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HomeMy WebLinkAboutWQ0023310_Monitoring - 07-2022_20220907GW-59A COMPLIANCE REPORT FORM Permit #Mo o uj r© (Subnut one each monitoring period with GW-59 forms.) 11 j Enter date monitoring results were due. 0 Will this monitoring report (GIN-59 and GW-59A) YES NO be submitted after the established due date . 2 Was any required information missing on the GW-59 report forms? YES I 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 identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance. rNO 4 Are any monitored constituents equal to or above the established standards? YES 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 standards in the space pro v'dd belo� I ' \ ��n `�, �>q �,4 kn; s> N�- 5 For the constituents identified in question 4 above, have standards been exceeded 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 welAwith constitpent(s) exceeding standards, cone t tion(s) reported, and sample collection date for each occurren`c$, (for the lot t►�vo years). �° w q-0-9I 3,3S Are the monitoring wells listed in section 5 located at or beyond the review bounda ' �, YES UO G If the answer is "YES"' a groundwater quality problem may be occurring. CONTACT T& REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be 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 pennittee to a Notice of Violation, Fines, and/or penalties. Q g The person completing this portion (G W-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. 1 hereby ac[uwwledge that the above was evaluated and the hdornmtocT submitted in iivs report (Compronce Report GW 9A) is to the best of my knowledge. Signature of Pe ittee (or Authorized Agent) Date G ?/- 9A 12i8,, 24;3 mw� - A Iig-ck= as /c- 3 on 1 � aA Ok s -a0 C30 �-(7"- \o I a A "-rt Cd Cl l �S - - QA rD4 �I s -aa a► o L 3- -Q-1l 1� fill -isa� 3Q� GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: IA 2 Permit Name (if different Facility Address: a p ":uyj Contact Person: Well Location/Site Name: SUBMIT FORM ON YELLOW PAPER ONLY se Nnnt Clleeaadyy�amor Tyr \tN� \l, County .�,U (KO\k n Telephone#:`��d- a�3' 3� No. of wells to be sampled: PERMIT WELL ID NUMBER (from `Permit): — I �r - Date sample collected: —1— a� 1 Well Depth: 's ft. Well Diameter: in. ^ Depth to Water Level 82546: �y d, ft. below measuring point Screened Interval: ft. to _ft. Measuring Point is VVft. above land surface Relative WI.P. Elevation: ft. Volume of water d/b 23� dpiration Date.— �3 )n-ulscnarge — — UIC - 3DES _ Other_ 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery P-5p ay Field ❑ Remediation: _ ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump �_� Other: FIELD ANALYSES: pH 00400'�6 0 Gouts Spec. Cond. 00094 Odor 00085 pump e ailed before sampling: _gallons Appearance Samples for metals were collected unfiltered: K YES ❑ NO and field acidified: ®YES El NO LABORATORY INFORMATION _ Date sample analyzed: - 9 1 _ 1 � I 1 - j Q , �.- �_� 1 q - /C� 0 - S ba� 1 — PARAMETERS NO =1 _y COD 00335 mg/L Coliform: MF Fecal 31616 n "/100mL Coliform: IMF Total 3.1504 -� lL� /100mL (Nola Use MPN method for highly turhid samples) issolved Solids:Total 70300 ��, mg/L pH (Lab) 00403�- units TOC 00680 rng/L Chloride 00940 mg/L Arsenic 0-1002 Ug/L Grease and Oils 00552 mg/L Phenol 32730 ug/L Sulfate 00945 mg/L Specific Conductance 000m _µMhos Total Ammonia 00610 mg/L (Ammonia IVllrogen; NH, as N, Ammonia Nitrogen, Total) TKN as N 00625 mg/L For Remediation Systems Only (Attach Lab Reports): a oratory Name. I Co and colloidal concentrations. Nitrite (NOZ) as N 00615 mg/L Pb - Lead o1o51 Nitrate (NO.) as N 00620 �o r 3 mg/L Zn - Zinc 01092 Phosphorus: Total as P ooe65_ d 6 mg/L Ortho hos hat fernp. 00010:a oC µlAhos Certification No. ug/L mg/L p p e 70507 mg/L Other (Specify Compounds and Concentration Units): At - Aluminum 01105 mg/L Ba - Barium 01007 ug/L ------------- Ca - Calcium 00916 mg/L---------- Cd - Cadmium 01027 ug/L -- Chromium: Total 0t034 ug/L --- Cu - Copper 01042 n1g/L ORGANICS: (by GC, GC/MS, HPLC) — Fe - Iron 01045 ug/L (Specify test and method #. A'I-TACH LAB REPORT-.) Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes 0) ❑ No (0) K - Potassium 00937 mg/L VOC 7B73 method # IVig - Magnesium 00927 mg/L Mn - Manganese o1o55 ug/L _ ,method # _ - Ni - Nickel 01067 Ug/L method # — — — -- mcatr—1 It Influent Total VOCs: mg/L Effluent Total VOCs: WAS DRY at time of sampling, check here: 1-1 Ci HannlT rnonn r� GROUNDWATER QUALITY MONITORING: p COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type } ::a� r -'' Facility Name: C�(S o ( `� 1 ' 1�,t�� PERIVII"( Number( � x iration Date k p — —�Rk q 1 a c 1 Perm�r Name (if different): Non -Discharge UICit Facili Address: a $ a W' NPDES Other_ — _ County Li TYPE OF PERMITTED OPERATION BEING MONITORED ni �\ a\ I'W\ Contact Person: � n ❑ Lagoon g y Field ❑ Remediation: Infiltration (;alley Y ❑Reediation: m t; ? ? �' telephone#: O- a�3'3 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Ct i Sy IVo. of wells to be sampled: El Water Source Heat Pump CI Other-____.