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HomeMy WebLinkAboutWQ0007798_GW Monitoring_20070604Wv-(AV (A➢ (N (y ty tw WU (v (W (W" (W1(W W (3) (N'-(N (3 (N SUBMIT 10 4 (3 (S (144 (3 4 4 4 3 (3 (3'3'(J J QUALITY Name: ToastM Name (if different): County act Person: 1arrU Clark., Telephone#: S23 -110 A - 3 A I ti Location/Site Name:b- - 3*_`UV 5(o•b No. of wells to be sampled:11 r- - 'fee PrrN9 PLING INFORMATION _ LID NUMBER (from Permit): MW " 3: Data sample collected: 5(310-7 Depth: ' 0• O ft. Well Diameter. Lln. h to Water Level: Jg-/ fo ft. below measuring point Screened Interval: to luring Point Is 2- T fL above lend surface _ft. _ft. . Relative M.P. Elevation: ft. no of water pumpedlballed before sampling: I •S gallons sample COD mgll Coliform: MF Fecal /100ml -` Collform! MF Total /100ml (Note; UeeIMPN metbedforNpNylurbld&ample,) Dissolved Solids: Total mg/I !pN (wht n;analyzed) 5. O / units a TOC mgA t- Chloride mgA 1•-- Arsenic mg/l UGrease and Oils mg/I Phanol mg/I Sulfate mgA Specific Conductance µMhos . TotalAmmonia mg/I (AmmoNe Nibogen; NH,ee N; AmmoNe Ngbogen, Total) TKN'as N mgA For Remedlatlon Number: Expiration harge W0000117-99 UIC, Other 'PE OF. PERMITTED OPERATION BEING MONITORED ❑ Lagoon ® Remedlatlon: Infiltration Gallery ❑ Spray Field ❑ Remadiation: Rotary Distributor ❑ Lend Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: WAS pH 5.1aunits Temp. Z . I eC DRY at Spec. Cond. µMhos time of sampling, Odor check Appearance here:❑ Laboratory Name: P6,,m1'nrn laul �orarOr1t,$certificatlonNo,�( colloidal concentrations. RECEIVE[) Nitrite (NO,) as N mgA Pb - Lead /1 OF WATER CIn Nitrate (NO3) as N mgA Zn -Zinc mgll Phosphorus: Total as P mgll Orthophosphate mgA AI ;Aluminum mg/I Be - Barlum mgfi Ca - Calcium mgA Cd - Cadmium mg/I Chromium: Total mgA Lab Reports): Influent KGYtd��� (yrvJinw Pemnlxee (or AuM&L Agent) Neme end TXie - Plee,e prat or type GW-59 Rev, 1/2007 Cu-,Copper mgA Fe - Iron _ me/I Fig - Mercury mg/I K- Potassium mg/1 Mg - Magnesium _ mg/I Mn - Manganese mgA NI - Nickel mgA AUG 0 3 2007 Other (Specify Compounds and Concentration Units): TCE 24(o u2/L ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method A ATTACH LAB REPORT.) Report Attached? I' Yes (1) ❑ No (0) VOC method# _('iG(c01 method # Total VOCs: method # method # VOC 4'S,(VSVTV(3)V(ADVV VVV(V& 44444444444444(114`_ ROUNDWATER QUALITY MO V COMPLIANCE REPORT FORM Name: ' j- stern Name.(If different): act Person: Locatlon/Sfte Telephone#: J r s No. of wells to be L ID NUMBER (from Permit): M W - s Date sample collected: s/3(hy� - Depth: Z±. o ft. Well Diameter: (�S in. h to Water Level: .R.2ft. below measuring point Screened Interval: _ft. to _ft. wring Paint is 3. 2 ft. above land surface Relative M.P. Elevation: ft. Tie of water pumped/balled before sampling: Z. O_ gallons COD mgA Collform: MF Fecal /100m1 Coliform: MF Total /100m1 (Note: Use MPN method for NOY lurbld eemplee) Dissolved Solids: Total moll pH (when analyzed) units TOO moll Chloride mg/i Arsenic moll Grease and Oils moll Phenol mg/I Sulfate mgA Specific Conductance _ µMhos Total Ammonia mgA (AmMrdG Nltrogen: NHaee N; Ammenle Nlttcgm Tam[) TKN as N mgA For Remediation Systems Only GW-59 Rev. 1/2007 Number: Expiration Date: harge WOOOOTF-9e UIC_ Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ER Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: AS pH . (.CP(units Temp. 23. �i eC DRY at Spec. Cond. µMhos ime of samplin Odor check Appearance here: r LaboratoryName: Rat o.di5 m &oJ cal t "w-dRD►ItSCert cation.No. Of colloidal concentrations. - Nitrite (NO2) as N moll Pb - Lead mV' � )� �F ����)ECEI � Nitrate (NO3) as N mgA Zn -Zinc mg Phosphorus: Total as P moll Orthophosphate moll AI -Aluminum mgA Be - Barium mgA Ce- Calcium mgA Cd - Cadmium moll Chromium: Total mgA Cu - Copper mg/I Fe - Iron moll Hg - Mercury mg/I K- Potassium moll Mg - Magnesium mgA Mn - Manganese moll NI - Nickel moll Influent AUG 0 3 2007 Other (Specify Compounds and Concentration Units): 5.5D uu;i L ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? Er Yes(1) 0'No(0) VOC , method # (Srcb01 VOCs: method # method #. , method # 006 1 /.l 1I I 1 TY MONITORING: FORM Name:Toaciuta��tt(Nt��rohnywrne Producis �ocilift/ _ Name (if different): act Person: LocatioNShe 1-110 NUMBER BER (gym Permit): M W' (o Depth: 5-" ft. h to Water Level: r L. s-' ft. below measuring point tuning Point Is 14. Z ft. above lend surface Tte of water pumpediballed before sampling: /O- O County No. of wells to be sampled: Date sample collected: 5 O Well Diameter..2,0 In. Screened Interval: l •Oft. to Relative M.P. Elevation: ft. iRM1T Number: Expiration Date: n-Discharge W0000T9-99 UiC IDES' Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ER Remedlation: Infiltration Gallery ❑ Spray Field El Remediatlon: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: WAS pH 5.30units Temp. iA. 3 eC DRY at Spec. Cond. µMhos turbs of sampling, Odor check Appearance here: ❑ Isample analyzed : O Laboratory. Name: Pa o,4i3m irn-IOial ll6d'c6PIt6CertificationNo. 4% AMETERS 'NOTE- Values should reflect dleaolved and colloidal concentrations. �EC �B�� COD mg/l Nitrite (NO2) as N mg/I Pb - Lead n 5.1 D OF ECTIR Collform: MF Fecal /1o0m1 Nitrate (NO3) as N mgA Zn-Zinc mgA Collform: MF Total /100ml Phosphorus: Total as P _ mgll AUG o 3 2007 (Nola: Use MPN method for highly turbid samples) Orthophosphate mgA Other (Specify Compounds and Concentration Units): Dissolved Solids: Total mg/I pH (when analyzed) units TOC mgA Chloride mg/I ArsenicT_mo Grease and Oils mgA Phenol - mg/I Sulfate mgA Specific Conductance µMhos . Total Ammonia mgA (AmmoNs Nilmgen; NHaes N; Ammonle Nitrogen, Total) TKN as N mgA For Remedlation Systems Only (Attach Lab Reports GW-58 Rev. 112007 AI - Aluminum mg/I Be - Barium mg/I °Ca - Calcium mgA Cd- Cadmium mg/l Chromium: Total mg/I Cu - Copper mgA Fe - Iron. mgll Hg - Mercury mgll K- Potassium mgA Mg - Magnesium mgA Mn - Manganese mg/I NI - Nickel mg/l Influent Total VOCs: TGF 5�& ORGANICS: (by GC, GC/MS, HPLC) ' (Specify test and method #. ATTACH LAB REPORT.) Report Attached? ✓❑r Yes (1) ❑ No (0) VOC method# 6rG4c01 method # method # method # Total VOC Name: - Name (if act Person: Location/She L ID NUMBER (from Permit): Depth: • 25.0 ft. h to Water Level: LQ. (o ft. below measuring, point luring Point Is ft. above land surface me of water pumped/balled before sampling: (... O County Telephone#: S M —130 A - 3AI4, No. of wells to be sampled: IO. Date sample collected: 5 3 O Well Diameter. 2_01n. Screened Interval: 2.5 ft. toZS-Oft. Relative M.P. Elevation: ft. :RMIT Number: Expiration Date: in -Discharge W0000T9.99 UIC 'DES' Other PE OF PERMITTED OPERATION BEING MONITORED . ❑ Lagoon Remedietlon: Infiltration Gallery ❑ Spray Field ❑ Remedietlon: ❑ Rotary Distributor ❑ Lend Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: IWAS pH 5. (08units Temp. 2l - Z eC_ DRY at Mhos ime of Spec. Cond. µ sampling, Odor check Appearance hare: ❑ ORATORY INFORMATICIA sample analyzed: O Laboratory Name: P,� d�rin &.14t a� ard6rjL6Csrtlgcatlon No. �L IAMETERS NOTE: Values should reflect dissolved and colloidal concentretlona. RECEIVED COD mgA Nitrite (NO2) as N mgll Pb - Lead mgA Collform: MF Fecal /100m1 Nitrate (NO3) as N mgA Zn - Zinc mgn0R OF WAVER Ot Collfomr:MFTotal /loom[ (Noll Use MPN mellwd ferh Wreld ample$) Dissolved Solids: Total mg/I pH (when analyzed) q -. '-i'q units TOC mgA Chloride mg/l Arsenic mgA Greece and Oils mg/I Phenol mgA Sulfate mgA Specific Conductance µMhos Total Ammonia mgA (Ammon. Nlemgen: NHsae N: Amman\ N t mgen, TateO For TKN as N mgA Phosphorus: Total as P mgll Orthophosphate mgA AI -Aluminum mgA Ba - Barlum mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu - Copper 1319/1 Fe - Iron mg/I Hg- Mercury mgfl K- Potassium mg/I Mg - Magnesium mg/I Mn - Manganese mgA NI - Nickel mgfl Influent Other (SpecifyCompounds and Concentration Un ts):�uG 0 3 7tg (os 5 uaL .ORGANICS: (by GC, GC/MS, HPLC) (Specify tent and method #. ATTACH LAB REPORT.) Report Attached? ZK Yes (1) Q No (0) VOC method# GCILO- method # method # method# Effluent Total GW-59 Rev. 1/2007 c"L� �- �-� �-' Vgwl Name: 'Toasir+uwi't:r- 104T-n1ra6nyw M rru. ProduL+s F&Li ((iv Name (It dthfant): 10t Person: Location/Site LID NUMBER (from Permit): M Div - 10 Depth: 25.0 ft. i to Water Level: i;.31 ft. below measuring point luring Point Is 3•Z5 ft. above land surface ne of water pumpediballed before sampling: 33• o COD mg/I Collform: MF Fecal Mooml Colifomf: MF Total /100ml (Note: Use MPN method for highly turtrld samples) Dissolved Solids: Total mg/I PH (when analyzed) 4. ES units TOO mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/I Sulfate -mg/I Specific Conductance µMhos Total Ammonia mg/I (AmmoNe Nltmgen; NHese N; Ammonle Nitrogen, Total) TKN as N mg/I Telephone#:rSM-ROA- 3AI ti No. of wells to be sampled: _Lo Date sample collected: `J 3 O Well Diameter:l-f-O In. Screened Interval: 2.5 ft. to2S•21t. Number: Expiration. Date: .harge W0000T7-98 UIC_ 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon R Remedlation: Infiltration Gallery ❑ Spray Field ❑ Remedlation: ❑ Rotary Distributor . ❑ Lend Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: rDRYat AB PH 5. 3Cunits' Temp. 21.. Z°C Spec. Cond. µMhos e of mplln Relative M.P. Elevation: ft. Odor _ aAppearance Laboratory Name: Poxg-4i3t a 1 LaLot'd6ric4Certification No. *81_ colloidal concentrations. Nitdte (NO2) as N mgA Pb - Lead mg/I nw Nltrete (NO3) as N mgA Phosphorus: Total as P mg/I Orthophosphate mg/I AI -Aluminum mg/I Be - Barium mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu- Copper mg/I Fe - Iron mgA Hg - Mercury mgA K- Potassium mgA Mg - Magnesium mgA Mn- Manganese ..-mg/I NI - Nickel mgA.. Lab Reports): Influent Total Zn - zinc mg/I AVV Other (Specify Compounds and Concentration Units): TCE L•7i3 w /t ORGANICS: (by GC, GC/MS, HPLC) (Specify teat and method #. ATTACH LAB REPORT.) Report Attached? 2� Yes (1) ❑ No (0) VOC . , method # GC (.01 method # Effluent Total VOCs: method # method #, OW-139 • Rev. 1/2007 MONITORING: Name: TQAhjjM Vame (if different): tct Person: Location/She LID NUMBER (from Permit): M W - ! f Depth: 25' O ft. h to Water Level: 10• (o'i ft. below measuring point luring Point Is 3.15 ft. above land surface ne of water pumpedlbailed before sampling: - COD mg/l Collform: MF Fecal /100ml Collform: MF Total /100m1 (Note: Use MPN method for highly tumid samples) Dissolved Sollds: Total mg/l pH (when analyzed) .5 q units TOC mg/I Chloride mg/l Arsenic mg/I Grease and Oils mg/I Phenol mgA Sulfate mgA Specific Conductance - µMhos Total Ammonia mgA (Amm nla Nitrogen: NHses N. Ammonia mtmgen, Total) TKN as N mg/I For Remedletion ll_haA(1 Newtoh Pae (orAUMorized Apene Name end Trite •Please print or type GW59 Rev. 112007 Telephone* to rJ-WOK- No. of wells to be sampled: Date sample collected: S ✓ a Well Diameter. `f_d In. Screened Interval: (p_O ft. tozs_clrt. Relative M.P. Elevation: ft. :RMIT Number: Expiration Data: m-Discharge W000O7�4.96 UIC 3DES Other IPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon R Remediatlon: Infiltration Gallery ❑ Spray Field ❑ Remediatlon: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: pH 5L(,0units Temp. 2-1.3 eC Spec, Cond. µMhos Odor Appearance LaboratoryName: Pw-todi5� i a j "ar&6yj SCertifieation No.4$ (_ Idal concentrations. Nitrite (NOz) as mg/l Pb - Lead mgll Nitrate (NOs) as N mgA Zn -Zinc mgA ON - Phosphorus: Phosphorus: Total as P milli Orthophosphate mgA AI -Aluminum mgA Be - Barium • mgA Ca - Calcium, mgA Cd- Cadmium mg/l Chromium: Total mgA Cu- Capper mgli Fe - Iron mg/I Hg - Mercury- mg/I K- Potassium mg/l Mg - Magnesium mgA Mn - Manganese mg/1 NI - Nickel mg/I luent Total VOCs: kmg/L EMU at Of w6 ®1 Other (Specify Compounds and Concentration Units): Tc a `fro •5 4- L. ORGANICS: (by GC, GC/MS, HPLC) (Specify teat and method #. ATTACH, LAB REPORT.) Report Attached? Q' Yes (1) ❑ No (0) VOC method # 6rG f e D ( method # method # method # VOC SUBMIT FORM ON YELL=PAPER ONLY IUNDWATER QUALITY MONITORING: IPLIANCE REPORT FORM M P(eeae Print Cleariy or type PERMIT Number: Expiration Date: ITY INFORATION _ ty Name: Taa +ntn iy-I -A haves "T`me. Endurks T'"U4 Non -Discharge Wn0002r 99 UIC it Name (it different): NFOES �_ Other P I0,M+ RAOJ TYPE OF PERMITTED OPERATION BEING MONITORED ty Address: urin�oufw Isrc`° NC 2i1352 County IRC:OTI.A14D ❑ Lagoon I2Remedlation:Infiltration Gallery c�.i T '+I ❑ Spray Field ❑ Remedlation: 1 n C 1C Telephone#: SM-BOA - 3 A I ti ❑ Rotary Distributor El Land Application of Sludge act Person: r rW ' fi� stO.V No. of wells to be sampled:. ❑ Water Source Heat Pump ❑ Other. Location/She Namei—�' romP r- LL PLNG INFORMATION µ'! Mw- 1 ..ff sample collected:. (E5 3 C4 FIELD ANALYSES:et L ID NUMBER (from Permit): FDate 3 C� U ft. Well Diameter. O in. �_ pH units Temp. !Depth: f • h to Water Level: 0. 