HomeMy WebLinkAboutWQ0003090_Monitoring - 11-2016_20161212 (5)SUBMIT FORM ON SIM PAPER ONLY
CROUhiDWATEER QUALITY MONITORING:
rwy�w� v r u,yry RmA I to Please Prfal Cfeearfy or Type
Facility Name_��
Permit Name (if diiterent):
ty c c,
Contact Persor+MCet�-,r:ine ts�b ` Tele
�,.�g' Tetepftiane
Weft Location/ Site Name: No. of Wells to be Sampled;
I.
Weft I'lentification Number (from Permit), For Grcundyraiee Traetmeat Sysl
Well Depth; 30 D 0 A. Well Diameter: ..Qin. f�tecic°dne; El Influent$$
Screened Interval & . ft. to _ ft }
Depth to Water level: ZA. 1 0. below Measuring point. 0 Effluent (99)
h4easuft Paint (M.P.) is.� _ ft, above land surface. Relative M.P. Elevation in H.:
Gallons of luster pumpedlbafl ed before sampling: 5 Daae sample collected:
Field analysis: pH- % G0 , Specific Conductance u�titeu
Temp. /to "C, Odor..... Appearance. k�.1`sar�
DE€'AWNIENTOF ENVIRONMENT & NATURAL RESOURM
WATEli OVUM WISION, CIRQUNDWATER SECTION
t636 MAIL SERVIC9 CMMA
PERMIT fl: v�_r4c)oJ3d9D F..XPIRATION DATE: 44 '6G (>
Non -Discharge - ule
NPI]ES
QEI .I�i ITF�OPERATION BEING MONITORED
Lagow _Retnedtaiiom Infiltration Gallery
spray Field f omixliakm:
Rotary Distributor Land ApplWailon of Sludge
€7 her. - - -
(tii]T1=: Values Should mflact dissolved and
colloidal concentrations.
Date trample anal ; // S-
L wratory Nanta:
Certification Na.L�SC 3<-I
PARAMETERS (Samples far metals were.callected unfiltered -YES NO and field acidified
Cf�l7� mg(I
Coliform.- MF Fecal _._,./100Ml
Coliform: MIT Total r __-- f100n-d
(bate: Use PRION mathad fir higiely turbid Samples)
m A
Dissolved Solids: Total 7 2.0_
mg/l
hen analyzed)
unfts
TpH OC fir' _
4 rng/I
Chloride _ S.Z;
mgA
Arsenic
mg/l
Grease and Coils
mg/l
Phenol
mg/I
Sulfate - iia
m
Specific Conductance --- , -- - -_^
uMh
Total Ammonia — -- _ .:
mg/I
TKN as N -- _ --
mg/l
Nitrite (NO2) as N
m A
Nitrate (NO3) as N C• "�A
mg 1
Phosphorus: Total as F
- mg/I
Orthophosphate _ _
mg/I
At - Aluminitrt, =
mg,ri
9a - Barium.
m gn
Ca - calcium=
r'mgA
mgA
Cd - Cadmium
ChroFml=Total"'
mgil
:.
iWu - Capper , �
rftl
Fe o Iron
mg/t
Hg - Mercury Q
tin g/
K - Potasslutzt, _
tYlg/l
Mg - Magnesium-
mg//l
Mn - Manganese
mg/1
YES NO)
N! - Nickel -- - mgA
Pb w LeeM9A
Zn - Zinc mgA
Ammonia Nitrogen ----<0, mg/I
Other (Specity Compounds and Concentration Units)
ZU IV
ORGANICS: (GG,GCildlS,IjpLC)
(SPOCItyteal and method 0. Attach lab report)
Report Attached? Yes - (1) No (4}
VOC method M ;
method #
GROUNDWATER OLIALITY MONITORING:
Facility Nanw
Permit Name (it
G.
Well Lotion/ Site Mame:
SUBMIT FORM ON
Pleasre PrintCfearfy or
County
Telephone #:
No. of Wells to be
WeR Identification Number (from Perm1t): LYv� .s _ � F,at Qwundvfater If64atrt�eJld SyStirititr
Welt Depth: a?2 . 1 5 ft. Well Diameter: _ �-_ in. t k 4�se: � trestmortt �$
Screened Interml. It. to it. )
De to Water Level., 0 Effluent (99)
. � ft. below measuring point
Measuring PoInt (M.P.) is: �_ ft. above land surface. Relative M.P. Elevation in fl.:
Gallons Of waster Pum edfballed before sampling. .33 mate Sample collected: 1[ I e.
