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Home My WebLink AboutWQ0008489_Monitoring - 08-2016_20160914GVA/-59A COMPLIANCE REPORT FORM Permit (Subude one each "Zocadorin period with. GW 59fornm) 1 Enter date monitoring results were due. a Will this monitoring report (G1 59 and GW -59A) YES NO be submitted after the established due date. 2 Was any required information missing on the GW -5 'report forms? YES NO 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 YES NO identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance. 4 Are any monitored constituents equal to or above the established standards? 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) 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 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). 6 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", contac-3he Re ions tce within 90 days., an evaluation may be required to determine the impact the waste s osa/ systM is havimcl at the review and compliance boundaries surroundina this facility. FailuriVio do ub"ect the vermittee to'a Notice of Violation fines, and/or penalties. p 1 -10 s�tsn. at> iA irn use rn Z cl g The person completing this portion (GW -59A) R the monitoring report should sign below and submit this form with GW -59 forms forrequired wells to thoddress provided at the top of the current GW -59 form. 1 hereby acknowledge that theFapove utformat�oh �hras evaluated and the mformatto�r submitted to this report (Compliance Report GW59A) is f{ue qnd cotnlslete to the {}est of my knowledge, 0/4'a 0 Sign re of Permittee (or Authorized Agent) D e GVIT-59A 12/8/2003 GROUNDWATER QUALITY MONITORING COMPLIANCE REPORT FORM or Facility Name: Permit Name (if Facility Address: SUBMIT FORM ON YELLOW PAPER ONLY pct Person;Tod ,Py 17 SAQC Telephone#: ( �j �� 2-_-Z 2- _ Location/Site Name: RJM24 WOOD, lj)U2'TP' No, of wells to be sampled: 7 m etm Well Depth;14 )' ft. Weil Diameter: tin. lat time of sampling, Check here Screened Interval: f 2, L4 ft. to It .%it.Sample is from system: Depth to Water Level-: to. & p ft. below measuring point. 1 ❑ Influent [&fflue_ n Measuring Point is 3.o ft. above land surface., Relative M.P.' Elevation in ft, Gallons of water pumpedJbailed before sampling: 1..5' : Date sample collected. PH 5 a. Specific Conductance uMhos Temp. °C Odor Appearance PE OF ,PERMITTED OPERATION BEING MONITORED _f goon-Remediation:InflitrationGallery L, --Spray Fief _Remediation: _Rotary Distributor _Land Application of Sludge _Water Source Heat Pump Other mg/L rnglL Name: I No. PARAMETERS (Samples for metals were collected unfiltered YESNO and field acidified __.YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD rng/I Nitrite (NOz) as N mg/I Ni - Nickel mg/I Coliform; MF Fecal /100ml Nitrate (NO3) as N C .� S' mg/I Pb - Lead mg/I Coliform: MF Total /1 ooml Phosphorus: Total as'P mgll Zn - Zinc mg/I (Note: Use MPN method to highly turbid samples) Orthophosphate - mgA Dissolved Solids:Total mgl Aluminum mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) Ba - Barium m /i TOC -�� Q mgA Ca - Calcium mg/I Chloride mgA Cd -Cadmium mg/I Arsenic mgA Chromium: Total ' ' mg/I Grease and Oils mg/I Cu- Copper mgA Phenol mg/l Fe - Iron mgA ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgA Hg - Mercury mg/l (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K = Potassium mgA Report Attached? Yes (1) No. (0) Total Ammonia mgA Mg - Magnesium _ mgA VOC : method #_ (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I : method #= TKN as N mgA ; method #= method #= GW -59 Signhiure of Per mittee (or Authorized Agent) Rev. 11/2005 GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Facility Name: Permit Name (If c Facility Address: SUBMIT FORM ON Contact Person:- _ E, Ss��t�d2 _ Telephone#: (2S7AZ(-7_,_2'4_ Well Location/Site Name: ri�dS y) �- � �r.P No; ofwellsto be sampled: � m erm 7 � Well Identification Number (from Permit), < OOH If WELL WAS DRY Well Depth: �C ., CL ft. Well Diameter:_ in.. at Tune of sampling, Cneck'here /2o 1,0Sample is from system. Depth to WaterLevel:. f. belowmeasuring point, [effluent Measuring Point is_ ft. above land surface. Relative M.P. Elevation in ft. Gallons of waterpumped/balled before sam ling: . 