WQ0023310_Monitoring - 11-2022_20221222

SUBMIT FORM ON YFI I nw PAPFR nMI v
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM -
FACILITY INFORMATION Rease Print Cleady or Type
Facility Name: OkCy\Its) SCE(\\ \A��OrN -7y Ck* Q-
Permit Name (if different):
Fact Address:
Q(County i,.D U. ak rN
Contact Person:\\.CO�C1'�_ Telephone#-"� � ,3
Well Location/Site Name: No. of wells to be sampled:_
rAL QUALITY - DIV. OF WA
PROCESSING UNIT
PERMIT Numbers (�OU 316-xpiration Date: — ,� 0 o�� c
Non -Discharge v UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
P-1p ay Field ❑ Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
.� ���..� .�,.`., _ 'k[� `_k
WELL ID NUMBER from Permit): � Date sample collected: k `' ��
Well Depth: ff. Well Diameter: le in.
Depth to Water Level 82546: % ^a' ft. below measuring point Screened Interval: ft. to _ ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: E` gallons
: ❑■
Samples for metals were collected unfilteredYES El and field acidified: IS YES El
FIELD ANALYSES:
pH ooaoo units Temp. 000io: °C
Spec. Cond. 000ga µMhos
Odor o0oe5 .� /
Appearance -�y(�
If WELL
WAS
DRY at
time of
sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed: k- - 1k
t 1_ aLaboratory Name'
�
odC\
Certification No.
PARAMETERS NOTE: Valu s sho Id refl t dissdived and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NOZ) as N oo615 mg/L
Pb - Lead o1o5t ug/L
Coliform: MF Fecal 31616 t� ` /100mL
Nitrate (NO,) as N ooszo ` r mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00885 Q it (`�� mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L
Other (Specify Compounds and Coneentratlon Units):
issolved SolidS:Total 70300 mg/L
All - Aluminum 01105 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 ug/L
TOC 00680 mg/L
Ca - Calcium 00916 mg/L
Chloride 00940 c mg/L
Cd - Cadmium 01027 ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance doom µMhos
Total Ammonia ooszo
K - Potassium 00937 4 A/L
Mg �•
VOC 7873 method #
mg/L
- Magnesium 00927 ; mg/L
method #
(Artvnonla Nitrogen, NH, as N. Ammonia Nitrogen. Total)
Mn -Manganese o1oss uglL
, method #
TKN as N 00625 mg/L
Ni - Nickel 01067 ug/L
method #
_�---• —•••y %...... , Gov —p—.1. niuucrn midi VU%,5 mQ/L tniuent i otai VOCS mn/I vnr {?n--toi

SUBMIT FORM nN YFI I nw PAPPR nrut v
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
(Facility Name:
Permit Name (if
HE
act Person:
Location/Site Name:
y or type
tZQ'l County -i +T
Telephone#tV' t^`
No. of wells to be sampled:_
qF p BNTAL QUALITY - INV. OF
IN N PROCE381NO UNIT
I UU
FApiration Date:
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
,lL�
Spray Field ❑ Remediation.
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
li
u.+mr unv nvrvicrnr� t tutu
WELL ID NUMBER (from Permit): ON
Date sample collected: ~ �rk
FIELD
If WELL
Well Depth: ft.
Well Diameter: _in.
ANALYSES:
pH 00404al units Temp. 00010:
°C
WAS
DRY at
Depth to Water Level 82546: 1. G ft. below measuring point
Screened Interval: ft. to ft.
Spec. Cond. 000sa µMhos
time of
Measuring Point is ft. above land surface
_
Relative M.P. Elevation: ft.
Odor 000s5
sampling,
Volume of water pumped/bailed before sampling: �� gallons
Appearance ct��—
check
here:❑
,Samples for metals were collected unfiltered: ® YES ❑ NO
and field acidified: ® YES ❑ NO
LABORATORY INFORM
ATION ^ III- as
1te sample analyzed: — 1
kRAMETERS NOTE: Valdes sh uld reflbct diss IV(
COD 00335 mg/L
Coliform: MF Fecal 31616 Gf� /100mL
Coliform: MF Total 31504 /100mL
(Note* Use MPN method for highly turbid samples)
solved Solids: Total 70300 mg/L
pH (Lab) 00403 units
TOC ooseo mg/L
Chloride 00940<z mg/L
Arsenic 01002 ug/L
Grease and Oils 00552 mg/L
Phenol 32730 ug/L
Sulfate 00945 mg/L
ecific Conductance 000m i.tMhos
Total Ammonia ooseo 0. mg/L
(Ammonia Nitrogen, NH3 as N, Ammonia Nitrogen, Total)
TKN as N 00625
Fnr Rmm�eli�•i.... c..�•....... n... �.. .
mg/L
Laboratory Name:
\N I-
Certification No.
ani colloidal concentrations.
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 ug/L
Nitrate (NO3) as N 00620 8 , , '� mg/L
Zn - Zinc 01092 mg/L
Phosphorus: Total as P 00665 n t Zj O mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
All -Aluminum o11o5
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71goo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese 01055
ug/L
method #
Ni - Nickel 01067
ug/L
method #
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory, I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing Vilations.
M am
(or- Authorized (Date)
�.

