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-GROUNDWATER QUALITY MOTORING:
COMPLIANCE REPORT FORM
FACILiTY INFO�ATION Please Print lea
Facility Name:_ 70 .0,r 9,ugiClearly or Ty
ee _ Ma.rero,Girt4 lJ
Permit Name (if different):
':Facility Address: «o.
.�C. Z.7So/ . County RrtlG
Contact Person:'A5�9v•04 (zip) I G 9
Telephone #: [� it 3
Well Location/ Site Name:M
' No. of Wells to be Sampled:
•= Well Identiflcation Number' Permit): ~ -prom Permit
Well Depth: __ / 9 5 ft. Well Diameter: _� in. For Groundwater Treatment Systems
Screened�lnterval h to. Check,One: ❑ influent~(98)
ft.
Depth to Water. Level: G•7S.' ft,'below measuring point. M .Effluent (99)
Measuring Point (M.P.) is: / Sfi ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water Pumped/balled before sampling: •L _Date sample collected: it-6-o7
Field analysis: pH _ 3• uMhos
, Specific Conductance �
-
1Temp. _*C, Odor. o Appearance Ae"
1
DEPARTMENT OF ENVIRONMENT & NATURAL R
WATER QUALITY DIVISION, GROUNDWATER SE(
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE: NOn_ .moo&
Non-Dlscharge_420OCO _G-V UIC
NPDES_ // V2 7
TYPE l7F PFRnnlrrr=n OPERATION BEING MONITORED
Lagoon Remedlatlon: Infiltration Gallery
Spray Field Remediation: c
Rota►y Distributor Land Applicaflon of Sludge
Other:
NOTE., Values should reflect dissolved -and -
colloidal concentrations.
Date sample analyzed: - 1/-l0.07. io
Laboratory Name: 7= z'755ar Z.AlG
Certification No. __ a 06 7
PARAMETERS (Samples for metals were collected unfiltered YES*
o.�..
SCQD.
_Coliform: MF Fecal ���
mg/I
Nitrite (NO2) as.N
NO . and field acidified
` mg/I
_ ,�
Coliform: MF Total
/1 00ml
/100ml
Nitrate (NOg). as N o, ��
Phosphorus: Total as P o•Ds
m /I
(Note: Use MPN method for hldhiy turbid samples)
Dissolved Solids: Total zS. S
Orthophosphate
mg/l
mg/I
pH (when analyzed)
mg/I
units
Al - Aluminum
Ba -Barium
mg/I .
TOG O. �, /
Chloride �,� /
mg/l
Ca - Calc(um
'
,... �.:;...:,.,. ' .�`
, _ :': mg/I
mg/I
_
Arsenic .-
mg/I
mg/I
Cd - Cadmium
Chromium: Total
"I .`
mg/l
,..�
Grease and Oils
Phenol
mg/I
Cu -Copper
; " i
mg/I
mg/I
Sulfate ,.
Specific Conductancemg/I
mg/l
Fe -Iron
Hg - Mercury
mg/I
Total Ammonia 4 o.a2
uMhos .
m9/1'
K -Potassium
Mg - Magnesium
,
mg/I
TKN as N.
mg/I
Mn - Manganese
mg/I.
mg/I
including the po:
000
YES NO)
Ni - Nickel mg/I
Pb - Leap mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #.. Attach lab report.)
Report Attached? Yes (1).. No. (0)
VOC : method # =
method # =
method # =
►►vva vas owe -%a a —a a ♦.►vr�a..a a •. aWuara a WitaalVVla
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
;Facility Name:— "/!
Permit Name (if different):
Facility ddrehs: 2 7
y�itlU�diP. (Strait)Countv
AR�tles
Contact Person: E A• moo ads (LP) Telephone #:191 63 7. 2 o Z/
Weil Location/ Site Name: A w r2 .3rr5t,.�1 owc/
' No, of Wells to be Sampled: •om Parm I
Well IdentNication Number. (fKom Permit): M&) a2 For Grou6dwaterTreatment Systems
WeilDepth: Z� -.ft. •Well Diameter: IV in.' Check One: ❑ Influent (98)
WA I ttt UUALI I Y UIVIMUN, unuuauVIATEH 5EC't'i0H
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:-,A/0U- ZOOS
Non -Discharge_ 1s)0QWZ63B UIC
NPDES 11V2 7
TYPE OF PERMITTED- OPERATION BEING MONITORED .
too*' I Lagoon . Remedlation, Infiltration Gallery'
Spray Field Remediatioh: '
Rotary Distributor land Application of Sludge -
Other:
Dcreened Interval: ft. to ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
i?'f,.' Depth to Water Level: yy ft."below measuring point.
colloidal concentrations.
Measuring Point (M.P.) is: AS ft. above land surface. Relative M.P. Elevation in ft.:-
Gallons of water pumped/bailed before sampling: 8 Date sample collected: v "Date sample analyzed:, //-G-o 7 %a //-/y o7
; Field analysis: pH S• y , Specific Conductance uMhos Laboratory Name: 7leatle—dr e.
Temp. °C, 0dor.�e- Appearance cod � Certification No' f4ea 7
,PARAMETERS (Samples for metals were collected unfiltered : YES NO • and field acidified
CQD
mg/I
Nitrite (NO2)-as N
mg/I.
4 Coliform: MF Fecal 1 cFct
/100mi
Nitrate (NO3) as N c 0-o2-
mg/I
Coliform: MF Total
1100ml
Phosphorus: Total as P c ®•os
mg/I
r r'' (Note: Use MPN method for highly tulbld samples)
OrthOphOSphate
mg/I
:',,Dissolved Solids: Total_ iy7
mg/I
Al -Aluminum
mg/I
analyzed) when H
F ...P ( Y )
units
Ba -Barium
.
mg/I
fy_
Chloride
mg/I
Ca - Calcium
mg/I
g
`Arsenic
mg/I
mg/I .
'Cd - Cadmium
Chromium: Total w: t. /'
mg/i
mg/I
Grease and -Oils
"
mg/I
Cu -Copper .°�.t" `�' `
m /I
g
Phenol
"Sulfate
mg/1
mg/I
Fe - Iron
Hg - Mercury
mg/I.
mg/I
-Specific Conductance I
-.",'..Total
uMhos ..
K - Potassium ::,.,
Urdjpg/l
Ammonia 3-y9
m ll
g
M Ma nesium (nform�tt°I` r "'
g - g
mg/I
.TKN as N
mg/I
Mn - Manganese
mg/I
a:•:.f
Permittee (or Autho ized A ant)��ame en Title - Ple
' GW-59 �
ReV, '03/2000 gnature o Per tee (or Authorized Agont)
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/l
Zn -Zinc mg/I
Ammonia Nitrogen , mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC) '
(Specify test and method V. Attach lab report.)
Report Attached? Yes (1)••• No. -v ' (0)
VOID method # a
method # =
method # =
print or typo
1 !'
-1 . i _7W
4 11 U
.4%A'_1j%JUV4LJVVA1 1=11 UUALITY MONITORING:
COMP "y
P�
REPORT
COMPLIANCE REPORT FORM
Facility Name:- IS Ir. IVAO" wokAr lease FR_nic1'ejjr1y or Type
11*12
Permit Name (if different):
FacillAddress: .0. 7A
,DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1630 MAIL SERVICE CENTER
PERMIT #:
J1 EXPIRATION DATE: &2L.?,A.8
Non-DISO'harge oe III 11 UIC -
NPDES '// V2 7 -------------
County
Contact Person': (ZIP) TYPE OF —
Telephoh EEEUDMEJ� OPERATION BEING MONITORED'
Well Location/-Slto Namo.,a Lagoon
------------- -Remodlation: infiltration Gallery No. of Wells to be Sampled:
Rem.edl4tion.
Well Identification Number (from permit): Rotary Distributor ---------
Spray Field
'*Land Application of Sludge
Well Depth: For GroundwatLr,Treatment Sys,
ft. Well Diameter: V,
In. Other.
crooned Interval:, Check One: Cl Influent' (qpm;
—ft. to --ft.
'Depth to Water Level: Effluent (99) Nom.. Values should reflect dissolved and
M —&, —/ft. below measuring point.
Measuring Point (M.P.) is: lv7C ft. above land surface. Relative 'al concentrations.
colloid
Gallons Of water pump M.P. Elevation In ft.:."
ad/balled before sampling:
sample collected:
—L3— Data
Field analysis: - p'H__,i:g-_,
_:e/- -0 7 Date sample
SI08cIfIG Conductance analyzed:, 11.1*e_dp
Temp. OC, Odor __A.1411e- uMhos Laboratory Name:
Certification
Certification No. Appearanc
.,p ARAMETFRQ (Samples es for metals were Collected unfiltered
COD ----.;YES
—NO and field acidified
-t: Collform: _mg/l Nitrite (NO2) as N
_MF Fecal mg/l
Coliform: IMF Total /1 00ml Nitrate (NOS) as N 1. q/ mg/l
(Note: Use MPN method fo /1 00ml Phosphorus: Total as mg/I
r highly tfirbld samples)
Dissolved Solids: Total Orthophosphate''
mg/l Al -Aluminum m Mg/I
(when analyzed) u
TOC -------- units Ba - Barium mg/l
Chloride mg/l Ca ' Calcium mg/(
mg/l
admium
Arsenic' Cd C
mg/l �-,_Chromium
0'. mg/I
Grease and Oils : Total
Phenol mg/l -"Cu - Copper- mg/l
mg/l
Sulfate mg/I Fe - Iron
mg/l
Specific Conductance----------- 71 ......... mg/l Hg -'Mercury
hos P,,.-. _��Jmg/l
Total Ammonia K Potassium LW -
1,
-.�--`,';'-'TKN as N g/l Mg - Magnesium mgA
M mg/l
mg/l Mn -Manganese
mg/I.
li%jaZOU11111y ur s an imprisonment for knowing violations.-
rm
GW-sg
Rev. 03/2000
fflonature
YES NO)
Nt - Nickel
Pb - Lead
mg/l
Zn --Zinc-
mg/l
Ammonia Nitrogen
mg/l
Other (Specify Compounds and Concentration
oncentration
Units)
----------
ORGANICS: (GQ' ,GC/M.S,HPLC)
(SpqcIf
. Y test and rnethod1V, Attach 16 rep-6q.),%
RePbrt-AY46hed?
VOC No
..moth6d#ici.
mathod#=..,
method-#
r�yui nzea g�t) Na and Title Please print or typo '
lerm
YES NO)
Ni , Nickel
-Pb - Lead mg/l
Zn - Zinc
Ammonia Nitrogen mg/l
Other (specify compounds and Conce'ntraiion'UnIti)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach'lab're- report.)
Yes
P'; (0)
Report Attached? _(J) �.:. 0
N
VOC : method # c
: method #
method # -i
or
., FACILITY INFORMATION
Facility Name:
Permit Name (if different):
Please Print Clearly
or Type
..".6 i I -
(chy). I County dwAlA".0-OW-
Contact Person:
Telephone
NV,„W611 Location/ Site Namo:�*J"'V QAf
No. of Wells to be Sampled:
a .Well Identification Number (from Permit):
For Groundwater Treatment Systems
-NJYI' -1--Well Depth: lq.,3
—ft. WeIlDlameter: In. C
Interval:. ft, to Check One: 0 Influent (98)
ft.
Pepth to Water Level: V C3 Effluent (99)
ft. below measuring point.
jj'.kJ;WeasurIng Point (M.P.) is: ft. above land surface. Relative M.P. Elevation Int.:
of water pumped/balled before sampling: Date sample collected:
anal
pH ysle: Specific Conductance '
—.uMhos
Temp, C, Odom_ Appearance 4?4ei4
PERMIT #: . EXPIRATION DATE: V
: Non-Discharbe 4.,7Q40626.38 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon —Romedlation: Infiltration Gallery'�
Spray Fluid —Remedlation:
Rotary. Distributor —Land Application of Sludge
Other.
NOTE, Values should reflect dissolved and
colloidal concentrations..
Date sample.analyzed: 66607 � :;k te OJ
Laboratory Name: 7-ge -e�xle
Certification No le6e, 7
'ARAMETERS I (Samples fpr-metals were collected unfiltered YES
SOD
NO and field acidifle
11form:
Jo . . -MF Fecal Alex"
mg/l
/1 00ml
Nitrite (NO2)A s N �
--Nitrate (NO3.) as N'
,
mgi/I
/-21
col form: IVIF Total
Note:
00ml
- mg/l
Phosphorus: Total as P 4 w-aS— mg/l
UBO'MPN method for highly turbid so miplei)
Dissolved Solids: Total
Orthophosphate
mg/I
16
)K(when analyzed)
rrlg/l
units
AI-- Aluminum
Ba - Barium.
mg/l
6.9,9
3 Worlde 26.2
mg/I
Ca ---Calclum
9.
t'�?
7 g/I
mg/!
Cd Cadhilum-.,
g/I
311�'ease and Oils
mg/I
mg/I
Chromium: Total.
Cu - Copper-
md/l
3henbl
Fln I
mg/I
%6
Yate
5pbelfic'Conductance
-
mg/I
re.- hon
information mon -mr+jj(ng/l
Hg - Mercury ' -
---mgll
'qtal Ammonia ZT6. 0 Z
*KN
uMhos
mg/l
K - Potassium
Mg -Magnesium
mgjI
mg/l
as N
mg/l
Mn - Manganese
03/2000
i':COMPUAN'CE-REPOR°f FORM
FACILITY INppRMATION Please Print:Clearly or Type
Facility Name: :nO6? f a A.ci�lcil - �au�'wQinr� L.�C//
Permit Name (if different):
Facility
w Address:-- .�a •doZ7�
� � '�,P` County —6/A� Afe-�
Contact Person: Telephone #:&19)G39-2a7/
Well Location/ Site Name:. ~ F e_
No of Wells to tae.;;ampled:
Well Identification Number(irom PQrmit) �'+ldJS�
Well Depth: � /G. Y. .ft, Well Diameter: y in, For Groundwater TreQtment Systems
:Screened interval; h; to--.__ft Check Ond Q "Influent (98)
Depth to Water Level:.11_9 f ,"below-measurinpoint,-Q Effluent (99)
Measuring Point (M.P.:) is:T -ft: above land surface Relative iN P •Elevotlori-in:ft:: _;_
Gallons'of,water pumped/balled before samsample collected - a
%pling;, 7 Date G-
Field analysis: pH_.. ,:Speciflc;Conductance uMhos
Temp; 'Q,.odor'��e Appearance a%4t
-9-11:11 %AUKL11 1 ul-jiull, %A11UUP1uvYA wi giw,riom
1636VAIL SERVICE CENTER
PERMIT#: EXPIRATIOMDATE: 6ky 20i_
Non-Discharge__l[%C�D _G_3 ,-UIC
NPDES_ //`,77
TYPE OF P RM TTEp OPERATION BEING MONITORED
Lagoon Remedlation: Infiltration Gallery...','
le"'_ Spray Field Remedfalion:
Rotary Distributor -Land Application of Sludge
Other:
NQIE; Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: //•6-47 Wo //�/y--a7
Laboratory Name:, Z-%47" . Ar
Certification No. 01,067
,`PARAM RS'(Samples for metals were collected untlltered YES
COD
'Coliform MF Fecal _ �.l c�u.
mg/l
/10.0ml
.
--*—�. NO
Nitrite.(NO2):as N
= Nitrate ; NO as N
(.
and field acidified
m
o,JS 9/1 .
I-T
YES. NO
Ni - Nickel mg
°�,:Coliform: MF Total
(Note: Use MPN method for highlY,turbld samples)
/10 ml
Q
,
P os
h phorus::Total as P
OrthophoSphat�
c.
mg/I
mg/l
Pb - Leap' mg
Zn - Zlnc Mg.
t . Dissolved Solids: Total 92.og/I
PH (when, analyied)
C,",TOC
mg/I
units
AlAI = Aluminum'.
Ba - BariUlTi
mg/I
Ammonia Nitrogen - "' .r mg,
Other (Specify Compounds and Concentration-lJni
Somg/l
.i .. Chlorlde . o
mgll
Ca' ' Calcium t'.:
�. �.:.., .:
:Cd - Cadmium
�, ; �....
.�
mg/I .
Arsenic
Grease'and.Oils
.
mg/I ..
mg/l
,
Chromium: Total
Cu -CopperPhenol-
�. ti. ;r;; i
mg/l
m9/I - ,
> .:
`Sulfate
,:'Specific Conductance I
Mg/I,
mg/l
Fe - ironmg��
Hg -Mercury �' nuUUf;:C�
.
g
mg/1
'ORGANICS: (GC,GC/MS;HPLC)
:7otal Ammonia 4 a.02
uMhos
mgll
K -Potassium
M Ma ne5ium
g - g
mg/1 '
(Specify test and method It. Attach lab report,)
Report Attached? Yes (1) No
::TKN as N
mg/l
Mn -Manganese
m9/I
mg/I
VOC :method # a
method
method # n' .
i <•