WQ0018087_Monitoring - 07-2023_20231201

Monitoring Report Submittal
...................................................
Permit Number#* WQ0018087
Name of Facility:* DAK Americas LLC - Cape Fear manufacturing Facility
Month: * July Year: * 2023
Report Information
Type* Upload Document*
GW-59 Semiannual Monitoring Well Report —Jul 2023 6.29MB
Su bmittal_07272023. pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Phyllis H Simmons
Signature:
" Xl:/ W-t 5W' 'WJ
Date of submittal: 12/1/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00018087
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 12/1/2023

DAKAmeric,c-,
July 20, 2023
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Permit No. WQ0018087
Cape Fear Manufacturing Facility
Surface Disposal of Class B Residuals (Dedicated)
Brunswick County
Dear Division of Water Resources:
Enclosed please find:
1. Two copies of Compliance and Monitoring Form (GW-59) for the 6 wells
associated with the Sludge Disposal Unit.
2. Laboratory analysis for these same wells.
3. Compliance Report Form GW-59A
4. Summary of the Groundwater Monitoring Results
As shown in the summary, some of the results in the monitoring wells are above the
permit limits. However, these results remain consistent with previous results and most
results show decreases in concentration. The regional office has received this data.
No additional actions are planned at this time.
If additional information is needed, please feel free to contact either myself on 910-371-
5232 or Larry Young on 910-264-2564.
Sincerer yours,
Penny,' ahoney
G1013'at"Sustainability Dire
DAK Americas LLC
DAK Americas LLC • 1430 Commonwealth Drive, Suite 305 • Wilmington, NC 28403
910-371-4863(Phone) 9 910-371-4456 (Fax)
www.dakamericas.com

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: WQ0018087 Expiration Date: Jan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
NPDES NC0000663 Other
Permit Name (if different):
Facility Address: 1430 Commonwealth Drive, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton s'r°"' NC 28403
County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
,city, „-' izr)t
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down gradient/Monitoring Well # 2A
No. of wells to be sampled: 6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 2A
Date sample collected:
06/07/2023
FIELD ANALYSES:
WAS
Well Depth: 13.0 ft.
Well Diameter:
2.0 in.
pH 6.4 units Temp. 19.7 °C
DRY at
Depth to Water Level: 7.1 ft. below measuring point
Screened Interval:
3.0 ft. to 13.0
ft. Spec. Cond. µMhos
time of
1.92
Measuring Point is ft. above land surface
Relative M.P. Elevation:
20.39 ft.
Odor None
sampling,
check
Volume of water pumped/bailed before sampling: 10 gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ®YES ❑ NO
and field acidified: ®
YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06/07/23- 06/22/23
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead <0.01 mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
0.12 mg/1
Zn - Zinc <0.01 mg/I
Coliform: MF Total /100ml Phosphorus: Total as P
<0.04 mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/1
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 231 mg/I
AI - Aluminum
mg/I
Cobalt - <0.001 mg/I
pH (when analyzed) 7.1 units
Ba - Barium
mg/I
Selenium - <0.01 mg/1
TOC mg/I
Ca - Calcium
mg/I
Chloride <5 mg/I
Cd - Cadmium
<0.001 mg/I
Arsenic <0.01 mg/I
Chromium: Total
<0.01 mg/I
Grease and Oils mg/I
Cu - Copper
<0.01 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
<0.0002 mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.2 mg/I
Mg - Magnesium
1.68 mg/I
method #
(Ammonia Nitrogen; NHjas N; Ammonia Nitrogen. Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
<0.01 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
(or
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: WQ0018087 Expiration Date: Jan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
Permit Name (if different):
NPDES NC0000663 Other
Facility Address: 1430 Commonwealth Dr, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton Str'-e0 NC 28403 County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
(Cayl tst�te) Or)
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down gradient/Monitoring Well # 2B No. of wells to be sampled:
6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 2B
Date sample collected: 06/07/23
FIELD ANALYSES:
WAS
Well Depth: 13 ft.
Well Diameter: 2.0 in.
pH 6.8 units Temp. 20.0 °C
DRY at
Depth to Water Level: 7.7 ft. below measuring point
Screened Interval: 3 ft.
to 13
ft. Spec. Cond. µMhos
time of
Measuring Point is 2•9 ft. above land surface
Relative M.P. Elevation:
24 ft.
