WQ0007798_GW Monitoring_20041116

GROUNDWATER QUALITY MONITORING:
COMPLIANCE R
FACILITY•INFORMATIOI
Facility Name.._&Ldpq
Permit Name (if diff�ergnt)`:
Fa flit Address 4:fILLI,
r rn
Contact Person:
Well Location/ Site Name:
Telephone #:
No. of Wells to be
Wall Identification u �Lfr(fromPermit): MW 1 . For Groundwater Treatment Systems
Well Depth: ft. Well Diameter: Z_0 in.. Check One: ❑ Influent 98
Screened Interval: 1T. 0 ft. to 2S, O ft. Effluent (99))
Depth to Water Level: 10• } N. below measuring point.
Measuring Point (M.P.) is: 2,5 ft. above land surface. Relative M.P. Elevation in N.:
Gallons of water pumpediballed before sampling: 6.5 Date sample collected:-15-100
Field analysis: pH •7C S� , Specific Conductance uMhos
Temp. °C, Odor Appearance
PARAMETERS (Samples for metals were collected unfiltered YES _NO
COD mg/I - Nitrite (NO2) as N
Coliform: MF Fecal /100ml Nitrate (NO3) as N
Coliform: MF Total- /100ml Phosohorus: Total as P'
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed) 5:79
units
TOC
mg/I
Chloride
mg/I
Arsenic
mg/(
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/(
GW-59
Rev. 03/2000
i (
Orthophosphate
AI - Aluminum
Ba -Barium-
Ca - Calcium
Cd
Chi
Cu
Fe•
Hg
K-
M
Mn
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER'
PERMIT #: • , EXPIRATION DATE:
Non -Discharge WQ000779 R UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Feld Remediation: O
Rotary Distributor - Land Application of Sludge W
Other: r A
)VOTE' Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 9 IC- zoo y
LaboratoryName: PIFM1A Or(, W ANgLV T I(*L L W(3OQ.nTott.t65
Certification No. YAl
and field acidified
mg/I
mgA
mg/I
mg/I
mgA
mg/I
mg/I
mgA
mg/I
mg/I
mg/I
mg/I
mgA
_YES _ NO)
Ni - Nickel mg/1
Pb =Lead mg/1
Zn - Zinc mg/I
Ammonia Nitrogen mg/I ?
Other (Specify Compounds and Concentration Units)
TC e� 1 x=
ORGANICS: (GC,GC/MS,HPLC) f•
(Specify test and'methad #. Attach to
Report Attached? Yes ✓ (1) ft
VOC : method #'=_E,
method # =
method # =

J — � _ _3= _! 7- '
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: I
Permit Name'(if
Well Location/ Site
County t�W-r ( a[ r, lam_
Telephone #: ST3 _ WA - ,
No. of Wells to be Sampled:
Wellldentificatio Numbdr(from Permit): f%W2 For Groundwater Treatment Systems
Well Depth: 30.0 ft. Well Diameter: I•zsin.. Check One:❑ Influent (98)
Screened Interval: ft. to 30 ft. ❑ Effluent (99)
Iti OO
Depth to Water Level: ft, below measuring point.
Measuring Point (M.P.) is: L• 30 it. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 1.0 Date sample collected: 9• IS -20y
Field analysis: pH 5. 62 , Specific Conductance uMhos
Temp. 19. °C, Odor Appearance
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge W QO 00714,UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery' t •
Spray Feld Remedialion: W
Rotary Distributor Land Application of Sludge CJ
J
Other: _
NOTE: Values should reflect dissolved and
colloidal concentrations.
Im
Date sample analyzed: 9- L S- Z a o H
LaboratoryName:FRRAo1L;rv\ ANAL%ITICAL LINOM?ATO(Z163
Certification No. t-I 81
PARAMETERS (Samples for metals were collected unfiltered YES _NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal /100ml Nitrate.(NO3) as N mg/I
Coliform: MF Total/100ml Phosphorus: Total as P ma/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed) 5.5 o
units
TOC
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
GW-59
Rev.03/2000
Orthophosphate
mg/I
Al -Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium I
I%H:t-1W-H mg/I
Cd - Cadmium I
• mg/,I
Chromium: Total I
art; r '.` mg/,I
Cu - Copper I
mg/1
Fe - Iron. II r,«M
C•,.�_ ,_,.,jrn�PII ._,A, Img/l
H9- Mercury "
m /l
9
K - Potassium
mg/I
Mg - Magnesium
mg/I,
Mn - Manganese
mq/I
_YES _ NO)
Ni - Nickel
mg/I
Pti - Leant
mg/I
Zn - Zinc
mg/I
Ammonia Nitrogen
mg/I
Other (Specify Compounds and Concentration Units)
TCE all Va p -
ORGANICS: (GC,GC/MS,HPLC) 'rn
(Specify test and'method #. Attach.lp4 re
Report Attached? Yes ✓ (1)'' (0)
VOC method #'- C O l ..
method #
method # _

