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HomeMy WebLinkAboutWQ0000601_GW Monitoring_20140807REPORT FORM Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge WQ000061 NPDES UIC Other Permit Name (if different): Facility Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATION ❑ Lagoon BEING MONITORED ❑ Remediation: Infiltration Gallery Hamlet NC 28345 County Richmond (cdy) (5m1e) Or) ❑ Spray Field ❑ Remedlalion: Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heal Pump Other. Monitoring Wells (Wm Pemdg SAMPLING INFORMATION 7hpm-- sample COD oo33s mg/L Nitrite (NO2) as N oos16 mg/L Pb - Lead olos1 <15 ug/L Coliform: MF Fecal 31616 /100ml- Nitrate (NO3) as N 00620 0.65 mg/L Zn -Zinc 01092 mg/L Colifonn: MF Total315D4 1100mL Phosphorus: Total as P o0665 mg/L (Note: Use MPNmeftdforhig*WN 1dsemp1ee) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 70300 34 mg/L AI -Aluminum of lo5 mg/L en(n PH (Lab) oo403 units Be - Barium oico7 3.7 ug/L AUG,f n TOC 0068D <1 mg/L Ca - Calcium 00916 mg/L Chloride o094o mg/L Cd - Cadmium o1027 <7.8 ugfL VVnlLntdunul i QLV yr Arsenic01002 <50 ug/L Chromium: Total ofo34 3 ug1L Nh11RflflBT+1@�UI'JnrL��NG I Grease and Oils oos52 mg/L Cu - Copper oio42 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 oos45 mg/L Hg - Mercury 71900 u91L Lab Report Attached? Yes (1) No (0) Specific Conductance o0095 µMhos K - Potassium OD937 mg/L VOC 78732: , method # Total Ammonia 00610 mg/L Mg - Magnesium oD927 mg/L , method # (A mwle Nitrogen: Nl3es N:Mmdnta M Wm, Toleo Mn - Manganese oio55 ug/L , method # TKN as N oo62s mg/L NI - Nickel 01067 ug/L , method # )atment Facility \ County Richmond Telephone#: 910-205-6379 �,...._.,ar,�..:,:.a No. of wells to be sampled: 7 (fmm Pmma) L ID NUMBER (from Permit): MW-2 Date sample collected: 7/11/2014 Depth: 50 ft. Well Diameter: 2 in. h to Water Level 62w: 35.52 ft. below measuring point Screened Interval: ft. to _ wring Point Is 422.29 ft. above land surface Relative M.P. Elevation: ft. me of water pumped/bailed before sampling: gallons ties far metals were collected unflitemd: � Yes NO and field acidified: ❑� YES ❑ No WQOGD061 _UIC TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remedlation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump 21 Other: Monitoring Wells FIELD. ANALYSES: PH 00400: 4.76 units Temp. 000lo: oC ft. Spec. Cord. 00094: 97 µMhos Odor 000ae: Appearance e sample analyzed: Laboratory Name: TestAmedca tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N coats mg/L Pb - Lead most Colifonn: MF Feral 31616 /100ml- Nitrate (NO3) as N 00e20 0.52 mg/L Zn - Zinc 01092 Colifonn: MF Total 31so4 /10DmL Phosphorus: Total as P cores mg/L (NMwUse MPNmethodforhlghytuRldeamees) Orthophosphale7a507mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total70300 59 mg/L AI - Aluminumottos mg/L pH (Lab) o0403 units Be - Barium otoo7 3 ug/L TOC Doom 1 mg/L Ca - Calcium come mg/L Chloride o094o mg/L Cd - Cadmium oio27 <1.8 ug/L -- Ch � T t I <50 L CergOcation No. 269 <15 ugll- mg/L Arsenlco10o2 <50 ug/L romlum, as 01034 ug/ Grease and Oils 00552 mg/L Cu- Copper o1o42 .mg/L ORGANICS: (by GC, GC/MS; HPLC) Phenol 3273c uglL Fe - Iron o1o45 ugfL (Specify test and method A ATTACH LAB REPORT.) Sulfate oo945 mg/L Hg.- Mercury 71900 ug/L Lab Report Attached? , Yes (1) No (0) Specific Conductance 000gs Whos K - Potassium eog37 mg/L VOC 78732: , method # Total Ammonia ooelo mg/L Mg - Magnesium o0927 mg/L , method # (Ammonia NiWgm NHree N; Ammonia Ninegen, Teteo Mn- Manganese of o55 - ugll- ,method# TKN as N Dos2e mglL Ni - Nickel 010e7 ugf - , method # Carl A. Gerhardstein, AVP Health, Environment and Sustainability, PemdDee (or Authorized Agent) Name and mile- Please print or type at Of I I:(�l�l:ili Name: Name ff Address: County Richmond act Person: Mike Gregory Telephone#: 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: 7 (fmm P0.1) W0000061 YPE OF PERMITTED OIPERATION BEING MONITORED ❑ Lagoon ❑ Remedlalion: infiltration Gallery ❑ Spray Field ❑ Remedlation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump Other. Monitodng Wells L ID NUMBER (from Permit): MW3 Data sample collected: 7/11/2014 FIELD ANALYSES: Depth: 50 ft. Well Diameter. 