WQ0003626_Monitoring - 07-2023_20230817 (3)

Monitoring Report Submittal
Permit Number#* WQ0003626
Name of Facility:* Campbell Soup Supply Company, LLC.
Month: * July Year: * 2023
Report Information
Type* Upload Document*
GW-59 July 2023 GW DMR.pdf
PDF Only
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
1.84MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Keith Osterman
0�l 0Jtf'towmw
Reviewer: Wanda.Gerald
8/17/2023
This will be filled in automatically

Is the project number correct?* W00003626
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 8/31/2023

GW-59A COMPLIANCE REPORT FORM Permit # W00003626
(Submit one each monitoring period with GW-59 forms)
1
Enter date monitoring results were due.
2
Was any required information missing on the GW-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 identification
YES
NO
plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are anw 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 if "YES" list the affected wells idividually with constituent(s) and concentration(s) exceeding standards in
the space provided below: MW#2-Total Ammonia Nilrogen 3.44 mg/i_,, MW#4-Nitralc 18.1 mg/L, MW45-Nitrate 13.2 tng/I
MW#9- Nitrate 11.6 mg/L, MW#12-Nitralc 14.8 mg/l.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the
YES
NO
same wrell(s) in the last two years?
If the ar_swer 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,
concenttation(s) reported, and sample collection date for each occurrence (for the last two years. JULY 2021- MW#t
Ammonia 2.9 mg/L, NOVEMBER 2021- MW#2 Total Ammonia 3.56, MARCH 2022-N11W#2 Total Ammonia 5.24 mg/L, JULY
2022- IMW#2 Total Ammonia 3.84 mg/L. Nf)VENIRFR 2022- MW#2 Total Ammonia 3.16 mg/L. JULY 2022- MW#4 Nitrate
11.1 m�,/L, DECEMBER 2022-MW#4 Nitrate 13.7 mg/L, APRIL 2021- MW#5 Nitrate 10.7, JULY 2021- MW#5 Nitrate 14.6
mg/L, NOVEMBER 2021- MW#5 Nitrate 14.3 nrg/L, MARCH 2O22- MW#5 Nitrate 15.5 mg/L, JULY 2022-MW#5 Nitrate 13.4
nrg/L, NOVEMBER 2022-MW#5 Nitrate 14.1 mg/L, DECEMBER 2022- MW#9 Nitrate 10.3 nrg/L, .IULI' 21122- NIII'#12-
6
Are themonitoring wells listed in section 5 located at or beyond the review boundary? MW#12
YES X
NO
If the answer is "YES", a groundwater quality problem pray be occurring. CONTACT THE REGIONAL OFFICE
IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located, contact the Regional
Office.
7
Is the pm�rmittee implementing previously approved actions required by the Division involving this groundwater quality
YES
NO
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. A Me water in areas "
8
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 hearb- acknowledge that the above information was evaluated and the information submitted in this report (Compliance
Report aW-59A) is uc and coml to to the best of my knowledge.
C::7 K-el� / -9 8 / a
Signature of Pertnittee (or uthorized Agent) Date

SUBMIT FORM CN YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Pr
Facility Narne. Campbell Joup 3upply Cui,ipe,iy
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, NC 20at
�caryl
or Type
County Robeson
Contact Person: Keith Osterman
Well Location/Site Name: Spray Field Site
Telephone#: [phone]
No. of wells to be sampled: 11
(from Permit)
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 7/18/23
Well Depth: 24 ft.
Well Diameter: 4 in.
Depth to Water Level 82546:14.11 ft. below measuring point Screened Inter.,al: 19.3 ft.
to 24
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Volume of water pumped/bailed before sampling:
15
gallons
Samples for metals were collected unfiltered: [W YES
❑ NO and field acidified: Ci YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/23
Laboratory Name: Environment Science
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 ¢1
/100mL
Nitrate (NO3) as N 00620 4.60
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
m9 /L
)issolved Solids:Total 70300 102.0
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
m9 /L
Chloride 00940 44.7
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date:='�r,'i'
Non-Discharge WQ 0003626 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑Remediation: Infiltration Gallery
❑� Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ft.
