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NCG030056_2020 DMR_20201221 (3)
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'> a) ^FZ L L @ M aLn o d N N I @ Q) V) a CD a) H a § § / \ > 5 LuLLI \ � / 2 § / § / z o z } § < L / / w > < � < � > \ J LLJ \El � <LL- 0 \ 2 0/r \ \ LLI §�LU \ \ LLLL \ 2Lu z0 0 } j Lu w o / < = G ® o 0 0 $ # $ / <®© / _ § / $ \ b z 2 < \ < / E / \ \ j < § / ®aEL 3 E LLA % w p 5 / f } � � @ �/ a°ƒ 2 { § \\ 2 = V; _0_ cc \ k \� /@G/ m E CU Q \ = o 3 7 \ \ / \ S c 0 \CL\\ 2 G 2 E ® 'o # a § » » _ yaR= 2 °° m t 5 Q / \ E ) G g 0 c c=4z g£»% \ o >°°' E\\/ CL c 41 \ / \ E Et7\ & E ° — m/§/ am= (� (/ a \ / E In0 0 \ \CD w / \ v �y23 3 ® e»Ea J t i ° o m / / �\4-1 M (Cu, /\G //\\ ¥\\¥ \ \ \ k\/ 5 » S o 0- y 5 = 5 § n __\/ 4&\ e \ ( \ ( K G S \ \ / m a0 \ t y = m °1 \ � / \\ � 0 � � (�IaneAnalyficale www.pacelabs.com December 08, 2020 John Burke Gilbarco 7300 West Friendly Ave. Greensboro, NC 27410 RE: Project: Stormwater Sampler Pace Project No.: 92508405 Dear John Burke: Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Enclosed are the analytical results for sample(s) received by the laboratory on November 30, 2020. The results relate only to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report. The test results provided in this final report were generated by each of the following laboratories within the Pace Network: • Pace Analytical Services -Asheville • Pace Analytical Services - Charlotte • Pace Analytical Services - Eden If you have any questions concerning this report, please feel free to contact me. Sincerely, NI I 1 I"171 Stephanie Knott stephanie.knott@pacelabs.com 336-996-2841 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 laceAnalyfical" www.pacelabs.com Project: Stormwater Sampler Pace Project No.: 92508405 Pace Analytical Services Charlotte 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Pace Analytical Services Asheville 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 North Carolina Drinking Water Certification #: 37712 Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Pace Analytical Services Eden 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 (�15'xAnalj&al" www.pacelabs.com Project: Stormwater Sampler Pace Project No.: 92508405 Lab ID Sample ID 92508405001 001 Outlet 92508405002 002 Outlet 92508405003 003 Outlet Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 SAMPLE SUMMARY Matrix Date Collected Date Received Water 11/26/20 06:10 11/30/20 11:18 Water 11/26/20 06:00 11/30/20 11:18 Water 11/26/20 05:50 11/30/20 11:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 aceAnalytical www.pacolabs.com SAMPLE ANALYTE COUNT Project: Stormwater Sampler Pace Project No.: 92508405 Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Lab ID Sample ID Method Analysts Analytes Reported 92508405001 001 Outlet SM 2540D-2011 MLS1 1 EPA1664B CJM 1 EPA 200.7 Rev 4.4 1994 IDS 3 92608405002 002 Outlet SM 2540D-2011 MLS1 1 EPA1664B CJM 1 EPA 200.7 Rev 4.4 1994 IDS 3 92508405003 003 Outlet SM 2540D-2011 MLS1 1 EPA1664B CJM 1 EPA 200.7 Rev 4.4 1994 IDS 3 PASI-A = Pace Analytical Services - Asheville PASI-C = Pace Analytical Services - Charlotte PASI-E = Pace Analytical Services - Eden REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 13 (�15'cieAnalytica( www.pecolabs.com ANALYTICAL RESULTS Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Project: Stormwater Sampler Pace Project No.: 92508405 Sample: 001 Outlet Lab ID: 92508405001 Collected: 11/26/20 06:10 Received: 11/30/20 11:18 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Pace Analytical Services - Eden Total Suspended Solids 136 mg/L 5.3 1 12/01/20 08:27 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Pace Analytical Services - Charlotte Total Petroleum Hydrocarbons ND mg/L 5.0 1 12/08/20 08:35 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Pace Analytical Services -Asheville Copper 0.013 mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:18 7440-50-8 Lead 0.0050 mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:18 7439-92-1 Zinc 0.077 mg/L 0.010 1 12/05/20 01:37 12/06/20 17:18 7440-66-6 Date: 12/08/2020 03:41 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 13 (�IaceAnalXicalo www.pacelabs.com ANALYTICAL RESULTS Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Project: Stormwater Sampler Pace Project No.: 92508405 Sample: 002 Outlet Lab ID: 92508405002 Collected: 11/26/20 06:00 Received: 11/30/20 11:18 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D-2011 Pace Analytical Services - Eden Total Suspended Solids 