HomeMy WebLinkAboutWQ0023310_Monitoring - 02-2022_20220507StIRMIT Fr1Rnn CM Vrl I ntni DAIDC:D nnu .
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Pm,
Facility Name: CI;(. Sa
Permit Name (if different)
Faci ty Address
I n I n`
Contact Person: �CO�
Well Location/Site Name l
or
County
Telephone# : ►J �
Noof wells to be sampled
PERMIT NumberMO6�li$3i�riration DateA\
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation. Infiltration Gallery
❑ Spray Field 0 Rerrlediation
❑ Rotary Distributor CJ Land Application of Sludge
❑ Water Source Heat Pump Other WRik U. f__
SAMPLING INFORMATION 1
WELL ID NUMBER (fran Permit): L�(&_ Date sample collected:
Well Depth: ft. Well Diameter: in.
Depth to Water Level 82546: 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: gallons
Sa I f
FIELD ANALYSES:
pH 00400 units
Spec. Cond. 00094
Odor 000s5
Appearance
mp es or metals were collected unfiltered: Lim YES ❑ NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: _ Q I _Q a- 3 -a aLaboratory Namey� f6
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olo51
Coliform: MF Fecal 31616� /100mL Nitrate NO) as N 0062o g
�'b ( 3 m /L Zn -Zinc olosz
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note- Use MPN method for highly turbid samples)
Temp. 000lo °C
µMhos
Certification No.
ug/L
mg/L
If WELL
WAS
DRY at
time of
sampling,
check
here ❑
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium o 1007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
,,
Chloride 00040
mg/L
Cd - Cadmium 01027
ug/L
t
Arsenic 0'1002
ug/L
Chromium: Total 01034
ug/L
MAR VV202?
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`�k� 14j13T,
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑'' `'llty '`(ilk r`I� 'Iv�o'iD�`
Specific Conductance 000s5
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia ooseo
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH, as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
Fnr Rmm�rli�finr, Cm4..mc n..., iwu__�
_,_____._ _..., 1...._,,.,---,,,.N,, —1. ,,,,,uv„t ,,,,Q, ,,%_,�, mgiL trrluent Iotal VOCs mg/L VOC Removal%