WQ0014306_Monitoring - 11-2016_20161228

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name:
Name (if l
Address:
Contact Person: William G. Freed
Well Location/Site Name: Telephone#: [phone]
backside of upset pond No. of wells to be sampled: 2
Well Identification Number (from Permit): mW 1
Well Depth 14.4 If WELL WAS DRY
ft. Well Diamete 2 in. at lime of sampling, Check here
Screened Interval: ft. to 15_2' ft.
Depth to Water Level: 3.8 ft. below measurin Sample is /nom system:
g point. ❑Influent ffluent
Measuring Point is 2 0 ft. above land surface.
Gallons of water mrmr.orf hor...e ,... Relative M.P. Elevation in ft.
OF
OF WATER OUALITY4NFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
W10014306 EXPIRATION DATE: 9/30/2020
UIC
OF PERMITTED OPERATION BEING MONITORED
—Lagoon
_ Remediatlon: Infiltration Gallery
_Spray Field
Remedlation:
_ Rotary Distributor
Lend Application of Sludge
_ Water Source Heat Pump
--
Other:
Cd - Cadmium O
mg/L (Total VOC Concentration)
mg/L (Total VOC Concentration)
Temp._16.4_eC Odor '1 faint A Date sample anal)
ppearance_2_Clear Laboratory Name:
. KANIF t GNS (Samples for metals were collected unfilteredCertficatlon No
_YES
NOTE: Values should reflect dissolved and colloidal concentrations. — NO and field acidified
_YES _NO.)
CO
D
Coliform: MF
mg/I Nitrite (NO,) as N mg/I
Fecat <1 1100ml Nitrate (NO,) as N <1
Coliform: MF Total mg/I
Phosphorus: Total as P 1.46
mgA
/100ml
(Note: Use MPN meewe for highly ter6y samples)
A I- Aluminum
mg/I
Dissolved Solids: Total
390
Ca - Calcium
PH (when analyzed)
Cd - Cadmium O
mgll
TOC
24.2
units
Chlo
74.2
mg/I
Arsenicride
mg/I
mgA
Grease andils
O
_
Mn - Manganese
mg/I
Phenol
mg/I
Sulfate
mg/I
SpecificConductance
mg/I
Total Ammonia
6.28
uMhos
(Ammonia Nitrogen: NH3 as N. Ammonia Nitrogen,
Total)
mgA
TKN as N
mg/I
Phosphorus: Total as P 1.46
mgA
Orthophosphate
mg/I
A I- Aluminum
mg/I
Ba - Barium ��—Mg/I
Ca - Calcium
mgr
Cd - Cadmium O
mg/I
Chromium: Total
Cu - Copper v,
mg/I
Fe - Iron ---
mg/I
Hg - Mercury o
mgA
K - Potassium en
mg/I
Mg - Magnesium u =
ng/I
_
Mn - Manganese
mg/1
Ni - Nickel
Pb - Lead
Zn - Zinc
Other (Specify Compound Concentration Units) ,A
ORGANICS: (by GC. GCflv1S, HPLC) „.::`-
(Specify test and method N. ATTACH LAB REPORT.)
Report Attached? Yes (1) No_x_ (0)
VOC : method t= 6200
method
--------------
method
-- : method
-- gang name and Tdle-1yfease p or
GW -59 �
Rev. 11/2005 Sig�tu ill P20 rrree for Authorized Auenti

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Name:
Name (if i
Address:
SUBMIT FORM ON YELLOW PAPER ONLY
Contact Person: William G. Freed
Well Location/Site Name:Telephone#: [phone]
backside of upset pond No. of wells to be sampled: 2
Well Identification Number (from Permit): mw 2�
Well De tt 12.45 If WELL WAS DRY
P ft. Well Diamete tin. at time of sampling, Check hale
Screened Interval: It. to 152" ft. Sample is from system:
Depth to Water Level: 3.7 ft. below measuring point. El
Measuring Point is 2 0 ft. above land surface. InFluent f6uent
Gallons of water Dumr>ari hafnro csimmlim.. 4A „ Relative M.P. Elevation in ft._
Temp. -15.7 eC Odor '2 faint Appearance_2_clear
DIVISION OF WA TER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
DATE:
UIC
OF PERMITTED OPERATION BEING MONITORED
Int mg/L (Total VOC Concentration)
ant m91L (Total VOC Concentration)
Removal %
Name:
PARAMETERS (Samples for metals were collected unfiltered ---LYES _ NO and field acidified
NOTE: Values should reflect dissolved and colloidal concentrations. —YES _NO.)
COD
mg/I Nitrite (NO2) as N /I
Coliform. MF Fecal
Coliform: MF Total
`1 /100ml
/100ml
(Note: Use MPN maNOE for highly rurbld samples)
_Remediation: Infiltration Gallery
Spray Field
Remedlaaon:
Rotary Distributor
_
Land Application of Sludge
Water Sour" Heat Pump
mg/I
Int mg/L (Total VOC Concentration)
ant m91L (Total VOC Concentration)
Removal %
Name:
PARAMETERS (Samples for metals were collected unfiltered ---LYES _ NO and field acidified
NOTE: Values should reflect dissolved and colloidal concentrations. —YES _NO.)
COD
mg/I Nitrite (NO2) as N /I
Coliform. MF Fecal
Coliform: MF Total
`1 /100ml
/100ml
(Note: Use MPN maNOE for highly rurbld samples)
mg
mg/I
Phosphorus: Total as P 2.15
Dissolved Solids: Total
472
mg/I
PH (when analyzed)
mg/I
mg/I
TOC
units
Chloride
24
mg/I
Arsenic
Arsenic
Cu - Copper
mg/I
Grease and Oils
mg/I
mg"
Phenol
K - Potassium
mg/I
Sulfate
mg/I
mg/I
Specific Conductance
mg/I
Total Ammonia
11.8
uMhos
(Ammonia Nitrogen; NHa as N; Ammonia Nitrogen, Total)
mg/I
TKN as N
mg/I
Nitrate (NO3) as N <1
mg
mg/I
Phosphorus: Total as P 2.15
mg/I
Orthophosphate
mg/I
A I- Aluminum
mg/I
Be - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mgn
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Ni - Nickel
Pb - Lead
Zn - Zinc
UNIVERSAL LABS
543
Other (Specify Compounds 61joncentration Units)
(Specify test and method #. ATTACH LAB REPORT,)
Report Attached? Yiii No_x_ (0)
VOC : method #= 6200
method #=
method #=
_ _ method #_