WQ0007798_GW Monitoring_20110624

GW-59A COMPLIANCE REPORT FORM Permit # WQ0607798
(Submit one each monitoring period with GW-59 johns.)
1
Enter date monitoring results were due.( 12-31-10 ) Will this monitoring report (GW59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
ES
NO
IF the answer to question 1 or 2 is 'YES", list in the space provided below the we / 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 INO
identification plate, area overgrown, etc.)? Ijthe annver is "Yes ", contact the Regional Ofcefor guidance.
4
AM any monitored constituents equal to or above the established standards?
ES
NO
If the answer to question 4 is 'NO , skip to section B.
If the answer to question 41s "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below: MW-3 TCE-110 ug/L; MW-6 TCE- 88 ug/L,,MW-10 TCE-
34 ug/L, PCE -0.79 ug/L, cis-1,2-DCE -170 ug/L; MW-11 TCE- 55 ug/L; MW-14 TCE - 240 ug/L; MW-91,2-
DCP- 0.65 uglL
5
Fort the constituents identified in question 4 above, have standards been exceeded previously for the
YES
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, concentrations) reported, and sample collection date for each occurrence (for the last two years).
See Table 5 of the report.
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
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 imprope�
located; contact the Regional Office. �j ,�VV1I
GV� L�\\
7
Is the permittee implementing previously approved actions required by —the Division ino ;ing ttyyis 5�
YE
NO
groundwater quality problem? �V
If the answer to question 7 is 'YES", describe those actions in the space provide a ow.
If the answerto question 7 is "NO", contact the Regional Office within 90 days, an evaluaamay 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, andlorpenalties.
The site's remedial approach for the existing plume of VOC affected groundwater consists of a series
of recovery wells through which VOC-impacted groundwater is extracted and transferred to an
above -ground treatment system. The treated groundwater is then re -introduced to the surficial
aquifer via an infiltration gallery '
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.
(l tiereby_acknowledgetfiatdhe aboveinformation'was evaluated -and the information submitted in'.thi§
rep%o%rt�(,Co/mpliancey/�R-epoif,QW-59A) is true andboinplete'to the'tiest of my k_no_wledge.
6/24/11 ,�� gg 22
1®F
ryi��
Signature of epnittee or Authorized gent Date SEEM
Y 7
112
'11
GW-59A.12/8/2003
tom

YNYCK UNLr
QUALITY MONITORING:
PORT FORM
Name: Toastmaster, Inc.
Name (if different): _
Address: Plant Road
County Scotland
(City) (=e) ('UP)
act Person: Kevin Domack Telephone#:[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
from Pe,mil
PLING INFORMATION
L ID NUMBER (from Permit): MW-3 Date sample collected: 514111
Depth: 24.84 ft. Well Diameter: 2 in.
h to Water Level: 19 93-ft. below measuring point Screened Interval: NM ft. to NM ft.
:wring Point is NM ft. above land surface Relative M.P. Elevation: 112.34 ft.
ne of water pumpedlbailed before sampling: 1.6 gallons
sample analyzed: b/1it/LU11
;AMETERS NOTE: Values should reflect dissolv
COI)
NA mg/I
Colifonn: MF Fecal
NA 1100ml
Coliform: MF Total
NA/loom)
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC
NA mg/I
Chloride
NA mgA
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mgA
.Sulfate
31 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
TKN as N NA mg/I
Number:
harqe WQ0007798
617 'Phone:
Expiration Date:
UIC
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon 9 Remediation: Infiltration Gallery
❑ Spray field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: WAZI
pH 4.95 units Temp. 15,50 eC DRY at
Spec. Cond. 220 µMhos time of
sampling,
Odor NM check
Appearance NM here:❑
_ Laboratory Name: Shealy
Environmental Services, Inc.
Certification No. 329
and colloidal concentrations.
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead
NA mg/I
Nitrate (NO3) as N
0 Rn mg/I
Zn - Zinc
NA mg/I
Phosphorus: Total as P
NA mg/l
Orthophosphate
NA mg/1
Other (Specify Compounds and Concentration Units):
AI - Aluminum
NA mgll
cis-1,2-DCE:
10 ug/L
Be - Barium
NA mg/1
TCE:
110 ua/L
Ca - Calcium
NA mgll
mMg/I
E
vr oomutA
I
NA mg/l
JUN 2 $ugyFper
NA mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Fe I- Iron (<0.10) ND mgA
Information
(Specify test and method #. ATTACH LAB REPORT.)
