NCG160218_2024 DMR_20240701

GR
Geological Resources, Inc.
July 1, 2024
Ms. Lily Kay
Land Quality Division
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Mooresville Regional Office
610 E. Center Ave. Suite 301
Mooresville, North Carolina 28115
RE: Discharge Monitoring Report— February 2024 (First Semi-Annual Period of 2024)
Stafford Street Asphalt Plant (Boggs Materials Recycle Plant)
225 Stafford Street Extension
Monroe, Union County, North Carolina
General Permit Number NCG160000
Certificate of Coverage No: NCG160218
GRI No. 4629
Dear Ms. Kay:
On behalf of Boggs Materials, Inc. (Boggs), please find attached results of stormwater outfall
sampling that was conducted on February 12, 2024, for the Stafford Street Asphalt Plant facility in
Monroe, Union County, North Carolina. Water samples were collected from the outfalls SDO-1
through SDO-8 by Boggs personnel on February 12, 2024, in accordance with the SWPPP and
sampling requirements of the permit. Water samples were analyzed for total suspended solids (TSS)
and non-polar oil and grease. The February 2024 sampling results indicated that there were no
exceedances of TSS or non-polar oil and grease levels in any of the sampled outfalls. Although a
detectable concentration of non-polar oil and grease was reported in outfall SDO-7, the level was
below the permit levels. The Stormwater Discharge Outfall Monitoring Report is included in
Appendix A,the Stormwater Discharge Outfall Qualitative Monitoring Report is included in Appendix
B, and a complete laboratory analytical report is included as Appendix C.
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

Discharge Monitoring Report— February 2024 (First Semi-Annual Period of 2024)
Stafford Street Asphalt Plant (Boggs Materials Recycle Plant)
Monroe, Union County, North Carolina
Certificate of Coverage No: NCG160218
Page 2 of 2
The next semi-annual sampling event is scheduled to be conducted between July and September
2024 during a representative rainfall event. Please do not hesitate to contact me at [phone],
if you have any questions or comments.
Sincerely,
F.4,...
Rohit Shetty, P.E.
Senior Engineer
cc: Jacob Sanders, Boggs Materials, Inc./Contractor Management Services
Division of Water Resources Central Files, NCDEQ, 1617 Mail Service Center, Raleigh, NC
27699-1617
file
enclosures
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

APPENDICES

APPENDIX A
STORMWATER DISCHARGE OUTFALL MONITORING REPORT

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG160000
Asphalt Paving Mixtures and Blocks
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG160218 Person Collecting Samples: Luke Turner
Facility Name:Stafford Street Asphalt Plant Laboratory Name:Waypoint Analytical, Inc.
Facility County: Union Laboratory Cert. No.:402
Discharge during this period:❑✓ Yes D No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes ❑✓ No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ❑Yes ❑✓ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall SDO-1 Outfall SDO-2 Outfall SDO-3 Outfall SDO-4 Outfall SDO-5
Code
N/A Receiving Stream Class Class C Class C Class C Class C Class C
N/A Date Sample Collected MM/DD/YYYY 02/12/2024 02/12/2024 02/12/2024 02/12/2024 02/12/2024
46529 24-Hour Rainfall in inches 1.32 1.32 1.32 1.32 1.32
C0530 TSS in mg/L(100 or 50*) 14.1 9.5 10.2 7.7 15.5
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
00552 Non-Polar Oil&Grease in mg/L(15) <2.7 <2.2 <2.5 <3.1 <2.9
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
Notes(optional):See additional page for SDO-6 through SDO-8 results.
"I certify by my signature below,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."
Gti / 6/28/24
Signatur of Permittee or Deleg a Authorized Individual Date
Email Address [e-mail] Phone Number(704) 840-7601

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG160000
Asphalt Paving Mixtures and Blocks
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG160218 Person Collecting Samples: Luke Turner
Facility Name:Stafford Street Asphalt Plant Laboratory Name:Waypoint Analytical, Inc.
Facility County: Union Laboratory Cert. No.:402
Discharge during this period:❑ Yes 0 No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes ❑✓ No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ❑ Yes ❑✓ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall SDO-6 Outfall SDO-7 Outfall SDO-8 Outfall Outfall
Code
N/A Receiving Stream Class Class C Class C Class C
N/A Date Sample Collected MM/DD/YYYY 02/12/2024 02/12/2024 02/12/2024
46529 24-Hour Rainfall in inches 1.32 1.32 1.32
•
C0530 TSS in mg/L(100 or 50*) 13.7 6.8 7.7
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
00552 Non-Polar Oil&Grease in mg/L(15) <2.5 5.8 J <2.8
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
Notes(optional):
"I certify by my signature below,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."
06/28/24
Signature of Pe ittee or Delegated uthorized Individual Date
Email Address [e-mail] Phone Number(704) 840-7601

