WQ0033770_Monitoring - 05-2022_20220627

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEP��OF�IR�aTALQUAUTY-DIV.OF WATER RESOUr�S
and 1 copy to INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly orType PERMT Number.w00033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(if different): NPDES Other infiltration system
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC ` 28540 County Onslow 0Lagoon 0 Remediation:Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Carolina Plantation wwTP No.of wells to be sampled: 6 0 Water Source Heat Pump fl Other underdrai ns
(horn Penni)
SAMPLING INFORMATION If WELL
WELL ID NUNEER(from Permit): 1)7 Date sample collected: .5'/Z7/ZZ FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH 00400: units Temp.00o10: °C DRY at
Depth to Water Level 82548: �'' ft.below measuring point Screened Interval: 1 ;Mhos
S ft. to _ft. Spec.Cond.00094: time
sampling,
o
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:0
Samples for metals were collected unfiltered: MI YES ❑ NO and field acidified: ii YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD o0335 mg/L Nitrite(NO2)as N 00815 mg/L Pb-Lead oiosi u9/L
Coliform:MF Fecal 31818 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P axes mg/L
(Note: Use MPN method for highly turbid eamplee) Orthophosphate 70507 mg/L Other(Specify Compounds and Con ' Lion.U ):
Dissolved Solids:Total 70300 mg/L Al-Aluminum oi 105 mg/L MAY 2022
pH(Lab)00403 units Ba-Barium 01007 t-.,,,.,r„ „ ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L �: `
Chloride 00940 mg/L Cd-Cadmium 01027 JUN 2 7 ,OL ''
Arsenic 01002 ug/L Chromium:Total 01034 L
Grease and Oils 0os52 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 H
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooeio mg/L Mg-Magnesium 00927 mg/L ,method# J U N 1 A 2022
(Ammonia Nitrogen:NH,ae N;Ammonia Nitrogen,Totaq 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
UWR•certified laboratory I am aware that there are significant penalties try s:.noon ng false information,including the possibil ty of nines and imprsonme•it for knowing violations.
)ter,t ``AL'" x \\ �NC1 �' C- 46�a 7
Perm ittee(or Authorized Agent)Name and Title-Reese print or type V Sionstu • P Ittee(or Authorized Agent) (del
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF AL OF WATERRESOURCES
INFORMATION
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER.RALEICH,NC27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMT Number:w 00033770 Expiration Date: ]2/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(if different): NPDES Other infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC" "` 28540 County onslow ❑ Lagoon ❑Remediation:Infiltration Gallery
:Steel ilipt
❑ Spray Field 0 Remediation:
Contact Person: Jeff Jarman Telephone#: [phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Carolina Plantation WWTP No.of wells to be sampled: 6 ❑ Water Source Heat Pump El Other. Underdrai ns
(from Perna)
SAMPLING INFORMATION J�., If WELL
rmit WELL ID NUMBER(from Pe ): i G S Date sample collected: C./2-712 Z FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH 00400: units Temp.coma °C DRY at
Depth to Water Level 82546: ii. S ft.below measuring point Screened Interval: 15 ft. to ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor moss: check
Volume of water pumped/bailed before sampling: gallons Appearance here
Samples for metals were collected unfiltered: II YES 0 NO and field acidified: ii YES 0 NO ' I
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD o0335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform:MF Fecal 31616 /100mL Nitrate(NO3)as N 0062o mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00685 mg/L
(Note Uee MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC ooeeo mg/L Ca-Calcium 00918 mg/L
Chloride ooeao mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L 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 uglL (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 o0e10 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,se 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 tnfcrrnation suomltted in this report is true,acc:rate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-cemfied laboratory I am aware that there are significant penalties for submitt'ng vise uiferiralon including the possibility of fins.and•.mpnsonment for knowing violations.
