NCS000236_COMPLETE FILE - HISTORICAL_20190222

- -" STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO..
N LS (7 ov
DOC TYPE
COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
p� u I I U
YYYYMMDD

STORNINVATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000236 or SAMPLES COLLECTED DURING CALENDAR YEAR: 201$
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Industrial and Agricultural Chemicals, Inc. RE I D COUNTY Robeson
PERSON COLLECTING SAMPLE(S) Randall E. -Andrews '-EB 2 2 2019 PHONE NO. 9( 10 ? 843-2121
CERTIFIED LABORATORY(S) Environmental Chemist Inc. Lab # 18-54169
Lab # a -EN i RL FILF-S. (SIGNATURE OF PERMITTEE OR DESIGNEE)
E/R SECTION By this signature, 1 certify that this report is accurate
complete to the best of roy knowledge.
Part A: Specific Monitoring Requirements
Outfall-. _
Dat
SOQSO:
€:
004Q0:-'=_ ;:
0:102_ -
fl104 ,•... -
O1`0�1 '~'
41.692.:'', "+'
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00556
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Total. 5, ':;•
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Oil:& ��ease-�'
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Solids T55
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-
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o._ Coppe'r
1
to
'�0 1Lead _
Ito
T•,o 1,Z
mo/dd/vr
NIG
inches
Units
mall
Mg/!
m /1
m /1;
m-,A
Mg/1
37804
12/28/18
2
5.95
<5
91.0
1.36
0.618
0.018
6.50
Does this Facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorin! Reauirements
;1Vo.. ='
'Date-
:Saiiiple.
C611ected+
Qoss6=:;:::•:.; . ;
:oosso.
ooaQo',
Tota1:F1'ow
:(if,applicahlc)
1 otal Rainfall
`.
Oil &.Gireasg
Total';New
;Siisperided
Q S:•
Motor' ail `.
Msage
-
mo/dd/ r'•
`i�G:
inches:.
ni t_
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Units.^
clai7nto.
Form SWU-246-11260a
Page 1 oF2

STORM EVENT CrIARACTEIZISTiCS:
Date 12-28-18
Total Event Precipitation (inches): 0.45
Event Duration (hours): 2 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
flail Original and one copy to:
Division of Wat£r Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, Forth Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
02/20/2019
(Sib iature of Perm►ittee) (Date)
19
Form S W IJ-246-112608
Page 2 of 2

ANALYTICAL. & CONSULTING CHEMISTS
TBL
P.O. Box 589
Lumberton NC
Attention: Pam Hester
Lab I❑ Sample ID: IAC
18-54169 Site: stormwater
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392,4424 Fax
710 l3owsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax '
255-A Wilmngton Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/lax
[e-mail]
Revised Report: Feb 13, 2019
Original Report Date: Jan 11, 2019
28358 Report #: 2018-21518
Customer ID: 11040019
Project ID: TBL-28766
Test Method
Oil & Grease (0&G) EPA 1664
Boron EPA 2o0.7
Collect DatelTime Matrix
12/28/2018 9:00 AM Water
Copper
EPA 200.7
Lead
EPA 200.7
Zinc
EPA 200.7
Residue Suspended (TSS)
SM 2540 0
pH
SM 4500 H B
BOD
SM 5210 B
COD
SM 52200
Comment:
r
Reviewed by:
1
Results
Sampled by
Randall Andrews
Date Analyzed
<5 mg/L
01/07/2019
1.36 mg/L
02/05/2019
0.618 mg/L
01/06/2019
0.018 mg/L
01/06/2019
6.50 mg/L
01/06/2019
91.0 mg/L
12/31 /2018
5.95 units
01/08/2019
<2 mg/L
12/29/2018
48 mg/L
01 /03/2019

TBL
Shipping: Mailing:
2401 W. 5" St. PO Box 589
Lumberton NC 28358 Lumberton, NC 28359
� - Sample Nora -Compliance Form
Sample No: _ 1�L-'61'%> _� �t
Date:
Evaluated By: jL
Client: -� C
Non -Compliance (check applicable items):
Phone: [phone]
Fax: [phone]
Email:pam.hester-
tbl hotmail.com
Chain of Custody Missing
Login. Clarification Needed
Improper Container Type
Improper Preservation
hair of Ctistddy is In:coinpleta
Tzpropei Ternpe�ature
Parameter past holding time
Comments:
Log in instructions: _gyp;
Client informed by c em / fax / voicemail Date: '"-I `L-A Time:
Client contact: Initials: ::IA.
M