If any of the following information has changed, please contact your DNR representative with any corrections:
DOUGLAS, JAMIE APPLETON, WI 54914
Phone: (920) 362-6629 Email: JAMIE.DOUGLAS@WISCONSIN.GOV
System Name:
The following is a table of the routine monitoring required for this water system (additional monitoring may be required based on results of this monitoring). Each row represents a DNR monitoring requirement. Failure to complete a requirement may result in a monitoring violation. Please make sure that you are using the correct lab sheet for each sample, based on the correct time period, sample location and sample group.
| Completed? | Monitoring Period | Sample Source | Sample Group | # of samples | # of contams |
|---|
| Asbestos (Inorganic Report Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Asbestos (Inorganic Report Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Asbestos (Inorganic Report Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Asbestos (Inorganic Report Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Benzo(A)Pyrene (Synthetic Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Benzo(A)Pyrene (Synthetic Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Benzo(A)Pyrene (Synthetic Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Benzo(A)Pyrene (Synthetic Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Cyanide (Inorganic Report Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Cyanide (Inorganic Report Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Cyanide (Inorganic Report Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Cyanide (Inorganic Report Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Dioxin (Synthetic Report Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Dioxin (Synthetic Report Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Dioxin (Synthetic Report Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Dioxin (Synthetic Report Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| EDB/DBCP (Synthetic Report Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| EDB/DBCP (Synthetic Report Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| EDB/DBCP (Synthetic Report Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| EDB/DBCP (Synthetic Report Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Industrial Chemicals (Synthetic Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Industrial Chemicals (Synthetic Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Industrial Chemicals (Synthetic Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Industrial Chemicals (Synthetic Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Pesticides (Synthetic Report Form) | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Pesticides (Synthetic Report Form) | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Pesticides (Synthetic Report Form) | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Pesticides (Synthetic Report Form) | 81 | Waiver issued - No sampling required during calendar year 2027 |
| Volatile Organic Sample | 1 | Waiver issued - No sampling required during calendar year 2027 |
| Volatile Organic Sample | 2 | Waiver issued - No sampling required during calendar year 2027 |
| Volatile Organic Sample | 3 | Waiver issued - No sampling required during calendar year 2027 |
| Volatile Organic Sample | 81 | Waiver issued - No sampling required during calendar year 2027 |