NCG030582_DMR_20200217

Semi-annual Stormwater Dischar e Monitorin
ort
for North Carolina Division of Water Quality General Permlt Re No. N CG
Date submitted 030000
CERTIFICATE OF COVERAGE NO. NCGO3 0 5
FACILITY NAME P Eu �'
SAMPLE COLLECTION YEAR
COUNTY_�j�P�� ZNc - ,� SAMPLE PERIOD1�
PERSON COLLECTING SAMPLES Jan-June July-Dec
LABORATORY or Monthly1
— "Td' ^� Lab Cert.# t DISCHARGING TO CLASS [�pRW month
Comments on sample collection or analysis: ECI p, �H4W ❑Trout OpNA
DZero-flow ['Water Supply OSA
AIR 0 6 2020 ❑other Cc •e-
PLEASE REMEMBER TO SIGN ON PAGES Part A:Stormwater Benchmarks and Monitoring Results l.C"e r+ tL FILES 2 AND/OR 3 -
DVVR SECSECTION �
Outfall No. Date Sample 24-hour rainfall No discharge this period?z
Collected' amount Total Suspended Solids pH,
(mo/dd/yr) Inches31 Standard units Lead Non-Polar O&G/
Benchmarks=__> _ Zinc Total Petroleum Total Toxic
100 mg/L or 50 mg/L Hydrocarbons Organicss
a-/ �� U , 6.0-9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 m /I.
g 1 mg/L
' Monthly sampling(instead of semi-annual) must begin with the second consecutive
2 For sampling periods with no discharge at any single oin tfall,with must still nsective benchmark exceedance for the same parameter
The totaling periods
precipitation must be recorded using dat from you rain gauge.
P meter at heree same outfall.
a See General Permit,itati Tablem 3 bidentifying ue ing especially sensit anive on-site receivingsubmit n this discharge monitoring be eligibleb for ah a waiver
here.
Unattended sites may be eci nof the rain gauge requirement.
s Total Toxic Organics sampling is applicable only for those facilities which perform water classifications where the more protective benchmark applies.
5 Total
To is Organics
or manufacture is cathodepablray tubes.r For purposeses his permit rform metale definitionfinishing
P operations, manufacture semiconductors, manufature
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing
the
manufacture urn the defi eif facility
as found in 40 CFR quire for electronic crystal the Total Toxic as un ins is 40 CFRt definition 1; containedemo in duct EPA
use definition found 469.2 for dfor semiconductor
tube manufacture use the definition found in 40 CFR 469.31).
rY manufacture use the definition as found in 40 CFR 469.22; and for cathode 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 mayso c
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and
Permit. For those solvent
facilities electing to employ a the monitoring th waiver, theldischarger organic
shall certify, and the e other el m nirement iforn the monitoring
sign the following certification statement:
ts ed in General
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing thea l for total
provisionstox organics
solvent management plan included in the Stormwater Pollution Prevention Plan."
or areas which are exposed to rainfall or
the all the of the
Name (Print name)
4ombo
Title(Print title)
(Signature) 7 2e zp
(Date)
Note: Results must be reported in numerical format. Do Do not reoort 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 ms/L" where XX is
limit, reporting limit, etc. in mg/L. the numerical value of the 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
Part B: Vehicle Maintenance Area Monitoring Results:only for facilities averaging > 55gal ofGeneral Permit text.
new oil per month.
No discharge this period
Outfall No. Date Sample 24-hour rainfall
Collected) amount, Non-polar O&G/TPH by
(mo/dd/yr) Inches EPA 1664(5GT-HEM)
Total Suspended Solids
Benchmarks„_> pH
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.
p nses. 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
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL?
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO II SECTION B.
REGIONAL OFFICE CONTACT NAME: YES ❑NOEj
Mail an on final and one co o this DMR includin all"No Dischar e"re orts within 30 da s o recei t o the lab res
in the case of"No Discharge reports)to:
ults or at end o monitorin eriod
Division f 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 personnelproperly
gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage he 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."
