example discharge monitoring report 1200-z industrial ... · rev: 04.19.2018;m. riedel state of...
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Rev: 04.19.2018;M. Riedel
State of Oregon Department of Environmental Quality Example Discharge Monitoring Report 1200-Z Industrial Stormwater General Permit Oregon Department of Environmental Quality Water Quality Stormwater Program Contact: Mark Riedel-Bash, [email protected]
The goal of this document is to help permittees successfully fill out a 1200-Z discharge monitoring report form and provide the required attachments to ensure the submittal of a complete DMR package to DEQ. Be sure to locate your facility’s permit assignment letter and monitoring tables before you begin. Though not representative of every single permit registrant’s specific requirements, this document provides the basic concepts. For specific questions about filling out your DMR, contact DEQ or your Agent. Filling out the DMR form
The DMR form is an Excel spreadsheet with 9 different tabs along the bottom. You must complete the General tab. You must complete at least one of the Statewide tabs (i.e., Columbia River, Columbia Slough, Portland
Harbor, Regional). Refer to the monitoring table in your permit assignment letter for identification of your required tabs,
included Sector and Impairments, if required.
What tabs does your facility need to complete?
Example of a site with Regional benchmarks, Sector benchmarks, and Impairment reference concentrations:
Example of a site with Portland Harbor benchmarks, Sector benchmarks, and Impairment reference concentrations:
Example of a site with Columbia Slough benchmarks, Sector benchmarks, and Impairment reference concentrations:
Example of a site with Columbia River benchmarks, Sector benchmarks, and Impairment reference concentrations:
Example of a site with Columbia Slough and Portland Harbor benchmarks, Sector benchmarks, and Impairment reference concentrations: Submittal Checklist
The DMR must include an original signature on the General Tab. The DMR must include the laboratory results, including minimum detection level, and analytical methods. The DMR must include the Quality Assurance/Quality Control report from the laboratory for the analyses. The DMR must include the pH field notes. The DMR must include the chain of custody.
Rev: 04.19.2018;M. Riedel
Attached DMR Example includes:
DMR Example of a site with Regional benchmarks, Sector benchmarks, and Impairment reference concentrations:
One Laboratory Result
o Including Laboratory Quality Assurance/Quality Control Report
o Including Chain of Custody
Example pH Field Notes.
****Note this is an example, your submittal must include all laboratory reports associated with all sampling events******
Original Signature pH field sheetsQA/QC form LabLaboratory Reports Chain of Custody
Columbia Slough Columbia River Portland Harbor Regional
Columbia Slough Columbia River Portland Harbor Regional
DEQ Clean Water ServicesCity of Portlandd City of Eugene
Regional; Page 1 of 1 Rev.02.16.2018
Oregon Department of Environmental Quality Discharge Monitoring Report
For offical use only:Legal Name: ACME Lumber and Metal Inc.DEQ File No: 123456789
pHTotal
Suspended Solids
Total Oil & Grease Total Copper Total Lead Total Zinc E. coli *
s.u. mg/L mg/L mg/L mg/L mg/L counts/ 100 ml
001 10/20/17 6.50 10.0 ND (5.0) ND (0.005) ND (0.005) ND (0.020)001 12/01/17 6.51 15.0 ND (5.0) ND (0.005) ND (0.005) ND (0.020)001 01/18/18 6.52 20.0 ND (5.0) ND (0.005) ND (0.005) ND (0.020)001 02/10/18 6.53 25.0 ND (5.0) ND (0.005) ND (0.005) ND (0.020)
17 3 0.003 0.003 0.01002 10/20/17 6.57 60.0 ND (5.0) 0.0150 0.0180 0.0210002 12/01/17 6.58 66.0 ND (5.0) 0.0140 0.0120 0.0260002 01/18/18 6.59 70.0 ND (5.0) 0.0130 0.0150 0.0310002 02/10/18 6.60 77.0 ND (5.0) 0.0120 0.0160 0.0360
68 3 0.013 0.015 0.03004 10/20/17 6.50 150.0 ND (5.0) 0.0300 0.0180 0.0860004 12/01/17 6.51 111.0 ND (5.0) 0.0150 0.0160 0.1110004 01/18/18 6.52 75.0 ND (5.0) 0.0180 0.0140 0.0770004 02/10/18 6.53 88.0 ND (5.0) 0.0200 0.0120 0.1200
102 3 0.020 0.015 0.10
Regional Benchmarks
Geometric Mean
Geometric Mean
Geometric Mean
Stormwater Program
4060.020Regional Benchmarks
5.5-9.0 100 10 0.015 0.090
* E. coli is only requiredfor landfills and sewage
treatment plants.