\\- \`�=���a'c\`•mac �cl E All /1 C7' . /
Pennines(or Authorized Agent)Name end Tide-Please print br type Signe: .of•emiittee • •uthorzed Anent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT oFttoN� oFwAlt=xrsFsouRCEs
WET
COMPLIANCE REPORT FORM and 1 copy to: 1en MAIL SERVICE CENTER.wrLetoH,Ncziss¢1sn
FACILITY INFORMATION Please Print Clearly or Type
Carolina Plantation PERMIT Number:wQ0033770 Expiration Date: 12/31/2026
Facility Name: Non-Discharge UIC
Permit Name(if different): NPDES Other Infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
3acksonvi11e. NC''"' 28540 County onslow ❑ Lagoon 0 Remediation: Infiltration Gallery
0 Spray Field 0 Remediabon:
910-330-8167 ❑ Rotary Distributor 0Land Application of Sludge
Contact Person: Jeff Jarman Telephone#:
Well Location/Site Name:carol i na Plantation WWTP No.of wells to be sampled: 6 0 Water Source Heat Pump fl Other: under drai ns
ham Parts)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): Date sample collected: .S )z_7/a'z. FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1•25 in. °
Depth to Water Level e2546: pHA units Temp.00010: C DRY at
/'f, ( ft.below measuring point Screened Interval: 1S ft. to ft. Spec.Cond.00094: !,,Mhos time of
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 000es: sampling,
check
Volume of water pumped/bailed before sampling: gallons Appearance here:❑
Samples for metals were collected unfiltered: MI YES ❑ NO and field acidified: iii 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
Coliform:MF Fecal 31616 ugh
/t00m1 Nitrate(NO3)as N wen mg/L Zn-Zinc 01092 mg/L
Cofform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Noss: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum oiios mg/L
pH(Lab)00403 units Ba-Barium oioo7
ug/L
TOC oo6eo mg/L Ca-Calcium 0091e
mg/L
Chloride ooa4o mg/L Cd-Cadmium 01027 ug/L
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
Sulfate oo73s ug/L (Specify test and method ft.ATTACH LAB REPORT.)
Specificmg/LHg-Mercury 71900 ug/L Lab Report Conductance 000es FlMhos rt Attached? ❑method(1) 0 No(0)
K-Potassium 00937 mg/L VOC 7873 Total Ammonia ooelo , #
(Ammonia Nitrogen;NH,ae N;Ammonia Nitrogen,Total) mg/L Mg-Magnesium 00927 mg/L ,method#
Mn-Manganese()loss �L TKN as N 00625 ,method#
mg/L Ni-Nickel 01067 ug/L
For Remedlatlon Systems Only(Attach Lab Reports): Influent Total VOCs: method#
mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify
R-certified the
best cf my kn�edge and belief,the information submor subm t nted in this rg fpsert istet Hatrue, re ur te,and complete.and that the laboratory analytical data was produced using appro';ed methods of analysis oy a
am aware that there aresignificant penaltiesfor
' luting the possibility of fines and imprisonment for knowing violations.
Perm e(o Authorized `_ \ i . h 1>✓ _ /
pent)Name and Title-Please print or , /0 d/-•

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPaanleNTOFENVIRONMENT/U.PEOFIMATI -ay. WATERRESOURCES
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC2768e-1e17
FACILITY INFORMATION Ream Print Cleary or Type PERMIT Number:wo0033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(If different): NPDES Other Infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC"```' 28540 County onslow 0 Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor ID Land Application of Sludge
Well Location/Site Name:Carolina Plantation wwTP No.of wells to be sampled: 6 CIWater Source Heat Pump fl Other. underdrains
(tom*Permit)
SAMPLING INFORMATION / If WELL
�WELL ID NURSER(from Permit): 3 Date sample collected: -5 /L7 ZZ FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH ooaoo units Temp.000io. °C DRY at
Depth to Water Level 62s4e:/2 ik ft.below measuring point Screened Interval: 15 ft. to _ft. Spec,Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor woes: check
Volume of water pumped/bailed before sampling: gallons Appearance here:ri
Samples for metals were collected unfiltered: II YES ❑ NO and field acidified: in 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 /100mL Nitrate(NO3)as N 00620 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 samba) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70303 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOG ooeso mg/L Ca-Calcium o0916 mg/L
Chloride oosao mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total o103a 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 o10a5 ug/L (Specify test and method#k ATTACH LAB REPORT.)
