WQ0018708_GW Monitoring_20051221

SUBMIT FORM ON YELLOW PAPER ONLY
:Facility t4ame:_
Permit Name (If.
Wb11'Location/ Site Name:
Print Clearly or Type
r-eAKA k-Or
County �s
Telephone #: 21d -Sj-41
No. of Wells to be Sampled:,
Well Identification Number (from Permit):' */ For Groundwater Treatment Systems
Well Depth: • ft. Well Diameter: In. Check One:
Screened Interval: ft. to ft.❑. influent (98)
Depth to Water Level: 7`0%,It. below measuring_ point. p Effluent (9 ),
Measuring Point is ft. above land surface.
Gallons of water pumped/bailed before sampling: 10J4
Field 'analysis: pH 14.2 , Specific Conductance uMhos
p
. Temp. �°Ci, Odor Appearance
PERMIT #: 'EXPIRATION DATE: /6
Non:Discharge V& &811.F709 UIC
NPDES
_TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rerhediation: Infiltration Gallery
✓� Spray Field Remedlatlon:
Rotary Distributor Land Application of Sludge
Olher: '
NQTE: Values should reflect dissolved and
colloidal concentrations.
Date sample coilecte : J Date samp a lyz
Laboratory Name:
Certification No.'1,Z Z '
PARAMETEMS (Samples for metals were collected unfiltered. .. -YES,
NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/l
Coliform: MF Fecal
, /100ml
Nitrate (NO3) as N
.e-6,jihmg/l
Coliform: MF Total
/100ml
Phosphorus: Total as
P "amg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total
•e_ qv mg/I
Al - Aluminum
mg/l
pH (when analyzed)
units
Ba - Barium
mg/I
TOC _
3; 0.5 mg/I
Ca - Calcium
mg/I
Chloride
2,1 mg/l .
Cd - Cadmium
mg/l
Arsenic "
mg/I
Chromium: Total
mg/I
Grease and.011s
mg/I
Cu - Copper
/I
Phenol
mg/I
Fe - Iron_
' _ m
h
Sulfate
mg/I
Hg - Mercury
m
/l
Specific Conductance
uMhos
- K - Potassium
m
/I
Total Ammonia
` ' mg/I
Mg'- Magnesium
m
/i
TKN as N
mg/I
Mn- Manganese
I idALO _
/l
GVI1-69 Rev.' 4/98
YES ' NO),
Ni - Nickel mg/l
Pb - Lead mg/l
Zn = Zinc :, mg/I
Ammonia Nitrogen- mg/I
Other (Specify- Compounds arikponcentratfon Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.),
Report Attached? Yes 0) No (0)
VOC ; method #
method #
method #

2) SUBMIT FORM ON YELLOW_ PAPER ONLY
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.Facility (Name:_
Permit (Name (if.
Well Identification Number (from Permit): '9&L tl% At � For G
Well Depth: • ,Cac ft. Well Diameter: 2,in. chec
Screened Interval: ft. to ft.
Depth to Water Level: L,?0 ft. below measuring point.
Measuring Point Is ft. above land surface.
Gallons of water pumped/bailed before sampling: 1' 110
Field analysis: pH 3 , Specific Conductance
Temp.. 2-0r °C, Odor Appearance
Values should reflect dissolved,and
colloidal concentrations.
Date sample collecte : // C
: Laboratory Name: �`� ,
Certification No'. 2-20
PARAMETER (Samples for metals were collected unfiltered, --YES NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal <I
/100m1
Nitrate (NO3) as N
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P 0, b�
mg/I
(Note: Use MPN method for highly turbid Samples)
Orthophosphate
mg/I
Dissolved Solids: Total *0S mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC% 2
mg/I
Ca - Calcium
mg/I
Chloride
mg/I
Cd - Cadmium
mg/1
Arsenic
mg/I
Chromium: Total
mg/I
YES NO)
NI - Nickel mg/I
Pb -Lead mg/l
Zn - Zinc mg/1
Ammonia Nitrogen mg/I
yv.
Other (Specify Compounds and Concentration Units)
Grease and.Oils
Phenol
mg/l
mg/I
Cu - Copper_ _ $ - ft/cry
Fe - Iron a �"
mg
mg/l
a
ORGANICS: (GC,GC/MS,HPLC) -
Sulfate
mg/I
Hg - Mercury A .
mg/l
(Specify test and method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
mg/
Report Attached? Yes (1) No (0)
Total Ammonia
��� mg/l
Mg ; Magnesium �hR-F4
/
VOC method #
TKN as N
mg/I
Mn - Manganese
method #
method #.
r iflee MAdie A NaTA ary Titease print or type 1 Z-Z (-0F
GVl'-59 Rev.:4/99 - A--- I rns�o�

5UBMIT FORM ON XkLLOW PAPER ONLY
.Facility Name:_
Permit Name (if.
Contact Person:
Well Location/ Site
Print Clearly or Type
e C r-
vL County oar
.- � t tel®) tZ° Telephone #: 916- �rb`,�,- 44
No. of Wells to be Sampled:
Well Identification Number (from Permit):' 44�"3 For Groundwater Treatment Systems
Well Depth: .7,rU> ft. Well Diameter: ggIn. Check One:
Screened Interval: ft. to ft. ❑, Influent (98,)
Depth to Water Level: ?.3..5 ft. below measuring point. p Effluent (99)
Measuring Point is ft. above land surface.
Gallons of water pumped/bailed before sampling: /to,
Field analysis: pH, Z , Specific Conductance uMhos
. Temp. ���'� °C, Odor Appearance
PERMIT #: 'EXPIRATION DATE: ti
Non:Dlscharge MQ 6oiVag UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rerhediallon: Infiltration Gallery
�✓ Spray Field Remedlation:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloldal concentrations.
11 22 '�
Date sample collecte • Date sam e,anlyz ff2;
Laboratory Name: 14�`
Certification No: l2'l am
PARAMETERS (Satrapies for metals were collected unfiltered,. --YES
NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
i /100ml
Nitrate (NO3) as N
ca.ie mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as
P amg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/i
Dissolved Solids: Total
c''o mg/l
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/i
TOC
7, oY mg/i
Ca - Calcium
mg/I
Chloride
Id mg/l
Cd - Cadmium
mg/1
Arsenic
mg/I
Chromium: Total
mg/I
Grease and,0ils
mg/I
Cu - Copper
mg/I
Phenol
mg/l
Fe - Iron
Sulfate �
mg/l .
Hg -Mercury
s-pi:/ . m g/
Specific Conductance
uMhos
K - Potassium
o 90 mg/
Total Ammonia
<42,0 mg/I
Mg - Magnesium
jilild mg
TKN as N
mg/I
Mn - Manganese
FA - I iLLE REGIONAL OFHCE
GVt° 59 Rev.:4/98
V
YES ' NO)
Ni - Nickel m1
Pb - Lead m,
Zn - Zinc m
Ammonia Nitrogen me
Other (Specify Compounds and Concentration Ur
ORGANICS: (GC,GC/MS,Hf-M)
(Specify test and method #. Attach lab report,
Repo rt'Attached? Yes(1) No
VOC method # =
method #
method # _
ra�r tor7u�%/!',/l� e7j(Ird�—>!{ .riease pant or tYPe

Sui3Mi r FOHM UN YFLLM PAPER ONLY
.Facility Name:.
Permit Name (if.
Contact Person:.
Weil Location/ Site
Please Print Clearly or Type
dr
Telephone M Y-4-5'*W-�4 Y
No. of Wells to be Sampled:
Well Identification Number (fro Permit) is✓e"S For Groundwater Treatment Systems
Well Depth: ' ft. Well Diameter: I in. Check One:
Screened Interval: ft. to ft. ❑, Influent (98)
Depth to Water Level: ft. below measuring point. p Effluent (99)
Measuring Point is ft. above land surface.
Gallons of water pumped/bailed before sampling:
Field analysis: pH 3`'? , Specific Conductance uMhos
. Temp. A3---°C, Odor Appearance
PERMIT M EXPIRATION DATE:
Non:Discharge UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rerhediation: Infiltration Gallery
Spray Field Remedialion:
_ Rotary Distributor Land Application of Sludge
other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collect`ef�f : �''%�'"e�Dale s m a aly d:
Laboratory Name: V -� 0
Certification No: .7S-
PARAMETERS (Samples for metals were collected unfiltered,YES - -NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/i
Coliform: MF Fecal
< I /100ml
Nitrate (NO3) as N
mg/l
Collform: MF Total
/100ml
Phosphorus: Total as P ©. llv
mg/l
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total A0 mg/I
Orthophosphate
Al - Aluminum
mg/I
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOO
I 1 mg/l
Ca - Calcium
mg/1
Chloride
lyi L mg/l
Cd - Cadmium
mg/l
Arsenic
mg/I
Chromium: l==
mg/I
Grease and.0ils
mg/I
Cu - Copper l f , l k
rng/l
Phenol
mg/I
Fe -Iron-
mg/l
Sulfate
mg/l
Hg - Mercury JAN 20 2006
mg/l
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/l
Mg-' Magnesia ,,, 1 r NAt_oFHCE
mg/I
TKN as N
mg/I
Mn - Mangarie -
mg/i
- - YES NO)
Ni - Nickel mi.
Pb - Lead M.
Zn = Zinc m
Ammonia Nitrogen mi
Other (Specify Compounds and Concen(ratlon Ur
ORGANICS: (GC,GC/MS,HPTC)
(Specify test and method #. Attach lab report,
Report Attached? Yes - _0) No
VOC method # =
method # =
method 4 �,
P`;

"W-,yEi I.VlVlrLlAlrl.L' ItilrUAL VURIVl
rermit ;F w%v —,i o /wo
(Submit one each mohitoringneriod with GiR59 forms.)
1
Enter date monitoring results were due. 2-10 -o Will this monitoring report (GW-59 and GW-59A)
YES
O
be.submitted after the established due date?
2
Was any required Information missing on the GW 59 report forms?
YES
N
IF the answer to question I or 2 is "YES",, list in the space provided below the well 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
identification plate, area overgrown, etc.)? ythe answer. is "Yes ". contact the Regional Of ce forguidance.
4
Are any monitored constituents equal to or above the established standards?
YES
O
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 constituents) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents Identified In question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) 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 51s "YES", list in the space provided -below, each well with constituents) exceeding -
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
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 improperly
located, contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 is "NO , contact the Regional Office within 90 days: ran evaluation may be .
required to determine the Impact the waste disposal system is havintr at the review and comallance
boundaries surroundina this facllity. Failure to do so may sublect the penrittee to a Notice of Violation
fines, and/or penalties.
g
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.
I acknowled effiatstiie aio`e IN` , align iNas e"'aitat e
he�eb Q ,k ��-
x ,Y ,. 5 yg ..� , .y ter..! V `
:repo mp�lan _ e tt G 9,1$ . sid cgrrp(ete pie best of jnywgem �y
Signature of Perm' ee (or Authorize �enll Date