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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