NCS000156 DMR SW (21)

Hezion—STORM WATER SAMPLING REPORT
Certificate of Coverage Nn:.;NCS0005 6=.g
Columbus County, ort h Carolina
SUN 27 2016
Personnel Collecting Samples:P.Busovne/D.Maddox/S/S.Mom rey
Certified Laboratories:Environmental Chemists Lab ID: 94 ���L FILES
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Environmental Testing Solutions,Inc. Lab ID. 37 C NR ScCj1O6�1
ANALYTICAL RESULTS
00530 00310 00340 00610 00625 '00630 00665 77885 50060 71880 01042 01092 01051 00556 00400 TGA3B
Total Total Total Total Non-Polar Acute
Date TSS BOD COD NH3 TEN NO3+NO2 Phosphorus Methanol TRC Hexamine Formaldehyde Copper Zinc Lead O&G pH Toxicity
Outfall mo/dd/yr mg/I mg/I mg/1 mg/1 mg/1 mg/I mg/I _ mg/I mg/1 mg/I mg/1 mg/I - mg/I mg/I mg/1 s.u. LC50
003-Thy Projects May NA
004-HCHO May NA
006-Duck Pond May NA
009-Mamt Shop May NA
STORM EVENT CHARACTERISTICS
Submit 1(original)Form AT-1(no DMR)to:
Total Event Precipitation(ins)• NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Permit Sampling Period. 2 Raleigh,NC 27699-1621
Submit 1 copy DMR(original)and Form AT-1 to:
Note:No Qualifying rain event Division of Water Quality
Water Quality Section
Attn Central Files
1617 Mail Service Center
CERTIFICATION STATEMENT Raleigh,NC 27699-1617
By ,s signature,I certify this report is accurate and complete to the best of my knowledge.
Company Information Submit 1 copy DMR(copy)and Form AT-1 to:
I
I I / I// Z Momentive Stormwater Permitting Umt
I(�DiI C� 333 Neils Eddy Road Division of Water Quality
Si: ature of Pe ,ittee or Designee ate Riegelwood,NC 28456 1617 Mail Service Center
[phone] Raleigh,NC 27699-1617
EXT 5248
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Print Name and Title