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NCG140130_MONITORING INFO_20061106
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ d 0 b 6 / / D YYYYMMDD ��. DISCHARGE OUTFALL MONITORING REPORT =a �- NCDENR GENERAL PERMIT NCG140000 �..�.�..�..�.d ilj �l r�n� v 6 20M (All sample data shall be reported no later than 30 days after receipt of lab results) f DENR RALEIGH REGIONAL OFF Certificate of Coverage NCG14 Cp Ml [M► 0l Facility Name �% Z /L 0ti jt ,Wo County Phone Number 34 t/—/ 3 7 r Certified Laboratory # 3 Person Collecting Sample(s) Collectors Signature (� Sample Information Permit Term Year - Year Start/End Dates Place check mark to indicate applicable sampling period Discharge Type (check as appropriate) Stormwater. Wastewater I August 1, 2004 to July 31, 2005 Q— ❑ED ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 2 August 1, 2005 to July 31, 2006 3 August 1, 2006 to July 31, 2007 4 August 1, 2007 to July 31, 2008 5 August 1, 2008 to July 31, 2009 Part A: Stor nwatet' Discharge Monitoring Data (For stormwater not combined with process wastewater) Storm Event Characteristics Date Total Event Precipitation (inches) Event Duration (hours) /0- -0( •2, Stormwater Discharge Monitoring Outfall No. . Date Sample Collected (mo/dd/ ) Total Flow 1 _ Total Event Precipitation (inches) Event Duration hours pH (Std. Units Total Suspended Solids (mJl) —tom • 0 Z , i Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor of 1 per month? ❑ Ye: XNo If yes. complete information below. Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall No. Date Sample Collected (mo/dd/ Total Flow (MG) Total Event Precipitation (inches) Event Duration (hours) New Motor Oil Usage (gal/mo) pH (Std. Units) Total Suspended Solids (m 1) Oil and Grease (mom ) Swu-241_080104 Page loft Part B: Process wastewater discharge monitoring data Sample # _ rvew:' V� Effluent Source(s) for this sample Vehicle / Equipment Cleaning ❑ _Ra�v_'Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Sid. units TSS mg/I Settleable Solids mul Sample # _ Effluent Source(s) for this sample Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/1 Settleable Solids mw Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 S W 11-23 i-08010a Sample # Effluent Source(s) for this sample v` Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/I ,Settleable Solids mill Sample # Effluent Source (a) for this•sam le 4 Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mgn Settleable Solids mill 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 f,--- vtd imprisonment for knowing a (Print lyn(n, �r u: nccee or Designee) f D.� Pace 2 of 2 Permit No.: N/C/_ Facility Name: County: C2Vo w Inspector: � Ui. Date of Inspection: a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report or Certificate of Coverage No.: N/C/G/j— / D /L/ 3 / a/ 4yom.on.r(— TLr yf '2I-K, <—_ Phone No. i3Co-36�/37<5� H=M By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. �_ Structure (pipe, ditch, etc.) 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: L'' 51 1— b 2 W 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) _ /1 by Q- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 5 6 7 S 9 10 Page 1 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 O2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Other Obvious Indicators of Stonnwater Pollution List and describe _ /� i� v\ �— Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Page 2 SWU-242-101599 0 0 �"JEST 6701 Conference Drive Raleigh, NC 27607 Telephone: (919) 834-4984 Fax: (919) 834-6497 Laboratory Report --- Prepared for --- LYMAN AUSTIN READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Project No.: Project ID: PLANT 25 No. Sample ID 001 OUTFALL 1 Page 1 of 1 NCIWW Cart. M 067 NCIDW Cart. #: 37731 Report Date: 10/12/2006 Date Received: 1016/2006 Work Order #: 0610-00485 Cust. Code: RE1520 Cust. P.O.