HomeMy WebLinkAboutNCG100081_MONITORING INFO_20190429 (2)STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 00 ? I
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ cX I � o Y C% �f
YYYYMMDD
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
_/
Date
.did 11,9X Z ,' s �u� d ale s 9� l°dA? rs
Axlvl - -/ -# NC G/Do 0 81
Mail Original to:
Division of Water Quality
Attn: Central Files
1617 Mail Service
Center
Raleigh, North Carolina 27699-1617
RECEIVED
APR 292019
CENTRAL ALES
Ijs vR SECTION
"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 significapt-pyenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
4�-4Z3-/E
Date
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 2 of 2
6602 Windmill Way Wilmington, NC 28405
ENVIRONMENTAL CHEMISTS, I N C OFFICE: 910-392-0223 FAX 910-392-4424
• Analytical & Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@anvironmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
Client: Bud Harris Auto Parts
PROJECT NAME: Bi annual Storm Water
REPORT NO: Cl— n 53 3
ADDRESS. Post Office Box 3072
CONTACT NAME: Norma Harris
PO NO:
New Bern, NC 28564
REPORT TO:
PHONE/FAX: 252.638.1750
Site Address: 5200 US Hwy 70 East, New Bern
email: budhanisautopaft@embargmall.com
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
g
E F
A
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C C7
5
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L J
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W
W
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PRESERVATION
ANALYSIS REQUESTED
Qatq
Time
Temp
i
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c
w
°
Storm Water Outfalt
p-
0
C
P
%
�r/�
X
L
X
X
7i
pH,TSS,0i1 & Grease, Ethylene G", Pb
G
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P
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Upon collection, please ice samples I!
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G
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P
Then call us 910.392.0223.
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Thank y
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Transfer
Relinquished By:
DatelTime
Received By:
Date/Time
1.
2.
Temperature when Received:
u
Delivered By: Received
Comments:
ale Requested:
1-{- 3'-tGt Time:
TURNAROUND:
7in�irochem-
ANAL"CAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington flighway, Jacksonville, NC 28540 + 910.347.5-843 Lab/Fax
infoLenvironmentalehemists.com
Bud Harris Auto Parts Date of Report: Apr 17, 2019
PO Box 3072 Customer PO #:
New Bern NC 28564 Customer ID: 18020010
Attention: Norma Harris Report #: 2019-05433
Project ID: storm water outfall
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
19-13674 Site: storm water outfall 4/2/2019 6:00 PM Water Norma Harris
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 16" <5 mg/L 04/08/2019
Lead EPA 2003 <0.010 mg/L 04/05/2019
Residue Suspended (TSS) sM 2540 a 18.0 mg/L 04/04/2019
pH SM 4500 H 8 7.21 units 04/04/2019
Ethylene glycol SW 846 method 8015 <5 mg/L 04/12/2019
Comment:
c !
Reviewed by:
Report a: 2019.05433 parh. 1 M 1
L
STORMWATER 0 50MEE GUTFALL (5110}
MOMTORINts REPORT
Facilities that incorporate a solvent management plan into the 5tormyrater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilfbes allowed such a waiver, the
discharger sh all sign the following certification statement:
Saftmnt Management Plan Certification Statement
"Based upon ray inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics JTO), I
certify that to the best of my icncwtedge and belief, no dumping of concentrates! toxic organics into the stormkvater or areas which are exposed to rainfa Il or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Storm water Pollution Prevention Plan.'
�'
Nance {Print name) REFteIP _ D
r-b-11".e& _ MAR 0 9 2018
Title ntMe) CENTRAL FILES
NIM Q6A A Y:n
_DWR SECTION
Signature Date
,06em: t NC 610o 6 Sl
/llw; s
Mall Original and one copy to:
Division of Water Quality
Attn: Central files
1617 Mail Service Center
Rafe' , north Carolina 27699-1617
W certify, under penalty of law, that this document and ail 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 lriformation, the information submitted is, io the best of my knowledge and belief, true, accurate, and complete.
am aware th a there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.'
(Signature of Permittee
(Date)
Form 5V'1U-251, lost revised October 25, 2012
Page 2of2
Environmental. Chemists, Inc.
6002 Windmill Way, Wilnlingtori, NC 28405 • 910.392.0221 Lab • �)Io.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lah/Fax
sMi 255-A Wilmington NC 28540 0 910.347.5843 Lab/Pax
ANALYTICAL & CONSULTING CHEMISTS uifo(?!environit+rntalcl+emists.cum
Bud Harris Auto Parts Date of Report: Feb 23, 2018
PO Box 3072 Customer PO #:
New Bern NC 28564 Customer ID: 18020010
Attention: Norma Harris Report #: 2018-02091
Project ID: storm water outfali
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
18-05210 Site: storm water outfali 2/8/2018 9:30 AM Water client .
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1884 <5 mg/L 02/16/2018
Lead EPA 200.7 <0.010 mg/L 02/15/2018
Residue Suspended (TSS) SM 2540 D 5.9 mg/L 02/09/2018
pH SM 4500 H B 7.51 units 02/19/2018
Ethylene glycol sw 846 method 8015 <5 mg/L 02/16/2018
Cgmment:
Reviewed by:
Report k: 2018.02091 Paae 1 of 1
ngton, NC
ENVIRONMENTAL CHEMISTS, INC 6602 Windmill 10-392-0223FuAX910-32-"245
Analytical & Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 3T729 info@environmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
Client: Bud Harris Auto Parts
PROJECT NAME: Bi annual Storm Water
REPORT NO: D ;zz
ADDRESS: Post Office Box 3072
CONTACT NAME: Norma Harris
PO NO:
New Bern, NC 28564
REPORT TO:
PHONE/FAX: 252.638.1750
rPernljf- NC 000
Site Address: 5200 US Hwy 70 East, New Bem
email: budharrisautaparts@embargmaii.com
Sampled By: SAMPLE TYPE: I = Influerit, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
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PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp"
z
z
_
=
Storm Water Outfall
s9
I
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C
P
X
L.
X
t
X
pH,TsS,oB & Grease, Ethylene GlyGd,Pb
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P
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P
Upon collection, please ice samples!!
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Then call us @910.392.0223_
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Thank you !!
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Transfer
Relinquished By:
DateMme
Received By:
DateMme
1.
8
2.
Temperature Accepted: ✓ Rej ed. Resample Requested:
Delivered By:w 7 7:e Received By: Date: A Time:
Comments: TURNAROUND: