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Home My WebLink AboutNCG160065_COMPLETE FILE - HISTORICAL_20151214STURMWATER DIVISION CODING SHEET -..:- RESCISSIONS . PERMIT NO. IV DOCTYPE COMPLETE FILE'- HISTORICAL DATE OF RESCISSION o axis �a �y YYYYMMDD ft STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG160G ®® 5❑ SAMPLES COLLECTED DURING CALENDAR YEAR: 20215' (This monitoring report is due at the Division no Iater than 30 days from the date the facility receives the sampling results from the laboratory.) FAaLfTY NAME l -- E2—, L 1F- i COUNTY W4-& PERSON CERTIFIED LABORATORY ' TORY +� Z hlvs_ Lab # ----RECEIVED Lab # Monitoring Requirements DEC 14 2015 CENTRAL FILES Outfall No. Date Sample Collected. mold Total Rainfall. inches 1 00530 1 lCoh4w 00556 Total Suspended Solids. mg/l pH. Standard units Total Petroleum Hydrocarbons, mg/l EPA Method 1664 (SG -HEM) Benchmark - - 100 Within 6.0 — 9.0 15 x 9 0 3-7 6 'O 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. Mail original and one copy to: ,Q[yar r Division of Water Quality Attn: 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 an my inquiry of the person or persons who manage the system, or those persons directly reppo;ibIe for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that tt�Ore are siifi Mt penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations." of ;r a3 stiS (Date) S WU-253-05I 409 Page 1 of l aceAnalytical� www.pacelabs.cnm October 02, 2015 Mr. Marcus Hackler Lane Construction 8205 Wilkinson Blvd. Charlotte, NC 28214 I - 60 y1_ Pace Analytical Services, Inc. U! I 9800 Kincey Ave. Suite 100 v L/ Huniersville, NC 28078 (704)875-9092 RE: Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 Dear Mr. Hackler: Enclosed are the analytical results for sample(s) received by the laboratory on September 29, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, V�, n-- Liamm Carrubba liamm.carrubba@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 (�IacieAnalyfical" www.pacele6s.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)6-9092 Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 Raleigh Certification IDS 6701 Conference Drive, Raleigh, NC 27607 North Carolina Wastewater Certification #: 67 Charlotte Certification IDS 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certiflcation M 37712 CERTIFICATIONS North Carolina Bioassay Certification #: 16 North Carolina Drinking Water Certification #: 37731 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 Virginia[VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiafVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 aceAnalytical f www.pacefabs.= I ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 KOcey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: W, RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 Sample: OUTFALL #1 Lab ID: 92269580001 Collected: 09/29/15 07:40 Received: 09/29/15 09:46 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mglL 5.0 1 10/02/15 08:36 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Total Petroleum Hydrocarbons ND mg1L 5.0 1 10/02/15 08:36 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 37.8 mg1L 5.6 1 09/29/15 12A1 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 89.0 mg1L 25.0 1 10/01/15 16:00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 (�55'cieAnalyticale www,patelab&WM SAMPLE ANALYTE COUNT Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, K 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92269580001 OUTFALL #1 EPA 1664B JMS i PASI-C EPA 1664B JMS 1 PASI-C SM 2540D RC 1 PASI-R SM 5220D WRC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnaljftal waw.paoelabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 QC Batch: GCSV/22776 Analysis Method: EPA 1664E QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92269580001 METHOD BLANK: 1572898 Associated Lab Samples: 92269580001 Parameter Units Total Petroleum Hydrocarbons mg1L LABORATORY CONTROL SAMPLE: 1572899 Parameter Units Total Petroleum Hydrocarbons mg/L MATRIX SPIKE SAMPLE: 1572900 Parameter Units Total Petroleum Hydrocarbons mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 10/02/15 08:24 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 20 19.8 99 64-132 92268758006 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers ND 20 16.5 82 64-132 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: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical www.pacelabs.c wn Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, N�, 