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NCG160218_MONITORING REPORT_20201223
Geological Resources, Inc. December 17, 2020 Ms. Lily Kay Land Quality Division Division of Energy, Mineral, and Land Resources North Carolina Department of Environmental Quality Mooresville Regional Office 610 E. Center Ave. Suite 301 Mooresville, North Carolina 28115 RECEIVED DEC 2 3 2020 DENR-DEMLR Land Quality Section Mooresville Regional Office RE: Discharge Monitoring Report — August 2020 (First Semi -Annual Period 2020) Stafford Street Asphalt Plant 225 Stafford Street Extension Monroe, Union County, North Carolina General Permit Number NCG160000 Certificate of Coverage No: NCG160218 GRI No. 4629 Dear Ms. Kay: On behalf of Boggs Materials, Inc. (Boggs), please find attached results of stormwater outfall sampling that was conducted on August 25, 2020 for the Stafford Street Asphalt Plant facility in Monroe, Union County, North Carolina. Water samples were collected from the outfalls SDO-2 through SDO-4 and SDO-6 by Boggs personnel on August 25, 2020 in accordance with the SWPPP and sampling requirements of the permit. Please note that per Boggs personnel, there was no discharge from outfall SDO-1, SDO-5, SDO-7 and SDO-8. Therefore, no samples could be collected from these outfalls. Water samples were analyzed for total suspended solids and non -polar oil and grease. No detectable concentrations of total suspended solids or oil and grease were report in any of the samples that were collected during the August 2020 sampling event. The Stormwater Discharge Outfall Monitoring Report is included in Appendix A, the Stormwater Discharge Outfall Qualitative Monitoring Report is included in Appendix B, and a complete laboratory analytical report is included as Appendix C. 3502 Hayes Road • Monroe, North Carolina 28110 113 West Firetower Road, Suite G • Winterville, North Carolina 28590 Phone (704) 845-4010 • (888) 870-4133 • Fax (704) 845-4012 Discharge Monitoring Report — August 2020 (First Semi -Annual Period of 2020) Stafford Street Asphalt Plant Monroe, Union County, North Carolina Certificate of Coverage No: NCG160218 Page 2 of 2 The next sampling event is scheduled to be conducted between July and December 2020 during a representative rainfall event. Please do not hesitate to contact me at (704) 845-4010, if you have any questions or comments. Sincerely J Rohit Shetty, P.E. Senior Engineer cc: Michael Ramirez, Boggs Materials, Inc. Division of Water Resources Central Files, NCDEQ, 1617 Mail Service Center, Raleigh, NC 27699-1617 file enclosures 3502 Hayes Road • Monroe, North Carolina 28110 113 West Firetower Road, Suite G • Winterville, North Carolina 28590 Phone (704) 845-4010 • (888) 870-4133 • Fax (704) 845-4012 APPENDIX A STORMWATER DISCHARGE OUTFALL MONITORING REPORT r-j 6 ? 01 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 11i11i2020 CERTIFICATE OF COVERAGE NO. NCG160218 FACILITY NAME STAFFORD STREET ASPHALT PLANT COUNTY UNION PERSON COLLECTING SAMPLES MICHAEL C. RAMIREZ LABORATORYSGS North America Inc. Lab Cert. # 573 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2020 SAMPLE PERIOD 0 Ian June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 n No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =_--> - - 100 mg/L or 50 mg/L4 SDO-2 08/25/2020 0.03 <25 S DO-3 08/25/2020 0.03 <25 SDO-4 08/25/2020 0.03 <25 SDO-6 08/25/2020 0.03 <25 SDO-1, SDO-5, S130-7, & SDO-8 No Discharge 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check mark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge °requirement. See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, 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 