2 in. pH 00400: 4.23 units Temp. 000maC h to Water Level 82546: 36.84 ft, below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: 27 uMhos wring Point is 415.8 ft. above land surface Relative M.P. Elevation: ft. Odor 000es: Tie of water pumped/balled before sampling: gallons Appearance Dies for metals were collected unfiltered: ✓ YES NO and field nrldiged• n YES 11 NO Date sample analyzed: Laboratory Name: TestAmerica PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead cio51 Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N oos2o 0.81 mg/L Zn - Zinc oio92' Colffonn: MF Total 31504 /100mL Phosphorus: Total as P oosse mg/L Certification No. 269 <15 ug/L mg/L (Note: UOMPN.e far NgNyWtid..;,Wa) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 7o3oo 26 mg/L AI -Aluminum 01105 mg/L PH (Lab) 00403 units Be- Barium 01007 12 ug/L TOC oo6eo <1 mg/L Ce - Calcium oosle mg/L Chloride ooe4o mg/L Cd - Cadmium cioz7 <1.8 ug/L Arsenic 01002 <60 ug/L Chromium: Total oio34 <50 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 oio4s ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oos4s mg/L Hg-Mercury 71900 ug/L Lab Report Attached? Yes(1) No Specific Conductance 000ss PMhos K- Potassium oo937 mg/L VOC 78732: , method # Total Ammonia ooslo mg/L Mg - Magnesium 00927 mg/L , method # (A monla Nitrogen: Wh. N: A Manla Nft"en, Tm D Mn - Manganese of o55 ug/L , method # TKN as N oos2s mg/L Ni - Nickel o1 os7 ug/L , method # DRY at time of LE REPORT FORM Facility Name: GSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge WO000061 UIC Permit Name (if different): NPDES Other Facility Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATION BEING MONITORED Hamlet NC 28345 County Richmond ❑ Lagoon ❑ Remediatlon: Infiltration Gallery (city) (Swo) (dip) ❑ Spray Field ❑ Remediation: Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑+ Other. Monitoring Wells gram Pmmla SAMPLING INFORMATION If WELL WELL ID NUMBER (from Penult): MW-4 Date sample collected: 7/11/2014 FIELD ANALYSES: WAS Well Depth: 55 ft. Well Diameter. 2 in. pH o0400: 6.08 units Temp. 000fa tic DRY at Depth to Water Level e2646: 33.48 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 000e4: 117 uMhos time of Measuring. Point Is 413.2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, Volume of water pumpedlbailed before sampling: gallons Appearance check Samples for metals were collected unfiltered: 9 YFS NO and field acidified: Pl YES 1-1 NO hpm• ❑ sample analyzed: Laboratory Name: TestAmedca Certification No. 269 AMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (1,102) as N costs mg/L Pb - Lead 01057 <15 ug/L Cofdorm: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 0.48 mg/L Zn -Zinc olosz mg/L Coliform: MF Total 315a4 /100mL Phosphorus: Total as P 00665 mg/L (Note: Use MPNmethodforhighNhaal4 samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 70300 86 mg/L AI -Aluminum cites mg/L pH (Lab) oa4o3 units Ba - Barium atom <2000 uglL TOC oolg o 1.1 mglL Ca - Calcium 00916 mg/L Chloride ortuo mg/L Cd- Cadmium oion <1.8 ug/L Arsenic otooz <50 ug/L Chromium: Total otc34 <50 ug/L Grease and Oils oossz mg/L Cu - Copper 01042 _ mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 3273o ug/L Fe - Iron oio4s - ug/L (Spectly test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71e00 ug/L Lab Report Attached? Yes (1) No (0) Specific Conductance 00095 µMhos K- Polasslum 00937 mg/L VOC 78732: , method # Total Ammonia costa mg/L Mg - Magnesium 00927 mg/L , method # (Ammonia Nitrogen; NHsm N; Ammonia Nitrogen, Tolae Mn- Manganese 01055 ug/L ,method# TKN as N ooe25 mg/L NI - Nickel oic67 un/L , method # Carl A. Gerhardstein, AVP Health, Environment and Sustainability Permildee (orAulhodzed Agent) Name and Tlae - Please print or type GROUNDWATER QUALITY MONITORING: DEPARTMENT,O,iEN%nRONMENT8NATURALRESOURCES­11 .,,OY„cob COMPLIANCE REPORT FORM DIVISION OFWATERRESOURC_ES'-,INFORMATION_ PROCESSINGUNIT m7mmsERmceCENTE DEG C 2 a - 8 7^. o e-19" . -9a ."' ^ ^- FACILITY INFORMATION Please Pn'nt Cleady or Type PERMIT Number: Expiration Date: 7/31/2017 Fadlity Name: CSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge W0000061 UIC NPDES Other Permit Name (f different): Facility Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Hamlet NC 26345 County Richmond eery; (ziN ❑ Spray Field ❑ Remediation: Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump Other. Monitoring Wets If em Penno SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 7/1012014 FIELD ANALYSES: WAS Well Depth: 60 ft. Well Diameter: 2 in. pH 00400; 5.51 units Temp. 000ia: eC DRY at Depth to Water Level e254e: 42.15 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: 188 pMhos time of Measuring Point Is 411.39 ft. above land surface Relative M.P. Elevation: ft. Odor aeoae: sampling, Volume of water pumpedlballed before sampling: gallons Appearance check Samples for metals were collected unfiltered: YFS No and field acidified: ❑ YES ❑ NO here: ❑ LABORATORY INFORMATION Date sample analyzed: Laboratory Name: TestAmerica Certification No. 269 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD otoas mg/L Nitrite (NO,) as N costs mg/L Pb - Lead oiost <15 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 0.41 mg/L Zn - Zinc most mg/L Coliform: MF Total mso4 /100mL Phosphorus: Total as P Doses mg/L (Nate: Usa MPN moNo4 for NBNy NNI4 eamploa) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 70300 120 mg/L AI -Aluminum oltos mg/L pH (Lab) 00403 units Be - Barium 0:007 34 ug/L TOO ooseo 1.2 mg/L Ca - Calcium oo91s I mg/L Chloride come mg/L Cd - Cadmium ofo27 <1.8 ug1L Arsenic oioo2 <50 ug/L Chromium: Total ofD34 3.1 ug/L Grease and Oils 00552 mg/L Cut -Copper otD42 mgf_ ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron oio4s ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oos4s mg/L Hg - Mercury 7t90o ug/L Lab Report Attached? Yes (1) No (0) Specific Conductance oo095 pMhos K- Potassium 00937 mg/L VOC 7e732: , method # Total Ammonia ooseo mg/L Mg - Magnesium og927 mg/L , method # (Ammonia Nltngen; 1,1113aa N; AmmoNa Nftgen, Total) Mn- Manganese moss ug/L ,method# TKN as N 00625 mg/L NI - Nickel 01057 ug/L , method # For Remedladon Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Cad A. Gerhardsteln, AVP Health, Environment and Sustainability, leemlieee (or Authorized Agent) Name and Tide- Please print w type REPORT FORM Facility Name: G6x Transportation - Hamlet Wastewater Treatment Facility Non -Discharge N0000061 UIC Permit Name Of different): NPDES Other Facility Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATIONI BEING MONITORED Hamlet NC 28345 County Richmond ❑ Lagoon ❑ Remediation: Infiltration Gallery (cny) (sma) ma) ❑ Spray Field ❑ Remediation: Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump (] Other. Monitoring Wets (fmm Porml9 SAMPLINGINFORMATIONIf WELL WELL ID NUMBER (from Permit): MW-7 Date sample collected: 7/11/2014 FIELD ANALYSES: WAS Well Depth: 5o ft. Well Diameter. 2 in. pH amoo: 5.13 units Temp. 000lo: °C DRY at Depth to Water Level e254s: 33.14 ft. below measuring point Screened Interval:_ft. to ft. Spec. Cond. wo94: 2116 µMhos time of Measuring Point is 385.14 ft. above land surface Relative M.P. Elevation: ft. Odor owes: sampling, Volume of water pumped/balled before sampling: gallons Appearance check Samples for metals were collected unfiltered: + YS No and field acidified: ❑O YES ❑ No here: ❑ Date sample analyzed: Laboratory Name: TestAmerica PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD ow35 mg/L Nitrite (NO2) as N costs mg/L Pb - Lead most Conform: MF Fecal 31616 /100mL Nitrate (NO3) as N we2o 5 mg/L Zn - Zinc 01092 Coliform: MF Total 31504 /100mL Phosphorus: Total as P ooess mg/L (Nate: Wa MPN.a for highlytamid samples) Orthophosphate 7o5o7 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 70300 140 mg/L AI -Aluminum of im mg/L pH (Lab) 00403 units Be - Barium o=7 36 ug1L TOC wsao 1.7 mg/L Ca - Calcium ao91e mg/L Chloride oog4o mg/L Cd - Cadmium 01027 <1.8 ug/L Arsenic o1w2 <50 ug/L Chromium: Total oto34 <50 uglL. Certification No. 269 <115 ug/L mg/L Grease and Oils w5s2 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, IHPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. f\TTACH LAB REPORT.) Sulfate oo945 mg/L Hg- Mercury 71900 ug/L Lab Report Attached? Yes(1) No Specific Conductance woos µMhos K - Potassium w937 mg/L VOC 78732: , method # Total Ammonia 00e1D mg/L Mg - Magnesium w927 . mg/L , method # (Ammonia Mhogen; N/t,es N; A'mnonla MMMg , Total) Mn - Manganese 01055 ug/L , method # TKN as N oos2s mg/L NI - Nlckel010a7 ug/L , method # Cad A. Gerhardsteln, AVP Health, Environment and Sustainabllity Penalties (orAuthodzed Agent) Name aM Title - Please print or type )MPLIANCE REPORT FORM ' � e � � DIVISION OF WATER RESogRCELEIGH. RMA71gNPROCESSINGUNIT'', - 1161T 1 1T IL R CE CENTER' RALEIG 2769& b 7 P e' 9407-9306 CILITY INFORMATION Please Pdnt Cleady or Type PERMIT Number: Expiration Date: 7/31/2017 ality Name: CSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge W0000061 UIC mit Name (if different): NPDES Other titlty Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATION BEING MONITORED Hamlet NC 28345 County Richmond ❑ Lagoon ❑ Remediation: Infiltration Gallery (Ow t51d10) (rp) ❑ Spray Field ❑ Remedlalion: mast Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge I] Location/Site Name:' See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump Other: Monitoring Wells (from Peme MPLING INFORMATION If WELI :LL ID NUMBER (from Permit): MW-8 Date sample collected: 7711/2014 FIELD ANALYSES: WAS .II Depth: 57 ft. Well Diameter. 