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HomeMy WebLinkAboutWQ0003067_Monitoring - 07-2022_20220811SUSMtT FORM ON YELLOW PAPER ONLY • DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES TER QUALITY MONITORING: DIVISION OFWATEP.RESOURCES-INFORMATION PROCESSING UNIT [GROUNDWAMPLIANCEREPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 77699-1617 Phone:9-I o6 CILIYYINFORMAT) easePnn ea Tyrpret PERMIT NumbeT7 ) E iration Date_ ' a Facifity Name: !? , / l/(%Gy�� 0� Non -Discharge tJIC NPDES Other Permit Name (if differen Facility Address: ",TYPE OF PERMI- TED OPERATION BEING MONUORED ❑ Lagoon 13 Remediation: Inflttiation Gallery County - / �j� (�f,., Telephone_��7 z0 PSpray Feld ❑ Remediatlon: ❑- Rotary Distributor ❑LandAp cation of Sludge Contact Persor . etC!_ocation/Site Name:No_ of wells to be sa pled: ❑ Water Source Heat ❑Other SAMPIjNG INFORMATION 01'/A (% f 2Z IF WELL WAS DRY IU-NLiMBER (from rmiti; g—T Date sample collected: 1 I FIELD ANALYSES: nn '! 17units Temp_ `C at time of Well Depth: // tt Well Diameter_ In_ pH oo4w- i oomo- sampling () Depth to Water Level a25ae 1 R below measuring point Screened Interval: fL to iL Spec_ Cond. 00094: check here: Measuring POlnt 3S fL above Land surface Relative UP- Elevation: tL Odor 000as: ¢j�Qi olume of water pumped/bailed before sampling- gallons Appearance Samples for metals were collected unfiltered: EYES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORYINFORMATIQN i�� /1�i E � h Qp (� Certification No_ br/ Date sample analyzed- (J� O(�{ Laboratory �/V VjiM]li�m -F- .JiUG - PARAMETERS NOTE Values should reflect dissolved and colloidal concentrations_ p COD om3s mg/L Nitrite (NO2) as N owls mg/L Pb - Lead 01051 i Coliform: MF Fecal3161s /100mL Nitrate (NO,3).as N oo62o • mg/L Zn - Zinc 01092 mg/L r Coliform: MF Total 31s04 c uu aRaN ea" for r�ynry moa wes) /1 OOmL Phospl`—: Total as P -0165 0 , 62 mg/L Orthophosphate 7o5o7 mg/L r s1 Other (Specify Gompo rids and Concentration Unitsr_ : , §fj -mg/L Dissolved Solids:TotalZo3oo ` mg/L Al -Aluminum o11os pH (Lab) ooaos units Ba -Barium moo? use TOG omzo mg/L Ca -Calcium W916 mg/L Chloride oaw mg/L Cd - Cadmium o1027 ug/L Arsenic olo02 ug/L Chromium: Total o1o3a ug/L Grease and Oils ooss2 mg/L Cu - Copper mo42 mg/L ORGANIC;,: (byGC. GUMS, HPLC) Phenol 3273o ug/L Fe - Iron moos ug/L (Specify test and method#_ ATfACH LAB REPORT_') Sulfate oosas mg/L Hg -Mercury 71goo - ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance:000ss mhos K - Potassium oo937 g g/L VOC 78732 aW # Total Ammonia oo610 mg/L Mg - Magnesium 0o9z7 mg/L . method # (�rt�gr�a"NtiogrJC.NH;as It mia KAM9M Total) Mn -Man anew moss q uglL � TKN as N,00625 mg1L Ni - Nickel mos7 ng/L method # GW-59 Rev.8/2013 SUBWT FORM ON YELLOW PAPZR ONLY UNDWATER QUAL11Y MONITORING: PLIANCE REPORT FORM • DEPARTMENT OF EWRONMENT 8 NATURAL RESOURCES OWISION OF WATER RESOURCES - INFORMATION PROCESSING UNrT 4617.NAIC SERVICE C RALFIGH, NC 27 . 