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HomeMy WebLinkAboutWQ0009772_Monitoring - 07-2023_20230901 (3)Monitoring Report Submittal Permit Number#* Name of Facility:* Month:* July Report Information Type * Revised - GW-59 WQ0009772 Monteray Shores WWTP Confirmation Email Address: * Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2023 Upload Document* MS MW JUL 2023 Report Signed.pdf 9.72MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Travis.Tucker@carolinawaterservicenc.com Travis Tucker Reviewer: Wanda.Gerald 9/1 /2023 This will be filled in automatically Is the project number correct?* WQ0009772 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 9/12/2023 GW-59A COMPLIANCE REPORT FORM Permit #ld000( ( 7 702 (Submit one each monitoring period with GW-59 forms.) 1 Enter date monitoring results were due. -i 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 NQ �C 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 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 8. If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s) exceeding standards in the s,f? ice provided below: `d -F'/, IL.�Tn��(fv+�v�6vc`,cl Nljj/S %p5 5 For the constituents identified i ues on 4 above, have standards beerrexceeded 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 X if the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELYFOR 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 YES NO groundwater quality problem? x 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 surroundina 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 (G W--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 (Compliance Report GW-59A) is true and complete to the best of my knowledge. DIBltally slBnetl by Tony Korlsul DN C=.Konsul®carolor S a —ti—'m Tony Ko n s u I DN..yK OU=Director St r Operations O=CarolinaWererServceofNC GN=TonyKonsul Reason'. am e— ppr 11 tlocumenl Locallom 5821 Falrvlew R6, scare 001 OM1arlorre NC 2820E Dale: 2023.0E 01 0B33'.55-0400' oxit PDF Edift, V r ion' 11 2 6 �/ �2�23 Signature of Permittee (or Authorized Agent) Date GW-59A 12/8/2003 Ground Water Data Monteray Shores WWTP Permit # WQ0009772 Permit Limit: MW ## Collection Date TDS mg/I Tota I Ammonia mg/I 4 7/12/2021 5'- 1.1 4 11/8/2021 4'- 0.3 4 3/2/2022 438 1.3 4 7/14/2022 456 1.2 4 11/17/2022 518 <0.2 4 3/9/2023 424 1.3 4 7/6/2023 15-1 3.: 5 7/12/2021 686 1.1 5 11/8/2021 1.0 5 4/7/2022 791 1.0 5 7/14/2022 960 <0.2 5 11/17/2022 818 <0.2 5 3/9/2023 770 0.3 5 7/6/20231 844._ Permit Limit: MW # Collection Date TDS mg/I Total Ammonia mg/I 6 7/12/2021 1.8 6 11/8/2021 1.7 6 4/7/2022 968 5.0 6 7/14/2022 103C 3.5 6 11/17/2022 93q 3.3 6 3/9/2023 2.3 6 7/6/2023 13 7/29/2021 500 <0.2 13 11/8/2021 485 13 3/2/2022 410 <0.2 13 7/14/2022 1.4 13 11/17/2022 403 0.6 13 3/9/2023 3711 0.6 13 7/11/2023 Signature of Permittee (or Authorized Agent) Date 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 27899-1617 Phone: 9194307-6306 FACILITY INFORMATION Please Print Clearlyorl'ype PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge W00009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927 County Currituck 1101 Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: East of LP No. of wells to be sampled: 5 ❑ Water Source Heat Pump H Other: LPP Field from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#4 Date sample collected: 7/6/23 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH o040o: 7.06 units Temp. 000lo: 21.9 °C DRY at Depth to Water Level 82546:5.6 ft. below measuring point Screened Interval: 18 ft. to 20 ft. Spec. Cond. 00094: µMhos time ofsampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085 None check Volume of water pumped/bailed before sampling: 3.5 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: July 6,10,12,13,14,21, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 5 A00mL Nitrate (NO3) as N 00620 0.02 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 2.30 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 461 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 7.1 units Ba - Barium 01007 ug/L TOC 0068o 5.6 mg/L Ca - Calcium 00916 mg/L Chloride oo94o 97 mg/L Cd - Cadmium o1o27 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 o1o45 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 7a73 method # SM 6200B Total Ammonia oo610 3.1 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 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% Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print or type Tony Konsul Signature of Permittee (or Authorized 10/21 /26 GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617MAIL SERVICE CENTER, RALEIGH,NC27899-1617 Phone:919-80741306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores VWUTP Non -Discharge W00009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927' County Currituck Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Southwest of LP No. of wells to be sampled: 5 ❑ Water Source Heat Pump 0 Other: LPP Field (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#5 Date sample collected: 7/6/23 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.28 units Temp. 00010: 21.4 °C DRY at Depth to Water Level 82546:4.3 ft. below measuring point Screened Interval: 18 ft. to 20 ft. Spec. Cond. 00094: µMhos time of 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: 4.0 gallons Appearance Tan here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:July 6,10,12,13,14,21, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 160 /100mL Nitrate (NO3) as N 00620 0.03 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 3.06 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 844 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 7.3 units Ba - Barium 01007 ug/L TOC oo68o 17.0 mg/L Ca - Calcium 00916 mg/L Chloride 00940 106 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 3273o ug/L Fe - Iron olo45 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) IN No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200B Total Ammonia oo6lo 3.2 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 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print or type mg/L Effluent Total V • and that the labcratory analytical date ,ability of fines and imprisonment for kn Tony Konsul Signature of Permittee (or Authorized Agent) mg/L VOC Removal% 10/21 /26 GV -59 Rev. 05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY • . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617MAIL SERVICE CENTER, RALEIGH,NC27688-1617 Phone:91"07-6306 FACILITY INFORMATION Pease Print ClearlyorType PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge W00009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927 County Currituck © Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Northwest of LPP No. of wells to be sampled: 5 ❑ Water Source Heat Pump N Other: LPP Field (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#6 Date sample collected: 7/6/23 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH oo400: 7.29 units Temp. 000lo 21.8 °C DRY at Depth to Water Level 82546:5.3 ft. below measuring point Screened Interval: 18 ft. to 20 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Swampy check Volume of water pumped/bailed before sampling: 3.0 gallons Appearance Brown here: ❑ Samples for metals were collected unfiltered: El YES ❑ NO and field acidified: ❑ YES El NO LABORATORY INFORMATION Date sample analyzed: July 6,10,12,13,14,21, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NOS as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 2 /100mL Nitrate (NO3) as N 00620 0.28 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 4.02 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 1060 mg/L AI -Aluminum ol105 mg/L pH (Lab) 00403 7.3 units Ba - Barium 01007 ug/L TOC 0o680 19.1 mg/L Ca - Calcium 00916 mg/L Chloride oo94o 246 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug1L 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 o1o45 uglL (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 # SM 6200B Total Ammonia 00610 3.3 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH, as N; Ammonia Ntrogen, Total) Mn - Manganese 01055 uglL , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Aqent) Name and Title - Please print or type Tonv Konsul 10/21 /26 GW-59 Rev.05-02-2017 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 2M9.1617 Phone: 91943074=8 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge WQ0009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927' County Currituck © Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: MW 12 West of Infiltration Pond No. of wells to be sampled: 5 ❑ Water Source Heat Pump ® Other: LPP Field (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#12 West Date sample collected: 7/11/23 FIELD ANALYSES: WAS Well Depth: 12.3 ft. Well Diameter: 2 in. pH 00400: 6.89 units Temp. 000lo: 26.3 oC DRY at Depth to Water Level 82546:3.8 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cord. 00094: µMhos time of sampling, Measuring Point is 2.3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 3.5 gallons Appearance Tan here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:July 11,13,14,18,19,25, and August 1, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead o1051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.02 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 1.56 mg1L (Note: use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Soiids:Total 7o3oo 475 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 6.9 units Ba - Barium 01007 ug/L TOC 0068o 5.1 mg/L Ca - Calcium 00916 mg/L Chloride oo94o 162 mg/L Cd - Cadmium o1o27 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 # SM 6200B Total Ammonia 00610 <0.2 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 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print or type Tonv Konsul 10/21 /26 GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLW 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 Phone: 819.807-8306 FACILITY INFORMATION Please PWnt Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge WQ0009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Mafia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927 County Currituck FE1 Lagoon ❑ Remediation: Infiltration Gallery " ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: MW 13 East of Infiltration Pond No. of wells to be sampled: 5 ❑ Water Source Heat Pump 9 Other: LPP Field from Perms SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#13 East Date sample collected: 7/11/23 FIELD ANALYSES: WAS Well Depth: 11 ft. Well Diameter: 2 in. pH oo400: 6.51 units Temp. oo01o: 29.4 °C DRY at Depth to Water Level 82546: 1.0 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2.3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Tan here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:July 11,13,14,18,19,25, and August 1, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0,02 mg/L Pb - Lead o1061 ug/L Coliform: MF Fecal 31616 2 /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 1.13 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7o3oo 524 mg/L AI - Aluminum 01105 mg/L pH (Lab) 00403 6.5 units Ba - Barium 01007 ug/L TOC omm 7.3 mg/L Ca - Calcium 00916 mg/L Chloride oo94o 166 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper o1o42 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron o1o45 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ugiL Lab Report Attached? ❑ Yes (1) ® No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200B Total Ammonia 00610 <0.2 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 ug/L method # For Remedlation Systems Only •Total• • I certify that. to the best of my knowledge and belief. the information submitted in this report is true, accurate and complete. and that the labcratory analytical data was produced using approved methods of analysis by a DWR-certified laboratory I am aware that there are significant penalties for submitting false information. including the possibility of fines and imprisonment for knowing violations • • - • - Operations1 • Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.05-02-2017