(Sign ure 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
s`ui} 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 [e-mail]
Precision Hydraulics Date of Report: Mar 18, 2020
PO Box 1589 Customer PO#:
Beulaville NC 28518 Customer ID: 10070004
Attention: Kenneth Gore Report#: 2020-02981
Project ID: Wallace Stormwater
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
20-07249 Site: Stormwater 2/20/2020 Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5.0 mg/L 02/28/2020
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 0.019 mg/L 02/21/2020
1,1,1-Trichloroethane EPA 624 <0.5 pg/L 02/21/2020
1,1,2,2-Tetrachloroethane EPA 624 <0.5 pg/L 02/21/2020
1,1,2-Trichloroethane EPA 624 <0.5 pg/L 02/21/2020
1,1-Dichioroethane EPA 624 <0.5 pg/L 02/21/2020
1,1-Dichloroethene EPA 624 <0.5 pg/L 02/21/2020
1,2-Dichlorobenzene EPA 624 <0.5 pg/L 02/21/2020
1,2-Dichloroethane EPA 624 <0.5 pg/L 02/21/2020
1,2-Dichloropropane EPA 624 <0.5 pg/L 02/21/2020
1,3-Dichlorobenzene EPA 824 <0.5 pg/L 02/21/2020
1,4-Dichlorobenzene EPA 624 <0.5 pg/L 02/21/2020
Acrolein EPA 624 <10 pg/L 02/21/2020
Acrylonitrile EPA 624 <5 pg/L 02/21/2020
Benzene EPA 624 <0.5 pg/L 02/21/2020
Bromodichloromethane EPA 624 <0.5 pg/L 02/21/2020
Bromoform EPA 624 <0.5 pg/L 02/21/2020
Bromomethane EPA 824 <0.5 pg/L 02/21/2020
Carbon Tetrachloride EPA 624 <0.5 pg/L 02/21/2020
Chlorobenzene EPA 624 <0.5 pg/L 02/21/2020
Chioroethane EPA 624 <0.5 pg/L 02/21/2020
Chloroform EPA 624 <0.5 pg/L 02/21/2020
Chloromethane EPA 624 <0.5 pg/L 02/21/2020
cis-1,3-Dichloropropene EPA 624 <0.5 pg/L 02/21/2020
Report#:: 2020-02981

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
<SM7 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 [e-mail]
Precision Hydraulics Date of Report: Mar 18, 2020
PO Box 1589 Customer PO#:
Beulaville NC 28518 Customer ID: 10070004
Attention: Kenneth Gore Report#: 2020-02981
Project ID: Wallace Stormwater
Dibromochloromethane EPA 624 <0.5 pg/L 02/21/2020
Ethylbenzene EPA 624 <0.5 pg/L 02/21/2020
M+P Xylene EPA 624 <1.0 pg/L 02/21/2020
Methylene chloride EPA 624 <0.5 pg/L 02/21/2020
ortho-Xylene EPA 624 <0.5 pg/L 02/21/2020
Tetrachloroethene EPA 824 <0.5 pg/L 02/21/2020
Toluene EPA 624 <0.5 pg/L 02/21/2020
Trans-1,2-Dichloroethene EPA 624 <0.5 pg/L 02/21/2020
trans-1,3-Dichioropropene EPA 624 <0.5 pg/L 02/21/2020
Trichloroethene EPA 624 <0.5 pg/L 02/21/2020
Trichlorofluoromethane EPA 624 <0.5 pg/L 02/21/2020
Vinyl chloride EPA 824 <0.5 pg/L 02/21/2020
2,4,6-Trichlorophenol EPA 625 <5.10 pg/L 02/24/2020
2,4-Dichlorophenol EPA 625 <5.10 pg/L 02/24/2020
2,4-Dimethyiphenol EPA 625 <5.10 pg/L 02/24/2020
2,4-Dinitrophenol EPA 625 <25.5 pg/L 02/24/2020
2-Chlorophenol EPA 625 <5.10 pg/L 02/24/2020
2-Methyl-4,6-dinitrophenol EPA 625 <25.5 pg/L 02/24/2020
2-Nitrophenol EPA 625 <25.5 pg/L 02/24/2020
4-Chloro-3-methylphenol EPA 625 <5.10 pg/L 02/24/2020
4-Nitrophenol EPA 625 <25.5 pg/L 02/24/2020
Pentachiorophenol EPA 625 <25.5 pg/L 02/24/2020
Phenol EPA 625 <5.10pg/L 02/24/2020
