WQ0040918_Monitoring - 07-2022_20220901

GW-59A COMPLIANCE REPORT FORM Permit
(Submit one each monitoring period with GW-99 formes.)
j
Enter date monitoring results were due. u 0 Will this monitoring report (GW-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
O
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
O
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional ice for guidance.
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 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceedi g sta rds ' the spac %ided below: (� r U ��5.
S
-roc
,�, F �; S f m5 II �, l ,IL
Qr\1 l
5
For the constituents identified in q tion 4 above, have standards been exceeded previously for the
S
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 well with constituent(s) exceeding
standards, co c ntration(s) reported, and sample collection date for each occurrence (for the last two years).
/
1-19
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
S
NO
If the answer is "YES", a groundwater quali _ rang. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If t{ w';+ onitoring wells maybe improperly
located; contact the Regional Office.
ZZOZ I0 d3S
v
7
Is the permittee implementing previously approv d the Division involving this
YES
60
groundwater quality problem?
m
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 evAati av be
required to determine the impact the waste disposal system is having at the review a co lance
boundaries surrounding this facility, Failure to do so maV subject the permittee to a ce of Violation
fines and/or Denaffies.
is e`)w
nJo
8
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby aduumliedge that the above ird rntation was escaped and the won subrnftled in this
report (Cow GW ) isjrue a complete to the best of my, knowledge.
^Report
Signature of Pe ittee (or Authorized Agent) Date
GW-59A 12/9/21103

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SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: rillailoriginal
COMPLIANCE REPORT FORM aiid 1 copy to:•
{A
FACILITY Y INFORMATION Piease Print clearly or rye PERMIT Nu Expiration
Facility Name: � b� � 1
Q �'in �rC `" 3 Non -Discharge Permit Name (if different): UiC
NPDES _ Other---
�—
Facility Address: ; OC TYPE OF PERMITTED OPERATION BEING MONITORED
zA„ to c1 County ` 4J �) \ t (i "goon ❑ Remediation: Infiltration Gallery
f f�f n 0-£pray Field ❑ Remediation:
Contact Person: Telephone#: l l V —� " �� El Rotary Distributor ❑ Land Application of Sludge
VVell Location/Site Name: (f, No. of wells to be sampled: ❑ VVater Source Heat Pump (_I Other:
--
SAMPLING INFORMATION WELL ID NUMBER (from Permit): i.,
W ._._ ��,� Date sample collected: I "� �" , c� FIELD ANALYSES: If WELL
VVAS
Well Depth: 1 ft. Well Diameter: in, H ooaooc� r� l� DRY at
p (, 'o units Ternp. 00010.t� C
Depth to Water Level sz5as:Ali �i ft. below measuring point Screened Interval: ft. to ft, Spec. Cond. 00094 µMhos time of
Measuring Point is it. above land surface Relative M.P. Elevation: ft. � Odor 00085 sampling,
0^f� Volume of water pumped/bailed before sampling:y check gallons Appearance 0 here:❑
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ®YES ❑ NO
Uate sample analyzed: L — 1 1��`�j l Laboratory Name: �� �'� W %�'�� �`�
PARAIVIE"fER5 NOTE: Values show d refle t dissol ed and colloidal concentrations. Certification No. .Sj._
COQ 00335 mg/L Nitrite (NOZ) as N 00s15
mg/L Pb -Lead o1051 ug/L
Coliforin MF Fecal 3asls�� �� t /10UmL Nitrate (NO3) as N oos2o
_�L_�,� mg/L Zn - Linc olosz Coliform: MF Total 31nfg/L
504 /100mL Phosphorus: Total as P 00665 1 �m /L (Note: ilea MPN rnethod for highly tw-hid samples) g
(� Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 1 rng/L Al - Aluminum 01105 ing/L
II (Lab) 00403 units Ba - Barium 0•1007 —` --- -
ug/L
TUC 00680 mg/L Ca - Calcium 00916 rng/L
Chloride 00040 mg/L Cd - Cadmium 01027 ug/L
Arsenic 01002_ ug/L Chromium: -1-otal 01034 ug/L -
Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3v3o ugll Fe - Iron o loa5
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L I-Ig - NlerCUry 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
rpecific Conductance 000e5 µMhos K - Potassium 00s37
--�—� mg/L VOC 7873 , method
Total Ammonia ooslo c �� � mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NI N; Anmionia Nitrogen, Total) mg/L _ ,method #
• Mn -Manganese 01055 ug/L method #
TKIV as N 00625 rn /L --- —
9 Ni - Nickel o1as7 uglL ,method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L- VOC Removal%
mee (or'44(iyprized Agent) Name and Title - leash a print or
GW-59 Rev.06-07-2018
(or Authorized Agent)
r
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
�\ V
GROUNDWATER QUALITY MONITORING: r ' •
COMPLIANCE REPORT FORM
rt
PERMIT Number . Uv
I expiration Date: "`
C '
Q
FACILITY INFORM N Please Print Clearly or Type
r ' k \
Facility Name:
GZ Cp ��n (c,t! C' C- a��
Non -Discharge
NPDES
UIC
Other
Penult Name (If different).
Facility Addr ss:
\
TYPE OF PERMITTED OPERATION
BEING MONITORED
— County
'
gaort
ElRemediation: Infiltration Gallery
Contact Person: Telephone#:
L -3Pray Field
❑Rotary Distributor
❑ Remediation:
❑Land Application of Sludge
Well Location/Site Name: R}c F_ S (� �No. of wells to be sampled:
❑ Water Source Heat Pump
❑ Other:
SAIViPLING INFORMATION
M 1 ,\
WELL ID NUMBER (from Permit): t' `W c Date sample collected:
FIELD ANALYSES:
-
If WELL
Well Depth: (C� ft. Well Diameter: in.
pH 00400 0 units
Temp. 00o10. Q °C
WAS
DRY at
Depth to Water Level 62546: ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094
• p`
µNlhos
time of
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Volume of water
Odor 00085 ��—
sampling,
check
pumped/bailed before sampling: g .lions
Appearance e
k�
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
_
`
here:❑
LABORATORY INFORMATION 9
Date sample analyzed:') Laborato Nam \ rr"Al
COD 00335 mg/L
Coliforn: MF Fecal 316•16 ,� C'/10UmL
Coliform: MF Total 31504 /100mL
(Note: Use MPN method for highly turbid sample.)
)is solved Solids: Total 70300 mg/L
pH (Lab) 00403 units
TOC 00660 mg/L
Chloride 00940 mg/L
Arsenic 01002 ug/L
Grease and Oils 00552 mg/L
Phenol 32730 ug/L
Sulfate 00946 mg/L
Specific Conductance 00095 µMhos
Total Ammonia ooslomg/L
(Arrununia Nitrogen. NN,as N. Ammonia Nitrogen, Total)
TKN as N 00625 rug/L
For Remediatlon Systems Only (Attach Lab Reports):
ittee (or uthoi ed Agent) Name and T(fie - Please print of type
GW-59 Rev.06-07-2018
rY e. 1 Certification No.
nd colloidal concentrations.
Nitrite (NO2) as N oo615 rug/L Pb - Lead o1o51 ug/L
Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 nrg/L
Phosphorus: Total as P oo665 Q t ` mg/L
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
At - Aluminum 01105 mg/L _
Ba - Barium 0•1007� ug/L J— -
Ca - Calcium 00916 1ng/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 rnethod #. 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 #
Mn - Manganese 01055 ug/L method #
Ni - Nickel 01067 ug/L method # _
Influent Total VOCs: - -
mg/L Effluent Total VOCs: mg/L VOC Rernaval%
--
(or Authorized Agent)
8-CQ, _
Influent Total VOCs: - -
mg/L Effluent Total VOCs: mg/L VOC Rernaval%
--
(or Authorized Agent)
8-CQ, _

r
SUBMIT FORM ON
PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: ,j
Permit Name (if different):
Facility Address: A_
act Person: 'N I
Location/Site Name:
Please Print Clearly or
- ;t x
County
Telephone#: GI I —1- V AL s .
No. of wells to be sampled:
PERMIT Number:WW h 09 wration Date T
Non -Discharge 1—% UiC
NPDES — Other
rYPE OF PERMITTED OPERATION BEING MONITORED
goon ❑ Remediation: Infiltration Gallery
P4-SV-ray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump LI Other:
WELL ID NUMBER (from permit): W Date sample collected:
' I — �'
_-
If WELL
Well Depth: .� ft. Well Diameter:
in.
FIELD ANALYSES:
pH 00400 units Ten'Ip. 00010 C
WAS
DRY at
Depth to Water Level 825as: , 3 ft. below measuring point Screened Interval:
—
ft.
L�
time
Measuring Point is ft. above land surface Relative M.P. Elevatiow
to _ ft.
ft,
Spec. Cond. 000sa: µlvlhos
Odor 000s5
of
sampling.
Volume of water pusampling:
rrlped/bailed before sam 9 gallons
check
Sam les for metals were collected unfiltered: ®YES ❑ NO ®YE5
and field acidified:
❑ NO
Appearance _
� —'
here:❑
LABORATORY INFORMATION
'Laboratory Name��,_P4RAIVIE
Date sample analyzed: , 81��1.1�.�_. =slolvl�e'd2tid'
��
I'EF25 (VOTE: V ues s ould fefleccolloidal concentrations.