#: Date Sampled Time Sampled Matrix 10/6/2006 8:30 SW Sample Type Grab Condition 4 +/- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 46.0 mg/L 1019/06 16:00 Reviewed by: —40 T for Tritest, lnc. 0 CPS 36,0/ 3156.07 A,/ 7F 57' Ire, 5 w U G�oTeST 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984 fax: (919) 834-6497 NCWW Cert #67, NCDW Cert # 37731 Report Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Fax: 919-981-0910 Chain of Custody Bill Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Q61�G—ooug,S l dH'n Page 1 of 1 Tritest W.O. 0J69'96953 Standard Report Delivery Rush Report Delivery (w/ surcharge) Note: Rush projects are subject to prior approval by Lab Reauested Due Date: Project Reference: PLANT; 25' Project Number: PLANTOI 2-- Purchase Order #: Sampled By: Sample Description ; , - Cemposite or Grab art ate op ate a,.nx . WWoW. ''Stop Time sw=cw eto � ? et Analysis Requested . W Smp # Start Time. OUTFALL 1 G Q 2 o G 3 Olot SW Total Suspended Solids 001 OUTFACE 2 6 �ei1d��,p j' C,�7 002 OUTFALL 3 G ota6susflended-Sb Uo SCL` CZ . 003 Re quishe b ture) Recei a by (sign re) Date -_O ! �U b Time For Lab Use Only: Temperatue at receipt: R uished by ' natu a Recei y (signature) DateO / 0 Time A3 V D U ❑ 4+2 C Temp. /D C v R?linquished b (signatur6 Received by (signature) Date Time o. O CTG3oTEST SAMPLE PRESERVATION CHECK -IN SHEEP N'O#: . Ci)io(Q .—GYJ�fD Checked in by: Date: Temp: Q•� Route: CD I TTS q USM I FEDX GC UPS Sample No. Analysis Requested Sample Type Comp/ Grab Container Chlorine Preservative None HCL H2SO4 HNO3 N,0H Thio OTHER I C / G Pos / eg ne HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G POS / neg NOne HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 .HNO3 NaOH Thio OTHER C / G P / G Pos /neg None HCL H2SO4 HNO3 NaOH Thio O'CHLR C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G POS / neg one HCL H2SO4 I-IN03 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHLR C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos neg N one HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 I NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER COMMENTS: 1 S: r NCDENR J. DISCHARGE OUTFALL MONITORING REPORT GENERAL PERMIT NCG140000 (All sample data shall be reported no later than 30 days after receipt of lab results)' Certificate of Coverage I NCG14 [a MINE[ [ Facility Name County (A, V, (Phone Number u C — 3 (t/ —o 7 r Certified Laboratory # 3 Person Collecting Sample(s) i Collectors Signature J9:� 'Jt� � Sample Information Permit Term Year Year Start/End Dates Place check [nark to indicate applicable sampling period Discharge Type (check as appropriate) Stormwater. Wastewater I August 1, 2004 to July 31, 2005 Q— ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 2 August 1, 2005 to July 31, 2006❑/ 3 August 1, 2006 to July 31, 2007 4 August 1, 2007 to July 31, 2008 5 August 1, 2008 to July 31, 2009 Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater) Storm Event Characteristics Date Total Event Preci itation (inches) Event Duration (hours) 10-6-0G !G 2, Stormwater Discharge Monitoring Outfall No. . Date Sample Collected (mo/dd/ ) Total Flow Total Event Precipitation (inches) Event Duration (hours pH (Std. Units) Total Suspended Solids (mJll b -tx • 0 z 37 Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor of I per month? ❑ Yes XNo If yes. complete information below. Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall No. Date Sample Collected (moldd/ ) .Total Flow (MG) Total Event Precipitation (inches) Event Duration (hours) New Motor Oil Usage (gal/mo) pH (Sid. Units) Total Suspended Solids (m 1) Oil and Grease (in o ) I I SwU-241-080104 Page loft Part B: Process wastewater discharge monitoring data Sample # Effluent Source(s) for this sample / Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mc/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mgfl Settleable Solids mul Sample # Effluent Source(s) for this sample Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/1 Settleable Solids mUl Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Sample # _ Effluent Source(s) for this sample I Vehicle / E uioment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date me/dd/yr .Total Flow MG Event Duration hours PH Std_ units TSS mg/I ,Settleable Solids ml/1 Sample # _ Effluent Sources for this -sample / Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/1 Settleable Solids mil "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 f",--- Ind imprisonment for knowing ' --- n 11 (Print N,/,, of D- A nm ^_tee) , or Designee) SwU-241-080104 ✓ Pase 2 of 2 Permit No.: N/C/ Facility Name: Z County: A r, Inspector: 0 n Date of Inspection: a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report or Certificate of Coverage No.: N/C/G/L/y / D / 3 / 0 / orn on ,r �L? 2� 2 lh-CL- Phone No. 3 "Co 1 & V By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. —i Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge dark) as descriptors: L 5 � 3. Odor colors (red, brown, blue, etc.) and tint (light, medium, Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) /'� b kn c 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 0 3 4 5 6 7 8 9 10 Page 1 SWU-242-101599 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 O2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 0 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9) 9. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant exposure. These conditions may warrant further investigation. Page,2 SWU-242-101599 0 0 �G 0TEST 6701 Conference Drive Page 1 of 1 Raleigh, NC 27607 Telephone: (919) 834-4984 NC/WW Cert. #: 067 Fax: (919) 834-6497 NC/DW Cert. #: 37731 Laboratory Report --- Prepared for --- LYMAN AUSTIN Report Date: 10112/2006 READY MIXED CONCRETE CO. Date Received: 101612006 P.O. BOX 27326 RALEIGH, NC 27611 Work Order #: 0610-00485 Project No.: Cust. Code: RE1520 Project ID: PLANT 25 Cust. P.O.#: No. Sample ID 001 OUTFALL 1 Date Sampled Time Sampled Matrix Sample Type Condition 10/6/2006 8:30 SW Grab 4+l- 2 deg C Analyzed Test Performed Method Results Date Time Qualifier Total Suspended Solids EPA 160.2 46.0 mg/L 1019106 16:00 Reviewed by: for Tfi est�Inc. I 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984 fax: (919)834-6497 NCWW Cart #67, NCDW Cart # 37731 Report Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Fax: 919-981-0910 Chain of Custody Bill Results To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN act&S (a� n.. Tritest W.O. Page 1 of 1 0569�88852 ❑ Standard Report Delivery Rush Report Delivery (w/ surcharge) Note: Rush projects are subject to prior approval by Lab Reauested Due Date: Project Reference: PLANT* 25- Project Number: PLANA 2— Purchase Order #: Sampled By: 11 %. Sample Descnptlon ` _ ,h -- , Composne , or Grab a ate- Start Tlme' top ate_ t a nx, ww;ow me sw cw elc_ 'Stop TlrM Ana ysls equeste !' r "-, Smp # OUTFALL 1 G Q 2 u G 3 G O SW Total Suspended Solids 001 OUTFALL 2 -Total-Scs•li errdudQoltds o S' j 002 OUTFALL 3 G_ S,L1---�s�� 11 D $Gt 1,jOl� . 003 —Lab Reli cut he b ign tyre) Ca� " Recei a by (sign re) Dai� _O ! b Time For Use Only: Temperatue at receipt: Re l wished by natu e) Recei r,y (signature) DateO // Time O 4+2 C EI( / Temp: , b C Relinquished by(signatur6 Received by (signature) Date Time o. 0 7OOTEST SAMPLE PRESERVATION CHECK -IN SHEET WOk: Checked in by: 91s t N Date: 1D Time: Temp: Route: CD TTS P USM FEDX GC UPS Sample No. Analysis Requested Sample Type Comp/ Grab Container Chlorine Preservative None HCL H2SO4 HNO3 NaOH Thio OTHER 1 S✓ C /CP t J hG Pos / eg ne HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL 132SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 .NaOH Thin OTHER C / G P / G Nos / neg None HCL H2SO4 HNO3 NaOH Thio OTHER C / G P / G Pos / neg None HCL H2SO4 HNO3 NaOH Thin OTHER C / G P / G Pos / neg None HCL H2SO4 IIN03 NaOH Thio OTHER COMMENTS: -1 *A DISCHARGE OUTFALL MONITORING REPORT NCDENR GENERAL PERMIT NCG14000.0 \\ a (All sample data shall be reported no later than 30 days after receipt of lab results) Certificate of Coverage NCG14M4®M Facility Name Z County D Phone Number _ 3 Certified Laboratory # �, . "i Collecting Sample(s) / �Pe"ryson trill ollectors Signature Sample Information • Permit Term Year Year Start/End Dates Place check [nark to indicate applicable sampling period Discharge Type (check as a opriate) Stormwater Wastewater 1 August 1, 1999 to July 31, 2000 ❑ ❑ �� ❑ ❑ ❑ 1 ❑ i ❑ ❑ 2 August 1, 2000 to July 31, 2001 3 August 1, 2001 to July 31, 2002 4 August 1, 2002 to July 31, 2003 5 August 1, 2003 to Jul 31, 2004 Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater) Stotts Event Characteristics Date Total Event Preci itation inches Event Duration hours Stormwater Discharge Monitoring Outfall No. 'Date Sample Collected (mold d/ Total Flow G Total Event Precipitation inches Event Duration ours) pH Std. Units Total Suspended Solids m q r Does this facility perfo Vehicle Maintenance Activities using on average more than 55 gallons of new motor oil per month? ❑ Ye No If yes, complete information below. Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall No. Date Sampl Collected mo/dd/ Total Flow G Total Event Precipitation inches Event Duration ours New Motor Oil Usage (al/mo) pH Std. Units Total Suspended Solids m Oil and Grease m ) SwU-241-080199 Page lof 2 `art B: Process wastewater discharge monitoring data ample # _ Sample # Effluent Source(s) for this sample ehicle / Equipment Cleanin ❑ aw Material Stock -pile Wettin ❑ -lixing Drum Clean -out ❑ .ec cle System Overflow ❑ Parameter Unit Data ollection Date mo/dd/yr Total Flow MG 3vent Duration hours pH Std. units TSS mg/l ,ettleable Solids ml/l Sample # _ Effluent Source(s) for this sample -'ehicle / Equipment Cleanin ❑ Zaw Material Stock -pile Wetting ❑ .fixing Drum Clean -out ❑ 2ec cle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG, Event Duration hours pH Std!'units TSS mg/l Settleable Solids ml/1 Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Effluent Source(s) for this sample Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/l Settleable Solids ml/1 Sample # Effluent Source(s) for this sample Vehicle / Equipment Cleaning ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑. Parameter Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS I mg/l Settleable Solids ml/1 "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. c 7(Prin Name oflPtmittee Designee (Si n e of Permittee or Design ) (Date) SWU-gal-08o199 / Page 2 of 2 TRITEST, INC. 3909 Beryl Road Raleigh, NC 27607 Telephone: (919) 834-4984 Fax: (919)834-6497 NC/WW Cert. #: 067 NC/DW Cert. M. 37731 Laboratory Report --- Prepared for --- 1 of 1 LYMAN AUSTIN Report Date: 3/30I2004 READY MIXED CONCRETE CO. P.O. BOX 27326 Date Received: 3/17/2004 RALEIGH, NC 27611 Work Order #: 0403-00925 Project ID: PLANT 25 Cust. Code: RE1520 Project ID: PLANT #25 / STORMWATER Cust. P.O.