HomeMy WebLinkAboutNCG050229_MONITORING INFO_20180625STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v go
DOC TYPE
r-1 HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ OW f
YYYYMM DD
PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
[-HISTORICAL FILE
❑ MONITORING REPORTS
❑ 201310 a4-
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
1 y
Permit Number N-CS
FACILITY NAME 'i:i L
PERSON COLLECTING SAMPLE S)
CERTIIHIED LABORATORY(S) ( 4 t t. {-c-Ij Lab #
Lab #
Part A. Specific Monitoring Requirements
SAMPLFS COI LC.TFsD DURING CALENDAR YEAR: 11
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY C1 A, c o-t � L
PHONE NO. �( =�E�) 7•Co - atyU
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
mo/dd/ r
MG
inches
RE,
GEI VED
.
J
v Nit
�
ru rn
I .
V
V vL-
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(il'yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/ 1'PH
(Method:l664.
SGT-HEM), if
a> I.
Total
Suspended
Solids
,
PH
New tMotor
Oil Usage_ -
mo/dd/ r
MG
inches
m /l
m /i
unit
al/mo
_- i-z - 1
"i 1 j f i
-
IL,
I
Form SWU-247, last revised 21212012
Page l of 2
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): 1(0 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attw 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."
(Signature of Permittee)
�)- /8- le)
(Date)
Form S W U-247, last revised 21212012
Page 2 of 2
INVOICE
Blue Ridge Labs, Inc.
Invoice # 2018- 0285
Date: 5/14/2018
P.O. Box 2840
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 LAB REF. ID TERMS LAB CONTACT PROJECT NAME
238 Net 10 Oays Steve Johnson Stormwater
Sample Name Outfall 2, Outfall 3
TARGETNAME
Oil & Grease 1664-A
pH
Settleable Solids
Total Suspended Solids
QUANTITY UNIT PRICE EXTENDED PRICE
2 $45.00
S90.00
2 $5,00
$10.00
2 $20.00
$40.00
1 V5,00
$15.00
Please Remit:
$155.00
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 QC and support documentation for all open accounts which are greater than 60 days. Additionally,
Slue 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.
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
Sealed Air Corporation
PO Box i 018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL #:
BRL-2018-0238
Lab Sample ID:
LSID-2018-01 120
Client Sample ID:
Outfal1 2
Parameter
Oil & Grease
Reported By:
Result MQL
5
S. hnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page I of 4
blueridgelabslenoir@gmail.com
Unit Method
mgll 1664-A O&G
Analysis Analvsis
Time Date
512C018
Analyst
W[rQlty
Blue .Midge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL 4:
BRL-2018-0238
Lab Sample ID:
LSID-2018-01121
Client Sample ID:
Outfall 2
blueridgelabslenoir@gmaii.com
Analysis
Parameter
Result
MQL
Unit Method
Time
TSS
10
mg/l 2540D 1997
11:14
6.8 HT
Reported By:
S. J76hnson, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Paee 2 of 4
Analysis
Date
4/27.'2018
4/23/2018
4/23/2018
Analyst
KCJ
KCJ
KCJ
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL #:
BRL-2018-0238
Lab Sample ID:
LSID-2018-01 122
Client Sample IUD:
Ourfall 3
Parameter
Oil & Grease
Reported By:
blueridgelabslenoir@gmail.com
Result MQL Unit Method
* 5 mg11 I664-A ORG
S. nson, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Analysis Analysis
Time Date
5r22018
Analyst
WtrQlty
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 blueridgelabslenoir@gmail.com
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention;
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL 4:
BRL-2018-0238
Lab Sample ID:
LSID-2018-01 123
Client Sample ID:
Outfall 3
Analysis
Analysis
Parameter
Result
MQL
Unit Method
Time
Date
Analyst
TSS
*
l0
mg/l 2540D 1997
11:15
4/27/2018
KCJ
PH
7.2 HT
0.1
su 4500H+B 200
14:47
4/23'2018
KCJ
Settleable Solids
0.1
:nl/I SM19
16.14
4/23/2018
KCJ
Reported By:
S. J. hnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 286D4
(828) 898-6277
CLIENT. BLUE RIDGE LABS
ADDRESS; P.O. BOX 2940
CITY: LENO IR
STATE. NC ZIP 28645
10#:
LOGIN TIME.
SAMPLER:
RECEIVED DATE:
REPORTED DATE; 9-may-1 8
42
.......
IN
OIL & GREASE
1105
7.2
5.00
MG/L
2-Ma -18
PI
OIL & GREASE
1107
10.4
6,00
MG/L
2-May-18
Pi
OIL & GREASE
1120
<5
5.00
MG/L
2-Ma -18
PI
OIL & GREASE
1121
<5
6.00
MG/L
2-miat18
Pi
OIL & GREA5E
11411
<5
1 5.00
---MG/L
2-may-18
Pt
OIL & GREASE
1173,
<5
L5-00
I MG/L
I
2-May-1 8
1 PI
REPORTED BY: NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 blueridgelabslenoir@gmail.corn
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.
HS Tlie 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 iibrary search using the nearest internal standard.
NCA Non -certified Analysis
Revised 10/21/16
NPDS Reporting Groundwater
Rcporl To:
mo t_ LA _. L rxv; r
Blue Ridge :Labs, Inc.
11). Box 3940
l viwir, NC; 29645
Telepliolle (828) 72MA1 49 Lux. (828) 72H4131
Chain o:f CListody
Sai hart I_,andMI Hazardmis waste Int.4ilstri..11 or Q('
iisiy 'rust I'UE]t1 Itl�7t]['iiflt'
Bill To:
- n � ,.°,•, � r^} I I �' �, ,._. 4'rctject Namc:
PO Number:
Ice I)rescrll: V N
Field 111—Cservatives L.rih Chcuk
Noii 5t.iie Reporting
C-Conllrtisitc
Q (Ind)
fianll)le III
Sample
Oale
Time
Time K
IL•1111)
IIR:NINI
"C
Held
Sulfide
Check
Y N
Field
sulfide
I'rC,12111 r
Removed
Y N
Resid
C:111r11.
field
Check
Y N
Field
I)CChlurirtaiiun
Y N
I)FI
Resitl
Chlrlr
E' or ,t
"Yelrlil
"C
S,11n111cr
Initials
Aiml •sis Rcclucslccl
l
T-V s5 II
�f
I !i11(julIstick] Bv: Date: Time:
Rec lived 13y:
Date: Time:
"M suhnlissinn or,%a11y1lC5, rlicnl :1111t'CS th:11 In'n1t4'CS arc due at the 013ty tuns, it conipteled. Open aCcnunls :ue dut. ,ti days lidhlwin� invoice dare. A Iinaniv Chaige of 1 51. per nunuh gill he nntuiscd un an lowne :Ic«Uum.
Wkii iclingnishiug s "00 to HW llldY t,uhs tlWU fill I Miodi n HIRL €o perlinni rnlh- Ow :In8t A indintcd ahnve and So apices W pap C„IICCIir n mid Moincy Rn THw aconini hro"n ilC Iinq wM lilac I.irlgc kth>
t C.SL'i1'C�;; 1111: right to dent' dncumentatinn fill any wolk leticic payment NIN not hcen mart- io el M rcndwing bull dotal inw"pmwd lily rewoiaunv pinp a". iilil. C:mno1 gnanuue Nn any rMnlalnry awlioritp will accept onr rinrl.
SnhilliII17d. tllerClinr it IS the Client S rCJll7 w ihiliiy w w(Inesi on illi5 iilrni allptolltiaw tests. NCB DENIt (:crtilicd 1,ah ?1275
Morganton, NC A
Morganton -Lenoir
O 4:47 PM EDT on April 27, 2018 (GMT -0400)
® Today
Weather History for KMRN - April, 2018
Sunday Monday Tuesday
{
2 3
Actual: 32o I j Actual: �50 I Actual: 7801
0.00 0.00 0.00
in in in
Average:- - ;Average:- I - Average:- -
- in - in - in
Wednesday Thursday
4
5
7'717
Actual: 71' I
I Actual:
64 o
290
460
I.
0.12 in
j
0.00
Average:- I -
in
Average:- I -
- in
I
- in
Friday
® Forecast
Saturday
6
I 7
�fi%
Actual. 3�o I
{
i Actual-
38�
0.18
0.41
in
in
Average:- I
; Average:- I -
-in
-in
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
53° 1
Actual: 33°
49° I
Actual: 410
66° I
Actual: 400
' Actual: 7011
°
Actual: 770 1
360
Actual: 79° 1
430
Actual: 81° 1
52
41
0.00
0.05
0.00
0.00 in
0.00
0.00
0.00
in
Average:- I -
in
Average:- I -
in
Average:- I -
Average:- I -
in
Average:- I -
in
Average:- I -
in
Average:- I -
-in
-in
- in
- in
- in
- in
- in
15
16
17
18 -p
19
20 �,=
a
21PIN
Actual 70° 1
56
55° I
Actual: °
36
73° 1
Actual °
30
; Actual: 85 °
70° I
Actual: °
360,
fig° 170°
Actual: °
31
Actual: ° 1
33
1.82
0.00
0.00
590
0.00 in
0.00
0.00
0.00
in
Average: -1 -
in
Average:- I -
in
Average:- I -
Average:- I -
in
Average:- I -
in
Average:- I -
in
Average:- I -
-in
- in
- in
` in
- in
- in
- in
i
<.L„
22
23 ;�
24
fiI
25
�----�
26 _f
i
I Actual:
Actual: 56
Actual.
Actual:52
0°
6862I
Actual-a
37,
52°
51°
49
0.00
n14
: n36
0.25 in
0 25
in
in
I Average:- I -
' Average:- I -
Average:- I -
I Average:-
I -
Average:- I -
I - in
? - in
- in
[
- in
-in
a
29 50 30
67° 74°
Forecast: I Forecast-1
39° 44°
0.0 0.0
in in
Average: - I - Average: - I -
- in - in
Calendar Legend
27`
70°
Forecast:1
46°
0.0
in
Average: - I -
- in
zi:ffill
77°
Forecast:1
44°
0.0
in
Average: - I -
- in
Sunny �= Mostly .°_ Partly RainSnow
ry; a _ ✓
q' Clear CloudyCloudy
Cloudy
Hail
t_ =T3 Hazy
G
#'oIf
Fog
Flurries
Thunderstorms
Sleet
denotes Unknown
'chance of
https://www.wunderground.comlhistorylairporUKMRN/2018141271MonthlyCalendar.htmI?cm_ven=localwx_calendar 313
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 Non State Deporting
UST/Trust Fund Reporting
Bill To:
Project Name:
PO Number:
Ice Present: Y
Field
N
Preservatives Lab Check
C-Composite
G- Grab
Sample ID
Sample
Type
Date
Time
Time &
Temp
HR:MM
6C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
Dechlorinadon
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
14,A C)
V)3
j 3G V
Ur�',V
Z
Jnquished By: Date: Time:
Re���egd By: Date: Time:
'— fir
Upon submission of samples, client agrees that inv,)ices are due at the time xvork is completed. Open accounts are due 20 days following invoice date. A finance charge of 1.5% per month will be imposed on all pAue accounts.
When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicted above and also agrees to pay collection and attorney fees if the account becomes delinquent. Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made, in effect rendering that data unsupported for regulatory purposes. BRL cannot guaranlec that any regulatory authority will accept ariy wodi
submitted, therefore it is the client's responsibility to request on this form appropriate tests. NC DENR Certificd Late #275
STOR111WATER DISCHARGE OUTFALL (SDO)
NIONITORNG REPORT
Permit Number NC - ���J '�'� SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME 3C,(_-J COUNTY
PERSON COLLECTING SAMPLE(S) PHONE NO.( Q�J
CERTIFIED LABORATORY(S) �, � z �; a CL LcJ_ 5_ Lab #
Lab #
Roes this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? , / yes _no
(if yes, complete Part B)
rart is: venicie maintenance tscnvny ivionnoring
Requirements
Outfail:;
Date .
SU050
.00530
004(14 ,.
:. .
So
Sample
Total Flow : ;:
Total
Oil & Grease
Won -polar i
Total ::
pH ,",.
Neiv Nlotor
Collected
(if.applacable)
Rainfall
(if apply :
O&GITPH
5nspended
O�1 Usage
:..
(i\'Iethod ]b
Solids.
SGT FIEM), �f
;.
.:. .:,
ino/dd/yr
.:{>
:.MG'.'`
inches
m /l. .: ...
::.
to /1..:. >:..
unit:;
al/mo.'
Form SWU-247, last revised 21212012
Page 1 of 2
STOR:tia EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date] `� { Attn: Central Files
Total Event Precipitation (inches): 1617 ivlail Service Center
Event Duration (hours): _ (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
I
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
AG-i'iJ
(Signature of Permittee)
(Date)
Form SW0-247, Idst revised 21212012
Page 2 of 2
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Storm Water Discharge Permit #NCG050229
Sealed Air Corporation
Lenoir, NC
F j}
Sealed Air 111//J D
October 22, 2015
RECEIVED
OCT 262015
CENTRAL FILES
DVVR SECTION
Enclosed are two signed copies of Analytical Monitoring Reports for the year 2015,.per the permit
requirement.
Please contact me at (828) 726-2100 if you require additional information.
Sincerely,
Seth Bradshaw
Production Supervisor
Sealed Air Lenoir
2075 Valway Rd.
Lenoir, NC 28645
www.SealedAir.com
tie- Blue Ridge Labs, Inc.
V P.O. Box 2940
Lenoir, NC 28645
Telephone (828) 728-0149 Fax (828) 728-0131
Chain of Custody
NPDS Reporting Groundwater �— Sanitary Landfill Hazardous Waste Industrial or QC
Report To:
lc,r-5c— `o, ✓�' 4
UST/Trust Fund Reporting
Bill To:
Arsex i S5 i -- CJ', Isov— Project Name:
PO Number:
Field
Ice Present: Y N
Preservatives Lab Check
Non. State Reporting
C-Composite
G- Grab
Sample ID
Sample
Type
Date
Time
Time &
Temp
HR:MM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
DechloriDation
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
G 71��Gc
w �
9 `«
g: ��
,�
7AS J
+
G�
aPl�
7.s
el quis ed B Da e: Time:
Rece y: Date: Time:
Upon submission of samples, client agrees that invoices are due at the time work is completed. Open accounts are due 20 days following invoice date. A finance charge of 1.5% per month will be imposed on all p&due accounts.
When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicated above ad also agrees to pay collection and attorney fees ifthe account becomes delinquent. Blue Ridge Labs
reserves the right to deny documentation for any work where payment has.not been made, in effect rendering that data unsupported for regulatory purposes. BRL cannot guarantee that any regulatory authority will accept any work
submitted, therefore it is the client's responsibility to request on this form appropriate tests. NC DENR Certified Lab 0275
Blue Ridge Labs, Inc.
P.O. Box 2940
Lenoir, NC 28645
Telephone (828) 728-0149 Fax (828) 728-0131
Chain of Custody
NPDS Reporting Groundwater Sanitary Landfall Hazardous Waste Industrial or QC
Report To: ��11
'JGrr-5a.. L.or +—:4—
UST/Trust Fund Reporting
Bill To:
a4r�v+i$5;� GJ:iaov—
Fielld
Project Name:
PO Number;
Ice Present: Y
M12
Preservatives Lab Check
Non State Reporting
C-Composite
G- Grab
Sample ID
Sample
Type
Date
Time
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
P or A
Temp
°C
Sampler
Initials
Analysis Requested
XJuis ed B Da e: Time:
��� d yfrG
Rece' y: Date: Time:
Upon submission of samples, client agrees that invoices arc due at the time work is completed. Open accounts are due 20 days following invoice date. A finance charge of 1.5% per month will be imposed on all pasfue accounts.
When relinquishing samples to Blue Ridge Labs (BRL). buyer authorizes BRL to perform only the analysis indicated abovend also agrees to pay collection and attorney fees if the account becomes delinquent. Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made, in effect rendering that data unsupported for regulatory purposes. BRL cannot guarantee that any regulatory authority will accept any work
submitted, therefore it is the client's responsibility to request on this form appropriate tests. NC DENR Certified Lab 9275
1
Seabed Air
Product Care
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RECEIVED
JUL 10 2015
CENTRAL FILES
DWR SECTION
Re: Storm Water Discharge Permit #NCG050229
Sealed Air Corporation
Lenoir, NC
JULCENTi
VIR K.
.
July 07, 2015
Enclosed are two signed copies of Analytical Monitoring Reports for the year 2015, per the permit
requirement.
Please contact me at (828) 726-2100 if you require additional information.
Sincerely,
Teresa Cornett
Quality/ENS Manager
Sealed Air Lenoir
2075 Valway Rd.
Lenoir, NC 28645
www.SealedAir.com
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
blueridgelabslenoir@gmail.com
Client :
Scaled Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Rick Taylor
Date Received:
18-Ju11-15
Report Date:
26-JU11-15
Sample Date:
18-.1un-15
BRL #:
13RL-2015-0420
Lab Sample 11):
LSID-2015-01701
Client Sample ill:
Outfall 2
Analysis
Analysis
Parameter
Result MQL
Unit Method Time
Date Analvst
I'SS
86.4 8.5
mg/l SM 19 2540D 14:31
6/25/2015 KCJ
pl{
8.1E-1T 0.1
Su SM19th4500 16:02
6/18/2015 KCJ
Reported By:
S.. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
I'ageIof4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Attention:
Date Received:
Sealed Air Corporation
PO BOX 1018
Lenoir, NC 28645
Rick Taylor
18-J un-15
Report Date:
26-.1un-15
Sample Date:
18-Jun-15
SELL #:
BRL-201 5-0420
Lab Sample ID:
LSID-2015-01702
Client Sample ID:
Outfall 2
Parameter
Result MQL Unit
Oil R Grease
* 5 mg/l
blueridgelabslenoir@gmail.com
Analysis Analysis
Method Time Dale
1664-A 0&G 10:1 1 6/ 19/2015
Reported By: /.
S....iohnson, D.R`04. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4
Analyst
KCJ
Blue Ridge Labs
PO Bo_v 2940
Leiioir, NC 28645
828-728-0149
Client : Sealed Air Corporation
1'0 Box 1018
Lenoir, NC 28645
Attention: Rick Taylor
Date Received:
18-Je11-15
Report Date:
26-Jun-15
Sample Date:
18-Jun-15
BRL #:
BRL:-2015-0420
Lab Sample 11):
LSID-2015-01703
Client Sample ID:
OUtflI1 3
Parameter
Result MQL
"1'SS
PH
8.2F1T 0.1
blueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
ntg/l SM 19 2540D 14:32 6/25/2015 KCJ
Su SMI9th4500 16:05 6/18/2015 KCJ
�r,r�9.s�--..
Reported By: �T
S.. sic h ison, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit excepl where noted.
NC Laboratory Certificate No. 27-
Page 3 of 4
Blue Ridge Labs
PO Box 2940
Letioir, NC 28645
828-728-0149
Client : Scaled Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention: Rick 'Taylor
Date Received: I8-Jun-15
Report Date:
26-JLIII-15
Sample Date:
18-Ju11-15
BILL #:
BRL-2015-0420
Lab Sample 11):
LSID-2015-01704
Client Sample ID:
0001,111 3
blueridgelabsienoir@gmail.com
Analysis
Parameter Result MQL Unit Method Time
Oil K Grease * 5 mg/l 1664-A OKG 10:12
Reported By:
S. J. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certifcale No. 275
Page 4 of 4
Analysis
Date Analyst
6/ l 9/2015 KCJ
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
blueridgelabslenoir@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.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
LIC Unable to confirm analysis duce to insu ficient san,iple being submlted.
D Sample was diluted due to physical problems with the sample.
i Value is an estimate from a library search using the nearest internal standard.
SealedAir
Product Care
November 11, 2014
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Storm Water Discharge Permit #NCGOS0229
Sealed Air Corporation
Lenoir, NC
Enclosed are two signed copies of Analytical Monitoring Reports for the year 2014, per the permit
requirement.
Please contact me at (828) 726-2100 if you require additional information.
Sincerely,
Rick Taylor
Supervisor
RECEIVED
NOV 13 2014
DENR-LAND QUALITY
STORMWATER PERMITTING
Sealed Air Lenoir
2075 Valway Rd.
Lenoir, NC 28645
www.SealedAir.com
STORMWATER DISCHARGE OUTFALL (SDO)
MONI'rORINC: REPORT
Certificate of Coverage No. NCG d S 0,1 a9
FACILITY NAME
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S)j.�'l.-t�3t,ab # 275
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: '0-o/tt
( I'his monitoring report shall he received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY C-pt.-LZW��L_
PHONE NO.
(SIGNATURE OF PEWtlrr-r ;E OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
fart A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of new motor oil is used)
STORM I;VENT' CHARAC7'I;RIS'r1CS:
Hate
Total Event Precipitation (1 7
hes): Q�
Event Duration (hours).
(if more than one storm event was s,,unpled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Form SWU-254-071400
Page 1 of 2
STORNMATRR DISCHARGE OUTFALL (..SDO)
MONITORING REPORT
"I certify, under penalty of law, that this document and all attachment. 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 respomible for gathering the information, the information submitted i,, to the hest
of my knowledge and belief, true, accurate, and complete, I am aware that there arc significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form SWU-254-071400
Page 2 of 2
Blue Ridge Labs
PO Box 2940
Le►►oir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Bo. 1018
Lenoir, NC 28645
Attention:
Rick Taylor
Date Received:
03-Oct- 14
Report Date:
24-Oct-14
Sample Date:
03-Oct- 14
BRL #:
BRL-2014-0698
Lab Sample ID:
LSID-2014-03104
Client Sample ID:
Outfall 2
Parameter
TSS
PH
Result MQL
* 5.3
7.4 HT 0.1
blueridgelabslenoir@gmail.com
Analysis
Analysis
Unit Method 'rime
Date
mgll SM 19 25401) 14: l 1
10/9/2014
Su SM 19th 4500 16:52
10/3/2014
Reported By.
S. . Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where rioted.
NC Laboratory Certificate No. 275
Page I of 4
Analyst
KCJ
KCJ
Blue Ridge Labs
PO Box 2940
Lesloir, NC 28646
828-728-0149
Client : Sealed Air Corporation
110 Box 1018
Lenoir. NC 28645
Attention: Rick Taylor
Date Received: 03-Oct-14
Report Date: 24-Oct-14
Sample Date: 03-Oct-14
BRL #: BRL-2014-0698
Lab Sample 11): [.,SID-2014-03105
Client Sample ID: Outfall 2
Parameter Result MQL
Oil & Grease * 5
Reported By:
biueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
mg/[ IPA 1664 n- 9:20 10/23/2014 KCJ
S. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : Scaled Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention: Rick Taylor
Date Received: 03-Oct-14
Report Date:
24-Oct-14
Sample Date:
03-Oct-14
BRL #:
BRL-2014-0698
Lab Sample ID:
LSID-2014-03106
Client Sample ID:
Outfall 3
Parameter
Result MQL
TSS
* 5.3
PH
%. j 0,01
blueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
mg/I SM 19 2540D 14:12 10/9/2014 K0
su SM l9th 4500
Reported By:
S. 7ohnsion. D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Blue Ridge Labs
PO Box 2940
Letioir, NC 28645
828-728-0149
Client Sealed Air Corporation
110 Box 1018
Lenoir, NC 28645
Attention: Rick Taylor
blueridgelabslenoir@gmaii.com
Date Received: 03-Oct-14
Report Date: 24-Oct- 14
Sample Date: 03-Oct-14
BELL #: BRI--2014-0698
Lab Sample 11): I,SID-2014-03 107
Client Sample ID: OLItf,-Ill 31
Analysis Analysis
Parameter Result mQL Unit Method Time Date
Oil & Grease 5 ing/l EIPA 1664 11- 9:21 10/23/20 14
Reported By.
S., c3ofinson, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
Analyst
K (-.1
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 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.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
LIC 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.
NPDS Reporting Groundwater
Report To:
�: FE E1 &Je -
Blue Ridge Labs, Inc.
P.O. Box 2940
Lenoir. NC 28645
Telephone (828) 728-0149 Fax (828) 728-013 l
Chain of Custody
Sanitary Landfill Hazardous Waste Industrial or QC
UST/Trust Fund Reporting
Bill "I-o:
Field
Project Name:
PO Number:
Ice Present: Y N
Preservatives Lab Check
Non State Reporting
Sample ID
Sample
Type
Date
Time
Time &
Temp
HR:MM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
echlorination
Y N
pH
Resid
Chlor
PorA
'l'elnp
°C
Sampler
Initials
Analysis Requested
G
Ww
1d r/�
jl
lI10
_
�
• 1 C
j4 �f
Relinquished By: Date: hi me:
�l
Received By:
Date: Time:
111.314 1.6;,(4,
Upon submission of samples. client agrees that invoices are due at the time work is completed_ Open accounts are due 20 days following invoice date. A linan_e charge of 1.5% per month will be imposed on all pAuc accounts.
When relinquishing samples to Blue Ridge Labs (BRL), buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney feet the account becomes delinquent. Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made, in effect rendering that data unsupponed for regulator' purposes. BRI, cannot guarantee that any regulatory authority will accept any work
submiucd. thercibre it is the client's responsibility to request on this form appropriate tests. NC DENR Certified Lab g275
Sealed Air
Product Care
June 18, 2014
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Storm Water Discharge Permit #NCG050229
Sealed Air Corporation
Lenoir, NC
Enclosed are two signed copies of Analytical Monitoring Reports for the year 2014, per the permit
requirement.
Please contact me at (828) 726-2100 if you require additional information.
Sincerely,
Rick Taylor
Supervisor
Sealed Air Lenoir
2075 Valway Rd.
Lenoir, NC 28645
www.SealedAir.com
STORMWATERDISCIIARGE OUTI!ALL (SDO)
IHIONITORING REPORT
Certific.ite of Coverage No. NCG _�56,1 SAMPLES COI.LECTED.DURING CALENDAR YEAR.
(This inonitoring report shall be received by the Division no -later than 30 days
from the date the facility receives the sampling results front the laboratory.)
I+AC CLI. Y NAME �I� - L� '� I—ewU(]I L
PERSON-COLI.�CTING SAtNW.LE{S}_ � '
CERTYI?-11,D LABO-RATORY(S) . ab #
Lab #
COUNTY _ C' L�LLJP-
PHONE-NO.-(.?Zk . --in l.. - ;9-160
(SIGNATURE Or PP'IIAII'3.'TIlE OR DESIGNIiiE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A. 'lehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of now motor off is used)
13ote: lfy'ou report a sampled value in excess of the.benchmark value, or ou#side the benchmark range for pH, you must implement Tier 1 or TierOQUALITY
Pormit.
lYllaillOriginal and one copy to'.
Division of Water Quality
Attn: Central Files
1617 NV all Service Center
Ralci lr, North Carolina 27699-1617 i
"I certify, under penalty of lase, that this document and all attachments were prepared under my direction or supervision in accordakd I x�tem 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 lutowledge and belief, true, accurate, and complete.
I ant aware that there are significant penalties fox, submitting falseinfotlmation, including the possibility of fines and.intprisonuncttt for knowing violations."
(Sigti;tture ofPertttittee)
(Date)
Form SWU-254-04-2508
Pag0 1 01' I
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : Sealed Air Corporatiolt
PO Box 1018
Lenoir, NC 28645
Attention: flick Taylor
Date Received:
I5-May-14
Report ❑ate:
05-Jun- 14
Sample Date:
15-May-14
BR1, 4:
BRL-2014-0308
Lab Sample ID:
LS1D-2014-01517
Client Sample 11):
42
Parameter
Result MQL
TSS
52.3 8.5
PH
8.2 FIT 0.1
blueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
mg/1 SM 19 2540D 1 1:38 5('20/2014 KCJ
su SM 1901 4500 16:10 5/15/2014 KCJ
Reported By:
J. Johnson, D.R. Wessinger
Concentrations are b )w Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page I of 4
WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 28604
(828) 898-6277
CLIENT: BLUE RIDGE LABS
ADDRESS: P.O, BOX 2940
CITY: LENOIR
STATE: NC ZIP 28645 REPORTED, , DATE: 4-jmil•,l
ID#: I
. . . . .
Pow-
#0
.............
L0.CArfaN:`:*-'6ATtE::""
4.A 11N,
.. ..........
..
OIL & GREASE'
1494
0.3
5.00
MG/L
OIL & GREASE
1512
<6
5.00
MG/L
3-Jun. 14
OIL & GREASE
1518
6.8
6-00
MG/L
3-Jun-1 4
011- & GREASE
1220
7.2
5.00
MG/L.
3-Jun-'14
r.-
REPORTED BY. NC CERTIFIED LAB # 644
PAUL ISENHOUR, SUPERVISOR
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 blueridgelabslenoir@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
i found in the results column and their definitio.-is 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.
HS The VOC container was received with headspace present.
I 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.
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
UST/Trust Fund Reporting
Bill To:
Field
Industrial or QC
Project Name:
PO Number:
Ice Present: Y N
Preservatives Lab Check
Non State Reporting
Sample ID
Sample
Type
Date
Time
'rime &
Temp
lJR: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
Y
Relin�q�ui'eed By: t Date: _ Time:
Date' _ Time:
Upon submission of samples, client agrees that invoices are due at the time work is contpieted. Open accounts are due 20 days 141o+ving invoice date. A finance charge or l.�% per month will be imposed on all p,,due accounts.
When relinquishing samples to Blue Ridge Labs (13RL), buyer authorizes 13RL to perform only the analysis indicated above and also agrees to pay collection and attorney feetthe account becomes delinquent. Blue Ridge Labs
reserves the right to deny documentation for any ~cork where pavateni has not been made. in efl'ect rendering that data unsupported for regulatorypurposes. BRL cannot guarantee that any regulatory authority will accept any wort:
submitted. therefore it is the client's responsibility to request on this form appropriate tests. NC DENR Certified Lab #275
Blue Ridge Labs
PO Box 2940
Le►ioir, NC 28645
828-728-0149
Client :
Scaled Air Corporation
PO 13os 1018
Lenoir, NC 28645
Attention:
Rick 'Tavlor
Date Received:
I5- May- 14
Report Date:
05-Jun-14
Sample Date:
15-May-14
BRI. #:
13RL-2014-0308
Lab Sample 11):
LSID-2014-01520
Client Sample ID:
#3
Parameter
Result MQI.
Oil & Grease
7.2 5
Reported By:
blueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
mg/l EPA 1664 n- 6/3/2014 WtrQlty
.Johnson, D.R. Wessinger
* Concentrations are be w Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Piwe 4 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : Sealed Air Corporation
13013ox 1018
Lenoir, NC 28645
Attention: Stick "Taylor
Date Received: 15-May-14
Report Date: 05-.fun-14
Sample Date: 15-May-14
BRI. #: QRI.-2014-0308
Lab Sample 11): LSID-2014-01519
Client Sample ID: 93
blueridgeiabsienoir@gmail.com
Analysis Analysis
Parameter Result MQL Unit Method Time Date Analyst
TSS 10.3 6.3 mg/l SM 19 2540D 1 1:37 5/20/2014 KCJ
PH 7.9 FIT 0.1 su SM 19th 4500 16:12 5/15/2014 KCJ
Reported By:
Johnson, D.R. Wessinger
Concentrations are bel9,Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page') of 4
Blue Ridge Labs
PO Box 2940
Leiroir, NC 28645
828-728-0149
blueridgelabslenoir@gmail.com
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Rick Taylor
Date Received:
IS-May-14
Report Date:
05-Jun-14
Sample Date:
15-May-14
Bill, 4:
BRL-2014-0308
Lab Sample ID:
LSID-2014-01518
Client Sample 11):
#2
Parameter
Result MQL Unit Method
Oil & Grease
5.8 5 mg/l 13PA 1664 n-
Analysis Analysis
Time Date Analyst
6/3/2014 WtrQlty
Reported By:
Johnson, D.R. Wessinger
* Concentrations are be;wMinimumMinimuQuantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4