NCS000041_MONITORING INFO_20181025

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.�
DOC TYPE
❑ FINAL PERMIT
MONITORING REPORTS
APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ qo l ,� 1 2rj
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000041 RE' SAM)?:5 COLLECTED DURING CALENDAR YEAR: 2018
mhifm6nitoring report shall be received by the Division no later than 30 day.L from
OCT 2 dh2 to the facility receives the sampling results from the laboratory.)
FACILITY NAME Clariant Corp — Mt Holly West CENTRAL FILES
PERSON COLLECTING SAMPLE(S) _Greg Brownies DWR Sl~CTIn'v ___
CERTIFIED LABORATORY(S) Shealy Environmental Services, Inc. Lab # NC DENR # 329
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
"Collected
50050
Total
Flow if a
Total
Rainfall
00556
O&G
00530
TSS
00400
H
00310
BOD
00340 -.
COD
.32730
Phenols
mo/dd/ r
MG
inches
001
09/26/2018
0.7
10
78
6.1
41
91
0.080
003
09/26/2018
0.7
ND
72
6.7
9.7
58
0.056
004
09/26/2018
0.7
ND
25
6.1
3.5
20
ND
005
09/26/2018
0.7
ND
30
6.1
29
91
0.0051
006
09/26/2018
0.7
ND
240
6.2
5.4
54
0.017
007
09/26/2018
0.7
ND
7.0
6.5
7.0
21
0.14
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _X_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
,00530
.00400.
Total Flow
(if applicable)
Total
Rainfall
Oil &Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor,
Oil Usage.
molddl r I
MG
linches
m /l
m
unit
gallmo
Form SWU-247, last revised 21212012
Page i of 2

C
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 09/26/2018 Attn: Central Files
Total Event Precipitation (inches): 0.70 1617 Mail Service Center
Event Duration (hours): 0.65 (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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."
a
(Signature of
v 1l
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

StcW, Euvisc.immut w icr& inr
OCCI -iu-]',lumber 1` P-ei KC-1 a
Page t -if I
EffC: Or,e Llw- V2='3 i K
Sample Receipt Cheeldist (SRC)
C'.lient_ rIA ! . n rt-i W PA. � Cooler le tw- ieel bvfrinic- l I/- 1 tt i a _ :1- - 12, t nt 4• —r Z 2 q i r ;.�- f ',
.leans of receipt: 5L•SI : (.Alent 7D UPS i ] FodEx 0 Ohm:
© Ye
No
I_ Wet: custody seals present on the cooler?
Yr5
N'O 70 NIA
2. if cwanriv seals were present, wvrc dicy inset and unbroken?
1-i strip iD: -1 j tom_ C hrtTrittr. Strip 1D_ �f._1 =' 'felted bp._ f-}
rs"ginnl ie�njiperaiure upon receiTa ? Derived (Corrected) uanperature »pnn reotipt: %Solid Snap -Cup rD:
i C : ! mot_
Method: t 'Tenipesature Blunk GAgairim Mirtlas TR dun ID- �_ IR Gun Correction Factor:
Mc-thod of coolant: 0 ZYi t lc: L: kc Facks ©Dry fpc Notre
0 Yes
0 Nei
-ONA
;. If tcrnperakwe of�any cooler exceeded 6.0°C, was l'mjact Manager No€ified^
I'M was Nntilied by: phone i mouti i face-_o-face (cltt)e one).
❑ lies
Ll No
! NA
4. is the. commercial courier's packing Aipatiuchcd to this form?
Yes
U No
S. t4'cre proper custody pmcedtnes (reiinyuishcdercteivedl Nlawcd?
YesCJ
No
& Weae 5amp a II)s lislcd on the MC?
i.1 Nz
�. Wer+eample It)s listed nn ai] sample containers?
L
i_ NO
E. 1Z as calltctim date 9- rime lislcd on the COC'
- Nu
9. Was collection date &. tine listed On all rumple conminem?
Lff Yes
;.. No
10. Did all,- r t incr label informarion. OD, date, blue) asgwc wiTh the COO
:,-iC Yci
JVo
I I . Werc tests to be perfimne 1 114rd on the COC7
r/Yns
❑ No
J2. Did all sampk.5 arrive in the props: rontniners for escb nest andior in gaud condition
(unhn)kcn, Ills on, mt_)^
Yes
t � No
13. Was adequate sample vatume available?
_. Yes
No
14_ Were all %ample-s tecekmi wilhin :,- ilie holding- time ol-Ali hours, whiAevrr domes lrst?
YCs
No
15. Wert an} s-VnpJC5 COntaillers ini�%,SiFJgiG-XFC$&.IG:rcle one) SAtt PI" NuL I€SlC'd on Cale?
Ye'
l�iU
N,A
16. For VOA and RSK-171 .gatnples, were bubbles prrsrms •'r"pca-Rile" (Valor 6nn)t err diulTlc'teT) to
are} of Cne VOA vials':
k�yes
�0—
NA
17. Were all DROIrnmaWnuti•irnt %amplcs rec*lved at a pN of < 27
NA
18. 'there all iyznidc %mripirs raceioed Lit u pH > 12 and sulfide samples reot:ivrd at a pH > 97
Yes
J NO
!", NA
19. Were all uplikablc . ITi.'T-KNicyanidc,'pltetio1.625 (< 0.5m&IL) satnplat fteeff residual
diloritic?
fJ Yes
0 Nil
ONA
24. Wem clituru rcmarks+req:lrw*s (i.o, ret)ueKed dilutions, MVIASD designation., eic_.,)
iYtinx:tly t€anwnbed elan the CCiC laTo the comment scajon in LIMS?
Ycsl
21 No
2 L Was the gum uurnbcr Iisted or. the container label? If es, uotc
"arnple
Pr•eserv-atior► (Must be completed ror any satnple(s) incorrectly preserved ortvilh hcadspacu.)
a npie(t) wed received incormcdy preserved and here adjuiled recnrdingly
in sample nwciving with mL of circle one: 142SO4, HNO-'. MCI, MM711 I using 5R 4
Time ofpresenation If more than one prpservalive is needed, please note in tic conimeii& below,
Sstnulzlsl --. _ _ tverr r:ccivcd +rill[ bubblerss >6 min i» diarticteh.
wcm received with TR.0 > 0.5 inn t. (If 419 iv nn l ind were,
adjusted accurdingly in sample receiving with aodium thiostilfate (Na�SZO:) u-ith Shealy ID:
It barcrode labels applied by; _ ..t-`� Date:
Cmr.. merits;