9' Date sample collected:. O FIELD ANALYSIS; pH Specific Conductance umhos Temp. °C Odor - _ Appearance N LY 1-1)(7D 060 2q T7 ulC PE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedlation: Infiitration Gallery d/ Spray Field ^—Remedlatlonr Rotary Distributor —Land Application of Sludge -Water Source Heat Pump Other. -- - or nt rng/L (Total VOC Concentration) emt' mgIL (Total VOC Concentration) Removal - % sample analyzed; lratory Name: L) 11000VIVA ification No. to PARAMETERS (Samplesfor metals were collected unfiltered. -YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. pH'(whenanalyzed) 4.114 - units COD mg/I Nitrite (NO2) as N mg/l Ni - Nickel mg/I Coliform: MF Fecal !4=' 1100mi Nitrate (NO3) as N 0.125 mgll Pb - Lead mg/l. Coliform: MF Total 1100ml Phosphorus: 'Total as P mgll Zn - Zinc mgll (Note: Use MPNmethod for highly turbid semples) Orthophosphate _ mg/I Chromium: Tota) Dissolved Solids: Total mg/I A I- Aluminum mg/l Other (Specify. Compounds and Concentratio Its) pH'(whenanalyzed) 4.114 - units Ba - Barium mg/I [QCT - - TOC L 442. mg/l Ca - Calcium - mg/I Chloride _ mg/I. Cd - Cadmium mg/1 u ilk 11r Arsenic mgll Chromium: Tota) mgA Grease and. Oils mg1l Cu - Copper mg/I Phenol mg/I Fe - Iron mg/l ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgA Hg - Mercury moll (Specify test and method #. ATTACH CAB REPORT'.) Specific Conductance uMhos•. K - Potassium mgh Report Attached? Yes (9) No (0) Total Ammonia mg/I Mg - Magnesium - mg/I VOC : method #= (Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mgn : method #_ TKN as N mg/l ; method #_ GW -59 Signafte of Airmfttee (or Authorized Agent) Rev. 11/2005 ►U ;Z_ (Date) GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM cility Name: P I N8' -f LU m r7 -s uJw7� rmit Name (if different): _CQA)JRd Dility Address: Pn .RnY Z.1- fJ�_ SUBMIT FORM ON YELLOW PAPER ONLY or Type PERMIT No. I gli j tyyn 2VI'9 _ EXPIRATION DATE: Non -Discharge I r p[)n jm V UIC NPDES t€ �-r Slroep -1 - County _ TYPE OF PERMITTED OPERATION BEING MONITORED '-- —Tsge e L p d r/ Lagoon 9 Remediation: Infiltration Gallery act Person:I=. jA(p(gg Telephone#:(2S2)92.L-27Zc/ L-— Spray Reid Remediation: Location/Site Name: (tlyoLis LL)ll)TP No. of wells to be sampled: 7 Rotary Distributor Land Application of Sludge Water Source Heat Pump well Identification Number (from Permit): 00 Well Depth: lq,G(. ft. Well Diameter: 2. in. Screened Interval: 2,,�- A. to 12.0t. Depth to Water Level: K.SO ft. below measuring point. Measuring Point Is °Z ,. ft.. above land surface. Gallons of water pumped/balled before sampling: • S FIELD ANALYSIS: pH Specific Conductar Temp. °C Odor time of sampling, Check here nt Date sample Collected: uMhos' Appearance Other. Remediation System Influent/Effluent Int mg1L (Total VOC Concentration) ant mg/l. (Total VOC Concentration) Removal - °!e Date sample anal) Laboratory Name: Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel Coliform: MF Fecal L f /100ml Coliform: MF Total /100ml (Note:, Use MPN method for highly turbld samples) mg/I Dissolved Solids: Total ° 2,31 mgA pH (when analyzed) ! 3 R units TOC S; <-K' mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/l Sulfate mg/l Specific Conductance uMhos Total Ammonia mg/I (Ammonia Nitrogen; NH 3 as N; Ammonia Nitrogen, Total) TKN as N mg/I Nitrate (NO3) as N o�� mg/I Phosphorus: Total as P mg/I Orthophosphate mg/I A I- Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cti. Cadmium mg/I Chromium: Total Cu -Copper CSPO M%§A6 Fe - Iron m /l Hg - Mercury K - Potassium g Mg - Magnesium mg/I Mn - Manganese mg/I Pb - Lead Zn - Zinc Lab Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method#. ATTACH LAB REPORT.) Report Attached? Yes (1)'No (0) VOC ; method #= method #= method #= method #= mg/I mg/I mg/I. SUBMIT FORMON YELLOW PAPER ONLY - GROUNDWATER QUALITY MONITORING: •' • spiVlSIONOFWgT�RQUAI:ITgrINFORMATIQNPROCESSINGUNIT COMPLIANCE, REPORT FORM NOTE: Values should reflect dissolved and colloidal concentrations. 7s1�nrAi�seRuiccEn(Terr COD ;RAi.EIGHFNC27b99-ifi1i, ,: `,Phone'.:(919}73�.3721' " - = i ' FACILITY INFORMATION Please Print Clearly or Type PERMIT No. EXPIRATION DATE` Facility Name: ��'--.