Chromium, Total Dry Weight
Sludge
MG/KG
Copper, Total Dry Weight
Sludge
MG/KG
Lead, Total Dry Weight
Sludge
MG/KG
Mercury, Total Dry Weight
Sludge
MG/KG
Molybdenum, Total Dry Weight
Sludge
MG/KG
Nickel, Total Dry Weight
Sludge
MG/KG
Phosphorus, Total Dry Weight
Sludge
MG/KG
Selenium, Total Dry Weight
Sludge
MG/KG
Silver, Total Dry Weight
Sludge
MG/KG
Solids, Total Sludge Percent
Sludge
MG/KG
Zinc, Total Dry Weight
Sludge
MG/KG
pH
Min:
Max:
Notes:
Comments:
1. Frequency must be, at a minimum, annual.
2. This form must be filled out completely. If the results are
below detection limits, indicate so.
3. This form must be completed even if information has been
submitted to meet other KPDES permit requirements.
4. The grayed out cells do not have to be completed.
DEP / DOW
Revised October 2014
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