8.4 mg/L 3.2 1 12/01/20 08:27 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Pace Analytical Services - Charlotte Total Petroleum Hydrocarbons ND mg/L 5.0 1 12/08/20 08:35 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Pace Analytical Services - Asheville Copper 0.0058 mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:21 7440-50-8 Lead ND mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:21 7439-92-1 Zinc 0.075 mg/L 0.010 1 12/05/20 01:37 12/06/20 17:21 7440-66-6 Date: 12/08/2020 03:41 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 6 of 13 (�15'ne Analytical www.pacelabs.com ANALYTICAL RESULTS Project: Stormwater Sampler Pace Project No.: 92508405 Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Sample: 003 Outlet Lab ID: 92508405003 Collected: 11/26/20 05:50 Received: 11/30/20 11:18 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Pace Analytical Services - Eden Total Suspended Solids 17.7 mg/L 3.4 1 12/01/20 08:27 1664 SGT-HEM, TPH Analytical Method: EPA 1664B Pace Analytical Services - Charlotte Total Petroleum Hydrocarbons ND mg/L 5.0 1 12/08/20 08:35 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Pace Analytical Services -Asheville Copper 0.012 mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:37 7440-50-8 Lead ND mg/L 0.0050 1 12/05/20 01:37 12/06/20 17:37 7439-92-1 Zinc 0.12 mg/L 0.010 1 12/05/20 01:37 12/06/20 17:37 7440-66-6 Date: 12/08/2020 03:41 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 7 of 13 (�15'neAnalytical' www.pacelabs.com QUALITY CONTROL DATA Project: Stormwater Sampler Pace Project No.: 92508405 QC Batch: 583485 Analysis Method: SM 254OD-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Laboratory: Pace Analytical Services - Eden Associated Lab Samples: 92508405001, 92508405002, 92508405003 METHOD BLANK: 3084976 Matrix: Water Associated Lab Samples: 92508405001, 92508405002, 92508405003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/01/20 08:26 Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 LABORATORY CONTROL SAMPLE: 3084977 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 242 97 90-110 SAMPLE DUPLICATE: 3085030 92508454001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 381 411 8 25 SAMPLE DUPLICATE: 3085031 92508461001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 405 370 9 25 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: 12/08/2020 03:41 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnaiXical www.pacolabs.com QUALITY CONTROL DATA Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Project: Stormwater Sampler Pace Project No.: 92508405 QC Batch: 585226 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Laboratory: Pace Analytical Services - Charlotte Associated Lab Samples: 92508405001, 92508405002, 92508405003 LABORATORY CONTROL SAMPLE: 3093376 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 20 13.5 68 64-132 MATRIX SPIKE SAMPLE: 3093377 92509161001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 ND 2 64-132 M1 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: 12/08/2020 03:41 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical www.paceiabs.com QUALITY CONTROL DATA Project: Stormwater Sampler Pace Project No.: 92508405 QC Batch: 584771 Analysis Method: EPA 200.7 Rev 4.4 1994 QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Laboratory: Pace Analytical Services -Asheville Associated Lab Samples: 92508405001, 92508405002, 92508405003 METHOD BLANK: 3091372 Matrix: Water Associated Lab Samples: 92508405001, 92508405002, 92508405003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper mg/L ND 0.0050 12/06/2016:35 Lead mg/L ND 0.0050 12106/2016:35 Zinc mg/L ND 0.010 12/06/2016:35 Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 LABORATORY CONTROL SAMPLE: 3091373 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper mg/L 0.25 0.26 103 85-115 Lead mg/L 0.25 0.25 101 85-115 Zinc mg/L 0.25 0.25 98 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3091374 3091375 MS MSD 92507513001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qua] Copper mg/L 212 ug/L 0.25 0.25 0.48 0.48 109 109 70-130 0 20 Lead mg/L ND 0.25 0.25 0.26 0.26 104 104 70-130 0 20 Zinc mg/L 61.0 ug/L 0.25 0.25 0.33 0.33 109 108 70-130 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3091376 3091377 MS MSD 92508491001 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qua] Copper mg/L 0.014 0.25 0.25 0.29 0.28 109 108 70-130 1 20 Lead mg/L 0.0052 0.25 0.25 0.27 0.27 105 105 70-130 0 20 Zinc mg/L 0.038 0.25 0.25 0.31 0.31 107 107 70-130 0 20 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: 12/08/2020 03:41 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13 aceAnalXical www.pacelabs.cem QUALIFIERS Project: Stormwater Sampler Pace Project No.: 92508405 DEFINITIONS 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. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 PQL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. 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. 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. ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/08/2020 03:41 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 13 (�Ia'ceAnalXical' www.pacelabs.cem QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 106 Short St. Kernersville, NC 27284 336-996-2841 Project: Pace Project No.: Stormwater Sampler 92508405 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92508405001 001 Outlet SM 2540D-2011 583485 92508405002 002 Outlet SM 2540D-2011 583485 92508405003 003 Outlet SM 2540D-2011 583485 92508405001 001 Outlet EPA 1664B 585226 92508405002 002 Outlet EPA 1664B 585226 92508405003 003 Outlet EPA 1664B 585226 92508405001 001 Outlet EPA 200.7 Rev 4.4 1994 584771 EPA 200.7 Rev 4.4 1994 584807 92508405002 002 Outlet EPA 200.7 Rev 4.4 1994 584771 EPA 200.7 Rev 4.4 1994 584807 92508405003 003 Outlet EPA 200.7 Rev 4.4 1994 584771 EPA 200.7 Rev 4.4 1994 584807 Date: 12/08/2020 03:41 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 12 of 13 \�_ m �l D 1 n V/ O O -1 -C to O D cn _ m me =1 {�Di J D D Z W� m N f..j m \� J 7 U Co cf) nh m L M n n J o s m s VI) % m m m o J �m 6� m m r� ` eI. o s ?on C rl N� D } I j O C c C, z C: cn ;u > r r D C��l m mCn �" ', C �rn mm m 7I D _ � SJ m m C) m -C NO. OF CONTAINERS u --I 2 /6 9oiri Nq y�'rb n ?So Via/ �ij s 2 ip p (i C' 1-3 G O So �� ((e Qcss 7p G (O o/ 4 p e�di J eJ J S re . G(Cy s y�r yS0 y`SO 4ie p gNiO a�eSs q G (OoioJNdoy ytio f I0 �- m .. cn cn -0 DD;0 O Ol m CD V1 �0 O y CD� r cc) n O i N U GlJ - p ? (/� z D C_ c-t ct I O O Cf] l J D Page 13 of 13 - GVR-226 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 8l3 / 0/ D / 6 / 6/ Facility Name: G i \ kjc(--Lz County: Gu. � ��— Phone No. 33 6 — S'cj % — Inspector: = Vr-w ,A' t, Date of Inspection: i 1 , 6 Time of Inspection: Total Event Precipitation (inches): (), 3 O All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: of Permittee or Designee) 1. Outfall Description: Outfall No. O d Structure (pipe, ditch, etc.): 071T 4- Receiving Stream: j �L Describe the industrial activities that occur within the outfall drainage area: Q AA, ►cZ;J1—. 0L0-f=rt1 A STVVC�S I Ik✓A-C— . mr=A-4L Sul-" ST4--A-6-E- , CWfi� Page 1 of 2 SWU-242, Last modified 06/01/2018 7. Is there any foam in the stormwater discharge? o Yes 8. Is there an oil sheen in the stormwater discharge? oYes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: !_ LK O'Vf'V C'C 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0 o,^1r,- 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 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 2 3 4 5 XNo. X No. Yes o No n.L 1 i - 1'm-t' s Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 r,. GVR-226 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ e3/.3 / v/ 6 / 6 / 6/ Facility Name: i bc-ru� h t- County: Gu- �— Phone No. 33 6 S"Ln — roa© Inspector: Date of Inspection: t1i I Time of Inspection: (D a Total Event Precipitation (inches): Q, 3 D All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Office. By this signa ure, T =4iA�-t t4h! rPnDA�is accurate and complete to the best of my knowledge: of Permittee or Designee) 1. Outfall Description: Outfall No. © 0 Z Structure (pipe, ditch, etc.): D ►ETC-l�r' Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L-Z 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (D 3 4 5 5. Floating 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: 0 2 3 4 5 6. 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: l 1 2 3 4 5 7. 8. 9. 10. Is there any foam in the stormwater discharge? 9 Yes Is there an oil sheen in the stormwater discharge? C>Yes Is there evidence of erosion or deposition at the outfall? O Yes Other Obvious Indicators of Stormwater Pollution: List and describe No. XNo. XNo. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 GVR-226 JM.- Cnvironmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https:Hdeq.ne.gov/aboutidivisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ C)/3 / 01' c3 / 6 % 6/ Facility Name: i �jC�C-t a L- County: Gui �— Phone No. 33 h ",5L % — Joao Inspector: n7w E ?W c r.- Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Q,3 0 All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: U(Signatur of Permittee or Designee) 1. Outfall Description: � Outfall No. O O Structure (pipe, ditch, etc.):/ � "-Gk- Receiving Stream: Vk1wS Describe the industrial activities that occur within the outfall drainage area: -7&4c L- P ,U, ilk (� , (fir- �� N -c J s �L-s . Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LT�'6*-V— 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 1y-` G-- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 � 3 4 5 S. Floating 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: 1 2 3 4 5 6. 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: (0 2 3 4 5 7. Is there any foam in the stormwater discharge? o Yes X No. 8. Is there an oil sheen in the stormwater discharge? 9Yes X-No. 9. Is there evidence of erosion or deposition at the outfall? O Yes X No. 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 may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 GVR-226 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 8/3/ 6/.6 / 6 / 6/ Facility Name: Gi bclZ,,� T_^ t. County: Gu _ Phone No. 3 3 b 57S o a d Inspector:7} Date of Inspection: Time of Inspection: ` .-2-z A Total Event Precipitation (inches): 0,3 D All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Office. By this sigpature, I certify that this report is accurate and complete to the best of my knowledge: (Sig ature of ermittee or Designee) 1. Out 11 Description: outfa11 No. OU LA Structure (pipe, ditch, etc.): Q .] TZAA— Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 0 JQG a-✓`- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): P'jw1�-'r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: el) 2 3 4 5 5. Floating 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: oil 2 3 4 5 6. 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: 01 2 3 4 5 7. 8. 9. 10 Is there any foam in the stormwater discharge? o Yes Is there an oil sheen in the stormwater discharge? 0Yes Is there evidence of erosion or deposition at the outfall? O Yes Other Obvious Indicators of Stormwater Pollution: List and describe X No. No. No. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 8/,3 / 6/` b / J / 6/ Facility Name: G A bC--(U�- T—✓L C— County:yV-1 k�V�— Phone No. 33h 7(- % S uLd Inspector: wo Date of Inspection: I t 1 � b ) 2-,D Time of Inspection: � �'Lc 1A� Total Event Precipitation (inches): ON 0 All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By thisA.'gaaturo4Ge a+ tb_ 's port is accurate and complete to the best of my knowledge: ( ignature f Permittee or Designee) 1. Outfall Description: Outfall No. 00 Structure (pipe, ditch, etc.): PT- z-� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C'i.✓L 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor, etc.): (y ��- 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 5. Floating 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: 0 2 3 4 5 6. 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: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? o Yes 8. Is there an oil sheen in the stormwater discharge? OYes No. No. 9. Is there evidence of erosion or deposition at the outfall? o Yes No. 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 may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 GVR-226 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.ne.gov/aboutidivisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 8/.3 / 61, 6 / J / 6/ Facility Name: G A bC�,-u- T-^ t_ County: Gvi � �Y�- Phone No. 3U - S"(-j 7 -- road Inspector: ,o V"') on! i t Date of Inspection: I 0 I � L Time of Inspection: 6 � 3 J ►t3 y� Total Event Precipitation (inches): 0, J 0 All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By thi, signature, I certify that this report is accurate and complete to the best of my knowledge: of Permittee or 1. I-'Outfall Description: Outfall No. © O -6 Structure (pipe, ditch, etc.): DrA-Z-kA— Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L-T—� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 02) 3 4 5 5. Floating 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: 1 02' 3 4 5 6. 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: 7. 8. 9. 10. 2 3 4 5 No. No. Is there evidence of erosion or deposition at the outfall? O Yes No. Is there any foam in the stormwater discharge? O Yes Is there an oil sheen in the stormwater discharge? 9Yes 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 may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018