WQ0000185_Monitoring - 10-2023_20231130

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000185
Name of Facility:*
Month: * October
Report Information
Type *
G W-59
Ocean Sands WWTP
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Ocean Sands GW59_11302023164426.pdf 266.64KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
Reviewer: Wanda.Gerald
11 /30/2023
This will be filled in automatically

Is the project number correct?* W00000185
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 12/5/2023

GW-59A COMPLIANCE REPORT FORM Permit # W GOO O-O )
(Submit one each monitoring period with G W-59forms.)
I
Enter date monitoring results were due. 3) Z3 Will this monitoring report (GW-59 and GW-59A)
YES
N
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 9 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 ansiver is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
/f 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.
ills-�3I-ihS_'�p5 ov)4-s-27,i Ni 3 2 S' >J14-S' �l
N143-tU,,�- N143 i3,7
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YE
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).
m MV)-
N14VA
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
LO
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
YES
NO
groundwater quality 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 surroundinq this facility, Failure to do so may sub'ect the 12ermittee to a Notice of Violation
fines, and/or penalties. �� N u+pry m)> 1, N cotss 1�EM,/vv f ^j
,��v�a �►��� ,�� �Al2��L
-��.,�p
4s As j �s
Co.4� 5 s,Sl � ! 5-kb"b► � 4-3is /�a✓tr.
�uTfA
t Worz�CS
i
8
The person completing this po ion (OW-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 G W-59 form.
'I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance,Report GW-519A) is true and complete to the best of my knowledge„
I ?,91Z3
Signature of Permittee (or Author' ed Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF, ENVIRONMENT.'& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�16117
DIVISION OF.WATER QUALITYrINFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL.SE,RVICE,CENTER, RALEIGH,;NC 27699=1617 Phone.,(s19) 733-32z1,.:
FACILITY INFORMATION
Please Print
Clearly or lype
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge U1C
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(Zip)
❑ Spray Field n Remediation-
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 10/19/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 0040o: 7.6 units Temp. 000lo: 24.3 °C
DRY at
Depth to Water Level 82546:9.8 ft. below measuring point Screened Interval: 12 ft. to
17 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.
6.0
gallons
Appearance Clear/Gray
here: ❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:10/19/23
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 0.06
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 6.64
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 531
mg/L
Al -Aluminum ol1o5
mg/L
pH (Lab) 00403 7.6
units
Ba - Barium 01007
ug/L
TOC oosso 5.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 190
mg/L
Cd - Cadmium 01027
ug1L
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
ug11L (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 78732; method #
Total Ammonia 00610 14.5
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT -OF ENVIRONMENT& NATURALRESOURCESGROUNDWATER
QUALITY MONITORING:
�I'MTMAILSERVI
DIVISION OFWATER4UALITY-INFORMATION PROCESSING'UNITCOMPLIANCE
REPORT FORM
CE CENTER, RALEIGH, NC 27689.9617 -Phone .(919j 733 322.E
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (i€ different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (street) NC
27927 County Currituck
❑ Lagoon ❑Remediation: Infiltration Gallery
(city) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump X Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 10/19/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.2 units Temp. 000lo: 22.9 °C
DRY at
Depth to Water Level 82546:5.4 12
p ft. below measuring point Screened Interval: ft. to
17 ft. Spec. Cond. 000s4: µ Mhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor o0ow None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:10119/23
Laboratory Name: Enviro Chem
Certification No. 94
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
1100mL
Phosphorus: Total as P 00665 2.91
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 505
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 7.2
units
Ba - Barium 01007
ug/L
TOC 00680 8.2
mg/L
Ca - Calcium 00916
mg1L
Chloride 00940 196
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 32730
ug1L
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 78732: method #
Total Ammonia 00610 13.7
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL , 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%
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59
Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT{&;NATU,RAL RESOURCES'
GROUNDWATER QUALITY MONITORING:
DIVISION OF.WATER QUALITY NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
I617,MAILSERVICE;CENTER RALEIGH,'NC,276997,1617 "Phone {919),_733 31 ,21
FACILITY INFORMATION
Please Print
Clearly orType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑Remediation: Infiltration Gallery
Corolla (Street) NC 27927 County Currituck
(City) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 10/19/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.2 units Temp. 000lo: 23.0 °C
DRY at
Depth to Water Level 82546:6.7 ft. below measuring
p g point Screened Interval: 12 ft. to
17
ft. Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000s5: 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:10119/23
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615 <0.02
mg/L Pb - Lead olo51 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 oo685 2.41
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 444
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 7.2
units
Ba - Barium 01007
uglL
TOC oo68o 6.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 173
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 719oa
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia 00610 27.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
mg/L
Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT"', OF ENVIRONMENT& NATURAL RESOURCES-"
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER"QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617,MAICSERVICE,CENTER RALEIGH,NC27699-1617 ,Phone"(9"19)"733-3221' .,"',
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
❑ Lagoon ❑Remediation: infiltration Gallery
(City( (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 10/19/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.4 units Temp. 00010; 21.8 °C
DRY at
Depth to Water Level 82546:4.7 ft. below measuring point Screened Interval: 12 ft,
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:10119123
Laboratory Name: Enviro Chem
Certification No. 94
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 uglL
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 1.30
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 474
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 7.4
units
Ba - Barium 01007
ug/L
TOC oos8o 5.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 204
mg/L
Cd - Cadmium 01027
ug1L
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 32730
ug/L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873Z method #
Total Ammonia 00610 2.8
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L
Effluent Total VOCs:
mg/L VOC Removal%
Cel►i�Qs�:)♦:Z:3�X.fY.f�7t[�]

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�1617,MAiLSEFtV[CE:CENTERi"ilALEir.H,":-NC-;Z7§99,1017----"Ph
DEPARTMENT OF ENViRONMENTi& NATURAL'RESOURCES';;
DIVISION OF WATER QUALITY INFORMATION PROC£SSING,UNIT >'
COMPLIANCE REPORT FORM
, one [phone]
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (street) NC
27927 Count y Currituck
El Lagoon ❑Remediation: Infiltration Gallery
(City) (state)
(ZIP)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑■ Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 10/19/23
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.1 units Temp. 00010: 20.3 eC
DRY at
Depth to Water Level 82546:6.6 ft. below measuring point Screened Interval: 12 ft.
to 17
ft. Spec. Cond. o0094: µMhos
time of
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation:
ft.
Odor 000m: None
sampling,
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:10/19/23
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.90
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 494
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 7.1
units
Ba - Barium 01007
ug/L
TOC 0068o 4.8
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 196
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 78732: method #
Total Ammonia 00610 4.4
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHj as 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:
Rod Holley Wastewater Superintendent Trainee
Perrnittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
11 /29/23
(Date)
GW-59 Rev.2/2010