Odor None
sampling,check
Volume of water pumped/bailed before sampling:
12 gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ®YES
❑ NO and field acidified: ®YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06/07/23 - 06/22/23
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead <0.01 mg/1
Coliform: MF Fecal /loom[
Nitrate (NO3) as N
0.04 mg/I
Zn - Zinc <0.01 mg/I
Coliform: MF Total /loom[
Phosphorus: Total as P
<0.04 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 750 mg/I
Al -Aluminum
mg/I
Cobalt - 0.010 mg/I
pH (when analyzed) 6.9 units
Ba - Barium
mg/I
Selenium - <0.01
TOC mg/I
Ca - Calcium
mg/I
Chloride 15 mg/I
Cd - Cadmium <0.001
mg/I
Arsenic 0.026 mg/I
Chromium: Total
<0.01 mg/I
Grease and Oils mg/I
Cu - Copper
<0.01 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 32.5 mg/I
Mg - Magnesium
7.89 mg/I
method #
(Ar monia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
<0.01 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
(or
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8 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: WQ0018087 Expiration Date: Jan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
Permit Name (if different):
NPDES NC0000663 Other
Facility Address: 1430 Commonwealth Drive, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton s'"-"' NC 28403
County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
"�tY' G"`e' `Zipl
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down gradient/Monitoring Well # 2C
No. of wells to be sampled:
6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 2C
Date sample collected: 06/06/23
FIELD ANALYSES:
WAS
Well Depth: 13 ft.
Well Diameter: 2.0 in.
pH 6.81 units Temp. 20.0 °C
DRY at
Depth to Water Level: 6.3 ft. below measuring point
Screened Interval: 3 ft. to 13
ft. Spec. Cond. µMhos
time of
Measuring Point is 3.05 ft. above land surface
Relative M.P. Elevation:
25 ft.
Odor None
sampling,check
Volume of water pumped/bailed before sampling: 8 gallons
Appearance Muddy/Brown
here:
Samples for metals were collected unfiltered: ®YES ❑ NO
and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/07/2023-6/22/2023
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
0.08 mg/I
Pb - Lead <0.01 mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
11.3 mg/I
Zn - Zinc 0.010 mg/I
Coliform: MF Total /100ml Phosphorus: Total as P
0.69 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 621 mg/I
Al -Aluminum
mg/I
Cobalt - 0.019 mg/I
pH (when analyzed) 7.1 units
Ba - Barium
mg/I
Selenium - <0.01 mg/1
TOC mg/I
Ca - Calcium
mg/I
Chloride 8 mg/I
Cd - Cadmium
<0.001 mg/I
Arsenic 0.014 mg/I
Chromium: Total
<0.01 mg/I
Grease and Oils mg/I
Cu - Copper
<0.01 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
<0.0002 mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia < 0.2 mg/I
Mg - Magnesium
10.0 mg/I
method #
(Ammonia Nitrogen; NHjas N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/l
, method #
TKN as N mg/I
Ni - Nickel
0.017 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
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: WQ0018087 Expiration Date: Jan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
Permit Name (if different):
NPDES NC0000663 Other
Facility Address: 1430 Commonwealth Drive, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton `stf-.1) NC 28403
County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
rcity) istate) iZip)
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down gradient/Monitoring Well # 2D
No. of wells to be sampled:
6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 2D
Date sample collected: 06/07/23
FIELD ANALYSES:
WAS
Well Depth: 13 ft.
Well Diameter: 2.0 in.
pH 6.4 units Temp. 20.2 °C
DRY at
Depth to Water Level: 6.9 ft. below measuring point
Screened Interval: 3 ft. to 13
ft. Spec. Cond. µMhos
time of
Measuring Point is 3•0 ft. above land surface
Relative M.P. Elevation:
22 ft.