GROUNDWATER QUALITY MONITORING:
GnMPLIANCE REPORT FORM
Facility Name
Permit Name
Well Location/ Site
County I ltdr—s`
Telephone #: 57,�' AAA -
No. of Wells to be Sampled:
Well identification Numbdr (from Permit): M W 3 For Groundwater Treatment Systems
Well Depth: 30- o ft. Well Diameter: 1 .25 in. Check One: ❑ Influent (98)
Screened Interval: it. to . 3 o. o ft. ❑ Effluent (99)
Depth to Water Level: 6• B l ft. below measuring point.
Measuring Point (M.P.) is: 1_7 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/balled before sampling: l• S .Date sample collected: I1-20o
Field analysis: pH 5- 34 , Specific Conductance uMhos
Temp. I$•1 °C,Odor Appearance
PARAMETERS (Samples for metals were collected unfiltered - YES _NO
COD mg/I Nitrite. (NO2) as N
Coliform: MF Fecal /1oom1 Nitrate (NO3) as N
roliform: MF Total /100m1. Phosphorus: Total as P-
(Note: Use MPN.method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed) 5. 3'1
units
TOC
mg/1
Chloride
mg/l
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/1
Specific Conductance
uMhos
Total Ammonia
mgA
TKN as N
mg/I
Rev. 03/2000
Orthopnospnate
Al - Aluminum
Ba - Barium
Ca - Calcium ---
Cd - Cadmium ll
Chromium: Total- N
Cu - Copper U
Fe - Iron 9
Hg - Mercury N -,-
K - Potassium
Mg,- Magnesium —
Mn- Manganese_
11iM. DEPARTMENT OF,ENVIRONMENT & NATURAL RESOUFICES
WATER QUALITY DIVISION, -GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
DATE:
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery p
Spray Feld Remediation:
Rotary Distributor —Land Application of Sludge CA
Other.
NOTE: Values should reflect dissolved and
W
colloidal concentrations.
C J
Date sampleanalyzed: 9 ` li- Zo0N
Laboratory Name;
p�^(,•AlioaATOR1F5
PM1AoI<^ ANA•LZ rjr_xL
Certification No.
and field acidified
.=YES _ NO)
mg/I
Ni - Nickel r
mg/1
Pb —Lead
rn 1
mg/I
Zn -Zinc — PO
' g/I
mg/I
Ammonia Nitrogen
g/I ;
mgA
Other (Specify Compounds and Concea
`tio nits)
mg/I
mg/I
-r c c 8 2 � Q
9FEIt/r-n mgA
o• �� mg/1
mg/l� ORGANICS: (GC,GC/MS,HPLC)
fr1g/I (Specify test and'method #. Attach -lab report.).
mg%I Report Attached? Yes-Z—(1) No_(0)
mg/I VOC method # = Cq C 6 o I
mg/I method # _
method #

ROUNDWATER QUALITY MONITORING:
nMPI IANCF REPORT FORM
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
Facility Name:J
Permit Name (if
Contact Person: T (f tAr_��V� i Telephone #: �
Well Location/ Site Nestle: I fA-a�ItI3 Sin. lb No. of Wells to be
Well Identification Numbdr (from Permit): nnw V For Groundwater Treatment Systems
Well Depth: 7-1, 0' ft. Well Diameter: 1.25. in. Check One: ❑ Influent (98)
Screened Interval: ft. to 21- o ft. ❑ Effluent (99)
Depth to Water Level: 4: 2 ft. below measuring point.
Measuring Point (M.P.) is:— ft. above land surface. Relative M.P. Elevation in ft.:Gallons of water pumped/bailed before sampling: 1. 6 Date sample collected: - 15
field analysis: pH y • T `"I , Specific Conductance uMhos
Temp. 0•7 °C,Odor Appearance
PARAMETERS (Samples for metals were collected unfiltered YES , _NO
COD mg/I Nitrite (NO2) as N
Coliform: MF Fecal /100ml Nitrate,(NO3) as IN
Coliform::MF Total /100ml Phosphorus: Total as P—
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
PH (when analyzed) LI. 9 S
units
TOC
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Rev. 03/2000
vnnopnospnate
Al - Aluminum
Ba - Barium
Ca - Calcium
Cd - Cadmium
Chromium: Tot
Cu - Copper 1
Fe -.Iron
Hg - Mercury N
K - Potassium fl ^^^^
Mg - Magnesium
Mn - Manganese
PERMIT #: EXPIRATION DATE:
Non -Discharge Mf Q Oo U -f -1 c1 $ -UIC
NPDES
TYPE OF PEaMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of. Sludge W
Other. W
NOTE: Values should reflect dissolved and
colloidal concentrations..
Date sample analyzed: q- (S'206N --
LaboratoryName. 0^Rr-QIjq, l AN hL4 -(Lf}L rAo (LATo r2t✓S
Certification No: 4 8
and field acidified
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
_YES — NO) .Q
n
Ni - Nickel -` r .
Pb - Lead—_ c*
Zn -Zinc
Ammonia Nitrogen r
Other (Specify Compounds and Concentratior
Dee 923 V14P
mg/I ORGANICS: (GC,GC/MS,HPLC)'
mg/I (Specify test and 'method#. Attach lab report.)
mg/I ReportAttached? Yes�(1) No _ (0)
mg/I VOC : method # =�C C. b b t
mg/1 method # =
c method # _

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:J
Permit Name (if
Well Location/ Site
Telephone #: y/A - MR - =
No. of Wells to be Sampled:
Well Identification Numblr (from Permit): _ _ M w 6 For Groundwater Treatment Systems
Well Depth: 24 , 0 ft. Well Diameter: I.LS in, Check One: ❑ Influent (98)
Screened Interval ft. to Z ° • 0 ft. Effluent (99)
Depth to Water Level: 7. I L ft. below measuring point.
Measuring Point (M.P.) is: 310 ft. above land surface. Relative M.P. Elevation In ft.:
Gallons of water pumped/balled before sampling: I.0 Date sample collected: 9- S- loot
Field analysis: pH L4 - 813 , Specific Conductance uMhos
Temp. _ 24.6 °Ci, Odor Appearance
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER -
PERMIT #: EXPIRATION DATE:
Non -Discharge W QOoe 77 9 R_ UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED 0
Lagoon Remedialion: Infiltration Gallery t
Spray Field Remedialion: W
Rotary Distributor --Land Application of Sludge J
NOTE: Values should reflect dissolved and
colloidal concentratlons.
Ln
Date sample analyzed: 9 - IS'- 200 y
LaboratoryName: Pa(Ltt•o%&� ANAL�ITICIat L!\13ottgto21�5
Certification No. 4 81
PARAMETERS (Samples for metals were collected unfiltered YES
_NO and field acidified
_YES. _ NO)
COD
mg/I
Nitrite (NO2) as N
mg/I
Ni = Nickel m -€nn11
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/l
Pb - Lea gYl
Coliform: MF Total
/100ml
Phosphorus: Total as P mg/I
Zn - Zinc ^> g(I _
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Ammonia Nitrogen - - g/l_.
Dissolved Solids: Total
mg/I
Al - Aluminum
m9/1
Other (Specify Compounds and ConctRtrati Units'
pH (when analyzed) V . SO
units
Ba - Barium
mg/I
115
TOC
mg/I
Ca - Calcium
- g/I
_ r-1- c . 89 UA
Chloride
mg/I
Cd - Cadmium
rucl nl tf frig/17
Arsenic
mg/I
Chromium: Total
;mg/l
Grease and Oils
mg/I
Cu-Copper
H I ':i. I } :i,'mg/I
Phenol
mg/I
Fe - Iron
I mg/I
ORGANICS: (GC,GC/MS,HPLC)
Sulfate
mg/I
Hg - Mercury
H 0ENR-FAvrTrem I PPr: 0Mg/IRCE
(Specify test and'method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yesi/ (1) No _ (0)
Total Ammonia
mg/I
-mg/I'
Mg - Magnesium
mg/I
VOC method # = �(b 01
TKN as N
Mn -.Manganese
mg/I
method # =
method # =
Rev. 03/2000

GROUNDWATER' QUALITY MONITORING:
REPORT FORM
Facility Name:_
Permit Name (if
Well Location/ Site
County t_'u I f "t r� irk
Telephone #: 573 - MI =
No. of Wells to be Sampled:
Well Identification Numbdr (from Permit): M w t o For Groundwater Treatment Systems
Well Depth: Z5. O ft. Well Diameter:'- •o in. Check One: ❑ Influent (98)
Screened Interval: 2.5 . ft. to S. o ft. ❑ Effluent (99)
Depth to Water Level:. • 0 ft. below measuring paint.
Measuring Point (M.P.) is:3 - 7-5 ft above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 33 .o Date sample collected: - I o•1
Field analysis:. pH 4 • 96 , Specific Conductance uMhos
Temp. 19.9 °C, Odor Appearance
• DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
.1636 MAIL SERVICE CENTER -
PERMIT #: EXPIRATION DATE:
Non-Dischatge W Q000 7 -I 419 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
CD
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation: t,]
Rotary Distributor =Land Application of Sludge W
NOTE: -Values should reflect dissolved and
colloidal concentrations.
W
Date sample analyzed: of - IT - 2004
Laboratory Name: P+.aaott rA AN6'*LyrtCIhL LraOohhNM1tEf
Certification No. 4 91
PARAMETERS (Samples for metals were collected unfiltered . YES _NO
and field acidified
_YES _ NO)
COD
mg/l
Nitrite (NO2) as N
mg/1
NI.- Nickel
g/I
Coliform: MF Fecal
/100m1
Nitrate (NO3) as N
mg/I.
Pb -Lead o
g/l
Coliform: MF Total
/100ml
Phosphorus: Total as P.
mg/I
Zn - Zinc ^'t
9A
(Note: Use MPN method for highly turbid samples)
Orthophosphate
' mg/I
Ammonia Nitrogen t =.
g/1
Dissolved Solids: Total
mg/l
Al - Aluminum
mg/l
Other (Specify Compounds and ConcyiRt?atiot
nits)
pH (when analyzed) 4.3G
units
Ba - Barium
mg/l
TOC
mg/I
Ca - Calcium —
mg/l_ _
Tc erIA r
Chloride
mg/l
Cd - Cadmium I-!�"-"��'@
rmg/I
y
Arsenic
mg/l
Chromium: Total I
mg/I
2 u!j
Grease and Oils
mg/l
Cu - Copper N
I mg/1
Phenol
mg/l
Fe - Iron R
mg/l
ORGANICS: (GC,GC/MS,HPLC)
Sulfate
mg/1
Hg - Mercury I n n a.
rnv�,,' ­.....,..,mg/h,
(Specify test and'method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
" "�Mg/"
ReportAttached? Yes✓✓(1) No _(0)
Total Ammonia
mg/l
Mg - Magnesium
mg/l
VOC : method # = 4 r b o 1
TKN as N
ing/I
Mn -,Manganese _
mg/l
: method # =
-" : method # =
-
GW-59
Rev. 03/2000
Pe(minee (or Authorized Agent) Name and Tit a - Please print or type
�Yc.l'L ll- l�-2ooy
Signalure'ol Perminee or Authorized Agent) _ (Date)

