WQ0023896_Monitoring - 12-2022_20230113 (3)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
Type *
Revised - GW-59
WQ0023896
UNC Bingham Facility
Confirmation Email Address:* [e-mail]
Name of Submitter: * J. Laurence Daw
Signature:
Year:* 2022
Upload Document*
WQ0023896 GW-59
December 2022.pdf
PDF Only
9.77MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Date of submittal: 1/13/2023
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0023896
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/7/2023

(M-59A COMPLIANCE REPORTFORM Pernwit P_)yQ0023896
fSabnde one, eacis nPePPtko4f#g period with (; F0,,%59 lonlm)
Enter date monitoring results were due. (12HL�i Will this monitoring report (G'W-59 and GIN-69A)
YES
NO
be submitted after the established due date?
X
2
Was any required information missing on the GW-59 report forms?
YES
NO
X
IF the answer to question I or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the requitedinformation.
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the ainsver is "Yes ", contact the Regional Officefor guidance.
X
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is 'NO", skip to section B.
N the answer to question 4 Is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below: 12-2 2022 NW] pH 5.8 SU
12-2-2022 MW-1 metal Coliforan 71colo.uesJ100 rni
12r2 2022 MW-3 pli 5,7 SU
12-2 2022 MW I pH 19 SU
12-2-2022 MWA Fecal Colil"orni I colnnieO 100 nil
12-2-2022MW 50florofonn 753 uF)L
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?
X
If the answer to question 5 is "NO", skip to section B.
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).
12 3 2020AM'. I pli 6.2 SU 9-15-2022 MIV11+15 7 SU 6 10,2022MW 3 pHs .5SU 6-10-2022 M%V-4 pH 5 2 SU 3.17-2022 M%V4 1*11,9 W
9-15-2022 9- 15 2022 %1W-4 1,115 2 SU
3.4 2021 PH ,\ 5.9 SU 12�3-2020"V-31,11 6,3 SU MW-3j,T1 5.5 SU
6-7-2021 ,MW - I pli 6,0 SU 3 -1-2021 N1W 3 pH 5,6 SU 12-3-20.10 NIW-4 1,115 9,iV 6 10 2022 MW I Fecal Coliforni 2 col..i,54100 n,I
9-9 2021 MW -1 p1l 5,9 SU 6-7-2021 NW-3 pli 5,7 SU 3,4-2021 M%V-4 1,11 5.GSU 3-17-2022 MW-1 Feud Cohiarin 19 colonieef[00 .1
12-7-2W 1 MW -I. pl 15.9 SU 9-9 2021 pi 16 0 SU 6-7-2021 MW4 1,115 8 SU 12 -3�2020M%V- 4 FeCal Colif-in 22 -1o.Jc5/100 nil
3 17-2022 MW-1 [41 5,7,SU 1-7-2021 MW-3 pH 6 2 SU 9-9-2021 MW ' 4 p] 15.8 U 9-9 '2021 ""W 4 Fecal"'(011" 11 ")10niCSI 100 1111
—
6 10-2022 X1W, I K1 6.2 su 3-17-2022 MW-3 pf !62 SLY 12.7-20 2 1 N1W -1 I'll 5.7 SU 12-7-2021 MW-4 Fecal Californi 2 cvVonies/100 ni[
6
Are the monitoring wells listed In section 5 located at or beyond the review boundary?
YES
NO
X
If the answer Is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be Improperly
located; contact the Regional Offlce.
7
Is the pormittee Implementing pw-O—Us—ly —approved —actions required bythe—DIvlslon Involving this
YES—
N0
groundwater quality problem? See response in 7 below.
X
ff the answer to question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 71s "NO", confiilEf he R29i2nLl Qft!2 w n90 days; . n 2ygjpa&n M@v be WL _ p,
re aired to determine thy "mact -the -wAste disposal WALn !j having al he review and !goMplianc
b2yndgr1A ' Fa
I syMundin this fpcffly. -&a t2 do $0 MAY §Uhkrt 00 220&22 12 a ftftO of Viola tion.
fines, andlorponattles.
Larry Daw of UNC entailed Scott Vinson of DEQ on January 13, 2023 regarding results of groundwater sarnpling.
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-Sit forms for required wells to the address provided at the top of the current GW-59 ibrin.