OUomt i runM UN TtLLIJW PAYtK UNLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY • UIV. OF WATER RESOURCES -
COMPLIANCE REPORT FORM'
INFORMATION PROCE391NO UNIT
4s17;MAI4el s 011IMT#Rx ttAl.�tG11�, NC:�T4rr•tay>'
FACILITY INFORMATION Please Print JClearly orType l
Facility Name:wovsc�('o �T `1'I
PERMIT Number: 33 iration Date: `
��
vQ a1
� (��\. (i� 1'\
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility dress:
TYPE OF PERMITTED OPERATION BEING MONITORED
W q�S�,uJ a.ifo�li
Q3
County M
El Lagoon ❑ Remediation: Infiltration Gallery
II.IIJi IJINIcI i; I(�I
Contact Person: LCt{�'\qt�
Telephone#1� a 13 [y T
UP'5p ay Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name.)*&C-DPl,La 1 pri ,
No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
from Pafmit
SAMPLING INFORMATION ^
WELL ID NUMBER (from` Permit):���'`,r \�
Date sample collected:+ a�
FIELD AN SES:
If WELL
Well Depth: \ ft.
Well Diameter: in.
pH 00400 . units Temp. 000lo:-�t -�C
WAS
DRY at
Depth to Water Level 82546: a ft. below measuring point
Screened Interval: ft, to
ft. Spec. Cond. 00094 µMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 000e5 Yl0'Y�/
sampling,
check
Volume of water pumped/bailed before sampling: gallons
Appearance Pq r-
here:❑
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: - 7 11 $ \ t "
�_ a ,)
Laboratory Name (Q
Certification No.
PARAMETERS NOTE: Values should refilbet diss Ived and colloidal concentrations.
COD 00335 mg/L
Coliform: MF Fecal 31616� t /100mL
Nitrite (NO2) as N 00615 mg/L
Nitrate (NO,) as N 00620mg/L
Pb - Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <—,mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum 01105 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 ug/L
TOC 00680 mg/L
Ca - Calcium 00916 mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027 ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
Total Ammonia oo6lo d mg/L
K - Potassium 00937 mg/L
Mg Magnesium
VOC 7873 method #
(Ammonia Nitrogen. NH3as N, Ammonia Nitrogen, Total)
- 00927 mg/L
method #
Mn -Manganese o1o55 ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067 ug/L
method #
.....7 a/. I1111LA IIL lUtdi VUt,s. mg/L Effluent Total VOCs mg/L VOC Removal%
��� t �\ ` J - r(,•-\vim '�- V� _ '.
Permdtije (of Aut Agenq I C�
Name and Title -Please print or type Signatu / r (or Authorized Agent) (Date)GW-59 Rev.06-07-2018

r An©��o
GW-59A COMPLIANCE REPORT FORM Permit #
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. - Will this monitoring report (GW-59 and GW-59A)
be submitted after the established due date?
YES
O
2
Was any required information missing on the GW-59 report forms?
YES
N
IF the answer to question 1 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
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Officefor guidance.
YES
O
4
Are any monitored constituents equal to or above the established standards? I
YES
NO
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceedin standards in th spac provided below:,
5
For the constituents identified in question 4 above, have standards been exceeded previously for the i
same constituent(s) in the same well(s) in the last two years?
YES
NO
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES" list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
- V\- as 3
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
O
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
groundwater quality problem?
YES
NO
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: an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee 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 G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowliedge Out the above won was eve and the k4ormabori =A=Med in this
report (Compfiance Report is e to the best of my knowledge-
Signature of Pe ittee (or Authorized Agent) Date
GW-59A 12/8/2003

3 �-a
Sig."
It
4