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Home My WebLink AboutNCG140131_MONITORING INFO_20030702STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. 3 ' DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ o D 0 YYYYM M D D oa vnPa •aa+a a:n VaJ�.aW nVc, VV a r Auu\oa y MONITORING REPORT .., l`oje InOa4,f_ GENERAL PERMIT NO. NCGI40M CERTIFICATE OF COVERAGE NO. NCG14 of I FACILITY NAME_ROC�4 t Y lovn'r (/KcaciX (Y)�-�e, i ("onc€cfcl PERSON COLLECTING SAMPLE(S) bex+<r CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements Outfall y. No. Date v- r t Sample t ja' Collected 50050 K` 011400 00545 Total p Flew pH" Total Suspended solids mo/dd/ r MG €, nni6: ,. SAMPLES COLLECTED DURING CALENDAR YEAR: (all samples collected during a calendar year shall be reported no later than January 31 of the following year) COUNTY rJAS F4 rIIVNF��jvo. of ;at 93�-� 7a�� • ir.��/Jn.Gb..C/1 (SIGNATURE, cqTPERMnTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitorinc Requirements Oattall Ne: Date N §s Pc �me € 500M . 'aa ; t 00556 38260 110400 ; r F Total Flow", Oil and, Grease ,m., LeakvTotsd a Reroyer'able Deterge ns p13 New Motor Oil mo/d MG,xa..s p x a o.o a4S '7.4 — (10 STORM EVENT CHARACTERISTICS: Date -1a 0 3 Total Event Precipitation (Inches): 73 Event Duration (hours): _W (if more than one storm event was sampled) Date Total Event Precipitation (Inches): Event Duration (hours): Mail Original and one copy to: Attn: Central Files DEFWR Division of Environmental Mgt. P.O. Box 29535 Raleigh, NC 27626-0535 Page 1 of 2 Form MR14 Footnotes: 1 Applics only for) facilities at which fueling occurs. 2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations. "f 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." ,lam en (Date) (Signature or Peen (Date) Page 2 of 2 Forth MR14 m Southern Testing & Research Laboratories @4' 3809 Airport Drive NW, Wilson, NC 27896-8649 • 252-237.4175 • FAX: 252-237-9341 ww.ouernTesting.com PwSth �jPAIR ? , R E P O R T of A N A L Y S I S SAMPLE No.: M8256--001 Date Reported: 07/11/0_ Scott Wilson Ready Mixed Concrete P.O. Box 7037 Rocky Mount NC 27804 Client Sample ID: Marks: Rocky Mount Plant Grab Phone:(252)443-5046 X Fax: (252)937-0581 P. 0.: INVOICE �ulleccea: 07/02/03 06:15 I Received: Matrix: STORMWATER 07/02/03 13:40 Classification: ENV Lvo. ANALYSES METHOD ANALYZED by PQL EW-032 Oil & Grease EPA 413.1 07/08/03 JGB 5.5 COMMENTS: Laboratory Contact(s): RESULT UNITS Reviewed and Approved by: Jje B wnEnm tal Manager 7.4 mg/L Page 1 of 1 M8256R.463 (LJL:V2R08.2) 07/11/103 09:01 Chemical and lVlicrob iological Analyses: Environmental • Agrochemical • Foods • Pharmaceuticals Another i Company o Southern Testing & Research Labs, Inc. m 3809 Airport Drive, Wilson, NC 27896 Phone: 252-237-4175 ' Fax: 252-237-9341 E-mail: techserv@southerntesting.com Website: www.southerntesting.com Original Report To: 4ddress:, � 'nvoice Address: iequested Turnaround Time PROJECT ID 0--Normal (2 ' weeks) ❑ Rush * ;< PO # ❑ Emergency Rush (ASAP)* Aicm Requested Due Date: Dept: Item Stan End Comp Grab Sampl # Date/Time Date rime • *• Type— )..- I 2 3 4 TA CHAIN OF CUSTODY & Analyses Request Contact Person: Phone Fax #1 S Approved By: �0 4%Descryion/Sampie Marks Page of _________ r Lab Use Only ,Login By_,�.��._,-----DateRme:- --u� Sample # ACCt. # Transport: Reid o>n •e? �f/! � Temp: p Res. O. pH: �es ❑ No UU r emp: . Vield pH: STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Certificate of Coverage No. NCG 1 i40 l TJ 1 FACILITY NAME —RacKy Moen �� dy mty- Q c�}etcktJ PERSON COLLECTINGSAMPLE(S) OelczrV,. CERTIFIED LABORATORY(S) Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: o O 03 (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 fJ A5 4. PHON&NO. (.7S.2) (SIGNAT 1'I7EE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of new motor oil is used) STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): z • % 5 Event Duration (hours): / Z (if more than one storm event was sampled) Date 'Dotal Event Precipitation (inches): Event Duration (hours): _— Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Form SWU-254-071400 ^--- 1 -1 1 i l� ♦. I. t- .