#: No. Sample ID 001 OUTFALLI Date Sample( Time Samples Matrix Condition 3/16/2004 07:30 SW / 4fi2oC Test Performed Method Results Analyzed Qualifier Total Suspended Solids EPA 160.2 94.0 mg/L 3/22/04 Report Certified by: for Tritest, Inc. Tritest, Inc. 3909 Beryl Road, Raleigh, NC 27607 ph: (919)834-4984 fax: (919) 834-6497 NCVMCERT#67. NCDW CERT#37731 Report Results To: Company: READY MIXED CONCRETE CO. Address: P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Fax: ��919--981-0910 Sampled by (signature): e� c'..,e,R� �" r"'t'� Chain of Custody Bill To: READY MIXED CONCRETE CO. Project Reference: P.O. BOX 27326 Project Number: RALEIGH, NC 27611 Purchase Order #: Tritest W.O. #-6369-6B666 Stormwater PLANT 25 Rr Standard Report Delivery ❑ Rush Report Delivery (w/surcharge) 'Rush pajeets are suLyed to peter approval Ey the IaWntory Requested Due Date: Sample Description Composite Grab $,art ate;, d 9tte, , Matrix W WoW sW,GWs Analyses Requested Tritest Sample Ti OUTFALL 1 Grab -7• c • 3 J SW WC-TSS 001 Relinquishhe�d' by (signature) 0i Y - Received by (signature) Date) ')''/,( C Time ReIinq -shed by (si not re) Re ived by (sign ture) Date Time Yl Y 3- OiP 1,;r signature) ecei ad by (sign t)re) Date Time eceipt Conditions (Lab Use Only): 4±2°C OTemp: °C ".Chlorine OAbsent ❑Present Oki\ Acid preserv. <2? OYes /❑N9 Qnn/a Base preserv. >12? OYesY ON O, b SAMPLE PRESERVATION CHECK -IN SHEET wars: _ c Received IT. Dale: Time: Temp: Route: CD TTS I TTPU I USIA I FEDX I GC I UPS Preservative Sample No. - Analysis Requested Sample Type Composite Grab Container Chlorine Nona HCL 142SO4 HNO3 NaOH THIO OTHER v C G IT pos neg None HCL H2SO4 HNO3 NeOH THIO OTHER CIG PIG pos I neg None HCL H2SO4 HNO3 NaOH TRIO OTHER CIG PIG pos I neg None HCL H2SO4 HNO3 NaOH THIO OTHER C I G PIG pos I neg Nora HCL H2SO4 HNO3 NeOH THIO OTHER C I G PIG pos I neg Nona HCL H2SO4 HNO3 NaOH THIO OTHER C I G PIG pos 1 neg None HCL H2SO4 HNO3 NsOH THIO OTHER C I G PIG pos I neg Nona HCL H2SO4 HNO3 N0H THIO OTHER C I G PIG pos I neg None HCL H2SO4 HNO3 NaOH THIO OTHER C I G PIG pos I neg Nona HCL H2SO4 HNO3 NaOH TRIO OTHER C I G PIG pos I neg Nona HCL H2SO4 HNO3 NaOH THIO OTHER GIG PIG pos I neg None HCL H2SO4 HNO3 NaOH TRIO OTHER CIG PIG pos i neg None HCL H2SO4 HNO3 NaOH THIO OTHER GIG PIG pos I neg None HCL H2SO4 HNO3 NaOH THIO OTHER CIG PIG pos I neg Nona HCL H2SO4 HNO3 NaOH THIO OTHER CIG PIG pos I neg None HCL H2SO4 HNO3 NaOH THIO OTHER CIG PIG pos I neg Nona HCL H2SO4 HNO3 NaOH TRIO OTHER CIG PIG pos i neg Nona HCL H2SO4 HNO3 NeOH THIO OTHER CIG PIG pos I neg None HCL H2SO4 HNO3 N.OH TRIO OTHER C I G PIG pos I neg None HCL H2504 HNO3 NeOH TRIO OTHER Lab Comments: 04/26;2004. 08:42 9199810029 r=T'ptn_11 Pp�t READY MIXED CONCRETE COMPANY PLANT NO. PLANT NO. 2 57�' DATE: 3—/G 2"l- zS� . STORMWATER DISCHARGE OUTFALL VISUAL RE PORT CerC%cate of Covmnpe No. NOG 140o I'S ° Pram Name; v Lk t county. 0 Xq , Inspected by rk Sp-2, k f Data of By this signature, I cerfdy QUA thle reW Is aooursta and complete to the best of my ! r� 1 00,11 Bch Sr7 /W N N and . Or, Rep rt for sch 4dd9 . D J WWI in. SOO Structure (pipe, ditch, etc. } r Describe the Industrial a that occur within the ouffall draklage area: 1 2 color Describe the color of fhe discharge using basic colors (red, brown, blue, etc.) and tint ( pht, medium dark, etc.) ; 3 odor Describe ar p a -- odwa neat bit, oWwr`_ may have (I.e. smdk strongly of oll, wei chlorine od hohQ • 4 Clartty Choose tfm number which coat descritxs 9% zSwk% of t -,s uis uipw whsr_ 1 Is 616W id ?0, n +ran; 1 2 0 4 3 8 7 8 9 10 II swpmmcc or, etc.) PF dE 01 04/26/2004 08:42 9199810029 READY MIXED Paps 2 F 4GE 02 5 SdWs Choose the number which best descrb" the amount of solute In the Stormvreter 1 is clear and 10 is e>aremely