WQ0000185_Monitoring - 05-2022_20220630

DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0000185
Name of Facility:* Ocean Sands WWTP
Month:* May Year:* 2022
Report Information
Type* Upload Document*
GW-59 Ocean Sands 720.1KB
G W 59_06302022222056.p df
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Rod Holley
Signature:
Date of submittal: 6/30/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0000185
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 7/25/2022

(11,I'MPLA ANC fc",IN FOR nun itO C; 4)00 E'S-
(s.btnxi o r eilCh i wwuuoranl,P p l59 foi $,)
Enter date monitoring results were due.(4 30/2Q ) Will this monitoring report( -59 and GW-59A) YES (NO)
be suomitted after the established due date?
2 Wats any required information missing on the GW-59 report forms? YES IVO )
IF the answer to question 1 or 2:s"YES", in the space provided below he wed identification number(s)and
explain the problems encountered in obtaining the required information.
3 Are array of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES (NO
id Li tillication plate,area overgrown,etc.)?if tae answer is "Yes",contact the Regiona. (Vice fo,guidance.
4 Are any monl ored constituents equal to or above the established standards? YES5 NO
If tne answer to question 4 is"NO", skip to section 8,
If the answer to question 4 is "YES"fist the affected wells individually with constituent(s)and concentration(s)
exceeding standards in the space pro video below:
tt:1• 3 3 c 6;S'
- ) 3. 2 d
„ 3
CL/044;(k 2 '4
5 For the constituents identified in question 4 above, have standards been exceeded previously for the (YES) NO
same constituent(s)in the same wells)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).
v,,,^
- 3
Ti
641)1(1,14',61,t
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6 Are the monitoring wells listed in section 5 located at or beyond the review Doundary? YES (NO)
If tire answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE 1 EDIATELY FOR GUIDANCE.IF the answer is "NO",monitoring wells may be improperly
located;contact the Regional Office.
7 Is tine perrnittee 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 was t- disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permfttee to a Notice of Violation
fines,and/or penalties. 0 ,
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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 h:r: y acknowledge that the above information was evaluated and tie information submitted in this
report(Compliance Report GW-59A)is true and complet: to the best of my knowled e.
if t ,,211.5Z12‘2.4.Dcl. II
Signature of Perrratee(or Autri,orized Agent) Date
_ 1
G J; Y',16/20ii I

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&;NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
and 1 copy to
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALE GH NC 27699,1617" Phone:pie)793s221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 741 Ocean Trail TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla `r1,..eli NC 27927
County Currituck ❑ Lagoon 0 Remediation:Infiltration Gallery
(c,rr) ,s,-,t,, 14 P ❑ Spray Field ❑Remediation:
Contact Person: Rod Holley Telephone#:[phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Ocean Sands No.of wells to be sampled: 5 ❑ Water Source Heat Pump ®Other: Infiltration
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW4 Date sample collected: 5/20/22 FIELD ANALYSES: WAS
Well Depth: 17.6 ft. Well Diameter: 3 in. pH 00400:6.7 units Temp.00010:26.0 °C DRY at
Depth to Water Level 82546:9.1 ft.below measuring point Screened Interval. 12 ft to 17 ft. Spec, Cond.00094: [Mhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Clear here
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: 0 YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:5120/22 Laboratory Name: Enviro Chem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oasis 0.03 mg/L Pb-Lead o10s1 ug/L
Coliform:MF Fecal 31616 145 /100mL Nitrate(NO3)as N 00620 0.74 mg/L Zn-Zinc 01 092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00ss5 2.76 mg/L
(Nate: Use MPN method for highly turbid samp!°s) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 631 mg/L Al-Aluminum 01105 mg/L
pH(Lab)0040:3 6.7 units tia-barium 01007 twit
TOC 00680 6.8 mg/L Ca-Calcium 00916 mg/L
Chloride a0940 240 mg/L Cd-Cadmium 01027 uglL
Arsenic o1002 ug/L Chromium:Total 01034 ug1I.
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS; (by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug1L Lab Report Attached? D Yes(1) ❑ No(0)
Specific Conductance o0095 1tMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00610 3.5 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen,NW,ae N;Ammonia Nitrogen,Total) Mn-Manganese oios5 uglL ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remodiation Systems Only(Attach Lab Reports): Influent Total VOCs: rriglL Effluent Total VOCs: mg/L VOC Removal%
certify that, the "and information 1. e h i a4: best af,m :and'beC�ef lttevnforma ion submittedt reportis. . , ,
_,. yY ..-, ., . t in h tstrue:accurate and complete.and the laboratoryanalytical data was " using approved methods of analysis bya
P produced9 APYs
[MO-certified laborato ..I aril aware that,3 a are:significantr re
,...El.... . er?altiesfa.,.suhmitk�n false including e; osssbrlrt :ofiines and imprisonment tnr:knnwrn violations.
Rod Holley Wastewater Superintendent Trainee / . IL/// 6/30/22
Permlttee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized gent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to
1617 MAIL SERVICE CENTER,R/U:6fS3k};NC;27899-11317 Phone:pis)733-3221
FACILITY INFORMATION Please Print Clearly orType PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 741 Ocean Trail TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla st,`(3i NC 27927
County Currituck 0 Lagoon ❑Remediation: Infiltration Gallery
a,) s31 ; z„} ❑ Spray Field ❑Remediation:
Contact Person: Rod Holley Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Ocean Sands No.of wells to be sampled: 5 0 Water Source Heat Pump ®Other: Infiltration
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW5 Date sample collected:5/20122 FIELD ANALYSES: WAS
Well Depth: 17.6 ft. Well Diameter: 3 in. pH 0040o:7.0 units Temp.00o10:25.5 °C DRY at
Depth to Water Level 82546:4.2 ft.below measuring point Screened Interval' 12 ft to 17 ft. Spec.Cond.00094: µMhos limo of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Cloudy here:❑
Samples for metals were collected unfiltered: OYES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:5120/22 Laboratory Name: Enviro Chem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 0.02 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 1 /100mL Nitrate(NO3)as N 00620 3.75 mglL Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 f100mL Phosphorus:Total as P 00665 1.57 mg/L
(Nate: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
]issolved Solids:Total 70300 220 mglL Al-Aluminum 01105 mg/L
pH(Lab)r1040J 7.0 units Be-Barium 01007 tight
TOC 00680 15.8 mg/L Ca-Calcium 00916 mglL
Chloride 00940 54 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ugli..
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 71000 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00610<0.2 mg/L Mg-Magnesium 00927 mg/L
method#
(Ammonia Nitrogen;NHuas N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01007 ug/L ,method#
For Uemodlation Systems Only(Attach Lab Reports): Influent Total VOCs: rrtg/L Effluent Total VOCs: IrLg/L VOC Removal%
certifyI that.to;the best ofm knowledge and belief the?inform information submitted inreport and__. . t -,:
Y 9 at on u lied this is true accurate,and.com Iota that the laboratoryanalytical.data oyes produced using approved"rriethod5:of analysis '•
<.. Pp bya
Dt74f.Q cart f edaa6orafalse:.....,. ...: <,<. .... imprisonment
laboratory_ I a?�?a!fare.tktat.tftereareslgnit%canfpenalGes.#o[sutamttt�ng .rnforrtfariorr�.lncludin the.possibility�pffiges;and, forkncilsrn violations.
Rod Holley Wastewater Superintendent Trainee LA ))P 6/30/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agen (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORAAATION`PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to 1617 MAIL SERVICE CENTER,RALEIGH NC 27 69 9-1 6 1 7: Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 741 Ocean Trail TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla `s.`"-, NC 27927
County Currituck El Lagoon 0 Remedlation; Infiltration Gallery
LEi;€ """' z p' 0 Spray Field 0 Remedlatlon:
Contact Person: Rod Halley Telephone#:[phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:Ocean Sands No.of wells to be sampled: 5 0 Water Source Heat Pump in Other: Infiltration
{from Perrot)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW6 Date sample collected:5/20/22 FIELD ANALYSES: WAS
Well Depth: 17.6 ft. Well Diameter: 3 in. pH 00400:7.0 units Temp.cools:25.5 °C DRY at
Depth to Water Level 82546:3.6 ft.below measuring point Screened Interval- 12 ft to 1.1 ft Spec Cond 000s4• p.Mhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed:5/20/22 Laboratory Name: Enviro Chem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oasis<0.02 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616<1 1100mL Nitrate(NO2)as N 00620 23.9 mg1L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 N00m1_ Phosphorus:Total as P 00665 1.70 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 498 mg/L AI-Aluminum 01105 mg/L
pH(Lab)00403 7A units Ra-Barium 01007 ug/I.
TOC 00680 4.2 mg/L Ca-Calcium 00916 mglL.
Chloride 0094o 219 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 ug1L 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 'Mhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00610<0.2 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NHaas N:Ammonia Nitrogen,Total} Mn-Manganese a1055 ug/L ,method#
TKN as N 00625 mg/L Ni. Nickel 01007 ug/L ,method#
For Remedlation Systems Only(Attach Lab Reports): Influont Total VOCs: mg/L Effluent Total VOCs: niglL VOC Rerrfoval%
I certify that tothebest` m .k knowledge d,, e,; ..
certf of rsa d e.artd>.tre)�ef the::information submitted€ .tbts-ro report true,accurate andcomplete," .
YY 9 ) r3 P sand the laboratoryanalytical data wasproduced usingapproved methods of analysis bya
Ys
DWQ rtified>laborato 3: I am aware that there are significant :forsubmitting'if €
� ry ...... else information,including the possibility of fines and imprisonment for knowingviolations.
... ..._ �.. t.�. 9..�A _,.Y f . .._ ..,. . k 9 .:.... .
