WQ0005849_Monitoring - 11-2021_20211222

CVV-59A COMPLIANCE REPORT FORM Permit#G4).0 v. =
(Submit one each monitoring period with GH'-59 farms•.)
Enter date monitoring results were due.0,2-5/. Z/ ) Will this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms? YES iNO
IF the answer to question 1 or 21s"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.)?If the answer is "Yes",contact the Regional Office fir guidance.
�4 Are any monitored constituents equal to or above the established standards? l= 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: rwi/as le - h 3-t3,}i-
well 7 PH- .j a� s 7 ph- "7/ n•[h3 - 2.`r
ruellet3 ro —S'/O, ph. 5. 5-3 Mk3 - q - k et,11 Ps - rah'- 0r�
ide-4« 4/e ttt / Ph_!n•et y c,.t'j - ra.3
Wei, y p/j - Sl,� wrrr e'7c Pir
5 For the constituents identified in question 4 above, have standards been exceeded previously for the AYES !NO
same constituent(s)in the same well(s)in the last two years?
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).
g-c[Ne 6 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 tsImay be improperly
located;contact the Regional Office.
FEB 1 7 2022
7 Is the permittee implementing previously approved actions required by the Division involving this YES 'O
groundwater quality problem?
If the answer to question 7 is"YES", describe those actions in the space provided below.
If the answer to question 71s "NO'; contact the Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines,and/or 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 mplete to the best of my knowledge.
_ r
Signature of Perm. Au ori )--> Date
GR'-59A I2/8/2003

2018 2019 2020 2021
MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV.
NELL1
rDS 512 525 501 501 537
'H 6.1 6 6.5 6.1 5.6 5.5 6.1 5.5 5.9 6.08 5.6 5
NH3
NELL 3
rDS 510
=H 6.1 6.1 6.2 6.4 5.6 6.4 6.2 6.1 6.2 6.06 5.53
NH3 5.1 5 4.4 4.8
HELL 4
ros _
°H 5.4 5.2 5.3 5.3 5.2 5 5.4 5.3 5.2 5.3 5.18 4.56
NH3
WELL 5
IDS DRY DRY _
PH DRY DRY 6.5 6.36
NH3 0.8
WELL 6
TDS
PH 6.5 6.3 6.4 5.81
NH3 1.5
WELL 7
TDS
PH 6.3 6.3 6.3 6 6.3 6.3 6.3 6.1 5.71
NH3 2.4 2.6 2.4 2.8
WELL 8 _
TDS 200
PH NEW WELL DRY 6.3 6.49
NH3 0.6
WELL 9
TDS ,
PH NEW WELL 6.45
NH3 0.3 _
WELL 10 1
TDS
PH NEW WELL 5.9 5.5 5.3 4.55
NH3 _-----

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original 1 EPARTME$TOF ORPNIM AGQU# f` F)NA`� t`URcEs
GROUNDWATER QUALITY MONITORING: �RMA O *Qr S U�
Viand 1 copy to. ;
COMPLIANCE REPORT FORM 1vO eel t.4±4,�2a s4s w rss40434
Please Print Clearly or Type
FACILITY INFORMATION PERMIT Number: `}Expiration Date: /Z-3d-2.e,zei,
Facility Name: f'/4.p i5 AkizrA 723p50 , GCI .ram
4/1 T Non-Discharge .07 UIC
Permit Name(if different): NPDES Other
Facility Address: Q 95- j/4/f/ ./D TYPE OF PERMITTED OPERATION BEING MONITORED
I ,t1QAds y MC.. 477 /10v County G)1�.t5lam 0 Lagoon 0 Remediation:Infiltration Gallery
1 `pray Field 0 Remediation:
Contact Person: i2 A b O-P42.c Telephone#(910 �l')3R,-2-' r,C El Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: ,ld ,5"exeT70,4 t 7 No.of wells to be sampled: I. ❑ Water Source Heat Pump 0 Other:
(from Permit
SAMPLING INFORMATION if WELL
WELL ID NUMBER(from Permit): / Date sample collected: j 1- /U 7( FIELD ANALYSES: WAS
Well Depth: jQ' ft. Well Diameter: =2 in. pH 00400:5'y units Temp.000io.:027,1 °c DRY at
Mhos time of
Depth to Water Level 82546: 7•-.• ft. below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µ sampling,
Measuring Point is ,.,j' ' ft.above land surface Relative M.P.Elevation: ft. Odor 00085: Ai/A- check