1617 Phones 3tS 81 PERMIT Number• ;ration Date_ Name_ C/C fN. / ` NoDischarge t3lC Name {rf drtferentj_ 1 ES ^ S Outer Address_ OF PERMITTED OPERATION BEING MONITORED co I Lagoon ® 'Remediation_ lafittsafmGaflery iE,/�( nSprayFietdrPerson Telephona�Z0R L)isiributor Ootary. LandApp6ca6on ofSledge CatiortLSrte Name �1(`w`r No: of Wel(sib;besampled Water.Soucce Heat f:,, �. Other .ING'tNEORMATION. tD NUMBER (fram Perm tj y'ti<rrteo ' / Date saarripJecotleded- ' , K If WELL . ,. - WeB.)iameter cL P H ooaoo- a (� uiiiis TerrtR o0ot� eC to Water Level 82zsa6: .ft below measud g point Sexeened intervah ft to ft Spec- Dona_ 000sa: E e Measuring Point is fL above land surface oI-- of water before Retative M P_ EfevatiorL ft Odor 00085- Isere pumped/bailed sar;I- gaflons Sam 'tes,ior rnetats were colfecfed:,urtfilte _ � YES. Q NO and field addsfied: Q YES. C3 NO Q- LD80R%kT0[Zl'aNFOE3M Ai70tif _ - ..' Date sample analyzed: LaboratoryName Jai V �• i ( {� [7 Gerfifx afhornI i 0 PARAMETERS NUTS'llatt es sFceatV zef:ew dissa.'ed aid cot.oidat concerilraiiorrs. t COD oa33s mg2 Nitrite (NO0:as.N.0'06'i5 mglL Ft— Leadvrosi ug2 Cofifomr MF Feca43>6i6 /100ML• Mdrate (NO3).as N oo620 nxyL 7� - T�nc mo92 n,g/L Cotifonrr_ IUtF Total.'sysoa _ 1t00mL. [�itosp'tor= Totab,as.Poos6s:. ENoec ttsi ►sPlvmeu;oajor.rril� acC�S rti�1� D �. •• s.e or /e/e � � a 1 e. � � O . O 0 / . IG ► 1 0., 8���/ UI �� �� 1 � � , ���I��j ® eo. :•1 •' a ,-a.. /IJ ° - / 01/ e o ►. 1 IC • •:� lit• of a .. a •// e ® a >al. s o ar. e• //la• a. •ar,� el•c a 9 ♦ -1 oe •, ee / 11 1 00 a 1 1•:/ -1 •s 11110 x�e'fii8+ar.•totliet�essofmytcabur{ed5zariaDetEet,:tbe•a�forma<roesubmsaeo+,sihisreaosin:zry�-arara:e;ar�q•eo+rip►e�;'ar��a>:ibe'taeorarorgarsaRE DL'JR•eesfrfieC•fabbraiay..f "x ' a(aa��na§ar�oirceesisiri". � odedineVt �?P2t, nf` i' - . arra by a' ^., as>! aivaretsat"tRere ae s SiSifigr penat5esforsutimilfngtafselifoiRzron:•ireti:2m9 •. • beRcss�lr4'fr� •.: «cesa:iim kr"ot�rn I® ,01.�561�5'?�SRtOeq`t0i82i0lfy•� . . _a4s "v :... -+i; '-i'. '' r. . ys,s .'N'. ':?`'{-.•.^.:.,.. ::'c;:''i%':."'„�, sGW-59 Rev 82O?3 0. W , t:hO_zPWLW WeH Diameter. iri_ pH ooaoo- units Temp. 000io_teve(:s2yrs: sampling. �Q ft below measuring point Screened Interval: tt to ft Spec- Cond_ oo(9a: tiNlfios che6* Measuring Point: is ttatiove.fandsurface Relative M_PElevation: .._ ._.,_.....:fit Odoroeotss_ here: Votirreof`Yai—pr. pewn--&;Ied'� re5di2Nuixy_ . ( jo(}$ Appearance Sam les,for.imtais were.cotiected :unfiltered: YESEj NO and field acidified: ;YES E) NO . n LA.SORATOf21!:5.}FQP.IIiRT!Q:+1 Date s$m i� ^� . - Ple analyzed; Wboratory'Name: _ Certification No. CL.l PARAMETERS NOTE: VWues'.should reflect dissolved and'cOIWKL.Concentrations_ CODo03a5 mg/L Nitrite.(NO2.asKowis mg/L Pb Leadiwesi uglL Coliform: MF Fecal:334616 /100mL jas Mtrate:(NOs N 00620 t mg/L Z. - zinc:oios2 mg2 Coliform:.MF Total stsoa. /100mL (N t= u :e WN Fz)�noaW.-,"t :bd ) Dissci SolidsTotal> oioo_ 0 mg2 pH (Lab, units TOC 00680 Q r mg/L Chloride 06940 mg/L Arsenicoloo2 uglL Grease and Oris:wss2 mg/L Phenol 3z73o ug/L Salfate:oosas M911- Specific Gonductanee:00095 EiNilhos total Ammontaroos�o m91L (/>ua rOgen; lV-f�ast� Aaiaiaria rwvgeri 7ota1) t KN as N oos2s mglL >r Rer kediatSortS sterns Oniy (Attach !ab Repai#sj_ x type Phosptwus: Total as P 00665 10 Z9 mg2 Orthophosphate 70507 mg/L Odwr(SpecifytCompounds and Concentration Units): Al -Aluminum moos m91L Ba- Barium 01007 ug/LZiiK t Ca - Calcium oo916 mSn- Cd - Cadmium oto27 ug/L Chromium: Total otoss ug/L Cu-Copper mote mg/L ORGANICS.(byGC,GUMS, HPLC) Fe - Iron 01045 ug/L (Specfify test and method #: ATTACF# IAS:REPORT-) H9-:Mercx 71900 ug/L Lab Report Attached? 0 Yes(t) El No (0) K- Potassium o0937 rng/L VOC 7373z'. _ ._ . method:# Mg -Magnesium oo927 _ mg/L method Mn. _ MarKjanerse 01055 ug/L method # Ni- Nickel mo67 ug/L method # 1 t Influent Total VOCs_ rnglL ETLf ent Tbtai VOCs` mg/L VOC Reinoval.r6 --- -- Sig:a:JDf Pe=i` ee (Dr A_ L_ cec Agent) (Date) GW-59 Rev_ 812013