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HomeMy WebLinkAboutNCG080601_COMPLETE FILE - HISTORICAL_20150625IZt�u � �h a Fhb -^- ° - -STORMWATER DIVISION CODING -SHEET RESCISSIONS . PERMIT NO.. N DOC TYPE ,�t COMPLETE FILE'- HISTORICAL DATE OF .RESCISSION ❑ p � � 5 b � � 5 YYYYMMDD f Semi-annual Stormwater 19harge Monitoring Report • for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted G -9-lj CERTIFICATE OF COVERAGE NO. NCGO8 , , D �], SAMPLE COLLECTION YEAR G1 FACILITY NAME r d u C L' GL 1(ln�al 7 SAMPLE PERIOD Jan -June ❑ July -Dec COUNTY LV U or ❑ Monthly' (month) PERSON COLLECTING SAMPLES T M GLL-7*1cL _ DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA LABORATORY 41R45pi'f Lab Cert. # 4 I / ❑Zero -flow ❑Water Supply ❑SA I Comments on sample collection or analysis: RECEIVED VED ❑Other JUN 2 5 2015 PLEASE ,REEMMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than alms afk-R% motor oil per month.7 V yes _no (if yes, report your analytical results in the table immediately below) C� SECTION Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall Na . ; Date r ;;Sam le Collected, ,- mo%dd/yr , w Oo53o ��M00400v 00556 _ ..TotaLSuspended ;, Salids,'rir�g/L ...:: d s: H, a aStandard:units Non_Polai; Oil and Grease .TPH EPA ; Methodrv1664'(5GT3HEM) ,'mg/L,: New:Motor.iOil Usa a Annual a�erage:gal/mo Benchmark - , .50,or00see;permit... w 'Wtthiri fi 0 "'9 0 :� ,..:....', . :15 ..: . i. •--0 _1 a � IS-66 L Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall -.w No Date .. :^. v -.-'.::ra f Sample Collected, 0055fi �._. 4"L"�'C �OQ530 00400' :. �: ._. ._...-d;` .'.:- r,.u� ,.-.. .�... .,u.: Non?Polar=.Qil and Grease/TPH EPA Method ': SGTHEM)' 2mg/L �:' tiY:!•l a.m Total5uspended:Solids, g pH, -5tardard:units'm/Ld/Y P,ermi Limit �.0 '. � < n 15,.. � .. ^� �5,> y �. . w. ,� _.: � . _. 50no,r�IQQ ee_permit .... r6 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Pace I of 2 STORM EVENT CHARACTERISTICS: Date -first event sampled) _ Total Event Precipitation (inches): t7 S 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 I1 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 (or at end of monitoring period in the case -of "No Dischar e" 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." (Signatyro�b'f PVAittee) (Date) rLL� Adrtional copies of this form may be downloaded at: http://portal.ncdenr.org/web/­wq/­wsLsu/npdessw#tab-4 SWU-250 • last revised* 11, 2013 Page 3 of 2 - 0 L1©L—r1 Ar ic�1 filt�,�l y y 6/ 1812015 JIM GLEASON GO TRIANGLE 5201 NELSON ROAD MORRISVILLE, NC 27560 Subject: Report of Data - Project: STORM WATER WorkOrder: 1506033 Attn.: JIM GLEASON Enclosed are the results of analytical work performed in accordance with the referenced account number. This report covers sample(s) appearing on the listing, Thank you for selecting CompuChem for your sample analysis. If you should have questions or require additional analytical services, please contact your representative at 1-800-833-5097 Sincerely, Compuchem a division of Liberty Analytical Corporation Attachment TOTAL NUMBER OF PAGES 0 501 Madison Avenue, Cary, NC 27513 Tel: 919-379-4100 Fax: 919-379-4050 CompuChem, a division of Liberty Analytical Client: GO TRIANGLE Work: 1506033 Project: STORM WATER Sdg: 1506033 1 Lab ID Client ID Matrix Date Sampled 1506033-01 S0001 Water 06/09/2015 08:10 Date Received 06/09/2015 10:59 D 0 6/18/2015 ANALYSES DATA PACKAGE COVER PAGE Client: GO "TRIANGLE Project: STORM WATER Laboratory: COMPUCHEM SDG: 1506033 Client Sample Id: Analysis: Lab Sample Id: SD001 LPA 166413 1506033-01 SD001 SM 25401) 1506033-01RIil certify that this data package is in compliance with the terms and conditions of the contract, both technically and for completeness, for other than the conditions addressed in the narrative. Release of the data contained in this hardcopy data package and in the l;Icctronic Data Delivcrahle has been authorized by the Laboratory Manager or the Manager's designee, as verified by the following signature. Signature: Name: Susan Bass Datc: E 06/18/2015 Title: Chemist III ACCp;O -. 