(� F1CI �1"ft!' 14T- P�Ivy IAI� Non -Discharge UIC Permit Name (if different):: OF I4`1® �— NPOEs' - Facility Address: D, 11 00m Phosphorus: Total as P 9WAVIts'"0'} County TYPE OF PERMITTED OPERATION BEING MONITORED Orthophosphate Lagoon Remediation: Inflitration Gallery Contact Person: I1LEQ Telephone#(��.46.222 Spray Field Remediation, Well Location/Site Name: No, of wells to be sampled:' Rotary Distributor _Land Application of Sludge pH (when analyzed) units Water Source Heat Pump Other. - Well Identification Number (from Permit): h0 � If WELL WAS DRY Well Depth: �S ft: Well Diameter: Z._ln., at time of sam pling, Check here mg/I Screened Interval: 3 ft. to ft. Sample is from system.' For Remediation System Influent/Effluent Only (Attach Lab Reports) Depth to Water Level' G��,� ft. below measuring point. ' ❑ Influent KWuent Influep mg/L (Total VOC Concentration) Measuring PointEffluent is 3 ft. above land surface. Relative M.P. Elevation in ft. mg1L (Total VOG Concentration) -- Gallons of water pumped/bailed before sampling; 2.&0 Date sample collected: 5imy ?.D t /p VOC Removal LD ANALYSIS- pH -_ Specific Conductance uMhos Date sample analyzed: O Temp.. oC Odor r Appearance Laboratory Name: ) O E c - Phenol mg/1 Certification No. p PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mgA Nitrite (NO2) as N mg/I Ni - Nickel mg/l Coliform: MF Fecal I /100ml Nitrate (NO3) as N °® mg/l Pb - Lead mg/1 Coilform. MF Total 11 00m Phosphorus: Total as P _ mg/1 Zn - Zinc- mg/I (Note: Use MAN method for highly turbid samples) Orthophosphate mgA Dissolved Solids: Total mg/I A 1 -Aluminum mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba -Barium _ mg/1 TOC j mg/I Ca - Calcium mg/I Chloride mg/l Cd - Cadmium mg/l Arsenic mgA Chromium: Total mg/l Grease and Oils mg/l Cu - Copper mg/I Phenol mg/1 Fe - Iron mg/l. ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgA Hg - Mercury -� _rt{� �mg/I (Specify test and method #. ATTACH'LAB REPORT'.). Specific Conductance uMhos K - Potassium = ` mg/l Report /Attached? Yes (1) No _ (0) Total Ammonia mgA Mg - Magnesium moll VOC : method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/1 : method #= TKN as N ` mgA : method #= method #= GW -59 Rev. 1112005 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING COMPLIANCE REPORT FORM Name: Name (if c Address:, Contact -Person: "- E)PH P; sADLep— Telephone#: )��1Zro—Z2_2—lF Well Location/Site Name: elA WOODS Id W T F No. of wells to be sampled: 14m) Well Depth: 15 ft. Well Diameter: -2—In. Emsystem: Check here Screened Interval: ft. to /5—ft. Depth to Water Level: .3o ft. below measuring point. - f Measuring Point is ft. above land surface. Relative M.P. Elevation in harge (A O UIC F PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field ! Remediation Rotary Distributor Land Application of Sludge Water Source Heat Pump Other n system innuentiErnuent un nglL (Tota! VOC Concentration) mg1L (Total VOC Concentration) 1FIELD ANALYSIS: pH 5;Q Specific Conductance umnos �uaie samNtm 41101yccu. Temp. °C Odor Appearance Laboratory Name;1C fl.rfifl�inn hin PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NOZ) as'N, mg/I NI - Nickel mg/I Coliform: MF Fecal I 110bml Nitrate (NO3) as N mgA Pb - Lead mg/I Coliform: MF Total J100ml Phosphorus: Total as P mgA Zn - Zino mg/I Note: Use MPN method for highly turbid samples) Dissolved Solids: Total 134 mg/I Orthophosphate A l- Aluminum mg/I mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/I TOC 25, p mg/I Ca - Calcium mg/1 - -- Chloride mg/I Cdr Cadmium mg/I e Grease and Oils mg/l Cu - Copper I Phenol mg/1 Fe = Iron J.m /r ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/I Hg - Mercury R wok (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance Umhos K -`Potassium :, Report Attached? Yes (1) No (0) Total Ammonia mg/I Mg - Magnesium mg1i VOC method #= (Ammonia Nitrogen;'NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I . : method #= TKN, as N mgll : method #= method #= �i - GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Name: Name (if Address: SUBMIT FORM