WQ0023181_Monitoring - 10-2016_20161109 (2)

GW -59A COMPLIANCE .REPORT FORM Permit #iAQ 601331 F
(.Submit one each monitoring period with Glf-59 forms.)
1
Enter date monitoring results were due. ) Will this monitoring report (GW -59 and GW -59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW -59 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.
J/
4
Are any monitored constituents equal to or above the established standards?
YES
N
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:
0C-n
5
For the constituents identified in question 4 above, havt tLa�nda&s beer exceeded previously for the .
�
YES
NO
same constituents) in the same well(s) in the last two yr b
If the answer to question 5 is "NO", skip to section 8. o n
If the answer to question 5 is "YES", list in the space provic( eldgeach�vell with constituent(s) exceeding
standards, concentration (s) reported, and sample collection d&dor e�gP oArrence (for the last two years).
c
J
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" 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 GW -59 forms for required wells to the address provided at the top of the current GW -59 form.
f ht,reby acknowledge that the above information,:was'evaluated and the information submitted in this
report (Compliance Report GW9A) is true and complete to the.best of my knointledge.
Signature of Permittee or Authorized Agent) Date
GW -59A 12/8/2003

8LJSMIT FIDPW ON )fEi L PAPER ONLY
GROUNDWATER OUALITY MONITORING
Facility Name.
Permit Name (if different):
Pstility Address: A.47
p? County
Coritact OM.
Per' Telephone*
No. of weklis to J* sampled:
L 10 NUMBER (frorn loerrnit)i-M s- ffedtod
Da ample co
Depth- -iaMetL
h to Water Level §2646: ft. bel rMa$uring point Weil 0 - ;'T- in.
ow ScMened Interval: ft to -A
ring Point is A kabov
e %nd sullace, Relativt M --P. Elevation:
T-Wof water purnpeC4 before sampling!
MVL
Q,oflfprm, MF Ft=l 31ale
f1 ?t7rtl
Coiifo= MF Total 3-f�5
mg/L:
7-n- - zine 010-12 019fL
Phosphorus, Total as P ooses
?.L iilVedS-Loljds�--rbtal 70300 J-Lo—
PH (L90 00401
units
TOC du5sp
(tPeiymPCUymac0sanontenafronni%
Chloride 00949
Mg/L
Arsenic 61002 — - -----U911-
-a anum 010G7
GreasP, and 011s 4065z
mqA-
PhenbJ 3,2180
q1L
Suffate! 06945
mg/L
�Pwftccanductsnce 00096 I
IiMho�S
---
Total Ammonia: 00si 6
U
Cu _ COPW 01042
'TKN as. N w825�--
OROANIM (by GC, GOlttl}S, H
For Reinediatjoq Sygeprts Only (Attach Lab kepprm31
ODU 59 Rev. a-lm2016
one, 919-467-434(i
226 at; -t- other
'PE Of: PERMITTED OPERATION MING MONITORED
Uigoon I Rernediativnr Infiltration Go"
S
- 'ray Biel RemeQffiqn-
Rottry distributor Land Application Of
Water Source Heat, Pump Other g4,
L &-
FIELD ANAL ' YSF-Sz WAS
DRY at
pH omoo: 0000__
—
Spec C Rmhos
I ond A tirtte of
$aMptir
Odor olbceso 'k
chec
Appearance -r=
here.
Laboratory Narita SCeTeafid,n LN
TtifQ. k-,( AIC,
and colloidal c6noentraijont
L VVV-2), as N, 006t5
Mg/L
Nitrate 140 a,5 N 6=9
(3)�
mg/L:
7-n- - zine 010-12 019fL
Phosphorus, Total as P ooses
Orthoph6sphate 70547
WL.
(tPeiymPCUymac0sanontenafronni%
Al Aluminum 01i os
Mg/L
-a anum 010G7
-U
-
Ca - Calaurn o0gis
rrigGL
—
Cd Cadmium 6,10M
Qhr6mlurn: Total oiau
U
Cu _ COPW 01042
mg/L
OROANIM (by GC, GOlttl}S, H
Fe - Iron 01045
0
(Specify hist and method #,. ATTACK LAB FZEP P M)
Hg - MMUTY 71900
uglL
Lab Re -:hed? -1
port,.Attat Y Na (0)
Potassium W9317#
rng/L
\iOC .71373— method
Mg Magnesium 0092-7,
nglL
Method #
Mn Mang4nese ow)5,5
vgfL
method #
Ni - Nickel Mot
L
Method #
Inffuent Total VoGs�
Mg[L Effluent Total VOCs : m9 VOC Removal%