Odor None
sampling,check
Volume of water pumped/bailed before sampling: 10 gallons
Appearance Muddy/Brown
here: ❑
Samples for metals were collected unfiltered: ®YES ElNO
and field acidified: ® YES
El NO
LABORATORY INFORMATION
Date sample analyzed: 06/07/22 - 06/22/23
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/1
Nitrite (NO2) as N
0.08 mg/I
Pb - Lead <0.01 mg/1
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
0.22 mg/1
Zn - Zinc <0.01 mg/1
Coliform: MF Total /100ml Phosphorus: Total as P
<0.04 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 240 mg/I
Al - Aluminum
mg/I
Cobalt - 0.001 mg/1
pH (when analyzed) 7.3 units
Ba - Barium
mg/1
Selenium - <0.01
TOC mg/I
Ca - Calcium
mg/I
Chloride 7 mg/I
Cd - Cadmium
<0.001 mg/I
Arsenic <0.01 mg/1
Chromium: Total
<0.01 mg/I
Grease and Oils mg/1
Cu - Copper
<0.01 mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/1
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
<0.0002 mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/1
VOC method #
Total Ammonia 33.6 mg/I
Mg - Magnesium
2.12 mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
-mg/1
,method #
TKN as N mg/I
Ni - Nickel
<0.01 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%,
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Eim,617
(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: WQ0018087 Expiration Date: Jan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
Permit Name (if different):
NPDES NC0000663 Other
Facility Address: 1430 Commonwealth Drive, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton NC 28403
County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
tc'iy) S'aat'--, (Zip)
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Down gradient/Monitoring Well # 2E
No. of wells to be sampled:
6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 2E
Date sample collected: 06/06/23
FIELD ANALYSES:
WAS
Well Depth: 13 ft.
Well Diameter: 2.0 in.
pH 6.9 units Temp. 18.5 °C
DRY at
Depth to Water Level: 6.4 ft. below measuring point
Screened Interval: 3 ft. to 13
ft. Spec. Cond. µMhos
time of
Measuring Point is 3•0 ft. above land surface
Relative M.P. Elevation:
23 ft.
Odor None
sampling,check
Volume of water pumped/bailed before sampling: 12 gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ®YES ❑ NO
and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06/07/23 - 06/22/23
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
0.08 mg/I
Pb - Lead <0.01 mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
0.09 mg/I
Zn - Zinc <0.01 mg/I
Coliform: MF Total /100ml Phosphorus: Total as P
0.28 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 472 mg/I
Al -Aluminum
mg/I
Cobalt - 0.006 mg/1
pH (when analyzed) 7.1 units
Ba - Barium
mg/I
Selenium - <0.01 mg/1
TOC mg/I
Ca - Calcium
mg/I
Chloride 20 mg/I
Cd - Cadmium
<0.001 mg/I
Arsenic 0.013 mg/l
Chromium: Total
<0.01 mg/I
Grease and Oils mg/I
Cu - Copper
<0.01 mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
<0.0002 mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia 39.2 mg/I
Mg - Magnesium
4.42 mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/1
,method #
TKN as N mg/I
Ni - Nickel
<0.01 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENTOF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
WN16117
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly orType
PERMIT Number: WQ0018087 Expiration Date: .tan. 31, 2027
Facility Name: DAK Americas LLC, Cape Fear Site
Non -Discharge UIC
Permit Name (if different):
NPDES NC0000663 Other
Facility Address: 1430 Commonwealth Drive, Suite 305
TYPE OF PERMITTED OPERATION BEING MONITORED
Wilmin ton s"`'`" NC 28403
County Brunswick
❑ Lagoon ❑ Remediation: Infiltration Gallery
(Cary' Smt`-' ,Z'P'
❑ Spray Field ❑ Remediation:
Contact Person: Larry Young
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Background/Monitoring Well # 3A
No. of wells to be sampled: 6
❑ Water Source Heat Pump © Other: Surface Disposal Res.Sol
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW # 3A
Date sample collected:
06/06/23
FIELD ANALYSES:
WAS
Well Depth: 13.25 ft.
Well Diameter:
2.0 in.
pH 5.9 units Temp. 18.3. °C
DRY at
Depth to Water Level: 4.2 ft. below measuring point
Screened Interval:
3.25 ft. to 13.3
ft. Spec. Cond. µMhos
time of
1.76
Measuring Point is ft. above land surface
Relative M.P. Elevation:
24.78 ft.
Odor None
sampling,
check
Volume of water pumped/bailed before sampling: 12 gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ®YES ❑ NO
and field acidified: ®
YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06/07/23 - 06/22/23
Laboratory Name: Envirochem
Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal
concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead <0.01 mg/I
Coliform: MF Fecal /loom]
Nitrate (NO3) as N
<0,02 mg/I
Zn - Zinc 0.079 mg/I
Coliform: MF Total /loom) Phosphorus: Total as P
0.25 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 168 mg/I
Al - Aluminum
mg/I
Cobalt - <0.001 mg/I
pH (when analyzed) 7.5 units
Ba - Barium
mg/I
Selenium - <0.01 mg/I
TOC mg/I
Ca - Calcium
mg/I
Chloride 15 mg/I
Cd - Cadmium
<0.001 mg/I
Arsenic <0.01 mg/I
Chromium: Total
<0.01 mg/I
Grease and Oils mg/I
Cu - Copper
0.105 mg/I
ORGANICS: (by GC, GUMS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
<0.0002 mg/I
Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia 0.2 mg/I
Mg - Magnesium
1.81 mg/I
method #
(Ammonia Nitrogen: NH,as N: Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
<0.01 mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Penny C. Mahoney - Director of Sustainability and Operations Supp
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007

envirochem
ANALYTICAL 8 CONSULTING CHEMISTS
DAK Americas
1205 Culbreth Drive Suite 200
Wilmington NC 28405
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info(F;environmentalchetnists.com
Date of Report: Jun 28, 2023
Customer PO #:
Customer ID: 08100044
Report #: 2023-11461
Project ID: Monitoring Well
Lab ID Sample ID:
23-28716 Site: MW-2A
Test
Collect DatelTime
6/7/2023 9:06 AM
Method
Matrix Sampled by
Water Client
Results Date Analyzed
Copper
EPA 200.7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Lead
EPA 2007, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 200.7. Rev 4.4, 1994
1.68 mg/L
06/15/2023
Nickel
EPA 200 7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Selenium
EPA 200.7, Rev 4.4. 1994
<0.01 mg/L
06/15/2023
Zinc
EPA 200 7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Arsenic
EPA 200 7. Rev. 4.4, 1994
<0.01 mg/L
06/15/2023
Chromium
EPA 200.7, Rev.4A, 1994
<0,01 mg/L
06/15/2023
Cadmium
EPA 200.8, Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 200.8, Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Mercury
EPA 245.1
<0.0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L
06/08/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015
231 mg/L
06/07/2023
pH
SM 4500 H B-2011
7.1 units
06/22/2023
Resu:t estimated. Analyzed out of 15 minutes hold time.
Total Phosphorus
SM 4500 P (F-H)-2011
< 0.04 mg/L
06/20/2023
Chloride
SM4500 Cl E-2011
< 5 mg/L
06/0912023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
06/08/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.12 mg/L
06/08/2023
Nitrate Nitrogen
Subtraction Method
0.12 mg/L
06/20/2023
Report # : 2023-1146' ��' �•� 6� z,. page 1 of 3

ANALYTICAL & CONSULTING CHEMISTS
DAK Americas
1205 Culbreth Drive Suite 200
Wilmington NC 28405
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Rowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910,347.5843 Lab/Fax
info(<i:em-ironmentalchemists.com
Date of Report: Jun 28, 2023
Customer PO #:
Customer ID: 08100044
Report #: 2023-11461
Project ID: Monitoring Well
Lab ID Sample ID:
23-28716 Site: MW-26
Test
Collect Date/Time
6/7/2023 9:33 AM
Method
Matrix Sampled by
Water Client
Results Date Analyzed
Copper
EPA 200.7. Rev 4.4 1994
<0.01 mg/L
06/15/2023
Lead
EPA 200.7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 200.7, Rev 4.4. 1994
7.89 mg/L
06/15/2023
Nickel
EPA 200.7, Rev 4.4. 1994
<0.01 mg/L
06/15/2023
Selenium
EPA 200 7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Zinc
EPA 200 7 Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Arsenic
EPA 200 7, Rev. 4 4,1994
0.026 mg/L
06/15/2023
Chromium
EPA 200.7, Rev. 4.4, 1994
<0.01 mg/L
06/15/2023
Cadmium
EPA 200.8. Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 20.8, Rev. 5.4, 1994
0.010 mg/L
06/09/2023
Mercury
EPA 245.1
<0.0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0,1993
32.5 mg/L
06/08/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015
750 mg/L
06/07/2023
pH
SM 4500 H B-2011
6.9 units
06/22/2023
Result estimated Analyzed out of 15 minutes hold time.