APPENDIX B
STORMWATER DISCHARGE OUTFALL QUALITATIVE MONITORING REPORT

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-I and-perm its/stormwater-perm its/npdes-industrial-sw#tab-4
Permit No.: N/CLQ/ 1 /6 /0 /0 /2/Q_/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1/8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: 02 /
Time of Inspection: "III"— •' 10 ' d c jA vI
Total Event Precipitation(inches): 1 `
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accur.e an; complete to the t of my knowledge:
(Signature of Permittee or Designee) /
1. Outfall Description:
Outfall No. 1 Structure(pipe, ditch, etc.): 1 1 7L p0/4d
Receiving Stream: w0445. G IP-
Zei6
Describe the industrial activities that occur within the outfall drainage area: (1C)ccli1. h-cri
Page 1 of 2
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2. Color: Describe the color of the discharge using basic c�(red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.):
kVA
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes Oo.
8. Is there an oil sheen in the stormwater discharge? °Yes
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 NI.
10. Other Obvious Indicato)) ,, P
rs of Stormwater Pollution:
List and describe Y`t.d C_,,C4� ' ►N-`er-S
Note: Low clarity, high solids, and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242.Last modified 07/28/2017

Environmental
Qiuilpv
Storrnwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/enerev-mineral-land-
reso urces/energy-mineral-land-perm its/storm water-perm its/npdes-industrial-sw#tab-4
Permit No.: N/C/../1 /6_/Q_/0_/0 /Q/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 / 8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: 412022
Time of Inspection: ( D ( 0 Nv\
Total Event Precipitation(inches): ( L f O i$
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accu to and complete to the best of my knowledge:
(Signature of Permittee or Designe
1. Outfall Description: 1�
Outfall No. 2 Structure(pipe, ditch, etc.): U'@)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors: C..L-e.n.fi
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.): 1\)/
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes C o.
8. Is there an oil sheen in the stormwater discharge? 0Yes o.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes elo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 1.1 p ,' rc, diAS(51 41
-61
Note: Low clarity, high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/enerev-mineral-land-
reso urces/energy-m ineral-land-perm its/stormwater-permi ts/npdes-industrial-sw#tab-4
Permit No.: N/C/G/J_/6_/0 /0_/0 /Q/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 /8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
✓� r
Date of Inspection: R� ' L— 1 ?� L
Time of Inspection: 10:18 AM
Total Event Precipitation(inches): I.3 [— ;�✓1� 5
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurat and omplete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description: 1,, ,, �,," povid No. 3 Structure i e ditch etc. : r` .4440"1
Outfall (pipe,, )
Receiving Stream: 3 I ar ` �' `"Jh- ��^ `-� 46.02-e,W4tA
Describe the industrial activt ices that occ r with' the outf lI d ainage area:
sic ' or �1e� CIDvl� i
7
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that t discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): 0 •
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
4100 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
f 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes o.
8. Is there an oil sheen in the stormwater discharge? °Yes / o.
9. Is there evidence of erosion or deposition at the outfall? °Yes .
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Cte FJtA ig" tJ` 4 L (%/ vvo
iE
qi
Note: Low clarity, high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/C/G/J_/0/0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:Date of Inspection: en9WIZZOn /?_ /7 "2
Time of Inspection: 10:20 AM
Total Event Precipitation(inches): 1 '3 Z el.6
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 4 Structure(pipe, ditch, etc.): P i 1 - po. vet
Receiving Stream:
S.kyocec C)yW
Describe the industrial activitie that occur within the outfall drainage area: ��
� \�
Page 1 of 2
SWU-242,Last modified 07/28/20I7