f=ield analyrsts: pli • U , SPecifle Conductance — Umhos
Temp. i �•_ a °C, Odor — Appearances
EARAN��,� (Samples for metals were collected urufllteretl YE=S NO
L.F rrtgli
Collforral: MF Fecal /100m
Coliform: MF Total -- /iUOml
(Note: Use t+ PN method faar highly turbid samosa)
mgA
Dissolved Sollda: Total /6 2 mg/l
pH (when anal ed)a
un"S
- �
-
mg/l
Chlorldb 6 `
Arsenic
rn
Grease and Offs - -
rrtg4
Phenol
mgt
Sulfate—__ - <to
nn gA
Spec#ie Conductance m-- -- - -
Whos
Total Ammonia _--
mg/l
TKN as N
mg/l
PAPER ONLY
DEPARTNIM OF ENVIRONMENT & NATURAL RESOURCES
Wren GuALffY DwIstoN, GR=40WATER sECTioN
1636 AWL SERVICE COMR
PERMIT V.1%43 Cj a -Su-tc3 EXPIRATION LATE: -
Non -Discharge UIC
NPDES
TYPE OEP-EMITIEQ OPERATION BEING MONITORED
Lagoon RetnMdlallon: Infiltration Gallery
Spray Field ___._-_ Samediatim-
Rotary Distributer -Lend Apptihahion al Sludge
Ofhet;
MOTE: Values should refloat dissolved and
colloidal concentratlanss.
Date sample analyzed: i 1 Y _- 10 a, I i Ce
Laboratory Name: ` (? E S- n 0,-k%j nL
Certification No. I\JC- 3.
anti field acidified YES
Nitrite (NO2) as N
mgA
Nitrate (NO3) as N 0 - S-7 k
m /1
Phosphorus. T. as P
mg/l
Orthophosphate
rng/i
At - Aluminum
mgA
IIS - Barium
m gA
Ca - Calcium
mgA
Cd - Cadmium-- - -
mg/l
Chromium: Total _
mg/l
Cu - Copper -
mgh
Fe - Iron -
mg/l
l-tg - Mercury � .. - -
mg/(
K - Potasslum
mg/l
Mg - Magnesium
Mg/l
Mn - Manganese
mg4
- NO)
Ni - Nickel: mg/l
Pb Lea Mgrl
Zn - Zino Mg/l
Ammonia Nitrogen_
Other (Specify Compounds and Concentration UTdis)
His
ORGANICS: (GG,GCtMS,t PLC)
(Specify tett and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
voc method! #6.2 3c)
method go - -
SUBMIT FORM ON XELLM PAPER ONLY
GROUNDWATER GUALITY MONITORING:
r msg_"..( 6 rOrwry"_ MA 6 MCI Please PH& Clearty o Type
Facility t<Fame:_, twn O� k./
Permit Name (if crept):
Corstact Person: CQ ?•t �, ` kf �" VM County l! "a Yh
' , �— Telephone #: k- C-0
WellLocation/ Sita Name: -121( k- No. of Wells to be Sampled: �.
Well Identiftcation Number (froze Permit): �77",
Far t�lrisnndwatsr Trtiatmefltsyslf
Well Depth. 7,0 _:�6 Well Diameter:_ in. Check Qnrr: El influent (98)
Screened Interval :ate . Le ;.ft. to - It. 0 Effluent (99)
Depth to Water Level: C�X ft. below measudngi point
Measvdng Point (M.P.) is:_. ft. above farts/ surfac�e,. /Relative M.P. Elevation in fl
Gallons of water Pump ed/bailed before sampling. L `/ Date Sample collected: i! 8
Field analysis: pH 62 -,RX— , Specific Conductance — UM s
-- Temp. /K- 3 °C, Odor - Appearance _Sl,aj.-i/V _77L 4 I
P'ARABIIMRS (Samples for metals were collected
COD
m
Coliform: PAF Few � l.� � _...f100MInl
-Phosphorus. Total as P
Coliform: MF Total _-
/100nll
(trots: Use MPH method f'ar 11103y turbid Samples)
At - Aluminum
Dissolved S+ollds: Total ` AS
mull
PH (when analysed)
units
TOC <' 1. o _
mWI
Chloride
mgt
Arsenic
mg/l
Grease and Offs --
mg/l
Phenol
Mgli
�.
