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Home My WebLink AboutNCG030581_DMR_20200217 Semi-annual Stormwater Dischar a Monitorin Re ort for North Carolina Division of Water Quality General Permit No. NC Date submitted a-/7.2026 G030000 CERTIFICATE OF COVERAGE NO. NCGO3 0 5 8 FACILITY NAME R. SAMPLE COLLECTION YEAR avao COUNTY G CYUNarisS INC. SAMPLE PERIOD r�o�L& ®Jan-June []July-Dec PERSON COLLECTING SAMPLES�{ or ❑ Monthly) LABORATORY DISCHARGING TO CLASS imanth) Eiyvieonawra� s/fi►sr Lab Cert.# gY ❑ORW ❑HQW Trout OPNA Comments on sample collection or analysis: ❑Zero-flow REC'E I\IP ❑Water Supply ESA Other &ASS "C" APR 0 6 20Z0 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR Part A: Stormwater Benchmarks and Monitoring Results CEN i r =�. HLES 3 DWR SECTION No discharge this period?? Outfall No. Date Sample 24-hour rainfall Collected' amount, Total Suspended Solids PH' Non-Polar O&G/ (mo/dd/yr) Inches' Standard units Copper Lead Zinc Total Petroleum Total Toxic Benchmarks=__> Or anicss 100 m8/L or 50 mg/L 6 0_y 0 Hydrocarbons g 1 ,Z-/7-14 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L a. a a /I 3,63c, v q u12.7-764) irn 1�-F,ac.c_ Z- - No Avig,'a/.~'u= cJa7ta_. 1 Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceed z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring ante for the same parameter he the same outfall. 3 The total precipitation must be recorded using data from on-site rain gauge. Unattended sites may 4 See GenerallPermit, Tablem 3 breco therecorded d especially an receiving water classifications oring reportlefor ah a waiver here. 5 Total ToxicOrganics sampling identifying yi only cia those sensitive facilities which be eligible protective waiver of the rain gauge requirement. 5 Toelectal To is rgls, s sampling is manufacture cathodepb ray tubes.r For purposesf this permitnis where e the more manufacturese icond ctor , perform metal finishing operations, semiconductors, manufacture Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition the definition ien f Total Toxic s found in is 40 CFRt definition 1; containedemo in uthect EPA manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition be manufacture usehen the definition n in in CFR 9 fo. ass found 469 2 for dforc cathodeer as found in 40 CFR 469.22; and for ray Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General certification statement: For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the followingq ment for TTO monitoring tatement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan. p ed to rainfall or L5 ENN E-1-I D. �--aYL.E Name (Print name) SK /nGi2 .4t7Minl Title (Print title) /7-2 (Si nature) Z (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non-detect, ND, or other similar non-numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the limit, reporting limit, etc. in mg/L. detection 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. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. U No discharge this period?2 Outfall No. Date Sample 24-hour rainfall Collected' amount, Non-polar O&G/TPH by (mo/dd/yr) Inches EPA 1664(SGT-HEM) Total Suspended Solids pH Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0—9.0 SU Footnotes from Part A also apply to this Part B - * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 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 ANY ONE OUTFALL? YES El 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 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." g- Chri 02-17-mat, (Signat re of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012 Page 3 of 3 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax sM 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com Precision Hydraulics Date of Report: Mar 18, 2020 PO Box 1589 Customer PO#: Beulaville NC 28518 Customer ID: 10070004 Attention: Kenneth Gore Report#: 2020-02979 Project ID: Beulaville Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-07243 Site: Stormwater 2/14/2020 9:00 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 8.4 mg/L 02/21/2020 Copper EPA 200.7 <0.010 mg/L 02/21/2020 Lead EPA 200.7 <0.010 mg/L 02/21/2020 Zinc EPA 200.7 0.093 mg/L 02/21/2020 1,1,1-Trichioroethane EPA 824 <0.5 pg/L 02/20/2020 1,1,2,2-Tetrachloroethane EPA 624 <0.5 pg/L 02/20/2020 1,1,2-Trichooroethane EPA 824 <0.5 pg/L 02/20/2020 1,1-Dichloroethane EPA 624 <0.5 pg/L 02/20/2020 1,1-Dichloroethene EPA 624 <0.5 pg/L 02/20/2020 1,2-Dichlorobenzene EPA 624 <0.5 pg/L 02/20/2020 1,2-Dichloroethane EPA 624 <0.5 pg/L 02/20/2020 1,2-Dichloropropane EPA 624 <0.5 pg/L 02/20/2020 1,3-Dichlorobenzene EPA 624 <0,5 pg/L 02/20/2020 1,4-Dichlorobenzene EPA 624 <0.5 pg/L 02/20/2020 Acrolein EPA 624 <10 pg/L 02/20/2020 Acrylonitnie EPA 624 <5 pg/L 02/20/2020 Benzene EPA 624 <0.5 pg/L 02/20/2020 Bromodichloromethane EPA 824 <0.5 pg/L 02/20/2020 Bromoform EPA 624 <0.5 pg/L 02/20/2020 Bromomethane EPA 824 <0.5 pg/L 02/20/2020 Carbon Tetrachloride EPA 624 <0.5 pg/L 02/20/2020 Chlorobenzene EPA 624 <0.5 pg/L 02/20/2020 Chloroethane EPA 624 <0.5 pg/L 02/20/2020 Chloroform EPA 624 <0.5 pg/L 02/20/2020 Chloromethane EPA 824 <0.5 pg/L 02/20/2020 cis-1,3-Dichloropropene EPA 824 <0.5 pg/L 02/20/2020 Report/:: 2020-02979 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax sMl 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com Precision Hydraulics Date of Report: Mar 18, 2020 PO Box 1589 Customer PO#: Beulaville NC 28518 Customer ID: 10070004 Attention: Kenneth Gore Report#: 2020-02979 Project ID: Beulaville Stormwater Dibromochloromethane EPA 624 <0.5 pg/L 02/20/2020 Ethylbenzene EPA 624 <0.5 pg/L 02/20/2020 M+P Xylene EPA 624 <1.0 pg/L 02/20/2020 Methylene chloride EPA 624 <0.5 pg/L 02/20/2020 ortho-Xylene EPA 824 <0.5 pg/L 02/20/2020 Tetrachloroethene EPA 624 <0.5 pg/L 02/20/2020 Toluene EPA 624 <0.5 pg/L 02/20/2020 Trans-1,2-Dichloroethene EPA 624 <0.5 pg/L 02/20/2020 trans-1,3-Dichloropropene EPA 824 <0.5 pg/L 02/20/2020 Trichloroethene EPA 824 <0.5 pg/L 02/20/2020 Trichlorofluoromethane EPA 824 <0.5 pg/L 02/20/2020 Vinyl chloride EPA 624 <0.5 pg/L 02/20/2020 2,4,6-Trichlorophenol EPA 625 <5.15 pg/L 02/24/2020 2,4-Dichlorophenol EPA 625 <5.15 pg/L 02/24/2020 2,4-Dimethylphenol EPA 625 <5.15 pg/L 02/24/2020 2,4-Dinitrophenol EPA 825 <25.8 pg/L 02/24/2020 2-Chlorophenol EPA 625 <5.15 pg/L 02/24/2020 2-Methyl-4,6-dinitrophenol EPA 625 <25.8 pg/L 02/24/2020 2-Nitrophenol EPA 625 <25.8 pg/L 02/24/2020 4-Chloro-3-methylphenol EPA 625 <5.15 pg/L 02/24/2020 4-Nitrophenol EPA 625 <25.8 pg/L 02/24/2020 Pentachlorophenol EPA 625 <25.8 pg/L 02/24/2020 Phenol EPA 825 <5.15 pg/L 02/24/2020 1,2 Diphenylhydrazine EPA 825 <5.15 pg/L 02/24/2020 1,2,4-Trichlorobenzene EPA 625 <5.15 pg/L 02/24/2020 1,2-Dichlorobenzene EPA 625 <5.15 pg/L 02/24/2020 1,3-Dichlorobenzene EPA 825 <5.15 pg/L 02/24/2020 1,4-Dichlorobenzene EPA 825 <5.15 pg/L 02/24/2020 1-Methylnaphthalene EPA 625 <5.15 pg/L 02/24/2020 2,4-Dinitrotoluene EPA 625 <5.15 pg/L 02/24/2020 Report A:: 2020-02979 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax sM1 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com Precision Hydraulics Date of Report: Mar 18, 2020 PO Box 1589 Customer PO#: Beulaville NC 28518 Customer ID: 10070004 Attention: Kenneth Gore Report#: 2020-02979 Project ID: Beulaville Stormwater 2,6-Dinitrotoluene EPA 625 <5.15 pg/L 02/24/2020 2-Chloronaphthalene EPA 625 <5.15 pg/L 02/24/2020 2-Methyinaphthalene EPA 625 <5.15 pg/L 02/24/2020 3,3'-Dichiorobenzidine EPA 825 <10.3 pg/L 02/24/2020 4-Bromophenyl phenyl ether EPA 625 <5.15 pg/L 02/24/2020 4-Chlorophenyl phenyl ether EPA 625 <5.15 pg/L 02/24/2020 Acenaphthene EPA 625 <5.15 pg/L 02/24/2020 Acenaphthylene EPA 625 <5.15 pg/L 02/24/2020 Anthracene EPA 825 <5.15 pg/L 02/24/2020 Benzidine EPA 625 <10.3 pg/L 02/24/2020 Benzo[a]pyrene EPA 625 <5.15 pg/L 02/24/2020 Benzo(a)anthracene EPA 625 <5.15 pg/L 02/24/2020 Benzo(b)fluoranthene EPA 625 <5.15 pg/L 02/24/2020 Benzo(g,h,i)perylene EPA 825 <5.15 pg/L 02/24/2020 Benzo(k)fluoranthene EPA 625 <5.15 pg/L 02/24/2020 Bis ( chloromethyl )ether EPA 625 <5.15 pg/L 02/24/2020 Bis(2-Chloroethoxy)methane EPA 625 <5.15 pg/L 02/24/2020 Bis(2-Chloroethyl)ether EPA 825 <5.15 pg/L 02/24/2020 Bis(2-Chloroisopropyl)ether EPA 825 <5.15 pg/L 02/24/2020 Bis(2-ethylhexyl)phthalate EPA 625 <5.15 pg/L 02/24/2020 Butylbenzylphthalate EPA 625 <5.15 pg/L 02/24/2020 Chrysene EPA 625 <5.15 pg/L 02/24/2020 Dibenzo(a,h)anthracene EPA 625 <5.15 pg/L 02/24/2020 Diethylphthalate EPA 625 <5.15 pg/L 02/24/2020 Dimethylphthalate EPA 625 <5.15 pg/L 02/24/2020 Di-n-Butylphthalate EPA 625 <5.15 pg/L 02/24/2020 Di-n-Octylphthalate EPA 825 <5.15 pg/L 02/24/2020 Fluoranthene EPA 825 <5.15 pg/L 02/24/2020 Fluorene EPA 825 <5.15 pg/L 02/24/2020 Hexachlorobenzene EPA 625 <5.15 pg/L 02/24/2020 Report R:: 2020-02979 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab ' 910.392.4424 Fax sM 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway,Jacksonville,NC 28540 ' 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemi.sts.com Precision Hydraulics Date of Report: Mar 18, 2020 PO Box 1589 Customer PO#: Beulaville NC 28518 Customer ID: 10070004 Attention: Kenneth Gore Report#: 2020-02979 Project ID: Beulaville Stormwater Hexachlorobutadiene EPA 625 <5.15 pg/L 02/24/2020 Hexachlorocyclopentadiene EPA 625 <25.8 pg/L 02/24/2020 Hexachloroethane EPA 625 <5.15 pg/L 02/24/2020 Indeno(1,2,3-cd)pyrene EPA 625 <5.15 pg/L 02/24/2020 Isophorone EPA 625 <5.15 pg/L 02/24/2020 Naphthalene EPA 625 <5.15 pg/L 02/24/2020 Nitrobenzene EPA 625 <5.15 pg/L 02/24/2020 N-nitroso-dimethylamine(NDMA) EPA 625 <5.15 pg/L 02/24/2020 N-Nitroso-di-n-propylamine EPA 625 <5.15 pg/L 02/24/2020 N-Nitroso-diphenylamine EPA 625 <5.15 pg/L 02/24/2020 Phenanthrene EPA 625 <5.15 pg/L 02/24/2020 Pyrene EPA 625 <5.15 pg/L 02/24/2020 Residue Suspended (TSS) SM2540D 25.2 mg/L 02/21/2020 pH SM 4500 H B 7.0 units 02/24/2020 Comment: Reviewed by: ,(k, p `` , vl Report#:. 2020-02979 Analytical Environmental Services, Inc Date: 26-Feb-20 Client: Environmental Chemists,Inc. Client Sample ID: #7243 Project Name: #7243.111119t a� Collection Date: 2/14/2020 9:00:00 AM '� Lab ID: 2002M47-001 ,a 1 Matrix: Aqueous Analyses Result Reporting Qual Unib BatchlD Dilution Limit Factor Date Analyzed Analyst CHLORINATED PESTICIDES/PCBs BY E608.3 (E6083) 4,4'-DDD BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH 4,4'-DDE BRL 0.050 ugil. 292814 1 02/21202016:20 UH 4,4'-DDT BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH Aldrin BRL 0.050 ug/L 292814 I 02/21/2020 16:20 UH alpha-BHC BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH alpha-Chlordane BRL 0.050 ug/L 292814 1 0221202016:20 UH Aroclor 1016 BRL 0.50 ug/L 292814 1 0221/2020 16:20 UH Aroclor 1221 BRL 0.50 ug/L 292814 1 02/21/2020 16:20 UH Aroclor 1232 BRL 0.50 ug/L 292814 1 02/21/2020 16:20 UH Aroclor 1242 BRL 0.50 ug/L 292814 1 02212020 16:20 UH Aroclor 1248 BRL 0.50 ug/L 292814 I 02/21/2020 16:20 UH Aroclor 1254 BRL 0.50 ug/L 292814 1 02/21/2020 16:20 UH Aroclor 1260 BRL 0.50 ug/L 292814 1 02/21/2020 16:20 UH Aroclor 1268 BRL 0.50 ug/L 292814 1 02212020 16:20 UH beta-BHC BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH Chlordane BRL 0.50 ug/L 292814 1 02/21/2020 16:20 UH delta-BHC BRL 0.050 ug/L 292814 I 02/21/2020 16:20 UH Dieldrin BRL 0.050 ur/L- 292814 I 02/21/2020 16:20 UH Endosulfan 1 BRL 0.050 ug/L 292814 I 02212020 16:20 UH Endosulfan II BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH Endosulfan sulfate BRL 0.050 ug/L 292814 1 02/21/2020 16:20 UH Endrin BRL 0.050 ug/L 292814 1 02/21202016:20 UH Endrin aldehyde BRL 0.050 ug/L 292814 1 0221/2020 16:20 UH Endrin ketone gamma-BHC BRL 0.050 ug/L 292814 1 02/21202016:20 OH gamma-Chlordane BRL 0.050 ug/L 292814 I 0221202016:20 UH BRL 0.050 OWL 292814 1 02/21/2020 16:20 UH Heptachlor BRL 0.050 Heptachlor epoxide BRL 0.050 VT- 292814 1 02/21/2020 16:20 UH u8/L 292814 1 02212020 16:20 UH Methoxychior BRL 0.30 ug/L 292814 1 0221202016:20 UH Toxaphene BRL 0.50 ug/L 292814 I 02/21/2020 16:20 UH Surr:Decachlorobiphenyl 66.2 16.7-124 a Surr:Tetrachloro-m-xylene 79.4 19.4-129 %REC 292814 1 02/21/2020 16:20 UH 292814 I 02/21/2020 16:20 UH Quasar • Value exceeds maximum cottummant level E Estimated(value above gwmtitation range) BRL Below reporting limit S Spike Recovery outside limits due to matrix H Holding times for preparation or analysis exceeded Nan See case narrative N Analyte not NELAC certified F Analyzed in the lab which is a deviation from the method B Analyte detected in the associated method blank < Less than Result value Greater than Result value 1 Estimated value detected below Reporting Limit Environmental Chemist, Inc., Wilmington, NC Lab tf94 5602 Windmill Way Wilmington, NC 28405 910.392.0223 Sample Receipt Checklist Client: P 1Z—EQ.15(OAt N `/b feR tAkfl Cdate:40 Report Number: 001 —19 Receipt of sample: Delivered ► �� UPS ❑ FedEx 0 Other Cl YES 0 NO 1. Were custody seals present on the cooler? 