Total Phosphorus
SM 4500 P (F-H)-2011
< 0.04 mg/L
06/20/2023
Chloride
SM4500 Cl E-2011
15 mg/L
06/09/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
06/08/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.04 mg/L
06/08/2023
Nitrate Nitrogen
subtraction Method
0.04 mg/L
06/20/2023
Report # 2023-11461 ®� �� �i Page 2 of 3

F"'"'
,Oqql
• -
ANALYTICAL & CONSULTING CHEMISTS
DAK Americas
1205 Culbreth Drive Suite 200
Wilmington NC 28405
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 6 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
environmentalchemists.com
Date of Report: Jun 28, 2023
Customer PO #:
Customer ID: 08100044
Report #: 2023-11301
Project ID: Monitoring Well
Lab 1D Sample ID:
23-28313 Site: MW-2C
Test
Collect Date/Time
6/6/2023 12:10 PM
Method
Matrix Sampled by
Water Larry Young
Results Date Analyzed
Copper
EPA 200.7, Rev 4.4.1994
<0.01 mg/L
06/15/2023
Lead
EPA 200.7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 200.7, Rev 4.4, 1994
10.0 mg/L
06/22/2023
Nickel
EPA 200.7, Rev 4.4. 1994
0.017 mg/L
06/15/2023
Selenium
EPA 200.7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Zinc
EPA 200.7, Rev 4.4, 1994
0,010 mg/L
06/15/2023
Arsenic
EPA 200.7, Rev. 4A, 1994
0.014 mg/L
06/15/2023
Chromium
EPA 200.7, Rev. 4.4, 1994
<0.01 mglL
06/15/2023
Cadmium
EPA 200.8. Rev. 5.4,1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 200.8. Rev. 5.4, 1994
0.019 mg/L
06/09/2023
Mercury
EPA 245.1
<0.0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L
06/07/2023
Total Dissolved Solids (TDS)
SM2540C-2015
621 mg/L
06/07/2023
pH
SM 4500 H B-2011
7.1 units
06/22/2023
Result estimated Analyzed out of 15 minutes hold time.
Total Phosphorus
SM 4500 P (F-H)-2011
0.69 mg/L
06/12/2023
Chloride
SM4500 Cl E-2011
8 mg/L
06/09/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
0.08 mg/L
06/07/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0, 1993
11.4 mg/L
06/07/2023
Nitrate Nitrogen
Subtraction Method
11.3 mg/L
06/15/2023
Report #:: 2023.11301 Page 1 of 3

envirochem
ANALYTICAL & CONSULTING CHEMISTS
Fol"o- -- -'. -"qql
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@envi ronmentalchemists.com
DAK Americas
Date of Report: Jun 28, 2023
1205 Culbreth Drive Suite 200
Customer PO M
Wilmington NC 28405
Customer ID: 08100044
Attention:
Report M 2023-11461
Project ID: Monitoring Well
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-28717 Site: MW-21)
6/7/2023
8A7 AM Water Client
Test
Method
Results Date Analyzed
Copper
EPA 200 7. Rev 4.4. 1994
<0.01 mg/L
06/15/2023
Lead
EPA 200 7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 20D 7. Rev 4.4, 1994
2.12 mg/L
06/15/2023
Nickel
EPA 20D 7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Selenium
EPA 200.7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Zinc
EPA 200.7, Rev 4 4 1994
<0.01 mg/L
06/15/2023
Arsenic
EPA 200.7, Rev. 4.4,1994
<0.01 mg/L
06/15/2023
Chromium
EPA 200.7, Rev. 4.4, 1994
<0.01 mg/L
06/15/2023
Cadmium
EPA200.8, Rev 5.4, 1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 200.8, Rev 5.4, 1994
0.001 mg/L
06/09/2023
Mercury
EPA245.1
<0,0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
33.6 mg/L
06/08/2023
Total Dissolved Solids (TDS)
SM 2640 C-2015
240 mg/L
06/07/2023
pH
SM 4500 H B-2011
7.3 units
06/22/2023
Result estimated. Analyzed out of 15 minutes hold time.
Total Phosphorus
SM 4500 P (F-H)-2011
< 0.04 mg/L
06/20/2023
Chloride
SM4600 ct E-2011
7 mg/L
06/09/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2,Rev 2 0. 1993
0.08mg/L
06/08/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2,Rev 2 0. 1993
0.30mg/L
06/08/2023
Nitrate Nitrogen
Subtraction Method
0.22 mg/L
06/20/2023
Comment: I
�yY ' 4j
Reviewed by:
Report #.: 2023.11461 Page 3 of 3

envirachem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info(ii�environmentalchemists.com
DAK Americas Date of Report: Jun 28, 2023
1205 Culbreth Drive Suite 200 Customer PO #:
Wilmington NC 28405 Customer ID: 08100044
Attention: Report #: 2023-11301
Project ID: Monitoring Well
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-28318 Site: MW-2E 6/6/2023 10.38 AM Water Larry Young
Test Method Results Date Analyzed
Copper
EPA 200.7. Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Lead
EPA 200 7, Rev 4 4.1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 200 7, Rev 4 4 1994
4.42 mg/L
06/15/2023
Nickel
EPA 200 7, Rev 4 4, 1994
<0.01 mg/L
06/15/2023
Selenium
EPA 2007,Rev 4.4.1994
<0.01mg/L
06/15/2023
Zinc
EPA 200.7. Rev 4.4. 1994
<0.01 mg/L
06/15/2023
Arsenic
EPA 200.7, Rev, 4A, 1994
0.013 mg/L
06/15/2023
Chromium
EPA 200.7, Rev. 4.4, 1994
<0.01 mg/L
06/15/2023
Cadmium
EPA 200A Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 200.8, Rev. 5.4, 1994
0.006 mg/L
06/09/2023
Mercury
EPA 245.1
<0.0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0. 1993
39.2 mg/L
06/07/2023
Total Dissolved Solids (TDS)
SM 2540 C-2015
472 mg/L
06/07/2023
pH SM 4500 H B-2011
Result estimated. Analyzed out of 15 minutes hold time.
7.1 units
06/22/2023
Total Phosphorus
SM 4500 P (F-H).2011
0.28 mg/L
06/12/2023
Chloride
SM4500 Cl E-2011
20 mg/L
06/09/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0,1993
0.08 mg/L
06/07/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0,1993
0.17 mg/L
06/07/2023
Nitrate Nitrogen
Subtraction Method
0.09 mg/L
06/15/2023
Report M 2023.11301 Page 2 of 3

F""" -- -�7 Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington I-lighway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL& CONSULTING CHEMISTS i nfwa.envi ron men ta lchemists.com
DAK Americas
Date of Report: Jun 28, 2023
1205 Culbreth Drive Suite 200
Customer PO #:
Wilmington NC 28405
Customer ID: 08100044
Attention:
Report #: 2023-11301
Project ID: Monitoring Well
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-28319 Site: MW-3A
6/6/2023
11:24 AM Water Larry Young
Test
Method
Results Date Analyzed
Copper
EPA 200.7, Rev 4.4.1994
0.105 mg/L
06/15/2023
Lead
EPA 200.7, Rev 4.4. 1994
<0.01 mg/L
06/15/2023
Magnesium
EPA 200.7, Rev 4.4,1994
1.81 mg/L
06/16/2023
Nickel
EPA 200.7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Selenium
EPA 200.7, Rev 4.4, 1994
<0.01 mg/L
06/15/2023
Zinc
EPA 200.7. Rev 4.4, 1994
0.079 mg/L
06/15/2023
Arsenic
EPA 200.7, Rev. 4.4, 1994
<0.01 mg/L
06/15/2023
Chromium
EPA 200.7, Rev. 4.4. 1994
<0.01 mg/L
06/15/2023
Cadmium
EPA200.8. Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Cobalt
EPA 200.8, Rev. 5.4, 1994
<0.001 mg/L
06/09/2023
Mercury
EPA 245.1
<0.0002 mg/L
06/08/2023
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
0.2 mg/L
06/07/2023
Total Dissolved Solids (TDS)
SM 2W C-2015
168 mg/L
06/07/2023
pH
SM 4500 H B-2011
7.5 units
06/22/2023
Result estimated. Analyzed out of 15 minutes hold time.
Total Phosphorus
SM 4500 P (F-H)-2011
0.25 mg/L
06/12/2023
Chloride
SM4500 Ci E-2011
15 mg/L
06/09/2023
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2, Rev. 2.0, 1993
< 0.02 mg/L
06/07/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0. 1993
< 0.02 mg/L
06/07/2023
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
06/1512023
Comment:
�
Reviewed by:
Report # 2023-11301 _ Page 3 of 3 ...

