HomeMy WebLinkAboutWQ0023310_Monitoring - 07-2022_20220815SUBMIT FORM ON YELLOW PAPER ONLY
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GROUNDWATER QUALITY MONITORING: x�l
COMPLIANCE REPORT FORM �
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FACILITY INFORMATION Pla s,m
PdntCleady T e PERMIT Nuber: 3( bxpiration Date: �-,
Facility Name: ��,t�fiC1ltl l�C� l.A�lv�� Non -Discharge UIC _
Permit Name (if different): NPDES Other
F• ct'tyrr�1Address: tQJ t1;1 Q TYPE OF PERMITTED OPERATION BEING MONITORED
County t J ❑ Lagoon ❑ Remediation: Infiltration Gallery N_ Tkt
VC f� �j� ❑ Spray Field ElRemediation:
Contact Person: ' (�, - Telephone#: l3 ' �, . O ❑ Rotary Distributor ❑ Land Applicati n of Slud
Well Location/Site Name: r— �" No. of wells to be sampled: ❑ Water Source Heat Pump I�iher: ( ( (A)( pc
uHlllll'LlPjU INI-UKIVIAIIUN
WELL ID NUMBER (from Permit): V.
Sc.fi} �\y �Z`Date sample collected:
Well Depth: ft. �T�� 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
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified IN YES ❑ NO
Date sample analyzed: rj "` C .Z--.r-iA bL.
PARAMETERS NOTE: Values should reflect dissolvF
COD 00335
mg/L
Coliform: MF Fecal 316-16 1=/\p
' ;
/100mL
Coliform: MF Total 39504
/100mL
(Note: Use MPN method for higtily turbid samples)
issolved Solids:Total70300 Iy
pH (Lab) 00403
_mg/L
units
TOC oosso
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
Specific Conductance 00095
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH, as N; Anwrronia Nitrogen, Total)
TKN as N 00025
mg/L
For Remediation Systems Only (Attach Lab Reports):
FIELD ANALYSES:
pH uoaoa units
Spec. Cond. 000sq
Odor 000s5:
Appearance
Laboratory Name:,\U
and colloidal concentrations.
Nitrite (NO2) as N oo615 mg/L Pb - Lead uto5t
Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092
Phosphorus: Total as P oo665 mg/L
Temp. 000io: °C itime
DRY at
uMhos of
Certification No. _�__
ug/L
mg/L
Orthophosphate 70507
mg/L
Other (Specify CompoLUlds�a^^nd Concentration Units):
AI-Aluminumotto5
mg/L
!'�
Ba - Barium otoo7
ug/L
T�
Ca - Calcium oosis
mg/L
AUG 1 5 ?n29
Cd - Cadmium 01027
ug/L
c
Chromium: Total o7o3a
�ug/L
Cu - Copper ot�t� C
' „ mg/L
ORGANICS: (by GC,
Fe - Iron wioas
—ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
IVin - Manganese o1o55
ug/L
method #
Ni - Nickel 01067
ug/L
method #
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%