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HomeMy WebLinkAboutNCG060148_MONITORING INFO_20191230m,Z D STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. nrC b�o U ) 7 DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ 0 YYYYM M D D SDO-001 ASTA NC®ENR Stormwater Discharge Outfall (SDO) . Qualitative Monitoring Report Forguidance on filling out thisform, please visit: hlW,//Ilortai.ncdenrorg/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/ Facility Name: _ County: Mecklenburg Phone No. 704-554-5560 Inspector: Russell Everett (PAR Laboratories, Inc.) Date of Inspection: 10/16/19 Time of Inspection: 13:35 Total Event Precipitation (inches): 0_61 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined.by.the.pe imvit� (See information below.) I„ 'Z Yes ❑ No DEC 3 0 2019 i i�AL FILES Please verify whether Qualitative Monitoring must be performed during a "representaltivefstor nGTI0P1 event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be j 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 storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event most 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 DWO Reeional Office. By"f1is signature, I certify that this report is accurate and complete to the best of my knowledge: or Designee) Pagel of 2 sWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-001 Structure (pipe, ditch, etc.) Pia Receiving stream: Kings Branchiin the Catawba.River Describe the industrial activities that occur.within the outfall occur insiae me iaaury. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Cloudy with a medium brown tint 3.Odor:_Describe.any_distinct odors that the discharge may,have (i.e., smells strongly of oil, weak chlorine odor, etc.): None - 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 V 3 4 S 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: IV 2 3 4 S 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 '4' 3 4 S 7. Is there any foam in the stormwater discharge? Yes we 8. Is there an oil sheen in the. stormwater discharge? Yes V6 9. Is there evidence of erosion or deposition at the outfall? Yes Q{6 10. Other Obvious Indicators of Stormwater Pollution: List and describe None 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 S DO-002 EWA 9r1C®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform,please visit- http•//Iiortalncdenrorg/w biwq/ws/su4n12dessw#tab-4 Permit No.: N/C/_/. Facility Name: Sn _/_/_/ or Certificate of Coverage No.: County: Mecklenburg Phone No. 704-554-5S6n Inspector: Russell Everett (PAR Laboratories Inc.) Date of Inspection: 10/16/19 Time of Inspection: 13:45 Total Event Precipitation (inches): 0_61 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 l j 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 3 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no j 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 localDWQ Regional Office. �e, I certify that this report is accurate and complete to the best of my knowledge: of Pei ' t e or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 e 1. Outfall Description: Outfall No. SDO-002 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Kings;Branch,in;the Catawba River Basin.. Describe the industrial activities that occur within the outfall drainage area: Employee parking, truck parking, loading/unloading,-&material t'ransfers: All processes & manufacturinc occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear with a very light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i:e.;.sinells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where i is clear and 5 is very cloudy: 2 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: 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: �I 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 106 8. Is there an oil sheen in the stormwater discharge? Yes V 9. Is there evidence of erosion or deposition at the outfall? Yes IW� 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 ` SDO-003 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: htW://12ortal.ncdenr.org/webi'3yq/ws/su/ripdessw#tab-4 Permit No.: N/C/_/. Facility Name: Sn _/_/_/ or Certificate of Coverage No.: N/�/Cl/ 0/ 6/ 0 / I / /_8/ County: Mecklenburg Phone No. 704-B54 B560 Inspector: Russell Everett (PAR Laboratories Inc.) Date of inspection: 10/16/19 Time of Inspection: 13:55 Total Event Precipitation (inches): 0.61 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). monitorinrequirements r Most permits require i Qualitative -g re q _-ment-_ vary. ^_'--- q -e qualitative monitoring to he 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 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 is signat e, I certify that this report is accurate and complete to the best of my knowledge: (Si ature of Permi e signee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-003 Structure Receiving Stream: Kings,Branch in 11, ditch; etc.) 'Pipe :atawba River Basin Describe the industrial activities that occur within the outfall 1 truck parking, loading/unloading, &'material transfers. occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Cloudy with a medium brown tint 3. Odor: Describe any distinct odors that the discharge may,have (Le., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 % 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: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: VA 3 1 3 Is there any foam in the stormwater discharge? 