SHEALY ENVIRONMENTAL SERVICES, INC.
healy Environmental Services, Inc.
08 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 17 of 18

C;lariant-Mournt Holly West
625 East Cpaflwba Avenue
Moimt Hollv. NC 28120
SHEALY EN MONNIENTAL LABORA'I:ORIES
Ell
T127070
Phone: (7G ir.n
Fax: [phone]
-.. ..- ,
N>>mber of sar Ales: � j,o _ Sample ty1x::
5an�p14s CollectedI3y : � ples Refrigerated BY:
Print Print _
Signature: w _ Signature:-
Dalc:1`iame -t3 Iff -G Date!Time
Sample Grab or
Location 7'c"mposite
[)offal! 001 � 1 Orate
Uutttdl
Outfall004 1 . Grab
Outfall005 1 tirah
C-1urianl -NMW WWTP
Chain of Custody
T Date/ Time _- analysis
Collected Required
,J
O&G. BOD, COD, TSS, ToFaJ Phenols,
G, BOD, COD, TSS, Total Phials,
! $S� pH
Uutfall r106 Grab - rr , 1
0alfall A07 Grab 117}`e &I
Pr*seivatities required: Oil and Cruse -- HCL.
Total Phenols - li?SO4
O&G, BOD, COD, TSS, Total Phenols,
1551 aH
O&G, BOO, COD, TSS, Total Phenola,
6&C3, BOD, COD, TSS, -1'ot�l Pimaois,
O&G, B{it), COD, TSS, Total Phenols,
BODiTSWCOD - none COD-H2SO4;
wished hy: 1 Date / Time Received by: Date i "lime
,quished hy: : Date ,' Time Received by: Date! Time

SHEALY ENVIRONMENTAL SERVICES, INC.
Shealy Environmental Services. Inc.
4%06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 15 of 18

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax (B03) 791.9111 www.sheatylab.com
Page 14 of 18

Inorganic non-metals
ND = Not detected at or N = Recoveryis out of P = The RFD between two GC calurms exceeds 40%
above the LOO criteria
H a Out of holding time W a Reported on wet
weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
a
Page 13 or 18

Inorganic non-metals
1
(TSS) SM
1 09/29/2018 1918 KFE
64972
254OD-2011
1 }
(HEM (oil
1 09/28/2018 1052 ARP
B4858
and) 1864E
CAS Analytical
Parameter
Number Method
Result Q
LOCI
knits
Run
BODE 5 day
SM 5210B-
7.0
2.0
mg/L
1
COD
SM 5220D-
21
20
mg/L
1
PH
SM 4500-H B-2
6.5
su
1
Phenolics
420.4
0.14
0.0050
mg1L
1
TSS
SM 2540D-
7.0
4.2
mg[L
1
HEM (oil and
1664E
NO
4.4
mg/L
1
grease)
LOO = Lim t of Quantiletion B = petected in the E = Quantitation of compound exceeded the calibratlon
method blank range
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.corn
Page 12 of 18

HEM (oil and grease)
Inorganic non-metals
1664E ND 4.4 mg1L 1
R
LOG - Limil of Quantitation
B = Detected in the E = Quantitation of compound exceeded the calibration
method blank range
ND = Not detected at or above
N = Recovery is out of P = The RPD between two GC columns exceeds 40%
the LOG
criteria
H = Out of hoicting time
W ; Reported on wet
weight basis
Client:Clariant Laboratory 1137127070-006
West Matrix: Aqueous
Description. Outfal l 007
Date Sampled:09126/2018
1906
Date Received:09127/2018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
+buu, o oay) bm
1
1 UIUM018 2256 AMR
09/27/2018 2254
521OB-2011
12272
1 (COD) SM
1
10/09/2018 1733 MGM
10/05/2018 1904
5220D-2011
1 (pH) SM 4500-H
1
09/27/2018 2341 SA1
84835
B-2011
1 (Phenolics) 420.4
1
10/09/2018 1128 MSG
10/08/2018 1111
85742
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172
[phone] Fax (803)
791-9111 www.shealylab.com
I
Page 1 i of 18