1200-Z Permit
Geometric Mean
Mon
itorin
g Lo
catio
n(s)
Sample Date
Instructions: This report must be completed for each monitoring year, July 1 to June 30, and submitted to the appropriate DEQ regional or agent office annually by July 31st. The report must contain the results of all stormwater monitoring conducted during the year. Sample for the pollutants at monitoring location(s) specified in your SWPCP and use the monitoring location(s) number from your SWPCP. You must include the laboratory results, including minimum detection level, Quality Assurance/Quality Control and analytical methods for the parameters analyzed. You must also submit pH field notes and chain of custody.
Sector; Page 1 of 3 Rev.02.16.2018
Oregon Department of Environmental Quality Discharge Monitoring Report
For offical use only:Legal Name: ACME Lumber and Metal Inc.DEQ File No: 123456789
Iron, TotalNitrate +
Nitrite Nitrogen
COD BOD5 Ammonia Arsenic, Total Cadmium, Total
mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L
001 10/20/17 1.00 0.880 ND (0.1) ND (5.0)001 12/01/17 2.00 0.660 0.560 89.0001 01/18/18 3.00 0.440 0.570 90.0001 02/10/18 4.00 0.220 0.580 91.0
2.2 0.49 0.31 37002 10/20/17 1.20 1.000 0.680 100.0002 12/01/17 1.30 0.900 0.660 99.0002 01/18/18 1.40 0.800 0.640 101.0002 02/10/18 1.50 0.700 6.200 98.0
1.3 0.84 1.16 99004 10/20/17 4.10 1.000 0.550 118.0004 12/01/17 3.90 1.100 0.560 119.0004 01/18/18 3.80 1.200 0.570 120.0004 02/10/18 3.70 1.300 0.580 121.0
3.9 1.14 0.56 119
Stormwater Program 1200-Z Permit
Instructions: This report must be completed for each monitoring year, July 1 to June 30, and submitted to the appropriate DEQ regional or agent office annually by July 31st. The report must contain the results of all stormwater monitoring conducted during the year. Sample for the pollutants at monitoring location(s) specified in your SWPCP and use the monitoring location(s) number from your SWPCP. You must include the laboratory results, including minimum detection level, Quality Assurance/Quality Control and analytical methods for the parameters analyzed. You must also submit pH field notes and chain of custody.
Sector-Specific Benchmarks (see permit assigment letter for identification of required parameters)
301.0 0.75 0.68 120
Mon
itorin
g Lo
catio
n(s)
Sample Date
2.0 0.34 0.0012.14Sector-Specific Benchmark
Geometric Mean
Geometric Mean
Geometric Mean
Geometric Mean
Impairments; Page 1 of 6 Rev.02.16.2018
Oregon Department of Environmental Quality Discharge Monitoring Report
For offical use only:Legal Name: ACME Lumber and Metal Inc.DEQ File No: 123456789
Aldrin Ammonia BOD5Cadmium, Dissolved Chlordane Chromium III,
DissolvedCopper,
Dissolved
mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L
001 10/20/17 ND (5.0)001 12/01/17 25.0001 01/18/18 57.0001 02/10/18 24.0
17002 10/20/17 33.0002 12/01/17 33.0002 01/18/18 36.0002 02/10/18 37.0
35004 10/20/17 40.0004 12/01/17 41.0004 01/18/18 42.0004 02/10/18 42.0
41Geometric Mean
Geometric Mean
Mon
itorin
g Lo
catio
n(s)
Stormwater Program
Sample Date
See Letter See Letter
Geometric Mean
0.003 1.0 0.34
1200-Z Permit
Instructions: This report must be completed for each monitoring year, July 1 to June 30, and submitted to the appropriate DEQ regional or agent office annually by July 31st. The report must contain the results of all stormwater monitoring conducted during the year. Sample for the pollutants at monitoring location(s) specified in your SWPCP and use the monitoring location(s) number from your SWPCP. You must include the laboratory results, including minimum detection level, Quality Assurance/Quality Control and analytical methods for the parameters analyzed. You must also submit pH field notes and chain of custody.
Impairment Pollutants and Reference Concentrations (see permit assigment letter for identification of required parameters)
Geometric Mean
30 See Letter 0.0024 0.000083Impairment Ref.
Concentration
Rev: 04.19.2018;M. Riedel
One Laboratory Result
Including Laboratory Quality Assurance/Quality Control Report
Including Chain of Custody
DEQ Laboratory and Environmental Assessment Program
Analytical Report
Sampling Event Summary
Client: Acme Lumber and Metal Project: 1200-ZQtime #: 123456789Sampled by: DEQ
ID # Type: Station #: Description: Matrix: Sample Date Time
WATERGS001 MONITORING POINT 001
WATER
01-Dec-2017 13:42
01-Dec-2017 15:45GS002
WATER 01-Dec-2017 15:46GS004
MONITORING POINT 002
MONITORING POINT 004
Key to Sample Type
GS = Grab Sample
Page 1 of 9
DEQ Laboratory and Environmental Assessment Program
Analytical Report
Sample Data
1505011-01 (Stormwater) Description: Monitorng Point 001
Analyte Result LOQ Units Dilution Batch Prepared Analyzed Method Qualifiers MDL
General Chemistry
B15E0651mg/L0.5Total Suspended Solids SM 2540 D07-May-15 14:5907-May-15 14:5915.0 1
Nutrients
B15E1351mg/L0.0050Nitrate/Nitrite as N SM 4500-NO3¯ F13-May-15 14:5713-May-15 14:570.0466 0.0019
B15E0661mg/L0.005Orthophosphate as P SM 4500-P E07-May-15 08:2607-May-15 07:370.005 J 0.002
B15E1511mg/L0.01Phosphate, Total as P SM 4500-P E15-May-15 13:4214-May-15 11:230.01 J 0.003
Page 2 of 9
7.7Field pH
B16L1471mg/L0.5 SM 2320 B16-Dec-16 13:0016-Dec-16 13:001
B16L04210.0001 mg/L EPA 300.007-Dec-16 15:2307-Dec-16 15:230.0055
B16L23310.001 mg/L SM 5310 B27-Dec-16 19:5827-Dec-16 19:580.005
B16L09310.010 mg/L SM 2540 D12-Dec-16 12:2812-Dec-16 12:280.020
B16L0421mg/L0.05 EPA 300.007-Dec-16 15:2307-Dec-16 15:230.1
B16L1591mg/L0.005
Oil and Grease
Total Copper
Total Lead
Total Zinc
Total Iron
Total Aluminum SM 5310 B20-Dec-16 04:3520-Dec-16 04:350.01
ND
ND
ND
ND
2.00
0.660
General Chemistry
Laboratory Quality Control Data
DEQ Laboratory and Environmental Assessment Program
Sampling Event: 1505011
Analytical Report
Result Limit
Reporting
Units Level
Spike
Result
Source
%REC
%REC
Limits RPD
RPD
Limit Notes Analyte
Batch B15E065 - Solids Prep
Blank (B15E065-BLK1) Prepared & Analyzed: 07-May-15
Total Suspended Solids 1 mg/LND
Duplicate (B15E065-DUP1) Prepared & Analyzed: 07-May-15Source: 1505011-02
Total Suspended Solids 1 0.9 2032mg/L0.6
Reference (B15E065-SRM1) Prepared & Analyzed: 07-May-15
Total Suspended Solids 20.0 80-12092mg/L18
Page 3 of 9
Nutrients
Laboratory Quality Control Data
DEQ Laboratory and Environmental Assessment Program
Sampling Event: 1505011
Analytical Report
Result Limit
Reporting
Units Level
Spike
Result
Source
%REC
%REC
Limits RPD
RPD
Limit Notes Analyte
Batch B15E135 - No Prep-Non-Metals
Blank (B15E135-BLK1) Prepared & Analyzed: 13-May-15
Nitrate/Nitrite as N 0.0050 mg/LND
LCS (B15E135-BS1) Prepared & Analyzed: 13-May-15
Nitrate/Nitrite as N 4.00 90-110104mg/L4.18
LCS (B15E135-BS2) Prepared & Analyzed: 13-May-15
Nitrate/Nitrite as N 0.100 90-110102mg/L0.102
Duplicate (B15E135-DUP1) Prepared & Analyzed: 13-May-15Source: 1505007-02
Nitrate/Nitrite as N 0.0050 0.0053 1023mg/L0.0067
Duplicate (B15E135-DUP2) Prepared & Analyzed: 13-May-15Source: 1505011-02
Nitrate/Nitrite as N 0.0050 0.0172 104mg/L0.0180
Matrix Spike (B15E135-MS1) Prepared & Analyzed: 13-May-15Source: 1505007-03
Nitrate/Nitrite as N 0.157 0.244 80-12093mg/L0.391
Matrix Spike (B15E135-MS2) Prepared & Analyzed: 13-May-15Source: 1505009-01
Nitrate/Nitrite as N 0.0792 0.0363 80-12098mg/L0.114
Matrix Spike (B15E135-MS3) Prepared & Analyzed: 13-May-15Source: 1505012-03
Nitrate/Nitrite as N 0.0792 0.0071 80-12093mg/L0.0806
Matrix Spike (B15E135-MS4) Prepared & Analyzed: 13-May-15Source: 1505012-04
Nitrate/Nitrite as N 0.0792 0.0049 80-12088mg/L0.0749
Batch B15E066 - No Prep-Non-Metals
Blank (B15E066-BLK1) Prepared & Analyzed: 07-May-15
Orthophosphate as P 0.005 mg/LND
LCS (B15E066-BS1) Prepared & Analyzed: 07-May-15
Orthophosphate as P 0.100 90-11099mg/L0.099
Duplicate (B15E066-DUP1) Prepared & Analyzed: 07-May-15Source: 1505011-01
Orthophosphate as P 0.005 0.005 102mg/L0.005
Matrix Spike (B15E066-MS1) Prepared & Analyzed: 07-May-15Source: 1505012-03
Orthophosphate as P 0.005 0.0800 0.293 80-120102mg/L0.374
Batch B15E151 - TP Digestion
Blank (B15E151-BLK1) Prepared: 14-May-15 Analyzed: 15-May-15
Phosphate, Total as P 0.01 mg/LND
LCS (B15E151-BS1) Prepared: 14-May-15 Analyzed: 15-May-15
Phosphate, Total as P 0.299 90-110104mg/L0.31
Page 4 of 9
Nutrients
Laboratory Quality Control Data
DEQ Laboratory and Environmental Assessment Program
Sampling Event: 1505011
Analytical Report
Result Limit
Reporting
Units Level
Spike
Result
Source
%REC
%REC
Limits RPD
RPD
Limit Notes Analyte
Batch B15E151 - TP Digestion
Duplicate (B15E151-DUP1) Prepared: 14-May-15 Analyzed: 15-May-15Source: 1505007-06
Phosphate, Total as P 0.01 0.03 100.4mg/L0.03
Matrix Spike (B15E151-MS1) Prepared: 14-May-15 Analyzed: 15-May-15Source: 1505012-03
Phosphate, Total as P 0.01 0.120 0.37 80-120104mg/L0.49
Report issued: 4/18/2018 2:45:39PM Page 5 of 9
Total Metals by Inductively Coupled Plasma Mass Spectrometry
Laboratory Quality Control Data
DEQ Laboratory and Environmental Assessment Program
Sampling Event: 1510093
Analytical Report
Result Limit
Reporting
Units Level
Spike
Result
Source
%REC
%REC
Limits RPD
RPD
Limit Notes Analyte
Batch B16A080 - Digestion by 200.8
Blank (B16A080-BLK1) Prepared: 21-Jan-16 Analyzed: 22-Jan-16
Aluminum, Total recoverable 20.0 µg/LND
Arsenic, Total recoverable 0.25 µg/LND
Cadmium, Total recoverable 0.10 µg/LND
Chromium, Total recoverable 1.00 µg/LND
Copper, Total recoverable 1.50 µg/LND
Iron, Total recoverable 50.0 µg/LND
Lead, Total recoverable 0.20 µg/LND
Nickel, Total recoverable 1.00 µg/LND
Selenium, Total recoverable 2.00 µg/LND
Silver, Total recoverable 0.10 µg/LND
Zinc, Total recoverable 10.0 µg/LND
LCS (B16A080-BS1) Prepared: 21-Jan-16 Analyzed: 22-Jan-16
Aluminum, Total recoverable 20.0 50.0 85-115101µg/L50.4
Arsenic, Total recoverable 0.25 50.0 85-115100µg/L50.0
Cadmium, Total recoverable 0.10 20.0 85-11597µg/L19.4
Chromium, Total recoverable 1.00 20.0 85-115102µg/L20.3
Copper, Total recoverable 1.50 20.0 85-115101µg/L20.3
Iron, Total recoverable 50.0 2000 85-115108µg/L2170
Lead, Total recoverable 0.20 20.0 85-11598µg/L19.7
Nickel, Total recoverable 1.00 20.0 85-11599µg/L19.8
Selenium, Total recoverable 2.00 50.0 85-115102µg/L50.9
Silver, Total recoverable 0.10 5.00 85-11595µg/L4.73
Zinc, Total recoverable 10.0 50.0 85-115100µg/L50.2
Matrix Spike (B16A080-MS1) Prepared: 21-Jan-16 Analyzed: 22-Jan-16Source: 1510093-02
Aluminum, Total recoverable 20.0 50.0 218 70-13084µg/L260
Arsenic, Total recoverable 0.25 50.0 0.84 70-130100µg/L50.9
Cadmium, Total recoverable 0.10 20.0 ND 70-13095µg/L19.1
Chromium, Total recoverable 1.00 20.0 0.47 70-13099µg/L20.3
Copper, Total recoverable 1.50 20.0 1.14 70-13097µg/L20.5
Iron, Total recoverable 50.0 2000 642 70-130105µg/L2740
Lead, Total recoverable 0.20 20.0 0.09 70-13098µg/L19.7
Nickel, Total recoverable 1.00 20.0 0.49 70-13096µg/L19.8
Selenium, Total recoverable 2.00 50.0 ND 70-130101µg/L50.4
Silver, Total recoverable 0.10 5.00 ND 70-13094µg/L4.70
Zinc, Total recoverable 10.0 50.0 ND 70-130103µg/L51.5
Matrix Spike Dup (B16A080-MSD1) Prepared: 21-Jan-16 Analyzed: 22-Jan-16Source: 1510093-02
Aluminum, Total recoverable 20.0 50.0 218 2070-13075 2µg/L255
Arsenic, Total recoverable 0.25 50.0 0.84 2070-130100 0.2µg/L50.8
Cadmium, Total recoverable 0.10 20.0 ND 2070-13095 0.1µg/L19.1
Chromium, Total recoverable 1.00 20.0 0.47 2070-13099 0.1µg/L20.3
Copper, Total recoverable 1.50 20.0 1.14 2070-13097 0.2µg/L20.6
Iron, Total recoverable 50.0 2000 642 2070-130104 0.5µg/L2720
Lead, Total recoverable 0.20 20.0 0.09 2070-13098 0.3µg/L19.7
Nickel, Total recoverable 1.00 20.0 0.49 2070-13096 0.8µg/L19.6
Selenium, Total recoverable 2.00 50.0 ND 2070-130100 1µg/L49.9
Silver, Total recoverable 0.10 5.00 ND 2070-13094 0.6µg/L4.68
Zinc, Total recoverable 10.0 50.0 ND 2070-130103 0.5µg/L51.3
Page 6 of 9
Qualifiers and Definitions
Sampling Event: 1505011
DEQ Laboratory and Environmental Assessment Program
Analytical Report
Sample results reported on a dry weight basis
Relative Percent DifferenceRPD
dry
Not ReportedNR
Analyte NOT DETECTED at or above the reporting limitND
Analyte DETECTEDDET
J Sample result is an estimated concentration between the laboratory limit of detection (LOD) and the laboratory limit of quantitation (LOQ)
MDL
In order to provide a consistent report format, numeric results provided by outside laboratories that are below the listed LOQ have been
changed to �ND� at the LOQ provided by the outside laboratory.
ND*
LOQ Limit of Quantitation
Limit of Detection
Report issued: 4/18/2018 2:45:39PM Page 7 of 9