4 5 Yes 'q16 Is there an oil sheen in the stormwater discharge? Yes W/ 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes V 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 MC ZN t Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: 1-itti2://Ilortil.-iicderar.oriz/web/wg/ws/su/�pdessw#tab-4 Permit No.: N/�/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N4/8/ Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. _7n4-Ry4-F6Rn Inspector: Russell Everett (PAR Laboratories Inc.) Date of inspection: 10/16/19 Time of Inspection: 14:05 Total Event Precipitation (inches): 0_61 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 9 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 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 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 f iignatu r%A certify that this report is accurate and complete to the best of my knowledge: Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-004 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Kings Branch in the Catawba River -Basin, Describe the industrial activities that occur within the outfall drainage area: Employee parking, truck parking loading/unloading, &'material transfers.'All processes & manufacturinc occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear with a light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: �I_ 2 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: V 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: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 0Y6 8. Is there an oil sheen in the stormwater discharge? Yes V 9. Is there evidence of erosion or deposition at the outfall? Yes qVf 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 SDO-005 CDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: htti2:/h20rtalocdenrorg/web/wa/ws/su4rgd SSW#tab-4 Permit No.: N/(/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. 704-554-55RO Inspector: Russell Everett (PAR Laboratories Inc.) Date of inspection: 10/16/19 Time of Inspection: 1600 Total Event Precipitation (inches): 6_61 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) gYes ❑ 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 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 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 tMs signatige, I ffrtify that this report is accurate and complete to the best of my knowledge: of Permitcbe oN e&jgnee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-005 Structure (pipe, ditch, Receiving Stream: Kings Branch In the Cataw Describe the industrial activities that occur within truck parking, loading/unloading, & mateFial occur inside the facility. 2. Color: Describe the color of the discharge usi (light, medium, dark) as descriptors: Clear with a rainage area: Employee parking, All Drocesses & manufacturinc 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.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: V 2 3 4 5 S. 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: V 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: N/ 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 .pi6 10. Other Obvious Indicators of Stormwater Pollution: List and describe None 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 SDO-006 ��-ggam CDENg� �g G`a� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance onfilling gut thisform, please visit: bttp:/Iportal,ncdenr.org/web/wq/ws/stijnpdessw#tab- Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. 704-sS4-5R60 Inspector: Russell Everett (PAR Laboratories Inc.) Date of Inspection: 10/16/19 Time of Inspection 15:45 Total Event Precipitation (inches): 00=61 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). I1-_._ ..____.-.. __1-.—_._ ----- __- _.-_ -, ......_ _, _-------- j 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 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 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 Aus signature, I c jrtify that this report is accurate and complete to the best of my knowledge: of Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-006 Structure Receiving Stream: Kings Branch iir Describe the industrial activities that truck parking, loading/wiloadirig. occur inside the facility. ditch, etc.) - occur within the outfall drainage area: Employee parking, & material transfers. All processes & manufacturinc 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Cloudy with a light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 S. 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: V 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 AV 3 4 5 7. Is there any foam in the stormwater discharge? Yes !pl6 8. Is there an oil 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 SDO-007 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq/ws/�sgfjlpdecswtktab-4 PermitNo.: N/�/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: County: N Inspector: R Date of Inspection: 10/16/19 Time of Inspection: 15:35 Total Event Precipitation (inches): 0_61 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 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. is signatug'Altify that this report is accurate and complete to the best of my knowledge: of Designee) SWU-242, Last modified 10/25/2012 Pagel of 2 1. Outfall Description: Outfall No. SDO-007 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Kings Branch in the Catawba River Basin Describe the industrial activities that occur_within the outfall drainage a truck parking loading/66loading' & material transfers: All oroci occur inside the facility. 