NC0037508_Pretreatment Compliance_20121130

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeniafl
Governor Director Secretary
November 30, 2012
Janna Scherer
Pretreatment Coordinator/Lab Supervisor
1094 Addor Road
. Aberdeen, NC 28315
SUBJECT: Pretreatment Compliance Inspection (PCI)
Moore County Water Pollution Control Plant
NPDES Permit No. NC0037508
Moore County
Dear Ms. Scherer:
Enclosed you will find a copy of the Pretreatment Compliance Inspection Report
for the November 16, 2012 inspection of the pretreatment records, Erico (IUP #A005)
files, CIU a site visit and tour of Erico. Since you had performed an Industrial
Inspection on October 10, 2012, understandablyyou did not perform another Inspection
during this PCI. This report indicates that Moore County Water Pollution Control Plant
meets the pretreatment requirements as outlined in 15A NCAC 2H .0900.
I appreciated your co-operation and your continued efforts with the pretreatment
program. Your excellent record keeping and your organization of the Pretreatment files
were outstanding. Please keep up the good work. If you have any questions
concerning this report, please do not hesitate to contact me at [phone].
U
Dale Lopez
Environmental Specialist
Enclosures: Pretreatment Compliance Inspection Report
EPA Water Compliance Inspection Report
SIU Inspection Form
Effluent Flow Meter and Recorder Calibration report
cc: PERCS _ Pretreatment Unit (Monti Hassan)
FRO files,(Dale=Lopez)
225 Green Street -Suite 714 —Fayetteville, North Carolina 28301-5043
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.orq
An Equal Opportunity \ Affirmative Action Employer
• thCarolina
h1\-Onatitra1Iy

United States Environmental Protection Agency
EPA Washington, D.C. 20460
Water Compllanne Inspection Report
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection
1 I N I 2 15I 31 NC0037508 111 121 12/11/16 117
Type Inspector FacType
18I P I 19I S I 20I I
I I I I I I I I I I I I I I I 166
•
Remarks
21 I III I I I I I I I I I I I I I I I I I I I I I I I. I 1 I I
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA----
671 2.0 169 70I 41 711 I 72I N I 731 1 174 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Moore County WPCF
1094 Addor Rd
Aberdeen NC 28315
Entry Time/Date
10:30 AM 12/11/16
Permit Effective Date
10/12/01
Exit Time/Date
03:00 PM 12/11/16
Permit Expiration Date
14/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
George R Yankay/ORC/910-789-2658/
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
George Yankay,1094 Adder Rd Aberdeen NC 28315//910-281-3146/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Pretreatment
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and nature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Dale Lopez �� I� FRO WQ//910-433-3300 Ext.712/ / t 30 JaPU/ l
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
J. 9 LA /140•10 i V.".3 /12
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type (cont .) 1
NC0037508
12/11/16 1 17 181
PI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Enclosed you will find a copy of the Pretreatment Compliance Inspection Report for the November 16, 2012
inspection of thepretreatment records, Erico (IUP #A005) files, CIU a site visit and tour of Erico. Since you
had performed an Industrial Inspection on October 10, 2012, understandably you did not perform another
Inspection during this PCI. This report indicates that Moore County Water Pollution Control Plant meets the
pretreatment requirements as outlined in 15A NCAC 2H .0900.
I appreciated your co-operation and your continued efforts with the pretreatment program. Your excellent
record keeping and your organization of the Pretreatment files were outstanding. Please keep up the good
work. If you have any questions concerning this report, please do not hesitate to contact me at (910)
433-3312.
(Please see question #17, in the PCI checklist attached with this report). The Fecal Coliform violation
during May 2012 for a monthly average of 223 col/100 mL due to a spill at a splitter box on May 17, 2012
that was caused by a leak when soil was removed during construction. Two Godwin pumps were set up as
a temporary pumping system to distribute the hydraulic load to each aeration basin. This shortcircuiting
might have caused the exceedence. The leak repair has been completed, and no additional
non -compliances are expected to occur.
