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NCG030188_MONITORING INFO_20160707
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. DOC TYPE ❑HISTORICAL FILE QCMONITORING REPORTS DOC DATE ❑ r`� � I le 02 YYYYMMDD n REG v YED JUL 01.2014 ,ENTRA �M z)vJ R S c Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted_ v t CERTIFICATE OF COVERAGE NO. NCG03 0 FACILITY NAME .SAJ?A LL= �C�21s d�I2 1 COUNTY A1,4 Jc& PERSON COLLECTING SAMPLES LcJr .ar_ t0, f 1a_ LABORATORY YACC AJ-04�4eAL Lab Cert. N Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR W/ 4 SAMPLE PER1OD,[�TJan-June ❑-July-Dec or ❑ Monthly' (month' DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow ❑WaterSuppiy ❑SA [—]Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this veriod?Z Outfail No. Date Sample Collected i (rno%dd/yr) Z4 hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Mon-PolarO&G/ Total Petroleum Hydrocarbons TatalTaxic s Organics Benchmarks 100 mg/L or 50 mg/L° 6.0 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 rag/L 1'mg/L 0DJ oG IL 1,0 L 6.3 ,40 12 0.40 0,?5o ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible fora waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found In 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.32; far electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31), Permit Date; 1111/2012-10/31/2017 SWU-245, last revised 10/25/21712 Page 1 of 3 M Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement forTTO monitoring maybe waived. 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 facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following 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 (770), 1 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 the all the provisions of the saivent management plan included in the Stormwater Pollution Prevention PIa " ,) i `/, st , &)A 142 Name (Print name) e45 Title ( rtnt it ) (Signature) {Date] Nate: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mp.LL",where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: Ifyou report a sample value in excess of the benchmark, you must implement Trer 1, Tier 1, or tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L• 6.0 — 10 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, iast revised 10/25/2012 Page 2 of 3 aceAnalytical www.pacelabs.com June 24, 2016 Michael Riley SAPA EXTRUDER/lndalex 1507 Industry Drive Burlington, NC 27215 Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (338)623-8921 YcG- V � Y RECEIVED JUL 0 7, Z015 CENTRAL. FILES �nr S1rCT4u1• RE: Project: Burlington SO-001 Pace Project No.: 92301767 Dear Michael Riley: Enclosed are the analytical results for samples) received by the laboratory on June 16, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, s&"4� g. ,C16-0yu Brittany Gibson brittany.gibson@pacelabs.com Project Coordinator Enclosures . pCCR� REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 ace AnalXical wsvw.pacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)623-8921 Project: Burlington SO-001 Pace Project No.: 92301767 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Flofida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNEIAP Certification #: 460222 Eden Certification lbs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633 North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 13 Pace Analytical Services, Inc. aceAnalytical ® 205 East Meadow Road - Suite A Eden, NC 27288 www.pacetabs.com (336)623-8921 SAMPLE ANALYTE COUNT Project: Burlington SO-001 Pace Project No.: 92301767 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92301767001 Burlington SO-001 SM 2540D CRP 1 PASI-E EPA 9040 DVVJ 1 PASi-E EPA 1664E JMS 1 PASI-C EPA200.7 SH1 3 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 aceAnalj4ical . wwwpacelabs.00m Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)623-8921 ANALYTICAL RESULTS Project: Burlington SO-001 Pace Project No.: 9230116'I Sample: Burlington SO-001 Lab ID: 92301767001 Collected: 06/15/16 20:00 Received: 06116116 15A0 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual 25400 Total Suspended Solids Total Suspended Solids 9040 pH pH 1664 SGT-HEM, TPH Total Petroleum Hydrocarbons 200.7 MET 1CP Copper Lead Zinc Date: 06/24/2016 02:29 PM Analytical Method: SM 2540D 464 mg1L 7.8 1 06120/1615:58 Analytical Method: EPA 9040 6.3 Std. Units 0.10 1 06/17/16 09:30 H1,H6 Analytical Method: EPA 1664E N❑ mg/L . 5.0 . 1 06/23/16 08:31 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 _.91.2.__ ug/L 5.0 1 06/21/16 20:25 06/23/46 00:56 7440-50-8 14.3 ug/L 5.0 1 06/21/16 20:25 06/23/16 00:56 7439-92-1 / -730 ( ug/L 10.0 1 06/21/16 20:25 06/23/16 00:56 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, tnc.. Page 4 of 13 aceAnalytical wwwpacelabs.cm Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 272a6 (336)623-8921 QUALITY CONTROL DATA Project: Burlington SO-001 Pace Project No.: 92301767 QC Batch: EDEN/23188 Analysis Method: SM. 2540D QC Batch Method: SM 25400 Analysis Description: 25400 Total Suspended Solids Associated Lab Samples: 92301767001 METHOD BLANK: 1759839 Associated Lab Samples: 92301767001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 1759840 Parameter Units Total Suspended Solids mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 0612011615:56 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 258 103 90-110 SAMPLE DUPLICATE: 1759841 92301706001 Oup Parameter Units Result Result Total Suspended Solids mg/L 26.7 27,5 RPD Qualifiers 3 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/24/2016 02:29 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 aceAnalj&al ® www.pecolabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Project: Burlington SO-001 Pace Project No.: 92301767 QG Batch: EDEN123169 Analysis Method: EPA 9040 QG Batch Method: EPA 9040 Analysis Description: 9040 pH EDEN Associated Lab Samples: 92301767001 SAMPLE DUPLICATE: 1758065 92301767001 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 6.3 6.3. 