Volume of water pumped/bailed before sampling: 5— gallons Appearance C_le4/y here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oasis mg/L Pb-Lead()lost ug/L
Coliform:MF Fecal 31616 < I /100mL Nitrate(NO3)as N 00620 G). tat, mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 5-3 7 mg/L Al-Aluminum of 1o5 mg/L Allr\
pH(Lab)00403 units Ba-Barium 01007 ug/L DJ L ,\li
TOC 00680 7 5— mg/L Ca-Calcium 00916 mg/L r1✓Chloride 00940 j 2 0 mg/L Cd-Cadmium 01027 ug/L ['EB ) 1 2Q22
Arsenic o1002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 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 moo ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooslo O. 3 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%
I certify that,to the best of my knowiedge and belief,the information submitted in this report is true.accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
QWI certif ed laboratory, I am aware that there are significant penift ss for submitting false information,including the possibility of fines arid imprisonment for knowing v4'j �� /
....../7 IIMMIIVIr ' ir44
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Permittee(or horized Agen. ame an.Title-Please print or type Signature of Permittee(o# rized Agent) (Date)
GW-59 Rev.05-02-2017

•
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original x �x43t � t# irjr �E � (*44 .,S
GROUNDWATER QUALITY MONITORING: 4 " �fre:
COMPLIANCE REPORT FORM and 1 copy to: ' �;
� '�til}�.5�1�1�#���3 � ' I�olte�fi�'
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:r deg Dcob-"yj`Expiration Date: l Z . 3/- 2cZ ee
Facility Name: P/417,;S dear", 7 p i- 1 Wu/riCe Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: l C)7 S- 14r✓ p2L 6 TYPE OF PERMITTED OPERATION BEING MONITORED
5,4i.eAdr5 'E*gr2y /4� b''j� County � 1,0./..(� c,J ❑I'Cagoon Remediation:Infiltration Gallery
" 7 )� 0 Spray Field 0 Remediation:
Contact Person: j� ,*.(DY di Telephone#:/o) ,3v77 o2 f,.,7 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:& eae b ,a.(' 3 No.of wells to be sampled: ( 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): .tom 3 Date sample collected: I I. /U- 2 ( FIELD ANALYSES: WAS
Well Depth: r i' ft. Well Diameter: in. pH 00400:$7$T units Temp.00010:r 3,3 °C DRY at
Depth to Water Level 82546: 7'I/4' ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos time of
/ sampling,
Measuring Point is vP• ft.above land surface Relative M.P.Elevation: ft. Odor 00085: d�1/4- check
Volume of water pumped/bailed before sampling: gallons Appearance /,- 4 T 3,4_,,ta„ here:—
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 C, ( /100mL Nitrate(NO3)as N 00620 a r Cif mg/L Zn-Zinc 01892 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 S"/0 mg/L Al-Aluminum 01105 mg/L R !
pH(Lab)00403 units Ba-Barium 01007 ug/L Val
TOC 00680 416P,7 M mg/L Ca-Calcium 00916 mg/L FEBr
Chloride o0940 j a s`- 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 o0945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 `t. mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NH3as 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%
I oertif i that,to the best of my knowledge and belief,the infoxmatibrl submitted in this report is true.accurate.and complete.and that the laboratory analyti5l data was produced using approved methods of analysis by a
CM/Si-certified laboratory tam aware,that there are s:,nificant penalties for submitting false information.including the possibility of fines and imprisonment for knowing violation^."
