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WQ0007507_Monitoring - 01-2023_20230214
Monitoring Report Submittal Permit Number #* WQ0007507 Name of Facility:* Pasquotank County Industrial Park Month: * January Year: * 2023 Report Information Type* Upload Document* GW-59 GW59 GW59A 1-23.pdf PDF Only 3.04M B Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address:* Harrism@co.pasquotank.nc.us Name of Submitter: * Michael L Harris Signature: Date of submittal: 2/14/2023 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0007507 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 2/14/2023 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Clearly or Type Facility Name: Pasquotank County Industrial Park Permit Name (if different): Facility Address: P.O. Box 39 Elizabeth City l`'"''} NC 27909 County Pasquotank Contact Person: Michael L. Harris Well Location/Site Name: WWTP-Northside Road Te lephone#1: 252-330-4006 No. of wells to be sampled: 6 WELL ID NUMBER (from Permit): MW-1 Date sample collected: 1-23-23 Well Depth: 20 ft. Well Diameter: 2 in. Depth to Water Level 82546:7.92 ft. below measuring point Screened Interval: 15 ft. Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 13.53 Volume of water pumped/bailed before sampling: 2.0 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES 1 A0h13ATP10V MC/ MAAATI^kl DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221 PERMIT Number: Expiration Date: June 30, 2028 Non -Discharge W00007507 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑■ Lagoon ❑ Remediation: Infiltration Gallery ❑� Spray Field ❑ Remediation: to 20 ft. ft. ❑ NO ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: PH 00400: 7.2 units Spec. Cond. 00094: Odor 00085: Appearance Temp. oo01o: oC u Mhos Date sample analyzed: Laboratory Name: Environment 1, Inc, Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00336 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olo51 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 .04 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.38 mg/L (Note: Use MPN method for highiy turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 200 mg/L Al - Aluminum oil o5 mg1L PH (Lab) 00403 units Ba - Barium 01007 uglL TOC oo6eo 3.62 mg/L Ca - Calcium oog16 mg /L Chloride 0094o 22 mglL Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 11 Grease andOJINI i)5�2 mg[L Cu - Copper D1o42 mg1L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 uglL (Specify test and method ##. ATTACH LAB REPORT.) Sulfate 0945 mg/L Hg - Mercury 71900 11 Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg1L VOC 78732: method # Total Ammonia oo6lo • 14 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug1L , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # For Remediation Systems Only (Attach Lab Reports): to Influent Total VOCs: ni Effluent Total VOCs: mglL VOC Removal% • - ,- complete.. ssibility of fines laboratoryproducedmethods and imprisonment for knowing violations. Sparty Hammett, County Manager Permdtee (or Authorized Agent) Name and Title - Please print cr type Siqn r F Perm ittee (or Authorized Agent} (pate) GW-59 Rev.2/2010 If WELL WAS DRY at time of sampling, here: El SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT 8r NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (9191733.3221 FACILITY INFORMATION Please Print Clearly or Type Facility Name: Pasquotank County Industrial Park Permit Name (if different): Facility Address: P.O. Box 39 Elizabeth City `st" ' NC 27909 County Pasquotank t02) (state! ? �� Contact Person: Michael L. Harris Well Location/Site Name: WWTP-Northside Road TelephoneM 252-330-4006 No. of wells to be sampled: 6 PERMIT Number: Expiration Date: June 30, 2028 Non -Discharge WQ0007507 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery 0 Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID.NUMBER .from Permit : MW-2 ( ) Date sample collected: 1-23-23 FIELD ANALYSES: If WELL WAS Well Depth: 18 ft. Well Diameter: 2 in. H 00400: 8.6 p units Temp. 00010: C DRY at Depth to Water Level 82546:8.89 ft. below measuring point Screened Interval: 15 ft. to 20 ft. Spec. Cond. 00094: µMhos time of MeasuringPoint is 2 ft. above land surface Relative M.P. Elevation: 12.85 ft. � Odor 000a5: sampling, Volume of water pumped/bailed before sampling: 2.0 gallons Appearance check Samples for metals were collected unfiltered: YES El NO and field acidified: YES NO El LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1, Inc. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mglL Nitrite (NO2) as N 00615 mglL Pb - Lead 01051 uglL Coliform: MF Fecal 31616 <1 1100mL Nitrate (NO3) as N 00620 .52 mg/L Zn - Zinc 01092 mglL Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 .11 mglL (Note: use MPN method for highly turbid samples) Orthophosphate 70507 mglL Other (Specify Compounds and Concentration Units): issolved Solids:Total 7o3co 280 mg1L Al -Aluminum o11o5 mglL pH (Lab) 00403 units Ba - Barium 01067 ug1L TOC 00680 1.54 mg/L Ca - Calcium oo916 mglL Chloride 0094o 77 mglL Cd - Cadmium 01027 ug1L Arsenic 01002 uglL Chromium: Total 01034 uglL - Greasy and"Oils oV552- —mg7L-- Cu -Capper 61042 mg1L ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ug1L Fe - Iron 01045 ug1L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mglL Hg - Mercury 71900 uglL Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance o0095 µMhos K - Potassium 00937 mglL VOC 78732: method # Total Ammonia oo810 c0.04 mglL Mg - Magnesium 00927 mglL method # (ammonia Nitrogen; NH3as N; ArninWa Nitrogen, Total} Mn - Manganese 01055 LI IL g ,method # TKN as N 00625 mglL Ni - Nickel 01067 uglL method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mglL VOC Removal% Sparty Hammett, County Manager _ Permdtee (or Authorized Agent) Name and Ti Ile -Please print or type Siqn re o Permittee or uthorized Agent} 1 {Cale} GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name: Pasquotank County Industrial Park Permit Name (if different): Facility Address: P.O. Box 39 Elizabeth City 0J' NC Contact Person: Michael L. Harris Well Location/Site Name: WWTP-Northside Road 27909 ('r 1 County Pasquotank Telephone#: 252-330-4006 No. of wells to be sampled: 6 SAMPLING INFORMATION WELL ID NUMBER (from Permit): MW-3 Date sample collected: 1-23-23 Well Depth: 20 ft. Well Diameter: 2 in Depth to Water Level 82546:4.00 ft. below measuring point Screened Interval: 15 ft. Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 11.11 Volume of water pumped/bailed before sampling: 3.0 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.32211 PERMIT Number: Expiration: Date: June 30, 2028 Non -Discharge WQ0007507 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑■ Lagoon ❑ Remediation: Infiltration Gallery ❑� Spray Field ❑ Remediation: to 20 ft. ft. ❑ NO ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: PH 00400: 8.0 units Spec. Cond. 00094: Odor 00085: Appearance Temp. oa01o: °C uMhos DRY at time of sampling, check here: El Date sample analyzed: Laboratory Name: Environment 1, Inc. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo335 rng/L Nitrite (NO2) as N 00615 ni Pb - Lead oto51 u IL g Coliform: MF Fecal 31616 c1 1100mL Nitrate (NO3) as N 00620 1.19 1 Zn - Zinc 01092 mglL Coliform: MF Total 31504 11001 Phosphorus: Total as P 00665 .08 mglL (Note: use MPN method for highly turbid Samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 7omo 380 mglL Al - Aluminum or 1o5 mglL PH (Lab) 00403 units Ba - Barium 01007 ug1L TOC o06s0 1.15 mglL Ca - Calcium oos16 i Chloride 00940 135 mglL Cd - Cadmium 01027 ug1L Arsenic 01002 uglL Chromium: Total 01034 uglL Grease and 0i1s o0552 mglL Cu - Copper 01042 ni ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug1L Fe - Iron 01045 ug1L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 1 Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 pMhos K - Potassium 00937 mglL VOC 78732: method # Total Ammonia o0610 <0.04 ni Mg - Magnesium 00927 mglL method # (Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total) Mn - Manganese oims UgIL method # TKN as N 00625 mglL Ni - Nickel