____ _ from Permit SAMPLING INFORMATION --.— - WELL 117 NUMBER (trorn Permit): �� Date sample collected: ` --� If WELL Well Depth: , 5 ft. Well Diameter: in. FIELD ANALYSES: H uoaou —, p urlits WAS Teynp. 00010 a Q 8 DRY at Depth to Water Level sz5as;���ft. below pleasuring point Screened Interval: ft. to ft. Spec. Cond. 00094. , _ µI0hos time of Measuring Point is ft. above land SurfaceRelative M.P. Elevation: ft. Odor 00085 sampling, Volume of water pumped/bailed before sampling: gallons g check Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ®YES El NO Appearance Cam(- -- here: LAOORY INFORMA�TIO�N Sabora o Date sample analyzed: I - I ; t-h t���olved y Narne: V (a PARAMETERS NOI E: V• ues should reflecolloidal concentrations. Certification No. COD 00335 mg/L Nitrite (NOZ) as N 00615 mg/L Colifonn: IMF Fecal 31616 L /100mL Nitrate N Pb -Lead u1o51 ug/L (NO3) as 00620 �i♦ ��- mg/L Zn - Zinc 01os2 nrg/L Coliform: IMF Total 31504 _ /100mL Phosphorus: Total as P 00e65 C Q mg/L (Nala� Use MPIV method for hiyhly turhid samples) _--_ --+.�— Ortho h � h t lissolved Solids:Total 70300__ I� p osp a e 70507 mg/L Other (Specify Compounds and Concentration Units): mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium uosls mg/L —_ Chloride 00940 a mg/L Cd - Cadmium 01027 — Arsenic 01002 ug/L Chromium: Total 01034 ug/L ug/L - Grease and Oils 00552 mg/L Phenol 32�3o Cu - Copper 01042 ntg/L ORGANICS: (by GC, GC/MS, HPLC) — Sulfate r32730 ug/L Fe - hop o1045 ug/L (Specify test and method #. ATTACH LAS REPORT.) mg/L pecific Conductance 000m µMhos Hg •- Mercury 71900 ug/L Lab Report Attached? ❑ Yes (I) ❑ No (0) ----��— Total Ammonia 00610 `l K - Potassium 00937 hlg/L VOC 7873 , method mg/L (Ammonia Nitrogen. NH3as IV; Ammonia Nitrogen, Total) Mg - Magnesium 00927 mg/L — -- — method # TKN as N 00525 rng/L Mn - Manganese oio55 ug/L _ -- method # -- — — Ni - Nickel 01067 ug/L — ----- method it For Remediation Systems Only (Attach Lab Reports): Influent Total VoCs- VOC Removal% SUBMIT FORM ON PAPER ONLY Date sample analyzed: PARAMETERS NOTE: Values should refl ct diss Ive COD 00335 mg/L Coliform: MF Fecal 31616.� co /100mL Coliform: Iff Total 3•1504 /100mL (Note'. (Joe MPN method for highly turbid semplea) issolved Solids:Totai 70300 �� mg/L pH (Lab) 00403� units TOC omou rng/L Chloride 00940a.3 mg/L Arsenic 01002 ug/L Grease and Oils 00552 mg/L Phenol 32730 ug/L Sulfate 00945 mg/L Specific Conductance 00095 FtMhos Total Ammonia ooslo �mg/L (Ammunia Nitrogen, NH,as N; Annronia Nitrogen, Total) TKN as N 00625 mg/L For Remodlatlon Systems Only (Attach Lab Reports): GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Permit Name (if different): Facility Address: 'A, " ,,,, act Person: __n( Location/Site Name: Please Pdr, qz,�, cJJ a r\ \ A-eek- WELL ID NUMBER (from Permit): �(�� "� Date sample collected: —a , Well Depth: �ft. Well Diameter: a in. Depth to Water Level a25as:.. / Cft. below measuring point Screened Interval: ft. to _ ft. Measuring Point is ft. above land surface -o Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: �1� gallons Samples for metals were collected unfiltered: ® YES NO and field acidified: ® YES ❑ NO La Name: Name: a 1d colloldal concentrations. Nitrite (NO2) as N ou615 mg/L Pb - Lead 01051 Nitrate (NO3) as N 00620 I r1 mg/L Zn - Zinc u ios2 Phosphorus: Total as P 00665 Q mg/L Orth h h or County Telephone#: 10 3- 3 l34 rrNo. of wells to be sampled: 1_1_ PERMIT Number] twK043 J ? 16iration Date: Non -Discharge UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ,ELagoon ❑ Remediation: Infiltration Gallery L-J-5pray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump LJ Other: FIELD ANALYSES: pH 00400 t, _,� units Ternp. 000lo) ?I C °C Spec. Cond. 00094 µNihos Odor 00085 Appearance 5--- Certification No. 91 ug/L mg/L UP osp ate 70507 mg/L Other (Specify Compounds and Concentration Units): Al - Aluminum 01105 mg/L Ba - Barium 0 ioo7 ug/L } — �J Ca - Calcium 00916 mg/L Cd - Cadmium 01027 ug/L Chromium: Total 01034 ug/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Fe - Iron 01045 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 7e73 method # Mg - Magnesium 00927 mg/L method # Mn - Manganese 01055 ug/L method # Ni - Nickel 01067 ug/L method # Influent Total VOCs: mg/L Effluent Total VOCs: If WELL WAS DRY at time of sampling,