The URL can be used to link to this page

Home My WebLink AboutWQ0024756_Monitoring - 10-2016_20161207 (2)CRID'LNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: t Permit Name .(if different): Well Location/ Site Name: Please Prini or Type County Telephone #: No. of Wells to be Sampled: Well Identification Number (,from Permit): For Groundwater Treatment Systems Well Depth:, ft. Well Diameter:,_ in, Check 0ne 0 Influent (9$) Screened Interval. ft. to - ft. Q 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: 5 Date sample collected: =field analysis: pH_a13_, Specific Conductance uMhos Temp. _ �-C, Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1.636 MAIL SERVICE CENTER PERMIT ##` EXPIRATION DATE: Non-Discharge_w4a, Z N7S ir, UIC NPDES TYPE OF -PERMITTED OPERATION BEING MONITORED Lagoon _ Remediation: Infiltration Gallery Spray Field Remediation: _ Rotary Distributor - Land Application of Sludge Other. _ '—O`to P NOTE: Values should reflect dissolved.and colloidal concentrations. Date sample analyzed: Laboratory Name: rral¢,Y� Certification No. ARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified OD mg/l /100ml Nitrite (NO2) as N Nitrate (NO3) as N �4 mg/I mg/l soliform: MF Fecal t soliform: MF Total /100mf Phosphorus: Total as P_. t7i Sy l mg/I Note: Use MPN method for highly turbid samples) Orthophosphate mg/l dissolved Solids: Total 1Ld.— _ mg/l Al - Aluminum j' mg/I )H (when analyzed). units Ba - Barium mgll FOC ! , ---g ; hloride m /I Ca - Calcium _a mg/I _ arsenicc m /l Cd - Cadmium - mg./[ rngli Chromium: Totar _ mg/I grease and Oils mg/I Cu - Copper -9j'_ " mg/l 'henol mg/l mgll Fe. -1ron N N - Hg --Mercury, r rngll mg/I ulfate )pecific Conductance `otal uMhos K - Potassiums 7__ _ mg/I Ammonia -KN mg/l Mg - Magnesium mg/l as N mg/i Mn - Manganese mg/l, f YES NO) Ni - Nickel mg/I Pb - Lead mg/I Zn. - Zinc mg/l Ammonia Njtrogen 0;04 infill Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS;HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes�C (1) No (0) VOC : method # _ : method a W-59 `iev_ 03/20.00 KPermittee (or Authorized Agent) Name and Title Please print or type DEC 0 7 LU1 SiSnature of Permittee (or Authorized Agenl) (hate). G O-UNDWATER QUALITY MONITORING: COMP-LIANCE REPORT FORM _ Please Prini Clearly or Facility Name: --� �; Permit Name {if different): Contact Person: Well Location/ Site Name: County.5�� Telephone #:.2 No. of Wells to be Sampled: e Well Identification Number (from Permit): For Groundwater' Treatment Systems Well Depth: Well Diameter: _� in. Check One: 0 Influent (98) Screened Interval: - it. to - ft. ❑ Effluent (99) Depth to Water LeveLtft.. 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:' =ield analysis: pH " d" — , Specific Conductance uMhos Temp. C', Odor Appearance DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICECENTER nv__.. In ION 7Q4_19: PERMIT #: EXPIRATION DATE:— Non -Discharge NPDES TYPE DF PERMITTED OPERATION BEING MONITORED Lagoon Rernediation: Infiltration Gallery Spray Feld Remediation: Rotary Distributor _Land Application of Sludge � Other NATE: Values should reflect dissolved -and colloidal concentrations. Date sample analyzed- Laboratory Name:��a�`� Certification No.. ARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified mg/I DOD ,OD MF Fecal mg/I /1o0ml Nitrite (NO2) as N Nitrate (NO3) as IN. C),nom 1-0-1 mg/I mg/l soliform: MF Fe al /10Qrr11 Phosphorus: Total as P mg/I Note: Use MPN method for highly turbid samples} Dissolved Solids: Total 2) L( L/ mg/l QrtilQphOsphate At - Aluminum mg/I )H (when analyzed) —)"L4 units Ba- Barium mg/I FOC In mg/1' Ca - Calcium mg/I ',hloride `� mg/l mg/I Cd - Cadmium Chromium: Total m9/1 arsenic I and Oils m /f 9 Cu - Copper pp m henol g mg/I ron Hg -,Mercury mg/I sulfate s pecific Conductance- uMhos K - Potassium mg/I mg/I -otal Ammonia mg,1 Mg - Magnesium mg/I -KN as N - mg/I Mn - Manganese -- YES NO) Ni - Nickel mg/I Pb - Leadm9 Zn - Zinc AmmoniaNitrogen mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method #. Attach lab report.) Report Attached? Yes ---Y-(1) No (g) VOC method # = _ method # = method # (Date) iW-59 Signature of Permittee (or Authorized Agent) tev. 03/20.00 GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM' Please Print Clearly or Type Facility Name: X-- 41 N Permit Name (if different): tuay) Contact Person:_ ,3r Telephone #: %Z)- -M3 Well Location/ Site Name: 3 No. of Wells to be Sampled: (from Permit. Well Identification Number (from Permit) For Groundwater Treatment Systems Well Depth: ft. Well Diameter: -4. in. Check'One:11 Influent (98) Screened Interval: ft. to ft. Q Effluent (99) Depth to Water Level: (111D 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: 10 =ield analysis: pH 1-- _ , 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 -Discharge UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon - Remediation; Infiltration Gallery Spray Field Remediation: Rotary Distributor _ - Land Application of Sludge NOTE: Values should reflect dissolved -and colloidal concentrations. Date sample analyzed: Laboratory Name: F – ll!T-' Certification No. +►Z� A' R METERS (Samples for metals were collected unfiltered - YES NO and field acidified YES NO) mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/1 oliform: MF Fecal _ /100ml Nitrate (NO3) as N (n. mg/I Pb -,Lead mg/l oliform: MF Total /1 00m. Phosphorus: Total as P . (0, L41 mg/l Zn. -Zinc mg�l Note: Use MPN method for highly t bid samples) )issolved Solids: Total mg/I )H (when analyzed). ' units COC -1 J)) mg/I '.hioride mg/l krsenic mg/l ;cease and Oils mg1l 'henol - mg/l Sulfate mg/I Specific Conductance uMhos _otal Ammonia mg/l -KN as N mg/I Vrinopnospnaie Al - Aluminum )inyii mg/I ruifrrivi,ict Y+yG�, . Other (Specify Compounds and Concentration Units) Ba - Barium mg/l Ca = Calcium mg/l - Cd - Cadmium mg/l Chromium: Total mg/l - - Cu -Copper mg/I Fe - Iron mg/l ORGANICS- (GC,GC/MS,HPLC) Hg -Mercury mg1l (Specify test ana method #. Attach lab report.) K - Potassium mg/l Report Attached? Yes-/- (1) No _ (0) Mg - 'Magnesium mg/l VOC method # = i cc�� Mn - Manganese _ mg/l : method # = : method # = 3W-59 iev. 03/20.00 Permittee (or Authorized; Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date)