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM ^
Facility Na-me:J
Permit Name (if
Well Location/ Site N
County I "-�
Telephone #: BE
No. of Wells to be
We11identfffcatioll qurrlbdr(fromPermit): �VtW9 For Groundwater Treatmentbystems
Well Depth: Well Diameter: 2_0 in. 10heckgne:❑ Influent (913)
Screened Interval: 9 •5 `it, to 2S• � -ft- ❑ Effluent (99)
3o ft. below measuring point.
Depth to Water Level:l—P. Elevation in
Measuring Point (M.P.) is:_ ft. above land surface. Rebate ive lativeM. le collected: n- .1
Gallons of water pumpedlbailed,before sampling: (z_ p uMhos
Field I.analysis: pH�'� , Specific Conductance
Temo. t R.4 °C, Odor Appearance
DEPARTMtRI yr GROUNDWATER SECTION'
WATER'OUAUTY DIVISION,
jean Uhl[ SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge W Q 000 -1-1 9 S UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery
W
LJ
Remediaon:—
Spray Feld li
�
Rotary Distributor Land Application of Sludge
O
Other:
C .
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 9 1S - 2oo`I
tr44oRrAmRt�S
Laboratory Name: PA4wo16vA ANA�4rtcv�t
Cert(Ifcation No.
_NO
PARAMETERS (Samples for metals were collected unfiltered YE as
Nitrite (NO2)
and field acidified
mg/I
COD
Coliform: MF Fecal
mg/l
/100ml
Nitrate (NO3) as N
Phosphorus: Total as P
mg/I
Coliform: MF Total
/100ml
Orthophosphate
mg4
(Note: Use MPN method tar highly turbid samples)
Dissolved Solids: Total
fn9/I
Al -Aluminum
mg/I
mg/I
pH,(when analyzed) r l r K
units
mg/i ,
Ba -Barium
Ca -. Calcium
mg/I
TOG
Chloride
mg/I
mg/l
Cd - Cadmium
Chromium: Total '�—
mg/I
— mg/I
Arsenic
Grease and Oils
mg/I
Cu - Copper I
IFa=I&ll�� lTig/l
mg/ll
Phenol
Sulfate
mg/I
mg/I.
Fe - Iron'
P-(I f ; �r�,. mg/l,
Hg - Mercury mgll
Potassium
Specific Conductance_—u
mg/lhos
mg/l
Mg -Magnesium I`nmm r--TT"-LLnty,u,yALO,"n'^9/'
M
Total Ammonia
mg/I
Mn - Manganese
1"-- m9'-!
TKN as N
GW-59
Rev. 03/2000
_YES _ NO)
Ni - Nickel
Pb - Lea-'
Zn - Zinc
Ammonia Nitrogen
Other (Specify Compounds and
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
(0)
Report Attached? Yes,[_(1) No
VOC' method If =Ac o l
method if
method # =
a wt
Permiuee (or Authorized Agent) Name and Title - Please print or type ; .r _ i I- - , 00 H

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
Facility Name: I
Permit Name (if
Well Location/ Site
County-L)LUTI
Telephone #:sr`'.
No. of Wells to be
Well Identification Numbdr (from Permit): YKW 7 For Groundwater Treatment Sstems
Well Depth: 35% O ft. Well Diameter: in. Check One: ❑ Influenty
Screened Interval: 1 S• o it. to S• O • (98)
— f n ❑ Effluent 99
Depth to`Water Level: 11.3,E tt, below measuring point. (
Measuring Point (M.P.) is: LI.20 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/balled before sampling: 14.0 Date sample collected: 4, I -Loop
Field analysis: pH 5. 2O , Specific Conductance uMhos
Temp. 14-2 °C, Odor Appearance
PERMIT #:
EXPIRATION DATE:
Non -Discharge _WQOOO7j49
UIC
NPDES
TYPE OF PERMITTED
OPERATION BEING MONITORED
Lagoon
Remedialion: Infiltration Gallery Gt ',
Spray Field
_Remediadon:
Rotary Distributor - Land Application of Sludge ca
Other.
NOTE: Values should reflect dissolved and W
colloidal concentrations. —,
Date sample analyzed: I S - 2 Do L f
Laboratory Name: Pa2wQtt.w. w 14LYYtL LA6oRATTotuF5
Certification No. 4 81
PARAMETERS (Samples for metals were collected unfiltered YES _NO and field acidified
COD mg/I _Nitrite (NO2) as N mg /I
Coliform: MF Fecal /100ml . Nitrate (NO3) as N m/I
Coliform: MF Total /100ml Phntnhnrnsz• Tntnl- o a 9e
(Note: Use MPN method for highly turbid samples
Dissolved Solids: Total
pH (when analyzed) 5.12
TOC
mg/l
units
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
Phenol
Sulfate
mg/I
mg/I
mg/I
Specific Conductance
Total Ammonia
TKN as N
uMhos
mg/I
mg/1,
GW-59
Rev. 03/2000
Orthophosphate
mg/I
Al - Aluminum
tn9A
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmlum
mg/1
Chromium: Total
mg/I
Cu - Copper
I
Fe - Iron
0 1 °N-ULI v LLmg/I
Hg - Mercury
II _ ,mg/I
K - Potassium
II ! -L c 'mg/I
Mg - Magnesium
I mg/I
Mn _ Manganese.
I DE,4R-FAYEi71N.LLEREGI0i1WFff,
_YES ' —NO) g
Ni - Nickel r g/1
Pb-- Lead trr-�9/I
Zn - Zinc ra
Ammonia Nitrogen _ g/I
Other (Specify Compounds and Cahcenlrall Units
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
Report Attached? Yes✓✓(1) No_(0)
VOC : method # = LI G b o f
method #
: method # = `