FIELD ANALYSES:
pH 00400: 6.24 units
Spec. Cond. 00094:
Odor 00085: None
Appearance Clear
Temp.00010: 20.8 oC
µMhos
Certification No. ENV375
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
Keith Osterman - Environmental Manager
Pertnittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.3-1-2016 Signature of Perms { (or Authorized Agent) ate)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or Type
Facility Nagle: Campbell Soup Supply Company
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, NC 2664, County Robeson
Contact Person: Keith Osterman Telephone#: [phone]
Well Location/Site Name: Spray Field Site No. of wells to be sampled: 11
WELL ID NUMBER (from Permit): MW-2
Well Depth: 24 ft.
Depth to Water Level 82546:3.75 ft. below measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling: 15
Samples for metals were collected unfiltered: ❑■ YES ❑
I AMAOATA-- u.rr.nu .r.....
Date sample collected: 7/18/23
Well Diameter: 4 in
Screened Interval: 18.3 ft.
Relative M.P. Elevation:
DEPARTMENT OF ENVIRONMENTAL QUALITY. DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number:
Non -Discharge WQ 000362G
to 24 ft.
ft.
gallons
NO and field acidified: ❑ YES ❑ NO
Date sample analyzed: 7/21123 Laboratory Name: Environmental Science
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 ND
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
)issolved Solids:Total 7030o 341
mg/L
All - Aluminum 01105
PH (Lab) 00403
units
Ba - Barium 01007
TOC 0068o 4.05
mg/L
Ca - Calcium 00916
Chloride 00940 132
mg/L
Cd - Cadmium 01027
Arsenic 01002
ug/L
Chromium: Total mom
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 32730
ug/L
Fe - Iron 01045
Sulfate 00945
mg/L
Hg - Mercury 71900
Specific Conductance 00095
µMhos
K - Potassium 00937
Total Ammonia 00610 3.44
mg/L
Mg - Magnesium 00927
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese oloss
TKN as N 00625
mg/L
Ni - Nickel 01067
Expiration Date:
UIC
5/30/2030
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 00400: 6.24 units
Spec. Cond. 00094:
Odor 00085: None
Appearance clear
Temp. 000lo: 26.3 oC
µMhos
Certification No. ENV375
mg/L Pb - Lead 01051 ug/L
mg/L Zn - Zinc 01092 mg/L
mg/L
mg/L Other (Specify Compounds and Concentration Units):
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L ORGANICS: (by GC, GC/MS, HPLC)
ug/L (Specify test and method #. ATTACH LAB REPORT.)
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
mg/L VOC 7873 method #
mg/L method #
ug/L method #
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
_
Keith Osterman - Environmental Manager
Permittee (or Authorized Agent) Name and Title -Please print or type S~�
gnature of P�priittee (or Authorized Agent) (De
GW-59 Rev.3-1-2016
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
• -- .11A
- : DEPARTMENT OF ENVIRONMENTAL QUALITY- it OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 11617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 5/30/2030
Fooility Name: Compboll Soup Supply Company
Non -Discharge WO 0003626 UIC
Permit Name (if different): NPDES Other
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364 TYPE OF PERMITTED OPERATION BEING MONITORED
2120 NC 71 Hwy North, Maxton, NC 28364` County Robeson Lagoon ❑Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Keith Osterman Telephone#: [phone] ❑ Rotary Distributor El Land Application of Sludge
Well Location/Site Name: Spray Field Site No. of wells to be sampled: 11 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-3A Date sample collected: 7/18/23
Well Depth: 20 ft. Well Diameter: 2 in.