2 in. pH ooaoo: 5.35 units Temp. 000m: eC DRY at pth to Water Level a2w: 41.05 ft. below measuring point Screened Interval: _ft. to ft. Spec. Cord. eoo94: 220 µMhos time of asuring Point Is 405.69 ft. above land surface Relative M.P. Elevation: ft. Odor 000ss: samplir ume of water pumped/bailed before sampling: gallons Appearance check n les for metals were collected unfiltered: + YES - NO and field acidified: 21 YES ❑ No here: BORATORY INFORMATION le sample analyzed: Laboratory Name: TestAmerica Certification No. 269 RAMETERS NOTE: Values should reflectdlssolved and colloidal concentrations. COD oo33s mg/L Nitrite (NO,) as N costs mg/L Pb - Lead irimi <15 ug/L Coliform: MF Fecal 31e1e /1110mL Nitrate (NO,) as N ooe2o 4.9 mg/L Zn-Zinc olo92 mg/L Colifonn: MF Total 31504 /100mL Phosphorus: Total as P 00e65 mg/L (Note; Um MPNmethodfcr NghytuNNmmplm) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units): solved Solids: Total7o3oo 170 mg/L AI - Aluminumotlos mg/L pH (Lab) oo4o3 units Be - Barium ofooT 37 ug/L TOC ooseo 0.77 mg/L Ca - Calcium 00919 mg/L Chloride oosao mg/L Cd -Cadmium III= <1.8 ug/L Arsenic oloo2 <60 ugiL Chromium: Total oio34 - <50 ugiL - Grease and Oils 00552 mg/L Cu - Copper oio42 ni ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ugiL Fe - Iron o164s - ugiL (Specify test and method 0. ATTACH LAB REPORT.) Sulfate oo945 mg/L Hg - Mercury 71900 ugll. Lab Report Attached? Yes (1) No (0) ecific Conductance000as µMhos K- Potassium oo937 mg/L VOC 78732: , method # Total Ammonia ooelo mg/L Mg - Magnesium oo927 mglL , method # (Ammonia Ntrogen; Nf%u N; Ammenle K"gen, Total) Mn - Manganese oio5s ug/L , method # TKN as N 0002s mg/L Ni - Nickel oios7 ug/L , method # Cad A. Gerhardsteln, AVP Health, Environment and Sustainability Pefmlaee (orAuthodzed Agent) Name and Title - Pleeee Print orlype GW-59A COMPLIANCE REPORT FORM Permit P W0000061 (Submit one each monitoring pelad with GYP-59 fonts) I Enter date monitoring results were due. (07/312014) Will this monitoring report(GW-59 and GW-59A) he submitted after the established YES NO due date? y 2 Was any required information missing on the GWS9 report forms? YES NO r IFthe answer to question 1 or 2 is "YES", list in the space providedbelow the well identification number(s) and explain the problems encormtered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or musing cap, missing YES NO Identification plate, area overgrown, etc)? If the answer is -Yes-, contact the Regional Office for guidance. x 4 Are any monitored constituents equal to or above the established standards? YFS NO x Ifthe answer to question 4 is"NO ", skip to section 8. Ifthe answer to question 4 is "YES" list the affected wells individually with tonsfituent(s) and roncentratton(s) exceeding standards in the space provided below. 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) to the some well(s) in the last two years? Ifthe answer to question 5 is "NO", skip to section & Ifthe answer to question 5 is "YES" fist in the space provided below, each well with consfhuenf(s) erceedingstandards, conzwarallon(s) reporle4 assdsample collection date for each occurrence (for the last two years). 6 Are the monitoring wells fisted in section 5located at or beyond the review boundary? YES NO Ifthe answer is "YES", a groundwater qualityproblem may be occurring. CONTACT 771E REGIONAL OFFICE IA9l4EDLITELYFOR GOIDANC& If the amswer is "NO", monitoring wells may be improperly located; conact the Regional ice. 7 Is the permittee Implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? Ifthe answer to question 7 is "YES", describe those actions in the space provided below. Ifthe answer to question 7 is "NO". contact the Reefonal ORlce within 90 days: an evduation may be required to determine the Impact the waste 44 W srstem Is having at the review and compliance boundaries surroundinirNus fmillim. Failure to do may sublect theaermihee to a NoNe ofKol Ilan. Rnes, andlar Penalties. 8 The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GWS9 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- my knowledge. 59A)ntru andcompletetotma--MA S goature of Permitthorized Agent) Date GW-59A 12/s206 GW-59A COMPLIANCE REPORT FORM Permit # W0000061 (Submit one each montroring perlod with WY--59 foracc) 1 Enter date monitoring results were due. (12/2812013) Will this monitoring report (GW-59 and GW-59A) be submitted after the established YES NO duedate? 2 Was any required information missing on the GW-59 report forma? YES X X IFlhe answer to question ! or 2 is "YES", list in the spare provided below the well identification number($) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES X X identification plate, area overgrown, et,)? If the answer is "Yes", contact the Regional Office for guidance. 