Page # 2

NORTH CAROLINA DIVISION OF WATER QUALITY
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
BACKGROUND INFORMATION (Complete Prior To PCI; Review Program Info Database Sheet(s)1
1. Control Authority (POTW) Name: Moore County WPCP
2. Control Authority Representative(s): Janna Scherer
3. Title(s): Chemist/PT Coordinator/FOG Coordinator
4. Last Inspection Date: 04/27/2012 Inspection Type (Check One): ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection and Program Info Sheet(s)? ® YES ❑ NO
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ YES ® NO
Order Type, Number, Parameters: Are Milestone Dates Being Met? ❑ YES ❑ NO
PCS CODING
Trans.Code
Main Program Permit Number
f N f C 101013171510181
MM/DD/YY
f 111161121
(DTIA)
Inspec.Type Inspector Fac. Type
P
(TYPI
f SI 11!
INSP) (FACC
7. Current Number Of Significant Industrial Users (SIUs)?
3
SIUS
8. Current Number Of Categorical Industrial Users (CIUs)?
3
CIUS
9. Number of SIUs Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sampled By POTW in the Last Calendar Year?
0
11. Enter the Higher Number of 9 or 10
0 _
NOIN
12. Number of SIUs With No IUP, or With an Expired IUP
0
NOCM
13. Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi -Annual Periods (Total Number of SIUs in SNC)
0
PSNC
- .14. Number of SIUs in SNC For Reporting During Either of the Last 2 Semi -Annual Periods
0
MSNC
15. Number of SIUs In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods
0
SNPS
16. Number of SIUs In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods
0
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any NPDES Limits Violations?
If Yes, What are the Parameters and how are these Problems Being Addressed?
Please see File Review Comment #1
18. Since the Last PCI, has the POTW had any Problems Related to an Industrial
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased
Sludge Production, Etc.)?
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC for Limits or Reporting during
either of the Last 2 Semi -Annual Periods? Not Been Published for
Public Notice?(May refer to PAR if Excessive SIUs in SNC)
SNC for
SNC for
Not Put
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an
Order, Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits Or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
LTMP/STMP FILE REVIEW:
YES ❑ NO
❑ YES .... NO
Limits:
Reporting:
dished:
0
0
0
0
❑YES /1NO
22. Is LTMP/STMP Monitoring Being Conducted at Appropriate Locations and Frequencies?
23. Are Correct Detection Levels being used for all LTMP/STMP Monitoring?
r
Y ES
YES ❑ NO
i1
❑ NO
always on quarterly monitoring schedule
24. Is LTMP/STMP Data Maintained in a Table or Equivalent? YES ❑ NO Is Table Adequate?
25. All LTMP.-STMP effluent data reported on Discharge :Monitoring Report? ® YES ❑ NO
DWQ Inspector, please verify yourself!
26. If NO to 23 - 26, list violations
® YES ❑ NO
27. Should any Pollutants of Concern be Eliminated from or Added to LTMP/STMP? ❑ YES ® NO
NC DWQ Pretreatment Compliance Inspection (PCI) Form Updated 7/25/07 Page 1

•
28. PRETREATMENT PROGRAM ELEMENTS REVIEW— Please review POTW tiles. verify POTW has copy of Program
Element in their files, complete with supporting documents and copy of PERCS Approval Letter, and dates consistent with Program Info:
Program Element
Last Submittal
Date In file?
Last Approval
Date In file
Date Next Due,
If Applicable
Headworks Analysis (HWA)
11/08/100
Yes ❑ No
02/22/11
4 Yes ❑ No
11/01/2015
Industrial Waste Survey (IWS)
08/26/08
E/ Yes ❑ No
11/05/08
_
r Yes ❑ No
09/01/2013
Sewer Use Ordinance (SUO)
05/31/07
Li Yes ❑ No
10/16/07
/Z1 Yes ❑ No
12/31/2012
Enforcement Response Plan (ERP)
10/16/2012
'1 Yes ❑ No
10/22/2012
0 Yes ❑ No
Long Term Monitoring Plan (LTMP)
06/28/04
4 Yes ❑ No
07/13/04
Yes ❑ No
INDUSTRIAL USER PERMIT (IUP) FILE REVIEW (3 IUP FILE REVIEWS OR 1 FILE REVIEW AND 1 IU INSPECTION)