'06W 'A
0
gn ure of Pormittoo (or Authorized qiinl) Date
Laur lace Daw, Environmental Compliance Officer
61M
( �'W- 59 A 121M003

SUBMIT FORM OwYELLOW PAPER ONLY
BOUNDVVATER O0ALITY MONITORING:
OMPLIANCE REPORT FORM
kf111 1TV 1Nl=n0RAATlr'6tJ Please Print Clearly or
Name: UNC-CHBING FACILITY
Name (if uifforent):
Address: 190rORANGE CHAPEL CLOVER GARDEN ROAD
County ORANGE
11 Location/Site Name. DRIP IRRIGATION SITE No. of wells to be sampled- 5
ilrom Permit)
MPLING INFORMATION
LLUoNUMBER (from pe,mit)- MVV1 Date sample collected: 1e/2/2022
UDepth: 38 �� VVei��me�c 2�.
)tmnoWater Level 82546: 36 ft. Scmomed|menm}� 23ft to 38ft.
aaunngPoint im 2.5 ft. Relative 522.8 ��
umeofwater pumped/bailed before sampling: 4 gallons Appearance
nples for metals were collected unfiltered: F] YES El NO and field acidified: M YES M NO
�RMITNumben
Expiration Date: 11/30/20e6
m'Discha,go VY00023896
U|C
`DES
Other
PE OF PERMITTED OPERATION BEING MONITORED
[] Lagoon
[] Remod|ax|on: Infiltration Gallery
[] Spray Field
[] Rem*diotion:
[] Rotary Distributor
Land Application cdSludge
[]VVmmr8nm�oHemPump
� J0mec Drip Irrigation
FIELD ANALYSES:
pHowmo 5,8 units
Spec. Cond. 00094�
Odor 00085:
Temp00mc ^� ,C DRY at
—--- |�e �
�Nhms —
None
Lt Orange
Date sample analyzed
Laboratory Name:
ENVIRONMENTAL CHEMISTS, INC,Certification No. 94
------
PARAMETERS colloidal concentrations.
COD oom5
mg/L
Nitrite (NQ6asNmm1e
0.06 mg/L pb'Lead m«pi ug/L
CWiform: MFFecal om1e
73 /100mL
Nitrate (NO3)aoN oo*m
1.09 mg/L Zn'Zinc o1oyx mg/L
Co|ifonn:kxFTotal mxo4
/100mL
Phosphorus: Total unPoo66s
0.82 mg/L
(N"° Use M~`method for highly turbid samples) 0rtbophmsphatem*u mg/L Other (Specify Compounds and Concentration Unua:
naau*edsmms:Tota|rm30o
10e mg/L
AJ-Aluminummios
mg/L
pH (Lab) 00403
units
Ba Bahummmn
uo/L
TOC oo6w
2.9 mg/L
Ca-Ca|niummm,s
mg/L
Ch|o/ideoo94o
<s mg/L
Cd'Cadmium o1omr
ug/L
Ameniomnmu
ug/L
Chromium- Total n1oo*
ug/L
Grease and OJIS 00552
mg/L
C u - Copper 01042
mg/L
ORGANICS: (by GC, GC/IMS, 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? El Yes (1) No (0)
Specific Conductance oOO95
ItMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
For RemediadonSystems Only (Attach Lab Rwpprte)
Influent Tuta|VOCa
mg/L Effluent Tota|VOCs mQ8' VOCRemovmy%
JLAURENCEOAVV ENVIRONMENTAL COMPLIANCE OFFICER
Permittee (or Authori2ed Aqent) Name and Title - Please print or type
1-|3 ���
— zo-Z

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
Name:
Name (if different):
Address:
act Person:
Location/Site Name:
Please Print Glearly or Type
UNC-CH BINGHAM FACILITY
1907 ORANGE CHAPEL CLOVER GARDEN ROAD
County ORANGE
LARRY DAW Telephone#: [phone]
DRIP IRRIGATION SITE No. of wells to be sampled: 5
PERMIT Number: Expiration Date: 11/30/2026
Non -Discharge W00023896 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump %Other: Drip Irrigation
WELL ID NUMBER (from Permit): IMW_3 Date sample collected: 12/212022
Well Depth: 39 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 12 ft. below measuring point Screened Interval: 19 ft. to 39 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 497.11 ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: F❑_] E] YES I YES El NO and field acidified: NO
FIELD ANALYSES:
pH 00400: 5.7 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Temp. 000ic 161 OC
41Mhos
Mild Sulfur
Clear
WAS
DRY at
time of
sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed: 12-2, 5, 6, 7, 8, 9 1-2 15-2022
Laboratory Name:
ENVIRONMENTAL CHEMISTS, INC.