muddy: 2 3 4 5 8 7 6 e 10 g Fawn to there any foam In the stormwaber diseherye7 7 Od Sheen Is there uny oA sheen In the stOrmwater diachMe7 a Oudd SfankV bescabe any staring around the stormwater outfalt YES YES NO 9 of d In IiCn m Desc b arry o+Wec Ctv!rn % gMicetom of -tr m ..eter NOTE Low clartty, high soWWs and/or the pmsenee of fosm, od sheen, or cutian ,mdiaedve of pollutant r:pos� ae. rte'al condtbns maywammt further nved",.tian. SwapaMC-C e where may be NC®ENR DISCHARGE OUTFALL MONITORING REPORT GENERAL PERMIT NCG140000 (All sample data shall be reported no later than 30 days after receipt of lab results) Certificate of Coverage NCG14�a©� Facthty Name r 1 Phone Number 3 S r, -3 b t Certified Laboratory # Person,Colle&ing Sample(s) _ Goe t Z Coilectors Signature Sample Information Permit Term Year YearzStart/End'Dates Place;check mark to indicate applicablesamPgPen4d%._ Discharge Type (check as appropnate). .:Storutwater .,z Wastwater 1 Au ust 1, 1999 to Jul 31, 2000 El ❑ ❑ ❑ O / ❑ ❑ ❑ ❑ ❑ ❑ ❑ 2 August 1, 2000 to July 31, 2001 3 August 1, 2001 to July 31, 2002 4 August 1, 2002 to July 31, 2003 5 August 1, 2003 to July 31, 2004 Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater) Storm Event Characteristics ate r ? _ Total Event Preci 'itation` tnches ;Evan{ Duration hours ' ::. 70 Stormwater Discharge Monitoring Outfall : Date Sample F Total Flow Total Event >Event Duranon pH r`r Total No Collected 3 Prectpttauonr ? 1 Sus ended 1 Pe- 'F Solidsi modd! G :' z�L:;., inches . ,. :r , ours Std Umts 4. n 1 I. ", 1.6 Does this facility perfoF hicle Maintenance Activities using on average more than 55 gallons of new motor oil per month? ❑ Yes If yes, complete information below. Stormwater Discharge Monitoring from Vehicle Maintenance Areas Outfall',: Date Sample Total Flow. 'Total Event ;' Event New pH Total ,: Oil and ` Collected Precipitation 'Duration ''MotorOil :Suspended. ' : Grease,. '. Usege Solids mo/dd/ i) G inches hours (al/mo) (Std. Units) (m 1 m ) SWU-241-080199 Page lof2 Part B: Process wastewater discharge monitoring data Sample # Effluent Source(s) for this sample Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wettin ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter' Untt Data` Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/1 Settleable Solids ml/1 Sample # 9" Effltent Sour'ce(s for thts sam lei;" Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ ,iw— _ UIT* ameter r � + Umt r` m ,Data r Collection Date mo/dd/yr Total Flow MG Event Duration hours PH Std. units TSS mg/1 Settleable Solids ml/1 Mail original and one copy to: Attn: Central Files Division of Water Quality DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Sample # Effluent Source(s) for this sample Vehicle / Equipment Cleanin ❑ Raw Material Stock -pile Wetting ❑ Mixing Drum Clean -out ❑ Recycle System Overflow ❑ Parameter + ; Unit Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/I Settleable Solids ml/I Sample # Effluenf`Source s .for3liis"sam le. `ri Vehicle / Equipment Cleaning❑ Raw Material Stock -pile Wetting❑ MixingDrum Clean -out ❑ Recycle System Overflow ❑ Parameters Unrt ' E ' Data Collection Date mo/dd/yr Total Flow MG Event Duration hours pH Std. units TSS mg/I Settleable Solids mul "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." 1^l^m" A,.54-rrJ (Pri Name of Permittee or Designee) o (Sigrft re of Permittee or Designee) (Date) SWU-241-080199 Page 2 of 2 Certificate of Facility Name: — County: Inspector.�i Date of Ir 01 STORMWATER DISCHARGE OUTFALL (SDO) QUALITATIVE MONITORING REPORT 2. 