mR/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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 Permit Date: 08/01/2019-05/31/2024 SWU-252, last revised 09/04/2019 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?' Date Sample 24-hour rainfall New Motor Oil or Hydraulic Outfall No. Collected' amount, Non -polar O&G by EPA Total Suspended Solids Oil Usage, Annual average (mo/dd/yr) Inches3 1664 (SGT HEM) gal/mo Benchmarks ==> - - 15 mg/L 100 /L or SO mg/O - SDO-2 08/25/2020 0.03 <5.3 <25 SDO-3 08/25/2020 0.03 <4.8 <25 SDO-4 08/25/2020 0.03 <5.9 <25 Footnotes from Part A also apply to this Part B SDO-6 08/25/2020 0.03 <5.1 <25 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO N IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BYTHE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: LILY KAY Mail an original and one cony 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 Resources Attn: DWR 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." (Signature of Permittee) Permit Date: 08/01/2019-05/31/2024 /12/10(1 t (Date) SWU-252, last revised 09/04/2019 Page 2of2 APPENDIX 6 STORMWATER DISCHARGE OUTFALL QUALITATIVE MONITORING REPORT NCO Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onftlling out thisform, please visit httys:Hdeq nc gov/about/divisions/energy-mineral-land- resources/energy-mineral-land-perm its/stormwater-permits/nodes-industrial-sw#tab-4 Permit No.: N/C/ G / 1 / 6 / 0/ 0 /0/ 0/ or Certificate of Coverage No.: N/C/G/ 1 / 6/ 0/ 2/ 1 / 8/ Facility Name: Barpit on Stafford St. County: Union Inspector: Michael C. Ramirez Date of Inspection: 08/25/2020_ Time of Inspection: _I 110_ Total Event Precipitation (inches): _.16. No. 704-995-9786 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: --/7 7%., (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 2 Structure (pipe, ditch, etc.): ditch Receiving Stream: Structure Prohibited Runoff Describe the industrial activities that occur within the outfall drainage area: Water drainage through foliage and rocks Pagel of2 5 WU-242, Last modified 07282017 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: very light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): earth/dirt odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: m 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: m 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: CD 2 3 4 5 7. 8. 9. Is there any foam in the stormwater discharge? 0 Yes ® No. Is there an oil sheen in the stormwater discharge? pYes (W No. Is there evidence of erosion or deposition at the outfall? U Yes 00 No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe N/A 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 07/28/2017 KC. Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisform, please visit ,httt s://dea nc gov/about/divisions/energy-mineral-land- resources/energy-mineral-land-perm its/storm water-permits/nodes-industrial-sw#tab-4 Permit No.: N/C/ G / 1 / 6/ 0/ 0/ 0/ 0/ or Certificate of Coverage No.: N/C/G/ 1/ 6/ 0/ 2/ 1/ 8/ Facility Name: County: Union Barpit on Stafford St. Inspector: Michael C. Ramirez Date of Inspection: 08/25/2020 Time of Inspection: _I120_ Total Event Precipitation (inches): _.16 No. 704-995-9786 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: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 3 Structure (pipe, ditch, etc.): ditch I Receiving Stream: Structure Prohibited Runoff Describe the industrial activities that occur within the outfall drainage area: Water drainage through foliage and rocks Pagel of2 SWU-242, fast modified 0728/2017 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: very light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): earth/dirt odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: m 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: m 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. 