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Home My WebLink AboutWQ0007283_Monitoring - 03-2023_20230428 (3)Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * March Report Information Type * GW-59 Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review WQ0007283 Town of Pollocksville Year:* 2023 Upload Document* Scan_20230428. pdf 5.32 M B PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). utilitiesoperations@townofpollocksville.com Johnnie Chadwick Reviewer: Wanda.Gerald 4/28/2023 This will be filled in automatically Is the project number correct?* WQ0007283 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 6/22/2023 GW-59A COMPLIANCE REPORT FORA Permit # WQ0007283 (Submit one eaeh monitoring period ivith GW-59 fornm) j Enter date monitoring results were due. ( Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? X 2 Was any required information missing on the Glvy'-59 report forms? YES NO 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 NO identification plate, area overgrown, etc.)? If the anstiver is "Yes ", contact the Regional Q lee for 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 8. 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, 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). 6 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 maybe occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly located; contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this YES 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 havinq at the review and compliance boundaries surroundinq this facility. Failure to do so may subject the permittee to a Notice of Violation, fines, and/or Penalties. g 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. 1 hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is true and complete to the best of my knowledge. 4/20/2023 nature of Permittee for Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ON[ Y GROUNDWATER QUALITY MONITORING: • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Pfease Print C1earlyorType PERMIT Number: Expiration Date: 3/31/2027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge WQ0007283 UIC Permit Name (if different): NPDES Other Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED POLLOCKSVILLE,NC 28573 County JONES Lagoon ❑ Remediation: Infiltration Gallery ❑M Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:#1 UPGRADIENT WEST LAGOON No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-1 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 21 ft. Well Diameter: 2 in. pH 00400: 7.0 units Temp. 000lo: 19 °C DRY at Depth to Water Level 82546:13.83 p ft. below measuring point Screened Interval: ft. to ft. Spec. Cond, 0oos4: N Mhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 1.5 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: 0 YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/912023 LaboratoryName: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.39 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /10OmL Phosphorus: Total as P 00665 1.54 mg/L iNote: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 260 mg/L AI - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 2.43 mg/L Ca - Calcium o0916 mg/L Chloride 0094o 29 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 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? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH,as N; Ammonia Nitrogen, Total) Mn - Manganese 01o55 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Kemematlon Systems only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% JOHNNIE J. CHADWICK/ORC Permittee (or Authorized Agent) Name and Title - Please print or type Signature Agent) 4/20/2023 GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: • . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM • • • INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 3/31/2027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge WQ0007283 UIC Permit Name (if different): NPDES Other Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery POLLOCKSVILLE,NC 28573 County JONES Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:# 2 EAST SIDE REAR LAGOON No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-2 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.1 units Temp. 000lo: 19 °C DRY at Depth to Water Level 82546: 10.08 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑■ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/912023 Laboratory Name: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ug /L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 6,57 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100ni Phosphorus: Total as P 00665 0.27 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 790 mg/L AI -Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 11.62 mg/L Ca - Calcium 00916 mg/L Chloride 00940 87 mg/L Cd - Cadmium 01027 uglL Arsenic 01002 ug/L Chromium: Total 01034 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 ug1L Lab Report Attached? ❑ Yes(l) ❑ No(0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 2.97 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH. as N. Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug1L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs JOHNNIE J. CHADWICK/ORC Permittee (or Authorized Agent) Name and Title - Please print or type Totalmg/L Effluent • tplete, and that the laboratory analytical data was pro possibility of fines and imprisonment for knowing vic mg/L VOC Removal% 4/20/2023 (Date) GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONI Y GROUNDWATER QUALITY MONITORING: • . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 3/31/2027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge WQ0007283 UIC Permit Name (if different): NPDES Other Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED POLLOCKSVILLE,NC 28573 County JONES 0 Lagoon ❑ Remediation: Infiltration Gallery N Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:# 3 EAST SIDE LAGOON No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-3 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: 8.8 units Temp. 000lo: 20 °C DRY at Depth to Water Level 82546:14.11 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:❑ Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ❑■ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/9/2023 Laboratory Name: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 u9 /L Coliform: ME Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.66 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 1.42 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 703oo 790 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.0 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 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? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 pMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 0.07 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # ror mememauon systems unly (wttacn L.aD Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% JOHNNIE J. CHADWICK/ORC Permittee (or Authorized Agent) Name and Title - Please print or type (or Autho 4/20/2023 (gate) GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 FACILITY INFORMATION Please Print Clearty or Type PERMIT Number: Expiration Date: 3/31/2027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge WQ0007283 UIC NPDES Other Permit Name (if different): Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED POLLOCKSVILLE,NC 28573 County JONES Lagoon ❑ Remediation: Infiltration Gallery 0 Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:# 4 UP GRADIENT EAST SPRAY No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 22 ft. Well Diameter: 2 in. pH 00400: 7.0 units Temp. 000lo: 18 °C DRY at Depth to Water Level 82546:16.61 p ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 0009a: u Mhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 1.0 gallons Appearance here: El Samples for metals were collected unfiltered: N YES ❑ NO and field acidified: X YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/9/2023 Laboratory Name: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead oio51 u9 /L Coliform: MF Fecal 31616 <1 /1 OOmL Nitrate (NO3) as N 00620 0.90 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.19 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 120 mg/L AI - Aluminum D1105 mg/L pH (Lab) 00403 units Ba - Barium D1007 ug/L TOC 00680 <1.0 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 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? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 I.Whos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 0.20 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn - Manganese o1o55 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 JOHNNIE J. CHADWICK/ORC Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 mg/L Effluent Total VOCs: tnd that the laboratory analytical data was pro( ility of fines and imprisonment for knowing viol mg/L VOC Removal% 4/20/2023 (Date) SUBMIT FORM ON YFI I nw PAPFR null Y GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 3/3112027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge W00007283 UIC Permit Name (if different): NPDES Other Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED POLLOCKSVILLE,NC 28573 County JONES Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:# 5 DOWN GRADIENT EAST SPRAY No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 21 ft. Well Diameter: 2 in. H 00400: 7.2 16 p units Temp. aoolo: C DRY at Depth to Water Level 82546:9.65 ft. below measuring point Screened Interval: ft, to ft. Spec. Cond. 00094 µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, Volume of water pumpedlbailed before sampling: 2.0 gallons Appearance check here: Samples for metals were collected unfiltered: N YES ❑ NO and field acidified: ❑■ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/9/2023 Laboratory Name: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0,05 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.07 mg/L (Note: Use NPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 170 mg/L Al - Aluminum oilo5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo68o 1.07 mg/L Ca - Calcium 00916 mg/L Chloride 00940 9 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 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? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 )tMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 0.06 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug /L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # au vll Oy AlC111D V11111y kKLLdl:ri L-au mepor[8): Influent I offal VUGS: mg/L Effluent Total VOCs: mg/L VOC Removal% JOHNNIE J. CHADWICK/ORC Permdtee (or Authorized Agent) Name and Title - Please print or type Signature of Agent) 4/20/2023 GW-59 Rev.06-07-2018 SUBMIT FORM ON YFI I OW PAPFR nNl Y GROUNDWATER QUALITY MONITORING: • . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM • • INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 3/31/2027 Facility Name: TOWN OF POLLOCKSVILLE Non -Discharge WQ0007283 UIC Permit Name (if different): NPDES Other Facility Address: 488 GOSHEN ROAD TYPE OF PERMITTED OPERATION BEING MONITORED POLLOCKSVILLE,NC 28573 County JONES Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Contact Person: JJ. CHADWICK Telephone#: 252-224-9831 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:# 6 DOWN GRADIENT WEST SPRAY No. of wells to be sampled: SIX ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-6 Date sample collected: 3/9/2023 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.0 units Temp. 000lo: 16 °C DRY at Depth to Water Level 82546: 8.01 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 000e5: sampling, check Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: N YES ❑ NO LABORATORY INFORMATION Date sample analyzed:3/9/2023 Laboratory Name: WAYPOINT ANALYTICAL Certification No. 420 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.81 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 200 mg/L Al -Aluminum ol1o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.0 mg/L Ca - Calcium oo916 mg/L Chloride 00940 15 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 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? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 ItMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo6lo 0.09 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # ror memeata[ton aysiems vnly (,attacn L.aD Keports): Intluent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% JOHNNIE J. CHADWICK/ORC Permittee (or Authorized Agent) Name and Title - Please print or type Permittee (or 4/20/2023 GW-59 Rev.06-07-2018