501 Madison Avenue, Cary, NC 27513 Tel: 919-379-4100 Fax: 919-379-4050 Page 1 of 13 A. SDG Narrative 40 0 0 Page 2 of 13 0 CompuChem A Division of Liberty Analytical Corp 501 Madison Avenue Cary, North Carolina 27513 SDG NARRATIVE SDG # 4506033 Client: GO TRIANGLE Project: STORM WATER METHOD: EPA 1664B, SM2540D Unless otherwise noted on enclosed Laboratory Notices or Quality Assurance Notices, all quality control criteria were met in the analyses of this sample. Release of the data contained in the hardcopy data package has been authorized by the Laboratory Manager or his/her designee, as verified by the signature below. • Susan W. Bass Senior Chemist June 18, 2015 • Page 3 of 13 CompuChem A division of Liberty Analytical Corporation CompuChem's Pagination Convention As required by the EPA CLP Statement of Work (SOW) documents, data to be delivered must be paginated (by machine or hand). In the event that the initial numbering is incorrect (a page numbered twice or a page skipped, for example), it is CompuChem's policy to add an alphabetic suffix to a page number when necessary (e.g., I OOA, 10013, etc.). This policy is also applicable to non-CLP data packages. Revision 7 (01/12/2011) Ell • • Page 4 of 13 CompuChem • A division of Liberty Analytical Corporation WET CHEMISTRY DATA REPORTING QUALIFIERS On the appropriate reporting form, under the column labeled "Q" for qualifier, each result is flagged with the specific data reporting; qualifiers listed below, as appropriate. The qualifiers used are: U : This flab indicates the compound was analyzed for, not detected and is reported as less than the Method Detection Limit (MDL) (or as defined by the client). The Reporting Limit (RL), or Limit Of Quantitation (LOQ), and the MDL will be adjusted to reflect any dilution or concentration of the sample and, for soils, the percent moisture. This flag indicates the reported result is an estimated value. The flag is used when an analyte is detected and the result is less than the adjusted RLILOQ but equal to or greater than the MDL. Q : This flag denotes that one or more quality control criteria have failed (e.g., LCS recovery, Continuing Calibration Verification, or CCV) and reanalyses can't be performed. The Q flag is applied to all specific analyte(s) in all samples associated with the failed quality control criteria. B : This flag is used when the analyte is found in the associated method or calibration blank as well as in the sample. It indicates probable blank contamination and warns the data user to take appropriate action. The combination of flags BU or UB is not an allowable policy. Blank contaminants are flagged B only when they are detected in the sample. 0 D: This flag is applied to an analyte when the reported result is based on a dilution. XIYII_ :Other specific flags may be required to properly define the results. If used, the (lags will be fully described in the SDG Narrative. The laboratory -defined flags arc limited to X, Y, and Z. The extensions: D, S, and SD are added to the end of the Client ID and represent the following: D —Matrix Duplicate S — Matrix Spike SD — Matrix Spike Duplicate • Revision 0 (03-15-201 1) Page 5 of 13 Chain of Custody Records The laboratory shall include a copy of the Chain -of - Custody (CoQ documentation for all of the samples in the Work Order/S.DG. .7 E. Page 6 of 13 tj4e, t -- 4. n i i Ch P m CHAIN OF CUSTODY 28519 Page — of — --- %LLDiVision or 501 Madison Ave. - WILiberty Analytical Corp. . Cary, NC 27513 Phone: 919-379-4100 Fax 919-379-4040 Courier Airbill No. Sampling Compfete? Y or N Z, . CRignt/Repott Requestetl'ArialysLs (include method and alm") -.'