o1067 ug1L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: ri Effluent Total VOCs: ni VOC Removal% Sparty Hammett, County Manager; Permittee for Authorized Agent? Name and Title - Please print or type Signature o er iltee (or Authorized Agent) (Date) GW-59 Rev. 2/2010 SUBMIT FORM ON YELLOW PAPER ONLY IT) ru■ GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENT a NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Ciear)yorType PERMIT Number: Expiration Date: June 30,2028 Facility Name: Pasquotank County Industrial Park Non -Discharge W00007507 UIC Permit Name (if different): NPDES Other Facility Address: P.O. Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED Elizabeth City"'�`` '} NC 27909 County Pasquotank ❑■ Lagoon ❑Remediation: Infiltration Gallery tc vt ul ❑■ Spray Field ❑ Remediation: Contact Person: Michael L. Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 1NWTP-Northside Road No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: SAMPLING INFORMATION I If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 1-23-23 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.9 units Temp. 00010: °C DRY at Depth to Water Level 82546:4.21 ft. below measuringpoint Screened Interval: 15 ft. P to 20 ft. Spec. Cond. ao09A: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 10.65 ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here: for metals were collectod unfiltered: El YES NO and field acidified: ❑ YES El NO ❑Samples LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1, lnc. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and cofloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N arils mglL Pb -Lead 01051 uglL Conform: MF Fecal 31616 <1 1100mL Nitrate (NOA as N 00620 .27 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 •06 mg/L (Note. use MPN method for highly turbid samples) Orthophosphate 70s07 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 703oo 230 mg1L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug1L TOC oo6a0 1.44 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 65 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L - rease Arid -Oil s 00552 - - - - mg/L Cu - Copper o104-2 mg/L ORGANICS: (by GC, GC1MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate o0945 mg/L Hg - Mercury zlgoo ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 000gs µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia oos1D .04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH, as N; Ammonia Nitrogen. Total) Mn - Manganese o1055 9 uglL ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug1L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% knowledge'I curtify that. to the best of my iraboralory. I am aware lha(there are significant pLnallies for submitting false information. including the. possibility of ...produced fines and mprisonment using approved methods of analysis by a for knowing Oolations. Sparty Hammett, County Manager Permittee (or Authorized Agent) Name and Title - Please print or type Siqnature rmittee (or Authorized Agent) {Date) GW-59 Rev.212010 SUBMIT FORM ON YELLOW PAPER ONLY - , DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1fi17 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: (919) 733-3221 FACILITY INFORMATION Please PrrntClearly orType PERMIT Number: Expiration Date: June 30, 2028 Facility Name: Pasquotank County Industrial Park Non -Discharge W00007507 i Permit Name (if different): NPDES Other Facility Address: P.O. Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED Elizabeth City t ' `='} NC 27909 Count Pas y q uotank ❑■ Lagoon ❑ Remediation: Infiltration Gallery ciyl w,t:t�t tT�Pl © Spray Field ❑ Remediation: Contact Person: Michael L. Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTP-Northside Road No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MW-5 Date sample collected: 1-23-23 FIELD ANALYSES: Well Depth: 20 ft. Well Diameter: 2 in. H 0040C: 7.7 ° p units Temp. C Depth to Water Level 82546:5.87 ft. below measuring point Screened Interval: 15 ft. to 20 ft. Spec. Cond. 00094: µMhos Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 10.65 ft. Odor 00o85: Volume of water pumped/bailed before sampling: 2.5 gallons Appearance Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: LaboratoryName: Environment 1, Inc. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 1 Nitrite (NO2) as N oos9b mglL Pb - Lead o1o51 uglL Coliform: ME Fecal 31616 <1 110i Nitrate (NO3) as N 00620 0.14 mg1L Zn - Zinc 01092 mg/L Coliform: ME Total 31504 11001 Phosphorus: Total as P umm <0.04 mglL (Note use MPN meth°d for highly turbid samples) Orthophosphate 70507 ni Other (Specify Compounds and Concentration Units): issolved Solids:Total 7o30o 220 mg/L Al - Aluminum o1105 ni pH (Lab) 00403 units Ba - Barium 01007 uglL TOC 0o6ao 1-31 mglL Ca - Calcium o0916 mglL Chloride 00940 63 mglL Cal - Cadmium 01027 ug1L Arsenic 01002 uglL Chromium: Total 01034 uglL Gi and Oils 00552 mglL Cu - Copper 01042 mglL ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 uglL (Specify test and method M ATTACH LAB REPORT.) Sulfate 00945 1 Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium oo937 rri VOC 78732: method # Total Ammonia oo610 <0.04 mglL Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese olo55 g uglL , method # TKN as N 00625 mg1L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: ni Effluent Total VOCs: ni VOC Removal% Sparty Hammett, County Manager 1."L _ -7 Permittee (or Authorized Aqent) Name and Titie - Please print or type Siqn tur f ermittee (or Authorized gent) (Date) GW-59 Rev.212010 If ORY at time of sampling, check here: El SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES DIVISION OF WATER (QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phnne: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30, 2028 Facility Name: Pasquotank County Industrial Park Non -Discharge WQ0007507 UIC Permit Name (if different): NPDES Other Facility Address: P.O. Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED ❑■ Lagoon ❑ Remediation: Infiltration Gallery Elizabeth City (strc`t) NO 27909 County Pasquotank ❑■ Spray Field ❑ Remediation: Contact Person: Michae! L. Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTP-Northside Road No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit); MW-6 Date sample collected: 1-23-23 FIELD ANALYSES: WAS Well Depth: 18 ft. Well Diameter: 2 in. pH 00400: 7.6 units Temp. 000lo: °C DRY at Depth to Water Level 82546:11.90 ft. below measuring point Screened Interval: 15 ft, to 20 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 14.64 ft. Odor 000s5: sampling, check Volume of water pumped/bailed before sampling: 3.9 gallons Appearance here: ❑ Samples for metals were collected unfiltered: ❑ YES El NO and field acidified: ElYES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1, Inc. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo33.5 mg/L Nitrite (NO2) as N oa615 ni Pb - Lead o1o5i ug1L Coliform: MF Fecal 31616 <1 1100mL Nitrate (NO3) as N 00620 .29 1 Zn - Zinc 01092 mg/L Coliform: MF Total 31504 11001 Phosphorus: Total as P 00665 .21 mg/L (Note, use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issoived Solids:Total 70300 130 mg/L Al - Aluminum 01105 mg1L pH (Lab) 00403 units Ba - Barium 01007 1 TOC oo6Bo 3.04 mg1L Ca - Calcium oo9i6 ni Chloride 00940 10 mg/L Cd - Cadmium 01027 ug[L Arsenic 01002 ug1L Chromium: Total 016a4 ug/L Grease an�r O1ls0o552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ug1L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 ni Hg - Mercury 7i9oo i Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia %610 .06 mg/L Mg - Magnesium 00927 ni method # (ammonia Nitrogen, NH39s N; Ammonia Nitrogen, Total) Mn - Manganese o1055 ug1L method # TKN as N 00625 mglL Ni - Nickel 01067 ug[L method # For Remediation Svstems Only [Attach Lab Renciri Infliiant Tntal %/n(-.s. mnli PfFli iant Tnfnl 1!f-1r..e- —,It ■rill- oo.,,.,.,.,roz Sparty Hammett, County Manager _? Permittee for Authorized Agent) Name and Title - Please print or type Siqnatur of ermittee (or Authorized Ageni (Date) GW-59 Rev.212010