2. Color: Describe the color of the (light, medium, dark) as descriptors: C using basic colors (red, brown, blue, etc.) and tint a light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): -None 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: 2 3 4 5 S. 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 IV 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 10. Other Obvious Indicators of Stormwater Pollution: List and describe 0 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) Qualitative Monitoring Report Forguidance on filling out this form, please visit: ftty//portal ncdenr org/web/wa/ws/sue/fit pdessw#tab-4 Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. 7n4-554-55Fn Inspector: Russell Everett (PAR Laboratories, Inc.) Date of Inspection: 10/16/19 Time of Inspection: 15:30 Total Event Precipitation (inches): 0_61 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 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 tRs signatur_ 1 rti(V That this report is accurate and complete to the best of my knowledge: of Permittee Pagel of 2 SWU-242, Last modified 10/25/2012 a' n 1. Outfall Description: Outfall No. SDO-008 Structure (pipe, ditch, etc.)- Pipe Receiving Stream: KingsiBranch in the Catawba River,Basin . .r Describe the industrial activities that occur within the outfall drainage area: Employee parking, truck parking, loading/u616adirig,•& material f'rahsfers. `All processes & manufacturinc occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear with a very light brown tint 3. Odor: Describe any`distiiict odors that the, discharge maphave (i,e., smells strongly of oil,, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: y/ 2 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: V* 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: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes W 8. Is there an oil sheen in the stormwater discharge? Yes Qi6 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes V/ 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 ,1 R• 11. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report, For guidance on filling out this form, please visit. - Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/Q/- /6/0/1/4/8/ Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. I04-5.r;4-556n Inspector: Russell Everett (PAR Laboratories, Inc.) Date of Inspection: 10/16/19 Time of Inspection: 15:20 Total Event Precipitation (inches): 0_61 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) gYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). 1 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 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 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 DWO Regional Office. - By tf \s signanre,,IWertify that this report is accurate and complete to the best of my knowledge: ee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-009 Structure (pipe, d itch, etc.) Pipe Receiving Stream: Kings Branch in the Catawba River,Basin,r , . Describe the industrial activities that occur within the outfall drainage a truck parking, loading/6nloading,•9 material t�ansfer§: `AII prod occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear with a very light brown tint J, 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is. clear and 5 is very cloudy: V/ 2 3 4 5 S. 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: 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 10. Other Obvious Indicators of Stormwater Pollution: List and describe None 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 SDO-010 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htWa//portal.ticdenrorg/web/wq/ws/su/npde5sw#tab-4 Permit No.: N/C/_/ Facility Name: Sr or Certificate of Coverage No.: County: Mecklenburg Phone No. 704-554-65R0 Inspector: Russell Everett (PAR Laboratories Inc.) Date of inspection: 10/16/19 Time of Inspection: 15:05 Total Event Precipitation (inches): 0_61 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). i 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 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 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__ fy that this report is accurate and complete to the best of my knowledge: of Permiit�-6c Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-010 Structure (pipe, ditch; etc.) Pipe Receiving Stream: Kings Branch in the Catawba River Basin Describe the industrial activities that occur within the outfall drainage area: Employee parking, truck parking, loading/unloading,&material transfers. All processes & manufacturinc occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Cloudy with a very light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i.e.; smells, strongly of oil, weak chlorine odor, etc.): None 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 S. 