WQ0003067_Monitoring - 07-2023_20230901

GROUNDWATER QUALITY NIOMTORING-
COMPLIANCE REPORT FORM
2-_ft belovr -eas=g p-nt
EPA F. T. ME! -r OF kF. t i \, 1.'. C a- & NA 1 U RA L RE -SO U R . F-';
V'SiON OF'WATER RESOURCES - LMFORMAMN PRr-X;E-;;Sl.NG UNrr
;17.MAP- SERVICE CEN-TER, qA'-SGH, NC 276p"17 Phone 9- 7.
ERMT N E ration Date:
' ulc on -Discharge.
POES Offer
WE OF PERMIED OPEfZA-nOii-.BE114G,fAlONrrOP-ED
Lagoon Rffne&o6 m-- iratiation Gallery
k
El Rotmy DistnbotDr LndAppFtion of SW9.
water sa-uice freatp m-p -El offier-
.1000,
'twits
FIELD'
Men:. Temp- owgt
S "bom
Sperm; 00-64-
here:
mwem cxAd�,,trvsffitered- J9
Nb ai�---feidpcidifject DYE58; E100
SIlSla3Laborat
xyVarne- KOM
Clltlf-.s. N.-
S
00ML C.4DFrfb= MF,'Feca I.,
-19/L
0062D
Pb Leadacsi
rilglC
I-TWML
Phosp?"tts: TetaTasP 0066.5 0
sngYL
(tom tt'scalPxlnemo3iaaLgtitjM>i61i6s . D&S.)
00Wmsphate Tao U
M
Offier(SO&cify-.0,0rriPoia>cfs
and Concm&abon Unds):
A-Abminum d"as
Baritlm:ortow
6
ugh
''Ing/L
Liu
L�
hlo
C
SEP
ChmaAmi: Totaf01034
-3ftW
L
Gvease-ai� Qds-00552
r 09L
rS!L
($peck.ytesttan ATMCKLABREPORL)
U91L
e0o�A -T
Laib;:k ftkh-�d
y6N&A isifl) :
7. 7
00937
-MS -Magnesium 00927
_WL
-ettioc�#
Un - Man gan w6s-.
.me*tod,.#
N
M 7:Nickel G1067
ug1L
rr)e#iod-#
MW L.
Effluent
YT9,
mim immmi6m
�=Wlwm
rl m 0—_m
GW-59 Rev. W013

Del
Pth
Rljtit .,tb Water Level:82s;d� L_L-'A fLbelbw peirt
east=qPC;nt is ft_above tared std
ik"�e of wate--pvir ped/bailed before sampfing:
bllectied­unf ffterect. 141!�YES..,
EKOR4XORMUNFORMATION
Rs i�OTE h'07. "Ed
PA. '—'eCt aridzbl
C . bllllil_s "ga-
Coffogm:MF Fecaf3i&is noam
s
cqff0f-- A4F n :-,2 . /-lO&T4_ Mospf�'Tota�asP�6p%s Q , 9 'T rag�-1
MMSON,ed Sokds-.T6t.aNMM_nwVL.
PH_ V_aN)w4b3.
ri
ugft--
M
Cd­
AL,
Grease-
ou - Copper mace _._
1 77�
Fe 7, 0.1
zn !7qe.. LAa RFPorzr
Hg.
Attached?
fi�cood
apee.
, K p
tjTArzw"­_
_LVIL
.00927r
mg/ �­
PAR—
u gfs
7FKN:
:seinsffi�
"
WE
Siq,mt ire
..rG-Al-59 Rev. S20-3

SUi3%4f -. r-0RM ON Y*.`_Li 0'1V PAP;6R ONLY
GROUNDWATER QUALITY MONITORING:
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER- RALEIGFf, NC Z7699-1617 PhonF
FACIL17" INFORMATK
a-x,r
aflype
&.-In da"
PERMITNumbe . on Date:_
r, I '­' Ex irat i
Facility Name: i
(�7-t7�
Non Discharge ImNaz�a UIC_
Permit Name (if different): C5
iSe-S, 2M C-_ n
NPDES Other
Facility Address:
C�h - C45A HeK
TYPE OF PERMITTED OPERATION BEING MONITORED
t - 7,'.'
County
goon El Remediation: lafiWmtion Gallery
WSpay Field 13 Remediation:
Contact Person:
C h2elhw.
O&Z' —Telephon
b Rotary Distributor El Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
Water Sou.-ce, Heat Pump 13 Other
SAMPLINGJNFOR"t.1014
WELL 1 D UMI3_E­R(f'rqqmqjm#):,%
rl
C?
�lf WELL
;WAS
Da
Date sample collected-
F19MYSK
DRY
Well Depth: )0 ft. Well Diameter.
Depth to Water IW4
in.
H oo4oD.
p *C
-,- units Temp- oomo.
at, time of
sampling.
LeveII82s46: f"L below measuring point Screened Interval:
fL to
It Spec- Cond. 00094: PMhOs
check
Measuring Point is fL above land Surface
�P/
Relative M.P.
P. Elevation:ft
.
Odor 000a5:
here.
Volume of water pumped/bailed before sampling:
gallons
Appearance
El.
Samples for-roe-talswere collected unfiltered: YES
❑ NO and field acidified: 0 YES
O-NO
LABORATORYINFORMAMN 3
Date Sample amlyzed-
Laboratory Name:
Certification No. PO
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L
Nitrite (NO2) as N oo6i5 mg/L
LK/L
Pb - Lead most txj/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N omw •.
Zn - Zinc =92 mg/L
Coliform: MF Total 31,5o4 /100.L
Phosphorus. Total as P ow65 45-3
mg/L
(NowUse Mf%raal4d fortb9RY!Urtd =VnpkS)
Orffiophosphate 70SU
MA
Other (Specify Compounds and Concentration Units):
Dissolved Solids --Total 7o3o0 mg/L
Al -Aluminum mics
ffK
g/L
pH (Lab) w4m units
Ba -Barium olow
uq1L
TOC (xrwo
Ca - Calcium oog16
m9A_
Chloride oog4o
Cd - Cadrnium, oio27
U91L
ArseniccnDm U91L
Chromium: Total o1034
U9ft_
Grease and Oils oo5s2 mg/L
Cu - Copper =42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o —ugIL
Fe -Iron oio45
ugIL
(Specify test and method #. ATTACH LAB REPORT)
Suffate oeg4s mg/L
Hg - Mercury 7,1 goo
_u9ft_
Lab Report Attached? ❑ Yes (1) No (0)
Specific Conductance,000gs gmhos
K - Potassium 00937
rPCA
VOC 7a732 method
Total Ammonia *omo mg/L
Mg - Magnesium ooq27
mg/L
method #
(Arwrio,aa NQ*9eM NI-6- hk A-M-Iia NiftogM ToW)
Mn - Manganese 01055
uct/L
method#
TKN as N oo625— mg/L
Ni - Nickel wo67
ug/L
method #
For Remediatioin Systems Only (Attach Lab Reports):
Influent Total VOCs_ MA Effluent Total VOCS: mgA_ VOC Removal%
. I r-IT T-_ ^ I t . A-N 1Zo-%
Name and Tide - Please print or -ype
(Deft)
GW-59 Rev- 8/2013