WQ0007026_Monitoring - 09-2023_20231031

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
Report Information
Type *
GW-59
WQ0007026
Sanford Health & Rehabilitation
Confirmation Email Address: * [e-mail]
Name of Submitter: * Randall Jarrell
Signature:
Year:* 2023
Upload Document*
SHR MW GW-59 & VOC, 9-19-23.pdf
PDF Only
4.08 M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Date of submittal: 10/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00007026
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 11/1/2023

SUBMIT FORM ON YELLOW PAPER ONLY
OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print
Clearly or Type
1DEPARTMENT
ERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
on -Discharge WQ0007026 UIC
PDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 9-19-23
FIELD ANALYSES:
WAS
Well Depth: 100 ft.
Well Diameter:2
in.
pH 5.44 units Temp. 18.0 °C
DRY at
Depth to Water Level: 1 Oft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µMhos
time of
3
sampling,check
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor
Volume of water pumped/bailed before sampling:
25 gallons
Appearance
here: ElSamples
for metals were collected unfiltered: ❑YES
El NO and field acidified: ❑ YES
El NO
LABORATORY INFORMATION
Date sample analyzed: 9/19/23 - 10/3/23
Laboratory Name: Euroflns
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.017 mg/I
Pb - Lead mg/I
Coliform: MF Fecal 2.0 /100ml
Nitrate (NO3) as N
0.043 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
<0.041 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 92 mg/I
AI - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC 0.74 mg/I
Ca - Calcium
mg/I
Chloride 8.8 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.020 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NHsas N: Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only • ..rts): Influent Total VOCs:
certify that, to the best of my knowledge and belief, the information submitted in this report is true, accu
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information
Randall•'
Permittee (or Authorized Aqent) Name and Title - Please print or tvoe
GW-59 Rev.1/2007
mg/L Effluent Total VOCs:
mg/L VOC Removal%
/v�.✓� _ (G(3i�Z3
Siqnature of Permittee (or Authori ed Agent) (Date)

SUBMIT FORM ON YELLOW PAPER ONLY
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
NEW
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print
Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
Non -Discharge W00007026 UIC
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 9-19-23
FIELD ANALYSES:
WAS
Well Depth: 32.85ft.
Well Diameter:2
in.
pH 6.71 units Temp. 17.1 °C
DRY at
Depth to Water Level: 10ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µ Mhos
time of
3
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
13 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/19/23 - 10/3/23
Laboratory Name: Euroflns
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.017 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1.0 /100ml
Nitrate (NO3) as N
<0.025 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.54 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 290 mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC <0.50 mg/I
Ca - Calcium
mg/I
Chloride 29 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.020 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
Non -Discharge WQ0007026 UIC
NPDES Other
Permit Name (if different): W00007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 9-19-23
FIELD ANALYSES:
WAS
Well Depth: 29•5ft.
Well Diameter:2
in.
pH 6.65 units Temp. 17.7 °C
DRY at
Depth to Water Level: 10.25ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
13 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: EYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/19/23 - 10/3/23
Laboratory Name: Euroflns
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/1
Nitrite (NO2) as N
<0.017 mg/I
Pb - Lead mg/1
Coliform: MF Fecal <1.0 /100ml
Nitrate (NO3) as N
<0.025 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.17 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 350 mg/I
Al - Aluminum
mg/1
pH (when analyzed) units
Ba - Barium
mg/I
TOC 0.85 mg/I
Ca - Calcium
mg/I
Chloride 53 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.020 mg/l
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NHaas N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.1/2007