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as IN 00615
<0_02 mg/L
Pb - Lead =51
ug/L
Coliform: MF Fecal 316316 <1 /100mL
Nitrate (NO3) as N 00620
<0.02 mg/L
Zn - Zinc 01092
mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as Poo665
0.12 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 69 mg/L
Al - Aluminum 01105
mg/L
None
pH (Lab) oo403 units
Ba - Barium 01007
ug/L
TOC 00680 1.5 mg/L
Ca - Calcium oog16
mg/L
Chloride 00940 <5 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils oo552
mg/L
Cu - Copper o1o42
mg/L
ORGANICS: (by GC, GC/MS, H PLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719oo
ug/L
Lab Report Attached? E] Yes (1) 0— No (0)
Specific Conductance 0o095
IaMhos
K - Potassium oo937
mg/L
VOC 7872 method # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
method #
TKIN 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%
J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER
Permittee (or Authorized Agent) Name and Title - Please print or type
494R-C 9rdliv 1- 1- Z0
3
(or Authorized Agent) (Date)
191TA�;fz7lu. K1191

SUBMIT FORM mxYELLOW PAPER ONLY
Please Pont Cleariy or Type
UNC-CHBIN8HAMFACILITY
itName (if d*femnV:
tyAddea: 1907ORANGE CHAPEL CLOVER GARDEN ROAD
County ORANGE
act Person:
Location/Site Name:
LARRY DAW
DRIP IRRIGATION SITE
No. of wells to be sampled: 5
Telephono#: 819.9626666
WELL ID NUMBER (from Permit): MW-4 Date sample collected
Well Depth: 60 fti Well Diameter.
Depth mWater Level vzo*s: 25 ft,below measuring point Screened Interval:
|------'
Measuring Point is 2 h. above land surface Re|ativeM.P. Elevation:
PERMIT Number: Expiration Date: 11/30/2026
Non -Discharge YVO0023896 0C
NPDEG Other
TYPE OrPERMITTED OPERATION BEING MONITORED
El Lagoon E]Rmmediauion'Infiltration Gallery
[] Spray Field E] Remed|at|mm;
[] Rotary Distributor 0 Land Application ofSludge
[l Water Source Heat Pump NjOthec Drip Irrigation
2 in.
2o� to «��
512.79 |%
Volume of water pumped/bailed before sampling: 5 gallons
|---------
/Samples for metals were collected unfiltered: []YES E] NO and fieldacidified� r1YES El NO
FIELD ANALYSES:
pH 00400: 4.9 units
Spec. Cond.000w4:
Odor 00085:
Appearance
Temp.mm,c `^" iC
DRY at
gmhou time of
..�.�
Date sample analyzed:
12-2— 5, 6, 7. 8, 9, 12,15-2022
Laboratory Name:
ENVIRONMENTAL CHEMISTS, INC. Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
(Note! Use MPN Method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
-
Grease and Oils 0055
mg/L
Co Copper m042
mg/L
ORGANICS: (by GC, GCm8GHPLC
Phenol u2=1u
ug/L
Fe'Iron u,we
ug/L
(Specify test and method #. ATTACH LAB ReP0Rr.)
GuVateaoowa
mg/L
Ho-Memmn/r,ew
ug/L
Lab Report Att&�amhe�? [] v�e(1> �� mo(o)
Specific Conductance 00000
gNhoo
K-Potassium 000,37
my/L
YOCro73 .meuhod# SM82O0C
| Total Ammonia wo10
«0.2 mo/L
Mn �� �unnou|umo
mo/L
�method#
- - -
(Ammonia Nitrogen, N*as°Ammonia Nitrogen. Total) Mo-Manganese v1m5 wg/L
| Tmv wmWu06os mg/L Ni' Nicke|v1067 uEmL
For RwmediadunSystems Only (Attach Lab Rwpprto): I nf luent Tuta|VOCu
JLAURENCEDAVV ENVIRONMENTAL COMPLIANCE OFFICER
Permittee �or Authorized Agent) Name and Title - Please print or type
/ that the laboratory anammal data w,
,of fines
IfflIQ
ym
, mj�l
method #
.method #
mg/L VOCRempval%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: UNC-CH BINGHAM FACILITY
Permit Name (if different):
Facility Address: 1907 ORANGE CHAPEL CLOVER GARDEN ROAD
County ORANGE
act Person:
Location/Site Name
LARDY DAW
DRIP IRRIGATION SITE
Telephone#: [phone]
No. of wells to be sampled: 5
ERMIT Number: Expiration Date: 11/30/2026
on -Discharge WQ0023896 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
F1 Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field El Remediation:
Rotary Distributor ❑ Land Application of Sludge
Water Source Heat Pump Other: Drip Irrigation
WELL ID NUMBER (from Permit): MW-5 Date sample collected: 12/2/2022
Well Depth: 50 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 20 ft. below measuring point Screened Interval: 35 ft. to 50 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 489.95 ft.
