NCG080696_MONITORING INFO_20190926

14-t4)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ p��� O
YYYYM M D D

-A
NC�ENR
(� Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htro //portal ncdenr ore/web/wa/ws/suInpdessw#tab-4
Permit No.: N/C/—/—/—/—/—/—/—/ or Certificate of Coverage No.: N/C/G/Q/3/Ql�/Ql�l
Ics
Facility Name: —FNo a F 7e t''"I" b � wu"
County: W w% Phone No. 6
Inspector: Fin f{cse
Date of Inspection: - S' /Y o
Time of Inspection: 4:35 m
DWR S RACTION
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
N1 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 mp111tu1 111r
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
,rnval from the local DWC
obtains a
?fiSu�
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
0
Pagel of 2
5WU-242, Last modified 10/25/2012

If
/ 1. Outfall Description:
l Outfall No. -2- Structure (pipe, ditch, etc.) ?// �' °^`� �) A,/7
Receiving Stream: un An .d r' bk 10., o ' I � ✓1�f•
8/kf�/„
Describe the industrial activities that occur ithin the outfall drainage area: p
5� w fl Fos r al'�x/ �4 1 al Ll ><r7ks'r s� r���T/
/o
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C'<h 'ram
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): NIA
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 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:
0 2 3 4 5
C) 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 No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe cA-(AI t,)^d rj i.,, p,d S ; n nj S/ia 6.
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

OVAL
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit.,
Permit No.: or
Isil
Facility Name: a 7—,kN
County: WaR 0-
inspector: I
ul
htW,//portal,ticdenr.org/webl/-vq /ws/su/npdessw#tab-4
of coverage No.:
rn/a k s
Phone No. 9'9 ' d b f - J2'55-
Date of Inspection: 9 - ) - t
Time of Inspection: q o m
Total Event Precipitation (inches):
" or "Measureable Storm Event" as defined by the permit?
Was this a "Representative Storm Event
(See information below.)
g 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 monnpt nt�
nt" or during a "measureable storm even[." However,
performed during a "representative storm eve
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 to consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
r
outfall No. �_ Structure (pipe, ditch, etc.) I— ,,," // �✓�s s� s
Receiving Stream: V^ n^1ed aA" { �e
Describe the industrial activities that occur ithin the outfall drainage area: ra:</ �n'k ^^
i., a 2 e Los. H1y..,..,'i' .9- lG A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 4% h%
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Al i A
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:
1 (2) 3 4 5
I 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 O 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
Listanddescribe 00ILHA(( 1^ o°J R"14 to/ v - ,.
n Swe I
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

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 9 - A 3 - j 2
CERTIFICATE OF COVERAGE No. NCG08 0 6,
FACILITY NAME -T-e-r of Zelz),h, P-4-111C tj,,Ls
COUNTY NJoQkr-
PERSON COLLECTING SAMPLES Aoje-
LABORATORY ­L6�L6 Lab Cert. # 1A
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 9014
SAMPLE PERIOD ❑ Jan -June N July -Dec
or ❑ monthly' (month)
DISCHARGING TO CLASS DORW E]HQW E]Trout OPNA
[]Zero -flow [:]Watersupply E]SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
[:] No discharge this period'
150MQ;,M'�M myl�
"M
dAl
iv­
N e w o t o r
"/,.T
S
Ild- g
via
44 Hv n!
),rr6g �,T-
geigayniq
see
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _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
,
�N
'NbQTA
"A
Ve
r
A9s
"Non ilia c1, 6e/3-P.11 t
1664S T-HE IF! E
Standard units�
�
`f
5
-pe-ra
Pie—; ti­
rMif" lmii;�
Q12 nqZL
7610
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
last revised October 25, 2012
SWU-250 Page 1 of 2

C
STORM EVENT CHARACTERISTICS:
Date 9-5-19 (first event sampled)
Total Event Precipitation (inches): eQ lVQ
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 ANYONE 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 -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."
of Permittee)
9 - as- i
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised October 25, 2012
Page 2 of 2

aceAnalytical
s pecefabs.c
September 19, 2019
Mr. Tony Rose
Town of Zebulon
450 East Horton
Zebulon, NC 27597
RE: Project: Storm Water
Pace Project No.: 92444375
Pace Analytical services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Mr. Rose:
Enclosed are the analytical results for sample(s) received by the laboratory on September 06, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNUNELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
M,
Tyriek Hooks
[e-mail]
[phone]
Project Manager
Enclosures
cc: Jeanine Corbett, Town of Zebulon
Mary Duffy, Zebulon (Town of)
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 11

aceAnalytical a
~..peakbsmm
Project: Storm Water
Pace Project No.: 92444375
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 11

55?eAnalyfical'
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SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
Storm Water
92444375
Analyses
Lab ID
Sample ID
Method Analysts
Reported
Laboratory
92444375001
Stormwater 1
SM 2540D-2011 SAM2
1
PASI-A
92444375002
Stormwater 2
EPA 1664B AAC1
1
PASI-C
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 11

