The URL can be used to link to this page

Home My WebLink AboutWQ0000165_Monitoring - 07-2022_20220831SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name:- r'� t�c�.S' \� l l C, Permit Name (if different): Well Location/ Site Name: County Telephone M No. of Wells to be Sampled:_ Well Identification Number (from Permit): For Groundwater Treatment Systems Well Depth: � 'y ft. Well Diameter = in. Check pne; [] Influent (98) Screened Interval: ft. to ft. ❑ Effluent (99) Depth to Water Level: ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumrd�� Ied before sampling: 1.5 Date sample collected: � 2 Field analysis: pH �L -� , Specific Conductance uMhos Temp. U -C, Odor Appearance DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES WATER QUALITY DIMON, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT #: EXPIRATION DATE: Non-Dischargek �___UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: infiltration Gallery Spray Field Remediallon: Rotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and. colloidal concentrations. Date sample analyzed: 7I 1 Z / -7 Laboratory Name: Certification No. 1,:) PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Coliform: MF Total 1 /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly t id samples) Orthophosphate mg/I Dissolved Solids: Total 100, mg/l Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/1 TOC _ < J. mg/l Ca - Calcium mg/I Chloride 3 i mgA Cd - Cadmium -r ^ mgA Arsenic mg/l Chromium: Tot � Z i v mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/l Fe - Iron - - mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance uMhos K - P( mg/I Total Ammonia mg/l Mg - Magnesium mg/! TKN as N mg/l Mn - Manganese mg/l YES NO) Ni - Nickel mg/I Pb - Lead mg/l Zn - Zinc mg/I Ammonia Nitrogen 0 /), I mg/l Other (Specify Compounds and Concentration Units) ORGANICS: (GC, C) (Specify test and method #. Attach lab report.) Report Attached? Yes (1) No ---(0) VOC : method # = method # method # AUG 3 0 2022 NC DE / GROUNDWATEICdMONITORING: COMPLIANCE REPORT FORM Facility Name: - Permit Name (if Well Location! Site Name: SUBMIT FORM ON YELLOW PAPER ONLY Please Print Clearly or Type L C'� County L - rA Telephone #: -'_i ) No. of Wells to be Sampled:.Lf _ Well Identification Nu ber (from Permit): Li For GratindwaterTreatment Systems Well Depth: ft. Well Diameter- �_ in. Check one: ❑ Influent (98) Screened Interval: ft. to ft. ❑ Effluent (99) Depth to Water Level: 20 ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in It.: Gallons of water pumped/bailed before sampling: '_�, jam_ Date sample collected: Field analysis: pH D - v , Specific Conductance uMhos Temp. 1-C, Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER OUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non-Dischargek t � UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediatiom Infiltration Gallery §pray Field Remediatbn: Rotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: -7 f Z - 22 Laboratory Name:_ T n,iI r�Yr-ays�- Certification No. 1C") PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N 1 mg/I Coliform: MF Total /100ml Phosphorus: Total as P -, 17 mg/I (Note: Use MIEN method for highly turbid samples) orthophosphate mgA Dissolved Solids: Total mg/l AI - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I TOC _ S b mg/l Ca - Calcium mg/I Chloride 1 >,5 mg/I Cd - Cadmium mg/I Arsenic mg/l Chromium: Total mg/1 Grease and Oils mg/l Cu - Copper mgA Phenol mg/I Fe - Iron mg/I Sulfate mg/l Hg - Mercury mg/I Specific Conductance uMhos K - Potassium mg/l Total Ammonia TK mg/l Mg - Magnesium mgA YES NO) Ni - Nickel mg/1 Pb - Lead mg/I Zn - Zinc mg/I Ammonia Nitrogen C : Cc -I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes (1) No '.� (0) VOC : method # = N as N mgll Mn - Manganese mg/I : method # = : method # = Rev. 0312000 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name:- Permit Name (if different t — v County t r) rAe a-k-'� tr�vl Contact Person��^1"h Telephone #:,� Well Location/ Site Name: _.�_ No. of Wells to be Sampled: Well Identification N4mber (from Permit): For Groundwater Treatment Systems Well Depth: 1 4 ft. Well Diameter-. �_ in. Check One: ❑ Influent (98) Screened Interval: ft. to It. ❑ Effluent (99) Depth to Water Level: 3,03 ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: - 0 Date sample collected: Field analysis: pH�z , Specific Conductance uMtos Temp. -!-LL--C, Odor Appearance DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT #: EXPIRATION DATE: Non-Discharge_'KlL l it � UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Remedatlon: L—Rotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: _.l i Z 2_ Laboratory Name: Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N 0,0f mg/I Coliform: MF Total 1100ml Phosphorus: Total as P c1 mg/I (Note: Use MPH method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total 4": mg/l AI - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/1 TOC _'� mg/I Ca - Calcium mg/l Chloride '-f mg/I Cd - Cadmium mg/I Arsenic mgll Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance uMhos K - Potassium mg/I Total Ammonia mg/l Mg - Magnesium mg/I TKN as N mg/l Mn - Manganese mg/I YES NO) Ni - Nickel mg/l Pb - Learl m9/1 Zn - Zinc mg/I Ammonia Nitrogen_ Cn mg/I Other (specify Compounds and Concentration Units) ORGANICS: (GC,GCIMS,HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes (1) No ✓ (0) VOC method # = method # = method # = SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please print Clearly or Type Facility Name:- Permit Name (if different): t � County -� -.rN r'-iP� _ Contact Persons�oz � Telephone #: Well Location/ Site Name:No. of Welts to be Sampled: Well Identification Number (from Permit): (� Grautdwater Treatment Systems Well Depth: ? ft. Well Diameter._ in_ peckpne. ❑ Influent (98) Screened Interval: ft. to ft. ❑ Effluent (99) Depth to Water Level: ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: a U Date sample collected: -jj I )-Lal Field analysis: pH ] , I , Specific Conductance uMhos Temp. 12_0C, Odor Appearance DEPARTMENT OF ENVIRONMENT S NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non-Discharae+�l_� L (� UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Ilernediallm. yRotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and. colloidal concentrations. Date sample analyzed: '1- ( 2 - 2 i Laboratory Name: 'F n t 1.1-, � r,Yf-jP kj�- 4T-; r, Certification No. 1 C-) PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal /100m1 Nitrate (NO3) as N 1 , mg/I Coliform: MF Total /100ml Phosphorus: Total as P 1, 'l q mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total (cj.)a;_; mg/! AI - Aluminum mgA pH (when analyzed units Ba - Barium mg/1 TOC _ : `t", C mg/I Ca - Calcium m gA Chloride `15 mg/I Cd - Cadmium mgA Arsenic mg/I Chromium: Total rng/I Grease and Oils mg/l Cu - Copper mgA Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance uMhos K - Potassium mg/I Total Ammonia mg/I Mg - Magnesium mgA TKN a N YES NO) Ni - Nickel mg/I Pb - Lead mg/{ Zn - Zinc mg/I Ammonia Nitrogen (0,L4 mg/I Other (specify Compounds and Concentration Units) ORGANICS: (GC,GC/Ms,HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes (1) No L-- (0) VOC : method # = s mg/I Mn - Manganese mg/I : method # = : method # = 14G1v. v.a+Gwv