29. User Name
I. Erico, Inc
30. IUP Number
A005
31. Does File Contain Current Permit?
►X1 Yes, eff. 07/01/08
32. Permit Expiration Date
06/30/13
33. Categorical Standard Applied (I.E. 40 CFR, Etc.) Or N/A
433
34. Does File Contain Permit Application Completed Within One Year Prior to Permit Issue
Date?
/ / Yes ❑ No
12/20/07
35. Does File Contain an Inspection Completed Within Last Calendar Year?
Yes
10/10/2012
36. a. Does the File Contain a Slug/Spill Control Plan?
b. If No, is One Needed? (See Inspection Form from POTW)
Cs Yes ■No
10/19/10
37. For 40 CFR 413 and 433 TTO Certification, Does File Contain a Toxic Organic
Management Plan (TOMP)?
®Yes❑No❑N/A
38. a. Does File Contain Original Permit Review Letter from the Division?
b. All Issues Resolved?
a. _Yes No
07/03/2008
b.®Yes❑No❑N/A
39. During the Most Recent Semi -Annual Period, Did the POTW Complete its Sampling as
Required by IUP, including flow?
/1 Yes ❑ No
40. Does File Contain POTW Sampling Chain -Of -Custody Forms?
// Yes ❑ No
41. During the Most Recent Semi -Annual Period, Did the SIU Complete its Sampling as
Required by IUP, including flow?
®Yes❑No❑N/A
41b. During. the Most Recent Semi -Annual Period, Did SIU submit all reports on time?
®Yes❑No❑N/A
42a. For categorical !Us with Combined Wastestream Formula (CWF), does file include
process/dilution flows as Required by IUP?
❑Yes❑No®N/A
42b. For categorical lUs with Production based limits. does tile include production rates
and/or flows as Required by fUP?
❑Yes❑No®N/A
43a. During the Most Recent Semi -Annual Period, Did the POTW Identify All Limits Non-
Compliance from Both POTW and SIU Sampling?
/1 Yes ❑ No
No violations
43b. During the Most Recent Semi -Annual Period, Did the POTW Identify All Reporting
❑Yes❑No®NiA
None
Non -Compliance from SIU Sampling?
44. a. Was the POTW Notified by SIU (Within 24 Hours) of All Self- Monitoring
Violations?
b. Did Industry Resample and submit results to POTW Within 30 Days?
c. Ifapplicable, Did POTW resample within 30 days of becoming aware of SiU limit
violations in the POTW's sampling of the SIU?
a.❑Yes❑No®N/A
b.❑Yes❑No®N/A
c.❑Yes❑No®N/A
46. During the Most Recent Semi -Annual Period, Was the SIU in SNC?
❑ Yes /i1 No
47. During the Most Recent Semi -Annual Period, Was Enforcement Taken as Specified in
the POTW's ERP (NOVs, Penalties, timing, etc.)?
❑Yes❑No®N/A
48.. Does the File Contain Penalty Assessment Notices?
❑Yes❑No®N/A
49. Does The File Contain Proof Of Penalty Collection?
❑Yes❑NoEIN/A
50. a. Does the File Contain Any Current Enforcement Orders?
b. Is SIU in Compliance with Order?
a.❑Yes❑No®N/A b.❑Yes❑No®
N/A
51. Did the POTW Representative Have Difficulty in Obtaining Any of This Requested
Information For You?
❑ Yes No
NC DWQ Pretreatment Compliance Inspection (PCI) Form
Updated 7/25/07 Page 2

FILE REVIEW COMMENTS:
1. (Please see question #17, above). Fecal Coliforms during May 2012 for a monthly average of 223 col/100 mL due to a spill at a
splitter box on May 17, 2012 that was caused by a leak when soil was removed during construction. Two Godwin pumps were
set up as a temporaryy pumping system to distribute the hydraulic load to each aeration basin. This shortcircuiting might have
caused the exceedence. The leak repair has been completed, and no additional non -compliances are expected to occur.