Rod Halley Wastewater Superintendent Trainee a h. 6/30/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee or Authorize)Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original,DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
and 1 copy to
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,:RALEIGH NC 27699-1617. Phone [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 741 Ocean Trail TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla s"'="i NC 27927 Count
y Currituck El Lagoon ❑Remediation:Infiltration Gallery
tc,,v, sr,,,,;
❑ Spray Field 0 Remedlatlon:
Contact Person: Rod Holley Telephone#:[phone] El Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Ocean Sands No.of wells to be sampled: 5 ElWater Source Heat Pump ®Other: Infiltration
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW7 Date sample collected:5/20/22 FIELD ANALYSES: WAS
Well Depth: 17.6 ft. Well Diomotor: 3 in. pH 00400:6.4 units Temp.00010:25.2 °C DRY at
Depth to Water Level 62546:6.6 ft.below measuring point Screened interval. 12 ft to 17 ft Spec land 00094. µMhos Time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance Cloudy here:❑
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:5/20/22 Laboratory Name: Enviro Chem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615<0.02 mg/L Pb-Lead 01051 ug1L
Conform:MF Fecal 31616<1 /100mL Nitrate(NO3)as N o0620 6.37 mg/L Zn-Zinc 01092 mg/L
Conform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0-64 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 275 mg/L Al-Aluminum 01105 mglL
pH(Lab)00403 0.4 units Fta-Barium 01007 ugh
TOC 0oss0 15.0 mg/L Ca-Calcium 00916 mglL
Chloride 00940 96 mg/L Cd-Cadmium 01027 ug1L
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 ug1L Lab Report Attached? 0 Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00610<0.2 mglL Mg-Magnesium 00927 mglL ,method#
(Ammonia Nitrogen:Nit,as N:Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L method#
TKN as N 00626 mg/L NI Nickel 01007 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent foidl VOCs: !rig/L Effluent Total VOCs: mg/L VOC Removal%
I cent that to the best of m :knowledge and belief the information submittedin this report true. .ac accurate analytical' methods-s"f} Y..... 9 Po rs . cu le,and camptete and theheJpborato: daka-was coducsd; :approved of analysis bya
P usingY
1:010-certified laboratory.<I`a aware.that:the -are<significant: r . ' violations."
.:. m.:...:.. pe..naltles fP subm€tUrlg:,talsetnformat,an,:3ncludin fhe�; �ss€6cltt .otfines.aodiro nspnmerlttor;knawrn ,
Rod Holley Wastewater Superintendent Trainee LA ` .) 6/30/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
and 1 copy to
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, 7699 1617 Phone"(919)'733-3221
RALEIGH;NC 2
FACILITY INFQRMAIJQN Please Print Clearly or Type PERMIT Number: WQ0000165 Expiration Date: 6/30/2024
Facility Name: Ocean Sands Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 741 Ocean Trail TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla 1s`.`"' NC 27927
- County Currituck El Lagoon ❑Remedlatlon:infiltration Gallery
c3rf, Es%Fr z,"; 0 Spray Field ❑Remedlatlon:
Contact Person: Rod Holley Telephone#:[phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Ocean Sands No.of wells to be sampled: 6 0 Water Source Heat Pump ®Other: Infiltration
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW9 Date sample collected.5/20/22 FIELD ANALYSES: WAS
Well Depth: 17.6 ft. Well Diameter: 3 in. pH 00400:6.5 units Temp.00010: 25.0 °C DRY at
Depth to Water Level 82546:6.6 ft.below measuring point Screened Interval: 12 ft. to 17 ft. Spoo.Cond.00004i ItMhOS time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5.0 gallons Appoaranco Clear here:❑
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: 0 YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:5120122 Laboratory Name: Enviro Chem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 0.02 mg/L Pb-Lead 01051 ug1L
Coliform:MF Fecal 31616<1 /100mL Nitrate(NO3)as N 00620 6.64 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0.90 mg/L
(Note: use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 684 mg/L Al-Aluminum 01105 mg/L
pH(k ab)00403 6.5 units RR-Barium 01007 ugh.
TOC 00660 4.5 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 284 mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 ugh 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 uglL (Specify test and method It.ATTACH LAB REPORT.)
Sulfate o094s 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 78732: ,method#
Total Ammonia 00610 0.4 mg/L Mg-Magnesium o0927 mg/L ,method#
(Ammonia Nitrogen;NI43es N;Ammonia Nitrogen,Total) Mn-Manganese o1055 uglL ,method#
TKN as N 00625 mg/L NI-Nickel 01067 uglL ,method#
For Remedlatlon Systems Only(Attach Lab Reports). In luerit Total VOCs. mg/L Effluent Total VOCs: mg/L VOC Removal°/°
I certi that to the.best:ofm .knowledge theform n. ti 'eaccurate,
fY 9 ... k .:. information submitted in this report and;com complete.,.andthat.the: analyticalproduced. a approved methods ('anal analysis b Y 9PP laboratory � using ppnt � Y a
MO-certified... . ..�.'laborato ,...Iam.,a_w_.a.re that there are..:_significant..penalties'for..submitting false information,informa on including the ssrbtitY:of fines-and imprisonment
for'knowing viPtattons
�.d
Rod Holley Wastewater Superintendent TraineeP_„, A, LP, 6/30/22
Perm€ttee(or Authorized Agent)Name and Title-Please print or typo Signature of Permittee(or Authorize)Agent) (Date)
GW-59 Rev.2/2010