4 Are any monitored constituents equal to or above the established standards? YES X NO Iftbe answer to question a is "NO'( skip to section 8. If the answer to question 4 is "YES" list the affected wells(indliwill, constituents) and concentratlon(s)exceeding standards in the space provided below:Wo1 result for chromium (59 ug/L) was above standard liAdditional sample was taken on 411/14 with result ofnon 5 For the constituents identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the same,well(s) YES NO in the last two years? -F Iflhe answer to question 5 is "NO ". skip to section 8. /f the answer to question 5 is "YES', list in the space provided below, each well with constituents) exceeding standards, concentration(.$) reported, and sample collection dale far each occurrence (for the last two years). monitoring wells listed in section 5located at or beyond the review boundary? YES NO X swer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL IMMEDfATELY FOR GUIDANCE fjthe answer is "NO", monitoring wefts may be improperly located; contact the Regions! Off ce. ermit/¢¢ implementing previously approved actions required by the Division involving this groundwater quality problem? TImmediate YES NORU swertoquestion 7is "YES", describe those actions in the spaceprovided below.nswer "NO ", t/ Reei nal Offce itl to 90 dour an evatuutlon maybe pdtod to question 7 is c tact a termi ethe impact thew t disp al sv term / vine at the review rtnd compliance APRes s rou d' a tl is fay , F 't re t do so mnv s btect tl pe ttee t n Nonce of Notation. Rues rtnd/orpennhie���iate resample was taken to confirm the result, subsequent sample noted non -detect results. 8 The person completing this portion (GW-59A) of the monitoring report should sign end submit this form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. - was evaluated and the information submitted in this report (Compliance Report GW- I herzSignatureofPe 59A)led e. UU9 Agent) Date IT GW-59A 12WO03 hot) 212W WATEWURMYSE00N NFnP"hTlnh1eonPMQ1MP=1IWIT REPORTFORM Name: CSX Transportation Hamlet Wastewater Treatment Facility Name (if different): Address: Box 191A Hi hway 177N Hamlet NC 28345 County Richmond act Person: Mike Gregory Telephone#: 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: 7 (ft. Pemeq Von -Discharge W0000061 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump 2] Other. Monitoring Wells FLING lnrUKWIM l dum L ID NUMBER (from Permit): MW-1 Date sample collected: 3124/2014 FIELD ANALYSES: °C WA5 65 ft. Well Diameter: 2 in. pH oo400: 5.19 units Temp. 000lo: DRY at Depth: h to Water Level 82646: 51.28 ft. below measuring point Screened Interval`. ft. to ft. Spec. Cond. 00094: 37 µMhos time of sampling wring Point is 414.95 ft. above land surface Relative M.P. Elevation: ft. Odor 000ss: check me of water pumped/bailed before sampling: _ .. . . _.. _ __,_ rr--T gallons —A seta „a,�:sam M4 YES rl r,o Appearance here: ❑ LABORATORY INFOKMA I tun Laboratory Name: TeslAmerica Certification No. 269 Date sample analyzed: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb- Lead 01051 <0.5 ug/L COD oo335 mg1L Nitrite (NO2) as N oo6t5 mglL _ Colifonn: MF Fecal 31616 /100mL Nitrate (NO,) as N D0620 0.66 mg/L Zn -Zinc o1o9z mglL Coliform: MF Total 31504 /100ml- Phosphorus: Total as P 00665 mglL mg/L Other (Specify Compounds and Concentration Units): (Note: Use MPN metes far Nghly braid samples) Orthophosphate 70507 Dissolved Solids: Total 70300 18 mg/L AI -Aluminum 01105 2.9 mg/L(.�P ug/L7 pH (Lab) oo4o3 units Ba - Barium 01007 mg/L TOC 00680 <0.5 mg1L Ca - Calcium 00916 Chloride 00940 mg1L Cd - Cadmium 01027 uglL 59 D p Arsenic 01002 <1.3 uglL (8QP mg/L Chromium: Total 01034 Cu - Copper 01042 og/L mg/L ORGANICS: (by GC, GCIMS, HPLC) Grease and Oils 00552 - ug/L Fe -Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Phenol 3273D Sulfate 00945 mg/L I Hg - Mercury 71900 ug/L Lab Report Attached? Yes (1) No (0) Specific Conductance 000ss µMhos K - Potassium 00937 mg/L mglL VOC 78732: , method # , method # Total Ammonia 00810 mg/L Mg - Magnesium 00927 uglL ,method# (Ammonia Nitrogen; Nljas 07M Na Nibegen.Tolas Mn-Manganese 01055 ug1L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 Cad A Gerhardslein AVP Health Environment and Sustainability Perminee(er Authodzed Agent) Neme end TNs-Pleasep ra or type REPORT Name (if ( Address: County Richmond act Person: Mike Gregory Telephone#: 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: 7 (tram PemO) LID NUMBER (from F Depth: In to Water.Level 82546: wring Point is _ 4: )rmit): MW-2 50 ft. 36.11 ft. below measuring point 2.29 ft. above land surface led before sampling: Von -Discharge WO000061 UIC VPDES ' Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑' Other. Monitoring Wells Date sample collected: 3125/2014 Well Diameter: 2. in. Screened Interval:—ft. to ft. Relative M.P. Elevation: ft. and field acidified: ❑� YES ❑ NO FIELD ANALYSES: pH 00400: 5.13 units Temp. 00010: oC Spec. Cond. 00094: 93 µMhos Odor 0oo8s: Appearance ,zed:. Laboratory Name: TestAmerica NOTE: Values should reflect dissolved and colloidal concentrations. COD o0335 mg1L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 Coliform: MF Fecal 31616 /100mL Nitrate (NOS) as N 00620 0.84 mg/L Coliform: MF Total 31504 I100mL Phosphorus: Total as P ee665 mg/L (Note: Use MPN meNad for hlgtdy Wmid samples) Orthophosphate 70507 mg/L Dissolved Solids: Total 70300 73 mg/L Al -Aluminum ol105 mg1L pH (Lab) 00403 units Be - Barium 01007 2.4 ug/L TOO 0asa0 1 mg/L Ca - Calcium 00916 mg/L Chloride oog4o mg/L Cd-Cadmium 01027 0.2 ug/L Arsenic 01002 <1.3 ug/L Chromium: Total 01024 <2.5 . ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg1L Phenol 32730 ug/L Fe - Iron o1045 _ - ug/L Sulfate OU945 mg/L Fig - Mercury 71900 ug1L Specific Conductance 00095 µMhos K- Potassium 00937 mg/L Total Ammonia 00610 mg1L Mg - Magnesium 00927 mg/L (A oNa Nlvogen:MFes N:A ..m Nivogen,Tataq Mn- Manganese otoss uglL TKN as N W625 mg/L Ni- Nickel 01067 ug/L Carl A Gerhardstein AVID Health Environment and Sustainability Penniftee (or Authorized Agent) Name ana ime - Please pant or type Zn - Zinc 01092 Certification No. 269 <0.5 uglL mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GCIMS,-HPLC) (Specify test and method #. ATTACH LAB REPORT.) 'Lab Report Attached? Yes (1) No (0) VOC 78732: , method # method # method # method # at of GROUNDWATER QUALITY MONITORING: DEPARTMENT:OFE RESOU CES-I FORMATI . OCES ONISIO MENT.9 ER RESOURCES-IAFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM " ' i61 .MAILSERVICECEN7ER'RALEIGH NC27699.1617' Pftbne:919.607.:6306 `. FACILITY INFORMATION Please Print cleatlyor7ype PERMIT Number. Expiration Date: 7/31/2017 Facility Name: CSX Transportation Hamlet Wastewater Treatment Facility Non -Discharge W4000061 UIC Permit Name (if different): NPDES _ Other Facility Address: Box 191A Highway 177N TYPE OF PERMITTED OPERATION BEING MONITORED Hamlet NC 28345 County Richmond ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (son.) (yp) ❑ Spray Field ❑ Remediation: Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Applica Monitoring it Sludge Well LocationlSite Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑� Other: Monitorin Wells Isom Permit) V LINU IP -UMM N 11MIN _ ID NUMBER (from Permit): MW-3 u Date sampleaollec)ed: 3I25/2014 FIELD DRY .L 50 ft. Well Diameter: 2 in. pH oo400: 4.18 units Temp. 000lo: _°C' at Depth: :h to Water Level 62546: 38.02 ft. below measuring point Screened Interval: ft. to ft. Spec. Cord. 00094: 43 µMhos time of sampling suring Point is 415.8 ft. above land surface Relative M.P. Elevation: ft. Odor 000as: Appearance check me of water pumped/bailed before sampling• vEs rvo �� gallons and field acidified: ❑ YES ❑ rvo here: ❑ les formetals were collected unfiltered: _ (ORATORY INFORMATION Laboratory Name: TestAmedca Certification No. 269 1 sample analyzed: tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb - Lead o1os1 <0.5 uglL COD 00335 mg/L Nitrite (NOz) as N 00615 mg/L Coliform: MF FeM131616 /100ml- Nitrate (NO3) as N 00620- 1.6 mg/L Zn-Zincolo9z mg/L Coliforn: MF Total31504 /100mL Phosphorus: Total as Po066s MPNmetobrhlghlya,rodsamples) Orthophosphate70507 mg/L mg/L Other (Specify Compounds and Concentration Units): (Note. se Dissolved Solids: Total703o0 26 mg/L AI - Aluminum oleos mg/L pH (Lab) 00403 units Ba - Barium 01007 12 ug/L TOC oosso <1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 mg/L Cd - Cadmium 01027 '0.1 uglL Arsenic olooz <1.3 - uglL Chromium: Total 01034 -- 3 ug/L mg/L ORGANICS: (by GC, GC/MS, HPLC) Grease and OJIS00562 - _mg/L CuCopper 01042 ug/L (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 uglL mg/L Fe - Iron 01045 Hg - Mercury 71900 ug/L Lab Report Attached? Yes (1) No (0) Sulfate 00945 Specific Conductance twos µMhos K- Potassium 00937 mg/L VOC 7e732: ,method# method # Total Ammonia ooslo mg/L Mg - Magnesium 00927 mg/L ug/L , ,method# (Ammonia Nitrogen; NH3es N; Amseania Nivagen, Total) Mn- Manganese oloss ugIL , method # TKN as N 00625 mg/L Ni - Nickel 01067 Carl A Gerhard stein AVP Health Environment and Sustainabilitv Pelmittee (orAallonsed Agent) Name antl Time - Please print or.lype k FACILITY INFORMATION Please aunt creany or Type CSX Transportation - Hamlet Wastewater Treatment Facility ... • o•-Non-Disc••••• • her. e