Depth to Water Level 82546:11.95 ft. below measuring point Screened Interval: 5 ft. to 20 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 15 gallons
Samples for metals were collected unfiltered. A■ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 00400: 5.58 units Temp. 000lo: 21.0 oC
Spec. Cond. 00094: µMhos
Odor 000as: None
Appearance Cloudy
If WELL
WAS
DRY at
time of
sampling,
check
here ❑
LABORATORY INFORMATION
Date sample analyzed: 7/21/23
Laboratory Name: Environmental
Science
Certification No. ENV375
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 1.47
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 68
mg/L
All - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
m9 /L
Chloride 00940 34.1
mg/L
Cd - Cadmium 01027
u9 /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 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Keith Osterman- Environmental Manager
Pennittee (or Authorized Agent) Name and Title -Please print or type SiAnaure of
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
PAPII ITV INFn0UAT1n1J Please Print Clearly or
facility Name: Compboll Soup Supply Company
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, NC 20Mt)
County Robeson
Contact Person: Keith Osterman
Well Location/Site Name: Spray Field Site
Telephone#: [phone]
No. of wells to be sampled: 11
DEPARTMENT OF ENVIRONMENTAL QUALITY • DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
i17 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
ERMIT Number:
Expiration Date: 5/30/2030
on -Discharge WU 0003626
UIC
PDES
Other
YPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
❑ Remediation: Infiltration Gallery
Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
WELL ID NUMBER (from Permit): MW-4 Date sample collected: 7118/23
Well Depth: 24 ft. Well Diameter: 4 in.
Depth to Water Level 82546: 12.41 ft. below measuring point Screened Interval: 19.3 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 15 gallons
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ❑ YES
to 24 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 6.51 units Temp. 000lo: 20.3 oC
Spec. Cond. 00094: µMhos
Odor 000e5: None
Appearance Cloudy
WAS
DRY at
time of
sampling,check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 7121/23
Laboratory Name: Environmental
Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 18.1
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 703oo 302
mg/L
All - Aluminum 01105
mg/L
PH (Lab) o0403
units
Ba - Barium 01007
ug/L
TOC 00680 1.32
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 89.6
mg/L
Cd - Cadmium 01027
u9 /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 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
­ou RHv..3-1-LU 10

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Namc: C2mpboll Soup Supply Company
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, NC 2694!`
County Robeson
Contact Person: Keith Osterman
Telephone#: [phone]
Well Location/Site Name: Spray Field Site
No. of wells to be sampled: 11
from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 7/18/23
Well Depth: 24 ft.
Well Diameter: 4 in.
Depth to Water Level 82546: 8.78 ft. below measuring point
Screened Interval: 18.7 ft. to 24
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 15 gallons
Sam les for metals were collected unfiltered: IN YES ❑ NO
and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7121/23 Laboratory Name: Environmental Science
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 13.2
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 703oo 222
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 63.8
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen NH3asN; Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1'617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 5/30/2030
Non-UIScnarge WQ 0003162b UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑� Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 6.52 units
ft. Spec. Cond. 00094:
Odor 000m: None
Appearance clear
WAS
Temp. 000lo: 22.6 oC DRY at
µMhos time of
sampling,
check
here: ❑
Certification No. ENV375
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units).
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
••_•• _�--•�•••-• —....y -nu —ilaw.aal. r1111UU11L I Utal vvt-s: mg/L Effluent Total VOCs:
Keith Osterman - Environmental Manager
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
mg/L VOC Removal%
'1;
de)

SUBMIT FORMON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIY. OF: WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM•1617MAIL SERVICE CENTER, RALEIGH,NC276919-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 5/30/2030
Facility Name: ramphall Snllp Supply rnmpany Non -Discharge Wit 0003626 UIC
Permit Name (if different): NPDES Other
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364 TYPE OF PERMITTED OPERATION BEING MONITORED
2120 NC 71 Hwy North, Maxton, NC 20gwl) County Robeson ❑M Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Keith Osterman Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Spray Field Site No. of wells to be sampled: 11 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-6 Date sample collected: 7/18/23
Well Depth: 28 ft. Well Diameter: 4 in,
Depth to Water Level 82546: 11.54 ft. below measuring point Screened Interval: 25 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 14 gallons
Samples for metals were collected unfiltered: N YES ❑ NO and field acidified: ❑ YES
to 28 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 5.81 units Temp. 00010: 22.3 -C
Spec. Cond. 00094: µMhos
Odor 00085 None
Appearance clear
If WELL
WAS
DRY at
time of
sampling,
check
here:
❑
LABORATORY INFORMATION
Date sample analyzed: 7/21123
Laboratory Name: Environmental
Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 3.05
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 197
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
m9 /L
Chloride 00940 103
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 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Rpma_dinfinn -quef c f%ni rns- 6 i _1-
--+ �-------• --- •--r-•-•'/• ­11—IL 1v 1 � I. mg/L tmuent total VUCs: mg/L VOC Removal%
Keith Osterman - Environmental Manager Q f;
Permittee (or Authonzed Agent) Name and Title -Please print or type Signature or Permitt�tor AuThonzed Agent) (Date)
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Pnnt Clearly or
Fooility Namc: Campboll Soup Supply Company
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, NC 260 County Robeson
(State)
tact Person: Keith Osterman
I Location/Site Name: Spray Field Site
Telephone#: [phone]
No. of wells to be sampled: 11
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 5/30/2030
Non -Discharge WU UUU3626 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-8 Date sample collected: 7/18/23
Well Depth: 28 ft. Well Diameter: 4 in.
