NCG140116_MONITORING INFO_20200113

WS2�
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
Q�MONITORING REPORTS
DOC DATE
❑ O,=) O O ( f 3
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 1 1 is
FACILITY NAME: _ QA�� ��� } M X
PERSON COLLECTING SAMPLES -r —e'R rA
CERTIFIED LABORATORY ab# 34
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: ,Z`O 19
SAMPLING PERIOD: JZ July -December ❑ January -June
COUNTY Fapsq-F�,
PHONE N0.�$—
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outtall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2 Sampling'
-
-
6-91
100 ''
-
-
-
-
IA-
o
,31•D
—o
s`
N
14
o lc-/ lyi,
43 ..r
IS0
4
SAN
13ZOZO
C
NI..
R SECT
r If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
' If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. tl
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are So mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter calibration: j Last Revised 7/13/11
—� Page 1 of 2

Part B: Vehicle Maintenance Activity Monitorin R
Outfall
No.
Date Sample
Collected
dd r'
(mo / /Y)
pH
(Standard
Units)
g equirements
TPH using method
1664A SGT-HEM
(mg/L)
for facilities using > 55
Total Suspended
Solids
(mg/t )
gal of new motor
Event
Duration
(minutes)
oil month —averaged
Total
Rain
(in)
over a calendar
New Motor Oil
Usage
(gal/month)
year.
In Tier 2
Mon'_thly
Monitorin
(y/n) g
p of Months
in 7ier2
Samplingz
6-9
1s
100,
-
��
1
1 o
3�
Aj
N H-
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
HAVE YOU CONTACTED THE REGION? YES []NO
REGIONAL OFFICE CONTACT NAME:
in case of "No Flow") 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.
a aware that there are si nificant n ' s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1- DL�ao�
(Date)
Permit Date: 7/1/2011-60/30/201S
Last Revised 7/13/11
Page 2 of 2

RESEARCh&AWyiriCAI
LAORAwRkS, ONCD
For: Ready Mixed Concrete Co (ARGOS)
1491 Brookford Road
Kernersville, NC
Attn: Danny Rathbone
Report of Analysis
12/16/2019
L
NC 034
NCH37701
Client Sample ID: 1 6236S
Lab Sample ID:
75800-01
Site: Ready Mixed
Concrete
Collection Date:
12/10/2019 11:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
PH
SM 4500 H+B-2000
7.8
Std. Units
12/10/2019 1130
Total Suspended Solids (TSS)
SM 2540 D-1997
48.9
mg/L
5
AW 1211212019
Client Sample ID: 2 6236S
Lab Sample ID:
75800-02
Site: Ready Mixed
Concrete
Collection Date:
12/10/2019 11:30
[ammeter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
pH
SM 4500 H+6-2000
8.1
Std. Units
12/10/2019 1130
Total Suspended Solids (TSS)
SM 2540 D-1997
31.0
mg/L
5
AW 12/1212019
Client Sample ID: 3 6236S
Lab Sample ID:
75800-03
Site: Ready Mixed Concrete
Collection Date:
12/10/2019 11:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
pH
SM 4500 H+B-2000
8.3
Std. Units
12/10/2019 1130
Total Suspended Solids (TSS)
SM 2540 D-1997
43.5
mg/L
5
AW 12/1212019
Client Sample ID: 4 6236W
Lab Sample ID:
75800-04
Site: Ready Mixed Concrete
Collection Date:
12/10/2019 11:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Oil & Grease
EPA 1664 B
<5
mg/L
5
EE 12/11/2019
pH
SM 4600 H+B-2000
8.5
Std. Units
12/10/2019 1130
Settleable Matter
SM 2540 F-1997
<0.1
ml/I
0.1
AW 12/11/2019 0815
v
Total Suspended Solids (TSS)
SM 2540 D-1997
11.2
mg/L
5
AW 12/12/2019
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284
Tel: [phone]
Fax: [phone]
v i.randalabs.com Page 1
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