2. Color: Describe the color of the dischar e using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: UtGri CO,ITZ 7 n
3. Odor: Describe any distinct odors that the disc arge may hav (i.e., smells strongly of oil,weak
chlorine odor, etc.): L€c4j 1 �
"1
"--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 4.
8. Is there an oil sheen in the stormwater discharge? °Yes 0 ..
9. Is there evidence of erosion or deposition at the outfall? 0 Yes . C.O , o.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
reso urces/energy-m i neral-land-permits/storm water-permits/npdes-industrial-sw#tab-4
Permit No.: N/CLQ/_/¢_/Q_/(L/0 /0/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 /8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: 0 ' 2' J I L'
Time of Inspection: 10:23 AM
Total Event Precipitation(inches): 1, �J ` i Wa"'
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accur to a complete to best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description: ,
Outfall No. 5 Structure(pipe, ditch, etc.): 1 �� ftWir)
Receiving Stream: S\ J r
Describe the industrial activities that occur within the outfall drainage area: C16S.c2_ p ro /✓GII
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: r �,1 ►j
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,weak
chlorine odor, etc.): Kio
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: -�
? 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
CD 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes415 o.
8. Is there an oil sheen in the stormwater discharge? °Yes 0 N..
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 ►..
10. Other Obvious Indicators of Stormwater Pollution®
List and describe V tLOV V a-'.1�. 1�=t�11 s k
sh,14.0. tAict+---esp FGA#
Note: Low clarity, high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/20I7

Environmental
Poultry
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
reso urces/energy-mineral-I and-perm its/stormwater-perm i is/npdes-industrial-sw#tab-4
Permit No.: N/C/Q/1 /6_/Q_/Q,/Q/Q/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 /8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: 01/04/2022 '„— /1_ 7-11
Time of Inspection: 10:25 AM
Total Event Precipitation(inches): I .32 + ►4G.1t0
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office. _ i
By this signature, I certify that this report is acc rate and complete to the best of my knowledge:
#.7
(Signature of Permittee or Design
1. Outfall Description:
Outfall No. 6 Structure(pipe, ditch, etc.): 9
Receiving Stream: S wc- G jZ
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
SWU-242,Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors: e n A
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.):
lv �
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 o.
8. Is there an oil sheen in the stormwater discharge? 0Yes dliba.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes ! ► s..
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Ii
Note: Low clarity, high solids, and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

^f
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deo.nc.cov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-permits/stormwater-perm its/npdes-industrial-sw#tab-4
Permit No.: N/C/./,L/6 /Q_/Q_/D_/Q/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1 /8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: .O M-2MM 2— I2 — Z ei
Time of Inspection: 10:28 AM
Total Event Precipitation(inches): 1 .-32 ,^14. 1„e_5-
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accur e and complete the best of my knowledge:
/'°
(Signature of Permittee or Designee)
1. Outfall Description: J ,LG
Outfall No. 7 Structure(pipe, ditch, etc.): (� 1 1
Receiving Stream: `fit. ,. ,oV4 0A/Le.)2—k---
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: 10sCoNeki \
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes • ► o.
8. Is there an oil sheen in the stormwater discharge? 0Yes 1o.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 ..
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

I'nvironmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
resources/enerav-mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/C/fir/1 /6 /6/6/,Q/Q/ or Certificate of Coverage No.: N/C/G/ 1/ 6/0 /2 / 1/8/
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector:
Date of Inspection: 01/04/2022
Time of Inspection: 10:31 AM
Total Event Precipitation(inches): /. 3 Z
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 8 Structure(pipe, ditch, etc.): (/[/ klA
Receiving Stream:
Descri e the industrial activities that occ r wit*the qutfall drainagO area: /c�
`( t u
Page 1 of 2
SWU-242,Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors(red, brown, blue,etc.)and tint
(light, medium, dark) as descriptors: (',l ,,r k b y'eu,Vt,
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.): 1i6
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes o.
8. Is there an oil sheen in the stormwater discharge? OYes �cSt�to
9. Is there evidence of erosion or deposition at the outfall? 0 Yes ;JP;• •.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 07/28/2017

APPENDIX C
LABORATORY ANALYTICAL REPORT

w°
Waypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
2/19/2024
Geological Resources, Inc.
Eric Eubanks
3502 Hayes Road
Monroe, NC, 28110
Ref: Analytical Testing
Lab Report Number: 24-044-0003
Client Project Description: Stafford St. Asphalt Plant
GRI #4629
Dear Eric Eubanks:
Waypoint Analytical, LLC (Charlotte) received sample(s) on 2/12/2024 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA(including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as-
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Danyale Love
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 17

w
VVáypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State Program Lab ID Expiration Date
North Carolina State Program 37735 07/31/2024
North Carolina State Program 402 12/31/2024
South Carolina State Program 99012 07/31/2024
South Carolina State Program 99012 12/31/2023
Page 1 of 1 00016/24-044-0003
Page 2 of 17

Vt(aypoiflt 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 24-044-0003
Client Project Description: Stafford St.Asphalt Plant
GRI #4629
Lab No Client Sample ID Matrix Date Collected Date Received
96573 SDO- 1 Aqueous 02/12/2024 10:00 02/12/2024 16:57
96574 SDO-2 Aqueous 02/12/2024 10:08 02/12/2024 16:57
96575 SDO-3 Aqueous 02/12/2024 10:15 02/12/2024 16:57
96576 SDO-4 Aqueous 02/12/2024 10:25 02/12/2024 16:57
96577 SDO-5 Aqueous 02/12/2024 10:35 02/12/2024 16:57
96578 SDO-6 Aqueous 02/12/2024 10:45 02/12/2024 16:57
96579 SDO-7 Aqueous 02/12/2024 10:55 02/12/2024 16:57
96580 SDO-8 Aqueous 02/12/2024 11:10 02/12/2024 16:57
Page 3 of 17

YY
Waypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Summary of Detected Analytes
Project: Stafford St.Asphalt Plant
Report Number: 24-044-0003
Client Sample ID Lab Sample ID
Method Parameters Result Units Report Limit Analyzed Qualifiers
SDO- 1 V 96573
2540D-2015 Total Suspended Solids 14.1 mg/L 0.9 02/15/2024 11:07
SDO-2 V 96574
2540D-2015 Total Suspended Solids 9.5 mg/L 0.7 02/15/2024 11:07
SDO-3 V 96575
2540D-2015 Total Suspended Solids 10.2 mg/L 0.7 02/15/2024 11:07
SDO-4 V 96576
2540D-2015 Total Suspended Solids 7.7 mg/L 0.7 02/15/2024 11:07
SDO-5 V 96577
2540D-2015 Total Suspended Solids 15.5 mg/L 1.1 02/15/2024 11:07
SDO-6 V 96578
2540D-2015 Total Suspended Solids 13.7 mg/L 0.7 02/15/2024 11:07
SDO-7 V 96579
1664B-SGT SGT HEM:Non-Polar Material 5.8 mg/L 2.4 02/14/2024 09:32 J
2540D-2015 Total Suspended Solids 6.8 mg/L 1.1 02/15/2024 11:07
SDO-8 V 96580
2540D-2015 Total Suspended Solids 7.7 mg/L 0.9 02/15/2024 11:07
Page 4 of 17

w°
Waypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Client: Geological Resources, Inc. CASE NARRATIVE
Project: Stafford St. Asphalt Plant
Lab Report Number: 24-044-0003
Date: 2/16/2024
Oil and Grease -TPH Method 1664B-SGT
Sample 96573 (SDO- 1)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96574 (SDO-2)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96575 (SDO-3)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96576 (SDO-4)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96577 (SDO-5)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96578 (SDO-6)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Sample 96580 (SDO-8)
QC Batch No: V43541
The result for the total Oil and Grease (HEM) analysis was less than the detection limit, meaning the SGT-HEM
portion of the analysis is not required. All quality control associated with the total Oil and Grease procedure met
the acceptance criteria.
Page 5 of 17

VS/aypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
0 0"1.6(64Z 0-)J-Q-
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96573 Matrix: Aqueous
Sample ID :SDO- 1 Sampled: 2/12/2024 10:00
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.7 mg/L 2.7 7.2 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 14.1 mg/L 0.9 3.5 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 6 of 17

O
\t%ypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96574 Matrix: Aqueous
Sample ID :SDO-2 Sampled: 2/12/2024 10:08
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.2 mg/L 2.2 5.9 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 9.5 mg/L 0.7 2.6 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 7 of 17

O
\t%ypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96575 Matrix: Aqueous
Sample ID :SDO-3 Sampled: 2/12/2024 10:15
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.5 mg/L 2.5 6.6 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 10.2 mg/L 0.7 2.7 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 8 of 17

VS/aypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
0 0"1.6(64Z 0-)J-Q-
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96576 Matrix: Aqueous
Sample ID :SDO-4 Sampled: 2/12/2024 10:25
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <3.1 mg/L 3.1 8.4 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 7.7 mg/L 0.7 2.7 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 9 of 17

VS/aypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
0 0"1.6(64Z 0-)J-Q-
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96577 Matrix: Aqueous
Sample ID :SDO-5 Sampled: 2/12/2024 10:35
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.9 mg/L 2.9 7.8 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 15.5 mg/L 1.1 4.1 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 10 of 17

O
\t%ypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96578 Matrix: Aqueous
Sample ID :SDO-6 Sampled: 2/12/2024 10:45
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.5 mg/L 2.5 6.7 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 13.7 mg/L 0.7 2.7 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 11 of 17