Sulfate s 1 C)mgASpecific
K - Potallunt
Conductance _
uMhos
Total Ammonia �.�_..
rng/I
TKN as N.
mg/I
Unfiltered—yES
DEPARTMEWOF 9NVIRONMENT & NATURAL RESOURCES
wmai avAgry ntvisiou, anouNDWATER SECTION
1536 MAIL SERVIC9 CEtd R
PERMIT ft, t4l0ao'spga EXPIRATION DA'
Non-Discharge--
NPpES
TYPE Q p'EEJMWrEp OPERATION BEING MONCTORED
Lagoon Reffeft fan: Infiltration Caffery
Spray Field Fiprrrediation:
Rotary Distributor -Land Application of Sludge -
other:
NOTE=. Valueg ShoUld reflect tilasatved and -
colloidal concentrations.
Date sample analyzed- l7 $ — i/ a/ 1 L
Laboratory Name:
CertifiCation No. �tf�
NO and field acidified VER
Nitrite (NO2) as N
mgA
N1trate (NO3) as N 0 a XG
Mg/I
-Phosphorus. Total as P
mg/I
Orthophosphate
mg/I
At - Aluminum
mull
13a - Barium
m,g/l
Cat - Calcium- - _-
mgA
Cd - Cadmium -
�_ Mg/I
Chromium: Total - -
_... mg4
Cu - Copper
rrlgll
Fe - Iron _
mg/l
Fig - Mercury
mgll
K - Potallunt
mg/I
Mg - Magnesium
mgA
Mn - Manganese
mgA
SOI.
Ni - Nickel m
Zn - Zinc mgA
Ammonia Nitrogen--< O � rlag/l
Other (SPecily Compounds and Concentration uris)
BEG4 ON
ORGANICS: (ec.Gc/fvms,i E
(Specify test and method 4. Attach lab report.)
Report Attached? lies (1 No 0 ) ( }
VOC
mettfod IM = CPQ 3a [7
- method 4 - --
SUBMIT FORM ON YEILQ9 PAPER ONLY
GROUNDWATER OUALfTY MONITORING:
Facility Name
Permit Name (it
WeR Location/ Site blame:
Please
County rn.,,6nksk .
Telephone
No. of Welts to be Sampisd:
We# tdentibcatlon Number (tram Perm(t): _-
Welt Depth: ft. Well Diameter.
Screened lnUn-aI. _ , ft. to _ ft.
Depth to Water Level: % g3 ft. below measuring point.
Messurfng Point (M.P.) it. above land surface. R
Gallom of water pumpeftalied before eamptkV.
Field analysis: pH -, Speak Conductance —
- Temp. le= °C, Odor Al
EARAMETERS (Samples for metals were collected
COD
tTt
Coliform: IMF Fecal c
/10Cm1
Coliform: MF Total -- --
/100MI
(Ierdfa: Us* PROH M61110d f6f hisiblY turbid samptsat)
mg/I
Dissolved Solids: Total 5-3, o
Mg/I
pH (when analyzed)
unhs
TOC__ <.I--- ---- _�
mglf
Chloride - -41, 1 �.
mg/l
Arsenic
mgli
Grease and Oils
m
Phenol
m94
Sulfate - <'Ja
nn gA
Specific Conductance®_ -- -
uMhoos,
TOW Ammonia —_—_-- -
Mg/I
TKN as N
mg/I
FOr {�6 wdwater Treatment $Vst&m
in. check Ons; 0 ("fluent (9$)
13 Effluent (99)
staltive M.P. Elevation In R.:
Date sample collected: /1JTTZ7
unfllterecl - YES NO
DEPARTMENroF BHMiPiONMENT a NATURAL RESOURCES
WATER GUALrrY OiWISION, GROUNDWATER SECTION
036 MAIL SERVICE C><M R
PERMIT #- LJ(3 dOd 3690 EXPIRATION DATE:
Non -Discharge UIC�
NPDES
JYPF QE PEFtMEMEQ OPERATION BEING MONfTORED
La®atxti Remediation_ Infiltration Gallery
Spray Field poo riedia6m
Rotary Distributor -Land Appficatlan of Studge
Other;
NME., Values :should refloct dissolved and
colloidal concentrations,
Data sample analyt i
Laboratory Name. � d4M 14
Cerblication No. ,d:�c 3
and field acidified —YES
Nitrite (NO2) as N
mgh
Nitrate (1403) as N —_Q . '-A I
m A
Phosphorus. Total as P _ _
mg/I
Orthophosphate _
mg/I
At - Aluminum _` _--
M9A
Ba - Barium
mg/I
Ca - Calcium_--
m
Cd - Cadmium
my
Chromium: Total
_ mg/I
Cu - Capper - -
l
Fe - Iron
mg/I
Fig - Mercury - _ -
1Tt
K - P'otalsslurn
Mg/I
Ing - Magnesium
MgA
Mn - Manganese .-
rrrg/i
NO)
Ni - Nickel g
m
Pb - Lead t[
rn/I
Zn - Zinc mg(l
Ammonia Nitrogen
Other (Spectly Compounds and Concentration Units)
ORGANICS: (GC,GC1M8,HPIL
(Spe0(6y test and method #. Attach lab report.)