Pr sWJ0m,
OW �R
NA mg/I
Report Attached?
❑ Yes (1) El No (0)
K otassium
NA mg/I
VOC
, method # 8260B
Mg - Magnesium
NA mgA
Nitrate/Nitrite
, method # 353.2/354.1
Mn - Manganese
NA mg/I
Sulfate
, method # 9056
Ni - Nickel
NA mg/I
Iron/Ferrous Iron
, method # 6010B/3500-Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VUGs: mg/L tttment 10181 VUL S: mg/L vu� memoval io
Michael Pressley
Permittee (or Authorized Anent) Name and Title - Please print or type
GW-59 Rev. 1/2007

JUDIvu I rvrtlul vJN I'l I v 11CM v11Lr
QUALITY MONITORING:
PORT FORM
Name: Toastmaster, Inc.
Name (if different): +
Address: Plant Road
(street) NC County Scotland
(City)
(zp)
act Person: Kevin Domack Telephone#:[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
L ID NUMBER (from Permit): MW-5 Date sample collected: 6/4/2011
Depth: 27.49 ft. Well Diameter. 2 in.
h to Water Level: 9.94 ft. below measuring point - Screened Interval: NM ft. to NM ft.
)wring Point is . NM ft. above land surface Relative M.P. Elevation: 119.78 ft.
ne of water pumped/bailed before sampling: 1.3 gallons
Nil
Number: Expiration Date:
:harge W00007798 UIC_
)DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon 1K Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: VVAb
pH 3.52 units Temp. 15,90 °C DRY at
Mhos time of
Spec. Cond. 94 µ Isamnlin
Odor NM
Appearance NM
VRMIVRr I.Ir VRIYIM��Vry
sample analyzed: 5-18-2011
Laboratory Name: Shealy
-
Environmental Services, Inc. Certification No. 329
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
NA mgA
Nitrite (NOl as N
0.040 mg/I
Pb - Lead NA mg/I
Colifonn: MF Fecal
NA /100ml
Nitrate (NO3) as N
n 77 mg/I
Zn -Zinc NA mg/1
Coliform: MF Total
NA /100mi
Phosphorus: Total as P
NA mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
NA mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
NA mgA
Al -Aluminum
NA mg/1
TCE 3.1 ug/L
pH (when analyzed)
NA units
Be - Barium
NA mg/1
TOC
NAmg/I
Ca - Calcium
NAmg/I
Chloride
NA mg/I
Cd - Cadmium
NA mg/I
Arsenic
NA mg/I
Chromium: Total
NA mg/1
Grease and Oils
NA mg/I
Cu - Copper
NA mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
NA mg/I
Fe - Iron
ND mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
7.8 mgA
Hg - Mercury
NA mg/I
ReportAttached? ❑ Yes (1) ❑ No (0)
Specific Conductance
NA µMhos
K - Potassium
NA mg/I
VOC , method # 8260B
Total Ammonia
NA mg/I
Mg - Magnesium
NA mg/I
Nitrate/Nitrite , method # 353.2/354.1
(Ammonia Nitrogen; NHr as N; Ammonia Nitrogen, Total)
Mn- Manganese
NA mgA
Sulfate ,method# 9056
TKN as N
NA mgA
Ni - Nickel
NA mg/I
Iron/Ferrous Iron , method # 6010B/3500-Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I otal vacs: mgf L vur IcurrluvGflo
Michael Pressley
Pelmittee (or Authorized Apart) Name and Title - Please print or type
GW-59 Rev. 1/2007

F19�Ill��d��l
UINLI
=R QUALITY MONITORING:
REPORT FORM
Name: Toastmaster, Inc
Name (if different):
Address: Plant Road
(stmep NC county Scotland
(City) (State) (Zip)
act Person: , Kevin Domack
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3"
L ID NUMBER (from Permit): MW-6
Depth: 37.89 ft.
h to Water Level: 13.63 ft. below measuring point
)uring Point is NM ft. above land surface
ne of water pumped/bailed before sampling: 1.3
sample
NOTE: Values should reflect dissc
COD NA mgA
Coliform: MF Feral NA /1100ml
Coliform: MF Total NA /100mi
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/1
pH (when analyzed)
NA units
TOC
NA mg/l
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA ni
Phenol
NA ni
Sulfate
45 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; NHpae N; Ammonia Nitrogen, Total)
TKN as N NA mg/I
Telephone#:[phone]
No. of wells to be sampled: 7
Date sample collected: 5/4/2011
Well Diameter. 2 in.