1-1(14 0 Phone No.: (-??A 3LY/ 1,?Tf By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perminee or Designee) 1. Outfall Description Outfall No.: / Structure (pipe, itc etc.): 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 lig medium, dark) as descriptors: 3. Odor Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak chlorine odor, etc.): n / /,a 11/17/97 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is v cloudy: 7 2 3 4 5 6 7 8 9 10 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater dischar�here I is no solids and 10 is the surface covered in floating solids: l 1 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extemely muddy: 0 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? YES NO 8. Oil Sheen Is there an oil sheen in the stormwater discharge? YES ONO 9. Other Obvious Indicators of Stormwater Pollution: List and describe: NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be indicative of pollutant exposure. These conditions may warrant further investigation. 11/17/97 TRITEST, INC. 3909 Beryl Road Raleigh, NC 27607 Telephone: (919) 834-4984 NC/WW Cart.#: 067 Fax: (919) 834-6497 NC/DW Cent. #: 37731 Laboratory Report Prepared for --- 1 of 1 LYMAN AUSTIN READY MIXED CONCRETE CO. Report Date: 10/12/01 P.O. BOX 27326 Date Received: 9125101 RALEIGH, NC 27611 Work Order #: 0109.01014 Project ID: PLANT 25 Cust. Code: RE1520 Project ID: PLANT #25 Cust. P.O.#: No. Sample ID 001 OUTFALLI Date Sampled Time Sampled Matrix 9124101 10:46 SW Condition 4n2oC Test Performed Method Results Analyzed Qualifier Total Suspended Solids EPA 160.2 13 mg/L 9/28/01 Report Certified by: for Tritest, Inc. ritest, Inc. - 3909 Beryl Road, Raleigh, NC 27607 ph:(919) 8344984 fax: (919) 834-6497 NGW W CERTM7. NGOW GERT937731 Report Results To: Company: READY MIXED CONCRETE CO. Address: P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Phone: 919-790-1520 Sampled by (signature): _ Fax: 919-981-0910 Chain of Custody Bill To: READY MIXED CONCRETE CO. P.O. BOX 27326 RALEIGH. NC 27,311 491 O,5;;- D/O�SZ Tritest W.O. # (i467=e=6� Project Reference: Stormwater Project Number: PLANT 25 Purchase Order #: ❑ Standard Report Delivery ❑ Rush Report Delivery (w/surcharge) "wan Ml�areSbli W1b z11r MMbmrmry Requested Due Date: Sample Description Composite Grab — Start Date End Date Matrix WW.014' sW.GWS Analyses Requested - Tritest Sample Time OUTFALL 1 Grab ��' �s -fad � SW WC-TSS 001 Relm !shed b (signature) Received by (sigpature Dat 9 Is Time V ?.' Relinquish d (a! ture) Received sig ure) ate Time Relinquished by (signaturor Received by (signature) Date Time Receipt Conditions (Lab Use Only): l _ -2S O 4±2"C OTemp: ;2 - S"C Res. Chlorine OAbsent ❑Present 1/a Acid present. <2? [Wes ONo /Rya Base presew. >12? OYes ONo'An/a Tritest, Ine. 3909 Beryl Road, Raleigh, NC 27607 ph:(919) 8344984 fax: (919) 834-6497 NCW W CERTp 7. NCDW CERT037731 Report Results To Company: READY MIXED CONCRETE CO. Address: P.O. BOX 27326 RALEIGH, NC 27611 Attn: LYMAN AUSTIN Chain of Custody Tritest W.O. # 0107-00647 Bill To: READY MIXED CONCRETE CO. Project Reference: Stormwater P.O. BOX 27326 Project Number: PLANT 25 RALEIGH, NC 27611 Purchase Order #: ❑ Standard Report Delivery ❑ Rush Report Delivery (w/surcharge) Phone: gt R-7gn-159n Fax: gig-g61-ngln --Roan Wjie ue su*d w Cur RMP lby lm 4W,.n Kequested Uue Uace: Sampled by (signature): c—ie ne«.vnuno I Cnmoosite I Start Date I End Date I Matrix IAnalvses Requested Tritest Grab ".Cwly SW.GWS # OUTFACE 1 Grab �� y5 �d%76 SW WC-TSS 001 Rolm fished b signature) Received by (si lure Time Y'T� Relinquish d b (si rrature) Received sig ure) - Time Relinquished by (signaturW Received by(signature) Date Time. Receipt Conditions (Lab Use Only): ❑ 4±2'C ❑Temp: f S-— -C Res. Chlorine ❑Absent ❑Present C ,/a Acid preserv. <2? OYes ❑No /kja Ccsc preserv. > 12? ❑1'us CN o /� .'.;