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Home My WebLink AboutWQ0007026_Monitoring - 10-2016_20161207 (2)PERMIT NUMBER: FACILITY NAME: NON DISCHARGE WASTEWATER MONITORING REPORT .Page i of S W00007026 Sanford Health & Rehabilitation MONTH: October YEAR: 2016 COUNTY: Lee Flow Monitoring Point: Effluent: 21 Influent: ❑ ......................................................................... Parameter Monitoring Point: Effluent' - .2 Influent: ❑ Surface Water (SW): - ❑ SW Code/Name: Was There Effluent Flow For This Month Generated At This Facility: Yes: d No: ❑ ...................... D A T E Operator Arrival Time operator ORC 2400 Time on on Clock Site Site? 50050 Daily Rate (Flow) into Treatment System 00400 pH 50060 Residual Chlorine 00310 BOD -5 20°C 00610 00530 NH3-N TSS 31616 Fecal Coliform (Geo -metric Mean*) 00625 00620 665 Total Total NO3 Phosph TKN as N orous HRS Y/N GALLONS UNITS UG/L MG/L MG/L MG/L /100ML MGIL MG/L MG/L 1 10457 2 10457 3 9:30 0.42 Y 10457 6.76 0.36 4 8695 5 8695 6 8695 7 8695 8 8695 9 8695 10 7:50 0.33 Y 8695 6.86 ill 1 8695 121 1 8695 13 8695 14 8695 15 8695 16 8695 �J> 17 9:35 0.42 Y 8695 6.72 0.26 18 11179 191 11179 '5P li 20 11179 *66 21 11179 Baa r� 22 11179 23 11179 24 7:30 0.42 Y 11179 6.82 0.24 25 13812_ 26 13812 27 13812 26 13812 29 13812 301 13812 31 8:10 1 0.42 1 Y 13812 6.86 0.31 Average 10581.87::::::::::::::: 0.293 ##### ##### ##### #NUM! ##W#'# #DIV/0! ##### Daily Maximum 13812 6.86 0.36 0 0 0 0 0 0 0 Daily Minimum 8695 6.72 0.24 01 0 0 0 0 0 0 Monthly Limit(s) 15720 d NA NA NA NA NA NA NA NA NA -b- Composite (C) / Grab (G) G G G G G G G IG Operator in Responsible Charge (ORC): Randall Jarrell Grade: IV/ SI Check Box if ORC Has Changed: ❑ ORC Certification Number: Certified Laboratories (1): Wastewater Management, L.L.C. (2): Person(s) Collecting Samples: Randall Jarrell Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit DENR Division of Water Quality 1617 Mail Service Center RALEIGH, NC 27699-1617 Phone: 919-210-2500 7937/23925 ENCO (SIGNATURE OF OPERATO IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DENR FORM NDMR-1 (512003) NON DISCHARGE WASTEWATER MONITORING REPORT Facility Status: Please answer the following question: 1. Does all monitoring data and sampling frequencies meet permit requirements? Page `z -of S Compliant (Y,N) 0 If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Non-compliant for effluent chlorine residual on 10/10 due to power outage caused by hurricane Matthew. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who -manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of ermittee)* Date Sanford Health & Rehabilitation (Permittee -Please print or type) 2702 Farrell Road Sanford, N.C. 27330 (Permittee Address) Parameter Codes: Randall Jarrell (Name of Signing Official -Please print or type) ORC (Position or Title) 919-210-2500 (Phone Number) 01002 Arsenic 31504 Coliform, Total 00600 Nitrogen, Total 00929 Sodium 01022 Boron 00094 Conductivity 00630 NO2&NO3 00931 SAR 00310 BOD5 01042 Copper 00620 NO3 00745 Sulfide 01027 Cadmium 00300 Dissolved Oxygen 00556 Oil -Grease 70295 TDS 00916 Calcium 31616 Fecal Coliform WQ09 PAN (Plant Available) 00010 Temperature 00940 Chloride 01051 Lead 00400 pH 00625 TKN 50060 Chlorine, Total Residual 00927 Magnesium 71900 Mercury 32730 Phenols 00665 Phosphorus, Total 00680 TOC 00530 TSS/TSR 01034 Chromium 00610 NH3asN 00937 Potassium 00076 Turbidity 00340 COD 01067 Nickel 00545 Settleable Matter 01092 Zinc 5/31/2015 (Permit Exp. Date) Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083 ext. 529. The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's permit for reporting data. * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(13). DENR FORM NDMR-1 (5/2003)