WQ0014756_Monitoring - 09-2016_20161108 (2)

I OUNI NL)Ml.o, i; NON DISCHARGE MONITORING REPORT (NDMR) i'3y"
Sampling Person(s) Certified Laboratories
Name: R. Jeff Wyatt Name: Research 8 Analytical Laboratones NC#34
Name: Peter H. DeVries Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [-] C,,,,,,,, ® e caiaitom
If the facility is non-compliant, please explan in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-canphance and describe the corrective acbon(s) taken. Attach
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NOV 0 S 2016
DWR SECTION
wcORVATION PROCESSING UN17
Operator In Responsible Charge (ORC) Certification
taermNtee Cer ifloation
ORC: R. Jeff Wyatt
Primitive: Trinity American Corporation
Certification No.: 997298
Signing Official: Eric M. Drye
Grade: SI Phone Number: 336.657.3129
Signing ORlolers Title: President
Has the ORC changed since the previous NDMR? El Yes ® tb
Phone Number: 336.885.4121 Permit Expiration: 3/31117
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Signature Data
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Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM NUMA o7 13 NON -DISCHARGE MONITORING REPORT (NDMR) i"ge _ i _„r
Flow Measuring Point:
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