1,2 Diphenylhydrazine EPA 625 <5.10 pg/L 02/24/2020
1,2,4-Trichoorobenzene EPA 625 <5.10 pg/L 02/24/2020
1,2-Dichlorobenzene EPA 625 <5.10 pg/L 02/24/2020
1,3-Dichlorobenzene EPA 625 <5.10 pg/L 02/24/2020
1,4-Dichlorobenzene EPA 625 <5.10 pg/L 02/24/2020
1-Methylnaphthalene EPA 625 <5.10 pg/L 02/24/2020
2,4-Dinitrotoluene EPA 625 <5.10 pg/L 02/24/2020
Report#: 2020-02981

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
M) 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 [e-mail]
Precision Hydraulics Date of Report: Mar 18, 2020
PO Box 1589 Customer PO#:
Beulaville NC 28518 Customer ID: 10070004
Attention: Kenneth Gore Report#: 2020-02981
Project ID: Wallace Stormwater
2,6-Dinitrotoluene EPA 825 <5.10 pg/L 02/24/2020
2-Chloronaphthalene EPA 625 <5.10 pg/L 02/24/2020
2-Methylnaphthalene EPA 625 <5.10 pg/L 02/24/2020
3,3'-Dichlorobenzidine EPA 625 <10.2 pg/L 02/24/2020
4-Bromophenyl phenyl ether EPA 625 <5.10 pg/L 02/24/2020
4-Chlorophenyl phenyl ether EPA 825 <5.10 pg/L 02/24/2020
Acenaphthene EPA 625 <5.10 pg/L 02/24/2020
Acenaphthylene EPA 625 <5.10 pg/L 02/24/2020
Anthracene EPA 625 <5.10 pg/L 02/24/2020
Benzidine EPA 825 <10.2 pg/L 02/24/2020
Benzo[a]pyrene EPA 625
<5.10 pg/L 02/24/2020
Benzo(a)anthracene EPA 625 <5.10 pg/L 02/24/2020
Benzo(b)fluoranthene EPA 625 <5.10 pg/L 02/24/2020
Benzo(g,h,i)perylene EPA 625 <5.10 pg/L 02/24/2020
Benzo(k)fluoranthene EPA 625 <5.10 pg/L 02/24/2020
Bis ( chioromethyl )ether EPA 625 <5.10 pg/L 02/24/2020
Bis(2-Chloroethoxy)methane EPA 625 <5.10 pg/L 02/24/2020
Bis(2-Chloroethyl)ether EPA 625 <5.10 pg/L 02/24/2020
Bis(2-Chloroisopropyl)ether EPA 625 <5.10 pg/L 02/24/2020
Bis(2-ethylhexyl)phthalate EPA 625 <5.10 pg/L 02/24/2020
Butylbenzylphthalate EPA 625 <5.10 pg/L 02/24/2020
Chrysene EPA 625 <5.10 pg/L 02/24/2020
Dibenzo(a,h)anthracene EPA 625 <5.10 pg/L 02/24/2020
Diethylphthalate EPA 625 <5.10 pg/L 02/24/2020
Dimethylphthalate EPA 625 <5.10 pg/L 02/24/2020
Di-n-Butylphthalate EPA 625 <5.10 pg/L 02/24/2020
Di-n-Octylphthalate EPA 625 <5.10 pg/L 02/24/2020
Fluoranthene EPA 625 <5.10 pg/L 02/24/2020
Fluorene EPA 625 <5.10 pg/L 02/24/2020
Hexachlorobenzene EPA 625 <5.10 pg/L 02/24/2020
Report#:: 2020-02981

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
rsM 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 [e-mail]
Precision Hydraulics Date of Report: Mar 18, 2020
PO Box 1589 Customer PO#:
Beulaville NC 28518 Customer ID: 10070004
Attention: Kenneth Gore Report#: 2020-02981
Project ID: Wallace Stormwater
Hexachlorobutadiene EPA 625 <5.10 pg/L 02/24/2020
Hexachlorocyclopentadiene EPA 625 <25.5 pg/L 02/24/2020
Hexachloroethane EPA 625 <5.10 pg/L 02/24/2020
I ndeno(1,2,3-cd)pyrene EPA 625 <5.10 pg/L 02/24/2020
Isophorone EPA 625 <5.10 pg/L 02/24/2020
Naphthalene EPA 625 <5.10 pg/L 02/24/2020
Nitrobenzene EPA 825 <5.10 pg/L 02/24/2020
N-nitroso-dimethylamine(NDMA) EPA 825 <5.10 pg/L 02/24/2020
N-Nitroso-di-n-propylamine EPA 625 <5.10 pg/L 02/24/2020
N-Nitroso-diphenylamine EPA 825 <5.10 pg/L 02/24/2020