V''' / --. /-2, ALIF1
Permittee(or Authoriz nt)Na an: Ie-Please print or type Signature of Permittee(JO orized Agen ,/ ,,.L�
( (D. -)
GW-59 Re . 5-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENTOF��: ALA� P OF WATER.0,spAptpEs
GROUNDWATER QUALITY MONITORING: and and 1 copy to:
COMPLIANCE REPORT FORM 1 :49#1,s tlri 0a); � 0 1�s ar;,1t f
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:tr.I7AO> /j Expiration Date: /2-37-Zaz4,,
Facility Name: P/Lt1.5 A./ojz7? - 75p "4-J I (A-t al r-c Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: AO ul�'Y .21G.) TYPE OF PERMITTED OPERATION BEING MONITORED
Steams ,regizy /.j( ,f,��iCj'1 O County p�.�SID(t1 0 Lagoon 0 Remediation: Infiltration Gallery
"� �7ay Field ❑Remediation:
Contact Person: j)-(D f la /L Telephone#:(9/o)5R.?-49.STra ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: f. ,.jt/ it ce441 Strailisii No.of wells to be sampled: t ❑ Water Source Heat Pump ❑ Other:
(rrom Permit)
SAMPLING INFORMATION / If WELL
WELL ID NUMBER(from Permit): "Z Date sample,collected: 1!/()-G-/ FIELD ANALYSES: WAS
Well Depth: j fir ft. Well Diameter: a- in. pH ooaoo:V,$Counits Temp.000io:c b.3 °C DRY at
Mhos time of
Depth to Water Level 82546:5 3" ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µ sampling,
Measuring Point is ft.above land surface Relative M.P.Elevation: ft. Odor 00085: //9- check
Volume of water pumped/bailed before sampling: gallons Appearance r_i eii-14. here:—
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: 0 YES 0 NO —
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00515 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 < I /100mL Nitrate(NO3)as N 00620 c .,2 ram" mg/L Zn-Zinc o1o92 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 a.a, 7 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L �J
TOC 00680 ( ,1 mg/L Ca-Calcium 00916 mg/L
Chloride oosao b9. mg/L Cd-Cadmium 01027 ug/L FEB ; r
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 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate oo94s mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia Pomo < c). 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%
I sorely that to the best of my knowledge and belief,the information=submitted in this report is true accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory.`-i am aware that there are significant penalties for submitting false information,including the'possibility of fines and imprisonment for knowing violations
------- „,,,4
/
Permittee(or Authorized Agent) amed Till Pi ase grin or polir; Signature of Permittee hari Agan ,f' `
GW-59 Rev.05-02-2017
1

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original ,,ART E p2mt ttl a7` ,.�� FWATERf s*U,RCES
GROUNDWATER QUALITY MONITORING: �� � �
COMPLIANCE REPORT FORM and 1"cbpy to totro CECEW ttAttidtf,NC o:#3,i1 l ane $194 , 3dt
FACILITY INFORMATION Please Pant Clearly or Type PERMIT Number:4 f F Expiration Date: /Z-3/-zoz Ca
Facility Name: p/4./,, A/0 "ff �c `,4.I Gcaw Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /09 5" �Lc1 a L 0 TYPE OF PERMITTED OPERATION BEING MONITORED
t5 e,-ds real i,,/ca. a 'L) County v�/5/044.l ton 0 Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: PA4Dy h4tle Telephone#{?/0)34?•; 5Fc.N 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: 4;,,,/d &Ca4 t)j-ta No.of wells to be sampled: 1 0 Water Source Heat Pump 0 Other:
(from Permit) _
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): at Date sample collected: l/-!L).-„ ( FIELD ANALYSES: WAS
Well Depth: is, ft. Well Diameter: in. pH 00400:4,16,units Temp.00010: a9,,7 °C DRY at
time of
Depth to Water Level 82546:g'/ ''ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is , • ft.above land surface Relative M.P. Elevation: ft. Odor 00085: i.Vel- check
Volume of water pumped/bailed before sampling: 5-- gallons Appearance t?.le/Hz here:—
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 uglL
Coliform:MF Fecal 31616 < l /100mL Nitrate(NO3)as N 00620 GO oa,mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 3417 mg/L Al-Aluminum o11os mg/L
pH(Lab)00403 units Ba-Barium 01007 ug!L DJ
TOC 00680 3,3 mg/L Ca-Calcium costs mg/L
Chloride pow f 04( mg/L Cd-Cadmium 01027 uglL " )f`t pH`
Arsenic 01002 uglL Chromium:Total 01034 uglL
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) 0 No(0)
'Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia o0610 v� V 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%
I certify that,to the best of my knowledge and belief,the information submitted"irrOtis report is true.accurate;and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DINR-certified laboratory. I aia aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations::
!/ 7 / 7 2/