0 YES 0 NO la 2. If custody .Z QC seals were present,were they intact unbroken? Original temperature upon receipt ( How temperature taken: ❑ Tem Corrected st Bottature upon receipt______�oC IR Gun ID: Thomas Traceable S/N 19251 657ture Blank 0 Again Bottles IR Gun Correction Factor'C:0.0 ❑ YES O NO 3. If temperature of cooler exceeded 6'C, was Pro' �-D NO 4. Were proper custodylest Mgr•/�notified? '• procedures(relinquished/received)followed? 0 NO 5. Were sample ID's listed on the COC? h YES 0 NO 6. Were samples 10's listed on sample containers? MUM NO 7. Were collection date and time listed on the �� 0 NO COC? FL 8. Were tests to be performed listed on the COC? YES 0 NO 9. Did samples arrive in proper 181 YES 0 NO 10. Did samples arrive in good condition fort eor ach test?t " YES 0 N0 11. Was adequate sample volume available?' i •I YES 0 NO 12. Were samples received within proper holding time for requested tests? MEIN❑ NO 13. Were acid preserved samples received at a pH of<2? * ❑ YES 0 NO 14. Were ❑ YES cyanide samples received at a pH >12? ❑ NO 15. Were sulfide samples received at a pH >97 O YES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual +O YES D NO 17. Were Sulfide/Cyanide received at a chlorine residual of <f0.5 .5 m/L? * r0CNoiatiles are pH checked at time of analysis and recorded on the benchsheet. " Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsh Bet Sample Preservation: (Must be completed for any sample(s) Sample(s) incorrectly preserved or with headspace) by addin were received incorrectly preserved and were adjusted accordingly g (circle one): H2SO4 HNOt HC1 Time of preservation: NaOH If more than one preservative is needed, notate in Note:Nonfy customer service immediately for incorrect ly preservnotify the state lab if directed to analyzed by the customer.Who wassno fed,datefn ana new d time! a or comments below Volatiles Sample(s) were received with headsoace COMMENTS: :UC. ClA.002 Way envirochern ENVIRONMENTAL CHEMISTS, I N C 6602 OFFICE:Windmill 2-0223 F'AX 910-392-4424 Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: Precision Hydraulics PROJECT NAME: Storm Water-Beulaville Facility REPORT NO: ADDRESS: Post Office Box 1589 CONTACT NAME: Kenneth Gore PO NO: Beulaville, NC 28518 REPORT TO: PHONE/FAX: o20"0 COPY TO: email: Sampled By: 4 ,y'i vpn D. (1�, . ,2./y9. . s.� SAMPLE TYPE: I=Influent,E=Effluent,W=Well, ST=Stream, SO=Soil, SL=Sludge, Other: ollection s PRESERVATION le Identification `` m a ' ` o 2 W Sam p O ° S o . r E m W ii i n c 4 = ANALYSIS REQUESTED Date Time Temp _ u u ` u z g z 1 o ./-/e/ ro 9:004q. hip• C P 22 Storm Water G _ G _ 10'1_7 X TSS, pH, 625, 608 C P G G X <2-- Oil and Grease C P G G _ X 624 C P • G G X :.2- Lead,Copper, Zinc C P G G C P — G G C P _ G G C P G G C P G G Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when Received: 1t)‘" Accepted: tested: Resample Requested: Delivered By: > Received By: , Date: 7,20--2.0 Time: • Ill