Phenanthrene EPA 625 <5.10 pg/L 02/24/2020
Pyrene EPA 625 <5.10 pg/L 02/24/2020
Residue Suspended (TSS) SM 2540 D <2.5 mg/L 02/21/2020
pH SM 4500 H B 6.9 units 02/24/2020
Comment:
Reviewed by: k OQ,j ,
Report#:: 2020-02981

Analytical Environmental Services, Inc Date: 26-Feb-20
Client: Environmental Chemists,Inc. Client Sample ID: #7249
Project Name:#7249 I
Lab ID: 2002M47-002 `a VaV Collection Date: 2/202020
Matrix: Aqueous
Analyses Result Reporting Qual Units BatchlD Dilution
Limit Factor Date Analyzed Analyst
CHLORINATED PESTICIDES/PCBs BY E608.3 (E608.3)
4,4"-DDD BRL 0.050 ug/L 293030 I 02252020 12:44 UH
4,4'-DDE BRL 0.050 ug/L 293030 I 02252020 12:44 UH
4,4'-DDT BRL 0.050 ug/L 293030 I 02/25/2020 12:44 UH
Aidrin BRL 0.050 ug/L 293030 I 02252020 12:44 UH
alpha-BHC BRL 0.050
ug/1 293030 I 02/25/2020 12:44 UH
alpha-Chlordane BRL 0.050 ug/L 293030 1 02/25/2020 12:44 UH
Aroclor 1016 BRL 0.50 ug/L 293030 1 02252020 12:44 UH
Aroclor 1221 BRL 0.50 ug/L 293030 1 02/25/2020 12:44 UH
Aroclor 1232 BRL 0.50 ug/L 293030 I 02252020 12:44 UH
Aroclor 1242 BRL 0.50 ug/L 293030 1 02252020 12:44 UH
Aroclor 1248 BRL 0.50 ug/L 293030 I 02/25/2020 12:44 UH
Aroclor 1254 BRL 0.50 ug/L 293030 I 02252020 12:44 UH
Aroclor 1260 BRL 0.50 ug/L 293030 1 02/25/2020 12:44 UH
Aroclor 1268 BRL 0.50 ug/L 293030 I 02/25/2020 12:44 UH
beta-BHC BRL 0.050 ug/L 293030 1 02/25/2020 12:44 UH
Chlordane BRL 0.50 ug/L 293030 1 02/25202012:44 UH
delta-BHC BRL 0.050 ug/L 293030 1 02252020 12:44 UH
Dieldrin BRL 0.050 ug/L 293030 I 02/25/2020 12:44 UH
Endosulfan I BRL 0.050 ug/L 293030 1 02/25/2020 12:44 UH
Endosulfan 11 BRL 0.050 ug/L 293030 1 02252020 12:44 UH
Endosulfan sulfate BRL 0.050 ILEX 293030 1 02252020 12:44 UH
Endrin BRL 0.050 ug/L 293030 1 02/25/2020 12:44 UH
Endrin aldehyde BRL 0.050 ugn. 293030 1 02252020 12:44 UN
Endrin ketone BRL 0.050 ug/I. 293030 ► 02/252020 12:44 UH
gamma-BHC BRL 0.050 ug/L 293030 I 02/25/2020 12:44 UH
gamma-Chlordane BRL 0.050 ug/L 293030 I 02252020 12:44 UH
Heptachlor BRL 0.050
Heptachlor epoxide ug/L 293030 1 02252020 12:44 UH
BRL 0.050 ug/L 293030 1 02/25/2020 12:44 UH
Methoxychlor BRL 0.30 ug/L 293030 1 02/25/2020 12:44 UH
Toxaphene BRL 0.50 ug/L 293030 1 02/25/2020 12:44 UH
Surr:Decachlorobiphenyl 73.8 16.7-124 e4REC 293030 1 02/25/2020 12:44 UH
Surr:Tetrachloro-m-xylene 71.8 19.4-129 %REC 293030 1 02252020 12:44 UH
•
acao - C C
Qiselirtenr Value exceeds maximum contamtitam level E Estimated(value above quantitation range)
BRL Below reporting limit S Spike Recovery outside limits due to mama
H Holding times(or preparation or analysts exceeded Nair See case namtive
N Analyse net NELAC certified F Analyzed in the lab which is a deviation from the method
B Analyze detected in the associated method blank < Less than Resuh value
Create than Result value 1 Estimated value detected below Re
porting Limn

Environmental Chemist, Inc., Wilmington, NC Lab tt94
5602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: &1S!'ONl fir,u�i �
ate: 0 ( P
Report Number: 00192
Receipt of sample:
Delivered ►' UPS 0 FedEx
13 YES 0 NO [Wain0 Other 0
1. Were custody seals present on the cooler?
❑ YES 0
NO M 2. If custody seals were present, were theyintact/unbroken?
temperature upon receipt _ 2C temperature ep : C cton receipt
ipt
❑ TemperatureCorrected temperaturet upon receipt--�,4C
IR Gun ID: Thomas Traceable S/N 19251 6S7 Blank Q Against Bottles
❑ YES 0 NO 3. If temperature of coolerie exceeded VC,R Gun was on Factor 0.0
'• YES 0 NO Project Mgr./QA
4. Were proper custody procedures(relinquished/received)followed?d7
Man 0 NO
S. Were sample ID's listed on the COC?
MERE 0 NO
MEIN 0 NO 6. Were samples ID's listed on sample containers?
7. Were collection date and time listed on the COC?
Man 0 NO
B. Were tests to be performed listed on the COC?
YES 0 NO
n YES 9. Did samples arrive in proper containers for each test?
❑ NO 10. Did samples
'� YES 0 NO arrive in good condition for each test?
11. Was adequate sample volume available?'
=' YES 0 NO
12. Were samples received within proper holding time for requested tests?
III; YES ❑ NO
13. Were acid preserved samples received at a pH of<2? *
Maim 0 NO
CI YES 14. Were cyanide samples received at a pH >12?
❑ NO 15. Were sulfide samples received at a pH>9?
h, YES ❑ NO 16. Were NH3/TIN/Phenol received at a chlorine residual of<0.5 m/L7 •
❑ YES 0 NO 17. Were Sulfide/Cyanide received at
a chlorine residual of<0.5 m/L?
* TOC/Volatiles 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 benchs
heet
Sample Preservation: (Must be completed for any sample(s)
Sample(s) incorrectly preserved or with headspace]
were
by addingreceived incorrectly preserved and were adjusted accordingly
(circle -4N0 one): HzSOa NCI
Time of preservation: NaOH
Noce Not. if more than one preservative is needed,
fV customer service immediately for Incorrectly notate in notify the state lab if directed to analyzed by the customer.Who was snot notified,date and time: comments below
newamples. Obtain a sample or
Volatiles Sample(s)
Nere received with headsoace
COMMENTS:
:JC. GA.002 `__

602 Windmill Way Wilmington,NC
env ro hem ENVIRONMENTAL CHEMISTS, I N C OFFICE: 10-392-0223 FAX [phone]
Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION Si37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Precision Hydraulics PROJECT NAME: Storm Water-Wallace Facility REPORT NO: 020— 0.2-4E0
ADDRESS: Post Office Box 1589 CONTACT NAME: Kenneth Gore PO NO:
Beulaville, NC 28518 REPORT TO: PHONE/FAX:
COPY TO: email:
Sampled By: SAMPLE TYPE: I=Influent, E=Effluent,W=Well,ST=Stream, SO=Soil, SL=Sludge,Other:
Collection : _ a PRESERVATION
•Sample Identification a s o ` o s J c W
m
a ° t7 o d c E g i x Q = ANALYSIS REQUESTED
Date Time Temp u " Z _ _ :` c
Z/2 C P
Storm Water G G -12,ticl X TSS, pH, 625, 608
C P
G G , X �Z Oil and Grease
C P
G G X 624
C P
G G X4/2:- 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 Receiv Accepted: R
Resample Requested:
Delivered By: Received By: �; --* Date: Z'ZO-Zc? Time: c; }
Comments: TURNAROUND: