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HomeMy WebLinkAboutWQ0000224_Monitoring - 07-2022_20220811fo GROUND ATER QUAt tTv I IONI.TOR:I`.G: a"3a"a—Us i .Ui�livi F_ AGILITYWORMATION _ Please Print Clearly or Type Facility Name: D/ k7 != l-A L 7� i/i G LDS Permit Name fif Qifferenil- ----WEtt LocatioSite TVarxae: -No. of Weltst Weil ldentificaUort iVurrl'er (from Permit): = -Fur Grountf�rater Treatment Well Depth: ft. Well Diameter._ in_ Check One:,Esystems /@lflueilt (98) Screened interval: 0 � ��'t_ to fL W/ kf Effluent �loci'gnt fl r�ept:t to Waier r_evei -- 9_%—eft below measurin inL loci' D..:PARTNIENT OF ENVIRONMENT & NATURAL RESOURCES c r, , ..nOL[turJATcn Sccitfiiv RALEIGH•NC27649-191R Phn..o•/nye���� PERD/uT #: EXPIRATION DATE: Iq Non -Discharge _.L;u4% 0000 22 `t UIC TYPE pF-RE9AhfT? SciNG ci$Ot tITOt-?i=D - 9 Rerne6ation: Infiltration Gallery -Rotary Distr-)tRor Other. Land Application -of sludge NOTE: Values sho^.jjd Eef;e r disscired and _ g P_ cdllo•.r;a: ec.iCE�iTaii Measuring Point (MI_P_) is:Vd fL above land surface- Relative M.P. Elevation in if.: /i /„ ,. Gallons of water Fumpedbaifed before sampling: Date sampie collecte : ate sample ana! d: l Fi,r P ; -Specrc-Condciciance------------- hl+h€las- Temp. °C, Odor Appearance Cer !-=ticn No. _ _ f LO r- -P.A•4Alyt�'RS-(Samp:2s-for-r.�re—.:swere-coliected unfiltered- mg/E Nitrite 002) as N Coiiform: MF Fecal /100ml Nitrate (NO,) as N Cofiform: MF Total /► vnll . Phosphorus: Dissolved Solids: Total A Aluminu PrK(Whin--- it - Curium TOC yn Calcium A, e - le rng/f Cd Cadmiu - ..RE�iE�ft�E�.D rn: ma/1 tVi - ltckel h 1! tau- Lead A i i r i� �.� a La - Zinc mall Ammonia Nitrogen_ information Pr'nr h Unit ---�i�er-{Speeily�r�Ousrds-and-e-ciE�l�ss�i�iirs)-- -- 019 sonic - ;rr omlcim:':"o' 96 grease and Oils-- _ - i��gll Phenol m Fe - iron Sulfate m rngA Specific Conductance uMhos K - Potassium m9A Total Ammonia mg/l Mg - Magnesium mg 1 TKN as IN M(;il Mn - Manganese mgA GW-59 Rev. 03/2000 -- CR.GANiCS_ (GC,GC/MS,b1PLC) (Specfiy test and mmt hod #. ?Attach.;ah refxost-) ReportAttacked? Yes (1) No (.a) \lnT : u ruu» method # _ r— SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: rnN vV1",PiiHIVCOE REPORT FORM Facility Name:_ EO ( " Permit Name (if different): Facility Address: CQ,4�2 —1 0 . , . _ . Contact Person: JJAfN Well Location/ Site Name: _ Please Print Clearly or Type Do c�rounty Telephone #: No -of -Wells- -be- Well Identification Number (�om Permit): W lam_ Well Depth: ft. Well Diameter � in Screened Interval: ft. to ft. Depth to Water Level: ft_ below measuring point. Measurin Point (M v / + For Groundwater Treatment Systems Check One: fluent (98) Effluent (99) g -• •s• above land su Relative M.P. Elevation in Gallons of water pum iled before sampling: Date sample collected: Field 2na;,rsis: pFl.-� Specific ce ho ..� Temp. °C, Odor Appearance PARAMETERS (Samples for metalls_Wer-e collected unfi COD - -- - mgll Coliform: MF Fecal /100mI Coliform: MF Total 1100ml (NOte_ Usa MPN method for highly turbid sampl } Dissoived Solids: Total pH_(Whenanaiyzed)- TOC • Cf+ivridG rr n Arsenic mg/l Grease and Oils - llf;. mgA Phenol mg/l Sulfate Mg/1 Specific Conductance umhos Total Ammonia m9/1 TKI IN as N ,,:g1i DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES 't/ATER OUALi i -f DIVISION, GROUNDWATER SECTION ,S3o MAIL SERVICE CENTER RALFIAH Hr' o-Taon PERMIT #.- EXPIRATION DA Non -Discharge u%u( OGdp 2 �2 / UIC NPr11=c TYPE OF RMI7TED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray-Field--- RotaryDistributor Land Application of Sludge Other. - NOTF: Values Should reflect dissoived and colloidai concentration . ate sa.7;pie a,�aiyzed: _ _ -IAboratory Name: a A-, Cer ication No. _ d --- - Nitrite {NO2) as N and field _acidified ----- -=YES t NO) Nitrate (NO3) as N mg/l Ni- Nickel mg/l Phosphorus: Total as PE��o m9A rn /1 9 Pb - Lead 9A m Zn - Zinc Ortl,, p,-0.,p"at I- twJl.lIIdle AI - Aluminum mg/l mgrl Ammonia Nitrogen Ba - Barium - _ _ m _g/ l Other (Specify- Unds and Concentration Ca - Calcium mg/l Units) Cd - Cadmium mgri mg,l Chromium: Total mg�j Cu - Copper - __. -_ mgll Fe - Iron Hg - Mercury mg/l ORGANICS: (GC,GC/MS,HPLC) K - Potassium mg/I mg/l (Specify test and method #. Attach lab report.) Report Mg - Magnesium Attached? Yes /1 f0} .,,. �) No Mn -Manganese mn/I mg� method # m-0-4 u ce hat; to the best of my knewiedge_and belief, Wnf0rMation-SUbrritted Ul thisTeoort M ri to 7 010 -ORV• v,v Y- _0-Vi PAPER ONLY GROUNDWATER QUALITY MONITORING: Cvltrii-LiANCi_ REPORT FORM FACILITY INFORMATION Please Print Clearly or Type O YP Facility Name: Pow% I`f r� L/� L/iL�,4 Permit Name (if drfferenfl- Facility Address: C-v 7- P.3 12(11� - tG..�Wiz, j '� uCauniy 47A! P-RE7' Contact Person- ,t� ! e ~ Telephone #: Well. Location/ Site Name: Wel! Idernification Number from Perri; _►�'( F�� 5 For GroundvraterTreatment Systems Weil Depth: %`I' ft. Well Diameter�•� in - Screened Interval: to Check One Q f f uent (98) f # IWf�ent (99) Depth to Water Level: ft below measuring point Measuring Pc nt (M:P-) is:_3/�Y ft- above land surf Relative M_P_ Elevation in Gallons of Water_pcm ail before sampling: Date sample oollectei_i_ F eld analy_siS_ R DS . Temp. �C, Cdar Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES r/A T ER QUAL(iY DIiiISION, GROUNDWATER SECTION IS3S WAIL SERViCE CENTER RALEIGH. NC 27699-163R ot... . m.�. PERMIT #: EXPIRATION DA Non -Discharge tObO'3t)t)oia UIC NPr1�c TYPE OF PE` M-1 D OPERATION BEING MONITORED Lagoon Remediat,on_ Infiltration Galles =Z-�_:_— Rotate Distributar land Application of Sludge Other _ NOTE: Values should reflect dissolved and. colloidal concenirntinnoi PARANtETERS�(5amp(es for metals were collected Unfiltered 1 - YE5` -- - F1p -- ---:: and tle(ri aelttiiii :— - - ------ Coiiform: MF f=ecal. m 110orni Nitre (NO2) as-N. Nitrate (NO3) as N rn . Coliform: M.F Total„ - ITOOml Phosphor -us: Total as MgA (Note: Use rPAPN method for higbry turbid sam Dissolved Solids: Total s �1�*F+�-mot, � .. . r�Y"v��� `ate m - pr'7 when -analyzed} - - - -- - - m g/l - ----units Al - Aluminum -Ba - BaritrriZ - �nl_ TOC v, „lJ1 ide ' mg,q Ca - Calcium g/1 rn _ r Arsenic m9A Cd - Cadmium m n Grease and Oils titgii Crlromium= Total m _f Phonnl mg/l Cu - Copper - - _ . _ . _ mom! Sulfate mg/l Fe - Iron gA - Specific Conductance mg/l umhos Hg -Mercury K - Potassium mg/l mg/I Total Ammonia mgA Mg - Magnesium mnli n+g� Mn - Manganese ...y,. mg/l YES-- Ni- Nickel mg/i" Pb - Lead rrlel Zn - Zinc _ _ riryri Ammonia Nitrogen rim/! nth er- S eCi -- -- (p fy Coinpaf riassCorcentration Units) ORGANICS: (GC,GC/,NIS,HPLC) (specify test and method #. Attachlab report.) Report Attached? Yes (1) No (g) r^� : method # - � vv method # ' MANA �ililii .. RtrftIFl!.!t►,�= Rev— G ��