Screened Interval: 17 ft. to 37.9 ft.
Relative M.P. Elevation: 112.94 ft.
Number;. Expiration Date:
harge W00007798 UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon © Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: Wr+b
pH 4.36 units Temp. 15.90 oC time of
Spec. Cond. 251 µMhos
sampling,
Odor NM check
Appearance NM here:❑
Laboratory Name: Shealy Environmental Services, Inc. Certification No. 329
colloidal concentrations.
Nitrite (NO2) as N (<0.02) ND mg1l Pb - Lead NA mg/I
Nitrate (NO3) as N 0 80 mg/I Zn - Zinc NA mg/I
Phosphorus: Total as P NA mg/I
Orthophosphate
NA mgA
Al -Aluminum
NA ril
Ba - Barium
NA mg/I
Ca - Calcium
NA mgA
Cd - Cadmium
NA mg/I
Chromium: Total
NA mg/1
Cu - Copper
NA mg/I
Fe - Iron (<0.10) ND mg/I
Hg - Mercury
NA mg/I
K- Potassium
NA mg/I
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
Other (Specify Compounds and Concentration Units):
cis-1 2-DCE 19 ug/L
TCE 88 uo/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
ReportAttached7
® Yes (1) El No (0)
VOC -
, method # 8260B
Nitrate/Nitrite
, method # 353.2/354.1
Sulfate
, method # 9056
Iron/Ferrous Iron
, method # 6010B/3500-Fe I
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOG Removal/o
Michael Pressley
Permittee (or Authorized Agent) Name and Title- Please print or Npe
GW-59 Rev. 1/2007

IGNI[/III NI OYdQ 0RQITV RZ
DWATER QUALITY MONITORING:
IANCE REPORT FORM
or
Name: Toastmaster, Inc.
Name (if different):
Address: Plant Road
(streel) NC 28352 County Scotland
(City) (state) (Zip)
act Person: Kevin Domack Telephone#:60&275-4846
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No, of wells to be sampled: 7
L ID NUMBER (from Permit): MW-9
Depth: 27.47 ft.
h to Water Level: 16.1 g ft. below measuring paint
luring Point is NM ft. above land surface
The of water pumped/bailed before sampling: 0.8
PERMIT Number: Expiration Date:
Non -Discharge WQ0007798 UIC_
NPDES
Date sample collected: 5/4/2011
Well Diameter. 2 in.
Screened Interval: 7 ft. to 25 ft.
Relative M.P. Elevation: 117.15 ft.
Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑Other.
FIELD ANALYSES: 1NAJ
pH 4.19 units Temp. 15.80 eC DR of
Spec. Cond. B7 µt
Mhos samo
Odor NM
Appearance NM
sample analyzed: 5-18-2011 Laboratory Name: Shealy Environmental Services, Inc.
%METERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD NA mg/I Nitrite (NO2) as N <0.02 mg/I Pb - Lead
Colifonn: MF Fecal
NA /100ml
Coliform: MF Total
NA /100ml
(Note: Use MPN method for Nghly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol.
NA mg/I
' Sulfate
3.0 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; N%w N; Ammonia Nitrogen, Total) '
TKN as N NA mg/I
Certification No. 329
NA mg/I
Nitrate (NO3) as N
n A7 mg/I Zn - Zinc NA mg/I
Phosphorus: Total as P
NA mg/I
Orthophosphate
NA mg/l Other (Specify Compounds and Concentration Units):
AI - Aluminum
NAmg/I TICE 0.73ug/L
Ba - Badum
NA mg/I
Ca - Calcium
NA mg/I
Cd - Cadmium
NA mg/I'
Chromium: Total
NA mg/I
Cu - Copper
NA mg/I
Fe - Iron
0.11 mg/I
Hg - Mercury
NA mg/I
K- Potassium
NAmg/I
Mg - Magnesium
NA mg/I
Mn - Manganese
Ni - Nickel
mgh
mg/I
ORGANICS: (by GC, GC/MS, HPLC),
(Specify test and method A ATTACH LAB REPORT.)
ReportAttached?
