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Home My WebLink AboutWQ0000165_Monitoring - 11-22_20230104SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name: `n�S L 0, Permit Name (if different): Fa 'lily Address: I 1 County Contact Person�`3 �� I Telephone #: -7 Z 01-9 Well Location/ Site Name: No. of Wells to be Sampled: Well Identification Number (from Permit): �'� For Groundwater Treatment Systems Well Depth: a ft. Well Diameter L in. Cheek One: ❑ Influent (98) Screened Interval: tL to ft. ❑ Effluent (99) Depth to Water Level: 2 fL below measuring poinL Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in it.: Gallons of water purnpvd/bailed before sampling: Date sample collected: PI 9� �.— P Field analysis: pH , Specific Conductance uMhos, Temp. �—°C, Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT #: EXPIRATION DATE: Non-Dischargo Ljs��-)l L - UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedation: Infiltration Gallery Spray Feld Renlediabon: Rotary Distributor land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: n Laboratory Name: IT Certification No. (_ _�— I A M A A )n,)Ij 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 mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N 0.s� mgA Pb - Lead mg/l Coliform: MF Total 1100ml Phosphorus: Total as P In - ) mg/I Zn - Zinc - (Note: use MPN method for highly turbid samples) Dissolved Solids: Total mg/l Orthophosphate AI - Aluminum mg/l mg/l Ammonia Nitrogen Og 2,1 mg/I Other (specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/I TOC '3-) %D mg/I Ca - Calcium mg/1 Chloride mg/l Cd - Cadmium mg/I KH Arsenic mg/l Chromium: Total mg/I Grease and Oils Phenol mgA mg/I Cu - Copper Fe - Iron mg/I mg/l ORGANICS':_(6 , PLC) Sulfate mg/I Hg - Mercury mg/1 (Specify test and method #. Attpch lab report.) No (0) Specific Conductance uMhos mg/l K - Potassium Mg - Magnesium mg/l mg/! Report Attached? Yes (1) VOC : method # = to Total Ammonia TKN as N mg/I Mn - Manganese mg/l : method # _ method # _ SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INEORMA119N Please Print Clearly or Type Facility Name:. 0- Permit Name (if different): Well Location/ Site Name: Telephone #: �5:) -` 1 JUS No. of Wells to be Sampled: Well identification Number (from Permit): 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/bailed before sampling: Date sample collected: Field analysis: pH , r , Speck Conductance uMhos Temp. °C, Odor Appearance DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non-Discharge►'Ll'(�� UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedation: Infiltration Gallery Spray Feld Rernediatfon: ►—Rotary Distributor Land Application of Sludge Other. NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: TZ__,� r Certification No. 1sD PARAMETERS (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 _ a mg/! Coliform: MF Total /100ml Phosphorus: Total as P ; �-4-7 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) units Ba - Barium mg/1 TOC - mg/1 Ca - Calcium mg/I Chloride YQ mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance uMhos K - Potassium mg/I Total Ammonia mg/I Mg - Magnesium mg/! TKN as N mg/I Mn - Manganese mg/I Rev. 0312000 YES NO) Ni - Nickel mgA Pb - Lear] mg/I Zn - Zinc mg/I Ammonia Nitrogen Q mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes �� j 1) No (0) VOC : method # =�� method # = method # = GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name:_ Permit Name (if Contact Person: k),:4Cs Well Location/ Site Name: SUBMIT FORM ON YELLOW PAPER ONLY LPlease Print Clearly or Type 0. County to C% Lk f-L-V Telephone #: .Js� I - --I Z:T z,�9 No. of Wells to be Sampled: Li —� Well Identification Nufnber (from Permit): For Groundwater Treatment Systems Well Depth: 1-4 ft. Well Diameter L_ in. Check one. ❑ Influent (98) Screened Interval: fL 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 fL: Gallons of water purripjOAkaited before sampling: 1 . Date sample collected: Field analysis: pH 2 ._ ; , Specific Conductance uMhos Temp. L',v, °C, Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non-DischaUIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Renw1allm: LfFiotary Distributor land Application of Sludge Other. -- NOTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: Certification No. IC) PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO) COD mg/I Nitrite (NO2) as N mg/l Ni - Nickel mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N 0 10 V mg/l Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn - Zinc mg/I (Note: Use MPH method for highly turbid samples) Orthophosphate mg/l Ammonia Nitrogen mg/I Dissolved Solids: Total l5 C, mg/l AI - Aluminum mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/E TOC _ ;: mg/l Ca - Calcium mg/I Chloride mg/l Cd - Cadmium mg/I Arsenic mgfl Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC) Sulfate Specific Conductance mg/I uMhos Hg - Mercury K - Potassium mg/l mg/I (Specify test and method #. Attach lab report.) Report Attached? Yesy(1) No (0) Total Ammonia mg/l Mg - Magnesium mg/l VOC : method # = (Q_ It -NO L- l l TKN as N mg/I Mn - Manganese mg/l : method # method # = ,c L •• Please print or a 1.0 GW-59 Rev. 0312000 2_7 �Z L GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name:_ Permit Name (if Well Locatiord Site Name: SUBMIT FORM ON YELLOW PAPER ONLY Please Print Clearly or Type County Telephone No. of Wells to be Sampled: Well Identification N mber (from Permit): 14 � For Groundwater 7re3tnteM Systems Well Depth: ti ft. Well Diameter: in. Check one: ❑ Influent (98) Screened Interval: It. to It. ❑ Effluent (99) Depth to Water Level: ` �L4 ft. below measuring point Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in fL: -1 Gallons of water puimpg' R led before sampling: �� Date sample collected: Field analysis: pH f , _' , Specific Conductance uMhos Temp. L_*C, Odor Appearance DEPARTMENT OF ENVIRONMENT A KAM M. RESOURCES WATER OUAUTY DIVISKK GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT C EXPIRATION DATE: Non -Discharge) UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedatfon: Infiltration Gallery Spray Field Reme%riar+on: Rotary Distributor land Application of Sludge Other. NM: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: 'F Certification No. 1C) PARAMETERS (Samples for metals were collected unffitered YES NO and field acidified COD mg/l Nitrite (NO2) as N mg/I Coliform: MF Fecal I /100ml Nitrate (NO,) as N _ mgA Coliform: MF Total /100ml Phosphorus: Total as P _ mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total (P t o 1 mg/l Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/1- TOC '& A2, mg/I Ca - Calcium mg/I Chloride mg/l Cd - Cadmium mg/I Arsenic mgA Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I YES NO) Ni - Nickel mgA Pb - Lead mg/I Zn - Zinc mg/I Ammonia Nitrogen f mg/i Other (Specify Compounds and Concentration Units) Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC) Sulfate -- Specific Conductance mg/I uMhos Hg - Mercury K - Potasslum mg/I mg/I (Specify test and method #. Attach lab report.) Report Attached? Yes —(1) No (0) Total Ammonia mg/I Mg - Magnesium mgA VOC : method # = CQ zt�' 0 l TKN as N mg/l Mn - Manganese mg/I method # = method # GW-59 Rev. OW2000 ZL