INDUSTRY INSPECTION PCS CODING:
Trans.Code Main Program Permit Number MM/DD/YY Inspec.Type Inspector Fac. Type
N
C101013 I715I 0 J8J J111.16112J J I 1 J S J 12
(DTIA) (TYPI) (INSP) (FACC)
1. Industry Inspected: Erico, Inc
2. Industry Address: 188 Carolina Road, Aberdeen, NC 28315
3. Type of Industry/Product: Ground rod manufacturing and metal electroplating with Nickel,. Zinc, and/or Copper
4. Industry Contact: Joe Holt - Title: Wastewater/Pretreatment Operator
Phone: [phone] Fax: [phone]
5. Does the POTW Use the Division Model Inspection Form or Equivalent? ® YES ❑ NO
6. Did the POTW Contact Conduct the Following Parts of the Industrial Inspection Thoroughly?
Comments:
A. Initial Interview ® YES ❑ NO
B. Plant Tour YES ❑ NO
C. Pretreatment Tour ® YES ❑ NO
D. Sampling Review ® YES ❑ NO
E. Exit Interview ® YES ❑ NO
Industrial Inspection Comments:
Please see the enclosed SIU Inspection Form for the inspection performed by the POTW on October 10, 2012.
Erico started sending their effluent samples to MicroBac approximately two years ago. The ultrasonic flow meter
checked the flow out of an open 4-inch PVC line. (Mr. Holt had calculated that no greater than 54.45 gallon was
able to flow out of a 4-inch line). This secondary flow measuring device was calibrated by Chris Siler (ISI
Instrumentation Services, Inc) on 10/03/2012 (please see the two attached calibration report sheets).
NC DWQ Pretreatment Compliance Inspection (PCI) Form Updated 7/25/07 Page 3

OVERALL SUMMARY AND COMMENTS:
Comments: We appreciate your co-operation and your continued efforts with the pretreatment program. Your excellent record keeping
and your organization of the Pretreatment files were outstanding. Please keep up the good work with your pretreatment program.
Requirements: None
Recommendations: Please keep up the good work.
NOD: ❑ YES ® NO
NOV: ❑ YES ® NO
QNCR: ❑YES A NO
POTW Rating:
Satisfactory Marginal UnS; isfactory
PCI COMPLETED BY: Dale Lopez \'`-/CL(,L
DATE: November 30, 2012
REVIEWED BY: Belinda Henson i%j 7 G��ZD��'l� DATE: j a -3- I eL
NC DWQ Pretreatment Compliance Inspection (PCI) Form Updated 7/25/07 Page 4

SHJ INSPECTION FORM
Product
Raw materials used
Manufacturing processes
Categorical, if applicable
Production rate
Number of employees
Number of shifts
Comments:
Name of Industry: Erico, Inc.
Address Of Industry: 188 Carolina Road
Aberdeen, NC 28315
Industry Representatives:
Joe Holt
Frank Bryant
_POTW Representatives:
Janna Scherer
IUP # A005
IUP Expiration Date:
June 30, 2013
Title
Wastewater/Pretreatment Operator
Wastewater/Pretreatment Operator -Backup
Title:
Chemist/IPP Coordinator
Date of Inspection: October 10, 2012 Time Of Inspection: 11:00 am/pm
Purpose oflnspection: Annual X Other (Describe)
POTW to which IU discharges Moore County WPCP NPDES # NC0037508
Is SIU currently in SNC? No If yes, for what?
PART I - INITIAL INTERVIEW
Has anything changed since the last inspection or 1-UP application in the following:
COMMENTS
YES l NO
YES / NO
YES / NO
YES / NO 433
YES / NO Production about the same
YES INO about 80
YES / NO 4 shifts in plating (24 hr/day run)
PART II - PLANT TOUR - Visit all areas where wastewater is generated or where there
are drains to the POTW.