8. 9. Is there any foam in the stormwater discharge? o Yes 0 No. Is there an oil sheen in the stormwater discharge? 0Yes o No. Is there evidence of erosion or deposition at the outfall? o Yes ® No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe NIA 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 0728/2017 K-C Environmental QuaUry Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out this form, please visit Permit No.: N/C/ G / I / 6/ 0 / 0/ 0/ 0 / or Certificate of Coverage No.: N/C/G/ 1/ 6/ 0/ 2/ 1/ 8/ Facility Name: Barpit on Stafford St. County: Union Inspector: Michael C. Ramirez Date of Inspection: 08/25/202 Time of Inspection: _1130_ Total Event Precipitation (inches): _.1 No. 704-995-9786 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: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 4 Structure (pipe, ditch, etc.): ditch Receiving Stream: Structure Prohibited Runoff Describe the industrial activities that occur within the outfall drainage area: Water drainage through foliage and rocks Pagel of2 SWU-242, Last modified 07282017 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: very light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): earth/dirt odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: m 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: m 2 3 4 5 b. 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: O 2 3 4 5 7. 8. 9. Is there any foam in the stormwater discharge? o Yes ® No. Is there an oil sheen in the stormwater discharge? oYes o No. Is there evidence of erosion or deposition at the outfall? o Yes (P No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe N/A 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 0728/2017 KU10 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisform, please visit httos:Hdeg.ne.gov/about/divisions/energy-mineral-land- resources/energgy-mineral-land-permits/stormwater-perm its/npdes-industrial-swTtab-4 Permit No.: N/C/G / 1 / 6 / 0/ 0 / 0/ 0/ or Certificate of Coverage No.: N/C/G/ I / 6 / 0/ 2 / 1 /8/ Facility Name: Barpit on Stafford St. County: union Phone No. 704-995-9786 Inspector: Michael C. Ramirez Date of Inspection: 08/25/2020. Time of Inspection: _l Total Event Precipitation (inches): _.16. 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: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 6 Structure (pipe, ditch, etc.): ditch Receiving Stream: Structure Prohibited Runoff Describe the industrial activities that occur within the outfall drainage area: Water drainage through foliage and rocks Pa,-e I of 2 SWU-242, Last modified 0728/2017 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: very light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): earth/dirt odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: m 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: m 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. 8. 9. Is there any foam in the stormwater discharge? o Yes ® No. Is there an oil sheen in the stormwater discharge? 0Yes o No. Is there evidence of erosion or deposition at the outfall? O Yes ® No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe N/A 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 07/28/2017 APPENDIX C LABORATORY ANALYTICAL REPORT SGS Orlando, FL The results set forth herein are provided by SGS North America Inc. Technical Report for GRI (Geological Resources Inc.) Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC 4629 SGS Job Number: FA78202 Sampling Date: 08/25/20 Report to: ATTN: Distribution6 Total number of pages in report: 16 e-Harrdcopy 2.0 Automated Report XQ p«Gp . Test results contained within this data package meet the requirements Norm Farmer of the National Environmental laboratory Accreditation Program Technical Director and/or state specific certification programs as applicable. Client Service contact: Muna Mohammed 407-425-6700 certifications: FL(E8351D), LA(03051), KS(E-30327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001) Don ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(6"3573), VA(460177), AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV This report shall not be reproduced, except in its end", without the written approval of SGS. Test results relate only to samples analyzed. SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • let: 407-4254700 • fax: 407425-0707 SGS is the sole authority for authe n/m, -flits < r modifications to this document Please char lour idea, about (��(S� Unauthorized modification of this aSGS is strictly prohibited. how .cc um erve you better at: Review standard tennsat: hap +rawsgs.aim!rnhcmv-and-condition., Eli S.lh Cusnnncr('at m;�1-1,.com i i niF FA7e202 Table of Contents -1- Section1: Sample Summary................................................................................................... Section2: Summary of Hits.................................................................................................... Section3: Sample Results........................................................................................................ 3.1: FA78202-1: SDO-2....................................................................................................... 3.2: FA78202-2: SDO-3....................................................................................................... 3.3: FA78202-3: SDO-4....................................................................................................... 3.4: FA78202-4: SDO-6....................................................................................................... Section4: Misc. Forms............................................................................................................ 4.1: Chain of Custody........................................................................................................... Section5: General Chemistry - QC Data Summaries.......................................................... 5.1: Method Blank and Spike Results Summary.................................................................. 5.2: Duplicate Results Summary.......................................................................................... 5.3: Matrix Spike Results Summary..................................................................................... Sections: 3 4 5 6 7 8 9 10 11 13 14 15 16 r,^^ 2 of 16 FA78202 SGS LabLink@ 14:19 03-Sep-2020 Sample Summary GRI (Geological Resources Inc.) Job No: FA78202 Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC Project No: 4629 Sample Collected Matrix Client Number Date Time By Received Code Type Sample ID FA78202-1 08/25/20 11:10 MR 08/27/20 AQ Water FA78202-2 08/25/20 11:20 MR 08/27/20 AQ Water FA78202-3 08/25/20 11:30 MR 08/27/20 AQ Water FA78202-4 08/25/20 11:45 MR 08/27/20 AQ Water SDO-2 SDO-3 SD0-4 SDO-6 " 1 3of16 FA78202 Summary of Hits Job Number: FA78202 Account: GRI (Geological Resources Inc.) Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC Collected: 08/25/20 ,ab Sample ID Client Sample ID Result/ Walyte Qual RL MDL Units Method FA78202-1 SDO-2 No hits reported in this sample. FA78202-2 SDO-3 No hits reported in this sample. FA78202-3 SDO-4 No hits reported in this sample. FA78202-4 SDO-b No hits reported in this sample. Page 1 of 1 4 of 16 FA782Q2 . ... .. . ...... ,Oft AVV& Orlando, FL Section 3 Sample Results Report of Analysis 5 of IS FAA SGS LabLink@ 14:19 03-Sep-2020 Report of Analysis Client Sample ID: SDO-2 Lab Sample ID: FA78202-1 Date Sampled: 08/25/20 Matrix: AQ - Water Date Received: 08/27/20 Percent Solids: n/a Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC General Chemistry Analyte HEM Oil and Grease Solids, Total Suspended RL = Reporting Limit Page 1 of I Result RL Units DF Analyzed By Method < 5.3 5.3 mg/i 1 09/02/20 08:00 cs EPA 1664A < 25 25 mg/l 1 08/28/20 11:10 JB SM2540 D-t 1 FA78202 SGS LabLink@ 14:19 03-Sep-2020 Report of Analysis Client Sample ID: SDO-3 Lab Sample ID: FA78202-2 Date Sampled: 08/25/20 Matrix: AQ - Water Date Received: 08/27/20 Percent Solids: n/a Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC General Chemistry Analyte HEM Oil and Grease Solids, Total Suspended RL = Reporting Limit Page 1 of I N Result RL Units DF Analyzed By Method < 4.8 4.8 mg/l 1 09/02/20 08:00 CS EPA 1664A < 25 25 mg/l 1 08/28/20 11:10 JB SM2540 D-1 I 7 of 16 FA78202 SGS LabLink@'14:19 03-Sep-2020 Report of Analysis Client Sample ID: SDO-4 Lab Sample ID: FA78202-3 Date Sampled: 08/25/20 Matrix: AQ - Water Date Received: 08/27/20 Percent Solids: n/a Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC Page 1 of 1 w General Chemistry Analyte Result RL Units DF Analyzed By Method HEM Oil and Grease < 5.9 5.9 mg/l 1 09/02/20 14:15 Cs EPA 1664A Solids, Total Suspended < 25 25 mg/l 1 08/28/20 l 1:10 JB SM2540 D-1 I RL = Reporting Limit 8 of 16 FA78202 SGS LabLink@14:19 03-Sep-2020 Report of Analysis Client Sample 1D: SDO-6 Lab Sample ID: FA78202-4 Date Sampled: 08/25/20 Matrix: AQ - Water Date Received: 08/27/20 Percent Solids: n/a Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC General Chemistry Analyte HEM Oil and Grease Solids, Total Suspended RL = Reporting Limit Page Iof1 4IN Result RL Units DF Analyzed By Method < 5.1 5.1 mg/l 1 09/02/20 14:15 CS EPA 1664A < 25 25 mg/l 1 08/28/20 11:10 do SM2540 D-t i 9of16 ...... SO- FA78202 SGS Orlando, FL Misc. Forms Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody Section 4 J SGS10 of 16 FA78282 CHAIN OF CUSTODY � Wz PAGE OF 500 Arnbassador Caffery Parkway. Scott. LA 70583 ............... TEL.337.237.4775 FAX:337,7.37.7838 wwW S.Com1*hSdSa ►FD" Ireary 8 Dow oar cm" st iti i Owe Job Y 'ClRpe►tlilaP�etitrp lntonatWn ,- ` �, r..1 `,,. ,...:: .. , s �.' . ' • Pia o a In mistb0 �.." 'i ..:- ��. a ;. �31.F ,..:� "osto�An& sai7ESTCOD�sRoot a ? Matrix Cori Convsrty Name .. Protect Name: i� '� i rs e 1 S N a �k J�} 1 4, r. • -� 4 Ow . D�*+w Wale. Gvd. Geared Wain er St1rWW - Water Wabr so -Sol SL-Sludge BED B- n" O! - Oil LIO-OtlesrLquid AIR • Act SOL-Other Bold wP - wipe FB - Fldd Blank EBZW m nt Blank Re - Rtiso at" TB -Trip stardt i Aftea —/f C i •Z7 arV' J sunw L.Z� :. --:.-- ... -. -- --..- . Woemauon ae, kmfdhoar to... 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Om: Irb S Busk,na Days RUSH 4 Buskrss Days RUSH _ 3 Business Days RUSH O 2 Business Days RUSH 1 Bushwits Day EMERGENCY .• [] utter Emurponty d Rush WA data ambbta via LaOWtit ApprovW trended k r RUS TAT Cj canmemiar -A• %entas 11 TRRP Q C&MMM -13, (Lewl 2) O RECAP 0 FULLT11 (La"13+4) 0 state rams 0 REOTI (LeviiO+S) Q EDO Fomtst 0 Commercial "C" Q Other Commerea!'A4 w Revulls Only, Commercial -B' - Rasuas • OC Summary Casst.mml C' • RMutls+ OC Sumua + Pamat Raw Data Note: Sample inventory is verified upon the Laboratory �....+� OL Raftoft must be documented ba!