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: V 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: V 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes we 8. Is there an oil 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 SDO-011 �CDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit littv;4/vortat.ncdenrorg/web/wq/ws/su4nudessw#tab-4 Permit No.: (v C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Snyder's Lance Incorporated County: Mecklenburg Phone No. 704-664-.r,.9;Rfl Inspector: Russell Everett (PAR Laboratories, Inc.) Date of Inspection: 10/16/19 Time of Inspection: 14:45 Total Event Precipitation (inches): 0_61 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 9 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 , 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 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 t�signpturer 1 certify that this report is accurate and complete to the best of my knowledge:, Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO-011 Structure (pipe, ditch, etc:) Pipe Receiving Stream: Kings Branch in the Catawba River Basin Describe the industrial activities that occur within the outfall drainage area: Employee parking, truck parking, loading/unloading, & material transfers. All processes & manufacturinc occur inside the facility. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light; medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have, (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 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: V 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: V 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 1e 8. Is there an oil 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 None Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition is be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 'FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO Q - REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED; "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 infRrmatiory including the possibility of fines and imprisonment for knowing violations." of Pe (Z.Is. (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 last Revised: October I8.2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 0 1 4 6 FACILITY NAME Snyders-Lance Incorporated COUNTY Mecklenburg PERSON COLLECTING SAMPLES Russell Everett LABORATORY PAR Laboratories, Inc. Lab Cert. # 20 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 FACILITY ACTIVITIES INCLUDE (check all that apply): use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? AYES ®NO ?�-,= `.S`r I'Lith�i.r:µC.'•',1 r. �-, r.r ,r; � . Total event roinfnll 20.61 nr n ftL, rl;crhnrn< thtr Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform', Colonies per 100 ml Enterococci', Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 Soo SDO-001 10/16/19 6 6.27 16 < 5.1 NA NA SDO-002 10/16/19 5.2 6.50 7 < 5.2 NA NA SDO-003 10/16/19 _ < 5 6.74 7 < 5.2 NA NA SDO-004 10/16/19 < 5 6.67 6 < 5.2 NA NA SDO-005 10/16/19 5.6 6.65 7 < 5.2 NA NA Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. ° For sampling periods with no discharge at any outfalis. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did 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 Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month -Outfall No. - Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or S0 6.0-9.0 - SDO-005 10/16/19 < 5.2 5.6 6.65 Only applies to racnmes that use/process meats. The total precipitation must be recorded using data from an on -site rain gauge. ' For sampling periods with no discharge at any outfalis, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-24 Last Revised: Ocic 3. 2012 I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDENCES IN A ROW FOR THE -SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." re of Q-19.0 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October I8.2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCGO6 0 1 4 8 FACILITY NAME SnydersLance Incorporated _ COUNTY Mecklenburg PERSON COLLECTING SAMPLES Russell Everett LABORATORY PAR Laboratories, Inc. Lab Cert. # 20 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 FACILITY ACTIVITIES INCLUDE (check all that apply): use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? YES ®NO `_t6i� C, '�iI, firVE^S= Tntn1Pvnnt rn in fn ll 20.61 11 Ain ;, _ _d3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliformr, Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or SO Within6.0-9.0 120 30 1000 Soo SDO-006 10/16/19 < 5 6.68 8 < 5.2 NA NA SDO-007 10/16/19 11 6.73 7 < 5.3 NA NA SDO-008 10/16/19 < 5 6.63 12 < 5.1 NA NA SDO-009 10/16/19 < 5 7.26 8 < 5.0 NA NA SDO-010 10/16/19 1<5 17.24 17 j< 5.2 INA INA vmy applies to tacmues that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You most still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaeine > 55 gal of new motor nil/month Outfall No. :.- Sample Collected, - mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 5b 6.0 — 9.0 - SDO-006 10/16/19 < 5.2 < 5 6.68 SDO-007 10/16/19 < 5.3 11 6.73 Only applies to facilities that use/process meats- 2 The total precipitation must be recorded using data from an on -site rain gauge. 3For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: Octo 2012 I of? 'FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO NJ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 inforrAnation, including the possibility of fines and imprisonment for knowing violations." re of Pe 12.19.19 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswi4tab-4 SWU-249 Last Revised: October I8.2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 0 1 4 8 FACILITY NAME Snyders-Lance Incorporated COUNTY Mecklenburg PERSON COLLECTING SAMPLES Russell Everett LABORATORY PAR .Laboratories, Inc. Lab Cert. ft 20 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats use animal fats/byproducts DISCHARGING TO SALTWATERS? YES ®NO i>L<RaO HEfLiBia:BP^i t= Si!oi' O.{ "t'li". 3::e> Total event rainfall 20.61 or n No dischorne this nerind3 OutfalPNo. Sample Collected, mo/dd/yr TSS, . mg/L pH, Standardunitsmg/L COD, Oil and Grease, mg/L Fecal Coliform', Colonies per 100 ml Enterococci', Colonies per 100 ml Benchmark - - 100 or 50 Within 6.0-9.0 120 30 1000 500 SDO-011 10/16/19 < 5 7.31 6 < 5.4 NA NA Only applies to facilities that use/process meats. The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall.No. Sample Collected, mo/dd/yr_ Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9.0 - ' Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. ' For sampling periods with no discharge ate outfalls, you must still submit this discharge monitoring report with a checkmark here- 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-245 Last Revised: Oclo -012 I oft PRO AR LABORATORIES, INC www.pariabs.com CHAIN OF CUSTODY PAR Laboratories, Inc Phone (704) 588-8333 Fax (704)588.8335 Shipping: Mailing: 2217 Graham Park Drive PO Box 411483 Chartotte, NC 28273 Charlotte, NC 28241.1483 It is essential that all information be rowmed on this Chain of Custody document for amoptonce by PAR Laboratories. Inc. and the North Company Namo (billing) Address PO Box 32368 City, State & zip code I _ Charlotte, NC 28232 Point of Contact & Telephone Number Gene Baird (704) 554.5560 Taken By: SIGNATURE PRINTED Comments/ Somplinglrrip Time - Instructions PAGE 2 of 2 ARE SAMPLES FOR STATE or EPA REPORTING? YES XNO 'Sample Type: ow WW _ t GWMW Nw Soil Other Sample Temp at time of sampling: a C Sample Temp upon receipt: a C "Field Preserved: Yes XNo Teflon Liner/Zero Headepace: Yes No _ n/a X Residual Chlorine checked at time of sampling (YIN): o-1 Dechlorination Necessary (YIN): �l4 (lent Sample I.D. Sample Location I Number) Comp Crab Preserv. Set Up Datistri ne Collection Dat mme Anaws Requested Utfall #10 X H2Soa ID Ib i 4 �pH, !IG COD, O&G, TSS Outfall #11 X H2Soa �,XrPH, COD, O&G, TSS Reeelved Daterfime A k i3O Relinquished by: Dateffime Received by; ik—Daterrimo —C=Composite G=Grob DW=Drinking Water WW-Wostewotor GWMW=Groundwater Monitoring Well KW -Hazardous Waste "Soo Othor Side F A.R REL LA.1 ORA:FOlti.ES, INC %VW11'.PAk LAkS.0O3NI FRC:J ::CT NAME: OCT !9 lA: IjfiX -i G.f f; 1�. CHAP.LC•';"CE, N(: 2823,'.-� SAMPLI- NUMBER- 1X13.34 ,31•,14PU ICI- SNY p; Pi'h'.L Ni ..e1MPLE MATRIX- Witi DATE SAMPLED- 10!16/l9 TIME SAMPLED- i335 DATE TiECETVED- 10/16/19 SN4PLE?.- RE HECc;1VED BY- 0311 TIME: RECF.I V6p- 1630 r)ELTVER.ED B'f- pE TYPE SAMPLF- Grab Page I of. 11 A A;fLY$ :> �IETii� U D3'1'S 17 B'1 B. F.;i U?.'C UNITS rill VALUE' CHEM.CXY.DEMAND OIL & CREASE TOW,-' U;P!•-,NDhD SOLIDS h:Fh lEG4 1T105/t9 12, 0 CT LAAORA'rr iT<Y D.J RECTOR 6.2% un+T.S 5.1 rg/L 2217 GrahMll Nark Drive - Chef lone. NC 28273 Phuue: (704) 588-8333 • Fax: (704) 5R8-8335 FA.R."J^M�w L.ABOR.A"I'ORt ES, INC www.partabs.com Shipping 8: Mailing: 2217 Graham Park Drive Charlotte, NC 28273 CHAIN OF CUSTODY Phone (704) 588-8333 Fax (704) 588.8335 It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratorat. Inc, and tnb North Company Name (billing) Snyder's-Lance Incorporated Address PO Box 32368 City, State a zip code Charlotte, NC 28232 Point of Contact a Telephone Number Gene Baird (704) 554.5560 Sample Taken By: SIGNATURE ARE SAMPLES FOR STATE or EPA REPORTING? Comments/ SamptingrTrip Time e PRIN FFU NAME YES NO PAGE 1 of 1 'Sample Type: ow WIN GWMW KW Soil other Sample Temp at time of sampling: ° C Sample Temp upon receipt: a C "Field Preserved: Yes No _Teflon Liner/Zero Headspace: Yes No n/a Residual Chlorine checked at time of sampling (YIN): Dechiorination Necessary (YIN): (lent Sample I.D. Sample Location! Number) Comp Grab Preserv. Set Up Daternme Collection Daterrime �natyses lRequallted Background Sample rainwater collected prior to hilling the round x <4•C �o'f6 l H OCl pH <?- DaterTime Relinquished by: Date/Time necelvea by: r N uaten Ime Received by: IDsternme —'C=Composite G=Grab OW-Dnnking Water WW=Wastewater GWMW-Groundwater Monitoring Well HW-Hazardoue Waste "See Other Side P Alk OgOMPT- AC EUR ATE m -RE RAM LABOltATOR1LS, LNC WWW. VA H LA HS.CI Ml SiNYDEE'S-LANCE, LNC. dOJEX-71' NAME: OCT 19 SAMPC.E NUNINP;R- 137346 SARiALE IN'- ftAt.'KGF'.QI1^iG ci::HP LE ..6fdPI,E MATRIX- WVI DATE SAMPLED- 10/16/19 TIME SAI.IPLED- 1640 DATE F. Et:EiV?::U- 10%1r„i4 SAMPLE[- RE RGCEIVF.L; BY- DJ 'PTME RECEIVED- 1F,Jn r,!?LTVEE'6D RY- 1+1R 'I'YPf? SAMPL_p;- r;T;tib Pago I of 1 . ., N.AT,VS rg M?'mlgnp DA.T3 'VIM:., FIV RF,SU(," f1iJiTS PH VA.1.UE Sig 95110H_ll 110/i6/19 I60C RL'' 5,21 UI11 tS T, ARC)7ATO?Y GT2p,r."Tna 2217 Ginham Park Drive • Chatlolw. NC 28273 Phone: 17041 SS8-S 333 - Faz: MA i SSS-S33i