WQ0000185_Monitoring - 02-2023_20230331

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0000185
Ocean Sands WWTP
Year:* 2023
Upload Document*
Ocean Sands GW59_03312023152454.pdf 254.69KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
Reviewer: Wanda.Gerald
3/31 /2023
This will be filled in automatically

Is the project number correct?* WQ0000185
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 4/17/2023

GW-59A COMPLIANCE REPORT FORM Permit # W tq 00 0 c7
(Submit one each monitoring period with GiV-59 forms.)
1
Enter date monitoring results were due. ' 3) 2,3 Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
1F 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
NO
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office 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 S.
If 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. M Vd- 9
m�-a rnw-
- 7 4 A) )-F, , 8 ►)4 6. S/ 7D (; fi b.
1+1 �-1Y
s
rac-/0•� 0 -11.7 � �-��.�
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 well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
m w- y m t� lr w- (a W �- 7 --9
_rn
0 0 3 - Z.9 N11)342-�1."7 �W3' � •� Zra,g '7b.5 - 'Ga7
b
Are the monitoring wells. listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY'P'OR 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
�IED
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 permittee to a Notice of Violation
fines, and/or penalties. , �� 1 S S� ,
11c-)b9Vf+A/j
u � >rI111,v krati� �� S y' Ara r /rl
t
mI�NN �gagrt,. �t�,t ; ryra4-✓S l32�
sumac bwT c.nA� AIVito g04-.tu COMP VA„C.
S
The person completing this portion (GW--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.
I hereby acknowledge that the above information was evaluated and the information submitted In this
report (Campliance,Report GW=59A} is true and complete to the,best of rhk knowledge:
Signature of Permittee (or Authori ed Agent) Cate
GW-59A I2/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY INFORMAT[ON PROCESSING UNIT
COMPLIANCE REPORT FORM
i677 MAIL SERVICE CENTERALEIGH NC,27689 1617; Phone "(9t8) 7333Z21
FACILITY INFORMATION
Please PrintClearly orType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remediation: Infiltration Gallery
Corolla (street) NC 27927 CountyCurrituck
icily) (State)
(Zrp)
❑ Spray Field El Remediation:
Contact Person: Rod Halley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump N Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 219123
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.4 units Temp. 000lo: 16.7 °C
DRY at
Depth to Water Level 82546:9.9 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: pMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumpedlbailed before sampling:
4.5
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed:2113123
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 <1
11OOmL
Nitrate (NO3) as N 00620 0.67
mg1L Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P 00665 5.09
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg[L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 491
mg/L
AI - Aluminum 01105
mg1L
pH (Lab) 0003 7.4
units
Ba - Barium 01007
ug1L
TOC 0068o 7.1
mg1L
Ca - Calcium 00916
mg1L
Chloride 00940 122
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mglL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000m
uMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 00610 7.6
mglL
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - ]Manganese 01055
ug1L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Apent) Name and Title - Please print or type
mglL
Effluent Total VOCs:
mg1L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
.
s a
pI;PARTMENT OF ENVIRONMENT &.NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
DIVI5IQN OF WATER QUALITY INFORMATION, PROCESSING UNIT;
COMPLIANCE REPORT FORM
'
16t7 M1 IJL SERVICE CENTEEt RALEIGr1 .NC 2769a,'.l ;' Phone "(91111 9)1. 7.33=3229 r
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address- 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla lstreez) NC
27927 County Currituck
El Lagoon El Remediation: Infiltration Gallery
Ic`tyf (State)
(lip}
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 2/9/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.5 units Temp. 000lo: 14.0 °C
DRY at
Depth to Water Level 82546:5.4 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: [Mhos
lime or
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan
here -
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:219/23
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 0.02
mglL Pb - Lead o105i uglL
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 6.40
mglL Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 7.31
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70s07
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:TOtal 703oo 429
mglL
Al - Aluminum 01105
mglL
pH (Lab) 00403 7.5
units
Ba - Barium 01007
uglL
TOC 00680 10.5
mglL
Ca - Calcium 00916
mglL
Chloride 00940 156
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mglL
Cu - Copper 01042
mglL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
uglL
Fe - Iron 01o45
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 00610 16•8
mglL
Mg - Magnesium 00927
mglL method ##
(Ammonia Nitrogen: NH3asN: Ammonia Nitrogen, Total)
Ivan - Manganese 01055
uglL , method #
TKN as N 00625
mglL
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mglL Effluent Total VOCs:
mglL
VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING;
a
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVl610N OF WATER QUALITY INFORMATION`PROCESSING UNIT;
COMPLIANCE REPORT FORM
1617 MAIL SERVICECENTER RAifIGNi NC 27699 1617 Phone_ [phone]„
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ❑ Remediation: Infiltration Gallery
Corolla (S"eDl) NC 27927 Count y Currituck
(city) (state)
Rip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ■❑ Other: Infiltration
from
Permit)
SAMPLING INFORMATION
If WELL,
WELL 1D NUMBER (from Permit): MW6
Date sample collected: 2/9123
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.6 units Temp. 00010: 16.0 °C
DRY at
Depth to Water Level 132546:6.7 ft. below measuring paint
Screened Interval 12 ft.
to 17
ft. Spec. Cond, 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P, Elevation:
ft.
Odor 00085: None
sampling,
check
Volume of water pumped/bailed before sampling:
3.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:219123
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N oo615 <0.02
mglL Pb - Lead o1o51 ugiL
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 00620 11.7
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mt Phosphorus: Total as P oo665 6.36
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved .S. OlidS:TOtal 7030o 446
mg1L
Al - Aluminum o11115
mglL
pH (Lab) 00403 7.6
units
Ba - Barium 01007
uglL
TOC oo68o 4.4
mglL
Ca - Calcium oo916
mglL
Chloride 00940 172
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils oo552
mglL
Cu - Copper 01042
mglL ORGANICS: (by GC, GClMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o00g5
pMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 006lo 16.8
mglL
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL
, method #
TKN as N v0625
mglL
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GVV-59 Rev.212010
mglL Effluent Total VOCs:
mg1L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OE ENVIRONMENT &:NATURAL RESOURCES
DIVISION OF WA7ERQUALiTY INFORMATLON,PROCE5SING UNIT
COMPLIANCE REPORT FORM
161TJAAIL SERVICE CENTER RALEIGH; NC 27689 1617 Phone,__(919j 733 3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W000001$5 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NNUES Other
Perinit Narrle (if different).
Facility Address: 741 Ocean Trail
_ _
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla tsc'e tt NC
27927 County Currituck
❑Lagoon El Remediation: Infiltration Gallery
icily) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump K Other: Infiltration
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 219123
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.5 units Temp. 000lo: 13.2 °C
DRY at
Depth to Water Level 82546:4•$ ft. below measuring paint Screened Interval: 12 ff.
to 17
ft. Spec. Cont. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00065; None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan
here:❑
Samples for metals were collected unfiltered: ®YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Hate sample analyzed:2/9123
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
1104mL
Nitrate (NO3) as N 00620 0.24
mg/L Zn -Zinc oio92 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 1.90
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 254
mg/L
Al - Aluminum of io5
mg1L
pH (Lab) 004o3 7.5
units
Ba - Barium 01007
ug1L
TOC oo68o 15.1
mg1L
Ca - Calcium oo916
mg1L
Chloride 00940 64
mg1L
Cd - Cadmium 01027
ug1L
Arsenic oioo2
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L
VOC 76732: , method #
Total Ammonia 000lo <0.2
mg/L
Mg - Magnesium 00927
mg1L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese woo
ug[L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ugfL
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.212010
mg/L
Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVIslON01 warERaUAL1TraNFM ORATIONPROCE5SING,UNIT.
COMPLIANCE REPORT FORM
1617,MA1LSERV(CE,C(QtER, RAl EIGH, AIC:27sas isi7_ Photte.;[phone] _,.:
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ00001 B5 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Narne (if different):
Facility Address: 741 Ocean Trail
TYPF OF PFRMITTFD OPERATION BEING MONITORED
Corolla (s"l NC
27927
County Currituck
El Lagoon ❑Remediation: Infiltration Gallery
tc vt {state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ■❑ Other: Intiltratioll
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 2/9/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.3 units Temp. 000i0: 15.7 °C
DRY at
Depth to Water Level 82546:6.6 ft. below measuring point
Screened Interval: 12 ft.
to 17
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. ^
Odor o0oe5: None
sampling,check
Volume of water pumpedibailed before sampling: 5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: © YES ❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:219123
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 a0.02
mg/L
Pb - Lead 01051 u9 /L
Coliform: MF Fecal 31616 ¢1
1100ml-
Nitrate (NO3) as N 00620 0.03
mg/L
Zn - Zinc 011092 mg/L
Coliform: MF Total 31504
/100ml- Phosphorus: Total as P 00665 2.47
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 538
mg/L
At - Aluminum of lo5
mg/L
pH (Lab) 00403 7.3
units
Ba - Barium 01007
ug/L
TOC 00680 8.3
mg/L
Ca - Calcium 00916
mg1L
Chloride 00940 186
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 0094.5
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 76732: method #
Total Ammonia oo6io 16.8
mg1L
Mg - Magnesium 00927
mg/L.
method #
(Ammonia Nitrogen; NHSas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel olo67
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
mg/L Effluent Total VOCs:
Signature of Permittee
mg/L VOC Removal%
3/29123