NCG100230_MONITORING INFO_20180709

1 PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
C HISTORICAL FILE
� MONITORING REPORTS
YYYY M M D D

r N
A 9 j,,,�'�,� RECEIVED
S CDENR
Stormwater Discharge Outfall (SDO) JUL 0 9 2018
Qualitative Monitoring Report owR �cTI ES
Forguidance on filling out this form, please visit h-,,p / /porj'al ncdenr or_;,/web/1r/rides-stormwater j
Permit No NJ�_ /�I�I—l��l_1 or Certificate of coverage No ���LI��I,2J3jLbI
Facility Name C hart lie`5 5acaa mg-L-&i l [Iuto Satung e.
County n Phone No 82. IL- CBS - J?BI
Inspector _ CMAX"r_Rs3!A-5_
Date of Inspection lm a.7 /$_ _ _ Time of Inspection CO A"X _
Total Event Precipitation (inches) b - _ N 6 rl Ow 1 vo Pl5ch ar-q IF
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below)
Yes 14 No
Please verify whether Qualitative Monitoring must be performed during o "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit)
1 Qualitative monitoring requirements vary Most permits require qualitative monitonng to be
' performed during a "representative storm event' or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable
A "representabve storm event" is a storm ex ent that measures greater than 01 inches of rainfall
i and that is preceded by at least 72 hours (3 days) in c,,hlch no storm event measuring greater than
j 01 inches has occurred A single storm event may contain up to 10 consecutive hours of no
precipitation
I A "measurable storm event" is a storm event that results in an actual discharge from the
1 permuted site outfail The previous measurable storm event must have been at least 72 hours
I prior The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office
By this signature, l certify that this report is accurate and complete to the best of my knowledge
�Aya.4
(Signature of Permittee or Designee)
Pa$e 1 of 7
TAIJ 247 Last moMed 7/31/2013

f VA
1 Outfall Description
Outfall No QQ 60Q Structure (pipe, ditch, etc) - / 6961n k-'; R P t~ Zazi r7
-----p
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area
2 Color Describe the color of the discharge using basic colors (red, brown, blue, etc ) and tint
(light, medium, dark) as descriptors _ 6� o N
3 Odor Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
weak chlorine odor, etc) bi o�tF
4 Clarity Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy
1 2 3 4 5 N 0'q e,
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids
1 2 3 4 5 h1 0/44 8
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
7
8
E
1 2 3 4 5 JJ 0AI >
Is there any foam in the stormwater discharge? Yes
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfall?
10 Other Obvious Indicators of Storrnwater Pollution
List and describe N OAIC
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
Page 2 of 2
SWU 242 Last modified 7/31/2013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100
FACILITY NAME C bar l i en a o iryte all auto 5 a l u aSE
PERSON COLLECTING SAMPLES)
CERTIFIED LABORATORY(S) .ffafken Jae E'nwc6 Lab ##�a
Px r )jj i4a L L&L2 Lab # 34
Part A Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR a O!
(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 _Hend er-san -- _
PHONE NO (BZ$-) 55 1 -3 7-2+ —
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
Inches
00400
00530
- - - •
77023
01051
78141
pH,
Standard
r"Units'
Total Suspended
Solids (TSS),
mg/l. -
Non -polar
O&G/TPH
(Mathod 1664
SIST-HEM), mg/L
Ethylene Glycol,
mg/L
i
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
m L
gl
Benchmark
-
-
6 0 99 01
k00/50z
15
8,000
(Tiers 2 and 3)
003
10
u hq
A
/v / Ff
Al 1 A
N 104
V R
1v / A
1 A
rr�
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General
Permit
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within Instrument accuracy) instead of 6 S U Readings from anon site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6 9
2See General Permit text to identify whether the more protective benchmark applies for Pspecially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (Cf R) Part 122
Form SWU 251, lost revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFAEt (SDO)
MONITORING REPORT
Facilities that Incorporate a solvent management pldn into the stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organic, i he solvent
management plan sh-ill include a list of the total toxlr organir rompounds used and the other elements listed in the General Permit For those facilities allowed such a waiver, the
discharger shall sign the following certification statement
Solvent Monagement Plan Certification Statement
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (Tfo), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan "
6,4,t L�,s
Name (print name)
aJA" 4\0" Wrra-
Tile (Print title)
y°0&�
Signature
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-161/
[late
"I certify, under penalty of lave, 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
am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations "
(MP -A, 1� ru <5
(Signature of Permittee or Designee)
(Date)
Form 5WU-251, last revised October 25, 2012 i
Page 2 of 2

* A
F4CDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
REeeIVED
JAN 2 9 2018
CENTRAL FILES
0WR SECTION
Forgurdonce on filling out this form, please visit http.//portal ncdenr qrgjwg� /lrinndes-storm water/
Permit No Njfj_I_J_/_.-J_I_/_/ or Certificate of Coverage No NJ.CIWL1W-0l,2l3.1W
Facility Name l'_har 1, e'S 5Qf!3D Mega l -I- [Au-.o- 5a1 �aa e
County u Pnci ers o n _ Phone No _ 87,8- 6:,65 : Qk zi I
Inspector CTa.rrA Ruoi:.5
Date of Inspection _ IQ QO - J 7 1
Time of Inspection'16 Rim
Total Event Precipitation (inches) 1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below) t
121111yes ❑ No
Please verify whether Qualitative Monitoring must be perforated 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
k 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 storevent that measures greater than 01 inches of rainfall
and that is preceded by at least 72 hours
m (3 days) in which no storm event measuring greater than
0 1 inches has occurred A single stormlevent 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
interval is representative for local storm events during the sampling period, and the permttee
obtains approval from the local DWQ Regional Office
By this signature, I certify that this report is accurate and complete to the best of my knowledge
(Stgnature of Permittee or Designee)
Pagel of 2
5%Vu 242 Fast modified 7/31/2013

I Outfall Description
Outfall No f - Structure (pipe, ditch, etc) 1 80a) j2 a P.P& '0 1Qa In
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area
2 Color Describe the color of the discharge using basic colors (red brown, lue, etc ) and tint
light medium, dark) as descriptors
3 Odor Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
weals chlorine odor, etc) =U�
4 Clarity Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy
1 Q 3 4 5
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
CD2 3 4 5
F
b Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 15 is extremely muddy
i
�� j
C 1) 2 3 4 5
7 is there any foam in the stormwater dtscharge7 Yes No
I
8 Is there an oil sheen in the stoI mwater discharge? , Yes QP
9 Is there evidence of erosion or deposition at the outfall? Yes I No
10 Other Obvious indicators of Stormwater Pollution
f �
i
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
f
Page 2 of 2
SWU 242 fast modified 7/31/2013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING RLPORI
CERTIFICATE OF COVERAGE NO NCG100 . Q 3 O SAMPLES COLLECTED DURING CALENDAR YEAR a O I
(This monitoring report shall be received by the Division no later than 30 mays
from the date the facility receives the sampling results from the laboratory)
FACILITY NAME �'-har 11 eS 5e'ra f' Mega t ZA,.,40 .5a,1009 a COUNTY _ 4e ri der56,n
PERSON COLLECTING SAMPLE(S) PHONE NO (S Za) SS ! - 37 a
CERTIFIED LABORATORY(S) ja r4 3 es femxlab #i
Rt'Vgrah f(a a NJ,aa I Lab LabPLEASE REMIFMBFR TO SIGN ON THIF REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results
Forsompling periods with no discharge, you must submit this discharge monitoring form noting "No flow" or "No Discharge" within
30 days of the end of that penod to comply with permit reporting requirements
Outfall
1 No.
Rate
Sample Collected,
ma*/Year
Total
Rainfall,
Inches
00400
00530
....
77023
01051
78141
pH,
Standard
rUnits
Total Suspended
Solids (T551,
mg/L
Non polar
O&G/TPH
{Method 166A
SGT-Hrm), mg/L
. w
Ethylene Glycol,
mg/L
,
Lead, Total
Recoverable,
rng/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
8`0;� 5 01
100/50'
15
8,000
(Tiers Z and 3)
003
in
l_ayL
-o—
- c S- -
- — o - - -
-A.+08 _
43 0L, - -
9 ao d
< S
- - - 5a � -
—U_ 5o
p Q�
Note If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you mast implement I ler 1 or I ier 7 responses In the General
Permit
(See If pH values outside this range are recorded In sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold cif this
benchmark range Is the pH of the precipitation (within instrument accuracy) instead of G S U Readings from an on site or local rain ltauge (or local precipitation data) meet be
documented to demonstaate background concentrations were below the benchm-itk pi ranac of G R
See General permit text to Identify whether the: more protective benchmark applms for mperially sensitive receiving water~
II or purposes of this permit the definition of Total I oxic Organics is that list as stated in Appendix D, Table II of Chapter Ail Code of Federal ReRulatiom (CI it) i' art 122
rot in SWU-214, Iml ievoscd October J5, J012
I'alu I of 1

STORMWATER DISCHARGE: OUTFALL (SDO)
MONITORING REPORT
rddlitles that Incorporate a solvent mandgement plan into [tic Sturrnwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics 1 he solvent
man-igement plan shill Include a list of the total toxic organir rampnunds used and the other elements listrd In the General Permit I or those fdclI ies allowed such a waiver, the
discharger shall sign the following certification statement ,
Solvent Management Plan Certification Statement
"Based upon my Inquiry of thp person or persons directly responsible for managing compll,ince with the permit monitoring requirement for total toxic organics ( fro), I
certify thatto the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this facility Is Implementing all the provisions of the solvent
management plan included in the Storrnwater Pollution prevention Plan "
6%04 � S
Name (Print name)
Ii le (Print title)
_ _ _ oo
Signature
Mail Original and one copy to
Division of Water Quality
Attn Central Files "
1611 Mail Service Center
Raleigh, North Carolina 27699-1611
—1 -1 o - L
Date
"I certify, underpenalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that quallNed personnel property 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 or Designee)
.._L-?d-- I -
(Date)
I orm SWU-l1)1, Just revised October 15, 1012
Page 2 of 2

RESEARCh & ANA[yTICAt
LAbORATORIES, INC.
Anotyticat/Process Consullations
Cltenucal Analysts for Selected Parameters and 11'ater Saulple Identified as Charlie's Auto Sutva,e
(A James & James Envtrotttrtetttal Mana,entent Inc Projer-t, collected 20 December 20l7)
I Pest+C+des/PCB's
Quuntttallon
Outra11001
EPA Method 608
Limit
Parameter
(ma/Ll
m s/L)
Aidnn
0 001
RQL
Alpha,BHC
0 001
13QL
Bcta,BIIC
0 001
BQL
Dclta,BHC
0 001
BQL
Gamma,131IC
0 001
BQL
Chlordane
0 010
13QL
44'-DDD
0 001
11QL
44'-DDE
0 001
BQL
4-4'-DDT
0 001
BQL
Dieldrtn
0 001
BQL
Endosulran 1
0 001
BQL
Endosulran I 1
0 001
I3Ql_
FndusulFan Suitatc
0 001
RQL
Lndnn
0 001
1301-
Lndr+n AW05 do
0 001
13QL
IlLptachlor
0 001
BQL
I lLptaLhlor ,.po-%id,-
0 001
BQL
Mctho\}chlor
0 001
BQL
To\aphLnL
0 020
BQL
PCB 101 b
0 005
1301-
PCB 1221
0 005
RQL
PCB 1232
0 003
13QL
PCB 1242
0 005
13QL
1'CB 1254
0 005
ItQL
PCB 1260
0 005
BQL
Sample Number
4452701
Sample Date
12/20/17
Sample Time
0310
mg/L = miltgrants per LAT - parts per million (ppm)
PCB= PolychlonnJtLd Biphenyl l3Q!_ = 0cic+.� Qu+nut�t+csn L+mUc
,aaNaan.f����
o` s
i 4 C �1 '•i
Ne clot -1
�hh�f�Na+aaa�

RESEARCh & ANA1yTICA1
QQ�Qo LAb4RATURIES, INC.
Ma"calMocess Consultations
Chemical Atralyus for Selected Pammeten and 11'ater Sample ldeattfted as Charlie's Attt0 Salvage
(4 James & James Envtretrinetltal Alangge►rrent lire Prnject, collected 20 December 2017)
Il Volatite Organza Quantltatton
FPA NIclhOdG2i Limil
Paramefe to 1
otilfall001 I\' Sernr-.nlatile Organics
(m&lL)
Methylene Chlortdc
0 010
ftQ1
rnchlaroilta0fotme0rartc
9010
nQL
I 1 Dtehlatvethrnc
0 010
BQL
I I Dtchloracthmw
O D10
BQI
Chloroform
0 010
BOL
Carlson Tetrubtonde
0 010
RQI,
1,2 Drchlotuproparrc
0010
1101
1nchlan *mmc
0010
Boo
D,br;ornuchlaram,:thanc
Gala
Rt)l
1 I_, Tnchlomethanc
0010
not
Tetraehkmxlhene
0 010
not
Chlu"Axn4cac
0 010
Rot
Trams-1 '_ ihchter0ethene
0010
IRA
1.2 Diehl Woedni a
0010
ROL,
I I I TrwWoraed=r
0010
ROL
H+umOdtchlaromethanc
0 010
11Q1
Cts.1,3 oseworuprepow
ODIO
WL
Bcnzmc
0 010
IIQI
brans-13 D;chtnrapropcne
0010
IIQI
B1amoCfnrl
0 010
11ol
1 1,2 2 Tnrachlarocduac
0010
NQL
Tolaenc
0 010
BQL
f thy I Benrtm
0 0 t 0
UQL
Chlammethane
0010
HOL,
Bromomettune
0 010
IIQ1
Vtnyl Chlandc
0010
ROL
Chlormthur
0 010
HOL
Tout ryhms
0010
Bel
Nation f uctar
I
Sampte lumber
44527-01
Sample hate
12/20/17
Sample Time Mrs)
0810
III EPA 61elhud 8015
omintitatlon
outrrd1001
Limn
hrstmete
Irup-1i 1
m 1L
Ethy lem Glycol
100
BQI
Sample Number
44527 01
Sample Date
12r30117
Sample Time Mrs)
0810
BQL - Mow Qtrmntitatton 1 tmis
mg1L - mdltp=% per 1 act - parts lief millwn (ppm
tt1111111i1f��
Jty� 6
NC ou
Quantitallon Ouliail001
Method b25
Limil
l�ptAnlefef
Mg'R I
(mr/L)
a-Chlorwr mcthy1phc401
0010
11Q1
:-chloraphclrol
0 010
IIQI
14 Llrchtongrhe1101
0 010
nQ1
14 Dimcthy Iphcnol
0 010
BQI
14 Dmmaphe wll
0 050
RQI
2 %Ic(h)1-4"mai.VhamA
0050
801
Vtrrophcnal
6 010
150L
4 Vtvophrnol
0050
IIQI
Rcntachlu %)phcnoI
0 050
BQL
Phenol
0 010
BQf
2 4 o Tnchlowphclwtl
0 010
BQL
Accnapirthcne
0 010
RQL
lccnaldlth) hire
0 010
nQ1
Anthraccne
0 0 t 0
M1
Bcnzidwx
0 050
1IQ1
EkW0(3)2nthlacetle
0010
iur l
Rcama lln rem
0 010
BQ11
Bcnzo(b)lluorawtwv*
0 010
1"
Benu1(gh1)Pers Iene
0 010
110I
Iicnzn(k )1lum=tluae
0 010
IMI
Iknn t but) I phthalaic
0 010
RQI
Bts(?-chlctracthm) hncthmc
0 010
RQI
(IN2-chlarocthyl)Cthc1
0 0 [0
not
#its(? chloroueprum4ethu
Data
IIt)L
Nrs(2 ethyl hex) 1lrb ttalalc
0 010
RQI
4 Bromoplim I Phan I ether
0 010
HQ[
2-Chforomphlhokne
0 010
BQL
4Chlorophmy1plleny1ahu
0010
IIQI
Chryscoc
0 010
BQI
Drbtnzo(a,h lanthrattnc
0030
NQI
I?_ DIChlarnhcnrrne
0010
BPI
1; Ihehlltrolrenztlre
0010
lwl
14 DlcWtubcn7enc
0 010
IIQI
3 t D1ch10robentidme
a Wo
RQI
Dxdo I phtha etc
o 010
l%Q1
Dunphy I phttulatc
0 010
RQ1
Di N Rtny 1 phut-ibic
0 010
[IQ[
2 4 Mnismolaene
0 010
BQl
2 6-D1n11ra1ntaeae
0 010
not
Di , 4ktt I phawlaic
0 010
BQL
1 2 Mphcny Iht dranne
0 050
BQL
flotuaatheme
0 010
IiQL
i:luarerse
0 010
BQI
11cxaeblombcrr.ene
0 010
Rol
Ilexachlarobutadtcrte
0 010
BQI
Ilccachlrlreftselapcntadicnt
0010
B01
Hcxachilx0clbaac
0010
nQj
InderKt(I _' %-cd)pyrene
0010
RQI
Isaphoramc
0 010
IIQI
\spluhatcne
0 010
RQI
1%1U0b=4.$le
0 010
Fuji
ti %ttro3odjmc1k lmmnc
0 010
1101
nurosodi a prop)tamtru
0010
1i01
1 %itmiodiphcrrstamtne
0010
BQt
Pltenanahmne
0 010
RQI
Ps rene
0 010
Bol
12 4 Tnchkmbcnzcnr
0 010
11Q1
Mluuan Fwr4
I
Sample umber
44327-01
Sample pate
1?1i0117
Sample's imc Or%)
0810

RESEARCh&ANA[YTiCA1 Report of Analysis
I[, �LAWRATOttiES, INC. 1l5r2018
For James & James Env Mgmt
3801 Asheville Highway
: �` ,: �� .o,� 0
Hendersonville, NC 28791
W NC 434 .
Attn Skye McCarson
is raC37701
'I-, C o�R iL�raP•
���•
ISD A� �*�� •`,
li
Client Sample ID Charites Auto Salvage Outfalll 001
Lab Sample ID
44527.01
Site James & James
Collection Date
12120/2017 9 25
P-irameter Method
Result Units Rep Limtt Analyst Analysts DateMme
Hydrocarbon O&G EPA 1664 Revision SlSlhca
t5 mg/L 5
SK 113/2018
Lead Total EPA 200 7
0 408 mg/t_ 0 005
KL 12J2712017
NA = not analyzed
P D Box 473 106 Shen Street KemarsvUle hbsth Carolina 27294 Tel 335-SSS-2841 Fax [phone] StiY^v randalabs com Page 1
rat God bask vtd

,�,,�1111111,+f
RESEARCh & ANAtyTICAt
rrt: i►�
QQQ LAbORATOit1ES, INC. -
r
0 � Analytical/Process Consullotions
�•ry���►IriiiNl #,,,
Chenttcal Attalys►s fur Selected Parantelers wid lVater Sample ldettttfred as Charlie's Auto Salvage
(A Arturs S James Etrrtrownewal Hatia ►ettrew lire Project, collected 0 December 2017)
i PebticidesfPC13'a
Qunntitation
Outfall002
EPA ,Method 608
Limit
Parameter
(me/L)
(melL)
Aldnn
0 001
BQL
Alpha,BIIC
0 001
BQL
Beta,1311C
0 001
BQL
DLha BHC
0 001
BQI..
Garnma,BHC
0 U01
UQL
Mordant,
0 010
BQL
44'-DDD
0 001
BQL
4-4'-DDE
0 001
BOL
4-4'-DDT
0 001
BQL
Diddrm
0 001
BQL
EndosuIran 1
0 001
BQL
Lndosulydn 1 1
0 001
BQL
Cndosulran 5ulfau.
0 001
BQL
Lndnn
0 001
BQL
Endrin Aldch}&
0 001
BQL
heptachlor
0 001
BQI-
Nleptachlor epoxide
0 001
BQL
Methoxychlor
0001
BQL
To-,aplu.n.
0 020
BQL
PCB 1016
0 005
BQL
PCB 1221
0 005
BQL
PCB 1232
0 005
UQL
PCB 1242
0 005
BOL
PCB 1254
0 005
DQL
PCB 12b0
0 005
BQL
Sample Number
44527-02
sumisle Dale
12/20/17
Sample rime
0335
ing/L = nilligrdnis PLr Liter= parts PLr million (ppm)
PCB - Pol}cldonnat,-d BiphLnyl BQL - Bc1o%% Quantization Limits

RESEARCh & ANAtyTICA1
p�Q
• LAbORATORIES� INC. NC
AnatylicallProcess Coruultattaru '•.,•'
rrrtll rillrl
Clrrtrncal Analysts for Selected Parattteter3 and 11 ater Sample ldewifted as Charlie% Auto Salvage
(A James dt Jantra £rxtrrrrttttnerttal,llatta„rntettt Inc P%1ect, collected 20 December 2017)
11 Valalde Organlcn
Quanutalton
Outfrll 002
IN, Semi Nolaule Ortzonlrs
Quancuattnn
Outfsll 002
BPA Mcthad 624
Limit
Method 625
Untu
rnmete
_,O
Itl (I I
PgrarneltIM011.
Lm4lL)
Meth) kne Chk rtde
0 010
I30I
4.i,Monr3 mc0r) 1pheruil
0 010
BQL
1 dchlwot)u""Macdmte
0 010
1101
2 Chlorophewl
0 010
BQ1
1 16ichloroethene
aOto
1wi
24 0rchloraphcruil
0010
no?
I I Ihchlonoedrnc
0010
nQl
24 Mmeth)lptKnol
0010
luji
Chloroform
0010
nrn
2,4 nmtnaphcrml
0050
1101
Carbon Tcirachrottdc
0 No
fIQI
I lletln t-4A4jP1tn+phenol
0 050
HQll
1-1 nlch6ropropanc
00111
"()L
2 \nroptunol
0010
130L
Tn.hioroethew
D OM
13QI
4 \rtrophe1101
0 050
RQL
Urbramochlolurtred=t
0 010
BQI
Pentachlowphenol
0 030
801
t I r Tmhloroertt m
0 010
liol
Phen(y1
0 016
901
TcU2chkwocdmw
0 010
IIQI
t a b-Tnchloropherwl
a 010
not
CAlartttmt4enc
0 010
BOI
AcennOthene
0 010
nil
Trans-1 2 OKworocutcm
0 010
aul
Accnaphrh) lcnc
0 010
BQI
1 2 ihchlatocdwnc
0 010
OQI
lnthrlccnc
0 010
RQI
I I I Tnchlatutdi tte
DDID
IiQI
ncnudwx
0050
BIJI
Bromodichlorometh2w
0 010
BQl
nen"a hn,hracem
0 010
6Q1
Cis 13 Mchicoquopettc
QUID
I3QI
Bcnau(a)p)rcm
0010
nQI
Bmrrne
0 010
601.
&nza(b)thi0ran0tene
0 010
BQI
Transs1.313tchlotupmpcm
0010
nQr
13—o(gitOw-tc-
0010
BQl
Bturwiam
0 010
nil
ricrwAl11ft wmnthrnc
0 010
1101
I I j 2 Tctra.hloroethat,c
0 010
not
Ocnya I but) I phthalate
ONO
BQI
Tohrcne
0010
nQL
drsl2.ehlwo.'thaa))rnethane
0010
not
1 thyl ncnmfe
0 010
BQL
Bw 2-chhluroeetb) Octhet
0 010
Boo
Chtcrewdum
0010
1101.
nts(=tltl0ruesaprapyI)cthcr
0010
not
(iromomelhanc
0010
I3QI
tlt5(2-th)I hcx)1)phthala,c
0010
BQI
YOt) I ChlOML
0 010
nVl
4 Brrrrutpfwnyl phcrn I ether
0 010
1301
Chloructiunc
0 DI 0
11()t
2-Ch",vwphthalcm
0 010
not
TOW K)lates
0010
t1Q1
4.Chlorurit 0lphemla)hct
0010
nQI
Cht)scne
0 010
not
Ddutton Fwtur
1
l)dxwo(a h)sn>lnaLcnc
0 010
nil
1,2 Ihchtwohenzcm
D OW
not
sample �umtxr
44:127-02
Ij DichIntnbcatxn.
0010
BVI
bample Dmc
13R0117
1 4 r)ichlcwobcnrrnc
0010
nQl
Sample Time (hn)
0835
3 3 rttchlamberirutrrte
0020
BQI
r)icll,) I ph,halau
0010
001
t3rmcth) I phthaLstc
0 010
RQ1
111 I PA 1ltthbd 8015
Quantitallon
Out fIII002
M 14 Bid)IphiMtaic
0010
BQI
Limit
2.4 [)1m1rw0lucnc
oulo
nQ1
Parnmcicr
tJ
(m�1111
2a-r]unwtohr'nc
0010
1tol
Di-% Oct%I phthala r
0010
IWI
Ljh)lawGhcol
100
1301
12 Mphen)Ih%drame
0050
BQI,
Fluwantlwnc
0 010
BQ1
Fhuaenc
0 010
fIQL
I lexachlorobmwnc
0 010
nil
Simplc\utnher
44527 02
Ilcxachlorobtttadwnc
0010
liQI
S4mPlc nice
12I?0117
1(cx1chlw"%*clopcatadreae
0010
130L
SampteTime lhn)
0835
Itcxachlorwhanc
0010
1101
ln&no(1.2 t.cd) pI rent
o o to
BQL
lun"wMe
0 010
111)1
hnphtha"O
0010
nil
Natokm"M
0 010
BQI
t.-\arosoduncth) Iarn3nL
0 010
t1Ql
\'-ourow& n-prm lam;nc
0016
nil
\ \ itrasodlphen) lam me
0 010
BQI
Phenanrhrenc
D OW
BQI
Pyrcm
0 010
nQI
I L4 Tmhlambcnftw
0 010
BQI
Ddtawn I-wm
I
bamiste kNumbcr
4452702
13QL r ndo% Quantltatt0n I imns
Sample Dole
12/20/17
mVI miltigranu per Luer -pans per million (ppnr
Simple'I Ime thml
081)

RESEARCb & ANA1YTICA1 Report of Analysis
UboRATORiES, INC. 1/5I2018
�!llltllrq��.
� r••�.
For James & James Env Mgmt
3801 Asheville Highway
.`•,,*,G��
Hendersonville, NC 28791
o rn
NC k34 Z'
Attn Skye McCarson
t�
NC n37701
��+rrtllll��!
Client Sample 1D Charlies Auto Salvage Outfalll 002
Lab Sample ID 44527-02
Site James & James
Collection Date 12/20/2017 8 31
Parameter Methad Result Units RepLimit An_ alyst Analysis Daterrime
Hydrocarbon O$G EPA -16' - - /201 y Bd Revision B15d1ca �5 rrlglL 5 5K 1I312018
Lead Total EPA 200 7 0 503 mg)L 0 005 KL 12/27/2017
NA = not analyzed
P 0 Box 473 106 Shari Street KemersvWe No" Carolrrva 27284 Tel [phone] Fax 336-M-0326 %tiww randaiabs cam Page 1
ral_cpa_basic_O d

JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482)
Regulated by NCDENRMVIX14roundwater section
To assign test, label shaded area with sample typa (0--compWte, G=Smb)
CHARLIES USED PARTS & SCRAP CHAIN OF CUSTODY
LOCATION STORM WATER OUTFALL COUNTY HENDERSON
SPECXINF0RMATION(S)
m
001
002
JAN- JUN
JULY - DEC
ID NO
I_aD I ?
Zoo l -7
Its MAL TEMP
Oc
GRAB
Sampletimo
g
S I
B
COMP wzrt
sample time
COMP and
daft! ttmo
• . C
TEMP ®RECEIPT, 13 °C
NOTE. THE ABOVE TEMP INDICATES THE TEMP
FOR ALL CONTAINERIS) WITHIN
TEMP @RECEIPT °C
NOTE. THE ABOVE TEMP INDICATES THE TEMP
FOR ALL CONTAINERS) WITHIN
AMMONIA SAMPLES PRESERVED WITH H2SO; pH=<2 0 YES NSL
AMMONIA SAMPLES NEUTRALIZEO WITH Na2SO3, CI=- 0 1 YES HO- - -
FECAL SAMPLES PRESERVED WITH Na2S03, 0" 0 1 YES N
COLLECTED BY 64URtErHANSIEN G akrt5
LL SAUP ES COLLECTED AND PRESERVED
A r 1WE OF COLLEC17ON IN Pr4S77C CONTAINERS UNLESS NOTED OTHERMSE BY
RELINQUISHED BY
DATE I TIME
RECEIVED BY
SPLIT SAMPLE(S) INFO
ANAL*YSESW
R1= LTS1, 0
AFR==
MUSPIW:
MOW_N3VPA
MEDATEIA
NlNrLIN
PH
G!
'7•CvJ♦
]Z12�t��
L�j
TSS ppm
d
®
��� Z ►\�
r
r
�
TOTAL.
RAINFALI_
By the above signature I certify that all Infomwtian Is accurate to the best of my knowledge
COMMENTS 0 means QC not mat.

- }-
RECEIVED
Stormwater Discharge Outfali (SDO) AUG 0 g 2017
Qualitative Monitoring Report CENTRAL FILES
Forguidance on filling out thisforrn please visit http //ngrtaf =.cdenr orgANebjir/iirides-storm%v tamer%
Permit No J��/^/—/^/_/_/�/ or Certificate of Coverage No
Facility dame Cla a r t 50-r
County e-nAer5o rn Phone No 8 -z - S - Be 3 } _ —
Inspector C-TairL& gpo4s
Date of Inspection - 30 - 1
Time of Inspection
Total Event Precipitation (inches) / I r
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
i 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 "measurable storm event" is a storrr event that results in an actual discharge from the
permitted site outfali 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 this signature, I certify that this report is accurate and complete to the best of my knowledge
lam- .-
(Signature of Permittee or Designee)
Pagel of 2
SWU 242 Last modified 7/31/2013

I Outfall Description
0utfall No 1 �- � Structure {pipe, ditch, etc) *��- S4420x '/ _ -04 2 7= per L '6As-.%
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area
2 Color Describe the color of the discharge using basic colors [red(irow blue, etc) and tint
light, ed)um, dark) as descriptors
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 z )s
clear and 5 is very cloudy
1 (9 3 4 5
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
0 2 3 4 5
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
1 2 3 4 5
7 Is there any foam in the stormwater discharge? Yes C N
8 Is there an oil sheen in the stormwater discharge? Yes 601
9 Is there evidence of erosion or deposition at the outfalP Yes CNo
10 Other Obvious Indicators of Stormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
Page 2 of 2
sWU 242 i.act mnififiAd 7/'37 i7ni 7z

STORMWAI ER DISCHARGL OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100 a.3 0
FACILITY NAME L6 @.R1Ee UnJ8 Pc3jtj5 4 SCPaf> _
PERSON COLLECTING SAMPLE(S) 004S
CERTIFIED LABORATORY(S) 5 *';81M25 F,n„.1201-ab#�Z
ReW4 i! Qj%Ath-js0_ 8 (,_�_ 1� Lab #
Part A Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR Q b 1 1
(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 14 ende-r5a r)
PHONE NO (ME 5.51_-_ A I D 1
PLEASF RCMFMBFR TO SIGN ON THE REVERSE 4
f or sampling periods with no discharge, you must submit this discharge rnonjioring form noting "No f low" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfall
No,
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
Inches
00400
00530
....
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
_
Lead, Total
Recoverable,
mg/L
Total Toxic
prganlcs3,
mg/L
Benchmark
-
-
S 0-9 01
100/50?
i5
(Tiers 2 and 3)
0 03
10
0 1
_l -
s�Z o O
I--
—Q ��
Note If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pli, you must implement Tier 1 or Tler 2 responses in the General
Pvrmit
t See If pH values outside this range ai e i erorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within Instrument accui acy) instead of 6 S U Readings from an on site or local rain gauge (or local precipitation data) must be
documented to demonstt ate background concentrations were below the benchmai k pH range of 6 9
lSee General Permit text to identify whether the more protective benchmark applies foi mperially sensitive recmving waters
iFor pui poses of this per mit the definition of I otai I oxic Organics is that list as stated in Appendix D, f able it of Chaptei 40 Code of Federal Regulations (Cl R) Bart 122
Form SWU 251, Iasi i evised Ortober 25, 7o 17
Page 1 of

STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
f ariliticcs that Incorporate a solvent managemLnt plan alto thn 5tormwatc i Pollution Prevention Plan may i eque5t th-it DWQ waive monitor ing of total toxic organics IN, solvent
mdnagement plan shall include a list of the total toxic organic compounds used and the other elements listed in the Generdl Permit For those facilities allowed such a waiver, the
discharger shall sign the following; certification statement
Solvent Management Plan Cet tificotion Statrment
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (FFO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater of areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring i eport I further certify that this facility is implementing all the provisions of the solvent
management pldn included in the stormwater Pollution Prevention Plan "
_ M ACC7; 5
name (Print name)
l m-) "" 44,X—
ritle (Print title)
Sig=nature=
Mail Original and one copy to
Divislon of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1611
6-3o -I "1
Date
"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 "
624y,4 Lo 4v— 6 - - t -7
(Signature of Permittee or Designee) (bate)
R
Form SWU-2SI, lost revised October 25, 2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100 oZ SAMPLES COLLECTED DURING CALENDAR YEAR 001 �>
(This monitoring report shall be received by the Division no later than 30 days
L^ t from the date the facility receives the sampling results from the laboratory j
FACILITY NAME (2 )a R14 e, iris PA ?z 15 ScraP COUNTY f`i e ndelr �<n V)
PERSON COLLECTING SAMPLE(S) Ga o s RECEIVEL1+ON1 No (2Zs-) -3 7R
CERTIFIED LABORATORY(S)Sante5 '6 __13nM1es f nU1% Lab ri41OR-
ReSearch o AnAI44+ca1 Lab Lab # JAN 24 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE-)
Part A Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWR SECTION
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
Inches
1 OD400
00530
- - - -
77023
01051
78141
pH,
Standard
Uljts
Total Suspended
Sollds (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
WT-HEM), mg/L
Ethylene Glycol,
mg/L
4
lead, Total
Recoverable,
mg/t
Total Taxic
Organics3,
mg /L
Benchmark
-
-
6 0 - 9.01
100/502
1s
81000
(Tiers 2 and 3)
003
10
OO 1
19
0
Ot 0
O? S
_
3QL U aj
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must Implement Tier 1 or Tier 2 responses in the General
Permit
1See If pH values outside this range are recorded in sampled Stormwater discharges, but ambient preclpltatlon pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within Instrument accuracy) Instead of 6 S U Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concenti ations were below the benchmark pH range of 6 9
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated In Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122
Form SWU-251, lost revised October 75, 2012
Page 1 of 7

STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
I
Facilities that Incorporate a solvent management plan Into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organ}cs The solvent
management plan shall include a list of the total toxic organic compounds used and `the other element,, listed in the General Permit for those facilities allowed such a waiver, the
discharger shalls4n the following certification statement
Solvent Management flan Certification Statement
"Based tpon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (iiQ), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exjiosed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this facility is Implementing all the provisions of the solvent
management plan Included In the Stormwater Pollution Prevention Plan "
s Name (Print name)
` "s aad Mm\-asier
Title (Print title)
Signature
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"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 quailled personnel properly gather and evaluate the'information submitted eased on my Inquiry of the person or persons who manage the system, or
those persons directly responsfble for gathering the information; the Information`sulim' Itted 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 or Designee) _ (Date)
Form SWU-251, lost revised October25, 2012
Page 2 of 2

RF-s ch & ANAtyriCAt
L.AI]owoRks, INC.
Analytical / Process Consultations
Phone M35? 996-2841
CHAIN OF CUSTODY RECORD
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RESEARCh & ANA YTkAL Report of Analysis
LABORATORIES, INC. 1/13/2017
For James & James Env Mgmt �.•,,4 . • 1,�.�.�I'�►�
3801 Asheville Highway ``�ra�� 1�C %,t��
Hendersonville NC 28791 • +� :— o
rA NC 934 z;So 2
AM Skye MCCarson MC tt37701 r
Client Sample ID Chortles Auto Salvage Out1811 001 Lab Sample ID 29019-01
Site James R ,lames Collection Date 12/29=18 10 40
Parameter Method Result Units Rep Limit Analyst Analysrs,s Datefreme
Hydrocarbon O&G EPA 1664 Revision B1Silica Gel <5 mg/L 5 ON 1/312017
d
s
Lead Total EPA 200 7 0 765 mg1L 0 005 KL 1WO17
i
A
Client Sample ID Chadies Auto Salvage Outfd11002 Lab Sample ID 29019-02
Site .lames & James Collection Date 12/29/2016 10 50
Parameter Method Result Units Rep Lim13mi Analysis DateMma
Hydrocarbon O&G EPA 1664 Revision t3/Srltra Gel <5 mg/L 5 DN VM017
I
Lead Total EPA 200 7 0 042 mg& 0 005 KL 1 /312017
NA - not onatyzed
P 0 Smt 473 106 Short Shw Kem=vd% North Carolina 27284 Tel [phone] Fox. 336-SS64X 2B wwa randaten cum Page 1
ral_roa_oaasc-v t c

RESEARCh & AmlyficAt
s� UbORATOOES, INC.
Analytical / Process Consultations
Y Phone [phone]
CHAIN OF CUSTODY RECORD
wAMIWASTEWAM I Ric
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RESEARCh & ANA[YTiCAI
0 LA ORATORIES, Iric.
For James & James Env Mgmt.
3801 Asheville Highway
Hendersonville, NC 28791
Attn Skye McCarson
Client Sample ID Chadies Auto Salvage Outfail 001
Report of Analysis
1 /13/2017
w,o :
'roo NC.-34 S.
NC 1:37701 �
C �
F
•ter'+•��Fa A�`�,+�►```~•
Lab Sample ID 2901"1
Site James & James Collection Data 12t292015 10 40
Parameter Method Reswl Units Rep Limit al t Analysts D2t- e �
Hydrocarbon O&G EPA 1664 Revision BISilica Gel �<5 mglL 5 ON IIW017-
Lead Total EPA 200 7 0 765 mgiL 0 005 KL 1/3/2017
Client Sample ID Chadies Auto Salvage Outfall 002 Lab Sample ID 29019-02
Site Jaynes &.lames Collection Date 12129/2016 10 50
Parameter _ Method Resutt , Units Rep Lurntt Apj!yt Analvsis'DatP-Mrne
Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <5 mg/L 5 ON 1/3/2017
Lead Total EPA 200 7 0 042 mg1L 0 005 KL i 21201 7
NA = not anapezec
P 0 Sax 473 106 Shot Sheet Kemersviiie Barth Carolina 272$4 Tel [phone] Fax 336-956-b326 www randalabs cam - Page 1

RESEARCh & ANA1yT1CA[
,�siissn u4apAr r
4
LAWRATORIES liVC.
Analytical/Process Consultotlpns
�''•.4«0- e,
Chenucal Anal) ws for Selected Parameters and lVater Sample Identified ati Charhe'+ Auto Salvage
IF i Janres & James Environmental Wangenrent Inc Project, collected 29 December 2016)
Ii Voletde Orpnmes
dltton(1431110a
Out(a11002
IV Semi volatileOrRames
Qunntitatiun
Oulfal! 002
FPA Method 624
Limit
Method Q-s
Limit
Parnmeter
lm?-A 1
lmWL)
Perimeter
Im214)
(MP/1 1
Nteth}leneChlortdc
0010
BQ1
.�kwo-a mcthtl"cnol
0010
4QL
I n0tromflutircmtcthanc
0 010
Doi
2-C)i)oroplteaoi
0010
601
I I Dichlaroethcnr
0010
Brat
Z,4-13tchtorophrml
0010
dt,a
I I Dtchlor00110n,
04)10
HQL
=1-Di.^iet7tlphcnui
00111
qQl
Lhlotuform
0 010
BQI
2.=-DuRirrw4itriW
0 050
BQ1
Carbon 7etwhimidt
0 010
HQL
2 %icthc 1-4 6-dinitmphenol
0 050
Bnl
1.: Drchlornpropme
0010
BQI
? \utophcnol
DOW
E3111
rrichlorocth"m
0010
BQL
4 titvuphcuol
UU`f)
BQI
DthramurFloramethatit
0 010
RQL,
Ptissachlocgphcnol
0 050
Bt)L
1 12 Tnthloruedwic
0410
HOL
Phenol
0010
HQI
1 eiroehlnrncawne
0 010
Brit
2 4 & I rwmoroph- of
0016
Rfjl
L hlorabenrrne
D U 10
1401
Arcusiihthenc
n D l 0
1iQl
Trans r 2 Otehimuctbcnc
01010
BQI
Aceer OM11%km
0010
IS(Ti
1 2 Dtehioroc ham
01110
BOL
Anthraccne
0 010
HQ1
i t 1 Trichlprpethatic
U 010
HQL
acne dme
0 050
full
Btornodtchloranwil=t
0010
HQI
8an1J92l4r.hrac lw
0 010
9)I
Lis 13 DrrFluruprupcno:
r1010
BQL
Hcnca(a)P)Mw
00111
RQ1
ileiieric
it O W
BQI
Bentot b311amrinzhctx
0 010
Hui
Trans 13 Dichlarrrpmperk
onto
HOL
Brncarglltjpesti}cni
UOto
HQt
Bromotorm
0 010
"QL
Battc(kltltieraathcnr
0 0 i O
HQI
11221=trmbltinicthane
0019
BOL
BcnnIbta+dpn.hahtc
00t0
BQ1
I nluatc
0 010
BQI
BIs12<Flaraciiwu%rrmihsnc
D 01 n
nQl
I tint ileiumor
U 0l0
HQ1
BIs12 :a4utxth) t)etlicr
0 u 10
IkQl
t_'Mmmirilisne
0 o to
BQL
iin(_-ehlarossapinp- IMhcr
0400
Ile Il
Brorrnirncrlunc
0011)
11Q1
Sts(2-eami
0010
11"1
l in, I Chloride
0010
BQI
. Bramophdn I phemI ether
0 010
flit
C`hlormtham
0 010
HQL
2 ChWiartaphthalrnc
0 010
ilr)I
NA31 Wen"
(0010
IIQI
4 L htaropban I phcn, l ether
0 O 10
RQL
Leir%mne
(1010
"QI
tMu0un Factor
1
Dibc-it 9S h)anihtartnc
0 UID
801
I i 11whiaobenicne
DUlu
IiVL
Sample lumber
29019-02
1 Dichimuiscnrcrc
0010
BQL
Sample Dote
12129116
1 4 Dtelihicilsmenr
U AO
RQL
Sam le Time Ibrs)
I O"0
3 3 Dwhltsribcnridtar
0 0_0
Flo,
Dtctli+l phtiralrr
onto
Eif)l
Denrth% I litah2 ate
Onto
BQI
111 l P % Method 8015
Quantilation
Oulfall 002
DI \ BUM pfnhslat
0010
BQL
Limit
. Dmitratal,xoc
0010
BQL
Parameter
Lm1JL)
m +/1-
'- 6 Dma&fthiene
0 010
SOL
IN \ rho l phthalate
0 010
B01
Lth Erne{,I)rnt
10U
Hot
1 2 Diphormllndrarinc
0mo
Solt
I Iisaranaxm
0 010
Sol
Fluatenc
e] 010
BQ1
TleYxehtnmlrnrrtx
U 010
BQI
Sample Number
291)19-02
Iteiitrhtarabtitadtrex
D DI
RQL
Sample Date
12129116
licaachlorocsclapcntndirnc
0(fi0
RQL
Sample Time (hrs)
1050
Ikwchloroo:d=o:
0010
BQI
Irtd=trot 12J-cd) pi erne
U 010
Httl
Ixipitmont
11010
OQL
♦Zpbthalcne
o DIO
BQL
2larobrttt=titr
0 01 rr
BQL
\ \nrosoduncih.IamlM
0 010
WN
♦-nitrmgfi n txop16lamtnc
D i 10
1101
\ Nitrussasdlphcm famine
0010
BQL
Pherrtntiuerse
0 010
1tt)1
P)rcnc
0 DIO
BQ1
12 4 1 ri.hlor,4xitteric
0 010
Htal
lytlutim Ieetur
1
Sample Noumher
29019-02
HQL - Hckitn Quinutation I emus
Sample lime
12129 10
mJL - mdlij,=i%per Liter - parts, per mtthon rppml
Sample Timt ihrsl
1050

RESEARCh & ANA[yTlCA[
LAbORATORiESi INC.
Analyticd/Process Consultations
Chemical Analysn for Selected Parameters and Prater Sample Identified u-. Charlie's Auto Salvage
(A James & James Environmental Alanagcttrent Inc Project, collected 29 December 2016)
! Pestscidea/PCB's
Quantttatton
outfull002
EPA Method 508
1 tmal
Parameter
img&l
Lrne/l.3
Alann
0 00I
I3QL
Mpha 1311C
0 001
BQL
Bay BIIC
11 001
130L
Ddia BI IC
0 001
BQL
(,anima Ell IC
0 001
BQL
Chlordane
0 010
BQL
4 a' DDD
0 001
13QL
4-d DDI
0 001
BQL
4-4 -DD I
0 001
BQL
Diddrm
0 001
BQL
Lndosullan l
o 011l
130L
I ndosultan I 1
0 001
130L
Lndn,ulrail Sul ralL
0 001
BQL
I ndnn
0 001
BQL
I ndrin '11de.h}&
0 001
13QL
Ikpl. thlur
0001
BQL
I1%.pta0lor epomde
0 001
I3QL
�lLthn�achlnr
0 001
BQL
o�aphLIIL
0 020
BQL
PCB 1016
0 005
BQL
PC B 1221
0 00-,
I3QL
11C I1 1 _232
0 00:,
I3QL
PCB 1242
0 005
I3QL
K. B 1234
0 00--�
BQL
PCB 1260
0 005
130L
Sample Number
29019-02
Sample Date
1129J 1 o
Sample Time
I U50
mr!l- _ inlligrarn5 pc r Litex = pans per million 1pptn)
IJCI3 = POIVLhlormated BiphLnyl BQL = E do" Quantitation Lnmta
*02W Pop%%'
♦ 'PO
C

Rf-smtch & ANA[yTiCAI
LAboFuTURiESr INC.
AnolytIC(111Prdcess Consullattom
Chemical Anaij cis for Selected Parameters arrd !rarer Sample Idenrifted a Charhe'. sl wo Sa11,aae
(4 James do James Enwrortmental 1larragetrrerrt Irrc Praect, collected 24 December 2016)
's��r.tra+u�rr
ti
rru.umts'
I I Voialtie Organic.?
Quantit2ficin
f)utrall 001
IV Semi ►alatt(e Organics
Quenlltallon
0I11rall 001
FPA Method 624
Limit
Method 615
Limit
Parameter
(m21LS
(me1L)
Parnmmrr
(mEli)
M r%l-
NethykncL"heortde
0tll0
fltjl
-1 ChltmO.r m,di%h+ennl
0014)
HQL
Tnchlmolhrorwilo anc
0010
BQL
2 Chlutophetml
00t0
nQ1
1 t 02chkor xthene
0 010
lull
2 , D-hktraploxrtnl
0 010
ROE
I I Ihchioroctharie
D OW
HWII
2 Duri th0pkcmol
0 U10
BOI
Chlomfmm
DOW
8QI
'_.. Diraophenel
011.)0
H131
Carbon Icaachrarrde
0010
SDI
? ilrth%t A 64emtrr iphen-Yl
4040
DQl
1.2 Dichhunproparx
0010
1101
2 \etrorhen0l
o alo
1IQ1
Err.hlmacthcoc
0 010
HQJ
+ \t-ropltcrtil
(1050
HQI
Dtbromochloramethsx
0 016
BQl
Pcra241,10rophmol
0 050
%1)1
I L2lrtchkTacthanc
r10111
Hill
Plltctrol
0010
Rol
TctmchlarwJwnc
0010
BOL
2 - 6 1 nchknophmH
n (Ito
R01
C hlotubcaremc
0 010
liol
Acclixott�ctte
0 010
HIM
Trans 1 2 Duhimmthem
0010
nQI
Accoaphthykcnc
0010
RQI
1 2 D3chkiruc9bmic
Oulo
BQ1
Anthracmc
0010
lir)l
I I I I riehkarocthm.
0 010
ElQ1
llrnrtdenc
00,0
WE
Brortadichkmaotethmie
0 010
Blil
Ren-ofakenthr=m
(1 010
BQI
Cis 1.3 Dichlompturem
0610
UQI
Etenraa}plTrrtr
0010
B1)l
Haurnc
0 010
lIQI
Rcrttolbltiaurimllcm
0 010
HOE
inns 1 3 Dtchluropropcmt
Ufit 0
Bl)1
Bmm E;tu peniene
0010
Rf)l
Broaxtlorm
o fr 10
uQI
1kUMkl1lt aramUw=
0 010
hol
1 1? 2 Terracldorac tane
0610
Sol
Bcnzrl btr.l ph6sL..c
0 010
RQ1
fuluertr
0 010
BQl
Bes('_ cfikw xx-d=i lmehanc
0 010
Hilt
rthtIHen4=
0010
nim
BW2— hlaractlniie+cr
00I11
tIQl
Chtoranuthane
0010
B01
3ts(2—bkm5o,top%1jcihcr
40Eu
HQL
Hrurwmicdtanc
0010
S 1
Brt(2-c1hsI hcxi1P tthnlatc
110t11
8Qt
%tn%IChloride
0(fl()
Brll
a BromophemIphrmlcthcr
0u1n
HQ1
ChImocih3rx
0010
H(a
2thku0r Icnc
UU10
B()1
I utsl NN lcncs
r10i 0
But
i thkirophagl ttltctn l cuter
0 010
8L11.
Chnscm
0 010
BQE
Udutum Factor
1
DUxnzNa.hlaathra-cne
0U10
B01
1 - Dwiltarobertcx
U OI o
Rol
Sample Number
29019-01
1 j 13tchlorobcrmcne
0919
BOL
Sample Date
I2129116
1 a DwIlkanbesr.erre
04110
BLit
t-amole Time (hrs)
1040
j 3 Drmhlumbcwidi c
0 02U
IJQL
Dteth%I pht1=1zle
0 010
BQL
Urmeth) I Pbthatatc
a 010
HQl
III FPA Methud8014
Quant(tatmo
Qulfall001
Dr \ Bun I phttsibic
0010
BQI
Limit
3 4 Drinrm tune
0 010
St)l
Parameter
(mr1Ll
Imrf }
26-Dimlrwoltcx
n010
HQ1.
De \ t?ati Oihalut.
0 U10
IIQI
Edi, lent GH.01
100
WE.
1.2 Ihphcnti Iht.Enima
1)05D
fl(,if
Fhetranthtoe
0 010
Hat
Fh"cne
0 010
SQ1
1EruwhWoben cnr
0010
EI111
SumPIc lumber
29019-01
H"whinrabanttirm
0010
(lot
Sample bate
12129/16
1Ie[a<hlottxttl0pcntad1enr
()()to
Ht11
Sample Time (hn►
I{WO
Hv achlotocth:lnc
0 010
fit 11
lndcno(E 2,3.rd) percnr
0 610
[IQ[
Isaphotnrre
00111
Ht,�l
Napluhalcac
0 0I0
lit)L
\itrobertrex
0 010
HQL
\ \Irr0sAImethtlan4w
0010
Bt1E
\ mnr,nodr n PrC.P0,rntnc
0010
ItQl
♦ ltumodipilcm!Amine
a010
EtQI
Phenanihrcre
0 010
EtQ1
Ptrcnr
6 010
H()l
1.' a 1 rtchlor lbm mr
0010
H(}l
alule in I oelar
I
Sample \umher
29019 01
90- Bdiaw Quarnita ian Limos
Sample Date
12CW 16
mgll - mtllrgrsms pert aer - pans per mdiron fpl'rrri
%umrile Time ( firs 1
1040

RESEARCh & ANA YACA1
LAbORATORIES, INC.
AnaWcd/Process Co1'lS Ita lom
Chemical Analysis for Selected Parameters and Water Sample Identified as Charlie's Auto Salvage
{A James & James Environmental Management Inc fro
,�ectr collected 29 December 2016)
PesttctdeslPCB's
Quarttttation
Outfall001
EPA Method 608
Limit
Parameter
(mgl)
(ng&)
Aldrm
0 001
BQL
Alpha BHC
0 001
SQL
Beta BHC
0 001
BQL
Delta,BHC
0 001
BQL
Gamma,BHC
0 001
BQL
Chlordane
0 010
BQL
4.4 -DOD
0 001
BQL
4-4 -DDE
0 001
BQL
4-4 -DDT
0 001
BQL
Dieldrin
0 001
BQL
Endosulfan 1
0 001
BQL
Endosulfan I 1
0 001
BQL
Endosulfan Sulfate
0 001
BQL
£ndrtn
0 001
BQL
Endrtn Aldehydc
0 001
BQL
Heptachlor
0 001
BQL
Heptachlor epoxide
0 001
SQL
Methoxychlor
0 001
BQL
Toxaphene
0 020
BQL
PCB 1016
0 005
BQL
PCB 1221
0 005
BQL
PCB 1232
0 005
BQL
PCB 1242
0 005
BQL
PCB 1254
0 005
BQL
PCB 1260
0 005
BQL
Sample plumber
29019-01
Sample Date
1229/16
Sample Time
1040
mg/L = mlltgrams per Liter = parts per million (ppm)
PCB = Polychlormated Biphenyl BQL = Below Quantnauon Limits

JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482)
Regulated by NCDENRMWQ-Graundhral* section
To assign test, label shaded area worth sample type (C=camposde, "rab)
CHARLIES USED PARTS & SCRAP CHAIN OF CUSTODY
LOCATION STORM WATER OUTFALL COUNTY HENDERSON
SPECIAL INFORM lnON(S)
M
wl 1
002
JAN- JUN
JULY - DEC
ID NO
Z 1 Cv
1
INITIAL TEMP
GRAB
sample time
o: o
10,60
COMP surt
urm
CCW end
date! time
TEMP @RECEIPT t) _°C
NOTE THE ABOVE TEMP INDICATES THE TEMP
FOR ALL CONTAINERJSj WITHIN
TEMP @RECEIPT aC
NOTE THE ABOVE TEMP INDICATES THE TEMP
FOR All. CONTAINERIS) WITHIN
MONIA SAMPLES PRESERVED WITH H2SO, pH=<2 Q YES NO
AMMONIA SAMPLES NEUTRALIZED WITH Na2S03 Cl=< 0 1 YES NO
FECAL SAMPLES PRESERVED WITH Na2S03 CI=< 0 YES NO
COLLECTED BY LAURIE HANSEN
ALL SAMPLES COLLECTED AND PRESERVED A T 77ME OF COLLECTION IN PLASTIC CONTAINERS UNLESS NOTED OTfV WISE BY
RELINQUISHED BY
DATE I TIME
R ED BY
SPLIT SAMPLE(S) INFO
ANALYSIWAk
PH
TSS m
��
!3
TOTAL?
RAINFALL
G
3
By the above srgnatt m I certify that all rnforrxrbm is accurate to the best of my krouMedge
COMMENTS 0
meads QC not mef.

___'�'
NCDENREEIvED
Stormwater Discharge Outfall (SDO) JAN 2 4 2017
Qualitative Monitoring Report CENTRAL FILES
DWR SECTION
Forguidon ce on filling out thisform, please visit hap. //portal n denr erg /web11r(nodes-storMwaterI
Permit No jj/V_./_/_j_/._._/-JJ or Certificate of Coverage No
Facility lame .aac Gas Sctr-jo
County &w,)4-asd.41 - - - - Phone No P, " 6,FS7- - Y' f
Inspector - - zr Akan - - -
Date of Inspection _/ 2 - ?:�2---
Time of Inspection D
Total Event Precipitation (inches) . I
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'meamreablestorm 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 dunn; 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 01 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
01 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 local DWQ Re -tonal Office
By this signature, I certify that 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 713112013

I Outfall Description
Outfall No ( Structure (pipe, ditch, etc) J34'V.:T1') _
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area
2 Color Describe the color of the discharge using basic colors (red, ro lue, etc) and tint
(0medium, dark) as descriptors
3 Odor Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
weak chlorine odor, etc ) N6i✓L-�
4 Clarity Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy
1 2 3 40 5
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
2 3 4 5
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
01 2 3 4 5
7 is there any foam in the stormwater discharge? Yes No
8 is there an oil sheen in the stormwater discharge? Yes 4N0
9 is there evidence of erosion or deposition at the outfall? Yes 0Nq
10 Other Obvious Indicators of Stormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
maybe indicative of pollutant exposure These conditions warrant further investigation
Page 2 of 2
Swii 242 last modified 7/31/2013

NcCl 06�30
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100 OCR SAMPLES COLLECTED DURING CALENDAR YEAR
(This monitoring report shall be received by the Division no later than 30 days
fr remit e 2 L }Cfag4ty receives the sampling results from the laboratory j
FACILITY NAME OQY' I I oeS U'SeA 1 Q 5 d- JC,fNOV 2 6 COUNTY 14en dC=6Y1
PERSON COLLECTING SAMPLE(S) r CENTRAL. FPI_E NO UC)S
CERTIFIED LABORATORY(5 e - Q rn �ekV�210 Lab #t DWR SECTION
wee Lab #ice_ PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you mustsubmrt this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfaf f ,
',S' ; No:..�'1;'
. �«��
- Dater r
Sample Collected,'
TTotal x
. ,
Rainfaii;{
"Inches {
r
M
h 00400 ,,�
e.-! { r
WSZIO k�
�, � ,
b "zr r dP _ �.' FP a
a - • - I
,3 � ;.;
.
G
Y a ? „z " ' l y �.1,
� 77023„ ��, ;,
x. it
�:�,�� ti105. 7. >,, Y1
t y
� �< 78141 ��
} '; pFI; ,E. ;Y
1, s7 1t 5
Stadardrz�
a < sUx n}I,tS F,
�99s��ikn r i
rnTotal Suspended
4 i „ eq : 9
,.- 5niidsn(TSS?: f ,3
% ✓vr
m8f L .
u}'it g L
w
;1 Non.polar, < µ�,�1
vl�l a z . L
` ,' 08EGITH • ,-
�>
ar�i �?e
(Methcd,i6fi4�
( -} 5�.�`�{j{� 1..7FIi '/� s
SGT'�11�4.�I� gI
I Ethylene Glycol","°
'.s s ��'"
fe+ Sn. t,
u t mgJtpl �i
L ,rr. t
����T,•" Y�y a+f 5 red+%
�yW 't f .1-s'l'� A r4,t.2i){d tJF
4 Lead, Total 5}r
S YJu ,
Recoverable • t
r s afrM J
ai l�`'i ?'�iaT'�'I
x[* t 1 3l IY ry S
r> total,Taicfic
Fx!+t
Or antes
8 ,,
o �'�Ss 'r`".
Ali i) �4e,Ii� l•] *'}
�2'
r ,tt >
" Benchmark;
�f 4v 1I 7Y '<f ,
x' f L i-, �J
a+, r F� g ,
J
{Ik r51I j"fftJ
f {l j �g
S' 1 l l�, 1
x _ i`
ti �e
H f ,,ti s 3
tQM1� 4i
Fgto .0 b�:
�I"J`9, i.sn, +,}� f
i t {
�'Y �i" ��f
P%Jt t J
; s 000/50
F y �3y, sKf '� ^vc
-
a dt� E t
er 'or-�`I Lr
�j i PS
1.5v rR"� >
1� J 1%Ti1' v�,
x i µ f { f,
f 8 ilQo
1r 1 i �I
]+` '^ A. '}'i
., (tiers 1 and 3 �` ,
!. t R !..
,�
, � w 0 03
✓ w y
bo
U o
%.5io
!09)-
8
Iq TVl
b
�
Note if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General
Permit
ISee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S U Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6 9
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix 0, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122
Form SWU 251, lost revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that Incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit For those facilities allowed such a waiver, the
discharger shall sign the following certification statement
Solvent Management Pion 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 (70), 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 all the provisions of the solvent
management plan Included In the Stormwater Pollution Prevention Plan "
a J but 1.
Name (Print name)
(Title (Print title) y/7 fnn r T
nature
Mall Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Rakeigh, North Carolina 27699-1617
Date
"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 "
( �gature of Perl
r
or Designee)
(Date)
Form SW U-251, last revised October 25, 2012
Page 2 of 2

P.M. R"Erm
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit hLp jjportaimcdenr org/web/wgjws/su/nndessw#tab-4
Permit No LI/�/^/_ /_/_/ �/_/ or Certificate of Co rag No XAQ1W- 1--q! /VL l Q1
Facility Name d s
County uy-,\ Phone No g5 - TIZ, \ �f i 005
Inspector _ �''� CA 5
Date of Inspection _ lf.e Lv� i�. C�Ivl
Time of Inspection >,-.,
Total Event Precipitation (inches:)
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 va►y, 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 01 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
01 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 local DWQ Regional Office
By this signature, I certify that this report is accurate and complete to the best of my knowledge
Page 1 of 2
SWU 242 Last modified 10/25/2012

1 Outfall Description
Outfall No UU Structure (pipe, ditch, etc) C4 1 C
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area _ as.�
Q �eyyN V-e-C
2 Color Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint
(light, medium, dark) as descriptors
3 Odor Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
!1 weak chlorine odor, etc) A) 6 n 'c-1
4 Clarity- Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy
1 2 3 4
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
2 3 4 5
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
1 2 �3 4 5
7 Is there any foam in the stormwater discharge? Yes
8 Is there an oil sheen in the stormwater discharge? Yes
9 Is there evidence of erosion or deposition at the outfall? Yes Ng�
10 Other Obvious indicators of 5tormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
Page 2 of 2
sWU 242 Last modified 10/25/2012

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100 SAMPLES COLLECTED DURING CALENDAR YEAR I `t
)This monitoring report shall be received by the Division no later than 30 days
f from the date the facility receives the sampling results from the laboratory 1
FACILITY NAME QY e+5 Osea 9p,4st COUNTY -Her)P_rson
PERSON COLLECTING SAMPLE(S) PHONE NO. ( -
CERTIFIED LABORATORY(S) e.S at- Lab #
aqyA+-Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results
Forsampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
1
1„,I Outfall
s �
r ?
t ' rt rr k y
No: 4 k
! /
y�,�. 1 ,�- ~E,} �yt a • � ,�Y_
1 ,� S,. l., ++
7`y� xh, �
Qat t
1q, �+�
It t�s
l i 1 '
Sample Collected,!
rro/dd/year.
}+^v ,1 ..�,t�- J �•..i,ty+ ,xn � __ �[
� l �- i. �i �p,{r � •� °
lu 7
�, , o,
5 �,' '>^
I He
-�,�Total , }
"Ra1iinfrfJay l,�l,,
i 3 r �5 t "
I '
00400 I
I ,R,
1 S Ci"1 k h.+ / •fl
hN00530 -
J tr s
1 i � Si` 4� '
r fFl
j , s ri - ,.
F
" 4 �>1 023rt'� �fN, �„
s
Y 61051 ��
t1 5 xt _
IF+�
> 7$1�1�
{ r
i 5 ai l d<
� pH,�s w ,l
zA! Ix L
4'f-1f ">,#l�t1'
Standard
' 1,qi � it,-�rh�
�x1 a 1
Totlal Sus0ended �
} i'J..� it,+
6Ws SS ,
'�^+r.J.wr ei�+�,.�h ! t., �;. .r
'^"aFl+ l ....5
a Non-palar _ <
iAs O&FGy>
`it(Met1od)InchesA
7 + ,� 4w
T PA JAI `
t r��7! "i'i�f1q,�3 mile-,'
1 t ?
xJ ` y fthyleite Caiycol, , t
�L!'t
T'&
a" l " ?s1 5�,. C r
>l w' t , 4 r df C� Y 1R
N
< t'�i '"�� al�•�:k'�YN fat
r yt ,{v
; n4 Le�d;,Total �d
e� ti�, ov�ge�./
si� r whitY`"
.3 , a �
C t ,4 " 4>
. ,, Total Toxic
, i
Org�laf nic1FZs�3•,
m i L ,, i
"
}i yNd4 f Ja~
�
Benchmark
e " �. A >wy4 "t +1f.,
,� '' ej F mil,
4 s 5 , • 4
- �,
x i�•ts•-.— a"
iv '` N r ; ' k
} cti l'li y�
1 =4 J ,
'� � t
1
R �iyyk ��^
lL end 1 �r 1Rw
1 l t 4
. 6 0�- 9 0 � 1r
:...,
y Nr ' ^
XT Rr.�/'�i�S �,t h�}
I t
}�, �vZ00/sift
f & NI
` a to kl N
f" % t
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1 r r c
`' p1 f i t I
! wfY�O i)MO S *, �
V5 a
� (Tiers Z and 3 -
a
3 iL r 4
Y 7'� 4 Ir Jam+.
� ,' ' D 03
r
C. 32
t3 a l—
Note If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General
Permit
)See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S U Readings from an on site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122
Form SWU-251, lost revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit For those facilities allowed such a waiver, the
discharger shall sign the following certification statement
Solvent Management plan Cert¢icatian Statement
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this facility is implementing all the provisions of the solvent
management plan included In the Stormwater Pollution Prevention Plan "
Nam (Print name) j
Cl1 - hY�
Title (Print title)
—,
6y, ature UDate
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted Based on my Inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete 1
am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing violations "
// y
(bat )
Form SWU-251, lost revised October 25, 2012
Page 2 of 2

AWN
AA=Vr*aWA
RMWR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidante on falling out this form, please visitbnp..ItporWl.ncdenr.org/wpb/wq/ws/sil/ni2dc55w#tab-4
Fermat No TI/S/��/_J _ /_/ _/ or Certificate of C�erag�e
Facility Name QYL15 Q.
County — 042—nde.,OSQO Phone No Y
Inspector IQ Ql�
Date of Inspection L6CzL's
Time of Inspection_ -
Total Event Precipitation (inches) 3
No V
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit"
(See information below)
YfYes ❑ 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 01 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
01 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 penod, and the permittee
obtains approval from the local DWQ Regional Office
By this signature, I certify that this report is accurate and complete to the best of my knowledge
Pagel of 2
SWU 242, Last modified 10/25/2012

I
1 Out]Wl Description•
Outfall No 00 Structure (pipe, ditch, etc.) 1
Receiving Stream
Describe the industrial activities that
within the outfall drainage area
2 Color Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint
(light, medium, dark) as descriptors r �
3 Odor Descnbe 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 1 is
clear and 5 is very cloudy (j�
1 2 3 4
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
Q2 3 4 5
b Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
1 2 (K�
4 5
7 is there any foam in the stormwater dischargge? Yes fa
8 is there an oil sheen in the stormwater discharge? Yes No
4 is there evidence of erosion or deposition at the outfall? Yes No
10 Other Obvious Indicators of Stormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
SWU 242 Last modified 10/25/2012
Page 2 of 2

CERTIFICATE OF COVERAGE NO NC6100 _2 a C?
FACILITY NAME C�A ri fe g (A' 'e8 L74.t'is +
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S)3am
Part A Stormwater Benchmarks and Monitoring Results
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR Q U t
(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 i4elade►r•so r1
PHONE NO (Le _)5
Lab Ii PLEASE REMEMBER TO SIGN ON THE REVERSE -�
For sompiing periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
Inches
00400
00530
... -
77023
01051
78141
pH,
Standard
Unju
Total Suspended
Solids (TSS),
mg/L
Non polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
lead, Total
Recoverable,
rng/L
Total Toxic
Organics3,
g1L
Benchmark
-
-
6 0 — 9,01
100/50z
15
8,000
(Tiers 2 and 3)
003
10
bc> i
93.(l
45
Lo
0.01t
<p v1Ca
bo
G L
J, 3
z 12q.C)
[5
1 U
0.09�0
<b 016
Il1l 2
Note If you report a sampled value In excess of the benchmark value, or outside the benchmark range f06 H �¢u.m �lNement Tier 1 or Tier 2 responses In the General
Permit DWRKSHECTION
15ee If pH values outside this range are recorded In sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range Is the pH of the precipitation (within Instrument accuracy) instead of 5 S U Readings from anon site or local rain gauge (or local preclpitatlan data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6 9
25ee General Permit text to Identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics is that list as stated In Appendix D, Table Il of Chapter 40 Code of Federal Regulations (CFR) Part 122
Form SWU 251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
Facilities that Incorporate a solvent management plan Into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit For those facilftfes allowed such a waiver, the
discharger shall sign the following certification statement
Solvent Management Plan Certlflcotion Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monftoring report I further certify that this facility Is Implementing all the provisions of the solvent
management plan Included in the Stormwater Pollution Pre ention Plan "
Name (Print name)
t� A?Q�/t,Grc-
Ti a (Print title)
��rW _ .._._...,_...,.. - 2F 4
Signature Date
Mail Original and one copy to.
Division of Water Quality
Attn Central Flies
1617 Mail Service Center
Ralei h, 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 submltting false Information, Including the possibility of fines and Imprisonment for knowing violations "
(Signature of Permittee or Designee)
.C-2?- -16
(Date)
Form SWU-251, lost.revlsedpctober 25, 2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO NCG100 '.�L SAMPLES COLLECTED DURING CALENDAR NEAR �U I
(This monitoring report shall be received by the Division no later than 30 days
11 from the date the facility receives the sampling results from the laboratory)
FACILITY NAME art7 f e t Us pfrT S COUNTY 11d e K50 )1
PERSON COLLECTING SAMPLE(S) 14o ot, -- Juju dt 3 a r+-s PHONE NO
CERTIFIED LABORATORY(S trvS+ ees e4i) Oktdi< Lab # [
es{g " Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 fir
Part A Stormwater Benchmarks and Monitoring Results C�D
Forsomphng periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements
Outfall
Date
00400
00530
- - --
77023
01051
78141
No. ,.
Sample Collected,
Total,
Pk, ,
Total Suspended ,,
', Non polar.
Ethylene Glycol,
Lead, Total
Total Toxic
'
mo/dd%geari
Rainfall,
Standard
- ''Solids (TSS),
�
O&G/TPH
,
v mg/L t
Recoverable,
3
Organics
�
Inches
�r �..a ,,
a ,, UrlitS „
mg/L 1
(Method 1664
d f '
mg/L
,
SGT-HEM), rng/I.
Benchmark
-
-
_+6 !0 =- 9101 �_
100/50z
,; 15
81000
(Tiers 2 and 3
0 03
10
coo
I1E� 4-g id l�
B
< S
< 10
t4 0
<
U
9 --j -A9 W
, !
< t
<
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must Implement Tier 1 or Tier 2 responses In the General
Permit
15ee If pH values outside this range are recorded In sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range Is the pH of the precipitation (within instrument accuracy) instead of 6 S U Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters
3For purposes of this permit the definition of Total Toxic Organics Is that list as stated in Appendix D, Table li of Chapter40 Code of Federal Regulations (CFR) Part 122
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
Facilities that Incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit For those facilities allowed such a waiver, the
discharger shall sign the following certification statement
Solvent Management Plan Certification Stoternenr
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics jTTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report I further certify that this faclllty is Implementing all the provisions of the solvent
management plan Included In the Stormwater Pollution Prevention Plan "
Name (Print name)
Title (Print title)
l�"� ku;
Signature
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
i � � � t • ' 1
Q-3o-�S
Date
"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 artd evaluate the Inforrnatlon submitted Based on my Inquiry of the person or persons who manage the system, or
those persons directly resporislble far 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 "
ISlgnature of Permittee or Designee)
(Date)
Form SW U-251, last revised October 25, 2012
Page 2 of 2

RESEARch & ANA[y11CAt
LAbORATORIES, INC.
Analytical 1 Process Consultations
CHAIN OF CUSTODY RECORD
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RELINQUISHED BY
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SAMPLE TEMPERATURE AT RECEIPT 3- LP QC 0�_�
r _-
-
IVED BY -1
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JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482)
Regulated by WDENRIDWO-Groundwatersection
To assign test, label shaded area with sample type (C=composite, G=grab)
CHARLIES USED PARTS & SCRAP CHAIN OF CUSTODY
:LOCATION STORM WATER OUTFALL
001 002
ID NO 7p9 t ya9 15
INITIAL TEMP
0
GRAB v a D U 0� 10
sample time
COMP start
sample time
COMP and
date! time
TEMP ®RECEIPT °C
NOTE THE ABOVE TEMP INDICATES THE TEMP
FOR ALL CONTAINER(S) WITHIN
AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2 0
AMMONIA SAMPLES NEUTRALIZED WITH Na2SO3 CI=< 0 1
FECAL SAMPLES PRESERVED WITH Na2SO3 CI=< 0 1
COLLECTED BY GARY HOOTS
LL SAMPLES COLLECTED AND PRESERVED AT 77ME OF COLLECTION IN PLA S
RELINQUISHED BY DATE 1 TIME
1 g I ! / 030
0.ntiQl Run -fee
AWALYSES '7 RESIIL'TS
PH G r?,14113
TSS ppm G �ck%o 0 G B (q0
COUNTY HENDERSON SPECIALINFORMATION(S)
JAN- JUN
JULY - DEC
a s
TEMP ®RECEIPT °C
NOTE THE ABOVE TEMP INDICATES THE TEMP
FOR ALL CONTAINER(S) WITHIN
YES NO
YES N�
YES NL� -
MNTAINERS UNLESS NOTED OTHERiMSE BY
RECEIVED BY SPLIT SAMPLE(S) INFO
rely n e+'
Ieery
t
DATE iNirl-
RAINFALL C' C)' p
By the above signature I certify that all information is accurate to the best of my knowledge
COMMENTS Q means CIC not met.

�_
g
Storllnwater Discharge Outfail (SDD)
Qualitative Monitoring Report
Forguldance on f hng out tha farm, please visit
Perrrut No Lv/r//f_/._/_j �J_/ or Certificate of Coverage No WSQI,l� ! k-QPPY��/
Facility Name,C3,r ieS us 2 5cr
County- ! 1A son Phone No
Inspector- r d
Date of Inspection
Time of Inspection ©�
Total Event Precipitation (inches) 0, 1 g
Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit
(See information below)
Yes ❑ No
Please verify whether Qualitative Monitonng 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
k
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 "measurable storm event" is a storm event that results in an actual disdriarge 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 this signature, I certify that this report is accurate and complete to the best of my knowledge
(Signature of Permrttee or Designee)
Page 1 of 2
SWU 242 1.= modified 10/25/2012

I Outfall Description
Outfall No n D ( S1
Receiving Stream LA R n
Describe the industrial activlt
:tore (pi e, ditch etc) C+ i701
that occur wit4in the outfail drainage area
Y c C.4 C 4 -Q-
2 Color Describe the color of the discharge u�si
(light, medium, dark) as descriptors � 1 i �h_
basic colors (red, brown, blue, etc ) and tint
3 Odor. Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
weak chlorine odor, etc) Yl0 n -Q
4 Charity- Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy
1 2 4 S
5 Floatmg Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
( 1� 2 3 4 5
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
0 2 3 4 5
7 is there any foam in the stormwater discharge? Yes
8 is there an oil sheen in the storrnwater discharge? Yes
9 is there evidence of erosion or deposition at the outfall'2
10 Other Obvious Indicators of Stormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, on sheen. or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation
Page 2 of 2
SWU 242 Last modified 10/2512012

Stormwater Discharge Outfall (SDU)
Qualitative Monitoring Report
Forguidance on filling out [Eris form, please visit w
Permit No L/ l_/��1_.I_/�i or Certificate of Coverage No
Facility Nar4e t e S
County- eY 4-1Y-SaYx
Inspector oj---
Date of Inspection ..... ,.,., g ��. l S
Time of Inspection 0900
Total Event Precipitation (inches) d- t
Phone No w - S`5 I — 3 r7
Was this a "Representative Storm Event" or "Measureable Storm Event' as defined by the permit?
(See information below)
Yes ❑ No
Please venfy 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 measunng 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 tc 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 this signature, I certify that 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

1 Outfall Description
Outfall No (7 D Iz'L. Structure epee,, ditch, etc)
Receiving Stream _�{ n no
'4
4 y T+ k n es
Describe the industn activities that Qccur within the outfall drainage area
M104-a � Ytc-mc.t-9—
2 Color Describe the color of the discharge usin bas c colors (red, brown, blue, etc) and tint
(light, medium, dark) as descriptors _ J er Ic --
3 Odor Describe any distinct odors that the discharge may have (i e , smells strongly of oil,
weak chlorine odor, etc) nCrIn le-
4 Clanty Choose the number which best describes the clanty of the discharge, where 1 is
clear and 5 is very cloudy
1 2 6), 4 5
5 Floating Solids Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
2 3 4 5
6 Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy
0 2 3 4 5
7 Is there any foam in the stormwater discharge*7 Yes
8 is there an otl sheen in the stormwater discharge? Yes
9 is there evidence of erosion or deposition at the outfall? Yes
10 Other Obvious Indicators of Stormwater Pollution
List and describe
Note Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure These conditions warrant further investigation
Page 2 of 2
SWU 242 Last modified 10/25/2012