(1w each s chs setae, ineltldi staurlw del a.oaoa aR a gRsewor• 4 OwlTerte: a.oel'sy Recei-doy: 14 gaappMdsry es+.plrr: 3 D.r.rTtr: 1 lte—d-0r• 3 � a.,aareek.aur. 8 tearTh - 1 Recor.esr j8zo 5 a+rears.pa Me., Pr...r..dwa.r. "Pit"onion 0 CeeYrT.erp % 0 "Wiled 0 Abrre 0 Thum o: EHSA-OAC-W284)0.FORM•8Wtt • Standard COC http:lfenaw.sgs.comlordtenns-and-conditions. FA78202: Chain of Custody Page 1 of 2 11 of 16 -U __ FA78202 SGS Sample Receipt Summary Job Number: FA78202 Client: BOGGS MATERIAL INC. Project: STAFFORD STREET ASPHALT PLANT Date / Time Received: 8/271202010:20:00 AM Delivery Method: FX Alrbill Vs: 3962 2430 9014 Therm ID: IR 1; Therm CF: -0.2; # of Coolers: 1 Cooler Temps (Raw Measured) aC: Cooler 1: (1.4); Cooler Temps (Corrected) °C: Cooler 1: (1.2); Cooler Information Y or N Sample Information Y or N NIA 1. Custody Seals Present © ❑ 1. Sample labels present on bottles ® ❑ 2. Custody Seals Intact ® ❑ 2. Samples preserved properly ® ❑ 3. Temp criteria achieved © ❑ 3. Sufficient volume/containers recvd for analysis: ® ❑ 4. Cooler temp verification IR Gun 4. Condition of sample illTsa:OI 5. Cooler media Ice (Bag) 5. Sample recvd within HT ® ❑ Trip Blank Information 1. Trip Blank present / cooler 2. Trip Blank listed on COC 3. Type Of TB Received Y or N N/A ❑ ❑ RJ ❑ ❑ W or S N/A ❑ ❑ 0 6. DalesTmes/IDs on COC match Sample Label 7. VOCs have headspace 8. Bottles received for unspecified tests 9. Compositing instructions clear 10. Voa Sal Kits/Jars received past 48hrs? 11. % Solids Jar received? 12. Residual Chlorine Present? D ❑ ❑ ❑ Misc. Information Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals: Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other: (Specify) Residual Chlorine Test Strip Lot M Comments shoot Rev. Date OSR4117 Technician: PETERH Date: 8/27/202010:20.00 A Reviewer. Date: FA78202: Chain of Custody Page 2 of 2 "' ' GS- 12 of 16 FA78202 QC Data Summaries Includes the following where applicable: Method Blank and Blank Spike Summaries Duplicate Summaries Matrix Spike Smnmaries F(A I SGS13 of 16 FA78202 METHOD BLANK AND SPIKE RESULTS SUMMARY GENERAL CHEMISTRY Login Number: FA78202 Account: GRINCC - GRI (Geological Resources Inc.) Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC MB Spike BSP BSP QC Analyte Batch ID RL Result Units Amount Result %Recov Limits HEM Ail and Grease GP35309/GN86097 5.0 0.0 mg/l 40 38.5 ITEM Oil and Grease GP35311/GN86107 5.0 0.0 mg/l 40 39.9 Solids, Total Suspended GN86066 2.5 0.0 mg/l Associated Samples: Batch GN86066: FA78202-1, FA78202-2, FA78202-3, FA78202-4 Batch GP35309: FA76202-1, FA78202-2 Batch GP35311: FA78202-3, FA78202-4 (*) Outside of QC limits Page 1 96.3 78-114% (A 99.8 78-114% SGS14 of 16 FA78202 ZDZ8Ltl� i• T abed Emu•suoTavaqueouoo aTdu-ms pue ageoTTdnp MoT of anp aTgegdaooe Oau (a) MENEM SITwTT Ob 3o aprsIn0 ( ) b-ZO U LV3 'E-ZOZSLVJ 'Z-ZOZ8LYA 'T-ZOZ8LVI :99099NO u03e6 :saTdWRS palsTOOSSV N Lc; O'8 OIL T/bw T-T6T8LVa 99098N9 papuadsnS Tel0l 'sptTos s2Tw.r7 aclu aTnsas lTnsag s,4Tun oTdwes QI moles aaATeu, 00 ana TeU7bTIO 00 ON 'aozucH 'ujx3 IS pao33eis SZZ llueTB aT2gdsv IS pao33v2S :IoaCoxa (-auI saoanose-i Teoi6oT089) IL3 - OONI2i9 :aun000v ZOZ8L'd_ : gagu:nN uT5o7 XEISINSHO 'I dSNH9 x,damns ssmssx aivomana MATRIX SPIKE RESULTS SUMMARY GENERAL CHEMISTRY Login Number: FA78202 Account: GRINCC - GRI (Geological Resources Inc.) Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC QC Original Spike MS QC Analyte Batch ID Sample Units Result Amount Result %Rec Limits HEM Oil and Grease GP35309/GN86097 FA78191-1 mg/1 2.8 40 36.3 83.8- 78-114% (Jt HEM Oil and Grease GP35311/GN86107 FA78280-1 mg/1 1.4 U 40 34.6 85.6 78-114% (,J Associated Samples: Batch GP35309: FA78202-1, FA78202-2 Batch GP35311: FA78202-3, FA78202-4 (') Outside of QC limits (N) Matrix Spike Rec. outside of QC limits Page 1 ......._���_ 16 of 16 FA78202