NCG030227_MONITORING INFO_20190226

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
V C� �� U��
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ jo/� 0c) �v
YYYYMMDD

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 02/2012020
CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7
FACILITY NAME Coming Optical Communications, LLC
COUNTY Forsyth
PERSON COLLECTING SAMPLES
LABORATORY TestAmerica Laboratories, Inc. Lab Cert. #i 434
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or EMonthly' January _ (month)
fT���f\/CS-HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
f tt ❑Zero -flow ❑Water Supply ❑SA
FEB 2- G 2019 ❑Other
CEN i h{P,I_ FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
D;NR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks
_
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
1
01/24/2020
1.35
6.0
7.4
0.002
<0.001
0.029
<4.1
2
01 /24/2020
1,35
7.4
7.3
0.0022
<0.001
0.060
<4.1
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION 8.
• 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "'No Discharge"' reports, within 30 days of receipt of the lab results (ar 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."
Signature of Permittee
Date
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3

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Eurofins TestAmerica, Pittsburgh 4' eurofins
301 Alpha Drive RIOC Park Chain of Custody Record Enironm E:I Testing
Pinsburyh. PA 15238
€_.:Ar:erita
Phone:[phone] Fax:[phone]
Client information
Sampler^ `
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Lab PM:
colussy, Jill L
Canter Tract wV Nots=:
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9L,7A r J3 •
CDC NO.
180-58867-i0D51.1
ChantC -taU:
Jamie Janes
Phone' ¢
[ -33 -7 —7 ✓GS
E�Mai:
[e-mail]
Page:
Page 1 of 1
Cun,pany
Corning OptiCal-nevi client in process
Analysis Requested
Job a:
Adct, s%:
3160 Centre Park Blvd
Due Oats Requested:
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Preservation Codua:
A _ HCL u . He one
a -ZnA N - None
C - Zn Acetate O - ASNa02
D -NaH A4 P-Na20a5
E -MeOH D-Na2S20
F - A OH R-H2SO4 3
G - Avz t- S - HSSDa
H - A.steran: Acid 7 - FSP pppecahydrate
J - CH water V - mCAA
K-EDTA' W-pH46
L - EDA Z - other (iPeary)
Special InstructionslNote:
c>ry;
Winston-Salem
TAT Regq Wd (dayal:
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State. 7aP,
NC,27107
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Pay by Credit Card
t:maiC
[e-mail]
WON
Proper Name.
Stormwater, Winston Salem. NC
Project C:
18019569
Site.
SSOWp,
Sample Identification
Sample Dale
Sample
Time
Sample
Matrix
A.:;
'PieseniationCoQe:..
C
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ti
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7:
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1So- 101507 Chain of Custody
t
Possible Hazard Identification
f= Non -Hazard ID Flammable © Skin Irritant© Poison B Unknown Radiof ical
Sam�jle Disposal (A fee may be assessed if samples are retained longer than 1 month)
"Return To Client 0 Disposal By Lab Archive For Months
Deliverable Requested: I, 11. III, IV, Other (specify)
Special InstruciionsIOC Requirements:
Empty Kit Relinquished bMethod of shq m nty: Tlme:
Rey�uc
i9 �vD--LeYN
H
Recei
abarr
/
Re by:
Dateffi e:
Company
Received
D.Wn7Corm
Relinquished by:
DaW ime:
Company
Received by:
DaterT /„t r `
Comp9rty
Custody Seals lntact:
A Yes A No
Custody Seal No.:
cooler Temperahrelsl -C and Olher Rem. rks
Ver: 0I it W2019
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Client Sample Results
Client: Corning Optical Communications LLC
Project/Site: Corning OpticalStormwater, Winston Salem
Client Sample ID: OF-1
Date Collected: 01124/20 07.25
Date Received: 01/25/20 10:00
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Total Recoverable
Analyte Result Qualifier RL
MDL Unit
Copper 2.0 2.0
0.69 ug/L
Lead 0.47 J 1.0
0.13 ug/L
Zinc 29 5.0
4.3 ug/L
General Chemistry
r
Job ID: 180-101507-1 `
Lab Sample ID: 180-101507-1
Matrix: Water
D Prepared
Analyzed
Oil Fac
02/04120 07:02
02/05/20 18:40
1
02/04/20 07:02
02/05/20 18:40
1
02/04/20 07:02
02/05/20 18:40
1
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
Dil Fac
4 ioi
HEM
1.6 J
4.1
1.4
mg1L
02/0512017:19
02105/2017:19
.1
SGT-HEM
NO
4.1
1.4
mg/L
0210512017:19
0210512017:19
1
•
Total Suspended Solids
6.0
1.0
1.0
mglL
01/28/20 13:26
1
Analyte
Result Qualifier
RL
RL
Unit
D Prepared
Analyzed
Dil Fac
pH
6.6 HF
0.1
0.1
SU
02/06120 11 :08
i
Client Sample ID: OF-2
Date Collected: 01/24/20 07:30
Date Received: 01125/20 10:00
Method: EPA 200.8 Rev 5 - Metals
(ICP/MS) - Total Recoverable
Analyte
Result Qualifier RL
MDL Unit
Copper
2.2 2.0
0.69 ug/L
Lead
0,56 J 1.0
0.13 ug/L
Zinc
60 &0
4.3 ug/L
General Chemistry
Analyte
HEM
SGT-HEM
Total Suspended Solids
Analyte
pH
Lab Sample ID: 180-101507-2
Matrix: Water
D Prepared Analyzed Dil Fac
02/04/20 07:02 02105/20 18:43 1
02/04120 07:02 02105/20 18:43 1
02/04/20 07:02 02/05120 18A3 1
Result Qualifier
RL
MOL
Unit
D Prepared
Analyzed
oil Fac
4.1
1A
mgll_
00 7
11.6
NO
4.1
1A
mg1L
02/0512017:19
02105/2017:19
1
7.4
0.50
0.50
mg/L
0112812013:26
1
Result Qualifier
RL
RL
Unit
D Prepared
Analyzed
oil Fac
6.9 HF
0.1
0.1
SU
_
0210612011:09
1
Eurofins TestAmerica, Pittsburgh
Page 9 of 17 2/10/2020