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&le,)
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