Client Sample Results
Client: Wastewater Management LLC
Project/Site: Sanford Health & Rehabilitation
GW
Client Sample ID: MW-1
Date Collected: 09/19/23 09:50
Date Received: 09/19/23 12:30
Method: SW846 8260D - Volatile Organic Compounds by GC/MS
(Continued)
Analyte
Result Qualifier
RL
MDL
Unit
n-Butylbenzene
<0.058
1.0
0.058
ug/L
o-Xylene
<0.065
1.0
0.065
ug/L
sec-Butylbenzene
<0.10
1.0
0.10
ug/L
Styrene
<0.11
1.0
0.11
ug/L
tert-Butylbenzene
<0.17
1.0
0.17
ug/L
Tetrachloroethene
<0.17
1.0
0.17
ug/L
Toluene
<0.14
1.0
0.14
ug/L
Trichloroethene
<0.15
1.0
0.15
ug/L
Trichlorofluoromethane
<0.24
1.0
0.24
ug/L
Vinyl chloride
<0.32
1.0
0.32
ug/L
Xylenes, Total
<0.45
3.0
0.45
ug/L
1,2,3-Trichloropropane
<0.49
1.0
0.49
ug/L
4-Chlorotoluene
<0.068
1.0
0.068
ug/L
Surrogate %Recovery Qualifier Limits
Dibromofluoromethane (Surr) 100 67- 129
4-Bromofluorobenzene (Surr) 103 53 - 136
761uene-d8 (Surr) 98 59 - 134
Method: MCAWW 300.0-1993 R2.1 - Anions, Ion Chromatography
Analyte
Result Qualifier
Chloride
8.8
General Chemistry
Analyte
Result Qualifier
Ammonia (EPA 350.1)
<0.020
Nitrate Nitrite as N (EPA 353.2)
0.043 J
Nitrite as N (EPA 353.2)
<0.017
Phosphorus (EPA 365.4-1974)
<0.041
Total Non-purgeable Organic
0.74 J
Carbon (SM 5310 B-2011)
Nitrate as N (SM Nitrate by calc)
0.043 J
Total Dissolved Solids (SM 2540C)
92
Method: IDEXX Coliform - Coliforms,
Fecal
Analyte
Result Qualifier
Coliform, Fecal
2.0
Client Sample ID: MW-4
Date Collected: 09/19/23 08:50
Date Received: 09/19/23 12:30
Method: SW846 8260D - Volatile Organic Compounds by GC/MS
Analyte
Result Qualifier
1,1,1, 2-Tetrach loroethan a
<0.17
1,1,1-Trichloroethane
<0.12
1,1,2, 2-Tetrach loroethane
<0,28
1,1,2-Trichloroethane
<0.14
1,1-Dichloroethane
<0.13
1,1-Dichloroethene
<0.21
1,1-Dichloropropene
<0.15
Job ID: 752-11669-1
Lab Sample ID: 752-11669-1
Matrix: Water
D Prepared Analyzed
oil Fac
10/03/23 04:12
10/03/23 04:12
1
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
10/03/23 04:12
1
Prepared Analyzed
Dil Fac
10103123 04:12
1
10103123 04:12
1
10103123 04:12
1
RL
MDL
Unit
D Prepared Analyzed
Dil Fac
0.50
0.20
mg/L
09/2112315:48
1
RL
MDL
Unit
D Prepared Analyzed
Dil Fac
0.050
0.020
mg/L
09/20/2311:32
1
0.10
0.041
mg/L
09/21/2311:03
1
0.10
0.017
mg/L
09/19/2316:13
1
0.10
0.041
mg/L
09/22/23 12:17 09/25/23 08:24
1
1.0
0.50
mg/L
09/26/2314:34
1
0.10
0.025
mg/L
09/21/23 09:13
1
50
50
mg/L
09/25/2313:13
1
RL MDL Unit D Prepared Analyzed Dil Fac
1.0 1.0 MPN/100ml- 09/19/2313:37 1
Lab Sample ID: 752-11669-2
Matrix: Water
RL
MDL Unit
D Prepared Analyzed
Dil Fac
1.0
0.17 ug/L
10/03/23 04:41
1
1.0
0.12 ug/L
10/03/23 04:41
1
1.0
0.28 ug/L
10/03/23 04:41
1
1.0
0.14 ug/L
10/03/23 04:41
1
1.0
0.13 ug/L
10/03/23 04:41
1
1.0
0.21 ug/L
10/03/23 04:41
1
1.0
0.15 ug/L
10/03/23 04:41
1
Eurofins Raleigh
Page 8 of 36 10/4/2023