0 H1,1-16 Results presented on this page arc in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/24/2016 02:29 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 I Analyrcal www.paci#abs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NG 27288 (336)623-8921 Project: Burlington SO-001 Pace Project No.: 92301767 QC Batch: GCSVl25335 QC Batch Method: EPA 1664E Associated Lab Samples: 92301767001 METHOD BLANK: 1762755 Associated Lab Samples: 92301767001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 1762756 Parameter Units Total Petroleum Hydrocarbons mgfL MATRIX SPIKE SAMPLE: 1762757 Parameter Units Total Petroleum Hydrocarbons mgfL QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result limit Analyzed Qualifiers ND 5.0 06r23116 08:11 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 20 19,9 100 64-132 35249799001 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers 5.OU 20 14.8 74 64-132 Results presented on this page are in the units indicated by the'Units' column except where an alternate unit is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/24/2016 02:29 PM without thewritten consent of Pace Analytical Services, Inc.. Page 7 of 13 acmnayical www.pacofabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Edpn, NC 27288 (336)623-8921 QUALITY CONTROL DATA Project: Burlington SO-001 Pace Project No.: 92301767 QC Batch: MPRP122112 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200,7 MET Associated Lab Samples: 92301767001 METHOD BLANK: 1760596 Matrix: Water Associated Lab Samples: 92301767001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 06/22/16 23:46 Lead ug/L ND 5.0 06/22/16 23:46 Zinc uglL ND 10.0 06122I16 23:46 LABORATORY CONTROL SAMPLE: 1760596 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper ug/L 500 520 104 85-115 Lead ug/L 500 500 100 85-115 Zinc ug/L 500 495 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1760597 1760598 MS MSD 92301991003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Copper ug/L 11.8 500 500 540 539 106 105 70-130 0 Lead'----"-'--`-- —ug/L 4.5J----500--'500 --493— 493— 98 98--70=130------0---- Zinc ug/L 4.8J 500 500 494 496 98 98 70-130 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1760599 1760600 MS MSD 92302095001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua] Copper ug/L 174 500 500 693 681- 104 102 70-130 2 Lead ug/L ND 500 500 504 483 100 96 70-130 4 Zinc uglL 1930 500 500 2520 2380 118 88 70-130 6 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/24/2016 02:29 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 aCllAnalytica! . weiwpacarabs.wm Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALIFIERS Project: Burlington SO-001 Pace Project No.: 32301767 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrotein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 5270. The result reported for each anaiyte is a combined concentration_ Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS H1 Analysis conducted outside the EPA method holding time. H6 Analysis initiated outside of the 15 minute EPA required holding tirne. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 06/2412O16 02:29 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalydical www.pecelabs.corn Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Burlington SO-001 Pace Project No.: 92301767 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92301767001 Burlington SO-001 SM 2540D EDEN123188 92301767001 Burlington SO-001 EPA 9040 EDEN123169 92301767001 Burlington SO-001 EPA 1664B GCSV/25335 92301767001 Burlington SO-001 EPA 200.7 MPRP/22112 EPA 200.7 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/24/2016 02:29 PM without the written consent of Pace Analytical Services, Inc.. Analytical Batch I16ISFIR `Li Page 10 of 13 aceAnalytical* aty ticai wvrvr,pacelahx.c4m Section A Required Client Information: CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody Is a LEGAL DOCUMENT. All relevant Fields must be completed accurately. Section B Section C Required Project Information: , i Invoice Informallon: M m CL Page: of Company: d�, Report To: gjtAttention: 1 I � jA / L Address: �2 Copy To: Company game: REGULA�ORYAGENCY f - ) 7 N e • 7"�� Address: . !4 u � �NPDES' f GROUND WATER r DRINKING WATER r UST r RCPA j�. OTHER Emaff To: L Purchase Order No.: Pars ouote !J / r Raferenrs: phone: Project ama: Pees Proled Slte Location Manager. • STATES ' s Requested Duo D2td1TAT: Project Number: Peca?MMe#: =Requested AnaEysls'Ftitered (YIfV), , Sectfon ❑ Matrix Codes -- Reqro uidCilant Irformotlor MATRIX f CQDE o . M COLLECTEDPreservafives Drinking Water DW S ° z Water WT Wasla Water WW cIi c�a eoaSITE CCwwaSKE o _ Product P m qw STARTENO1cRA6 , SoIlfSotld SL g p U) C�— . SAMPLE 1D oil OL w Wipe WA ¢ �"+. ✓� `S fA-7-D-9l;) Air AR 'Tissue 4 w o. a Z ro `�` r r!1 Sample IDs MOST BE UNJQUE TS O L) Z ® Ln , Other CT X w w O y p r � a a a U u O 0 ns itli a O NwLr� m N DATE TIME DATE TIME z x 2 Z Z O y`, it Pace Project No.) Lab LID. j _ fZ ;, 1J 8 � I 2060 3" d " 44 fj e s,1;ir sft ,92 old ^ �`.`; tit`` rA�t]ITIONAL-"1:0615fAENTS� --``�yr�i� " - - *RELINi?ifi5HEb BY1 AFFILIATION'i- '?;DATE S; 'S: ME;+ PTEd APFI1.lATION .i ,DATES : - .TIME ?� SAMPLECONDITIGNS L 9AMPLER NAMEANf] SIGNATLIRk� a i - _"-s ORIGINAL c `m c ' PRINT Name of SAMPLER: 1 —PL c Z DATE Signed SIGNATURE of SAMPLER:: , 2d� MMIDD E m$ a U m a N E 'Important Nota: By signlnp this form vote are aeceatlno PAr 'n N:T an J 4 1:C U ical.IZ6queM: HAIWOF- CSTODY I-Analyti D -The Chain -of -Custody is a LEGAL DOCUMENT. A C. ompiited accurately. Ahal Ali Pews must ac ytical- ce Section A' Section B:Section C., .4 7 Required Client InforrimaW. Required Project Informalion: Involce.lnforma�om- 7 . . . I - 1. f . : J.. 7 . Corn Repro t To: Attention: AM AL P Addre A." :4j 5 py Company amp: RE �:ddr4p: 1, '. NODES;.�'i r-',! GRdUN D WATER DRINKING WATER- - r usT r. kC" FOTHER Email To - w Purchase order NO Pace quote a T Referents: Phow p CN.,w Pace P roject. manager: - —ST-A C, Roquiegtacl Duo DatefTAT; Project Numben Paw Prowo m Requested analysis �lrj til N) 7 L .40 Moir K Codes MATRIX I QQD� CTE�D.,. L 'DrinkingWafer DW 5 VVT - Waal &[or ww a W COMPOSITE 'Prod p V m START ENO)GRAS z VSO So III Ild, , Oil OL. A 1p, 0 L) SAMPi I . WP Air AIR Lu w fL a: w 0. -77 _1 . . TM us TS �0 0 -- X w -Z 0 716, Ep �5- E0 C) 0 ig n < t9� -4t: D 7- ca Z Z X ho.1 • DATE' TIME -DATE I T ME Pac:e Pr6ject Lab'I:D-.-"�'.'.. 7_ ;1P I 1A 7-. OD t-�f A0461'. 11'7 li, Z 30- 46 OR -7 - C �2 s42m Eplw,�R'9001 Q F W -SAVIPL�;Cb�DriiONS ut'0310 4. 7 . . ...... z PRINT INiami SAMPLER: of Ilia J�j �L 1, h E a SIGNATURE 61 SAMPLFR: 14 1 I DATE Signed' a vi��biyr.• U) 1mponavINOTC BY Signing this form you are sm'pft Pace's NET30 day payment Ieftft and dorsaffic I. I.I. nh.— of I .. .... . . . . r . . , _ " .-.1 1•1. .— - - - 1h A_ . .. I Documbnt Name: Document Rev . isdol, May 24i 2016 6 al" Satiple Conic �po� kec�eit(SCUFQ Page I of 2 Docum6qt NO.: F-EDN-05-003-Rev.14 Issifing 4thority. Pace Men'Quality Office Name: Ka_&,1L,S Courier; ' rJFed Ex Elm Own EIC1.1 ❑ commerdal 10ace. FlOther- C-ustpuy seal.rosellu []Yes �a Seals intact? LJyes LiNo Date/initials Person EX6MInih9 Contents: Packing Material:' DBubble Wrap nNone u D. ubble Bags -ElOthec. ED007 Type pf Ice; . et 0 0.0 ':b$a'm'ples�'on Ice, tooling process has Therntometer. E381u, N ne. begs Corr6ction Factor O&C Cooler Temp Corrected ('C)- LV Biological TlAue Frozen?, []Yes E]N/A Temp should be above freezlngt'o VC. USDA Regulated Soil ([] H/Awai4samplej, Did samples originate In a quarantine zone within the United States, CA, NY, of SC (check maps)? Did samples originate .from 'a foreign source (internationally, 11yo5 Mmn including, "nwqli and Pjiprrn McoMMYes' - FINO 'Comments/Discrepancy: Chain of Custody Present? LIfes []No [INIA Arrived within Hold Time? Yes []NO ON/A 2. -Samples Short Hold Time Analysis (,472hr.)? -'[Ves �ho 0 . N/A Rush Turn Around Time Requested? rIv— No [INIA -4. 3ufflclent Volume? Correct Containers Used? Kes ONo []N%A P. -Pace Containers Used? vfydi []No EINIA -Contalners.intact?, [2ytei bNo QN/A .7. Samples Field Filtered?" E]Y�s- dnd C� �NIA No: container 8 t6 if. sedi'rnidrit I� visible ii, the dissolved Samplet*.abOs Match COO Ye's ONO `-Includes Daterlme/lb/Analysls Matrix: ry All cokalner's needing acld/base preservation have be6 10. KCIPH<2 checked? dyes ONO ONIX All "containers needing preservation are found to be in compliance with EPA recommendation? xuaPHa ' (HNO3, H2504; HLI<2, -NaOH >9 Sulfide, NaOH>12 Cyanide) Yes ONo ON/A WOW= Exceptions: VOA, Collfokm, TOC; Oil and Grease, (water) DKILLHg_-. ONo LNIA _RRO/8015 Samples . checked for dechlarination? ONO [)N/A Headseace 1n.VQA Vials (>576Mm)Z yes []No EIN?A 12. Trip Blank Present?, YeYes'[DNIA 13 Trip Blank Custody Seals Presint? [.]Yes. Na Pace Trip Blank Lot# (if purchased) CLIENT NOTIFICATION/RESOLUTION Aeld 6ataRequiired? Oyes []NO, Person Contacted, Date. T1me-.--- Comments/Sample Discrepancy., Project Manager SCURF Review:' Date. ew . vJ Project Manager SRF Review. Note; WMneverthere is a d1scret4ticY affecting North Carbliva conipliapce samples, a copy of this ibrin Mll be,sent to the No Carolinh IJEHNRICertificatiOn Office (Le. Out of hold, incorrect preservative, out of temp, -incorrect container's)' Page 13 of 13 C. RECE IVED ATJ1A W A 2 2015 NCDENR keENTRAL ALES �' DWR SECTION Stormwater Discharge Outfall (SDO) (qualitative Monitoring Report Forguidance on filling out this form, please visit: htW:J/aortal.ncdena.ore/web/ivcl/k•,rs ski/iipdessiv4tati-4 Permit No.: N/C/6 Facility Name: County: A IA - Inspector: _ _ Date of Inspection: Time of Inspection: Total Event Precipitation (inches) 1 +g Z Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) KYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "treasurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By thin sigo4ure, 1 certify,oh ft this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 m aceAnalytical [ www.pacelabs.corn SAMPLE ACKNOWLEDGMENT Samples Submitted By: SAPA Extruderllndalex Client Project ID: SEMI ANNUAL SAMPLE Client PO#: CC: Michael Riley 9800 KinceyAve,, Suite i00 Huntersville, NC 28078 (704)875-9092 Pace Project Manager: Brittany Gibson Phone (336)623-8921 brittany.gibson@pacelabs.com Pace Analytical Project ID: 92261004 Samples Received: July 29, 2015 04:45 PM Estimated Completion: August 12, 2015 Pace Analytical DatelTime Customer Sample ID Lab ID Matrix Collected Method OD 001 92261004001 Water 07/28/15 15:40 200.7 ICP Metals Copper, Lead, Zinc 2540D Total Suspended Solids EDN 608 GCS Pesticides and PCBs 624 Volatile Organics 625 Semivolatile Organics 9040 pH HEM, Oil and Grease ShippinglCourier Charges Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. Page 1 of 1 ,�aaeAnalytical xWW.paeeta6s.carn Michael Riley SAPA EXTRUDER/Indalex 1507 Industry Drive Burlington, NC 27215 Project: SEMIANNUAL SAMPLE Pace Project No.: 92261004 Sample: OD 001 Laboratory Report Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 Page 1 of 3 Report Date: 08/11/2015 Date Received: 07/29/2015 Lab ID: 92261004001 Collected: 07/28/15 15:40 Matrix: Water Parameters Results Units Report Limit Analyzed Qualifiers Total Suspended Solids 455 mg1L 5.0 07/31/15 10:58 pH 5.6 Std. Units 0.10 07/31115 10:17 H3, H6 Oil and Grease ND mg/L 5.0 08/05/15 11.39 Aldrin NO ug/L 0.050 08104/1516:31 alpha-BHC NO ug/L 0.050 08/0411516:31 beta-BHC NO ug/L 0.050 08/0411516:31 delta-BHC NO ug/L 0.050 08/0411516:31 gamma-BHC (Lindane) NO ug/L 0.050 08/04/15 16:31 hlordane (Technical) ND ug/L 0.50 08/04/15 16:31 .,4'-DDD NO ug/L 0.050 08/04/15 16:31 4,4'-DDE ND ugiL 0.050 08/04/1516.31 4,4'-DDT ND ug/L 0.050 0810411516:31 Dietdrin ND ug/L 0,050 08/0411516:31 Endosulfan I NO ug/L 0.050 08/04/15 16:31 Endosulfan II NO ug/L 0.050 08/04/15 16:31 Endosulfan sulfate NO ug/L 0,050 08/04/15 16:31 Endrin ND ugiL 0,050 0810411516:31 Endrin aldehyde ND ug/L 0.050 08/04/16 16:31 Heptachlor ND ug/L 0.050 0810411516:31 Heptachlor epoxide NO ug/L 0.050 08/04/15 16:31 PCB-1016 (Aroclor 1016) NO ug/L 0.50 08104/15 16.31 PCB-1221 (Aroclor 1221) NO ug/L 0.50 08/04/16 16:31 PCB-1232 (Aroclor 1232) NO ug/L 0,50 08/04/15 16:31 PC5-1242 (Aroclor 1242) NO ug/L 0,50 08/04/15 16:31 PC13-1248 (Aroclor 1248) ND ug/L 0.50 08/04/15 16:31 PCB-1254 (Aroclor 1254) NO ug/L 0.50 08/04/16 16:31 PCB-1260 (Aroclor 1260) NO ugfL 0.50 08/04/15 16:31 Toxaphene NO ug/L 0.50 08/04A516:31 Copper 44.7 ugfL 5.0 08/0411519:48 Lead 6.8 uglL 5.0 08104f1519:48 Zinc 306 ug/L 10,0 08/0411519:48 Acenaphthene ND ug/L 5.0 08/10/16 06:52 Acenaphthylene NO ug/L 5.0 08/10/15 06:52 Anthracene NO ug/L 5.0 08/10/16 06:52 Benzidine NO uglt- 50.0 08/10/15 06:52 L2 Benzo(a)anthracene NO ug/L 5.0 08/10/15 06:52 Benzo(a)pyrene _nzo(b)fluoranthene ND ND ug/L ug/L 5.0 5.0 08/10115 06,62 08/10116 06:52 - denzo(g,hJ)perylene NO ug/L 5.0 08/10/16 06:52 Benzo(k)tluoranthene NO ug/L 5.0 08/10/15 06:52 4-Bromophenylphenyl ether NO ug/L 5.0 08/10/15 06:52 Butylbenzylphthalate NO - ug/L 5.0 08/10/15 06:52 4-Chloro-3-methyiphenol NO ug/L 5.0 08/10/15 06:52 b is(2-Chlo roeth oxy) methane NO ug/L 10.0 08/10/15 06:52 Page i of 6 aceAnalytical www.pacelabs.com (-- ample: OD 001 Parameters bis(2-Chloroethyt) ether bis(2-Chloroisopropyl) ether 2-Chloronaphthalene 2-Chlorophenol 4-Chlorophenylphenyl ether Chrysene Dibenz(a,h)anthracene 1,2-Dichlorobenzene 1,3-Dichlorobenzene 1,4-Dichlorobenzene 3,3'-Dichlorobenzidine 2,4-Dichlorophenol Diethylphtha late 2,4-Dimethylphenoi Dimethylphthalate Di-n-butyiphthalate 4,6-Dinitro-2-methylphenol 2,4-Dinitrophenol 2,4-Dinitrotoluene 2,6-Dinitrotoluene Di-n-octylphthalate 1,2-Diphenylhydrazine bis(2-Fthy1hexyl)phthalate Fluoranthene Fluorene -exachtoro-1,3-butadiene 7texachiorobenzene Hexachlorocyclopentadiene Hexachloroethane I ndeno(1,2,3-cd)pyre ne lsophorone Naphthalene Nitrobenzene 2-Nitrophenal 4-Nitrophenol N-N itrosod imethyla mine N-Nitroso-di-n-propylamine N-Nitrosodiphenylamine Pentachlorophenoi Phenanthrene Phenol Pyrene 1,2,4-Trichlorobenzene 2,4,6-Trichlorophenol Acrolein Acrylonitrile Benzene Bromochloromethane Bromoform Bromomethane Carbon tetrachloride Chlorobenzene Chloroethane 2-Chloroethylvinyl ether hloroform Chloromethane Dibromochloromethane 1,1-Dichloroethane 1,2-Dichloroethane 1,1-Dichloroethene trans-1,2-Dichloroethene PaceAna[ytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (335)623-8921 Lab ID: 92261004001 Collected: 07/28/16 15:40 Matrix: Water Results Units Report Limit Analyzed Qualifiers r� ND ug/L 5.0 08110115 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ugiL 5.0 08/10/15 06:52 ND ugiL 5.0 OSMO/15 06:52 ND ugiL 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug1L 5.0 08/1Oil 5 06:52 ND ug/L 5.0 08/10/15 06,52 ND ugiL 5.0 08110/15 06:52 ND ug/L 25.0 03/10/15 06:52 ND ugiL 5.0 08/10/15 06:52 ND ug/L 5.0 08110115 06:52 ND ugiL 10.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 20.0 08/10/15 06:52 ND ug/L %0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10115 06:52 ND ug/L 5,0 08/10/15 06:52 ND ug/L 10,0 08/10/15 06:52 ND ug/L 5,0 08/10/15 06:52 ND ug/L 5.0 OW10/15 06:52 ND ug/L 10.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 50.0 08/10/15 06:52 ND ug/L 5.0 08/10115 06:52 ND ug/L 5.0 08/10/15 06:52 ND ug/L 10,0 08/10/15 06:52 ND ug/L 10.0 08110/15 06:57 ND ug/L 5.0 08110/15 06:52 ND ug/L 6.0 08/10/15 06:52 ND ug/L 5.0 08/10/15 06:52 ND ugiL 5.0 08110115 06:52 ND ug/L 10.0 08110/15 06:52 ND ug/L 5.0 08/04/15 09:24 ND ug/L 50.0 08/04/15 09:24 N❑ ug/L 2.0 08/04/15 09:24 ND ugiL 2.0 08104/15 09:24 ND ug/L 2.0 08/04/15 09:24 ND ug/L 2.0 08/04/15 09:24 ND ug/L 2.0 08/04/15 09:24 ND ugiL 2.0 08/04/15 09:24 ND ug/L 2.0 08/04/15 09:24 ND ug/L 5.0 08/04/15 09:24 M1 ND ug/L 2.0 08/04/15 09:24 ND ugiL 2.0 08/04/15 09:24 ND ug/L 2.0 08104/15 09:24 ND ug/L 2.0 08/04/15 09:24 ND ug/L 2.0 08/04/15 09:24 N❑ ug/L 2.0 08/04/16 09:24 ND ugiL 2.0 08/04/15 09:24 Page 2 of 3 Page 2 of 6 aceAnalytical www.nacelabs.00m �--ample: OD 001 Parameters 1,2-Dichloropropane cis-1,3-Dichloropropene trans-1,3-Dichloropropene Ethylbenzene Methylene Chloride 1,1,2,2-Tetrachloroethane Tetrachloroethene Toluene 1,1,1-Trichloroethane 1,1,2-Trichloraethane Trichloroethene Vinyl chloride ANALYTE QUALIFIERS Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)623-8921 Lab ID: 92261004001 Collected: 07/28/15 15:40 Matrix: Water Results Units Report Limit Analyzed Qualifiers NO ug1L 2.0 08/04/15 09:24 NO ug/L 2.0 08/04/15 09:24 NO ug/L 2.0 08104/15 09:24 ND ug/L 2.0 08/04/15 09:24 NO ug/L 2.0 08/04/15 09:24 NO ug/L 2.0 08/04/15 09;24 NO ug/L 2.0 08/04/15 09:24 NO ug1L 2.0 08/04/15 09:24 NO ug/L 2.0 08/04/15 09:24 NO ug/L 2.0 08/04115 0914 ND ug/L 2.0 08/04/15 09:24 ND ug1L 2.0 08/04/15 09:24 H3 Sample was received or analysis requested beyond the recognized method holding time. H6 Analysis initiated outside of the 15 minute EPA recommended holding time. L2 Analyte recovery in the laboratory control sample (LCS) was below QC limits. Results for this analyte in associated samples may be biased low. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. Reviewed by: Brittany Gibson bdttany.gibson@pacelabs.com (_ ..ttarlotte Certification IDS 9800 KinceyAve-Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification IDS 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #; 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #; 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification ft: 460222 North Carolina Wastewater Certification #- 633 Virginia/VELAP Certification #: 460025 Page 3 of 3 Page 3 of 6 v 4M , STR SPEZ:7Y PgllirNG CEN=l NI;JILEAPOUS, INN 55414 • 512.578.7778 1 - a Y QHAl.N-QF-QUST0DYl. Analytical Requgst Document o Thd Clialn pi Cs3sWdyls:a LEGAL DOCUMENT. All relmont fields inust tseFcafnpleted,acwraleFy. .!!! aceA�aalyric�f Scctior}:A Seei;ion,B Section C Y RC�uffCtl'��jefiS InfpU11840f1t' ltequirad Prcjncflni6rmatOn; . Invn'xrn InTnrrnaKnn• - - ' CAraPa 1L' r CLa RepoaTo: .. 1 •.... ACen[Ian; . dS� .. ,� Address: fir- j acu G'r-0'1C' COPYTn:: CompanyNamei ... dt r��'S:` R£GUf ATORY AGEIISCY�,. p , ndares;��^'' !� 4!. �s�1PDES' r GROIiNp WATjcit. ORINKSIVCG WATER: usr r' Rcs�a, EmaZTq �..., iQ =+dh .. Puic3lpse Order No:•' . Paco quoit . .._ - - .,, -, .. -. ... Pnona�pp - pax¢ - PTaiectNama� .... ... 3JC.- Paee Projgd ... - StiRaoei• n SI''. t ''' ., +''•"°•fe.:3• - -. -. Re pes}odrA:'' q Dde7 tWTAi's: P7ojectNum6er.: • . :�j Pac'nPraneR:' - __ -._ - - 'Rs,quested•A3afjrsi,S:FiI#etesi;'(Y1td);'.�<,� ° �, ,�::, - -" L '- -": --Y- - , r �F .A • r . ' ''r.��.- - s Section D (matrix Caries Ftequ�odC6diitlnfarm�t'ion` .� o •. .� Q. COL'�E=CT�13 �� P�eservaGvBs F�� N•: � — . � e .. [iljft�ilg Water UYY per: NlastaWatca. Vl'lrli Product.' 'p c Soi115o�d SL OL 'm' mmposrse � srurr' =?PM Eubrusua U. w .� �" a IZ v71����, �� Wip_c W� -., _ Q LU N, 'A `•-� : C 01 Sarnylc'IlusMl75TUUNIOIiE Tis'sve '7S O 'a•- w+ w m -1 LU- d �, �I L} p C13 O O �gdy QA'TE 114W 'DATE:: 31ME o :�' L 'IX' PAC4Prb1CCt.Nd.I L'db.I:CI. r L i�27. PJ?' Cl -g�': fi A,q ��g ��"9. , • �'2.�� . �� . �) :3y�'�7J - � - � -._ 9..! • S ,�•�j�� ,��,Q-,f� CY�6!� � .? i � � - _ . ' % it �n�jv�p0 la Qce - Sfl R/' _ • fik?tJ . S��iki . ''� :Cr'1 ' dl i �' ``L4�*. i7 i' p"p7��. 72 r r'• 'w!';:•' "',,, AOGtY{GNAI.CpFv7MkNT51 - :.� R8L3NtdUIS" ED8X{AFF'SLtpilt7N•I ,'�4+�I� 'C�1TE 71ME i •GF,PT -BYI FILtA1'1aN .1...=l _ - DA7E'; + -T3tA 'E:_ SAMP.LECOROTf10NS G to 'eA k a: ' 1� ell_ I' .A �,' ' % . r a F " j °• �G �5. I' ,, C ' �I DbdufnbfiVNdft: DoWniefit Rev'ffdd:"M mll)16-Condition URon: Rec6I _df..2"" ;FrCHRtCSI063rfevI is ace Httnfer'sv3fle°Quell _D Ice.. E kbv� '04.6ft Nam.q�; 604rfery Q Fddl& UPS voiCt crwrit[] cdffTiwmiJO &VOffie tar Custody -Sear on -pool er/Bbx 0*90. ❑ yes:Seals-in . e' .. I . 7 ; as Picking: Material ❑ BUUblb vt5p: 0 '-84bbleL..BaC.s,Ej None 0. other TherinorneterUsod:-_IR.'Gun- T4401 Typelof:ice(w t glue cooling_ begun: _&cet Tenip:P6re.&tlon Factorl T1401*o.b.prredioh 1s:Fi6iifs: "Yes ,No. H1A 'Tqfnp. 'hpuld.bq:qbqKp�f�,�L,�J%jo 6T A ... . . . . _. _. . .' . . ..., mfo-Wid9inifla f contents;- j -7 'CU'St'bdi Present-.', CNiTn'4 Ch6in-of-C'Vs(ody.-"Fjl!60:.O.ut!. '.q.YPS 9K 'Ok/A' '2. OhahofQustody. RellnqAheO:. Milk S6mpjer'N9me.&jSiqnaturefzon CC . iC;: .11NIA! 4.. - Sarnples-Arrivedv . ithin H61d time:P4' qo'� j]NIA' 5. 'Q.Vq� ONo ;ON." 6.; Rue - h turn -Around T , irnedkequesfeta-, .0 WA, 7-.. Correct. -Containers Used- -Pace-.Conlainejrs Used: Yes ONo 'D urA Elm OQnW . i . neIrs Intact: O'NIk Filtered-,�durne received for I'Nssoliv"e6ests Oyes ONO, .6eA-. 7 Sample Labels matqh;000-, ©Yes! Oti"ONIA -Includes.dale/tIme/11DIAnalysis :Matrix: 21 - L6.. T.14s;. 'ONo -DWA. fs-he ing:proe -io All containers heed ''r'qAq6na Joundtobdin, A: _OW n th,EPA recomrnendation. ce.wi exoapV15flS:L_VOt', OoIiform;TOG,.O&G.VVI-DR .. O,{water) �Ye 101 tN4 Ob Sbmples,checked for d echlorina tiom HeadspAoelin VOA Vials:(->6MM)-_ 1111(� 3. o-A-5 TrIpBlank Present 'CWes ONO 12f!)� Trip :Blank Custod . y,Seals-Prbsefit ZWes ONo @dJA-. -,161- San a6 T�A' 'on EW ClienMfflficitl6rif Resolution: Feid Dafit.Requirej? y 1. jw Reriswrircdnthcte�d: DOOT-Irnel: CPpMOn.t.d. Re.sbljjliOhqI SC60!k6VI lj)aii: lah&hoie- 1312ZAb QRL 'T Nole.':WN ert disc affecting a E compliance- neV there a. ro inal samples, a copy of this form will besehtto.the*:'iio�h Ca�lina, 6EH4k Handwrite . jppojebt �Qtnbet 7CbrtiFJ.batIbn Office (1:6 out of hold, fric.0rect pr�eservktivi,. out 61' temp; incorrect;cdn Pdge 5 of 6 !t7sO O Ail AN 24 90 AS AN 12 MINE MEMOMMUMME MEMEMMOMM M No MOMMOMMEMMEMEMEMEMMEN■ dlieht. 8atbpl l��7amole blsoreponq . - P. q$ AqjWM6ht Log for Preserved Samples sample ID: a.- Type of Preservative . . . -.1; oj-L: upon. receipt ."Aolusted -1 pat6 prs5Oivgoif TP t e, Pfes 0 rva t fo n Adjusted. Amounuq: Pfewvaiive*OeO- LoWd Preservative. 125-IMI Risk U- h .0BP4U .260.ml PWk Unr): SM 50.0 nit Plastic Uhp-. BP2U IliterimstidMrip:,Bm -.260.trnl Plastic H1804, BP8S .:250 rail Rla0o.HNO.3`,8.P3.N .260 MI Plastic ZN:-A66tate* BP3Z 2.56.ml Plastid WK 8 . P3C Wide:mouthed giks.j a.r:uop-.. WG FU i Litar.Amber-Crop; "AGlU I titer- ArOol, HCI: AG I H 6CO3rnl:M.E er-I.o,,. AG20, f-L'IterAfnPer.H2Sw -04- AG-18! -2%nil-Amb6r--'42SG4,.'AG3$ 7250,ml Amber M40L, AG3A 4o.i.ni VOA FiC i: DG9H 40 ml VOA Nb2S203: V09T 40, ml VOA U np: VGOU AO.MtfOXMP04' OG9P .:5035Klt:VQAK-- VPH Gas KltmiVIGK 46 Mil-8terflb Pfisl(p: SPbT 250 ml StdrfleRlifstidt 8 P2T MO mLPfbsUc- (N!V)$04. BP3A, pig e-'6' 'o"f-6 .y It Stormwater Discharge Dutfall (SDD) Qualitative Monitoring Report Permit No.; NICIIIM} IJ I l OL99— Q/ or Certificate of Coverage No.: NICIGIAIJIe /%/6f1 1 Facility Name: A$M_ &k: u;�3 County:. Inspectoi Date of I By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Pernnittee or Designee) I. Outfali Description OutfalI No. % Structure ( ipe, ditch; etc.) —RI& - Receiving Stream- A & s.m,+����k Describe the Indus ial activities that occur within the outfall drainage are ' AXW' ., acI �IvAde2e, /fjd QI� .� R+r�r`_ Erin. �riLlS!`Ze_ W.1lrtG _SI�7#ti 2. Color Describe the color of the-- dis-charge usin basi colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: r .N�tt� I��i7 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc_) /j 0/i 4 ` 4. Clarity Choose the number which best describes the ciazity of the discharge where I' is clean' and 10 is very cloudy: 1 2 3. 4 5 b 7 8 10 Page I swu-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the ,stonmwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 6 7 S 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the storrnwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the storxnwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?_ 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 styli-242-020705 if4 A Stormwater Discharge Outfall (SDQ) Qualitative Monitoring Report Permit No.: NIC/�IL? 1,�/73/ �l / l or CertifCate of Coverage Xyr, . Wlr l(l Facility Name: --f, County:.Phone No. g Inspector: bL,)A Date of Inspection: By this signature, I certify that this rjebort jj1L--Uj'-1-� (Signature of Permittee or Designee) 1. Outfall Description OutfalI No. Z' Structure ( ipe, ditch; etc.) Pf� Receiving Stream: t�E 14'a C f Lek' Describe the industrjal activities that occur within,the outfall drainage is accurate and complete to the best of my knowledge: r 2. Color Describe the color of the discharge usm* basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: jC11T 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) 4.' Clarity Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very cloudy: 3 4 5 6 7 8 9 10 Page 1 SWU 242-020705 S. Floating Solids Choose the number -which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy- 1 0. 3 4 5 6 7 8 9 10 7. Foant Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below 'the outfall?. 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious indicators of Stormwater Pollution List and describe Yes Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 5WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC/Qjl� 11 V/ D/c?/7/ or Certificate of Coverage Na: N/C/G/AlII I Y1l Facility Name: �,4/J4- County:. Tnspectoi Date of I By this s ignature, I certify that i report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. Structure ( ipe, ditch; etc r Receiving Stream: 9e' Describe the Indus al activities that occur within the outfalI drainage area: �u �� U 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: else-wL. t ich 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorin:e.ador, etc.) &) 0,j - 4.' Clarity Choose the .number width best describes the clarity of the discharge where f is clear and 10 is very cloudy: 3 4 S 6 7 S 9 10 Page I 5WU-242-020705 5. Floating Solids Choose the number .which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of,suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes eo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?, Yes 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. - Page 2 SWU-242-020705 tfd�t�. 0 Stormwater Discharge Outfall (SD®) Qualitative Monitoring Report Permit No.: NIC/JIP} /,ll Q/er?/Ql or Certificate of Coverage No.: NIC/G/&,Yl0 I % 1 c?ll Facility Name: ., 1Apk fk-Mudbz-5 County:. Inspector Date of I By this signature, I certify that th s 'port is accuzate and complete to the best of my knowledge: j e (Signature of Permittee or Designee) 1. Outfall Description Outfall No. Structure ( ipe, ditch; etc.) pip' Receiving Stream: % G etc.) D`eqsfJcribe the industri 1 activities that occur within t/hje�loutfall drainage area: uc � Dilc� U.+J�ca.� 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: AZ e- -3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) 040; 4.' Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: 1 3. 4 5 6 7 S 9 10 Page I 5 WU-242-0207os 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 3 4 5 6 7 8 9 10 6. Sbspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2� 3 4 5 6 7 8 9 10 7. FORM Is there any foam in the stormwater discharge? Yes Nn - S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?. 10. Erosion at Outfall' Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Storm -water Pollution List and describa Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 SWU-242-020705 f -6 l �, R-, - - -�.9-ors, �. r r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NJCfCOAJ1V I D/<!l Facility Name: j,4,0 r County: " Inspector Date of I By this signature, I crertify that this re or Certificate of Coverage No.: NIC/GIQLJJc0 accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Ovtfall Description Outfall No. -3 Structure ( ige, ditch; etc.) Receiving Stream: A Cc- lie` Describe the industrial activities that occur within.the outfall drainage area: 'IT 2. Color } Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LAeA A- L' " 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine"odor, etc.) ej 4. Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: 1 3 4 5 5 7 8 9 10 Page 1 SWIJ 242-020705 5. - Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 3 4 5 6 7 8 9 10 G. Suspended Solids Choose the number which best describes the amount of -suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes_. 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes10 Note: Low clarity, high solids, andlor the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 5 WU-242-020705 C NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. - Permit No.; lV/C/-Q1_00/-0/ Facility Name: _J404 County: AIA0414 bC.t Inspector: ,A A, 6 Date of Inspection: . sca Time of Inspection: /: Total Event Precipitation (inches): C I or Certificate of Coverage No.: Phone No. -)156 -_-;t:4 7 - IVED -VA", 5 2015 qF_ NT__RAL FILES DWR SECTION Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes � No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event' (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall 1 and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the Iocal DWQ Regional Office. By this signature, I Fertift Mat this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2o42 p `'1 Permit No.: N/C/c Facility Name: County:.. Atar Inspector: . &I Date of Inspection: By this, sigV44ture, I !rk 1 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report R' / O-La- U/ or Certificate of Coverage No.: NIC/GIAU55 e l I /d?/f / 2. No. report is accurate and complete to the best of my knowledge: (Signature of Pernvttee or Designee) 1. Outfall Description Outfall No. �� — Structure { , ditch; etc Receiving Stream: k ipe- Describe the ind4strial acti .ities that occur withinf the outfall drainage area: L16ff 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: -d 1e4P 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) - 4: Clarity Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very cloudy: Ili 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. • Floating Solids Choose the number .which best describes the amount of floating solids in the stormwater discharge where 1 is, no solids and 10 is the surface covered with floating solids: 0 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of. suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: S2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. . Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?. Yes No . 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 sWU-242-020705 Permit No.: NICte Facility Name: County:.. naan Inspector: Date of Inspection: By this sigtlaWre, I F*3 __ . Stormwater Discharge Outfall (SDO) Qualitative Monitoring :Report c1u f�, ay/Y- certify th t is report is accurate and complete to the best of my knowledge: -IJG (Signature of Permittee or Designee) 1. Outfall Description OutfalI No. -2— Structure ( ipe, ditch; etc.) pt pr= _ Receiving Stream: Describe the - dustrial activities i that occur within the outfall drainage -area: l'u m , n.r lA G , A(a[Fc,..�u,w tlr l� �c�� oAti (1,ic' . 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: i4•1 E-AI?-. 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) u,),o Qcic a- 4.' Clarity Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very cloudy: If 2 3 4 5 6 7 8 9 10 Page 1 swu-242-020705 �J 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is. no solids and 10 is the surface covered with floating solids: l� 2 3 4 5 6 7 8 9 I0 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and t0 is extremely muddy: 0 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes N S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material {sediment, etc.} at or immediately below the outfrall? 10. Erosion at Outfall' Is there erosion at or immediately below the outfall? Yes N0 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes IN01. Note: Low clarity, high solids, and/or the presence of foann, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 5WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICLCL)/0 !t Facility Name: County:.. YW Inspector: - i2 o l l /'J" Date of Inspection; A By thik signature, I ceftiF 01 Qld I D7l or Certificate of Coverage No.: NICIGI )IJ1.011 IY1 e1 -'aeud,Z5 - - - No. L-Z --927- this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfafl Description OutfalI No. IF Structure ( ipe, ditch; Receiving Stream: o�1&' FBA' All Describe the industrial activities that occur,with e/C tom_ 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: - (- Gg Pe- 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) I' -so OGIa f?_ 4.' Clarity Choose the number which best describes the clarity of the discharge where l' is clear and 10 is very cloudy: 0 2 3, 4 S 6 7 8 9 10 Page I SVIV-242-020705 5. Floating Solids 1 Choose the number which best describes the amount of floating solids in the stormwater discharge where i is no solids and 10 is the surface covered with floating solids: : 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: r !1� 2 3 4 5 6 7 8 9 t0 7. Foam Is there any foam in the storrnwaterdischarge? Yes No/ S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes N 9. - Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 09 — to. Erosion at Outfall Is there erosion at or inunediately below the outfall? Yes N00. 11. Other Obvious indicators of Stormwater Pollution List and describe 4 rJ s! dint Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action.. Page 2 SWU-242-020705 O WA7- 3 Q - *< Stormwater Discharge Outfail (SD®) Qualitative Monitoring Report Permit No.: NICIC�I� l,l I f1//�l or Certificate of Coverage No.: NIGGIQ/5Ic21 I /-1 —el Facility Name: A o4- FX u S County:._: A4Ar.kZ4:!- --- Phone No. 334 ff-2 _ Inspector: fle1/-- Date of Inspection: Pf A tr X lay this si atur I certify tha t is report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfali Description Outfall No. Structure ( 'Pe, ditch, etc.) 4LIPO' Receiving Stream: 0,eac Desc 'bet industrial activities that occur within the outf it drainag area. o� � �F Aiu�,w�rs-� p � _ �A. 2. Color .t Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, rnediurn, dark) as descriptors: L-y )- l- ri jOA6, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) ►� 08 00— - 4.' Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: 1 2 � 4 SwU-242-020705 5 6 7 8 9 10 Page 7 5. Floating Solids Choose the number .which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: : 1 2 3 5 6 7 8 9 10 5. Suspended Solids Choose the number which best describes the amount of -suspended solids in the stormwater discharge_ where 1 is no solids and 10 is extremely muddy: 1 2' 3 4 5 7 8 9 10 t4f)tF-' 7. Foam Is there any foam in the stormwater discharge? Yes QN S, Oil Sheen Is there an oil sheen in the stormwater discharge:? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?. 10. Erosion at Outfall- Is there erosion at or immediately below the outfall? Yes No�_�l 11. Other Obvious indicators of Stormwater Pollution List and describe Yes r No � Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-020705 �� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report f*orguidance on fiffing out this farm, please visit. htW://portal.ncdeDr.org/weL war /ws/su/nQdessw#taU-4 Permit No.: or Certificate cif Coverage No.: N/G1Li1!2/.3/-Q/-.fF/,f / Facility Name: —�A 't 'fie Ids County: IAe.4 j� Phone No. 7 Inspector; - , -A#-A A Date of Inspection: 7cce-4bd2 31 201q Time of Inspection: 10:6D AV,t Total Event Precipitation (inches) - Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ✓10 Yes ❑ No Mr-L;t:fVED DEC O g Z014 Please verify whether Qualitative Monitoring must be performetMrjh&gCr4ep ntative storm event" or "measureablestorm event' (requirements vary, dependfiii"yRraw eefr't3t). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureahle storm event." however, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall i and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 3 i 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. I A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter j interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this 4igniltjre, I cer4f}, t at/his report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page I of 2 SWU-242, Last modified 1fl/25/2012 Permit No.: NIC/t Facility Name: County:.. 