Plant Tour Section A - PRODUCTION AND STORAGE AREAS
1. Are there floor drains in the production area? YES / NO Where do they go? Waste from the
production areas go to the equalization tank.
2. Are production areas diked, contained, or otherwise constructed in such a way as to prevent harm to the
WWTP, especially from spills or slugs? YES / NO Comments: There are either containment or pit
sumps.
3. Are there floor drains in the storage area? YES / NO Where do they go? There are sumps in the
chemical storage area. In case of a spill or leak, the chemicals are contained until they can be pumped
into another storage drum.
4. Are storage tanks and areas diked, contained, or otherwise constructed in such a way as to prevent harm
to the WWTP, especially from spills or slugs? YES / NO Comments:
5. Are process and storage tanks and pipes labeled? YES / NO
6. How are off -spec raw materials, and products disposed of? Off spec materials are re -worked, scraped,
or sent back to the manufacturer A&D Environmental is recycler used.
7. When is the production area cleaned? Once per shift/ continuously
8. Is the wastewater from cleaning the production area discharged to the POTW? YES l NO The
wastewater from cleaning goes to the Pretreatment system before being discharged to the POTW.
9. What non -process wastewaters are discharged to POTW? Domestic sewage is discharged via a separate
line.
Comments: Line 3 will be shut down starting in November for a complete tear down and replacement of all
parts.
Title: SIU Inspection Form
File name: COMP.INSP App 7-D
Revision data: August I, 1994
Page 1

SW. INSPECTION FORM
PART II - Plant Tour Section B - PRETREATMENT SYSTEM
Ask the operator to describe pretreatment system.
1. Does operator seem knowledgeable about the system? YES / NO Comments: Mr. Holt holds a NC
Grade II WW Operator license and his back-up holds a NC Grade I Operator license. Both operators are
extremely knowledgeable about the treatment process and maintain it well.
2. Are all units operational? YES / NO
3. How often does operator/maintenance person check system? Hourly
4. Is there an operator for each shift? YES / NO Joe Holt is responsible but several different employees
have been trained to monitor the Memtech system during their respective shifts.
5. How and when is sludge disposed of? The sludge is picked up by A&D Environmental about once
every 90 days (or when 10 bps accumulate) and recycled. The status of the waste is non -hazardous
6. Is there a schedule for preventative maintenance? YES / NO
Comments: Preventative and corrective maintenance is conducted by plant maintenance department and the
system operators and is ongoing.
PART II - Plant Tour Section C - SAMPLING POINT(S) AND FLOW
MEASUREMENT
(Collect a sample if desired.)
1. Does an outside lab complete sampling? YES / NO If yes, name of lab. Microbac, Meritech Labs
and the Moore County WPCP Laboratory.
2. If industry completes sampling, ask the industry representative to describe sampling procedures.
Comments: The sample is collected in the composite sampler. The industry representative collects the
samples and chills them until the lab arrives. Samples are then signed over.
3. Is flow measurement equipment operational? YES / NO Comments: Flow meter is calibrated
by ISI Systems twice per year.
4. Is there a calibration log for the flow meter? YES / NO Comments: The sticker on the
instrument indicated the instrument was last calibrated on October 3, 2012..
Comments: They are using an ISCO 3010 ultrasonic flow transmitter. The sticker showed the next
calibration due was April 2013.
PART III - EXIT INTERVIEW
Review monitoring records and other SIU records required by IUP.
1. Are files well organised? YES / NO Comments: Files are very well organised. Current permit is
filed.
2. Are sample collection / chain -of -custody forms filled out properly? YES / NO Comments:
3. Do results in files agree with reports sent to POTW? YES / NO Comments: February 2012 flow log
and lab results were compared and were in order.
4. Who has authority to shut down production should a spill or slug discharge occur? Joe Holt, Emad
Girgis, and/or Frank Bryant, or any lead man on any shift.