Inorganic non-metals
ND = Not detected at or above N = Recovery Is out P = The RPD between two GC columns exceeds 40%
the LOO of criteria
H = Out of holding time W = Reported on wet
weight basis
Client:Clariant Laboratory ID:TI27070-005
West
Matrix; Aqueous
Description: Outfal 1006
Date Sampled:09126/2018
1903
Date Received:09/2712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM
1
10/02/2018 2256 AMR
09/27/2018
2254
5210E-2011
12272
1
(COD) SM
1
10/05/2018 1132 MGM
10/04/2018
1600
5220D-2011
1
(pH) SM 4500-H
1
09/27/2018 2337 SA1
84835
B-2011
1
(Phenolics) 420.4
1
10/09/2018 1127 MSG
10/08/2018
1111
85742
1
(TSS) SM
1
09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and)1664B
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
BOD, 5 day
SM 521 OB-
5.4
2.0
mg1L
1
COD
SM 522013-
54
20
mg/L
1
pH
SM 4500-H B-2
6.2
su
1
Phenolics
420.4
0.017
0.0050
mg/L
1
TSS
SM 254OD-
240
25
mg/L
1
Shealy Environmenlal Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 10 of 18

Inorganic non-metals
1
(TSS)SM
1 09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1 09/28/2018 1052 ARP
84858
and) 1664B
CAS Analytical
Parameter
Number Method
Result Q
LQQ
Units
Run
1
BOD, 5 day
SM 521013-
29
2.0
mg/L
COD
SM 5220D-
91
20
mg/L
1
PH
SM 4500-H B-2
6.1
su
1
Phenolics
420.4
0.0051
0.0050
mg/L
1
TSS
SM 25400-
30
13
mg/L
1
HEM (oil and grease)
1684E
ND
4.5
mg/L
1
LQQ = Limit of Quandtation B = Detected in the E = QuantiWon of compound exceeded the calibration
method blank range
Shealy Environmental Services, Inc.
10B Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www,sheatylab.com
■
Page 9 of 18

R
HEM (oil and grease)
Inorganic non-metals
1664B ND 4.4 mgfL 1
l.OD = Limit of Quantitation
B = Detected in the E = Ouanfitation of compound exceeded the calibration
method blank range
ND = Not detected at or above
N = Recovery is out of P = The RPD between two GC colurms exceeds 40%
the;_OQ
criteria
H = Out of toolding time
W = Reported m wet
weight basis
Client:Clariant Laboratory ID:TI27070-004
West Matrix: Aqueous
Description: Outfall 005
Date Sampled:0912612018
1859
Date Received:0912712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM 1
10/02/2018 2256 AMR
09/27/2018 2254
521OB-2011
12272
1
(COD) SM 1
10/05/2018 1132 MGM
10/04/2018 1600
5220D-2011
1
(pH) SM 4500-H 1
09/27/2018 2333 SA1
W35
B-2011
1
(Phenolics) 420.4 1
10/09/2018 1124 MSG
10/08/2018 1111
85742
Shealy Environmental
Services, Inc.
106 Vantage Point Drive
West Columbia, SC 29172
[phone] Fax [phone]
www.shealylab.com
Page 8 of 18

R
Inorganic non-metals
NO = Not detected at or above N = Recovery is out of P = The RPC between two GC columns exceeds 40% Y
the Loa criteria
H - Out of holding tlme W = Reported on wet
weight basis
Client:Clariant Laboratory ID:TI27070-003
West Matrix: Aqueous
Description: Outfa l l 004
Date Sampled:0912612018
1855
Date Received:0912712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM
1
10/02/2018 2256 AMR
09/27/2018
2254
521OB-2011
12272
1
(COD) SM
1
10/09/2018 1733 MGM
10/05/2018
1904
5220D-2011
1
(pH) SM 4500-H
1
09/27/2018 2325 SA1
84835
B-2011
1
(Phenolics) 420.4
1
10/09/2018 1121 MSG
10/08/2018
1111
85742
1
(TSS) SM
1
09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and)16648
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
BOD, 5 day
SM 5210B-
3.5
2.0
mg/L
1
COD
SM 5220D-
20
20
mg1L
1
pH
SM 4500-H B-2
6.1
su
1
Phenolics
420.4
ND
0,0050
mg/L
1
TSS
SM 254013-
25
8.3
mg1L
1
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab,com
Page 7 of 18

Inorganic non-metals
1
(TSS) SM
1 09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1 09/28/2018 1052 ARP
84858
and) 1664B
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
BOD, 5 day
SM 521013-
9.7
2.0
mg/L
1
COD
SM 52200D-
58
20
mg/L
1
pH
SM 4500-H B-2
6.7
su
1
Phenolics
420.4
0.056
0.0050
mg/L
1
TSS
SM 2540D-
72
13
mg/L
1
HEM (oil and grease)
1664E
ND
4.3
mg/L
1
LOQ = Limit or Quanlitatlon B = Detected in the E = Quantitabon of compound exceeded the calibration
method blank range
Shealy Environmental Services, Inc.
t06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
9
Page 6 of 18

R
HEM (oil and grease)
Inorganic non-metals
1664B 10 4.4 rng1L 1
LOQ = Limit of Quantltation
B = Detected in the E = Quantitation of compound exceeded the calibration
method blank range
NO = Not detected at or above
N = Recovery is out P e The RPD between two GC columns exceeds 40%
the LOQ
of criteria
H = Out of holding time
W = Reported on wet
weight basis
Client:Clariant Laboratory ID:TI27070-002
West Matrix; Aqueous
Description: Outfall 003
Date Sampled:09I2612018
1860
Date Received:0912712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM
1 10/02/2018 2256 AMR
09/27/2018 2254
521OB-2011
12272
1
(COD) SM
1 10/05/2018 1132 MGM
10/04/2018 1600
5220D-2011
1
(pH) SM 4500-H
1 09/27/2018 2320 SA1
84835
B-2011
1
(Phenolics) 420.4
1 10/02/2018 1147 MSG
10/01/2018 1415
85077
Shealy Environmental
Services, Inc.
106 Vantage Point Driye
West Columbia, $C 29172
[phone] Fax [phone]
www.shealylab.com
Page 5 of 18

Inorganic non-metals
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Client:Clariant West Laboratory ID:TI27070-001
Description: Outfall 001 Matrix: Aqueous
Date Sampled:0912612018 1846
Date Received:0912712018
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
1
(BOD, 5 day) SM
1
10/02/2018 2255 AMR
09/27/2018
2254
521OB-2011
12272
1
(COD) SM
1
10/05/2018 1132 MGM
10/04/2018
1600
5220D-2011
1
(pH) SM 4500-H
1
09/27/2018 2314 SA1
84835
B-2011
1
(Phenolics) 420.4
1
10/02/2018 1146 MSG
10/01/2018
1415
85077
1
(TSS) SM
1
09/29/2018 1918 KFE
84972
2544D-2011
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and) 1664B
GAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
BOD, 5 day
SM 5210B-
41
2.0
mg/L
1
COD
SM 5220D-
91
20
mg1L
1
PH
SM 4500-H 8-2
6.1
su
1
Phenolics
420.4
0.080
0.0050
mg/L
1
TSS
SM 2540D-
78
25
mg/L
1
Y
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealyiab.com
Page 4 of 18

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Clariant West
Lot Number: T127070
Sampte Number
Sample ID
Matrix
Date Sampled
Date Received
001
Outfall001
Aqueous
09/26/20181846
09/27/2018
002
Outfall003
Aqueous
09126/20181850
09/27/2018
003
OutfallOU
Aqueous
09/26120181855
09/27/2018
004
Outfall005
Aqueous
09126/20181859
09/27/2018
005
Outfall006
Aqueous
09126/20181903
09/27/2018
006
Outfall007
Aqueous
09126/20181906
09/27/2018
(6 samples)
Page 3 of 18

10
Case Narrative
Clariant West
Lot Number: T127070
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
Inorganic Non -Metals
Antifoam reagent was added to samples -001 and -006 for phenolics analysis due to the sample matrix.
The antifoam may contribute a high bias to the phenolics results.
The pH analysis associated with the samples in this report were performed after the method
recommended 15 minute holding time.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.com
Page 2 of 18

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Clariant West
625 East Catawba Avenue
Mount Holly, NC 28120
Attention: Clay Dunn
Project Name: WWTP Testing
Lot Number:T127070
Date Completed:10/10/2018
10/11/2018 10:47 AM
Approved and released by:
Project Manager: Kelly M. Nance
r
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 3204001 NE(.AC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Page I of 18

Permit Number NCS000041
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 Clariant Corp— Mt Holly West
PERSON COLLECTING SAMPLE(S) Greg Browning
CERTIFIED LABORATORY(S)-Shealy Environmental Services, Inc. Lab # NC DENR # 329
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PACE 2.
Outfall
Nd. ��
Date
>i
��Sample `
Collected
50050
Total' . •
Flow' if a
Total
Rainfall
00556":OQ530'
O&G
TSS
00400 "'
Of
•00310„E
BOD .
,00340
COD,. �"'
��� ;;32730°
Phenols
moldd/ r ..:
MG
inches
001
09/26/2018
0.7
10
78
6. l
41
91
0.080
003
09/26/2018
0.7
ND
72
6.7
9.7
58
0.056
004
09/26/2018
0.7
ND
25
6.1
3.5
20
ND
005
09/26/2018
0.7
ND
30
6.1
29
91
0.0051
006
09/26/2018
0.7
ND
240
6.2
5.4
54
0.017
007
09/26/2018
0.7
ND
7.0
6.5
7.0
21
0.14
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new'motor oil per month? _ yes _X_no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
iCollected
50050
00556
00530
00400
Total Flow
(if applicable).
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GfiPH
(Method 1664
SGT-HEM), if
a. 1.
. Total
Suspended r
Solids
pH
New Motor
Oil Usa e
g
moldd/ r
MG
inches
m
mg/1
unit'
al/mo
Form S W U-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 09/26/2018
Total Event Precipitation (inches): 0.70
Event Duration (hours): 0.65 (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.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
0
o I( 8
(Signature of Permittee) (Date)
Form S W U-247, last revised 21212012
Page 2 of 2

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Clariant West
625 East Catawba Avenue
Mount Holly, NC 28120
Attention: Clay Dunn
Project Name: WWTP Testing
Lot Number:T127070
Date Completed: 10110/2018
10/11 /2018 10:47 AM
Approved and released by:
Project Manager: Kelly M. Nance
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Page I of 18

Case Narrative
Clariant West
Lot Number: T127070
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
Inorganic Non -Metals
Antifoam reagent was added to samples -001 and -006 for phenolics analysis due to the sample matrix.
The antifoam may contribute a high bias to the phenolics results.
The pH analysis associated with the samples in this report were performed after the method
recommended 15 minute holding time.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-97oo Fax [phone] www.shealylab.com
Page 2 of 18

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Clariant West
Lot Number: T127070
Sample Number
Sample ID
Matrix
Date Sampled
Date Received
001
Outfall001
Aqueous
09126120181846
09/27/2018
002
Outfall003
Aqueous
09126/20181850
09/27/2018
003
Outfa11004
Aqueous
09126/20181855
09/27/2018
004
Outfall005
Aqueous
09126/20181859
09/27/2018
005
Outfall006
Aqueous
09126/20181903
09/27/2018
006
Outfall007
Aqueous
09126120181906
09/27/2018
(6 samples)
Page 3 of 18

Inorganic non-metals
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia. SC 29172 [phone] Fax [phone] www.shealylab.com
Client:Clariant West Laboratory ID1I27070-001
Description: Outfall 001 Matrix: Aqueous
Date Sampled:09/26/2018 1846
Date Received:09/2712018
Run Prep Method
' Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
1
(BOD, 5 day) SM
1
10/02/2018 2256 AMR
09/27/2018
2254
5210E-2011
12272
1
(COD) SM
1
10/05/2018 1132 MGM
10/04/2018
1600
5220D-2011
1
(pH) SM 4500-H
1
09/27/2018 2314 SA1
84835
B-2011
1
(Phenolics) 420.4
1
10/02/2018 1146 MSG
10/01/2018
1415
85077
1
(TSS) SM
1
' 09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and) 166413
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
SOD, 5 day
SM 5210B-
41
2.0
mg/L
1
COD
SM 5220D-
91
20
mg/L
1
pH
SM 4500-H B-2
6.1
su
1
Phenolics
420.4
0.080
0.0060
mglL
1
TSS
SM 254010-
78
25
mglL
1
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.corn
Page 4 of 18

R
HEM (oil and grease)
Inorganic non-metals
1664B 10 4.4 mgfL 1
LOO = Limit of Ouantitabon
B = Detected in the E m Quantitation of compound exceeded the calibration
method blank range
ND = Not detected at or above
N = Recovery is out P = The RPD between two GC columns exceeds 40%
the LOO
of criteria
H = Out of holding time
W = Reported on wet
weight basis
Client:Clariant Laboratory ID:TI27070-002
West
Matrix: Aqueous
Description: Outfal 1003
Date Sampled:0912612018
1850
Date Received:09/2712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(SOD, 5 day) SM 1
10/02/2018 2256 AMR
09/27/2018 2254
5210E-2011
12272
1
(COD) SM 1
10/05/2018 1132 MGM
10/04/2018 1600
5220D-2011
1
(pH) SM 4500-H 1
09/27/2018 2320 SA1
84835
B-2011
1
(Phenolics) 420.4 1
10/02/2018 1147 MSG
10/01/2018 1415
85077
Shealy Environmental
Services, Inc.
106 Vantage Point Drive
West Columbia, SC 29172
[phone] Fax [phone]
www.shealylab.com
Page 5 of 18

Inorganic non-metals
1
(TSS) SM
1 09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1 09/28/2018 1052 ARP
84858
and) 1664B
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
BOD, 5 day
SM 5210B-
9.7
2.0
mg/L
1
COD
SM 5220D-
58
20
mg/L
1
pH
SM 4500-H B-2
6.7
Sul
1
Phenolics
420.4
0.056
0.0050
mg[L
1
TSS
SM 254OD-
72
13
mg/L
1
HEM (ail and grease)
1664B
ND
4.3
mg/L
1
LOG = Limit of Quantitabon B = Detected in the E = Quantitabon of compound exceeded the calibration
method blank range
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheabylab.com
Page 6 of 18

suf
Inorganic non-metals
ND = Not detected at or above N = Recovery is out of P = The RPD between two GC columns exceeds 40%
the LOO criteria
H = Out of holding time W = Reported on wet
weight basis
I!m
Client:Clariant Laboratory ID:TI27070-003
West
Matrix: Aqueous
Description: Outfal 1004
Date Sampled:0912612018
1855
Date Received:0912712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM
1
10/02/2018 2256 AMR 09/27/2018
2254
5210E-2011
12272
1
(COD) SM
1
10/09/2018 1733 MGM 10/05/2018
1904
5220D-2011
1
(pH) SM 4500-H
1
09/27/2018 2325 SA1
84835
B-2011
1
(Phenolics) 420.4
1
10/09/2018 1121 MSG 10/08/2018
1111
85742
1
(TSS) SM
1
09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and) 1664B
CAS Analytical
Parameter
Number Method Result Q
LOQ Units Run
BOD, 5 day
SM 5210B-
3.5
2.0 -
mg/L
1
COD
SM 5220D-
20
20
mglL
1
pH
SM 4500-H B-2
6.1
su
1
Phenolics
420.4
ND
0.0050
mglL
1
TSS
SM 2540D-
25
8.3
mg1L
1
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 7 of 18

HEM (oil and grease)
Inorganic non-metals
1664B NO 4.4 mg/L 1
LOQ = Limit of Quantitation
B = Detected in the E = Quantitation of compound exceeded the calibration
method blank range
ND = Not detected at or above
N = Recovery is out of P = The RPD between two GC cotur rns exceeds 40%
the LOQ
criteria
H = Out of holding time
W = Reported on wet
weight basis
Client:Clariant Laboratory ID:TI27070-004
West
Matrix: Aqueous
Description: Outfall 005
Date Sampled:0912612018
1859
Date Received:0912712018
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (BOD, 5 day) SM 1
521OB-2011
1 (COD) SM 1
5220D-2011
1 (pH) SM 4500-H 1
B-2011
1 (Phenolics) 420.4 1
10/02/2018 2256 AMR 09/27/2018 2254
12272
10/05/2018 1132 MGM 10/04/2018 1600
09/27/2018 2333 SA1 84835
10/09/2018 1124 MSG 10/08/2018 1 i 11
85742
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone]t 11 www.shealylab.com
Page 8 of 18

Inorganic non-metals
1
(TSS) SM
1 09/29/2018 1918 KFE 84972
254OD-2011
1
(HEM (oil
1 091281201E 1052ARP 84858
arid) 1664B
CAS Analytical
Parameter
Number Method Result Q LOQ
Units Run
BOD, 5 day
SM 521013- 29 2.0
mg1L 1
COD
SM 5220D- 91 20
mg1L 1
pH
SM 4500-H B-2 6.1
su 1
Phenolics
TSS
HEM (oil and grease)
420.4 0.0051
SM 2540D- 30
1664B ND
LOG = Urnit of Quantitation B = Detected in the E = Quantitation of compound exceeded the calibration
method blank range
0.0050 mg/L 1
13 mg1L 1
4.5 mg/L 1
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 of 18

Inorganic non-metals
R
ND = Not detected at or above N = Recovery is out P = The RPD between two GC columns exceeds 40%
the LOQ of criteria
H = Out of holding time W = Reported on wet
weight basis
Client;Clariant Laboratory ID:TI27070-005
West
Matrix: Aqueous
Description: Outfal 1006
Date Sampled:0912612016
1903
Date Received:0912712018
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1
(BOD, 5 day) SM
1
10/02/2018 2256 AMR
09/27/2018
2254
521OB-2011
12272
1
(COD) SM
1
10/05/2018 1132 MGM
10/04/2018
1600
5220D-2011
1
(pH) SM 4500-H
1
09/27/2016 2337 SA1
94835
B-2011
1
(Phenolics) 420.4
1
10/09/2018 1127 MSG
10/08/2018
1111
85742
1
(TSS) SM
1
09/29/2018 1918 KFE
84972
254OD-201 1
1
(HEM (oil
1
09/28/2018 1052 ARP
84858
and) 1664B
CAS Analytical
Parameter
Number Method
Result 0
LOCI
Units
Run
BOD, 5 day
SM 5210B-
5.4
2.0
mg/L
1
COD
SM 5220D-
54
20
mg/L
1
PH
SM 4500-H B-2
6.2
su
1
Phenolics
420.4
0.017
0.0050
mg1L
1
TSS
SM 2540D-
240
25
mg1L
1
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www,sheatylab.com
Page 10 of 18

■:
HEM (oil and grease)
Inorganic non-metals
1664B ND 4.4 mg/L 1
LDQ = Limit of Quantitation
B = Detected in the E = Quantitation of compound exceeded the calibration
method blank range
NO = Not detected at or above
N = Recovery is out of P = The RPD between two GC columns exceeds 40%
the LOQ
criteria
H a Out of holding bme
W = Reported on wet
weight basis
Client:Claryant Laboratory 07127070-006
West
Matrix: Aqueous
Description: Outfal l 007
Date Sampled:09/2612018
1906
Date Received:0912712018
Iun Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (BOD, 5 day) SM 1 10/02/2018 2256 AMR 09/27/2018 2254
521013-2011 12272
1 (COD) SM 1 10/09/2018 1733 MGM 10/05/2018 19D4
5220D-2011
1 (pH) SM 4500-H 1 09/27/2018 2341 SA1 84835
B-2011
1 (Phenolics) 420.4 1 10/09/2018 1128 MSG 10/08/2018 1111
85742
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page I 1 of 18

