
mg/L
Chloride oog4o 324
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and 011s 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC1MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00946
mg/L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00oss
µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
-mg/L method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese 01 a55
ug/L method #
TKN as N 0062.5
mg/L
Ni - Nickel 01067
uglL , method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Halley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
L7EPARrMENT OF ENVIRONMENT & NATURAI. RESOU}iCES
6MI i6N OF WATERQUALtTY.4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1817_All}IL SERVIt:E CENTER, r241.EIGFI NC 27889,1817 Phone: j819} 7333221
FACILITY INFORMATION
PeasePdntClearfyortype
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla lsc„ `i NC
27927 County Ctrrrituek
El Lagoon ❑Remediation: Infiltration Gallery
rcF€rl 15�71of
;.:,,
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone* 252-232-6065
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled., 5
❑ Water Source Heat Pump ® Other: Infiltration
from permit
SAMPLING INFORMATION
If WELL
WELL. ID NUMBER (from Permit): MW9
Date sample collected: 11/8/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
pH 00400: 7.2 units Temp. 000lo: 20.2 eC
DRY at
Depth to Water Level 82546:6.8 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 000K µMhos
time of
Measuring Paint is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: none
sampling,
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1118121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
rng/L Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO$) as N 00620 0,95
mg/L Zn - Zinc o1092 mg/L
Coliform: MF Total 31604
/100mL
Phosphorus: Total as P 00665 1.85
mg/L
(Note: Use MPN mathodfor h[ghlyturbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 666
mg/L
Al - Aluminum 01105
mg1L
pH (Lab) 004o3 7.2
units
Be - Barium 01007
ug1L
TOC oo66o 4.4
mg/L
Ca - Calcium 00916
mg/L
Chloride oog4o 236
mglL
Cd - Cadmium 01027
ug1L
Arsenic o1002
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
ug1L (Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71s0o
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia o0610 2.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammorga NltrWen, Total)
Mn - Manganese mom
ug/L method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Narne and Title - Please print or tvpe
(or
mg/L VOC Removal%
12/30/21
GW-59 Rev. 2/2010