�. STORM WATER DISCHARGE OUTPALL (SDO) MONITORING REPORT "I certify, under penalty of low, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of�rmittce) (Date) Form SWU-254-071400 Page 2 of 2 R E P O R T of Southern Testing & Research Laboratories 3809 Airport Drive NW, Wilson, NC 27896-8649 • 252-237-4175 • FAX: 252-237 9341 www.Southern'f'esting.com A N A L Y S I S SAMPLE No.: M7312-001 Date Reported: 05/30/03 Wayne Bracey Ready Mixed Concrete P.O. Box 7637 Phone:(2S2)937-7280 X Rocky Mount NC 27804 Fax: (252)937-0581 P. 0.: INVOICE Client Sample ID: PLANT 29 Marks: 1 Collected: 05/21/03 08:15 Matrix: STORMWATER Received: 05/27/03 12:04 Classification: ENV CAT No. ANALYSES METHOD ANALYZED by PQL RESULT UNITS W-040.1 Solids: Total Suspended EPA 160.2 05/27/03 PEB 10 48 mg/L -'OMMENTS: Laboratory Contact(s): Rev',ewed and,,Approved by: Je 6wn ErUiron ental Manager Page 1 of 2 M7312R.796 (LJL:V2R08.2) 05/30/103 10:24 Chemical and Microbiological Analyses: Environmental • Agrochemical • Foods • Pharmaceuticals Another 4amnNoCompany p�vjy SF9 i J n o m 4 FA I R PP Southern Testing & Research Laboratories 3809 Airport Drive NW, Wilson, NC 27896-8649 • 252-237-4175 • FAX: 252-237-9341 www.Sotitliern'l'esting.com R E P O R T of A N A L Y S I S Wayne Bracey Ready Mixed Concrete P.O. Box 7637 Rocky Mount NC 27804 Client Sample ID: PLANT 29 Marks: 2 Collected: 05/21/03 08:30 Received: 05/27/03 12:04 CAT No. ANALYSES EW-040.1 Solids COMMENTS: SAMPLE No.: M7312-002 Date Reported: 05/30/03 Phone:(252)937-7280 X Fax: (252)937-0581 P. 0.: INVOICE Matrix: STORMWATER Classification: ENV METHOD ANALYZED by PQL RESULT UNITS Total Suspended EPA 160.2 05/27/03 PEB 10 132 mg/L Laboratory Contact(s): Re � ewed and Approved by: ntal Manager Page 2 of 2 M7312R.796 (LJL:V2R08.2) 05/30/103 10:24 Chemical and Microbiological Analyses: Environmental • Agrochemical • roods • Pharmaceuticals Another Comparly { � t • � 1 '� � j 1 ' i .. .. � t i w ' i 1 � £ . � ' � � .. 4 ..., , i � i. e / a .- r C • � 1 i '. i'. 1 • �� A. }. �- i 1 � , ..� � i .� 1 . _� 1 3809 Airport Drive, Wilson, NC 27896 Phone: 252-237-4175 ' Fax: 252-237-9341 ' .„a •° E-mail: techserv@southerntesting.com Website: www.southemtesting.com �aicii♦ vl' t. V t.] 1 V" 1 —--------) & Analyses Request i Lab Use Only , jj Logm B,�------------- IDateRme------ Original Report To: Contact Person:�j Sample # ACR. # Transport: ,vec� �o..�re�c lu117nn tlia n Dr: 1 3la-6o)ao I Address: ' Phone #: on Ice? Temp: Res. CI. pH: n LRec'd r ❑ Yes ❑ No U Invoice Address: Fax #: _ O�SAMPLING CHARGES: r .544)r 45 37- o5-61 rime: M _ _ __ 1I�Othr. e:---- e — — - Requested Turnaround rime PROJECT ID: Analyses Requested ____ - __� D�Ncmtal (2 weeks) r?Lu i`I C, w ❑ Rush ' PO # STRL QUOTE # ❑ Emergency Rush (ASAP)' Client Requested Due Date: Dept Approved By: Item Start End Comp Grab Sample Goc 5A' Quo # Daterrime Datefrime '• •' Type•• Description/Sample Marks Comments z i 'T 56 --------------- ------------------------ ---------- ----------- ---------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ---------- SAMPLED RELIN ULSHED BY DATE TIME 1 RECEIVED.BY DATE TIME FIELD NOTES: 2 __________________________________________ 3 Field Temp: Field pll: a IS DATA c.r..rm. TO BE USED FOR REGULATORY COMPLIANCE nmm unmr.nv,. ru, PURPOSES? ❑ YES uric ury . . oo. �. ❑ NO IF YES, WHICH REGULATORY AGENCY: nee neverse for codes FIELD COPY