5. How does SIU inform employees of whom to call at POTW in case of spill/slug? Employees notify the
above listed personnel. The above personnel then contact the POTW. Emergency numbers are posted
throughout the plant.
If slug/spill plan is already required by POTW, review procedures.
6. Is SIU implementing slug/spill plan? YES I NO Comments: Plan was last revised on October 19, 2010.
Comments: The plant permit and lab results were reviewed. Files are in order and complete.
INSPECTION RESULTS
Slug/Spill Control Plan Needed? YES / NO Plan is already in place. Revise as necessary. See above note.
Comments, Required or Recommended Actions: Pretreatment areas were clean and in order. Files were
neat and complete.
Signature of Inspector(s) (1.444 Axil,li(rPi(-
Date:
Date: / O -1 -
Title: SN Inspection Form
File name: COMP.INSP App 7-D
Revision data: August 1, 1994
Page 2

CERTIFICATE OF CALIBRATION
Certification Number: 10.03.12 .603404068
ERICO, INC.
188 CAROLINAROAD
ABERDEEN , NC 28315
EMAD GIRGIS
ISI Form: 1150-12/16/09
a
A
111
Instrumentation
Services, Inc.
3436 Toringdon Way, Suite 105
Charlotte, North Carolina 28277
800-532-0415 FAX:[phone]
www.ISlservesYOUcom
EQUIPMENT INFORMATION:
Instrument ID 603404068
Description EFFLUENT FLOW METER
Location
Manufacturer
Model Number
Serial Number
ISCO
3010
603404068
SERVICE INFORMATION:
Frequency SEMI-ANNUALLY
Classification ISO9001
Calibration Type ROUTINE
Sop Number ISI-WI-1100
Environmental Conditions
Calibrated
Next Calibration Due Date
As Found Status
As Left Results
Acceptable Parameters
10/3/2012
04/30/2013
In Tolerance
In Tolerance
ISI certifies that the above listed Instrument(s) meets or exceeds specifications as stated in the service agreement or purchase order unless stated otherwise. The Calibration Standards used to perform the
calibration of the instrument(s) above are traceable through the National Institute of Standards and Technology (MST) or other National Metrology Institute (NMI) to the International System of Units (SI
units). ISI is registered to IS09001:2008 and accredited to ISO/IEC 17025:2005 for calibration. ISI's systems, processes, procedures, and work performed conform to the requirements of
IS09001:2008, ISO17025:2005, M L-STD-45662A, ANSI/NCSL Z540-I-1994, 21 CFR Part 11, ISO 10012 part 1, and AMS2750 as applicable and referenced in the service agreement and/or purchase
order. The the standard referenced is indicated in the Classification Type Above.
The "pass/fail" indication provided on this report is for your convenience and is an opinion and/or interpretation of the compliance/noncompliance of the results of the measurements. It is the end -users
responsibility to evaluate the compliance/noncompliance of the Instrument(s) based on the usage of the instrument and the measurement requirements. The responsibilities of ISI shall, in no event, exceed
the cost of the service performed.
This calibration certificate applies only to the Instruments) listed above and shall not be reproduced except in full without the vninen permission of the Quality Manager of ISI.
CALIBRATION RESULTS
Calibration Type: FLOW
Applied
Expected
Range Units
0.00 to 0.25
FEET
0.00 to 54.45
GPM
Applied Expected
0.24 50.48
Tolerance Specification:
2.00 % of Output Full Range
Low Tolerance High Tolerance As Found
49.39 51.57
50.45
As Left
50.45
Pass / Fail
Pass
Adjusted
NO
Test Instruments Used During the Calibration
Test Instrument ID
SG-002
Manufacturer
Stevens Water Monitoring
Systems
Serial Number
2
Last Cal Date
3/14/2012
Next Cal Date
3/14/2015
Notes about this Calibration
Calibrated By: Chris Siler
ISI utilises Electronic Signature in compliance with 21 CFR part 11
Job No. / Service:1024-000 / PM S/A
Page I of I
ISO 140..
osistmr croup Inc.