Permittee(or Authorized Agent)Name and Ti -Pleas prin or type Signature of Permittee(ar Aut ) r�l'( r / f
ed Age (D- -
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original l�#t>�POAi�� OKO NA; ttft Pt*C"
GROUNDWATER QUALITY MONITORING: ram"
COMPLIANCE REPORT FORM and i copyto ' s."6 ,i' ry '
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:teiditog,40. 417 Expiration Date: j 2 3 t- 2_,c, �r
Facility Name: P/GiIZJ,S AkR: it Tap c/a.; I wr4i- iC Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /49s-- hit J y • 2/L) TYPE OF PERMITTED OPERATION BEING MONITORED
544?/4d5 �-t l 'C zoo County , 1e:),s “.) [°goon 0 Remediation: Infiltration Gallery
jj ❑ Spray Field 0 Remediation:
Contact Person: Z4l .{dr, i46,24 ., Telephone#[//O)9 7-05,-.5' 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:geh,../ 7 te./A eN,D No.of wells to be sampled: / 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION // If WELL
WELL ID NUMBER(from Permit): 1.,rr Date sample collected: I/-/0-tZ 1 FIELD ANALYSES: WAS
Well Depth: 1?ft. Well Diameter a..,in. pH 00400:5 W units Temp.mote: a 7 °C DRY at
Mhos time of
Depth to Water Level 82546: J©' ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µ sampling,
Measuring Point is e2 c ft.above land surface Relative M.P.Elevation: ft. Odor 00085: /` /./t check
Volume of water pumped/bailed before sampling: gallons Appearance C1e44- - here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead°lost ug/L
Coliform:MF Fecal 31616 < II /100mL Nitrate(NO3)as N 00620 <0,O 9.. mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P oases mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 39,. mg/L Al-Aluminum 0t tos mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L Di
TOC o08s0 j 0-. mg/L Ca-Calcium 00916 mg/L
Chloride cos4o t144 mg/L Cd-Cadmium 01027 ug/L FFR r /(f 2
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 o0945 mg/L Hg-Mercury moo ug1L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 ttMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia cost() `, 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%
(certify that,to the best of my knowledge-and belief,"the information submitted in this report is true,.accurate,and complete,and that the laboratory analytical data was produced approved methods of analysis by a
DWR-certified laboratory,lam aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations' di II Mil IIM il 12 r I ,,, ,11
-74; /44( 1,-, .
Permittee(or Authorized Agen tame and Title-?tease pri t o - •e Signature of Permittee(or Au • r_d Agent) / (D,•.
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original iQ?A> wart - t vt t +t t`r a i tt ` flC ,O WATERRf49URcES
GROUNDWATER QUALITY MONITORING: r ��ti � >
and � copy to
COMPLIANCE REPORT FORM 1:t1i ail “tt st, tt OS,2 'Ili ; iir+e:s►s tf -s
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:w4roes' /'' Expiration Date: j Z.-3/- 2'2G•
Facility Name: Pla f0 s , ioi / ,C i I ..LC1C7-, Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: / .S Aievy. 2IO TYPE OF PERMITTED OPERATION BEING MONITORED
S,AIfA-as I c._... coo A c2s- County CIS/O4c,) I�Lagoon ❑Remediation:Infiltration Gallery
❑ Spray Field 0 Remediation:
Contact Person: RA,..i b �� Telephone#:f�'44)3r27a J El Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Hp ,,,,,d 1 XT 2 p,,,,..jr) No.of wells to be sampled: ] 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): 7 Date sample collected: /1-/0-Z/ FIELD ANALYSES: WAS
Well Depth: J5f ft. Well Diameter: v2. in. pH ooaoo:s`77i, units Temp.00010:,7Z eat °C DRY at
time of
Depth to Water Level 82546: V-74,'. ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is a.g ft.above land surface Relative M.P. Elevation: ft. Odor 00085: 4 i- check
Volume of water pumped/bailed before sampling: 5—--- gallons Appearance ed here:
Samples for metals were collected unfiltered: OYES 0 NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00 35b-Lead 01051
3 mg/L Nitrite(NO2)(NO )as N 00615 mg/L ug/L
Coliform:MF Fecal 31616 t j /100mL Nitrate(NO3)as N ooez0 D 03 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P ooss5 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 ,?et £ mg/L AI-Aluminum o1105 mg/L
pH(Lab)ooa03 units Ba-Barium 01007 ug/L [)J
TOC 00680 /3, mg/L Ca-Calcium owls mg/L
Chloride oosao v mg/L Cd-Cadmium 01027 ug/L FEB 1 7 2022
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 01oa5 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia oos10 , ?' mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NH3 as Ni 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%
I certify that to the best of my knowledge and belief,the information submitted in this report is true:accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knowing,violations...
eirialligifigr-i de .4. .7 k ........ ,„liwii 1 im i m si r
Permittee(or Authorized 'pert) ame an• (tie-Pie c se print or type Signature of Permittee(or A orized Agent< .", sate)
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTM.FAT OF ENVIRONMENTAL(VALITY Djlr t wa OttsotW
GROUNDWATER QUALITY MONITORING: 61paRt AT ONI t sli4cxtll fT
and 1 copy#a: - ,
COMPLIANCE REPORT FORM Jell mAk SIERVICtcENTER, . N,NO ` 99-fsa1= Pitons 9194b74306
Please Print Clearl or Type
FACILITY INFORMATION / '�--� / y yp PERMIT Number:4X}+�t Expiration Date: l2-31-2'dZCe
Facility Name: P/l�, ,25 A/04h �.;� )f U,/LC./7 7 Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: / GC/ 0 TYPE OF PERMITTED OPERATION BEING MONITORED
5�,�'J4S Y C 4,6 County R"Lagoon ❑Remediation:Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: 1-"/44, Telephone#:(9/ l)3,g7 25-e6 ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:D4,,,, Via,,,, („(f1.7-�es,.,,,D No.of wells to be sampled: / ❑ Water Source Heat Pump 0 Other:
from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): Date sample collected: ((- /c.)- ,, 1 FIELD ANALYSES: WAS
Well Depth: 30 ft. Well Diameter: , .,in, pH 00400:4 / units Temp.00oio:27,( °C DRY at
Mhos time of
Depth to Water Level 82546:!7'/0`ft,below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µ sampling,
Measuring Point is 3` ft.above land surface Relative M.P. Elevation: ft. Odor 00085: A(//9' check
Volume of water pumped/bailed before sampling: j r gallons Appearance /, Ill— 5/4-.,idy here:
Samples for metals were collected unfiltered: OYES 0 NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform:MF Fecal 31616 < i /100mL Nitrate(NO3)as N 00620 0 G3.3 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 gJ I mg/L Al-Aluminum o11o5 mg/L DJ
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC Dose) n"'_ 'j mg/L Ca-Calcium owls mg/L
Chloride o09a0 e9 5- mg/L Cd-Cadmium Nazi 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? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia cost) a (P 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%
I-certify that to the best of my knowledge and belief,the information submitted in this report is froe,.accurate,and complete;and that the laboratory analytical data waspioduced using approved,methods Of analysis by a
DVNR-cerbfied laboratory. I am aware that there are significant penalties for submittingfalse information, the possibility offnes arid. for knowing v olations.
y 9 1 including P tYimprisonment� 9-)
jeAlliffillIEV
�- do
Permittee(or Authorized •.: )Na `e an. itle-Pie, e pr''ortyp- Signature of Permittee(or Autho' xd gent) " '.ate)
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original o A 0I` 0N * il'1tft _;tvivi,t7F W ftitrocttiRCEs '.
GROUNDWATER QUALITY MONITORING: and 1 copyto 44� rte
COMPLIANCE REPORT FORM •1?Matc_sE VICEC R,t:AT t t a •�a�t _ Phone iii94 ra tos
Please Print Clearly or Type
FACILITY INFORMATION ,L PERMIT Numberae��S'��"tl�j'Expiration Date: r2-31-u�cr2Ga
Facility Name: iltd?r.S Akvain L2 L/ Luu... / -r Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: G>'• j{Gc/f' ry210 TYPE OF PERMITTED OPERATION BEING MONITORED
5If,4c :sly-5 . :sly- ��.. r-2 /Ybf) County G7ik-/SAN r_) 2 Cagoon 0 Remediation:Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: PA,Lipci /-4)..Parz Telephone#(9/6)3,2 agal, ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:sib T '( o. ' /1c�e,.i 10` No.of wells to be sampled: 1 0 Water Source Heat Pump CI Other:
73 (from Permit)
SAMPLING INFORMATION Q If WELL
WELL ID NUMBER(from Permit): 3. ! Date sample collected: /j-/U- ,21 FIELD ANALYSES: WAS
Well Depth: 30 ft. Well Diameter: in. pH oo400:0,4fcbnits Temp.000io:, 3.a,°C DRY at
time of
Depth to Water Level 82546: 0-6- ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.000sa: µMhos sampling,
Measuring Point is '!' ft.above land surface Relative M.P. Elevation: ft. Odor 00085: N/A- check
Volume of water pumped/bailed before sampling: 5— gallons Appearance C i c�sq,2__ here:—
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead cast ugiL
Coliform:MF Fecal 31616 << /100mL Nitrate(NO3)as N 00620 3 3 mg/L Zn-Zinc o1os2 mg/L
Coliform: MF Total 31s04 /100mL Phosphorus:Total as P Oos65 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compo nds and Concentration Units):
Dissolved Solids:Total 70300 f 7I mg/L Al-Aluminum 01105 mg/L UJ
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 t, ,P, mg/L Ca-Calcium 00916 mg/L FEB s 7 ?U?Z
Chloride oosao j el mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 uglL Chromium:Total 01034 ug/L
Grease and Oils oo5s2 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 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooslo mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N.Ammonia Nitrogen,Total) Mn-Manganese o1055 ug/L ,method#
TKN as N 00625 23 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%
I certify that to the best of my knowledge and belief,the iriiormation submitted in this report is true,accurate,and complete.and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant pBrat
nalties for submitting false information,including the possibility of fines and imprisonm ant cc,knowing violations
'
Permittee(or Authorized Agent)Name and le-Plea print or type Signature of P-r ittee •r• f.'<,'e'ent) (Date)
GW-59 Rev.05-02-2017 i

r 7
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEP PA.01 ' aF�r l t*g ; l t bs+ �
GROUNDWATER QUALITY MONITORING: = * 1 �r " J
COMPLIANCE REPORT FORM and'I to i61- 14 #ti tx�Zi- t
� Gsr CI`�' R�t:E7�tt
FACILITY INFORMATION Please Print clearly or Type PERMIT Number:W{7 E iaation Date: 02 CO
s� Xp' e�-3/-z
Facility Name: ?AffiiS ik-bifni lops A, 1 L()urnc Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /095--- Hal-- , Jt TYPE OF PERMITTED OPERATION BEING MONITORED
,3,iJ qd$ --fret' tie-` , ',Pike) County c i /,t� ❑"lagoon 0 Remediation: Infiltration Gallery
! 0 Spray Field 0 Remediation:
Contact Person: /ll,44/ 4/ / e'er Telephone#(9/40 3,2 7.a Sly 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: a12,; z GU,i/ -fit 7 No.of wells to be sampled: i 0 Water Source Heat Pump 0 Other:
(from Permit) _
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): ' /� Date sample collected: //�-/c- Z E+ FIELD ANALYSES: WAS
Well Depth: c _ft. Well Diameter: , - in. pH 00400:V$ nits Temp.00o10: ,R °C DRY at
Depth to Water Level 82546: l/II" ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos time
i
Measuring Point is ft.above land surface Relative M.P.Elevation: ft. Odor 00085: /,1- check
Volume of water pumped/bailed before sampling: $ gallons Appearance C,,je.-4 i - here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oasis mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 4 I( /100mL Nitrate(NO3)as N oos2o ‘,0.0a mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids;Total 70300 A.(j I mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L DJ
TOC 00680 Z 3 mg/L Ca-Calcium arms mg/L
G�•
Chloride 00940 b9, mg/L Cd-Cadmium o1027 ug/L 7r. 4
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? 0 Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia oasis <1.',.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%
my knowledgep Alp- producedusing
that the laboratory analytical data was approved methods of analysis by a
J certifythat to the best of and information submitted in this report is 1na�,accurate,and complete.and "
DEAR-certifiediaborators, I am aware that there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knnwing violations.
Permittee(or Authorized Agent)Nam= -rid Title--le-se art t o type Signature of Permittee gri,Authorized Age 0 Date)
GW-59 Rev.05-02-2017