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HomeMy WebLinkAboutNCG050151_MONITORING INFO_20171027STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ aotg 10 a� YYYYM M DD PERMIT NO. DOC TYPE DOC DATE STORMWATER DIVISION CODING SHEET NCG PERMITS /v Lc, I q cc) (-F+ ❑ HISTORICAL FILE 9 MONITORING REPORTS ❑ �o�. $ 07 Ds YYYYM M DD STORMWATER DISCHARGE OUTFALL (SDO) IVI� (I- /- -s J ONITORING REPORT Permit Number NCS ��Q G OCJ ! SAMPLES COLLECTED DURING CALENDAR YEAR:y 1 (This monitoring report shall be received by the Division no later than 30 days from Q the date the facility receives the sampling results from the laboratory.) FACILITY NAME —a\ � t \ r 1 I �. ll COUNTY c5_I_C'�, PERSON COLLECTING SAMPLE(S) rC,dC (�+�-.�/ PHONE NO. CERTIFIED LABORATORY(S) i -Err Lab # Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 No. Sample Collected Total Flow if a Total Rainfall mo/dd/�r MG inches jak kI- [ :C1 V C►�.. o - `}IJ (C 1 1 L_ 17 '.. IV 1 rCML FELL-.J U 'VM IDLv $ 1� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _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&GITPH (Method 1664 SGT-HEM), if appl. Total. Suspended Solids pH 'New Motor Oil Usage moldd/yr MG inches m /l me1L_-- ___ unitgal/mu Form SWU-247, last revised 21212012 Page I of 2 STORINI 1 VENT CHARACTERISTICS: Date 2-1} - i) r } Total Event Precipitation mches): o 1 Event Duration (hours): hcevS (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 pen -nit.) 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." CA r (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 8/10/2017 Lenoir, NC Monthly Weather Forecast - weather.com Lenoir, NC Monthly Weather 12:49 pm EDT Aug 2016 w TUE WED THU FRI SAT 30 31 1 2 3 Zoe 6 7 j 8 9 I 10 MONDAY AUGUST 7 A& 800 / 69° Cloudy 0.51 i n Full RECORD HIGH 990 RECORD LOW 490 4 5 =�' `lip .;'v: 11 12 SUNRISE 6:38 am MOONRISE 8:27 pm SUNSET 8:24 pm MOONSET 6:26 am I T 13 14 15 16 17 18 19 fj • fi., or, • !/ Y � 20 21 22 23 24 25 26 a .+'� = Avg , Avg 27 28 29 i 30 31 1 2 Avg Avg Avg Avg Avg Avg i Avg https:/Iweather.com/weather/monthly/l/USNCO384:1:US 1/1 NPDS Reporting Groundwater Report To: Blue Ridge Labs, Inc. P.O. Box 2940 Lenoir, NC 28645 Telephone (828) 728-0149 Fax (828) 728-0131 Chain of Custody Sanitary Landfill Hazardous Waste Industrial or QC UST/Trust Fund Reporting Bill To: Field Project Name: PO Number: Ice Present: Y N Preservatives Lab Check Non State Reporting C-Composite G- Grab Sample ID Sample Type Date Time Time & Temp I1R:MM °C Field Sulfide Check Y N Field Sulfide Present / Removed Y N Resid Chlor Field Check Y N Field Dechlorination Y N pH Resid Chlor POrA Temp °C Sampler Initials Analysis Requested if -fit C YL f� / �U�� /✓� SS /C UMC eli u'shed y: Date: Time: Rece' By: Date: Time: u Upon submission of samples. client agrees that invoices are due al the time work is completed_ Open accounts are due 20 d4s following invoice date. A finance charge of l .5% per month will be imposed on all pasfue accolmts. When relinquishing samples w Blue Ridge Labs (BRL), buyer authorizes BRi. to peribnn only the analysis indicted above and also agrees to pay collection and attorney tees if the account becomes delinquent. Blue Ridge Labs reserves the right to derv. documentation for any work yhere payment has no[ been made_ in effect rendering that data unsupported for regulatory purposes. BRI. cannot guarantee that an} regulatory authority will accept any work submitted. therefore it is the clients responsibility to request on this form appropriate tests. NC DENR Certified Lab #275 NPDS Reporting Groundwater R,oporl To: Blue Ridge Labs, Inc. P.O. Box 2940 Lenoir, AFC 28645 Telephone (828) 728-0149 Fax (828) 728-0131 Chain of Custody Sanitary Landfill Hazardous Waste [ndustrial or QC UST/Trust Fund Reporting Bill To: Field Protect Name: PO Number: Ice Present: Y N Preservatives Lab Check Non State Reporting C-Composite G- Grab Sample ID Sample "I'ype . Date Titne Time & Temp HR:MM °C Field Sulfide Check Y N Field Sulfide Present / Removed Y N Resid Chlor Field Check Y N Field Dechlorination Y N pH Resid Chlor PorA Temp °C Sampler initials Analysis Requested Fr rc #67 91rik 70­ OF eli 'shed y: Date: Time: Reeej4k__By: Date: Time: � % G; r I fpnn suhmission of samples. client agrees Ili at invoices are euc at the time wuti, is cornpIctcd. Opcn accounts arc duc 20 dat-s t'oHaw ifig invoice date. A finance charge of 1.5% per month Kill be imposed utt all pasiue accounts. When relinquishing samples to Blue Ridee Labs (BRI.1, bt:Yet authorizes BRi. to perli)rni only the anal) pis indimcd above and also agrccs to pay wllcction and attorney fees if the account becomes delinquent Glue Ridge Labs reserves the right to ticny dVCLItrlentation for any wort: where payntem has not hcen made- in effect renderin- that data unsupported for renulalury purpnses. BRL cannot guarantee that any regulatory authority will accep, any Rork submitted, therefore it is thu client's responsibility to revue:[ on This farm appropriate tests. NC DE:NR Certified Lab #277 INVOICE Blue Ridge Labs, Inc. Invoice # 2017- 0624 Date: 9/6/2017 P.O. Box 2940 Lenoir. NC 28645 Phone: 8287280149 Fax: 8287280131 Client: Sealed Air Corporation Bill To: Sealed Air Corporation PO Box 1018 PO Box 950 Lenoir, NC 28645 Duncan, SC 29334 PO NUMBER I LAB REF. ID�� TERMS LAB CONTACT PROJECT NAME I 598 Net 10 Days Steve Johnson Stormwater analysis Sample Name Outfall #2, Outfall #3 817117 TARGET NAME QUANTITY UNIT PRICE EXTENDED PRICE Oil 8 Grease 1664-A 2 S50.00 S100.00 pH 2 55.00 $10.00 Settleable Solids 2 S20.00 S40.00 Total Suspended Solids 2 S15.00 $30.00 Please Remit: $180.00 Upon submission of samples, buyer agrees that Invoices are due at time of delivery. Open accounts are due 20 days following the Invoice date. A finance charge.of 1.5 % per month will be imposed on all past -due accounts. When relinquishing samples to Blue Ridge Labs, buyer agrees to pay all collection and attorneys fees if the account becomes deliquent. Blue Ridge Labs reserves the right to deny all 4C and support documentation for all open accounts which are greater than 60 days. Additionally. Blue Ridge Labs also reserves the right to inform the appropriate local, state or federal agency that all support documentation is not available due to the failure to the above Invoice terms. Data used for compliance purposes will be rendered invalid for reporting until the account Is cleared. First Data - POS Page 1 of 1 TRANSACTION RECORD BLUE RIDGE LABS INC 522 PINE MTN RD HUDSON, NC 2863t United Scates TYPE: Purchase ACCT: Mastercard $ 130.00 USD CARDROLDER NAME Ann'ssia Wilson CARD NUMBER #@######H###8645 DATE/TIME 07 Sep 17 14:=2:05 REFERENCE # 001. C575354 T AUTHOR. # 072434 TRANS, REF. Approved - Thank You 100 Please retain this copy for your records. Cardholder will pay above amount to card issuer pursuant to cardholder agreement. https://globalgatewayc4.firstdata,com/vpos 9/7/2017 Blue Ridge Labs PO Box 2940 Lenoir, NC 28645 828-728-0249 blueridgelabsienoir@grnail.com Client : Sealed Air Corporation PO Box 1018 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date: 06-Sep-17 Sample Date: 07-Aug-17 RRL #: BRL 2017-0598 Lab Sample ID: LSID-2017-02192 Client Sample ID: Otttfal1 #2 Analysis Analysis Parameter Result MQL Unit Method Time slate Analyst Oil & Grease * 5 mg,'] 1664-A O&G Sf31,12017 W4`trQtly Reported By: S. J. nson, D.R. Wessinger * Concentrations are below Minimum Quantification Limit except where noted_ NC Laboratory Certificate No. 275 Page 3 of 6 Blue Ridge Labs PO Box 2940 Lenoir, AC 28645 828-728-0149 Client: Sealed Air Corporation PO Box 1018 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date: 06-Sep-17 Sample Date: 07-Aug-17 Bill, #: BRL,-2017-0598 Lab Sample 11): LSID-2017-02191 Client Sample ID: Outfall 92 Parameter Settleable Solids Reported By: blueridgelabslenoir@gmail.com Result MQL Unit Method * C.i ml/1 SM19 AO 0 & J. nson, D.R. Wessinger * Concentrations are below Minimum Quantification Limit except where noted. NC Laboratory Certificate No. 275 Page 2 of 6 Analysis Analysis Time Datc Analyst 14:21 8/7/2017 KC] Blue Ridge Labs PO Rox 2940 Lenoir, NC 28645 828-728-0149 blueridgela bslenoir@gma il.com Client : Sealed Air Corporation PO Box 1018 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date: 06-Sep-17 Sample Date: 07-Aug-17 BRL #: BRL-2017-0598 Lab Sample ID: 1,S[D-2017-02190 Client Sample fD: Outfall 42 Parameter Result MQL Unit Method TSS 52.5 12.5 mg/I 2540D 1997 PH 6.811T 0.1 su 45001-1-f-13 200 Reported By: S. J uson, D.R. Wessinger Concentrations are below Minimum Quantification Limit except where noted. NC Laboratory Certificate No. 275 Page 1 of 6 Analysis Analysis Time Date 15:55 8/9/2017 1 1:05 8/7l2017 Analyst KCJ KCJ Blue Ridge Labs PO Roe 2940 Lenoir, NC 28645 828-728-0149 Client ; Scaled Air Corporation PO Box 1018 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date; 06-Sep-17 Sample Date: 07-Aug-17 BRL #: BRL-2017-0598 Lab Sample fD: LSID-2017-02195 Client Sample ID: Outfall #3 Parameter Oil & Grease Reported By: bIueridgelabsIenoir@gmail.com Analysis Result MQL Unit Method Time * 5 rngil 1664-A O&G S. J. Wson, D.R Wessinger * Concentrations are below Minimum Quantification Limit except where noted. NC Laboratory Certificate No. 275 Page 6 of 6 ,Analysis Date Analyst &i3112017 WtrQlly Blue Ridge Labs PO Box 2940 Lenoir, ;VC 28645 828-728-0149 blueridgelabslerloir@gmail.com Client: Sealed Air Corporation PO Box 1018 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date: 06-Sep-17 Sample Date: 07-Aug-17 BRL 4: BKL-2017-0598 Lab Sample Ill: LSID-2017-02193 Client Sample ID: Outfall 43 Analysis Analysis Parameter Result MQL Unit Method Time Date Analyst TSS 5 mg/1 2540D 1997 15:56 8/9l2017 KC.1 pH 6.5HT 0.1 su 450011+B 200 11:10 8/7/2017 KCJ Reported By: 09� . - S. J nson, D.R. Wessinger * Concentrations are below inimum Quantification Limit except where noted. NC La oratory Certificate No. 275 Page 4 of 6 Blue Ridge Labs PO Box 2940 Lenoir, NC 28645 828-728-0149 blueridgelabsienoir@gmail.com Client: Sealed Air Corporation PO Box 1019 Lenoir, NC 28645 Attention: Seth Bradshaw Date Received: 07-Aug-17 Report Date: 06-Sep-17 Sample Date: 07-Aug-17 BRL #: BRL-2017-0598 Lab Sample TD: LSID-2017-02194 Client Sample ID: Outfall #� Analysis Analysis Parameter Result MQL Unit Method Time Date Analyst Settleable Solids * 0.1 mlll SM19 15:42 8/7/2017 KCJ Reported By: f>�W-~ f �Sl nson, D.R. Wessinger * Concentrations are below Minimum Quantification Limit except where noted. NC Laboratory Certificate No. 275 Pale 5 of 6 a Blue Midge Lahs PO Box 2940 Lenoir, NC 28645 828-728-0149 blueridgelabsienoir@gmail.com Data Qualifiers The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the qualifiers may make the data unacceptable for state reporting. Data qualifiers are found in the results column and their definitions are as follows: * The concentration found is below our minimum concentration value, which is reported in the MQL column. *** The concentration reported is an estimated value. The result is above our highest standard. HT The sample was received out of hold time. IC The sample was received in an improper container. NC The sample was received without proper cooling. NP The sample was received without proper preservatives. IC The sample was received in an improper container. HIS The VOC container was received with headspace present. NR The sample was not run due to lab error. UC Unable to confirm analysis due to insufficient sample being submtted. D Sample was diluted due to physical problems with the sample. J Value is an estimate from a library search using the nearest internal standard. NCA Non -certified Analysis Revised 10/21/16