LABORATORY
ACCREDITATION
BUREAU
Certificate 0 L1139-1 Callratinn

CERTIFICATE OF CALIBRATION
Certification Number: 10.03.12 .114378
ERICO, INC.
188 CAROLINA ROAD
ABERDEEN , NC 28315
EMAD GIRGIS
ISl Form: 1150-12/16/09
MOO
'tL
Instrumentation
Services, Inc.
3436 Toringdon Way, Suite 105
Charlotte, North Carolina 28277
800-532-0415 FAX:[phone]
wvw.ISlservesYOU.cam
EQUIPMENT INFORMATION:
Instrument ID 114378
Description EFFLUENT FLOW RECORDER
Location
Manufacturer CHESSELL
Model Number
Serial Number 114378
SERVICE INFORMATION:
Frequency SEMI-ANNUALLY
Classification IS09001
Calibration Type ROUTINE
Sop Number ISI-WI-1100
Environmental Conditions
Calibrated
Next Calibration Due Date
As Found Status
As Left Results
Acceptable Parameters
10/3/2012
04/30/2013
In Tolerance
In Tolerance
ISI certifies that the above listed Instrument(s) meets or exceeds specifications as stated in the service agreement or purchase order unless stated otherwise. The Calibration Standards used to perform the
calibration of the instrument(s) above are traceable through the National Institute of Standards and Technology (MST) or other National Metrology Institute (NMI) to the International System of Units (SI
units). ISI is registered to IS09001:2008 and accredited to IS0/IEC 17025:2005 for calibration. ISI's systems, processes, procedures, and work performed conform to the requirements of
1S09001:2008, IS017025:2005, MIL-STD-45662A, ANSI/NCSL Z540-1-1994, 21CFR Part 11, ISO 10012 part 1, and AMS2750 as applicable and referenced in the service agreement and/or purchase
order. The the standard referenced is indicated in the Classification Type Above.
The "pass/fail" indication provided on this report is for your convenience and is an opinion and/or interpretation of the compliance/noncompliance of the results of the measurements. It is the end -users
responsibility to evaluate the compliance/noncompliance of the Instrument(s) based on the usage of the instrument and the measurement requirements. The responsibilities of ISI shall, in no event, exceed
the cost of the service performed.
This calibration certificate applies only to the Instrument(s) listed above and shall not be reproduced except in full without the written permission of the Quality Manager of ISI.
CALIBRATION RESULTS
Calibration Type: FLOW - DIGITAL DISPLAY Tolerance Specification:
Range Units
Applied
Expected
4.00 to 20.00
mA
0.00 to 54.45
GPM
1.00 % of Output Full Range
Applied Expected Low Tolerance High Tolerance As Found As Left Pass / Fail Adjusted
4.00 0.00 -0.54 0.54 0.01 0.01 Pass NO
12.00 27.23 26.69 27.77 27.25 27.25 Pass NO
20.00 54.45 53.91 54.99 54.50 54.50 Pass NO
Calibration Type: FLOW - CHART
Range Units
Applied
Expected
4.00 to 20.00
me,
0.00 to 54.45
GPM
Applied,
4.00
12.00
20.00
Tolerance Specification:
1.00 (+/-) Output Reading
Expected Low Tolerance High Tolerance As Found As Left Pass / Fail Adjusted
0.00 -1.00 1.00 0.00 0.00 Pass NO
27.23 26.23 28.23 27.00 27.00 Pass NO
54.45 53.45 55.45 54.00 54.00 Pass NO
Test Instruments Used During the Calibration
Test Instrument ID Manufacturer
7281617 FLUKE
Serial Number
7281617
Last Cal Date
12/6/2011
Next Cal Date
12/6/2012,
Notes about this Calibration
Calibrated By: Chris Siler
ISI utilizes Electronic Signature in compliance with 21 CFR parr 11
Job No. / Service:1024-000 / PM S/A
Page l of l
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Certificate 18 L1139-1 Call6ration