® Yes (1) ❑ No (0)
VOC
, method # 8260B
Nitrate/Nitrite
method # 353.21354.1
Sulfate I
method # 9056
Iron/Ferrous Iron
method# 6010B/3500-Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Michael Pressley
Permittee (or Authorized Apent) Name and Title- Please print or type
GW-59 Rev. 1/2007

SUBMI I- FUKM UN YYl l vw rHreR ONLY
°R QUALITY MONITORING:
REPORT FORM
Name: Toastmaster, Inc.
Name (if different):
Address: Plant Road
(street) NC County Scotland
act Person: Kevin Domack Telephone#.[phone]
Location/Site Name: Let 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
LID NUMBER (from Permit): MW-10 Date sample collected: 5/4/2011
Depth: 26.8 ft. Well Diameter. 4 in.
i to Water Level: 10.90 ft. below measuring point Screened Interval: 6 ft. to 25 ft.
luring Point is NM ft. above land surface Relative M.P. Elevation: 110.83 ft.
ne of water pumped/bailed before sampling: 1.2 gallons
Number: Expiration Date:
Marge WQ0007798 UIC_
Other_
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ® Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: VVAa
pH 3.57 units Temp. 15,00 °C DRY at
Spec. Cond. 92 µMhos time sampling,
Odor NM _ check
Appearance NM here:❑
iVRHIVRT IIY I'VRIVIHIIV IY
) sample analyzed: 5-18-2011
Laboratory Name: Shealy
Environmental Services, Inc. Certification No. 329
AMETERS NOTE: Values should Feflect dissolved and colloidal concentrations.
COD
NA mgA
Nitrite (NO,) as N (<0.20) ND mgA
Pb - Lead NA mg/I
Coliform: MF Fecal
NA /100ml
Nitrate (NO3) as N
n nss mg1l
Zn - Zinc NA mg/I
Coliform: MF Total
NA 1100ml
Phosphorus: Total as P
NA mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
NAmg/1
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
NA mg/l
Al -Aluminum
NA mg/I
cis-1,2-DCE 20 ug/L
pH (when analyzed)..
NA units
Be - Barium
NA mg/I
TCE 34 uq/L
TOG
NA mg/I
Ca - Calcium
NA mg/I
PC E 0.79 uq/L
Chloride
NAmg/I
Cd- Cadmium
NAmg/I
Arsenic
NA mg/I
Chromium: Total
NA mg/I
Grease and Oils
NA mg/I
Cu - Copper
NA nil
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
NA mg/I
Sulfate
10 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogerr,Nneas N; Ammonia Nitrogen, Total)
TKN as
NA
Fe - Iron
0.41 mg/l
Hg - Mercury
NA mg/I
K- Potassium
NAmg/I
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached?
® Yes(1) ❑ No
VOC
, method # 8260B
Nitrate/Nitrite
—,method # 353.2/354.1
Sulfate
, method # 9056
Iron/Ferrous Iron
, method # 6010B/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCS: mg/L vuo Kerr i io
Michael Pressley
Pe rnittee (or Authorized Agent) Name and Title -Please print or type
Signature
GW-59 Rev. 1/2007

OUtllvn I rUKIVi VN
Name:
?R QUALITY MONITORING:
REPORT FORM
Toastmaster, Inc.
or
Name (if different):
Address: Plant Road
(Sheet) NC County Scotland
act Person: Kevin Domack Telephone#:[phone]
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled: 7
• ((mm Pwtmin
LID NUMBER (from Permit): MW-11
Depth: 23.15 ft,
h to Water Level: 1,9ft. below measuring point
Luring Point is NM ft. above land surface
ne of water pumped/bailed before sampling:
sample
NOTE: Values should
COD NA mg/I
Colifonn: MF Fecal NA /100ml
Coliform: MF Total NA /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
NA mg/I
pH (when analyzed)
NA units
TOC
NAmg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/l
Sulfate
3.1 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
TKN as N NA mg/I
MIA
PERMIT Number: Expiration Date:
Non -Discharge WQ0007798 UIC_
NPDES Other
Date sample collected: 5/4/2011
Well Diameter. 4 in.
Screened Interval: 6 ft. to 25 ft.
Relative M.P. Elevation: 117.57 ft.
171
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ® Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: VITA,
pH 4.14 units Temp. 15.40 "C DRY at
Spec. Cond. 133 pMhos time of
P samnlin
Odor NM
Appearance
Laboratory Name: Shealy
Environmental Services, Inc.
Certification No. 329
colloidal concentrations.