Client Sample Results
Client: Wastewater Management LLC
Project/Site: Sanford Health & Rehabilitation GW
Client Sample ID: MW-4
Date Collected: 09/19/23 08:50
Date Received: 09/19/23 12:30
Method: SW846 8260D - Volatile Organic Compounds by GC/MS (Continued)
Analyte Result Qualifier
RL
MDL
Unit
Trichloroethene <0.15
1.0
0.15
ug/L
Trichlorofluoromethane <0.24
1.0
0.24
ug/L
Vinyl chloride <0.32
1.0
0.32
ug/L
Xylenes, Total <0.45
3.0
0.45
ug/L
1,2,3-Trichloropropane <0.49
1.0
0.49
ug/L
4-Chlorotoluene <0.068
1.0
0.068
ug/L
Surrogate %Recovery Qualifier Limits
Dibromofluoromethane (Surr) 101 67- 129
4-Bromofluorobenzene (Surr) 107 53 - 136
Toluene-d8 (Surr) 101 59 - 134
Method: MCAWW 300.0-1993 R2.1 - Anions, Ion Chromatography
Analyte Result Qualifier
Chloride 29
General Chemistry
Analyte
Result Qualifier
Ammonia (EPA 350.1)
<0.020
Nitrate Nitrite as N (EPA 353.2)
<0.041
Nitrite as N (EPA 353.2)
<0.017
Phosphorus (EPA 365.4-1974)
0.54
Total Non-purgeable Organic Carbon
<0.50
(SM 5310 B-2011)
Nitrate as N (SM Nitrate by calc)
<0.025
Total Dissolved Solids (SM 2540C)
290
Method: IDEXX Coliform - Coliforms, Fecal
Analyte
Result Qualifier
Coliform, Fecal
<1.0
Client Sample ID: MW-5
Date Collected: 09/19/23 09:20
Date Received: 09/19/23 12:30
Method: SW846 8260D - Volatile Organic Compounds by GC/MS
Analyte
Result Qualifier
1,1,1, 2-Tetrach loroethane
<0.17
1,1,1-Trichloroethane
<0,12
1,1, 2,2-Tetrach loroethane
<0.28
1,1,2-Trichloroethane
<0.14
1,1-Dich loroethane
<0.13
1,1-Dichloroethene
<0.21
1,1-Dichloropropene
<0.15
1,2,3-Trichlorobenzene
<0.012
1, 2,4-Trichlorobenzene
<0.14
1,2,4-Tri methylbenzene
<0.10
1,2-Dibromo-3-Chloropropane
<0.48
Ethylene Dibromide
<0.66
1,2-Dichlorobenzene
<0.19
1,2-Dichloroethane
<0.21
Job ID: 752-11669-1
Lab Sample ID: 752-11669-2
Matrix: Water
D Prepared Analyzed oil Fac
10/03/23 04:41 1
10/03/23 04:41 1
10/03/23 04:41 1
10/03/23 04:41 1
10/03/23 04:41 1
10/03/23 04:41 1
Prepared Analyzed Dil Fac
10103123 04:41 1
10103123 04:41 1
10103123 04:41 1
RL
MDL Unit
D Prepared
Analyzed
Dil Fac
0.50
0.20 mg/L
09/21/2316:26
1
RL
MDL Unit
D Prepared
Analyzed
oil Fac
0.050
0.020 mg/L
09/20/2311:34
1
0.10
0.041 mg/L
09/21/2311:08
1
0.10
0.017 mg/L
09/19/2316:14
1
0.10
0.041 mg/L
09/22/23 12:22
09/25/23 08:56
1
1.0
0.50 mg/L
09/26/2314:52
1
0.10
0.025 mg/L
09/21/23 09:13
1
50
50 mg/L
09/25/2313:13
1
RL MDL Unit D Prepared Analyzed oil Fac
1.0 1.0 MPN/100mL 09/19/2313:37 1
Lab Sample ID: 752-11669-3
Matrix: Water
RL
MDL
Unit
D Prepared Analyzed
Dil Fac
1.0
0.17
ug/L
10/03/23 05:11
1
1.0
0.12
ug/L
10/03/23 05:11
1
1.0
0.28
ug/L
10/03/23 05:11
1
1.0
0.14
ug/L
10/03/23 05:11
1
1.0
0.13
ug/L
10/03/23 05:11
1
1.0
0.21
ug/L
10/03/23 05:11
1
1.0
0.15
ug/L
10/03/23 05:11
1
1.0
0.012
ug/L
10/03/23 05:11
1
1.0
0.14
ug/L
10/03/23 05:11
1
1.0
0.10
ug/L
10/03/23 05:11
1
1.0
0.48
ug/L
10/03/23 05:11
1
1.0
0.66
ug/L
10/03/23 05:11
1
1.0
0.19
ug/L
10/03/23 05:11
1
1.0
0.21
ug/L
10/03/23 05:11
1
Eurofins Raleigh
Page 10 of 36 10/4/2023

Client Sample Results
Client: Wastewater Management LLC
Project/Site: Sanford Health & Rehabilitation
GW
Client Sample ID: MW-5
Date Collected: 09/19/23 09:20
Date Received: 09/19/23 12:30
Surrogate
%Recovery Qualifier
Limits
Dibromofluoromethane (Surr)
106
67- 129
4-Bromofluorobenzene (Surr)
105
53 - 136
Toluene-d8 (Surr)
102
59 - 134
Method: MCAWW 300.0-1993 R2.1 -
Anions, Ion Chromatography
Analyte
Result Qualifier
RL
Chloride
53
0.50
General Chemistry
Analyte
Result Qualifier
RL
Ammonia (EPA 350.1)
<0.020
0.050
Nitrate Nitrite as N (EPA 353.2)
<0.041
0.10
Nitrite as N (EPA 353.2)
<0.017
0.10
Phosphorus (EPA 365.4-1974)
0.17
0.10
Total Non-purgeable Organic
0.92 J
1.0
Carbon (SM 5310 B-2011)
Nitrate as N (SM Nitrate by calc)
<0.025
0.10
Total Dissolved Solids (SM 2540C)
350
50
Method: IDEXX Coliform - Coliforms,
Fecal
Analyte
Result Qualifier
RL
Coliform, Fecal
<1.0
1.0
Page 12 of 36
Job ID: 752-11669-1
Lab Sample ID: 752-11669-3
Matrix: Water
Prepared
Analyzed
Dil Fac
10103123 05:11
1
10103123 05:11
1
10103123 05:11
1
MDL Unit
D Prepared
Analyzed
Dil Fac
0.20 mg/L
09/21/2319:49
1
MDL Unit
D Prepared
Analyzed
DII Fac
0.020 mg/L
09/20/2311:36
1
0.041 mg/L
09/21/2311:10
1
0.017 mg/L
09/19/2316:14
1
0.041 mg/L
09/22/23 12:17
09/25/23 08:25
1
0.50 mg/L
09/26/2315:07
1
0.025 mg/L
09/21/23 09:13
1
50 mg/L
09/25/2313:13
1
MDL Unit D Prepared
1.0 MPN/100ml-
Analyzed Dil Fac
09/19/23 13:37 1
Eurofins Raleigh
10/4/2023