'I-i Inspector: . i0i Date of Inspection: r• Stormwater Discbarge Outfall (SDO) Qualitative Monitoring Report 1 l.3/,01010101 or Certificate of Coveraze No.: NIOG1,91310I I &I el By this signature, I certi at this IOPO8 ccurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No, &OZ Structure( ipe, ditch; etc _ lA� Receiving Stream: 4, Des ri a the industrial, activities that occur within the outfalI drainage area:...5`ka a 19 A 13' �7 r + f�- - � ra ��� i`i��- �TRR1�r__ iii'itG� ! lL1i+d,e_ ;1�irt=ram �nn.ir'.,ur: - 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, mediunrt, dark) as descriptors: d L,ti � ipu 4" j 3. Odor Describe any distinct odors that the dischar e may have (i.e., smells strongly of oil, weak chlorine -odor, etc.) Ph)d 4.' Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: l./ 2 3. 4 S 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 2' 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or irnmediately below the outfall?_ Yes 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes N! 11. Other Obvious Indicators of Stormwater Pollution List and describe. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action.. Page 2 SWU-242-020705 era I R y Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NKLOLJ 1, or Certificate of Coverage No.: NICIGI I Ic el Facility Name: County:. - Phone No. Inspector: . ✓l ill, CNs -rL Date of Inspection:._�r.r%— ?D1 By this sign t �, r certify th t}iis report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Desetiption 3�p r" 1 7� 1/ef'° � Outfall No. ool Structure ( ipe, ditch; etc. _pI& Receiving Stream.- % AscA.?E��e,� Describe the industrial activities that occur withintlhre outfall drainage area. VgI7aC.fF ' Yet[! . f�dtZk' �. 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: d Ig-A - t-lo ` 1 i.J f� 3. Odor Describe any distinct odors that they di charge may have (i.e., smeIls strongly of oil, weak chlorine.odor, etc.) _ C 4.' Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: 2 3. 4 S 6 7 8 9 10 Page 1 swu-242-020705 S. - Floating Solids Choose the number which best describes the amount of floating solids in the storrnwater discharge where 1 is no solids and 10 is the surface covered with floating solids: �. 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of -suspended solids in the stormwater discharge where l is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the storrnwater discharge? Yes S. Oil Sheens Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall?_ Yes (js�2. 10. Erosion at Outfall ' Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action.. Page 2 swU-242-020705 Permit No.: N/C/. Facility Name: - County:. Inspector Date of I By this signature, 0 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report J/d l �/ 1 /�l or Certificate of Coverage No_: NIC/G/AA 33 0l /) del6l I ce 'fy that s r is accurate and complete to the best of my Knowledge: (Signature of Permittee or Designee) 1. Outfall Description 36 Outfall No. 003 Structure{ ipe, ditch; etc.) _p/Pe__ . Receiving Stream: C 422.�e' Describe the industrial activities that occur within the outfall drainage area: ;•1!k ;emu ,e,� 12ue-k —ran _ ��Y�F�fc P�iRii,:Qq 2. Color Describe the color of the discharge using basic coI rs (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe Rany distinct odors th t th discharge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) �[aJsYcu - 4. Clarity Choose the number which best describes the clarity of the discharge where f is clear and 10 is very cloudy: 2 3 4 S 6 7 8 9 10 Page I S WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: l 22 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount ofsuspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: to 2' 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes �- 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below'the outfall?. Yes No 10. Erosion at Outfall ' Is there erosion at or immediately below the outfall? Yes allo 11. Other Obvious Indicators of 5tornawater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant finther investigation and corrective action,. Page 2 SWU-242-026705 Permit No.: N/Cle Facility Name: ' County:. j4JAMA; Inspector: Al Date of Inspection: By this signature, I Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report 3/! l O101 Ql or Certificate of Coverage No.: N/ClG/Z) -'; e? / ! I Y -227` &TZ& that this repgn V accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description ,�' 3�., j `7�f Outfall No. 2re/ Structure ( ipe, ditch, etc.) _pIQC Receiving Stream: lG G 42126't Descri the indusstFr-ialjl activities tha/troccur within the outfalI drainage area: lour S�� 2. Color Describe the color of the discharge usin basic colors (red, brown, blue, dark) as descriptors: MA1 � s, v , J�A c{ L ,C %t.• I,.i and tint (light, medium, 3. Odor Describe any disti ct odors that a d}'sch ge may have (i.e., smells strongly of oil, weak chlorine.odor, etc.) No eel _ z e- m- - 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 6 7 8 9 10 Page I swv-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is. no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 S 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy- 0 2 3 4 5 6 7 S 9 10 7. Foam Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clari indicative ragto a S WU-242-02d7D5 Yes Outfall 004 Permit No.: MCA Facility Name: County:. Inspector Date of I: By this signature, I t� r `i C3 '� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report or Certificate of Coverage No.: N/C/G/J/e I % I & 61 certi%+,that this reports #curate and complete to the best of my knowledge. (Signature of Permittee or Designee) 1. Outfall Description -7q ".Z4# 4? OutfalI No. W_-V _ _ Structure (Pipe, ditch; etc.) �1p��_ _ Receiving Stream: & AboeAUCC OR-i Describe the industrial activities that occur within the outfall drainage area. 2. Color Describe the color of dark) as descriptors: 3. Odor Describe any distinct odors etc.) t-'"- i.JC [C A,; 4. Clarity sing basic colors (red, brown, blue, etc.) and tint (light, medium, scharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 7 S 9 10 Page I 5 WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 6) 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy. - DI 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution Yes o Outfall 005