9 R. below measuring point 7Mhos.. Screened Interval: (o• O It. to 30.08. Spec. Cord. ing, luring Point le 3.y ft• above land surface Relative M.P. Elevation:. R. ' rmpadlbaiied before sampling: 3 9 o gallons Odor Appearance❑ me of water IeD s fOr r -re collected unflltered: ❑YES ❑ NO and field acidified: ❑ YES ❑ NO j B OBAT� Barr -+na/0:; Laboratory Name: �r++�di�rrf >�a� ial �obor6lbftCSCertifleatlonNo, _ A ould reflect dissolved and V h colloidal concentrations. �\�S®� Lead mg/1 G � . mgll Nitrite (NO2) as N mg/i Pb - �y�&dy� Zinc mg/I�l�i Nitrate (NO3) as N mg/I Zn - CJ ZI _/10oml '100ml Phosphorus: Total as P mg/I 1)� Orthophosphate mg/l AI -Aluminum mg/I Be - Barium mg/1 Ca - Calcium _�_m9/I 'A - Cadmium mg/I v Total mg/I ,er mg/I. Other (Specify Compounds and Concentration UnitG�: TcE &. (o — / L ORGANICS: (by GC, GC/MS, HPLC) LAB REPORT.) ❑' No (0) rG(�O I SUBMIT 44444(53434 (3) 4(11(1344(5`4°4I_�__ QUALITY MONITORING: PORT FORM I rTV Na: Hansa HIM Ohedy or Type _ PERMIT Number: Expiration Date: ty me: Tbas�r+U Afil! (Nc-�2rwrahaYw -(`rnc, produL" Foci (i4 Non -Discharge W0000TT-99 UIC It Name (it different): NPDES' Other. ty,Address: Piero R00A TYPE OF PERMITTED OPERATION BEING MONITORED r1rin{Ir rra ls" of NC 2.A352. CountySGOTLf�ND ❑ Lagoon ®Remedlation:InfiltrationGallery �^ s""' I''P) ❑ Spray Field ❑ Remedlation: set Person: r rrU C fig Telephone#: S?.9-QnA - 3 A I Z ❑ Rotary Distributor ❑ Land Application of Sludge Location/Site Name:b- - 8V ¢� Sm .V No. of wells to be sampled: /0 ❑ Water Source Heat Pump ❑ Other. LL ID NUMBER Permit): ICi/�� I Date sample collected: 6 3 O FIELD ANALYSES: AS (from ft. Weil Diameter. pH !! •95units Temp.2D, (p•inoCDRme ll Depth: th to Water Level: ft. below measuring point fil, _In. Screened Interval: _ft. to_ft.. Spec,Cond. µMhos oft sampling, asuring Point Is ft. above land surface Relative M.P. Elevation: ft. Odor check ume of water pumpedlbailed before sampling: gallons - - .. ..._ . r1..__ ".._ Appearance here: ❑ COD mg/l Coliform: MF Fecal /100mi Collform: MF Total HOOmI (Nola: Use MPN method WhIghly habld samples) Dissolved Solids: Total -Mgt[ pH (when analyzed) 5.3 L units TOC mgA Chloride mg/I Arsenic mg/I Grasse and Olis mgfl .Phenol mg/I Sulfate mgA Specific Conductance µMhos Total Ammonia mgA (Ammonla Nitrogen; NH.es IT, Amon -it Nitrogen, Total) TKN as N mg/I For Remedlation Systems Laboratory Name: Paml',3rn Ag.1VTrial L"ambricsCertificationNo. TBr colloidal concentrations, - I Nitrite (NO2) as N mg/I Pb - Lead mgA C�3�1�Y�F Nitrate (NO3) as N mg/l Zn-Zinc mg/01M.0 Phosphorus: Total as P mg/I Orthophosphate mgA AI - Aluminum mgA Be - Barium - mg/I Ca - Calcium mgA Cd- Cad mium _ mgA Chromium: Total mgA Cu- Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K- Potassium mgA Mg - Magnesium mg/I Mn- Manganese mgA NI - Nickel mgA Influent Total Effluent Other (Specify Compounds and Concentration Unlge ORGANICS: (by GC, GC/MS, HPLC) (Specify teat and method #. ATTACH LAB REPORT.) Report Attached? 0' Yes (1) ❑ No (D) VOC method # t' ,Ct (00 ( method # method # method # GW-59 Rev. 1/2007 ., .. SUBMIT FORM ON YELLOW PAPER ONLY _ QUALITY MONITORING: Name: WG4m go ho1%, —[, rno Preduci-s foci I Name (if different): - Address: PlaMf' QOOJ act Person: Location/Site County S GOTL^ fd 0 No. of wells to be sampled: L ID NUMBER (from Permlt): K.w' 2i Date sample collected: Depth: ft. Well Diameter: _in. ) to Water Level: ft. below measuring point Screened Interval: _ft. to _ft. ;uring Point is ft. above land surface Relative M.P. Elevation:.. ft. ne of water pumpedlbailed before sampling: gallons IAMETERS NOTE: Values should reflect dissoly COD mg/1 Collform: MF Fecal /100ml Collform: MF Total /100ml (Note: Use MPN method for Nghly brbld samples) Number: Expiration Date: ;harge Wd000j'7-99 UIC_ Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon GR Remediation:.Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other. FIELD ANALYSES: WAS pH 6.,4�3. units Temp. 20.y eC DRY at Spec. Cond. µMhos time of sampling, Odor check Appearance here: ❑ Laboratory Name: 't "MJi2� 'c a i. Lob or-6W►It6Certification No. 8 colloidal concentrations, RM Nitrite (NO2) as N mg/I Pb - Lead mg/bIV Nitrate (NOs)-as. N mgA Zn - Zinc mg/f Phosphorus: Total as P mgll Orthophosphate mgA Other (Specify Compounds and Concentration Units): Dissolved Solids: Total mg/l AI -Aluminum mg/I pH (when analyzed) units Be - Barium mg/I TOC mg/I Ca - Calcium _ mg/1 Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Phenol mg/I Sulfate mgA Specific Conductance µMhos Total Ammonia - mgA (Ammonla Nitrogen; NHees N; Ammonia Nitrogen, Total TKN as N mg/I Cu - Copper Fe -Iron mg/I Hg- Mercury mg/I K- Potassium - mg/I Mg - Magnesium - mgll Mn - Manganese - mg/i NI - Nickel mg/I TL6 39re U9/( ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method N. ATTACH LAB REPORT.) ReportAttached7 Q/ Yes(1) ❑ No VOC. _, - , method # &CA00 ) method # method # method # For Remedlatlon Systems Only (Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs: mg/L VOC Removal% Kux&o ( I Ne W+o vt Perini taa (or Authorized Agent) Name and Thle- Please Print Or type GW-59 Rev. 112007 SUBMIT Name: TQ21= Name (if different): Address: P12 rct Person: Location/Site 116UMe1nrmnalwanan ^�— L ID NUMBER (from Permit): K Depth: ft. It to Water Level: ft. below measuring point luring Paint Is ft. above land surface me of water pumped/bailed before sampling: COD mgll Collform: MF Fecal /loom] Collform: MF Total /loom] (Note: We MPN method for highly Woe eempl°Q Dissolved Solids: Total mg/I pH (when analyzed) 4. 60 units TOC mgA Chloride mg1I Arsen]c mg/I Grease and Oils mg/l Phenol m9/1 Sulfate mgfl Specific Conductance µMhos Total Ammonia mg/I (AmmoNe Nleegnm, NHan N; Ammonia Ngagen, To%Q TKN as N mgll . Remedlation Svetems Only (Attach Lab County No. of wells to be sampled: Date sample collected: Well Diameter. _In. Screened Interval: _ft. Number: Expiration Date: :harge W6000TT99 UIC_ Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon [ Remedlation: Ingltratlan Gallery ❑ Spray Field ❑ Remedlation: ❑ Rotary Distributor ❑ Land Appllcatlon of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: " �p� qq rt OIR pH 5•�units Temp. a a. L°C ne ft to ft. Spec. Cond. µMhos mpllr Relative M.P. Elevation: ft. Odor _ Is Appearance Laboratory Name: P,MdtS rn &.1 c a 1 Woot'aIDr ic4Certification No. _ colloidal concentrations. Nitrite (NO2) as N mgll Pb - Lead m9A Nitrate (NO3) as N mgll Zn - Zinc j w Phosphorus: Total as P mg/I Orthophosphate mg/I AI -Aluminum mgA Be - Barlum mg/l Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu- Copper mg/I Fe - Iran mg/I Hg - Mercury mgA K- Potassium mg/l Mg - Magnesium 1119A Mn - Manganese mgA NI - Nickel mg/I Other (Specify Compounds and Concentratlorpn to)Q 3 Z007 ORGANICS: (by GC, GCIMS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? ZY Yes (1) ❑ No (0) VOC . ,method# (00(o0I Effluent Total VOCs: method # method # method # ma/L VOC Removal%. OW-Sa Rev. 112007