FAt
GROUNDWATER QUALITY MONITORING'
' DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
• -
COMPLIANCE REPORT FORM
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
'RALEIGH 'NC 27699.1636 Phone: [phone]
FACILITY INFORMATION
�++ Please Prin �Cfe rly
Facility Name*rDadmasit c INC,./-Trn CIhaIM�iWYr Vie
rType + '
�j L•
ERMIT#: EXPIRATION DATE:
on -Discharge W Oooe -I'1 q 2 UIC
[NPDES—
Permit Name (if diffe n0.
Fa ili Address•
TYPE OF PERMITTED OPERATION BEING MONITORED '
t mtKfc;
(Gay) mI tract County
Contact Person: Telephone #: 579 - WA = ail%
Lagoon Remediallon: Infiltration Gallery'
t
Well Location/ Site Name: No. of Wells to be Sampled: 1�
Spray Feld RemediaGon: 60
_
u'°m entl1l
Rotary Distributor Land Application of Sludge LaWell
Other.
Identification Numb r(fromPermit):, MW6 For Groundwater Treatment Sstems
r65• y
Well Depth: 0 ft. Well Diameter: 2_b in. Check One; ❑ Influent (98)
_7
NOTE: Values
Screened Interval: - 17- o ft. to,. 5. � ft.
❑
Effluent 99
Depth to Water Level: I -ID tt, below measuring point. ()
should reflect dissolved and W
Measuring Point (M.P.) is: 4-2-0 ft. above land surface. Relative M.P. Elevation in It.:
colloidal concentrations. 01
Gallons of water pumped/bailed before sampling: ID•o Date sample collected: q, t - Do
Date sample analyzed: 9 - IT - ZOo N
Field analysis: pH 4. 35 , Specific Conductance uMhos
Laboratory Name: Pitanote, vA AN P L4'rtCJ4,L LP,(�o Q.4-10LLICS
Temp. 19-1_°C, Odor Appearance
Certification No. '4I S1 -
PARAMETERS (Samples for metals were collected unfiltered YES _NO and field acidified
_YES NO) °rj
COD
Coliform: MF Fecal
mg/I
/100ml
Nitrite (NO2) as N
Nitrate.(NO3) as. N
mg/I
mg/I
_
Ni - Nickel/(
Pb Lean o
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
- 1.
Zn - Zinc C"i����ggg� s
(Note: Use MPH method for highly turbid samples)
Dissolved Solids: Total
Orthophosphate
mg/I
Ammonia Nitrogen -.'wo p.
pH (when analyzed)
mg/I
units
Al - Aluminum
Ba - Barium
mg/I
Other (specify compounds and Conce aliod nits) r
6
TOC
mg/I
Ca - Calcium
mg4
mg/I
-
T c E 19 o u
Chloride
Arsenic,
mg/I ,
Cd - Cadmium.tl c,r-ree-ra er'°.
m /I
Grease and Oils
m /L
9
mg/I
Chromium: Total ° °r-VL-I V IL U
Cu - Copper
"g
�gp
DGC 2.2.� u9 A
g/I
Phenol
Sulfate
mg/I
mg/I
Fe - Iron ll
Hg - Mercury I
rng/I
ORGANICS: (GC,GC/MS,HPLC
Specific Conductance
Total
uMhos
mg/I
K - Potassium @ """-rertl ItyiLLtflEG1a7AL0FPCrmg/I
(Specify test and'method #. Attach lab report.)
Report Attached? Yeses/ (1) No
Ammonia
TKN as N
mg/I
mg/I
Mg- Magnesium
Mn - Manganese
mg/I
mg/I
_(0)
VOC :method # _'_ C7 C G o
, .
: method a =
: method # =
GW-59
Rev. 03/2000