Inorganic non-metals
1
(TSS) SM
1 09/29/2018 1918 KFE
84972
254OD-2011
1
(HEM (oil
1 09/28/2018 1052 ARP
84858
and)1664B
CAS Analytical
Parameter
Number Method
Result O
LOCI
Units
Run
SOD, 5 day
-
SM 521 OB--
7.0
2.0
mg1L
1
COD
SM 5220D-
21
20
mg/L
1
pH
SM 4500-H B-2
6.5
su
1
Phenolics
420.4
0.14
0.0050
mg/L
1
TSS
SM 2540D-
7.0
4,2
mg/L
1
HEM (oil and
1664B
ND
4.4
mg/L
1
grease)
LOO = Lim;1 of Quantdation B = Detected in fire E = Quantitabon of compound exceeded the calibration
method blank range
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.com
Page 12 of 18

Inorganic non-metals
ND = Not detected at or N = Recoveryis out of P = The RPD between two GC columns exceeds 40%
above the LOO criteria
H = Out of holding time W = Reported on wet
weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.com
Page 13 of 18

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 14 of 18

SHEALY ENVIRONMENTAL SERVICES, INC.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 15 of 18

' SHEALY ENVIRONMENTAL LABORATORIES
C-lartant hfl-IW WWTP
(Alain of Custody
C Ia- Tiant-Mowit Holly West
,625'East C.Nthwba Avenue
Mount Holly, NC 28120
T127070
Phone : (70
Fax : [phone]
Niue er of samples: + Sample type: 4cA A .^
Swirpl: s Collected By
Print
NEalle.
Signanim:
Ddte !Tine :
Nunples Rcfrigera#ed ley:
Print
Name: t'ucyi� n�ti
Signatule:
Date !Time : CE - .--
Sample Grab or Date/ Time
Location Composite Collected
()utt' 11001 Orate
Cluti>-,11003 Crab ``"�' � a.,•��
�Outfal 1004 Grab '�a)
i 3
Out#all005 _ 6Idh
_Gut#all006 Orab
OLnfa OD7 Grab
:analysis
Required _
O&G, BOD, COD, TSS, Total Phenols.
H
0&(;, t3€Nl), COD, TSS, Total Phenols,
PH _
O&G, BOD, COD, TSS, Total Phenols,
vH
O&G, B0D. COD, TSS, Total Phenols,
O&G, BOD, COD, TSS, Total Phenols,
Ei I -
O&G, B01), COD, TSS, 'i'otnl Phenols,
vatives required :Oil and Crease — HCL, ROMTSSICO.D — none.
PhennIs -- K7SO4
COD-H2504,
i 0shed h v: Date ! Time Received by: Date i 'lima
1 6 yr `f
iquished by: Date / Time Received by: Date 1 Time
ff (� _ �J

SHEALY ENVIRONMENTAL SERVICES, INC.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www,shealylab.com
Page 17 of 18

