NCS000133 DMR SW (3)

tiy,01 ---),-,C G O ITDISCHARGE
REPORT OUTFALL(SDO) he 6 GO (3�� , ,
MONORINGENERAL PERMIT NO. a.68 `1 1 SAMPLES COLLECTED DURING CALENDAR YEAR: 2013
(all samples collected during a calendar year,shall be reported no later
FACILITY NAME Jowat Corporation than January 31 of the following year)
FACILITY Address PO Box 1368 High Point,NC 27261 COUNTY Randolph
PERSON COLLECTING SAMPLE(S) PHONE NO. [phone]
CERTIFIED LABORATORY(S) R&A Laboratories,Inc. Lab# 34
Lab# (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature,I certify that this report is accurate and
complete to the best of my knowledge.
Part A:Specific Monitoring Requirements-Analytical Monitoring
50050 00545 00400
Date Total
Outfall Sample Total Suspended RECEIVED
No. Collected Flow Solids pH
mo/dd/yr MG mg/I unitJUN 10 2014
001 05/15/14 0.080 110 6.72
002 05/15/14 0.0231 18.0 6.12 CENTRAL RAL FILES
003 05/15/14 0.0338 <1.0 6.25 DWQ/SOG
004 05/15/14 0.114 14.0 6.00
Part B:Visual Monitoring Requirements
Date I
Floating Suspended
Sample Color Odor Clarity Foam 1 Oil Sheen Other
Outfall Collected Solids Solids •
No. mo/dd/yr
•
001 05/15/14 Dirty None Not Clear Yes None No N/A Dirt floating in
water
002 05/15/14 Semi-Clear None Semi-Clear Yes None No N/A Grass in water
003 05/15/14 Clear None Semi-Clear Yes None No N/A Dirt floating in
water
004 05/15/14 Clear None Semi-Clear No None No N/A
STORM EVENT CHARACTERISTICS: _
Date 5/15/2014
Total Event Precipitation(inches): 1.60 Mail Original and one copy to:
Event Duration(hours): 10 hr 30 min Attn: Central Files
DEHNR
(if more than one storm event was sampled) Division of Environmental Mgt.
Date P.O.Box 29535
Total Event Precipitation(inches): Raleigh,NC 27626-0535
Event Duration(hours):
(if more than one storm event was sampled)
(if more than one storm event was sampled) Date
Date Total Event Precipitation(inches):
Total Event Precipitation(inches): Event Duration(hours):
Event Duration(hours): Form MR-18
Page 1 of 2