---
Volume of water pumped/bailed before sampling: 5 gallons
for metals were collected unfiltered: [:] YES E] NO and field acidified: ❑ YES F1 NO
FIELD ANALYSES:
pH 00400: 7.3 units Temp. 000ic "' ©C
Spec. Cond. 00094: gMhos
Odor 00085: None
Appearance clear
WAS
DRY at
time of
sampling
check
here:
❑Samples
LABORATORY INFORMATION
Date sample analyzed: 12-21 5, 6, 7, 8, 9. 12 15-2022
Laboratory Name:
ENVIRONMENTAL CHEMISTS, INC, 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: ME Fecal 31616 <1 /100mL
Nitrate (NO3) as IN 00620
0.3 mg/L
Zn - Zinc 01092 mg/L
Coliform: ME Total 31504 /100mL
Phosphorus: Total as P00665
0.08 mg/L
(Note: Use MPN method for highly turbid s-amples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
:)issolved Solids:Total 70300 283 mg/L
Al - Aluminum oil o5
mg/L
Chloroform 7.53 ug/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 1.2 mg/L
Ca - Calcium o0916
mg/L
Chloride 00940 24 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
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
ug/L
Lab Report Attached? E] Yes (1) X No (0)
Specific Conductance 0009r,
IlMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia 0o61o <0.2
mg/L
Mg - Magnesium oo927
mg/L
method #
(Ammonia Nitrogen; NH as N: Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug/L
method #
TKIN as IN 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%
J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER
Permittee (or Authorized Agent) Name and Title - Please print or type
Authorized Agent)
I 13�wz
GW-59 Rev. a/2013

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER OUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address:
IContact
Person:
Well Location/Site Name:
I -lease PrInt Gfearly or Type
UNC-CH BINGHAM FACILITY
1907 ORANGE CHAPEL CLOVER GARDEN ROAD
LARRY DAW
DRIP IRRIGATION SITE
County ORANGE
Telephone#: [phone]
No. of wells to be sampled: 5
PERMIT Number: Expiration Date: 11/30/2026
Non -Discharge WQ0023896 UiC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
El Rotary Distributor ❑ Land Application of Sludge
1:1 Water Source Heat Pump 0 Other: Drip Irrigation
If WELL
WELL ID NUMBER (from Permit): MW-6 Date sample collected: 12/2/2022
Well Depth: 51 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 25 ft. below measuring point Screened Interval: 36 it. to 51 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 492.88 t
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 00400: 6,7 units Temp. 000ic "-' "C
Spec. Cond. 00094: IaMhos
Odor 000m: None
Appearance Clear
WAS
DRY at
time of
sampling,
check
here:
L
LABORATORY INFORMATION
Date sample analyzed: 12_2 _5 6 7. 8, 9 12 _15-2022
Laboratory Name:
ENVIRONMENTAL
CHEMISTS, INC. 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 o 1 o5i ug/L
Coliform: MF Fecal 31616 <1
/1 OOmL
Nitrate (NO3) as N 00620
<0.02
mg/L
Zn - Zinc 01092 mg/L
Coliformi MF Total 31504
/1 OOmL
Phosphorus: Total as P 00665
0.1
mg/L
(Noce: Use MPN method for highlituri3ldsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 309
mg/L
Al - Aluminum 01105
mg/L
None
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1,6
mg/L
Cal - Calcium oo916
mg/L
Chloride 00940 19
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oloo2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils o0552
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? El Yes (1) 9 No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nilragan, 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%
J LAURENCE DAW, ENVIRONMENTAL COMPLIANCE OFFICER
Pei m ee (or Authorized Agent) Name and Title - Please print or type
of Perm ittee (or Authorized
Is - zn
(Date)
GW-59 Rev. 8/2013