Certification No. L _
COD 00335 mg/L Nitrite (NO2) as N 00615
—�-�---�
Colifonn: MF Fecal 316-16 /100mL Nitrate N
mg/L
Pb -Lead 01051 uglL
—
(NO3) as 00620 _ ' `S � � mg/L
Zn -Zinc 01os2 n1g/t
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00a6e 1
(Note � ilea MPIV rnelhud for highly Wrhid samples) i l .� � mg/L
—
Orthophosphate 70507
issolved Solids:Total 70300_
mg/L
Other (Specify Compounds and Concentration Units):
mg/L Al -Aluminum a11o5
mg/L
pH (Lab) 00403 units 8a - Barium 01007
TUC 00680 �� mg/L Ca Calcium
uglL
-------- -- ----
— -- ----
- 00916
Chloride 00940 ti � m /L
g Cd - Cadmium 01027
111g/L
-- --_, --
Arsenic 01002 ug/L Chromium: Total 01034
ug/L
ug/L
— -
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 3273o
32730
mg/L
ORGANICS: (by GC, GC/MS, HPLC) `—
ug/L Fe - Iron o1oa5
Sulfate
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
mg/L Hg - Mercury 71900
Specific Conductance 000s5 µMhos
ug/L
Lab Report Attached? ❑ Yes ('I) ❑ No (0)
K - Potassium 0os37
Total Ammonia ooslo mg/L Mg Magnesium
mg/L
VOC 7873 method #
- 00927
(Arrununie Nitrogen; NH3as N; Arhnwnia Nitrogen, Tulal)
mg/L
method #
IVIn -Manganese o1055
-LKIN as N 00625 rng/L
ug/L
, rrietliod # V
Ni - Nickel 01067
uglL
— --- --
, method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs:
_____•______
mg/L Effluent
Total VOCs: mg/L VOC Removal /e
D
'ermiltea (or Author d Agent) Narne and Title - Please print or type -
' J. �=`=-
L" we � �
Siy
GW-59 Rev.06-07-2018
i —
na tu / f r e (or Authorized Agent) (Dale)

s
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
r '
'
i
COMPLIANCE REPORT FORM>s
r
FACILITY INFORMATION 6 Clearly orType C
Facility Name: �( l�a
PERMIT Number 00�Olt expiration Date.
6
�PlaasaPn
M
Permit Name (if different):":
x- r�
Non -Discharge UIC
Facility Addrea� (��
NPDES _Other
Count ( �
TYPE OF PERMITTED OPERATION BEING MONITORED
b-Lagoon
�u
_—
❑ Remediation: htfiltration
Gallery
Contact Person: �r\� �" QS f'
Tele hone#:
p ��
� �
ray Field ❑ Remediation:
—
❑Rotary
Distributor ❑Land Application of Sludge
Well Location/Site Name: - e r?
Gl No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other,
.. _. from Permit
SAMPLING INFORMATION n
WELL ID NUMBER (from Permit): `� Date sample collected:
If WELL
Iz—
Well Depth ft.
Well Diameter: in.
FIELD ANALYSES:
pH ooauq units temp. 00010: 0� t °C
WAS
DRY at
Depth to Water Level 82546: a t I ft. below measuring point Screened Interval: ft.
to
ft, Spec. Cond. 00094 µNlhos
time of
Measuring Point is ft. above land Surface
Relative M.P. Elevation:
_
ft.
Odor 000s5
sampling,
Volume of water purrlped/bailed before sam lin
P 9
—"
check
Samples for metals were collected unfiltered: ® YES
_gallons
❑ NO and field acidified: ® YES ❑
NO
Appearance \ _ _ i
here.
Date sample analyzed:5-1 q - 11- 4 - i- Ra Laboratory Name: C�V \
r
��C ( t .-�
PARAMETERS NOTE: VaKies shbuld re ect dis olved
and colloidal concentrations.
Certification No.
COD 00335 mg/L
Colifonn: IMF Fecal 31616 [.� /10UmL
Nitrite (NOz) as N 00615
Nitrate (NO3N
mg/L
Pb - Lead 01051 ug/L
t
as ooszo �
m •) /L
Zn - Zinc 01os2 nfg/L
Coliform: IMF Total 315oa /100ml-
(Nola. Use MPN method for highly turbid sampleaJ
Phosphorus: Total as P 00665 � ` mg/L
issolved Solids:Total 70300 ���
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
At - Aluminum o11o5
mg/L
pH (Lab) 00403 _ units
TUC 00680__V��_—�rng/L
Ba - Barium 01007 _
Ca Calcium
ug/L
_
--
_
Chloride 00940mg/L
- 00916
Cd Cadmium
n1g/L
- 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Phenol 32730
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, I IPLC)
ug/L
Sulfate 00945
Fe - lion 01045
ug/L
(Specify test and method #. A'I"'I'ACH LAB REPORT.)
mg/L
` pecific Conductance 00095 µMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Total Ammonia 00610 ©� 'a mg/L
K - Potassium 00937
Mg - Magnesium 00a27
mg/L
VOC 7873 method #
(Ammonia Nitrogen; NN3aa N; Anx�wnia Nitrogen, Total)
mg/L
,method #
TKN as N 00625 rn /L
Mn -Manganese 01o5s
Ni
ug/L
_
,method #
-------
g
-Nickel o1os7
uglL
____
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
Effluent Total VOCs:
mg/L VOC Removal%
- m
Penniltee (or A thori d Agent) Narne and Title - Pleas print or
GW-59 Rev.06-07-2018
—Q,s--