Depth to Water Level 82546:11.58 ft. below measuring point Screened Interval: 25 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 15 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑ YES
to 28 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 6.56 units Temp. 00010: 24.0 -C
Spec. Cond. 00094: µMhos
Odor 00085: None
Appearance clear
If WELL
WAS
DRY at
time of
sampling,check
here:
LABORATORY INFORMATION
Date sample analyzed: 7121123
Laboratory Name: Environmental
Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/L
Pb - Lead olo51 ug/L
Coliform MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5.78
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 78.0
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
m9 /L
Chloride 0094o 26.4
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 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH] as N; Ammonia Nitrogen, Total)
Mn -Manganese o1os5
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
-, - - - - --- •--r�• •ter• II IIIUOI R I ULGI V UI-b, mg/L Lttiuent t otal VOCs: mg/L VOC Removal%
�r•rrtt�rtz•ririt r7T1 r7Tl uni r ulna i i�wewnr�lw�sl��
--.,a -UV. J-I -Zulu

SUBMIT FORM ON YELLOW PAPER ONLY
r . . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC-27699-4617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 5/30/2030
Facility Name: r:amphall Sol 1p Supply Company
IJuI l-Discharge WO 0003629 Ull.:
Permit Name (if different): NPDES Other
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364 TYPE OF PERMITTED OPERATION BEING MONITORED
2120 NC 71 Hwy North, Maxton, NC 29iml County Robeson 0 Lagoon El Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Keith Osterman Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Spray Field Site No. of wells to b-3 sampled: 11 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 7/18/23
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diarreter: 4
in
pH 00400: 5.91 units Temp. 000lo: 21.8 °C
DRY at
Depth to Water Level 82546: 9.02 ft. below measuring point Screened Interval: 20.3
ft. to 30 ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000ss None
sampling,check
Volume of water pumped/bailed before sampling:
15
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ❑if YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/23
Laboratory Name: Environmental Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 11.6
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
m9 /L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 86.0
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium 00916
mg/L
Chloride o0940 13.7
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 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese oloss
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:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Keith Osterman- Environmental Managerp f/
Perrnittee (or Authorized Agent) Name and Title - Please print or type Signature of Pennt (orAuthorized Agent) (Dati
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phorte: 915-807.6306
FACILITY INFORMATION Please Pimt CleadyorType PERMIT Number: Expiration Date: 5/30/2030
Facility Name: Campboll Soup Supply Company
Non -Discharge WQ 0003626 UIC
Permit Name (if different): NPDES Other
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364 TYPE OF PERMITTED OPERATION BEING MONITORED
2120 NC 71 Hwy North, Maxton, NC 2094 County Robeson Lagoon ❑ Remediation: Infiltration Gallery
l�ryl (Stale)
❑■ Spray Field ❑ Remediation:
Contact Person: Keith Osterman Telephone#: (910) 8"-1202 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Spray Field Site No. of wells to be sampled: 11 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-10
Well Depth: 24 ft.
Depth to Water Level 82546: 6.51 _ft. below measuring point Screened Interval: 2
Measuring Point is 3 ft. above land surface Relative M.P. ElevEtion:
Volume of water pumped/bailed before sampling: 15 gallonE
Samples for metals were collected unfiltered: 0 YES ❑ NO
Date sample collected: 7/18/23
Well Diameter: 4 in.
ft. to 24 ft.
ft.