O
\t%ypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96579 Matrix: Aqueous
Sample ID :SDO-7 Sampled: 2/12/2024 10:55
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material 5.8 3 mg/L 2.4 6.4 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 6.8 mg/L 1.1 4.1 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 12 of 17

O
\t%ypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00087
Geological Resources,Inc. Project Stafford St.Asphalt Plant
Eric Eubanks Report Date : 02/19/2024
3502 Hayes Road Information : GRI#4629 Received :02/12/2024
Monroe, NC 28110
Report Number :24-044-0003 REPORT OF ANALYSIS Danyale Love
Project Manager
Lab No : 96580 Matrix: Aqueous
Sample ID :SDO-8 Sampled: 2/12/2024 11:10
Test Results Units MDL MQL DF Date/Time By Analytical
Analyzed Method
SGT HEM: Non-Polar Material <2.8 mg/L 2.8 7.6 1 02/14/24 09:32 GOB 1664B-SGT
Total Suspended Solids 7.7 mg/L 0.9 3.5 1 02/15/24 11:07 JMD 2540D-2015
Qualifiers/ DF Dilution Factor J Estimated value
Definitions MQL Method Quantitation Limit
Page 13 of 17

o
\fv'aypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Quality Control Data
Client ID: Geological Resources,Inc.
Project Description: Stafford St.Asphalt Plant
Report No: 24-044-0003
QC Analytical Batch: V43541
Analysis Method: 1664B-SGT
Analysis Description: Oil and Grease-TPH
Lab Reagent Blank LRB Matrix: AQU
Associated Lab Samples: 96573, 96574, 96575, 96576, 96577, 96578, 96579, 96580
Blank MDL MQL Analyzed
Parameter Units Result
SGT HEM: Non-Polar Material mg/L <1.9 1.9 5.0 02/14/24 09:32
Ongoing Precision and Recovery OPR
Spike OPR % Analyzed %Rec Qualifie
Parameter Units Conc. Result Recovery Limits
SGT HEM: Non-Polar Material mg/L 20.0 13.9 70.0 02/14/24 09:32 64-132
Date: 02/19/2024 11:19 AM Page 1 of 2
Page 14 of 17

o
V /aypoint 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Quality Control Data
Client ID: Geological Resources,Inc.
Project Description: Stafford St.Asphalt Plant
Report No: 24-044-0003
QC Analytical Batch: V43607
Analysis Method: 2540D-2015
Analysis Description: Total Suspended Solids
Lab Reagent Blank LRB Matrix: AQU
Associated Lab Samples: 96573, 96574, 96575, 96576, 96577, 96578, 96579, 96580
Blank MDL MQL Analyzed
Parameter Units Result
Total Suspended Solids mg/L <0.7 0.7 2.5 02/15/24 11:07
Laboratory Control Sample LCS
Spike LCS LCS%Rec %Rec
Parameter Units Conc. Result Limits
Total Suspended Solids mg/L 477 462 97.0 90-110
Duplicate V 96347-DUP
Result DUP RPD Max RPD Analyzed
Parameter Units Result
Total Suspended Solids mg/L 396 372 6.2 10.0 02/15/24 11:07
Date: 02/19/2024 11:19 AM Page 2 of 2
Page 15 of 17

�o
•
Wapoint 449 Springbrook Rd,Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Shipment Receipt Form
Customer Number:00087
Customer Name: Geological Resources, Inc.
Report Number: 24-044-0003
Shipping Method
O Fed Ex 0 US Postal 0 Lab 0 Other :
0 UPS 0 Client 0 Courier Thermometer ID: IRT15 2.1C
Shipping container/cooler uncompromised? # Yes 0 No
Number of coolers/boxes received 1
Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Present
Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Present
Chain of Custody (COC) present? 0 Yes 0 No
COC agrees with sample label(s)? 0 Yes 0 No
COC properly completed 0 Yes 0 No
Samples in proper containers? 0 Yes 0 No
Sample containers intact? 0 Yes 0 No
Sufficient sample volume for indicated test(s)? 0 Yes 0 No
All samples received within holding time? 0 Yes 0 No
Cooler temperature in compliance? 0 Yes 0 No
Cooler/Samples arrived at the laboratory on ice. 0 Yes 0 No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 0 Yes 0 No 0 N/A
Water- VOA vials free of headspace 0 Yes 0 No 0 N/A
Trip Blanks received with VOAs 0 Yes 0 No 0 N/A
Soil VOA method 5035—compliance criteria met 0 Yes 0 No 0 N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Angelo Norvell Date &Time: 02/13/2024 09:52:14
Page 16 of 17

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Page 17 of 17