Nitrite (NO2) as N (<0.20) ND mg/I
Pb - Lead
NA mg/I
Nitrate (NO3) as N
n R3 mg/I
Zn -Zinc
NA mg/I
Phosphorus: Total as P
NA mgA
Orthophosphate
NA mg/1
Other (Specify Compounds and Concentration Units):
AI - Aluminum
NAmg/l
cis-1,2-DCE
4.6ug/L
Ba - Barium
NAmg/1
TICE
55uolL
Ca - Calcium
NA mg/I
Cd - Cadmium
NA mg/I
Chromium: Total
NA mg/I
Cu - Copper
NA mg/I
ORGANICS: (by GC,
GC/MS, HPLC)
Fe - Iron (<0.10) ND mgA
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury
NA mg/I
Report Attached?
® Yes (1) ❑ No (0)
K- Potassium
NA mgA
VOC
, method # 8260B
Mg - Magnesium
NA mg/I
Nitrate/Nitrite
method # 353.2/354.1
Mn - Manganese
NA mg/I
Sulfate
, method # 9056
Ni - Nickel
NA mg/I
Iron/Ferrous Iron
method # 6010B/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOGs: mgrL vac Kemovar/o
Michael Pressley
Perminee (or Authorized Apart) Name and Title- Please print or tvpe
GW-59 Rev. 112007

rumuti UIN
-R QUALITY MONITORING:
REPORT FORM
Name: Toastmaster, Inc.
Name (if different): _
Address: Plant Road
County Scotland
act Person: Kevin Domack Telephone#., 608-2754846
Location/Site Name: Lat 34o47'56.6" Long 79o27'47.3" No. of wells to be sampled:
LID NUMBER (from Permit): MW-14 Date sample collected: 5/4/2011
Depth: 31.72 ft, Well Diameter: 4 in.
i to Water Level: 13.13 ft. below measuring point Screened Interval: 6 ft. to 25 ft.
During Point is NM ft. above land surface Relative M.P. Elevation: 119.03 ft,
ne of water pumpedibailed before sampling: 1.58 gallons
276k-'1617 Phone: (919);73J3221
Number: Expiration Date:
;harge WQ0007798 UIC_
Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon R] Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: - YYAJ
pH 4.69 units Temp. 15,80 eC DRY at
Spec. Cond. 184 µMhos time of
sampling,
Odor NM check
Appearance NM here:❑
v rrrvrtry ea�•
sample analyzed: 5-18-r2011 LaboratoryName: Shealy Environmental Services, Inc. Certification No. 329
;AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD NA mg/I Nitrite (NO2) as N n 087 mg/I Pb - Lead NA mg/I
Coliform: MF Fecal NA /100ml Nitrate (NO3) as N <0.02 (ND) mg/I Zn - Zinc NA mg/I
Coliform: MF Total NA /100m1 Phosphorus: Total as P NA mgn
(Note: Use MPN method for highly turbid samples) Orthophosphate NA mg/I Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total NA mg/I Al -Aluminum NA mg/I cis-1 2-DCE 13 ug/L
pH (when analyzed)
NA units
TOC '
NA mg/I
Chloride
NA mg/I
Arsenic
NA mg/I
Grease and Oils
NA mg/I
Phenol
NA mg/I
Sulfate
24 mg/I
Specific Conductance
NA µMhos
Total Ammonia
NA mg/I
(Ammonia Nitrogen; NH;as N; Ammonia Nitrogen, Total)
TKN as N NA mg/I
Be - Barium
NA mg/I
Ca - Calcium
NA mg/I
Cd - Cadmium
NA mg/I
Chromium: Total
NA mg/I
Cu - Copper
NA mg/I
Fe - Iron
1.1 mg/I
Hg�- Mercury
NA mg/I
K- Potassium
NA mg/I
Mg - Magnesium
NA mg/I
Mn - Manganese
NA mg/I
Ni - Nickel
NA mg/I
TCE 280 uo/L
1 1-DCE 1.1 ua/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method A ATTACH LAB REPORT.)
Report Attached?
® Yes (1) ❑ No (0)
VOC
method # 8260B
Nitrate/Nitrite
method# 353.2/354.1
Sulfate
method # 9065
Iron/Ferrous Iron
method# 6010B/3500Fe D
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I otal wcs: mgtu vac memovat io
Michael Pressley
Pennittee (orAuthodzed Agent) Name and Title - Please print or type
Signature of Permittee (or Authorized Aslant) (Date)
GW-59 Rev. 1/2007