HomeMy WebLinkAboutNCG080033_MONITORING INFO_20191126STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG D
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 0 I l ��
YYYYMMDD
CERTIFICATE OF
FACILITY NAME
PERSON0(
LABORATC
Comments
Semi-annual Stormwater Discharge Monitoiring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
LUCA UM Lab Cert. k
collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR Q 1/
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly'
R DISCHARGING To CLASS ❑ORW ❑HQW
y/pZero-flow Wati
l Other 1
NOV 26 20i9
CENTRAL F PLEASE REMEMBER TO SIGN ON
Cr
DtyR SEio
No'disc
UPNA
ly ❑SA
REVERSE -)
this period'
I •No � '
R i fly
k .! s�s•:.,mo/dd/,yr�
`a,$am le Collecteda ;
.gyp y , _
gz _._ 005 o �t
T s uspended
25ohds.<mg/L
y g F` +
x� ip:.
pH
c�Sta�ndard�un Ls't�Method,
rd
�s -. � �w.�e
t; Non;PolarFOil.anaIGrease/7PH EPA
664(SGT HEM) mg C�y'Aenn_u_
�,
News Motor
alw,ave�r
7, c
f
Oil Usagep y
gegal%mof
^Benchmark��.r�q'4�k,>��3.DSO_orr100!see�permit�SWithin16�;
031
9���""1r�+��s.;�'.�t��1�5;'l�rs-!�;.}�.a=��'r,�`wy�T
�
vgr4'�T�;y s��
I
(i
li i
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X-no
(if yes, report your analytical results in the table immediately below) .
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
ti Otitfall
#'kNo
NO!,Fs,
Sam`
` Date _ k
IeCollec't
p i
ino/Edd/y�s���',�nr
ova: *���5� ems. �'sz'�� 6bS 6 M'�s� >s�
'IVon Polar Oil and�G easeBe
_ aq,W/TPH EFA Met hod
1664(SGTxHEM),umg/L
e00530 '°�T v
s
Total$$spended�Sohds,pHp��
�;�'r r;.Standa�dunrtsf,�
F�WM
T"
_0 i
Permit;Liiriit
TIMOS
IIMIR 1�
y 010TI�`�1'5;�
MIS 9" ��
`" r4 �SOor100tM pro,
see permit
eLVS.
I
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
i
SWU-250 last revised October 25, 2012
�1 Paec 1 of 2
STORM EVENT CHARACTERISTICS:
Date III I 1 (first event sampled) �/ff
Total Eve t Precipitation (inches): r
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 ❑ 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 for 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, North Carolina 27699-1617 ,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: i
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordancelwith asystem 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 si ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee (Date)
Additional copies of this form may be downloaded at: http://.portal.ncdenr.org/web/wq/ws/su/npd ssw4tab-4
SWU-250 last revised October25, 2012
Page 2 of 2
�MICROBAC°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0174
Project Description
Stdrmwater - Semi Annual
For:
Ms. Wanda Pander
Warren Oil Company
2340 US 301 North
Dunn, NC 28334
�c,�� Srtiti�l
Administration
Brittany Smith
Thursday, November 21, 2019
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require further
assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. Analytical results are
reported on a'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be
reproduced, except in full, without the written approval of Microbac Laboratories. The reported results are related only to the
samples analyzed as received.
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com
Page 1 of 6
Warren Oil Company
Ms. Wanda Pender
2340 US 301 North
Dunn, NC 28334
Sample Summary Report
I
Sample Name
Out Flow Sample, Grab
&)MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0174
Project Name: Stormwater - Semi Annual
Project / PO Number: N/A
Received: 11/13/2019
Reported: 11/21/2019
Laboratory ID Client Matrix Sample Type Sample Begin Sample Taken Lab Received
K91<0174-01 Stormwater Grab 11/13/19 12:05 11/13/19 13:05
Page 2 of 6
(V MICROBAC°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0174
Analytical Testing Parameters
Client Sample ID: Out Flow Sample, Grab
i
Sample Matrix: Stormwaler Collected By: Nunn
Lab Sample ID: K91<0174-01 Collection Date: 11/13/2019 12:05
Wet Chemistry
Result RL
Units
Dilution Note
Prepared Analyzed
Analyst
EPA'1664 Rev. B
Oil & Grease (SGT-HEM)
<5.00 5.00
mg/L
1
11/1809 1200
TBM
4
SM 2540 0-2011
Total Suspended Solids
<4.17 4.17
mg/L
1
11/14/19 1305
CLB
SM 4500 H+B-2011
pH at 25 °C
6.9 1.0
S.U.
1 H
11/15/19 1329
CLB
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 3 of 6
71
*MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0174
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source °/REC RPD
Wet Chemistry Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KK91303 - Wet Chem Aaueous - SM 2540 D-2011
Blank (KK91303-BLK1)
Prepared & Analyzed: 11/14/2019
Total Suspended Solids <2.50
2.50 mg/L
Blank.(KK91303-BLK2)
Prepared & Analyzed: 11/14/2019
TotaPSuspended Solids <2.50
2.50 mg/L
� Blank(KK91303-BLK3)
Prepared & Analyzed: 11/14/2019
Total 'Suspended Solids <2.50
2.50 mg/L
Blank (KK91303-BLK4) Prepared & Analyzed: 11/14/2019
Suspended Solids <2.50 2.50 mg/L
LCS (KK91303-BS1) Prepared &Analyzed: 11/14/2019
Total Suspended Solids 29.2 2.50 mg/L 30.4 96 94.5-105.4
Batch KK91924 - Wet Chem Aqueous - EPA 1664 Rev. B
Blank (KK91924-BLKt) Prepared & Analyzed: 11/18/2019
Oil &,Grease (SGT-HEM) <5.00 5.00 mg/L
LCS (KK91924-BSI1 Prepared & Analyzed: 11/18/2019
Oil & Grease (SGT-HEM) 18.0 5.00 mg/L 20.4 88 64-116
Matrix Spike(KK91924-MS1) Source: K9KO156.01 Prepared&Analyzed: 11/18/2019
Oil &Grease (SGT-HEM) 26.4 5.00 mg/L 22.4 ND 118 64-132
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 4 of 6
�VMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0174
Definitions
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
mg/L: Milligrams per Liter
RL: Reporting Limit
S.U.: Standard Units
Cooler Receipt Log
Cooler ID: Default Cooler
Temp: 2.8°C
Cooler Inspection Checklist
'Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (COC) Present?
Yes
COG includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on COC?
Yes
Correct type of Containers Received
Yes
Correct number of containers listed on COC?
Yes
Containers Intact?
Yes
COG includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match COG (Name, Date & Time?)
Yes
Samples arrived within hold time?
Yes
Correct preservatives on COG or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not recd.?
Yes
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11
Report Comments
North Carolina DENR NPDES
Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Brittany Smith
in the footnote are present and an authorized signature is included. Administration
Reported: 11121120192327
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 5 of 6