W0000061 — - - UIC Facility Name: NPDES Other Permit Name (if different): TYPE OF.PERMITTED OPERATION BEING MONITORED - Facility Address: Box 191A Highway 177N NC 26345 _ ❑ Lagoon ❑ Remediation: Infiltration Gallery County Richmond Hamlet ❑ Spray Field ❑ Remediation: (swt.) (tip) (city) Contact Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Wells Well Location/Site Name: See location map _ No. of wells to be sampled: 7 Li Water Source Heat Pump Other. Monitorin (from Peift) If WELL SAMPLING INFORMATION _ WELL ID NUMBER (from Permit): MW-4 - Date sample collected: 3125/2014 FIELD ANALYSES: aC WAS DRY 55 ft. Well Diameter: - 2 in. pH 00400: units Temp. o0oto: at Well Depth: Depth to Water Level82546: ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.00094: uMhos time of sampling, Measuring Point is 413.2 ft. above land surtace Relative M.P. Elevation: ft. Odor 00095: check Volume of water pumped/bailed before sampling, gallons Appearance here: El Camnles for metals were collected unfiltered: + Y� rvo and field acidified:❑'� ❑rvo ABORATORY INFORMATION Laboratory Name: TestAmedca Certification No. 269 )ate sample analyzed: oARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb - Lead 01051 <0.5 ug/L COD 00335 mg/L Nitrite (NO2) as N goals mglL Coliform: MF FeM131616 /100mL Nitrate (ND,) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total31504 u MPN metoo for highly turbid samples) /100mL Phosphorus: Total as P00665 Orthophosphate 70507 mg/L mg/L Other (Specify Compounds and Concentration Units): (Nate. se Dissolved Solids: Tota170300 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 units Be - Barium 01007 <1.4 ug/L TOC oo66o mg/L Ca - Calcium 00916 mg/L Chloride o0940 mg/L Cd - Cadmium 01027 u9/L _ Arsenicoloo2 <1.3 - ug/L Chromium: Total 01034 <2.5 ug mg/L ORGANICS: (by GC, HPLC) Grease and Oils 00552 mg/L Cu - Copper 01042 ug/L tATTACH LAB REPORT.) od #. (Specify test and method Phenol 32730 ug/L mg/L Fe - Iron m04e Hg-Mercury71oo0 - ug/L Lab Report Attached? Yes(1) No Sulfate 00945 Specific Conductance 00095 uMhos K- Potassium 00937 - mg/L 'mg/L VOC 78732: ,method# Total Ammonia 006110 - mg1L Mg - Magnesium 00927 uglL ,method# ,method# • (A only Nitrogen: NHsas N; ammonia Nitrogen, Tamp Mn- Manganese 01055 method # TKN as N 00625 mg/L Ni - Nickel o1o67 ug/L , Carl A Gerhardstein AVP Health Environment and Sustainability Pemmttee (or Aulhodzed Agen) Name entl i nie-Please pnnt or type REPORT FORM LITY INFORMATION 11-1 ­ ."- CSX Transportation Hamlet Wastewater Treatment Facility - Non -Discharge WQ000061 UIC ty Name: NPDES Other it Name (if different): TYPE OF PERMITTED OPERATION BEING MONITORED ty Address: Box 191A Highway 177N ❑ Lagoon ❑ Remediation: Infiltration Gallery �' NC 28345 County Richmond Hamlet (sum) (yp) ❑ Spray Field ❑ Remediation: (City) Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ ' Land Application of Sludge Monitoring Wells_ act Person: See location map No. of wells to be sampled: 7 ❑ Water Source Heat Pump Other. Location/Site Name: (tntm Pemut) PLINK INr•ur(WIA 11 V IY ID NUMBER (from Permit): MW-5 th Date sample collected: 3/24/2014 FIELD ANAL °C yVAD DRY at .L Depth: 60 ft. Well Diameter. 2 in. ft. to pH ooaoo: Spec. Cond. 000 units Temp. 00010:- 141 µMhos time h to Water Level e2e46: 42.64 ft. below measuring point Screened Interval:—ft. _sa: ft. .000 Odor oo0a5: sampling surfing Point is 411.39 ft. above land surface Relative M.P. Elevation: Appearance � check me of water pumped/bailed before sampling• YEs NO �— gallons field acidified: ❑r YEs ❑ NO here: les form were collected unfiltered: .and ORATORY INFORMATION Laboratory Name: TestAmerica Certification No. 269 sample analyzed: AMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb - Lead otosl <0.5 uglL COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Zn -Zinc 01092 mg/L Coliform: MF FeCa131616 /100mL Nitrate (NO3) as N 00620 0.61 mg/L Colifonn: MF Total31504 /100ml- Phosphorus: Total as P00665 dfor highly world samples) Orthophosphate norm mg/L mg/L Other (Specify Compounds and Concentration Units): (Note. Use MPN me o m Y Dissolved Solids: Total70300 66 mg/L AI - Aluminum 01105 - mg/L 23 ug1L pH(Lab)uo4n3 units Ba- Barium OID07 mg/L TOC o666o 1.1 ni Ca - Calcium 00916 <1.3 ug/L Chloride 00940 mg/L Cd - Cadmium 01027 Arsenic 01002 <13 ug/L Chromium: Total 01034 7 UgIL mg/L ORGANICS: (by GC, GC/MS, HPLC) Grease and Oils oossz M91L Cu - Capper 01042 uglL (Specify test and method #. ATTACH LAB REPORT.) Phenol 32730 uglL mg/L Fe - Iron oloas Hg -Mercury 71900 ug/L Lab Report Attached? Yes (1) ' No (0) Sulfate 60945 Specific Conductance 000gs µMhos K - Potassium mg/L mg/L