--C.Matrices: Company Name GO 122119W Project Name Gw -Ground water WW - Waste water SW - Surface water SO - SoiUSediment TB - Trip Blank R1 - Rinsate WP - Wipe 0 - Other pH:V $k#le Ww-: Address 5_2 Q A,� kol Sampling Location City State Zip t 1-9 q 0 Turnaround time Project Contact I�Q ./,, r_L!fS Hatch QC or Project Specific? If Specific, which Sample 11)? Phone N T"_ I�LPF Are aqueous samples field filtered 60T MC13IS? Y or N Sampler's Name TI Are high concentrations expected? Y or N? If yes, which I D(s)? .,CpmpuC ierrr,W:z: SIC Field ID Collection Matrix 9 bottles Number of Preserved Bottles Date Time z F= so 6o, lic-,Vjg I 7U If`;a�n Lab s Ue-, y 7711 Sample Unpacked By: VVIAT Cyanide samples checked for sulfide & chlorine? Y o i n 625 & Phenol samples checked for chlorine? Y ot�p Sample Order Entry By: Y 'A"lk A4, 1608 Samples Received in Good Con trios Y r N samples checked for pH between 5.0-9.0? Y oa If no, explain: Relinquished bDate/Time: 10 Received by: ( Datetrime: Relinquished by- IDate/Time: Received by: ]Cooler Datetrime: ,Subconta t? Y oN If es, where? Cust oz­j(s) intact'? Y or 10n Ice? Y oy'� Temp: Samples stor fter date report mailed at no extra charge. ej White i'Vellow copy to lab - Pink copy for cus W IF (�tV4-j tuz� I p- 6 OIL) WORK ORDER 1506033 COMPUCHEM Printed: 6/15/2015 1(1:48:53AM Client: GO TRIANGLE Project !+tanager: Cathy Dover Project: S"FORN4 WATER Project Numhcr. STORM WATER SDG: 1506033 CASE: Status: Batched Report To: Invoice To: GO TRIANGLE GO TRIANGLE JIM GLEASON JIM GLEASON 5201 NELSON ROAD 5201 NELSON ROAD MORRISVILLE. NC 27560 MORRISVILLB, NC 27560 Phone: (919) 485-7479 Phone :(919) 495-7479 Fax: - Fax: - Date Due: 06/22/2015 00:00 (13 day 'FAT) Received By: Cathy Dover Date Received: 06/09/2015 10:59 Logged In By: Cathy Dover Date logged In: 06/09/2015 1 1:55 J & B Flags?: YES TICS?: NO Deliverable: Lccel I E-mail Only EDD : NO EDIT Metals I to? MDL iSpikcLevel: FULLSpike LCS ONLY*ORG 166413 FIEM*TSS Analysis Due TAT Expires Received Continents 1506033-01 SD001 [Water) Sampled 06/09/2015 08:10 Eastern OILB:GREASE HEXANE HEM 1664B 06/22/2015 16:00 l3 07/07/2015 08:10 06/09/2015 10:59 TTL SSPND SOLIDS (TSS) 2540D WATER06122/2015 16:00 13 06/16R015 0& 10 06/09/2015 10:59 • Page 8 of 13 ANALYSIS DATA SHEET s D001 0lient: GO TRIANGLE. SDG: 1506033 Projcct: STORM WATER Lab lD: 1506033-01 '%Solid: MatriN: Water Sampled: 06/09/15 Received: 06/09/15 CAS NO. Analple Colic. (mglL) MDL RL 1).F. Q Method Sequence Analyzed OILGRGAM." Oil R Grease (HEM) 29.4 1.16 5,00 1 EPA 1664n 51- 18004 6/16/15 11:05 Tss Total Suspended Solids 7.00 416 50.0 1 1 SM 2540D 5F16010 05/15 17:35 E • �y 1' l—Ibc rt�r„1 Ae�alytEcal 11 �41�'� A,.O.,� 0 9 d �■fit! ". �a x Page 9 of 13 ANALYSIS DATA SHEET PBZF Client: GO'1'RIANGIA: SDG: 1506033 Project: STORM WA'1'I R Labll)• 5061306-13LK1 Matrix. Water L� CAS,NO. Analyte Conc. (mgll,) IMM, IRL U.F. Q dlethod Sequence Analyzed OILGtEASE Oil & Grease (HTiM) 1.16 5.00 I U L'PA166413 5F18004 611fi115 11:05 1tA ACCpgDA E�IdPrf-� Ar'�r�1i-JYEceI s :7 Page 10 of 13 ANALYSIS DATA SHEET W11csZi, 0ient: GO TRIANGLE Lab ID: 5061306-IISI SDG: 1506033 Pr( jcct: STORM WATER Matrix: Water CASNO. Analvtc nc. g/]-) 4401 NIDL RL 1).F. Q Method Sequence Analyzed OILGREASE Oil&Grease(H1,M) .7 L16 5,00 1 ETA 166413 51;18004 6/10115 11:05 • l�Yb�rYy Ar'-�caly Ftc�al A0"0 Page 11 of 13 ANALYSIS DATA SHEET PBZ11 Clicnt: GOTRIANGLS SDG: 1506033 Project: STORM WATER LabID: 5061504-BLK1 Matrix: Water CAS NO. Annlplc COnC. (mglL) NIDL RL 1).F. I Q I Method Sequence Analyzed TSS Tnt:d Suspended Solids 0.416 5.00 1 lJ Sot 2540D 5F16010 6/15/15 17:35 A.CCOROA ;.._. • Page 12 of 13 ANALYSIS DATA SHEET wLCSZII 0icnt: GO TRIANGLE Lab I1): 5061504-IIS 1 SDG: 1506033 Project: STORM WATER Matrix: Water CASINO. Analyse Conc. (IngIL) MDL RI, D.F. Q Aielhod Sequence Analvred Tss Total Suspended Solids 81.0 4.16 50,0 l SM 2540D 51-'16010 6115115 17:35 171 w Lldwrhy Ari alyYlc�+l ACp . v CRQ'92 1 Page 13 of 13