HomeMy WebLinkAboutWQ0040918_Monitoring - 03-2021_20210419JUMMI I rvrcM UN TtLLUW NAt'tK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name:
Name (if d
Address:
Contact Person: " t'<
Well Locatlon/Site Name:
:learty or Type
Sj_ CountyQ1
Telephone#: \` a
No. of wells to be sampled: Lt
dQURt3AS
PERMIT Number:L qlQk-oq%FLxpiration Date:U —%5 \ — 'ckQ cl
Non -Discharge bb UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
lk-9goon ❑ Remediation: Infiltration Gallery
tf"spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): �W �` Date sample collected
Well Depth: a ft. Well Diameter:a, in.
Depth to Water Level 82546:1.9 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point Is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/balled before sampling: 10 gallons
Sam les for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
Date sample analyzed: 3'
PARAMETERS NOTE: Values sh Id refle t dissoly,
COD 00335 mg/L
Coliform: MF Fecal 31616 /100mL
Coliform: MF Total 31504 /100mL
(Note: Use MPN method for highly turbid samples)
Issolved Sollds:Total 70300 mg/L
pH (Lab) 00403 units
TOC omec , mg/L
Chloride 00e40 mg/L
Arsenic 01002 ug/L
Grease and 011s 00552 mg/L
Phenol 32730 ug/L
Sulfate 00945 mg/L
Specific Conductance 00095 _µMhos
Total Ammonia oomo 4, mg/L
(Ammonia Nitrogen; N%as N; Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
FIELD ANALYSES:
pH 00400: Sunits
Temp. 000io cv°C
Spec. Cond. 00094:
µMhos
Odor 000m:
-,
Appearance
t;pW-CN
`�_s Q-A
i, coc
Laboratory Name: ENv
and colloidal concentrations.
Nitrite (NO2) as N ooe15 mg/L Pb - Lead o1o51
Nitrate (NO3) as N 00620 c mg/L Zn - Zinc 01092
Phosphorus: Total as P 00e65 a. 3 a mg/L
Certification No.
ug/L
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al - Aluminum o1105
mg/L
Be - Barium 01007
ug/L
KH
Ca - Calcium oosle
mg/L
Cd - Cadmium 01027
ug/L
n ?021
Chromium: Total 01034
ug/L
.44
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01045
ug/L
($pqAf'AeN OW 1iiethod M ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
L'ab"Report Attached? ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
4cg zeTj _, method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese olom
ug/L
1 " " Ecli Tethod #
NI - Nickel 01067
ug/L
)NFQollIA,TION PR , method #
vYa 11a vniy JPULO n LifU MUPUF[S); InnUen[ i otai vuL:s: ma/L Effluent Total VOCs' Mn/I Vr1C Da-.10/_
If WELL
DRY at
time of
sampling,
check
here:❑
JUtJMI I t-UKM UN YLLLUW NAF'LK ONLY
GROUNDWATER QUALITY MONITORING: .QUALITY -DIV,OFWATRRRBBOURCFB
OO
COMPLIANCE REPORT FORM'F FS+i�i�''jirlaMla oN'IIRMt,RAt�.rgN Qi7e99.1e/7
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number 6Iration Date: FT 2"T
♦l
Facility Name: T ` \�C' Non -Discharge �� pUIC
Permit Name (if different): NljNPDES Other
Facility Address: L� --� p TYPE OF PERMITTED OPERATION BEING MONITORED
o
1*1�Q S County \\ N 90-moon ❑Remediation: Infiltration Gallery
l►pray Field ❑Remediation:
Contact Person: Telephone#( 1w a�3 3 n(� ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: — S No. of wells to be sampled: 4- ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): Date sample collected:
Well Depth: kLft. Well Diameter: in.
Depth to Water Level 62546:16A ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: L Q gallon
Sam les for metals were collected unfiltered: ❑E YES ❑ NO
1_ZA ATCIRY INFnRMATlnN
Date sample analyzed:3-Ii&13-111 S'd'd .51 -,q "'
PARAMETERS NOTE: Valubs sho Id reflect dissolvf
COD 00335 mg/L
Coliform: MF Fecal 31616 /100mL
Coliform: MF Total 31504 /100mL
(Note: Use MPN method for highly turbid samples)
Dissolved Solids:Total 70300 89 ni
pH (Lab) 00403 units
TOC 00680 mg/L
Chloride 00940 .[ s mg/L
Arsenic 01002 ug/L
Grease and Oils 00552 mg/L
Phenol 32730 ug/L
Sulfate 00945 mg/L
Specific Conductance 00095 µMhos
Total Ammonia 00610 L ,—mg/L
(Ammonia Nitrogen; N113as N; Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
and field acidified: U YES ❑ NO
FIELD ANALYSES:
pH 00400& units Temp. 000lot .3 -C
Spec. Cond. 00094: µMhos
Odor 00085: Q�
Appearance C
3roZo�)Laboratory Name: ���\�(��
Certification No.
and colloidal concentrations.
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Nitrate (NO3) as N 00620 �SI
mg/L
Zn - Zinc 01092 mg/L
Phosphorus: Total as P 00665 , 2
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al -Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium oog16
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu- Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese 01055
ug/L
method #
NI - Nickel 01067
ug/L
method #
r-vi r.arrrvurauvll Oys11,ema vnry tHaacn Lao Keports/: Influent I otal vUCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
ittee (o uthor ed Agent) Name and Title - Please print or type Signature of Perrafft e uthorized Agent) (Date)
GW-59 Rev.06-07-2018
DRY at
time of
IN
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
41, t�► TIRRaQ Rtl�a
l�l,
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly orTye
PERMIT Number QQDate: 3
Facility Name:
lh$
I�xpiration
Non -Discharge t UIC
Permit Name (If different):
NPDES Other
Facility Address: 0
TYPE OF PERMITTED OPERATION BEING MONITORED
S County_
l agoon ❑ Remediation: Infiltration Gallery
ityt ("tut") (zip)
®'Spray Field ❑Remediation:
1 '\
Contact Person: W
L/
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: M 9"fRS C
No. of wells to be sampled:
❑ Water Source Heat Pump ElOther:
from ermll
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): \�\W ` Date sample collectedy — k%"' 0M
FIELD ANALYSES:
If WELL
WAS
Well Depth: �—Sft.
Well Diameter: In.
pH ooaoo.s'%o units Temp. 000lofSt °C
DRY at
Depth to Water Level 8254e: ft. below measuring point
Screened Interval: ft. to
Spec. Cond. 00094: µMhos
time of
Measuring Point Is ft. above land surface
Relative M.P. Elevation: ft.
_ft.
Odor oom& �\Lu
sampling,
check
Volume of water pumped/balled before sampling: d �
gallons
Appearance
here:®
Samples for metals were collected unfiltered: ® YES
NO and field acidified: ON YES ❑ NO
LABORATORY INFORMATION �
Date sample analyzed — 3., 0
Laboratory Name: (7-7t\\j ��d
e
M Certification No.
PARAMETERS NOTE: Valueb should reflect ssolved and coRldal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N ooei5
mg/L
Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 ,C /100mL
Nitrate (NO3) as N 00e20
mg/L
Zn - Zinc 01092 mg/L
Collform: MF Total 31504 /100ml- Phosphorus: Total as P oosm
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Issolved Sollds:Total 70300 dl mg/L
Al - Aluminum ol1o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC ooseo `a�� S mg/L
Ca - Calcium oogls
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)
Specific Conductance 000m µMhos
K - Potassium 00937
mg/L
VOC 7e73 method #
Total Ammonia 00610 In , mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese o1o55
ug1L
,method #
TKN as N 00625 mg/L
NI - Nickel 010e7
ug/L
method #
ror memeolation systems unry (Attacn Lap Reports): Influent Total VOCs: ma/L Effluent Total VOCs: mall Vnr Ramnvalo/
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
QUA ltY ^ Div. OF WATER RESOURCES
INFORMATION'PROCSSl3INO UNIT
COMPLIANCE REPORT FORM
1lil Swims CENTER, RAL91GH, NO 27690.1017
FACILITY INFORMATION Please Print Deady or Type
Date: "
PERMIT Number It
Facility Name: P O, T(tkek)N �M'x
C: ILIaA'
Expiration
Non -Discharge ``hO0 UIC
Permit Name (if different):
NPDES Other
Facility Address: l
TYPE OF PERMITTED OPERATION BEING MONITORED
tstr�eq
County L� �
P'Cagoon ❑ Remedlation: Infiltration Gallery
l.iiyi iSinlel (Z'P)
ray Field ❑ Remedlation:
Contact Person: �qc
^�
Telephone#: " J
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): \``W +
Date sample collected: 3 — r
FIELD ANALYSES:
If WELL
WAS
Well Depth: J ft.
Well Diameter: � In.
^
pH ooaoo:� units Temp. 000io:gd i °C
DRY at
Depth to Water Level e264e: � Cq ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is ft. above land surfacesampling,
ace
Relative M.P. Elevation:
ft.
Odor 000es: S 1 S r
check
Volume of water pumped/balled before sampling: 10
gallons
Appearance t
here:❑
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: OF YES
❑ NO
LABORATORY INFORMATION — —�
Date sample analyzed: - a 3-as 3-
CO
6; LaboratoryName: e�e,
^
Certification No.
PARAMETERS NOTE: Values sh uld refl ct dissol ed and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o5i ug/L
Coliform: MF Fecal Vele /100mL
Nitrate (NO3) as N 00620 mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P oosss
mg/L
(Note: Use MPN method for highly turbid samples)
Issoived Sollds:Total -IS S
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
70300 \ mg/L
AI - Aluminum otios
mg/L
pH (Lab) 00403 units
Be - Barlum 01007
ug/L
TOC 006e0 mg/L
Ca - Calcium oogle
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 71goo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000es µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia ooslo d mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL
method #
TKN as N 00625 mg/L
NI - Nlckel.01067
ug/L
method #
11-11 U-11 vrawura vary Jnuawi t.au rcnpvr[a): innuem I otal vuL;s: mp/L Effluent Total VOCs: mn/l VOr RamnvA