WQ0013921_Monitoring - 10-2016_20161024

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if
Facllity Address:
SUBMIT FORM ON
County
tcsy)
act Person: Telephone#: mt'-
Locatlon/Site Name S No. of wells to be sampled:
PAPER ONLY
PERMIT Number.W;�tCj013c fxpiratlon Date: S:R-6 I— I
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ 'Land Applicaltion of Sludge--`
❑ Water Source Heat Pump L�ther: W04
SAMPLING INFORMATION 5�
WELL ID NUMBER (from Permit): UJ Date sample collected: �'`"�'" • O�
Well Depth: ft. Well Diameter: In.
Screened Interval: ft. to ft.
Depth to Water Level 82546: ft. below measuring point *
Measuring Point is ft. above land surface Relative M.P. Elevation: ft
Volume of water pumpediballed before sampling: gallons
—4ii %A—,a nnuantad unfiltered: 0 YES ❑ NO and field acidified: ❑ YES ❑ NO
-16,
-f] ".16'
COD oomr)
mg/L
Coliform: MF Fecal 31515 aj
1100mL
Coliform: MF Total 31604
1100mL
(Note: Use MPN method for highly turbid samples)
solved Sollds:Total 70300 � �
mg/L
pH (Lab) 00403
units
TOC ooeeo
mg/L
Chloride 00940
mg/L
Arsenic 01002
uglL
Grease and 0116 00562
mg/L
Phenol 32730
uglL
Sulfate 00946
mg/L
scific Conductance 000ea
µMhos
Total Ammonia oilwo
mg/L
(Ammonia Nitrogen; NH9as N; Ammonla Nitrogen, Total)
TKN as N 00626 mg/L
For Remediation Systems Only (Attach Lab Reports):
M
Laboratory Name: �V,'0 V'f�C1(
and colloidal concentrations.
Nitrite (NO2) as N weir mg/L
Nitrate (NO3) as N 00520 mg/L
Phosphorus: Total as P 00566 mg/L
Orthophosphate Z0607 mgn-
AI - Aluminum Ojos - _ mg/L
Be - Barium Qi 07 uglL
Ca - Calcium 081 mg/L
Cd - Cadmium o a' bz uglL
Chromium: Total AC -64"- .. a�b- ` uglL
�" - -
Cu - Copper 07p4� o -
mglL
Fe - Iron of� s uglL
Hg - Mercury 71@0 uglL
K - Potassium 00W mg/L
Mg - Magnesium 00927 mg/L
Mn - Manganese 01066 ug1L
Ni - Nickel 01057 ug1L
Influent Total VOCs:
FIELD ANALYSES:
pH 00400: units
Spec. Cond. MGM.
Odor aouarx
Appearance
Pb - Lead oi06l
Zn - Zinc 01092
Temp.0ooi0: °C
µMhos
Certification No.
ug/L
mg/L KH
WAS
DRY at
time of
sampling,
check
here:0
Other (Specify Compounds and Concentrstion,Units) r
J
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method M ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 , method #
method #
method #
method #
Effluent Total VOCs:
mg/L
VOC Removal%