and field acidified: ❑ YES ❑ NO
Ite sample analyzed: 7/21/23 Laboratory Name: Environmental Science
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 1.80
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
solved Solids:Total 703oo 234
mg/L
Al -Aluminum 01105
PH (Lab) 00403
units
Ba - Barium 01007
TOC 0068o 2.97
mg/L
Ca - Calcium 00916
Chloride 0094o 77.1
mg/L
Cd - Cadmium 01027
Arsenic 01002
ug/L
Chromium: Total 01034
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 32730
ug/L
Fe - Iron 01045
Sulfate 00945
mg/L
Hg - Mercury 71900
ecific Conductance 00095
µMhos
K - Potassium 00937
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
TKN as N 00625
mg/L
Ni - Nickel 01067
FIELD ANALYSES: I WAS
PH 00400: 5.53 units Temp. 00010: 25.8 oC DRY at
Spec. Cond. 00094: µMhos time of
Odor 00085 None sampling,
check
Appearance cloudy here:❑
Certification No. ENV375
mg/L Pb - Lead o1os1 ug/L
mg/L Zn - Zinc 01092 mg/L
mg/L
mg/L Other (Specify Compounds and Concentration Units):
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L ORGANICS: (by GC, GC/MS, HPLC)
ug/L (Specify test and method #. ATTACH LAB REPORT.)
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
mg/L VOC 7873 method #
mg/L method #
ug/L method #
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
vvv -.ia _WV. J-I-LU I

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or
Facility Name: Compboll Soup Supply Company
Permit Name (if different):
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364
2120 NC 71 Hwy North, Maxton, INC 2d��t County Robeson
(City) z o
Contact Person: Keith Osterman
Well Location/Site Name: Spray Field Site
Telephone#: [phone]
No. of wells to be sampled: 11
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number:
Expiration Date: 5/30/2030
Non -Discharge WU 0003626
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
M Lagoon
❑ Remediation: Infiltration Gallery
X Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
SAMPLING INFORMATION
I
If WELL
WELL ID NUMBER (from Permit): MW-11
Date sample collected: 7/18/23
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 2 in.
pH 00400: 6.48 units Temp. 000lo °C
DRY at
Depth to Water Level 82546: 9.83 ft. below measuring point
Screened Interval: 25 ft. to 30 ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000ss: None
sampling,check
Volume of water pumped/bailed before sampling: 15 gallons
Appearance cloudy
here:
les for metals were collected unfiltered: YES ❑ NO
❑■
and field acidified: El NO
❑Sam
Date sample analyzed: 7121/23
Laboratory Name: Environmental Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5.37
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 7030o 84
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o ND
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 27.9
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
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
IrT'7-Tf RiT7f}'71T�
Keith Osterman - Environmental Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
r11117.7M. Il. I DEPARTMENT OF ENVIRONMENTAL QUAUTY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617MAIL SERVICE CENTER, RALEIGH,INC 276MI617 Phone:[phone]
FACILITY INFORMATION Please Pnnt Clearly or Type PERMIT Number: Expiration Date: 513D/��"'130
Faoility Name: Campbell Soup Supply Company Nurl-Discharge WO 0003028 Ull:
Permit Name (if different): NPDES Other
Facility Address: 2120 NC 71 Hwy North, Maxton, NC 28364 TYPE OF PERMITTED OPERATION BEING MONITORED
2120 NC 71 Hwy North, Maxton, NC 285e$t) County Robeson Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Keith Osterman Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Spray Field Site No. of wells to be sampled: 11 ❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12
Date sample collected: 7/18123
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 2 in.
pH 00400: 5.95 units Temp. 000lo: 21.7 °C
DRY at
Depth to Water Level 82546: 14.15 ft. below measuring point
Screened Interval: 25 ft. to 30 ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
sampling,check
Volume of water pumped/bailed before sampling: 15 gallons
Appearance cloudy
here:
❑■
for metals were collected unfiltered: YES El
and field acidified: ❑ YES El
❑Samples
Date sample analyzed: 7/21/23
Laboratory Name: Environmental Science
Certification No. ENV375
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/L
Pb - Lead 01051 u9 /L
Coliform MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 14.8
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 703oo 241
mg/L
Al - Aluminum oil o5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.54
mg/L
Ca - Calcium oos16
mg/L
Chloride 00940 92.7
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)
ipecif c Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH33s N; Ammonia Nitrogen, Total)
Mn -Manganese oloss
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:
Keith Osterman - Environmental Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
mg/L Effluent Total VOCs:
mg/L VOC Removal%