WQ0023310_Monitoring - 03-2022_20020418

JJO g3310Gw-59A COMPLIANCEREPFORMv�E �o�� �o� Permit# - .
(Submit one each monitoring period with GW-59 forms.)
r r
1 Enter date monitoring results were due.( ftk Will this monitoring report(GW-59 and GW-59A) YES
be submitted after the established due dat ?
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 YES` NO
identification plate,area overgrown,etc.)?If the answer is "Yes", contact the Regional Office 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)
exceedin stand s in the space p vided below:
5 For the constituents identified in question 4 above, have standards been exce d 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 "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
Cst�andards,�c,�oncentr-ti n(s)reported, and sample collet io date for each occurrence(for the last two years).
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6 Are the monitoring wells listed in section 5 located at or beyond review bo dary? YES NO
If the answer is"YES",a groundwater quality problem may be 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 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.
APR 2J2022
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 GIN A)is e a complete to the best of my knowledge.
Signature of Pe ittee(or Authorized Agent) Date
GW-59A 12/8/2003

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r ,- ,_ __ .M SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original � tl� � �°itrl " t,gg1 Trl ti ,It wry
i Y °� "k�d �'tri � ) , t)�"4 5f re v �� 4P
and 1 copyto: a.4 a i0 4 h',' r � ,0 qr r, +� i uli� r� rt COMPLIANCE REPORT FORM �r, �� �q, r� , � � (r � ,li � �> - �;p C p y
FACILITY INFORMATION 1 t Please Print_Clearly or Type PERMIT Number: (1 . 3i ' . '-- `
� f (1 V piration Date. 0 _
Facility Name: QQ` (�(���� l Oft \`Q\\E� l OAS`!"\ Non-Discharge UIC
Permit Name(if differ-nt): �}� NPDES Other
Faci`lity�ddress: ;v0 �' 11 �� TYPE OF PERMITTED OPERATION BEING MONITORED
V�CC �c .; is,,,,,:„ Q. .
♦-S \. County 111 II El Lagoon Li Remediation: Infiltration Gallery
ff pray Field ❑Remediation:_
Contact Person: �� Telephone#:1 t -a`13 3 3 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name ` 40k C \b-(\ Ski No. of wells to be sampled: .. ❑ Water Source Heat Pump LI Other:
. (from Permit) V
Date sample coil.,_. �.....,
SAMPLING INFORMATION ++,, \\ i If WELL.
WELL ID NUMBER(from Permit): ��Wected..d I" — o o FIELD ANALYSES: WAS
Well Depth. ft. VVell Diameter in. pH 0040u5 Sllnits Ternp. 00010.j'ct S°C DRY at
time of
Depth to Water Level 82546: 1 al, ft. below measuring point Screened Interval: ft. to ft. Spec.Cond.00094 µlVlhos
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085 `IA10'"NQ� check
Volume of water pumped/bailed before sampling. 3 gallons Appearance -oi_i_ Ckeck.,,; here:
Samples for metals were collected unfiltered: 0 YES ❑ NO and field aciditied: ❑■ YES ❑NO
LABORATORY INFORMAT ON j- /(i—O,� /'� � �� -- —
Date sample analyzed —t —%):—(�-13--1 —/U Laboratory Name L_SU (-OC(C Certification No.
PARAMETERS NOTE:Vatbes shoe Id reflect dissdived and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616I /100mL Nitrate(NO3) s N 00620
C� ( a) / mg/L Zn-Zinc o1092 nig/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 C mg/L
(Note Use MPN method for highly turbid samples) 70507 Orthophosphate
1 � mg/L Al- mg/L Other(Specify Compounds and Concentration Units).
Dissolved Solids:Total 70300 Aluminum 01105 mg/L _
pH(Lab)00403 units Ba-Barium 01007 ug/L k o Rr k.1 R„ ,-„ _ i»,�
f -.a
TOC 00680 mg/L Ca-Calcium 009'16 mg/L
Chloride 00940 t 3 mg/L Cd-Cadmium 01027 ug/L APR _1 8 2027
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 n-ig/L ORGANICS:03,t,•G>ti;f0/I�lIA Fi r v�
Phenol 32730 'Y r -• - ',-t`^4^
ug/L Fe-Iron 01045 ug/L (Specify test and method#.'A r ACH.E.Afi3 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 o0610 0 t O 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/ Ni-Nickel 01067 ug/L , method#
For Rernediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%L
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-certifier/laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing rr'.Jletfons.
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Permittee(of•uthor ed Agent)Name and Title-Please print or • u type Signatu' f - r--e(or Authorized Agent) (Date) \
GW-59 •ev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original , Ir ,, ;f a,.
GROUNDWATER QUALITY MONITORING: and 1 copy to:
COMPLIANCE REPORT FORM
FACILITY INFORMATION A Please Print Clearly or Type - PERMIT Numbest' 1 iration Date:
0 33(�cp11 3®—Ni. 6
Facility Name: 0.CS"0.W SCVC\k 0��\S'f\Tokl`1F C Q SENNNon-Discharge UIC
Permit Name(if differ Ant): NPDES Other
Fa 7,i'y Address: :IdN% a l,..) t a e TYPE OF PERMITTED OPERATION BEING MONITORED
\J... "1C`I) C'l`� County LIAR, (\ ❑ Lagoon ❑Remediation: Infiltration Gallery
�:tty) , 1$tatz) ,=r 1
c� � l`� L ay Field ❑Remediation:
Contact Person: \-(0.\. - zr'��e 'Telephone#: 1�' I3`<J i l III Distributor ❑ Land Application of Sludge
Well Location/Site Name: \ � (\� Cc 'cjc "<,2ktk, No.of wells to be sampled: ❑ Water Source Heat Pump LI Other:
\ (from Permit)
SAMPLING INFORMATION �N� (i' c r� )� If WELL
WELL ID NUMBER(from Permit): 1` � Date sample collected c `L ' FIELD ANALYSES: WAS
Well Depth: (S- ft. Well Diameter: in. pH 0o400' t'units Temp.000io:) '-i't o�°C DRY at
Depth to Water Level 82546:_ ft.below measuring point Screened Interval: ft. to ft. Spec. Cond.0o094: µMhos time of
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: SLAI(a,C check
Volume of water pumped/bailed before sampling: gallons Appearance t^1Q c ( here:J
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: j3—') 3—g 3—q 3—� v))�^�� Laboratory Name: �v`ri6( Ne.. fV\ Certification No. C\
PARAMETERS NOTE:Values sh�uld reflect dissolved Ad colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N owls mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 .0 /100mL Nitrate(NO3)as N o0szo
1 C,Ol� ( s mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 O mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
5issolved Solids:Total 70300 1 1 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium oasis mg/L
Chloride oo9ao c�;...„ mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total o1o34 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 nig/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 oosio 0 t '- \ 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 Remedlation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the pest of my knowledge and belief,the information submitted in ti t,p,,Tt r..hu,_ -ii ii tl- :urI ny•L-Ie ,nrl lint{I, ,I j-,Ior ,n.al,t'11 riiii,1 :als Inriucr:cl W.111'1 appi,j,d illelhi d, nI:mat/;,r.I,,a
DWh-certified laboratory. I am aware tliat there are signlficanl penalties for subrnitWi_1 f_il=s iufoi rnahci, ,_ludIny tl r I,,,,-: Inlay ci fins an,l nnpu,onrncmt f,i r,nnnlin,1 Id totron S.
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RESke_C' 41..7k, lib • AllifliOrAWAIPAIIIIWW .01. 00... . ,
Permittee(or uthor ed Agent)Name and Ti le-Please print or type Sign: frey/;�-il.•it ee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original T;; rl w, 1 ,, i , , ) I • ��GROUNDWATER QUALITY MONITORING: r
COMPLIANCE REPORT FORM and 'I copy to:
FACILITY INFORMATION r Please Print C early or Type PERMIT r --
1 I MI Number A� /�� cplration Date: . 1 .
Facility Name: b„O CSO•U! SCI,R` ;U n T Q11 Cr l/�r .c� Non-Discharge ((�� UIC
Permit Name(if different): NPDES Other
F 'lity Address: g Q TYPE OF PERMITTED OPERATION BEING MONITORED
h e.q
County ❑ L• agoon ❑Remediation: Infiltration Gallery
c:ny) 31Bto1 i:'ir,l
ray Field ❑ Remediation:
Contact Person: \ eS \Zi Telephone#:Clt O' C13 .3 y'', t- ❑ R• otary Distributor ❑ Land Application of Sludge
VVell Location/Site Name: �Ce �M1 E`1A(p_�n of wells to be sampled: ❑ W• ater Source Heat Pump ❑Other:
1 (from Permit)
SAMPLING INFORMATION —{�l,\ If WELL
1
WELL ID NUMBER(from Permit): ��W '3� Date sample collected:3— FIELD ANALYSES: WAS
Well Depth: \ ft. Well Diameter: in. pH ooaoo'ii ;units Temp. 00010:/.5 , 'C DRY at
Depth to Water Level 82546: e , ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.000sa: µMhos time of
sampling,
Measuring Point is ft.above land surtac Relative M.P. Elevation: ft. Odor o0085: '6--(\O check
Volume of water pumped/bailed before sampling: _gallons Appearance (T\QSA--\, C42._ _ herein
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: IN YES ❑NO
LABORATORY INFORMATION 3-1 _a
Date sample analyzed: —s ould r lect—g,43-9,3-10� Laboratory Name: CY\�\co , ;,(�1� Certification No.
PARAMETERS NOTE:Va es ssolve and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 < ' CAA- /100mL Nitrate(NO3)as N 00620 f1 mg/L Zn-Zinc 1)1092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 < O. r) mg/L
(Note' Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 V \ mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 0�3 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 00095 µMhos K-Potassium 00937 mg/L VOC 7873 method#
Total Ammonia oosio O , 2., mg/L Mg-Magnesium 00927 mg/L method#
(Ammonia Nitrogen,NH3as N,Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L method#
TKN as N o0625 mg/L Ni-Nickel 01067 ug/L method#
For Remedlation 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 betel,the information submitted in this report is hue-accurate atsi, pH,l,ac ,a i Ih.ri II MI ,rsic,c,,analytic 1 tat r e,a beau, ;d u',ind;appi„BEd in,ihr d:,,,f analyses by a
DWr-certified laboratory. 1 am aware that there are significant penalties for submitlinp false intonnalion,indndiny tier possihphry op hi as and na,pnwruaterpt tap hnrsNpnq violaliu,is.
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Permitter(or Authori d Agent)Name and Title-Please print or type Sign: free/ i.•it ee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018