VOC 79732: , method # ,method # Total Ammonia o0610 mg/L Mg - Magnesiumoo9z7 ug/L , method # (Ammonia Nitrogen; NHoes N;Ammonla Nitrogen, Total) Mn- Manganese 01055 ug/L method TKN as N 00625 mg/L Ni - Nickel 01067 Carl A Gerhardstein AVP Health Environment and Sustainability Pennittee (or Authorized Agent) Name and Title- Please pdnl or type 'v REPORT Name: Name (if County act Person: Mike Gregory Telephone#: 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: 7 (from Pe wo L ID NUMBER (from Permit): MW-7 Depth: 50 ft. h to Water Level e254e: 33.91 ft. below measuring point wring Point is 385.14 ft. above land surface ne of water pumped/bailed before sampling, nips for metals were collected unfiltered: _ YFS No COD 00335 mg/L Coliform: MF FeCa131616 /100mL Coliform: MF Total31eo4 ' /100mL (Note: Use MPN method Whighly tubsd samples) Dissolved Solids: TOW70900 140 mg/L pH (Lab) 00403 units TOC 00650 3.6 mg/L Chloride 00940 rngf- Arsenicotooz - <1.3 ug/L Grease and Oilsc0552 mg/L - Phenol 32730 - - ug/L Sulfate 00945 mg/L Specific Conductance e0095 µMhos Total Ammonia 00610 mg/L (Ammonia Nitrogen; NHaas N; Ammonia Nitrogen. Total TKN as N 00625 mg/L ischarge W0000061 UIC S Other OF PERMITTED OPERATION BEING MONITORED Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Rotary Distributor ❑ Land Application of Sludge Water Source Heat Pump 0 Other. Monitoring Wells Date sample collected: 3/26/2014 FIELD ANALYSES: Well Diameter., 2 in. pH oo400: 5.11 units Temp. 00010: °C Screened Interval: ft. to ft. Spec. Cond. 0o094: 208 µMhos Relative M.P. Elevation: ft. Odor00085: ns Appearance YES ❑ NO Laboratory Name: TestAmerica Certification No. 269 and colloidal concentrations. Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 <0.5 ug/L _ Nitrate (NO,) as N 00620 5.5 mg/L Zn -Zinc 01092 mg/L Phosphorus: Total as Poo6es mg/L mg/L Other (Specify Compounds and Concentration Units): Orthophosphate 70507 AI - Aluminum 01105 mg/L Ba - Barium 01007 28 ug/L Ca - Calcium code mg/L Cd - Cadmium 01027 0.2 ug/L Chromium: Total 01034 <2.5 ug/L mg/L ORGANICS: (by GC, GC/MS, HPLC) Cu - Copperolo42 � -ug/L (Specify test and method #. ATTACH LAB REPORT.) Fe - Iron 0104e Hg-Mercury71s00 uglL Lab Report Attached? Yes(1) No K -. Potassium 00937 mg/L VOC 7e732: , method # method # Mg - Magnesium 00927 mg/L ug/L , , method # Mn - Manganese 0105e method # Ni - Nickel 01067 ug/L , Carl A Gerhardslein AVP Health Environment and Sustalnability Pemnittee (or AuNVl!'2 Agent) Nama end Tige-Please poor or ype at of REPORT FORM Name (if ( Address: County act Person: Mike Gregory Telephone#: 910-205-6379 Location/Site Name: See Iocation:map No. of wells to be sampled: 7 (Imm P." Jon -Discharge W0000061 UIC VPDES Other rYPE OF PERMITTED OPERATION BEING MONITORED Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump Other. Monitoring WE LING INFORMAIIUN ID NUMBER (from Permit): MW-8 Date sample collected: 3/2512014 FIELD ANALYSES: Temp. 00010: °C eplh: 57 ft Well Diameter. 2 in. ft. So pH oo40o: 5.22 units Spec. Cond. 00094: 261 uMhos to Water Level 82546: 41.03 ft. below measuring point Screened Interval: ft. _ft. Odor 000a5: (ring Point is 405.69 ft. above land surface Relative M.P. Elevation: Appearance e of water pumpedlbailed before sampling: _.. rT-1—� gallons ....a rew �Ndiend• rl YES n N0 COD 00335 mg/L Coliform: MF Fecal 31616 � /100ml- Colifoml: MF Total 31504 /100ml- (Note: Use MPN=MedWh17V9Nd-a *--) issolved Solids: Total 703DD 180 mglL pH (Lab) OD403 units TOC 00660 1.1 mglL Chloride 00940 mgn- Arsenicoloo2 <1.3 uglL Grease and Oils D0552 mg/L Phenol 32730 ug/L Sulfate 00945 mg/L Specific Conductance 00095 - pMhos Total Ammonia 00610 mglL (Ammoniameen; NHses N:T, nin Nit nm T.U) TKN as N 00625 mg/L Laboratory Name: TestAmedca Certification No. 269 rnd colloidal concentrations. Nitrite (N0,) as N 00615 mg/L Pb - Lead 01051 <0.5 uglL Nitrate (NO3) as N 00620 7.5 mg/L Zn- Zinc =9z _ mg1L Phosphorus: Total as P 00665 mglL Orthophosphate 70507 mglL Other (Specify Compounds and Concentration Units): At - Aluminum of 105 mg/L Be - Barium 01007 36 uglL Ca - Calcium o0916 mg/L Cd - Cadmium 01027 0.2 ug/L Chromium: Total 01034 <2.5 uglL mg/L ORGANICS: (by GC, GC/MS, HPLC) Cu - Copper Oto42 uglL (Specify test and method #. ATTACH LAB REPORT.) Fe - Iron 01045 Hg - Mercury 719001 . ug/L Lab Report Attached? Yes (1) No (0) K - Potassium W937 mglL VOC 78732: , method # method # Mg - Magnesium 00927 mg/L ug1L , , method # Mn - Manganese 01055 method # Ni - Nickel oio67 ug/L , Cad A Gerhard stein AVP Health Environment and Suslainability Permittee(ar Auihor dAgent)Name aM fits -Please prmt or type at time of ding, check J