GROUNDWATER QUALITY MONITORING:
ly
Facility Name: I
Permit Name.(!(
Well Location/ Site
REPORT FORM
County. I.)CUT IIAr, U 4
Telephone #: M
No. of Wells to be Sampled:
Well Identification Numbir(from Permlt): Nt W 1 L For GroundwaterTreatment Systems
Well Depth: 25. O ft. Well Diameter: 2.0 in. Check One: ❑ Influent (98)
Screened Interval: 1 S. O ft. to 25 • o ft.
Depth to Water Level: 3l ft. below measuring point. Effluent (99)
Measuring Point (M.P.) is: 2.S ft. above land surface. Relative M.P. Elevation in ft.: •
Gallons of water pumped/bailed before sampling: 7. 5 'Date sample collected: ^ I T 06
Field analysis: pH 5.6I Specific Conductance uMhos
Temp. 19 • (o 0C, Odor. Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE:
Non -Discharge_ i0o0 1-r 9 9; UIC
NPDES
TYPE OF PERMITTED OPERATION BEING•MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor --Land Application of Sludge w
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 9^ I s- Z o o r•(
Laboratory'Name: Pahrvntr;N. A•niAwrtcnc LA&r.r1trorL°a5
Certification No. 4 Ri
PARAMETERS (Samples for metals were collected unflltered YES _NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I
Coliform: MF Total m nnml Phos horns• T t I P
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed) s. 20
TOC
mg/I
_'_units
mg/1
Chloride
Arsenic
mg/I
mg/I
Grease and Oils
Phenol
mg/1
mg/1
Sulfate
mg/1
Specific Conductance
Total Ammonia
TKN as N
uMhos
mgp
mg/l
Orthophosphate a as
mg/I
Al - Aluminum
mg I
Ba -'Barium
—�mg/1
Ca - Calcium
Cd - Cadmium B E
mg/I
Chromium: Total • F.
mg/I
Cu - Copper
mg/I
Fe - Iron n
Hg - Mercury N n[n.e-FAyt{tEV,IlEtitblurca� mg/I
�mg/I
K - Potassium "-1
Mg - Magnesium
mg/I
Mn -Manganese
mq/I
_YES
Ni - NicH
NO)
Zn - Zinc
Ammonia Nitrogen
Other (Specify Compounds and
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
Report Attached? Yes ✓ (1) No_(0)
VOC : method # = !� G 6 0 1
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: I
Permit Name (if
Well Location/ Site
County CUT ram_
Telephone #: 57�gL
No. of Wells to be Sampled:
Well Identification Numbdr (from Permit); MW tl For GroundwalerTrealmentSystems
Well Depth: 75.0 ft. Well Diameter: 4il• a in. Check One: ❑ Influent (98)
Screened Interval: 6 • o ft. to 2 S. 0 ft. t❑Effluent (99)
Depth to Water Level: • 1 ` _ft. below measuring point.
Measuring Point (M.P.) is: 115 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 29. 0 Date sample collected: 1-15" zoo
Field analysis: pH Ll - 91 t . Specific Conductance uMhos
Temp. 19.7 -C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER DUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #:
EXPIRATION DATE:
Non -Discharge W10600
7 7 9 8 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Remedialion: Infiltration Gallery O
' Spray Field
_Remedialion: r
Rotary Distributor
Land Application of Sludge W
NOTE: Values should reflect dissolved and ,G'_
colloidal concentrations. p
Date sample analyzed: . q - I S - Zoo 4
LaboratoryName: PRfGp.01611� ANAWT((iFL LAOdR4-m(LifS K
Certification No. - 4 81
PARAMETERS (Samples for metals were collected unfiltered YES _NO
and field acidified
_YES _ NO)
"
COD
mg/I
Nitrite (NO2) as N
mg/I
Ni - Nickel
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Pb ­Learl_
g/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
Zn - Zinc
f g71
(Note: Use MPH method for highly turbid samples)
Orthophosphate
mg/I
Ammonia Nitrogen
- g
Dissolved Solids: Total
mg/I
AI - Aluminum
_ mg/I
Other (Specify Compounds and
Conclratio nits)
pH (when analyzed) 4.7't
units
Ba - Barium_
��Rt•r�r, mg/I
TOC
mg/I
Ca - Calcium
I I eLwel v LLJ mg/I
Chloride
mg/I
Cd - Cadmium
t _-• mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
I mg/1
Phenol
mg/I
Fe - Iron
A ORM-FAYEFULLEREGITAlrjjg�j_
Sulfate
mg/I'
Hg - Mercury
mg(I
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/I
Mg - Magnesium
mg/I
TKN; as N
mg/I
Mn - Manganese
_ mg/I
Rev. 03/2000
tr
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
Report Attached? Yes ✓ (1) No_(0)
VOC : method # = C7C 6 O l
method If _
method # =

s
-77 Ub QRI`
GROUNDWATER- QUALITY MONITORING:
I
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Contact Person: 10) CountLcl ty_CLC0t[Q
Well Location/ Site N me: Telephone#: MLBQ,�_ I
Wells to be Sampled:
, Well Identification Numb r(from Perm
WellDepth:—wit Well Diamet
.
'Screened
in. For Groundwater Treatment Systems
Interval: ft. to
Check One - Influent (98)
Depth to Water Level:. ft. below measuri po Effluent (99)
Measuring Point (M.P.) is: ft. above land surfacent
.
Gallons of water Pumped/'balled before sampling:
Relative M.P. Elevation in It.:
—
Field analysis: PH L4','7 9 . Specific Conductance
Date sample collected: !L, 15' -ZOO
Temp. . 12. Lf -C, Odor
�UMhos
Appearance
PARAMETERS (Samples for metals were collected unfiltered
COD
Coliform: MF 'Fecal mg/I
—YES
-Nitrite (NO2) . as N NO
Coliform, MF Total /100ml.
Nitrate (NO3) as N
(Note: Use MPN method for high[ _/100ml
y turbid sa I
Phosphorus: Total as P�
-
Dissolved'Solids: Total MID es)
pH (when analyzed). �F. o 'cl
mg1l
units
TOC
Chloride
mg/I
Arsenic
mg/I
Grease and Oits
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
mg/I
mg/l
UMhos
Total Ammonia
TKN as N
mg/I
mg/1
PAF
)NUI
LA Iv J
• -DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
!WATER QUALITY DIVISION, GROUNDWATER SECTION
'1636 MAIL SERVICE CENTER
RALEIGH NC 27699 16,1. Phone: [phone]J
.7 ,EXPIRATION DATE-.
on- scharge %Nrq060-1
PERMIT 1ITTED- OPERATION BEING 4 MONITORED
NPDES UIC
-1)(PE
Lagoon
Remediation: Infiltration Gallery
Spray Field — Herrikation:
Rotary Distributor — Land APPI[cation of Sludge '43
Other.
- ----------
-NQI.F.; Values should reflect dissolved and
colloidal concentrations. C:)
Date sample analyzed: 2 04
Laboratory Name: a%
Certification No. qR I VT DILI gs
and field acidified
mg/I
mg/I
mg/I
AI - Aluminum r, "V/
6a - Barium n0j0Vr_u
Ca - Calcium I
fng/g/1
Cd - Cadmium I I
Chromium:0
Total
m
m
o I
fng/I
Cu-CopperI_oJFR'R_-.Tt:_TW_I.I-F Fr71n,%,A,.n4Ryr_F
1. LA-_mg/l
Fe - Iron
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg -Magnesium
mg/I.
Mn -Manganese
mg/I
_YES
Ni -Nickel NO)
Pb, -Lean mg/I
Zn - Zinc mg/I
Ammonia Nitrogen g/I
allortynits�
Other (Specify Compounds and Conc 9/1
A
ORGANICS: (GC,GC/IVI!S,HP LC)
_ lab report ')�.l
(Specify test and'method #. �L )� , -
Report Attached? Ye Attach . --
VOC S-11�.(11) No - (0)
method#=-!; C r- 0 -1

GROUNDWATER
COMPLIANCE RI
FACILITY INFORMATION
Facility Name:-MQEJM
Permit. Name (it diff,e{-(��nn�t),::��-
Fa ilit ress Add_I
YY)
Contact Person:
Well Location/ Site Name: I
MONITOR 'ING:
County_LLL1LT_UAL1�
Telephone #: S%� - WA " i
No. of Wells to be Sampled:
Well Identification Numbdr(from Permit): WVJ 2 LGroundwaterTreatmenlSystems
Well Depth: it. Well Diameter: _ in. ❑ Irtfluept (98)
Screened Interval: 1t: to it. Effluent (99)
Depth to Water Level: ft. below measuring point.
Measuring Point (M.P.) is:_ ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/balled before sampling: Date sample collected: 9,11- oe
Field analysis: pH 1.1 • H 1 , Specific Conductance uMhos
Temp. 112-41 "C, Odor Appearance
DEPARTMENT OF Et1VIRONhIEN7 t. NATURAL RESOURCES
WATER QUALITY DIVISION. GROUNDWATER SECTION
1636 MAIL SERVICE CENTER '
PERMIT #: EXPIRATION DATE:
Non -Discharge W O o b c '11 9 8 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation: G '
Rotary Distributor --Land Application of Sludge G!
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 4- /S - Z e o N
LaboratoryName: PAAAottawl ANALYt.G?L LA114e2&M
Certification No. V 81 .: n,
PARAMETERS (Samples for metals were collected unfiltered YES
_NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/(
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
A00ml
Phosphorus: Total as P, mgA
(Note: Use MPN method for highly turbid samples)
Orthophosphate
-mg/I
Dissolved Solids: Total
mg/I
AI - Aluminum
mg/I
pH (when analyzed) K.4t
TOC
units
Ba- Barium
mg/I
Ca - Calcium A
I AL-ULU Vmg/I
Chloride
mg/I
Cd - Cadmium E
- - _ _ _ m '' I
Arsenic
mg/I
Chromium: Tota
'_:�t., l J " '= mg//I
Grease and Oils
mg/I
Cu - Copper I
m I
Phenol
mg/I
Fe - Iron uelvti-rArtiltuiLLEfiEGIOiIALOFF'Rj9 )
Sulfate
mg/I
Hg - Mercury
m I
Specific Conductance '
uMhos
K - Potassium
mg/I
Total Ammonia
mg/I
Mg - Magnesium
mg/I '
TKN as N
mg/I
Mn - Manganese
mg/I
GW-59
Rev. 03/2000
.a) , r
_YES _ NO)
Ni - Nickel o xl
Pb -Lead 1- ...
Zn - Zinc
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
Tee 554 v9 11L
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
ReportAttached? Yes V (1) No_(0)
VOC method # _�( G 6 a 1
method #
method #
Setif Sm.trHwtclt
Pennines (or Authorized Agent) Name and Title • Please print or type

r
I
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:-
-Permit Name (if
Well Location/ Site
County
No. of Wells to be Sampled:
Well Identification Numbdr (from Permit); Aw \ For Groundwater Treatment Systems
Well Depth: ft. Well Diameter:_ in. Check One: ❑ influent .(98)
Screened, Interval: it. to ft. Effluent (99)
Depth to Water Level: ft. below measuring point.
Measuring Point (M.P.).is:_ ft. above land surface. Relative M.P.'Elevation in ft.:
Gallons of water pumped/balled.before sampling: Date sample collected; I. I -too
Field analysis: pH4-9 3 , Specific Conductance uMhos
Temp, 11.4 'C,,Odor Appearance
• DEPARTMENT OF, ENVIRONMENT & NATURAL RESOURCES
,WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
NPDES
I rrt ur UUMITT D OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery
Spray Field Remediation:
RotaryDistributor Land Application of Sludge t
Other.. w
O
.f~
Date sample analyzed: 9 - .I T - 2 0o cf
Laboratory Name:J?Ielkft'ptky. r�NKc4ner+t LAtioM1r+To2tEf
Certification No.. Ll $1
NOTE; Values should reflect dissolved and
colloidal concentrations.
PARAMETERS (Samples for metals were collected unfiltered YES _NO an
COD d field acidified _YES
Coiiform: MF Fecal
mg/I
/100ml
Nitrite (NO2) as N
Nitrate.(NO3) as N
mg /I
m/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
^
mg/I
(Note: use MPH method for highly turbid samples)
Dissolved Solids: Total
Orthophosphate
mg/I
pH (when analyzed) 5.1-1
mg/I
units
Al - Aluminum
Ba - Barium I P _ _
mg/I
TO
mg/I
Ca -Calcium I f-ICbf dt/r61
mg/I
mg/I
Chloride
Arsenic
mg/I
mg/I
Cd - Cadmium
Chromium: T °tat 1'_.f: I u �;�r,
,TO,
Grease and Oils
m /I
g
Cu - Copper
PP
rng/I
{ng/I
Phenol
mg/I
Fe -Iron f 'L-FAWrmrnr� •-.
�mgp
Sulfate
Specific Conductance
mg/I
uMhos
Hg - MercuryW"° ''"uC mg/I
K - Potassium
Total Ammonia
mg/I
Mg - Magnesium
mg/I
m
TKN as N
mg/I
Mn - Manganese
mgI
/I
Ni - Nickel
NO)
Pb - Lead
Zn - Zinc
Ammonia Nitrogen
Other (Specify Compounds and
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach tab report.)
Report Attached? Yes✓✓ (1) No_(0)
VOC : method If _ c &o I
method #

GROUNDWATER: QUALITY MONITORING: • " .
COMPLIANCE REPORT'FORM'
Facility Name: 1011
Permit Name (if diffe
Fa ilit Address•I
Contact Person:l—a
Well Location/ Site N
County
Telephone #: 573 WA =
No. of Wells to,be Sampled:
Well Identification Numbdr (from Permit):_ MW I't For Groundwater Treatment Systems
Well Depth: AO. O ft. Well Diameter: 42 0 in. Check One: ❑ Influent (98)
Screened Interval: 4.0 ft. to 30. 0 ft. ❑ Effluent (99)
Depth to Water Level: 8.95 ft. below measuring point.
Measuring Point (M.P.) is:212 ft. above land surface. Relative M.P. Elevation in It.:
Gallons of water pumped/bailed before sampling: 311. 0 Date sample collected: - W -2001
Field analysis: pH "I 8 S Specific Conductance uMhos
Temp. 20.7 'C, Odor Appearance
6 NATURAL RESOURCES -
WWATER SECTION -
SERVICE CENTER '
PERMIT If: EXPIRATION DATE:
Non -Discharge W Q 00 0 7 l Q 8 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field _Remediation:
Rotary Distributor =Land Application of Sludge t '
Other. W
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
LaboratoryName:
Certification No. `-1 S I
PARAMETERS (Samples for metals were collected unfiltered YES _NO
and field acidified
COD -
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
1100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
'mg/1
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
pH (when analyzed) H-'I-1
units
Ba - Barium
— mg/I
TOC
mg/I
Ca -Calcium fl
6�f-0"Il�� gfl
Chloride
mg/I
Cd - Cadmium B
�"_mg/l
Arsenic
mg/1
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper N
mg/I
Phenol
mg/l
Fe - Iron I OR%PAP_ ,,,..._. mg/I
Sulfate
mg/I
Hg - Mercury
"""Quf•omg/I
Specific Conductance
uMhos
K - Potassium
mg/1.
Total Ammonia
mg/I
Mg - Magnesium
mg/I
TKN as N
mg/I
Mn - Manganese mg/I
GW-59
Rev. 03/2000
_YES _ NO)
Ni -Nickel .
- Pb =Lead
Zn - Zinc
Ammonia Nitrogen
Other (Specify Compounds and
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method #. Attach lab report.)
Report Attached? Yes ✓ (1) No _(0)
VOC method # =�C C b o l
method # =
method # _
Permihee (or Authorized Agent) Name and Title - Please print or type

GROUNDWATER -QUALITY MONITORING:
COM
Facility Name:_
Permit Name (if
Well Location/ Site
RT FORM
County t' I I
Telephone #,. 5.r,
No. of Wells to be
Well Identification Numbdr (from Permit): tMWI3 I For Groundwater Treatment Systems
Well Depth: 50. 0 ft. Well Diameter: 2-0 in. Check One: ❑ Influent (98)
Screened Interval: 45. O ft.-to '50- o ft. ❑ Effluent (99)
Depth to Water Level: Il • O1 ft. below measuring point.
Measuring Point (M.P.) is: 33-2 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 16 • S Date sample. collected: I - IS —Zoo
Field analysis: pH 6,146 , Specific Conductance uMhos
Temp. i 9 "C, Odor Appearance
DEPARTMENT OF.ENVIRONMENT 6-NATURAL RESOURCES
WATER. QUALITY DIVISION. GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge W QOOO 11 9 8 -UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediallon:
Rotary Distributor Land Application of Sludge GO
'NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 9 - f 5- - 200 Ll
LaboratoryName: RMLINDI6P+ ANA64TIcra� LA605AfoM1le5
Certification No. 4 81
PARAMETERS (Samples for metals were collected unfiltered YES _NO
and field acidified
-COD
mg/I
Nitrite (NO2) as N
mg/I..
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P.
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
pH (when analyzed) 5. 04
units
Ba - Barium
mg/I
TOC
mg/I
Ca - Calcium
mg/I
Chloride
mg/I
Cd - Cadmium
- _ - --• .m mg/f '
Arsenic
mg/I
Chromium: Total I
f tUtIt ICU mg/I
Grease and Oils
mg/I
Cu - Copper I
mg/l
'Phenol
mg/I
Fe - Iron I
; - 1 - mg/I
Sulfate
mg/I .
Hg - Mercury I
mg/I
Specific Conductance
uMhos
K- Potassium 8ncla_GAvcrnnllFR:rimirng/l.
Total Ammonia
mg/I
Mg - Magnesium
mg/l
TKN as N
,mg/I
Mn - Manganese
mg/I
Rev. 03/2000
_YES _ NO)
Ni- Nickel
Pb - Lead
Zn - Zinc
Ammonia Nitrogen
Other (Specify Compounds -and
O
N
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and'method If. Attach lab report.)
Report Attached? 'Yes ✓ (1), No_(0)
VO_C: method#=(411601
: method # =
: method # =