Example Discharge Monitoring Report 1200-Z Industrial ... · Rev: 04.19.2018;M. Riedel State of Oregon Department of Environmental Quality Example Discharge Monitoring Report 1200-Z

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.

mailto:[email protected]


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



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


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



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


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


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


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


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




Analytical Report

Result Limit

Reporting

Units Level

Spike

Result

Source

%REC

%REC

Limits RPD

RPD

Limit Notes Analyte

Batch B15E135 - No Prep-Non-Metals


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


Nitrate/Nitrite as N 0.100 90-110102mg/L0.102


Nitrate/Nitrite as N 0.0050 0.0053 1023mg/L0.0067


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







Batch B15E066 - No Prep-Non-Metals


Orthophosphate as P 0.005 mg/LND


Orthophosphate as P 0.100 90-11099mg/L0.099


Orthophosphate as P 0.005 0.005 102mg/L0.005


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




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




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



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

Page 8 of 9

Page 9 of 9


Example pH Field Notes


Documents

Example Discharge Monitoring Report 1200-Z Industrial ... · Rev: 04.19.2018;M. Riedel State of Oregon Department of Environmental Quality Example Discharge Monitoring Report 1200-Z