ON YELLOW PAPER ONLY 1 11 t.a —, U•+V) d act Person: _ v2 Telephone#: C11.L- 2-2-2—'F Location/Site Name: r . _ �wT No. of wells to be sampled: 7 ear � Well Identification Number (from Permit): toe)(— If WELL WAS DRY Well Depth: 15: ft. Well Diameter: 2, In. at time of sampling, Check here Screened Interval: 3 ft. to IS ft. Sample Is from system: Depth to Water Level: $O ft. below measuring point. ❑ Influent Dffiuen Measuring Point is—3 _ ft. above land surface. Relative M.P. Elevation in ft, Gallons of water pumped/bailed before sampling: Z• O Date sample collected. �$ FIELD ANALYSIS: pH Specific Conductance uMhos Temp. °C Odor Appearance No. DATE: PE OF PERMITTED OPERATION BEING MONITORED _✓Lagoon _Remediation: Inflitration Gallery y Spray Feld _Remediation: - Rotary [Distributor _ Land Application of Sludge Water Source Heat Pump Other. :ritmg/L (Total VOC Concentration) ;:nt mg/L (Total VOC Concentration) Removal % Date sample analyzed: 0A 10, Laboratory Name: rjU! U Certification No. 10 PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Coliform: MF Fecal L /100ml Nitrate (NO3) as N .Ld .0 mg/I Coliform: MF Total /100m1 Phosphorus: Total as P mgA (Note: Use MPN method for highly turbid samples) mg/I Orthophosphate nig/I Dissolved Solids: Total 12-1 mg/I A I- Aluminum mg/l pH (when analyzed) Q units Ba - Barium mg/I TOC �( mg/l, Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/l Arsenic mg/I Chromium: Total Grease and Oils moll Cu - Copper r- ID 9/' Ni -Nickel mg/I Pb - Lead Zn -Zinc Other (Specify Compounds and Concentration Units). mgA mg/I ORGANICS: (by GC, GC/MS, HPLC) Sulfate Phenol mgA Fe - Iron /1 ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/l Hg - Mercuryr /l (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes (1) No (0) Total Ammonia mgA Mg -Magnesium mg/1 VOC : method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen; Total) Mn - Manganese mg/l : method #= TKN as N mg/I : method #= method #= of j4gVL_ X0/6 GW -59 Signature of Pen,iitee (or Authorized Agent) Rev. 11/2005 U SUBMIT FORM ON GROUNDWATER QUALITY MONITORONG. COMPLIANCE REPORT FORM Facility Name: Permit Name (if d Facility Address: PAPER ONLY Contact Person: —J�C=eE E, ��( p Telephone#; 25�} �(o _Z2�4 Well Location/Site Name: �iA _ � uj w J No, of wells o be sampled: Well Identification Number (from Permit): 067 If WELL WAS DRY Well Depth: IS77 ft. Well Diameter: �In. at time of sampling, Check here Screened Interval: 3 ft. to /,j ft. Sample is from system: Depth to Water Level`. 0 ft. below measuring point. ❑ Influent ffluent Measuring Point is ft. above land surface. Relative M.P. Elevation in ft. Gallons of water pumpedlbailed before sampling:,.. 2,5 Date sample collected: eEi d� 10 FIELD ANALYSIS: pH 4. Speck Conductance uMhos® _ Temp °C Odor Appearance ERMIT No. -L.UQnpd8!�29 EXPIRATION on -Discharge (A]Q ry�ag g!9 Q UIC OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Inflitration Gallery Spray Reid ®_ Remediation: Rotary Distributor ^Land Application of Sludge Water Source Heat Pump Other. m t nig/L (Total VOC Concentration) ant mg/L (Total VOC Concentration) Removal % Name: n No, PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD moll Nitrite (NO2) as N moll Ni - Nickel moll Coliform: MF Fecal L /100ml Nitrate.(NO3) as N LO.Ocf mg/I Pb - Lead moll Coliform: MF Total /100ml Phosphorus: Total as P mg/l Zn - Zinc moll (Note: Use MPNmethod for highly lurbldsemples)... Orthophosphate mg/l Dissolved Solids: Total Z.Q moll A I- Aluminum moll Other (Specify Compounds and Concentration Units) PH (when analyzed) units Ba - Barium moll TOC mgll Ca - Calcium moll Chloride mgA Cd - Cadmium mg/1 Arsenic mg/I Chromium: Total moll Grease and Oils moll Cu - Copper mg/I Phenol mg/1 Fe - Iron mg/I ORGANICS: (by GO,'GC/MS, HPLC) Sulfate moll Hg - Mercury moll (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance ufvlhos K - Potassium mg/I Report Attached? Yes_ (1) No (0) Total Ammonia mg/I Mg - Magnesium moll VOC : method' #= (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese moll : method #= TKN as N moll : method #= 9 GW -59 Sigp(a�ure of fermittee' or Authorized Agent) (Date) Rev. 11/2005 V