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Environmental Chemist, Inc., Wilmington, NC Lab f#94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: \ _ Date:/42beport Number: _ 2023- 11,301
Receipt of sample: ECHEM Pickup ❑ Client De 'very V UPS ❑ Fedl;x ❑ Other ❑
❑ YES 10 NO
® N/A
11. Were custody seals present on the cooler?
© YES I ❑ NO
N/A
12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt °C
_
How temperature taken: ❑ Temperature Blank 10 Against Bottles
IR Gun ID: Thomas Traceable 5/N 210886869 1R Gun Correction factor °C: 0.0
Ti YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
l� YES
❑ NO
5. Were sample ID's listed on the COC?
0 YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COC?
YES
❑ NO
8. Were tests to be performed listed on the COC?
14 YES
❑ NO
9. Did samples arrive in proper containers for each test?
($ YES
YES
YES
YES
❑ NO
❑ NO
❑ NO
❑ NO
10. Did samples arrive in good condition for each test?
11. Was adequate sample volume available?'
12. Were samples received within proper holding time for requested tests?
13. Were acid preserved samples received at a pH of <2?
YES
❑ YES
YES
❑ NO
❑ NO
❑ NO
14. Were cyanide samples received at a pH >12?
15. Were sulfide samples received at a pH >9? .
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
YES
❑ YES
❑ NO
❑ NO 118.
17. Were Sulfide/Cyanide received at a chlorine residual of <0,5 m/L?
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsi %?et.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HzSO,t HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer serv'ce immediately for incorrectly preserved samp es. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time: _
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910 392 OZ23
Sample Receipt Checklist
Client:
Date: Report Number �HC �
Receipt of sample:
❑ YES El No
ECHEM Pickup ❑ Client Delivery UPS ❑ FedEx ❑ Other ❑
N/A 1.
❑ YES
❑
Were custody seals present on the cooler?
Original temperature
NO
upon
N/A
receipt
2. If custody seals were present, were they intact/unbroken?
'C
Corrected temperature upon receipt oC
How temperature taken: ❑ Temperature Blank ❑ Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction (=actor *C. 0.0
YES
S
❑
❑
NO
3. If temperature of cooler exceeded VC, was Project Mgr./QA notified?
S
EYES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
NO
5. Were sample 10's listed on the COC?
❑
NO
6, Were samples ID's listed on sample containers?
YES
11NO
7. Were Collection date and time listed on the COC?
YES
❑
NO
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
11. Was adequate sample volume available?'
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
YES
❑
CJ
NO
13. Were acid preserved samples received at a pH of <2?
YES
❑
NO
14. Were cyanide samples received at a pH >12?
❑ YES
11
N.O
15. Were sulfide samples received at, a pH >9?
YES
❑ YES
ff
NO
16, Were NH3/TKN/€'hen6l received;at_a,chlorin_e:residual of <0.5 m/L? **
Q YES
EON'
17. Were Sulfide/Cyanide received at a chlorine residual of <o.5 m/P
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) _�- were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headsuace
COMMENTS:
DOC. QA.002 Rev 1

GW-59A COMPLIANCE REPORT FORM Permit #_WQ0018087_
(Submit one each monitoring period with GiV-59 forms.)
1
Enter date monitoring results were due. ( Enonozs ) Will this monitoring report (GW-59 and GW-59A)
YLS
NO
be submitted after the established due date?
X
2
Was and required information missing on the GNV-59 report forms?
YES
\_ O
X
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 i%clls in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YE'S
NO
identification plate, area overgrown, etc.)? If the ansi er is "}es" contact the Region(rl Qrfice for giii(&riux.
X
d
Are any monitored constituents equal to or above the established standards?
Y�S
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:
See attached summary of groundwater results.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
Yi;S
NO
same constituent(s) in the same well(s) in the last two years?
X
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).
See attached summary of groundwater results.
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
X
No
If the answer is "YES", a groundwater quality problem may 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 permittee implementing previously approved actions required by the Division involving this
) Vs
0
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 surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
The regional office has previously asked us to continue to sample per the permit.
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 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.
7/20/2023
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

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