28078 (704)875-9092 QUALITY CONTROL DATA Project: W, RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 QC Batch: GCSVI22775 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Gil and Grease Associated Lab Samples: 92269580001 METHOD BLANK: 1572895 Associated Lab Samples: 92269580001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 1572896 Parameter Units Oil and Grease mg/L MATRIX SPIKE SAMPLE: 1572897 Parameter Units Oil and Grease mg1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 10/02/15 08:24 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 39.8 100 78-114 92268758006 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers 7.9 40 44.5 92 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: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 /Ie Analyticale www.pscelebs.cnm QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huniersville, NC 28078 1704)875-9092 Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 QC Batch: WETA124750 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92269580001 METHOD BLANK: 1570935 Matrix: Water Associated Lab Samples: 92269580001 Blank Reporting Parameter Units Result limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 10/01/15 16:00 LABORATORY CONTROL SAMPLE: 1570936 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 731 97 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1570937 1570938 MS MSD 92269580001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 89.0 750 750 764 764 90 90 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1570939 1570940 MS MSD 92269653004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L ND 750 750 711 711 94 94 90-110 0 Results presented on this papa are In the unite 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: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 Pace Analytical Services, Inc. IacieAnalyficalo 9800 Kinsey Ave. Suite 100 Huntersviite, NO 28078 www.p"labs.com (704)875-9092 QUALITY CONTROL DATA Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 QC Batch: RWET18693 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92269580001 METHOD BLANK: 1569194 Matrix: Water Associated Lab Samples: 92269580001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 09/29/15 12:37 LABORATORY CONTROL SAMPLE: 1569195 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 260 104 90-110 SAMPLE DUPLICATE: 1569519 92269368001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 11.8 10.2 14 D6 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: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 6 aoAnalyircal wwwpacelabs.=m QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92269580001 OUTFALL 91 EPA 1664B GCSV122775 92269580001 OUTFALL #1 EPA 1664E GCSV122776 92269580001 OUTFALL #1 SM 2540D RWET18693 92269580001 OUTFALL #1 SM 5220D WETA124750 Date: 10/02/2015 04:27 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch Page 10 of 12 aceAnalytical www.pacalabs.corn QUALIFIERS Project: W. RALEIGH ASPHALT PLANT 52011 Pace Project No.: 92269580 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. 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, Styrene, and Vinyl chloride. 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 PASI-R Pace Analytical Services - Raleigh ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2015 04:27 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 J aceAnalXkal8 www.pacelabs.com ..,_,,. i _6701 Conference Drive, BA;9h, HC.27607 ph: (m) 834.4984, fax: (919) 834-ti497 NCWW Cedn7, NCDW Conn7731 I Chain of Custody Report Result("_&s To: Bill To: Company: LAtgYIS4- Project ddress � � Wd 5y� �1V 4 P L ZV 21 V Project Attri: IN ph QS Phone: nJ p -�1 IS- -3()) 5_ Fax: 9 [ �} �S -1 - � Sampled by (signature): Y0 I QqY0 I 7-5SI U U��if 11 I I �r 0an 115 1 q l?(I l/ Sub W.o. 0 1226 � 5-1 )ierence: W . amber: S, -z- 0 ) r Order g: S �- �dard Report Delivery I Report Delivery (wlsurchargo) A prolocts Oro subleat to prior approval by laboratory quested Due Date: in ished by (sig Received by (signature) Dale Torn ell shed by (signature) Reoei by (signature) Date Timo Relinquished by (signature) Received by (signature) Date Time Receipt Conditions (Lab Use Only) ❑ 4tTC ❑ Tempi L °C Has. Chlorine: ❑ Absent ❑ Preserd ❑ n/a Acid presew. <2? ❑ Yoe 0 No ❑ nla Base preserv, a12? ❑ Yes ❑ No ❑ nla Pace 12 of 12 Document Narne: Sample Condltlon Upon Documer t Revised: May 15, 2015 ,Rg2o ra ice!' Recel t ($CUR) Page 1 of 2" Document No.: Is wing Authoritles: F-RAL-CS-001.rev.03 Pace alai h Quality Office of-2 Isjor_intematl Client Name: STY t,i M U Vl Courier {Circle): Fed Ex UPS LISPS CII� Commercial Pace Other Custody Seal on Coolor/sox Present: d yes no Seals Intact: x yes ❑ no Packing Material: (] Bubble Wrap le Bags None 71 Other Circle Thermometer Used: IR Gun 3 o of Ice. Wet Blue None ❑ Samples or ice. cooling process has begun IR Gun it 2065371 Temp Correction Factor: Ad Su tr� ,, _ C Dale ardInIt1aIsof.porQ.0nexa Ining Corrocted Cootor Temp.: 2- , _ C Blologlcal Tissue Is Frozen: Yes N N7A o .el fie Fill the k: Temp should be above fraezing to M Comments: Chain of Custody Present: es ON. ❑WA 1. Chain of Custody Filled put: Yee ON. DWA 2. Chain of Custody Relinquished: Yes GNo ❑NIA 3. Sampler Name S Sig nature on COC: roe ❑No ❑N% 4. Samples Arrived within hold Tima., Yea ❑No ❑NIA 5. Short Hold Time Anal is <72hr : Dyes No ❑WA 0. Rush Turn Around Time Requested: ❑Yes gNo CINrn 7. Stifficlent Volume: ea ONO ONIA 6, Correct Containers Used: Yes ONO 13MIA 9. -Pace Containers Used: as ONO DIVA Containers Inlacf: Y., ❑No ON 10: Fillered volume received for Dissolved tests OYes ❑No N!A 11, Sample Labels match COC: Yoe ONO ONlA 12, -includes dateltime/lD/Anal sls Matrix: All containers needing preservation have been checked. Yes ❑Ho ❑NfA 13. All containers needing preservation are found to be In yes ❑No ❑NIA compliar,ce with EPA recommendation, I7 , exceptions: VOA, oolifunn. TOC, O&G. WI-ORO (vrater) Yes ONO Samples checked for dechlorination: Yes ❑No QN1A 14. Hoadspnce In VOA Viuls >6mm : ❑Yee No NIA 1S. Trip Blank Present: ❑Yee ONO NIA 16. Trip Blank Custody Seals Present dyes_❑No_ NIA Pace TO Blank Lot f# if purchased): Client Notification/ Resolution: Field Data F equired? Y / N Porson Contacled: Date/Time: • Comments/ Resolution: SCURi, wir [ U'Date.• WOYl!<• • 92269580 Review:: E n Note: Vrnonever thero Is a d!screpancy affecting North Carolina compllaor8 111111111samples, a copy o' this form W it be sent to the North Carollne DEHNR ' I Cort11(allon bfGcc; Le •out of hold, Incorrect preservative, out of lamp, : 92�685BU Incor(ectcontalners) a r d f SUT�� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguhl=ce onfilling out thisfoym please visit, httnJ/t�2o cnr�staate.nc.us/su, amu_Documcnts,ht #mis - orms Permit No.: NIU_G Facility Name- L County: Inspector. _rA)� Date of Inspection: Time of Inspection: Total Evout-P=dphatlon (inches): ., L Z Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary) - 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. By this 6%natilre, I certify that this i•e� 'is accurate and complete to the best of rhy knowledge: ti Perrrattee or Designee) 1. Outfall Description: Outfall No. �_ Structure (pipe, ditch, etc.) �� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ ��t✓11 - 3. Odor: Describe any distinct odors that the di harge may have (i.e., smells strongly of oil, weak chlorine odor, etc-): _ _ A) 6 0 f1_1- - - - -- Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2� 3 4 5 S. Hoating 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: If ZIN 2 3_ 4 5 .. G. 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 a 5 Qj 7. Is there any foam in the stormwater discharge? • Yes No , $. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes CN. 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant fitrther investigation. Page 2 of 2 swu-242,112606 aceAnalytical www.pacelabs.com 6701 Conference Drive, Raleigh, NC 27607 ph: (919) 834-4984, tax: (919) 834-6497 NCWW Cert#67, NCDW Cert#37731 ,Chain of Custody Report Results To: Bill To: L Company: �atyf- 4- Address: s z-S Attn:r&Z Phone: 1 0- - j— 3 Q ! Fax. Sampled by (signature): W.O. # Project Reference:t + I ` ` -7L lA i �1r Project Number_ Purchase —Order #: S Y— 1 f Q t5 andard Report Delivery 0 Rush Report Delivery (wlsurcharge) "Rush projects are subject to prior approval by the laboratory Requested Due Date: Sample.Descrnptior 'x .c m«' Start Date Erid10te Matrix' -WW; oW, Sw . Analyses Requested'* gr. a'rs • 3 � i .yy. Sampie�r e "Start Time`i�_YrEndTime ow;sm.w «c' 4 i .7t. ik. T' a. e' 'f 'Fs• .r 'i r� r= ,rt, }•�45 � 'F�i r -RelinQj�uished by (siig—M re Receive_ d by (signature) I Date Time 'Rofir4 fished by (signature) Recei4d by (signature) Date Time Relinquished by (signature) Received by (signature) Date Time Receipt Conditions (Lab rr U�se Only) ❑ 4t2'C 0 Temp:°C Res. Chlorine: ❑ Absent ❑ Present ❑ We Acid preserv. <2? ❑ Yes 13 No ❑ Na Base preserv. >12? ❑ Yes 0 No ❑ Na 0