Sulfate ooeas 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 00610 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,as N:Ammonia Nitrogen.Total) Mn-Manganese o1055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01087 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
DVVP-cemfied laboratory I am aware that there are significant penalties for submitting false information including the possibility of fines and,nonsonment for knowing.iolations
I
J(ir ` \.C: � t �, �.Q + 4/?- 2
Permfttee(or Authorized Agent)Name and Title-Please print or type Signature of f -(or Ai&aL Agent) ( 1
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIROMIENTALQUwTM-DIV.OFWATERF SOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27sas-1617
FACILITY INFORMATION Please Pell Clea1yorType PERMIT Number:wp0033770 Expiration Date: U/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(if different): NPDES Other Infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATiON BEING MONITORED
Jacksonville. NC"' 28540 County Onsl ow ❑ Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:carol i na Plantation WWTP No.of wells to be sampled: 6 0 Water Source Heat Pump fl Other underdrai ns
(from )
SAMPLING INFORMATION Q If WELL
WELL ID NUMBER(from Permit): 'T Z-^ 2 c/Date sample collected: 7_7 AZ- FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH 00400: units Temp.00010: °C DRY at
time of
Depth to Water Level 82546: iS•(s ft.below measuring point Screened Interval:15 ft. to ft. Spec.Cond.00094: pMhos sampling
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00086: check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered: Ill YES 0 NO and field acidified: in 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 o1051 WA-
Conform:MF Fecal 3161e /100mL Nitrate(NO3)as N 0062o mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P ooess mg/L
(Note:Use MPN method for hQhly turbid s,mplee) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium o1007 ug/L
TOC ooeeo rng/L Ca-Calcium 00916 mg/L
Chloride 0o940 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1o02 ug/L Chromium:Total o1o34 ug/L
Grease and Oils 0os5z 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 7190o ug/L Lab Report Attached? ❑ Yes(1) 0 No(0)
Specific Conductance 000ss j Mhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammons Nitrogen;NH,as N;Ammonia Nitrogen,Tolaq Mn-Manganese o1055 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!rat.to the best of my knowledge and belief,the eiforrn a• _ .-. - .. .:... .and complete,and that the laboratory analytical data was produced using approved meihods of analysis by
DWR-certified laboratory I am aware that there are srg^rficant pe-,aft:es for subm,thny rase nfcrrratton ncluding the possibility of lines and imprisonment for knowing violations.
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of P d or Auth ed Agent)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL OuAUTY-Dry-OF WATER RESOURCES
COMPLIANCE REPORT FORM and 1 copy to: INFORMATION PROCESSI
NG WET
1817 MAIL SERVICE CENTER,RALEIGH,NC 27899-1817
FACILITY INFORMATION Please Print Clearly orType PERMT Number:w00033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation
Non-Discharge UIC
Permit Name(if different): NPDES Other Infiltration system
Facility Address. Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC ' 28540 Onslow
County 0 Lagoon 0 Remediation:Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Jeff Jarman Tele hone# 910-330-8167 r
p 0 Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Carolina P1 antati on WWTP No,of wells to be sampled: 6 ❑ Water Source Heat Pump El Other. Underdrai ns
SAMPLING INFORMATION ) ( Permit)
(from Permit): 1 If WELL
WELL ID NU
Date sample collected: rJ 4..7 k Z. FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH 00400: units Temp.00oio: °C DRY at
Depth to Water Level 82546: II,9- Q.below measuring point Screened Interval: 15 ft. to ft. Spec.Cond.00094: µMhos time of
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor o85 sampling,
00
before sampling: check
Volume of water
pumped/bailed PI g gallons Appearance here:❑
Samples for metals were collected unfiltered: MI YES 0 NO and field acidified: ii YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 0o335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 v9/1-
Coliform:MF Fecal 31818 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc o10a2 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: the MPN method for highly turbid eartples) Orthophosphate 70507 mg/L Other(Specify Comp
ounds( pe ty and Concentration Units):
dissolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium opals mg/L
Chloride 00940 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils o0562 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron o1045 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 moos µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NHS ee N;Ammonia Nitrogen,Total)
Mn-Manganese pips ug/L ,method#
TKN as N 0062s mg/L Ni-Nickel 01087 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I ce',.:i,at.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
Dv. -rr led laboratory I am aware that theie are significant penalties for submitting false information including the possibility of fines and imcnsonm_nt for bno,v ng'.ielations
\\-,,, vc ,c------ -,,cxx Ili ,‘N•at\ca 90e_._ -e
PSft[ge(or Authorized Agent)Name and Title-Please print or Signature !1 //
� ro of P (or Authorized Agent) (patel
GW-59 Rev.06-07-2018