(�55'ceAnalyfical'
mncpacabbzwm
ANALYTICAL RESULTS
Project: Stone Water
Pace Project No.: 92444375
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: StormwateT 1 Lab ID: 92444375001 Collected: 09/05/19 16:35 Received: 09/06/19 09:56 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 22.8 mg/L 5.0 1 09/11/19 23:34
Sample: Stormwater 2 Lab ID: 92444375002 Collected: 09/05/19 16:34 Received: 09/06/19 09:56 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease NO mg/L 5.0 1 09/19/19 05:08
Date: 09/19/2019 05:10 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC.
Page 4 of 11

ace Analytical
wtaw.pnalabs.arn
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Storm Water
Pace Project No.: 92444375
QC Batch: 498636
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664B
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92444375002
METHOD BLANK: 2684137
Matrix: Water
Associated Lab Samples: 92444375002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 4.8
09/19/19 05:05
LABORATORY CONTROL SAMPLE: 2684138
Spike LCS
LCS %Rec
Parameter
Units
Conc. Result
%Rec Limits Qualifiers
Oil and Grease
mg/L
38.5 39A
102 78-114
MATRIX SPIKE SAMPLE: 2684139
35496549002 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result %Rec Limits Qualifiers
Oil and Grease
mg/L
8.6 39.2
39.5 79 78-114
Results presented on this page are in the units Indicated by the'Units' column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2019 05:10 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 11

5ace Analytical
y pscalaeacan
QUALITY CONTROL DATA
Project: Storm Water
Pace Project No.: 92444375
OC Batch: 497383 Analysis Method: SM 2540D-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92444375001
METHOD BLANK: 2678274 Matrix: Water
Associated Lab Samples: 92444375001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 09/11/19 23:28
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2678275
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 230 92 90-110
SAMPLE DUPLICATE: 2678276
92444317001
Cup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
16.0
23.6 38 D6
SAMPLE DUPLICATE: 2678277
92444375001
Cup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
22.8
21.6 5
Results Presented on this Page are In the units Indicated by the 'Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2019 05:10 PM without the written consent of Pace Analytical Services, U.C. Page 6 of 11

5aceAnalytical
(�mrw.pacrobbs.cem
QUALIFIERS
Project: Storm Water
Pace Project No.: 92444375
7�9faYi[9:F9
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL- Adjusted Method Detection Limit.
PQL- Practical Quantitation Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2019 05:10 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 11

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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Storm Water
Pace Project No.: 92444375
Lab ID
Sample ID
QC Batch Method
92444375002
92444375001
Stormwater2
Stormwater 1
EPA 1664B
SM 2540D-2011
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Analytical Method
498636
497383
REPORT OF LABORATORY ANALYSIS
Analytical
Batch
This report shall not be reproduced, except in full,
Date: 09/19/2019 05:10 PM without the written consent of Pace Analytical Services, LLC. Page 8 of l l

LL 10ga6ed
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Laboratory receiving samples:
Asheville[] Eden[] Greenwood[] Huntersville❑ Ralelgh® Mechanicsville❑
• Client Name:
Wp# : 92444375
.. �_ Project g:
I �n_
[outlet. []Fed Ex ❑UPS QUSPS QGlrnt
III116IIIIIII
IIIDIIIII
❑Cpmmtacial f2isFca ❑Other._
92444375—
Custody Seal Present7 ❑Yes ❑Na Seals Intact? []Yes ❑No'
Date/1nkhts Persian Wei CeHmentf:�ll) I
Packing Material: []Bubble Wrap ❑Bubble Bags QNane ❑ Other
Biological Tissue Fru=7
QYa QNa ❑P1/A
Thermometer:
®IR Gun ID: . ' 7�� Type of ire: ®Yrac ❑Blue
❑Nma
Cooler Temp(•C): t"i • I Correatan Facfar:AdgT a •C) � _• �
Temp should be abayx (reering to 6'C
Cooler Tamp Corrected ('Ly: 4 • o
❑Samptes Due of temp criterm. Samples an ke, owing process
hubegun
USDA Regulated Soil (E V/A, waa essamplel
Old samples wlQnate In a quarantine tonev4Uen the United States: CA, NY•or SC(rherkmapsl?
Old samp'es&VASM from a brelgn tour"'("Nera"''muly,
._ .. I.._
Rush
Correct Containers used?
Lgyes
QNo
❑N/A
-Pace Containers Used?
Bym
No
N/A
Containers Intact?
es
[]NO
N/A
7.
8
54mple Labels Match COC?
,Byes
[]No
QN/A
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(IL),
andudes OdteTmeAD/Anatysls Matrbc
Headmamin VOAV1alsb5-Gmm17
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[IN.
�ffN/A
10.
CONIMENIS/SAMPLE DISCREPANCY
Lot ID of splitcanainers:
CLIENT NOTFICATON/RESOLUTION
Person contacted:
Oata/nme:
Field Data Required? ❑Yes []NO
Prolect Manaeer SCURF Review:
Date:—67zdq—

LL 100L a6ed
'Check mark top half of box If pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Escape= VOA, CaUvan, TO4 Oil and Greue, OROJEOIS (water( OOC, LLH9
"Bottom half of box is to Bst number of bottle
Protect WO# : 92444375
PM: TIH Due Date: 09/20/19
CLIENT: 92-Zebulon
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STORMWATER SAMPLING TIMELINE
Thursday, September 5, 2019
1:OOpm — rain started (light)
2:15pm — light rain (no discharge)
3:15pm — moderate rain (no discharge)
4:15pm — heavy rain (no discharge) pond 3/4 full
4:20pm — heavy rain (pond discharging)
4:35pm — sample take (tss & oil/grease)
4:45pm — pl-1 reading — 7.20 pH
Total rainfall at time of sampling = 0.5"
Ph meter was calibrated on 9/5/2019@ 1 1:15am by Tony Rose
Sample taken by Tony Rose, Stormwater Superintendent