Stcalv En vii i:,,ntmul Stn'ivrr, or Vox t A l
MCUriumi'Mimher 'i~ PWI t B('. i, rFk:€r+o L)Am d-_.:D i X
Sample Receipt, C'hccklist (SRC)
Gliert_ ({6(41ri} WL� cooler Irstrcctmlhvldatc: LK-!A: q-,Z-4-12 LW4: T T.1gbg0
Meansafrrccipt: SLSI 7lient UPS FetiEx flrfirr;
© Yes No
I- Were custody seal; present on the cooler?
Ycs ❑ h'o ' NA
2_ Ifcti�tnev sails were pr,sent. kyt rr they itimm and nnhroken?
11 Strip TD: -%103 tom___ _ r filcyrine Strip ICi. --I _? , . 3, Tested �y:__ T
rtginr,l tcnrpctxturc upon receipt! Derived (Correvind) tonp+erature upon r,eocipt: 'AcSOIN Snap -Cup Ili:
?---- - v, QC —+` °C
Method--€ Tenipe iuturc Blank FlAgainst Rattles TR Gtin ID: � _ IR t.ittn Correction Factor-,
Nit-thod of coolant: Mct lcc E Icc tacks ❑ Dry Icc Name
d Yes
n No1VA
3. If temperature of any cooler exceeded 6.OT, %vas Project.Manager Notified^
i'M was Notified b}: phone 1 rrutu7 ? fact- o4ke (circle one).
NA
4. 1s the commercial courier's packing.slip uluicheti to this tom?
Yes
0 Nu
5- Wcre proper cwtody procedures (reling01icdircceivedl ftillawcd?
Yes
El No
6. Were samnly IRs li.ttA on the C47C?
11 Np
7, Wem sample IDs listed un all..iamplc contaitlers?
KC5
H. �r m CmlIvOinn date [� time littsd on the CO ?
- Nu
4. Was collection slate thne listed oil ail Srrrnpl: conminem?
I Yee
; ; No
10. Did all %x)ntuincr label information (ID, date, tune) agx-- with the CDC!
Y c�
❑ No
i l " Were tests to be perfcnmc d li.:tnd on the COC?
Yes
No
12. Did all snplc5 ataive in the prupc.: containers for each mr, aa>idiot ill _°slid condition
iunbrok:n, lids on, mc.)?
VL Yes
D No
I;?. Was adequate sample voluroc available?
Yes
Na
14. Wert all samplesrrceivod..iihin'�else,holding-timeor48lfauts,whichr.sr.rromesfirsO
_
Yes
NO
15. any s-implr.5 containers Fetter@ Alit) Sa! le5NOL l}SWd an C..CJ{C?
[� lees
L No
N+�
16. For VOA and RSK-13S samples, were bubbles pmsent ,"pea-si r" (Y&"or 6nuu ire diumvicr) in
am' of the VOA +ials"
Yea
No
UNA
P. Were all DRO1mezaJs'nua'ientsumplcsreecived at a PH of-' 21.
Yes
U No
`JA
18. %Vert all gznidc carnplrs. received at a pH > 12 and sulfide samples received tit a pfl y 4'?
—y
JJ Yes
�
0 SIG
I"1 NA
114. Were all upplic .: if,.TK1'1cyanide,+pheiiol'625 (� s ft U.5mg!L1 sarnrlece of residual
chlorine''
EJ es
El No
�;{ NA
'
20. Were cli+att rcmarks!regjrn m (i.�, requested diluLirms, IMS.IMSD desi�tatians, etc...;r
cotmLtly t wLwribed tram the COC inTo Ilic cornmenr. Section in LIMP
Yes
"401
ITF Was the uote numbu listed or: the container Inbel? If yes. QuotcO
Sample
Preservation (Must he completed lbr any sample(s) mum -oily preserved or with hcadspac e.)
Sample(e) wejx-. received incoucctly preserved and were adjusted nuumtlingiy
in sample ror.civing w'itli mL o€circle one: H2SO4, H iD?, 140, NN(Ill using SR 4
Time Ofpnsen-ation If more than Om preservati.er is necdcd, please note in flit conuneuL.s hclow,
S.sntpla(S) were rcccivcd %untie buhhlcp =>b irin in diwrieter_
Samples(s} _._ w•crz received with TROC ? 0,5 tngfL (If 919 is np } and were
3usted accurdingly in sample receiving with sodium, Lhinsulfate (NaaStD:) „-ith Shealy ID:
'R barccxle labels applied by: Date:
C Mr.ments:

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000041 RECEIVED SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
MAY 0 9 2019 (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.)
CENTRAL FILES
FACILITY NAME Clariant Corp— Mt Holly West MR SECTION COUNTY Gaston
PERSON COLLECTING SAMPLE(S) David Kaltschnee PHONE NO. 704 822-2100
CERTIFIED LABORATORY(S) Shealy Environmental Services, Inc. Lab # NC DENR # 329
SIGNATURE OF PERMITTEE OR DESIGNEE
REpUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Qutfall.
No. ' ..
pate
Sample
Collected :.
5 050
> '
Total..: "
Fl.ow ifa
Total
.Rainfall . •
1}b5513
O.$�,
00530
755.
004Q�. ` ..
H
Q0 30
BAD
D0., 40
C;bD
.3210.
F'heaols .
'..
in/ddl r<. ;: ,
MG
001
04/15/2018
0.8
5.2
16
6.68
22
69
0.015
003
04/15/2018
0.8
ND .
120
6.65
15
67
0.013
004
04/15/2018
0.8
10
46
6.51
14
240
0.0059
005
04/15/2018
0.8
ND
34
6.17
18
85
0.0071
006
04/15/2018
0.8
ND
24
6.21
12
57
ND
007
04/15/2018
0.8
ND
16
6.42
6.5
30
ND
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _X_no
(if yes, complete Part B)
Part i3: Vehicle Maintenance ACHVIty Ivtonitorin Ice ulremenis
Ouffall
Date
500.50
oOSsb
00536
00400'
Totid Flow
(if applicably)
Total - .
Rainfall
011 &Grease
(if appl}
Non -polar. - .
O&Gil PH
'Total
Stispcitded
PEI. ::
RI M6tor.
gfl:.7 ge
No.
Sample .
Collected
(Mtho 1664
Solids
:.
..
mo/ddlyr
1VIG'-
tncaes .
in�ll
mgH
unif :allmo
. 7.
Form SWU-247, last revised 21212012
Page] of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 04/15/2018 Attn: Central Files
Total Event Precipitation (inches): 0.80 1617 Mail Service Center
Event Duration (hours): 5.0 (only if applicable— see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
"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 lines a94 imprisonment for knowing violations."
(Signature of Permittee)
D ov
Ilb
(Date)
Form S W U-247, last revised 21212012
Page 2 of 2