Report Attechad? Yes -(I) No (4)
VOC method # = CR 3c, LD
- method # =--- -
SUBMIT FORM ON YELL= PAPER ONLY
GROUNDWATER QUALITY MONITORING:
Please Print Clearfy or
Facility Name:_
Permit Name (t
Fatcifity Andress
Gaun
Contact Rerson:�L �-!� ielsPhtine
Well Location/ Site Fume: —tl^ No. of Wells to be Sampled; Se a
Well rdentitication Number (from Permit),M_ epi T und++hrraster Treatment Systa s
Welt Depth: 27. ---IQ _fL Well Diameter: ._ 2—in. Check Oar �] rent .feat (g$)
Softened Interval: l ft. to ft.
Effluent
Depth to Water Level �S� ft. I�lcw trteaauring poInLI
Measuring
�5��
Point (M.P.) ft. above land surface. Relative M.P. Elevation In ft.:
GaHOne of water pumped/ba6fed before sampling. _ Data sarnpfe colfeeted:
Field analysis: pH , Specific Conductance -- uMhos
_17—
TOMP- - °C, 000r � Appearance
PERMIT C
0EPAFYTMENT OF ENVIRONMENT & NAnjRAL WEsouRCES
WATER GLIAL M WISIAN, GROUNDWATER SECTION
1636 AWL SEFMCE CENTER
EXPIRATION DATE:
Ntln-Discharge_ UIC
NPOES
TYPE QE PEEMITTE11 OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gaffery
Spray Field llsrnedla%M_ _
Rotary aistrabutor Land AppkaWn of Studge - -
Ott�t:
NOTA: Values should mflacl dissolved and
colloidal concentrations.
Date sampleartame/ i1 - N \ �� 1
Laboratory Na:.� c—
Certification No.17-1 kA
PARAMETERS E -T (Samples f®r Metals Wars Collected Unfiltered YES - NO 10field acidifled
CAM M
qA
Collform: IMF Few! /i 00ml
Coliform., MF Total
(Note. Use MPH method tar hf1jhiy
Dissolved Sol#ds: Total
pH (when analyzed)
Chloride
Arsenic _--
Grease and Offs __--
m11.
94
Phenol
rrtgll
sulfa -to
rn
Specific: Conductance _
uMhos
Total Ammonia �—___ .
mgll
TKN as N
1`119/1
` ' e (€40,!, a, N
m 11
t NC as N�
I
os crus: Total as
mg/I
(hate
rng/I
rturat
mgA
Bari
rng�
mgA
C - Cadrniu
mgfl
Chromium-. To
Mg/I
Cu - Copper a -:�—
mgll
Fe - Iron
mg/l
Hg - Mercury
m
K - Putt isailun
Mg/I
Mg - Magnesium
M gA
Mn - Manganese
_ ., Mg/I
—YES NO)
Ni - Nicker _
Pb t Lead
Zn - Zinc
Arr monia ,
Other ( ir* Compound's and Corioentra
mgfi
mg/1
mgA
tttg/I
Units)
nt= r1W
�_ �►/iw�lie
ENDOW_
ORGANICS: (GC,GC1M8,MPLa;)
(SPeaify teat and method #. Attach lab report.)
Report Attached? Yes (1) No
VOC method M =____ -- —
mefhod 4
GAN -59A COMPLIANCE REPORT FORM Permit # ,46000--$"W)
(Submit one each monitoring period ivith GW -59 forms.)
1
Enter date monitoring results were due. !/ 3e !6) 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 ice 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.
*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 spade provided below, each welt 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. /f 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?
!f the answer to question 7 is "YES" describe those actions in the space provided below.
N the answer to question 7 is "NO" contact the Realonal Office within 90 days: an evaluation may be
reaulred to determine the impact the waste disposal system is having at the review and comollance
boundaries surrounding this facility. Failure to do so may subiect the permittee to a Notice of Violation,
fines, and/orpenalties.
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.
'I hereby'acknovuledge that the ab6ve information was evaluated'and the mforti ation submitted' -m this I
report (Compliance Report GW=59A) isarue arid_complete to the, best 'mw knowledge:' : r
Signature of Permi (or Authorized Agent ate
GW -59A 12/82003
i