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Home My WebLink AboutNCG060348_2021 DMR_20210723NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 Food and Kindred Click here for instructions Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office. Certificate of Coverage No. NCG06 0348 Person Collecting Samples: Kelley Brown Facility Name: American Skin Food Group, LLC. Laboratory Name: Environmental Chemists Facility County: Pender Laboratory Cert. No.: 94 Discharge during this period: ✓❑ Yes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑✓ Yes ❑ No If so, which Tier (I, II, or III)? Tier 1 A copy of this DMR has been uploaded electronically via https://edocs.deg. ncgt ov/Forms/SW-DMR ✓❑ Yes []No Date Uploaded: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Parameter Outfall1 Outfall2 Outfall3 Outfall Outfall Code Receiving Stream Class c, sw N/A c,sw c, sw N/A Date Sample Collected MM/DD/YYYY 07/08/2021 07/08/2021 07/08/2021 46529 24-Hour Rainfall in inches 3/4" 3/4" 3/4" C0530 TSS in mg/L (100 or 50*) 8.0 2.8 29.9 00400 pH in standard units (6.0-9.0) 7.50 7.44 7.31 00556 Oil & Grease in mg/L (30) <5.0 30.8 6.18 31616 Fecal Coliform per 100 ml of >6000 >6000 <1 freshwater (if required) (1000) 61211 Enterococci per 100 ml of saltwater N/A N/A N/A (if required) (500) Chemical Oxygen Demand in mg/L 00340 (120) <20 45 <20 Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average Estimated New Motor/Hydraulic Oil NCOIL Usage in gal/month N/A N/A N/A 00552 Non -Polar Oil & Grease in mg/L (15) N/A N/A N/A * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L Notes (optional): "I certify by my signature below, 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 beft of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false i*rmation_rrtU4W-t?Fp-qssibility of fines and imprisonment for knowing violations." 07/23/2021 ure of Permittee egated Authorized Individual Date Email Address ray@asfg.com Phone Number 910-259-2232 F"Ip"- -- 7 SM ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com American Skin, LLC. Date of Report: Jul 20, 2021 Post Office Box 1445 Customer PO M Burgaw NC 28425 Customer ID: 08100003 Attention: Ray Talbot Report M 2021-11289 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-28081 Site: Outfall Area 1 7/8/2021 11:02 AM Water Kelley Brown Test -� Method Results Date Analyzed Oil & Grease (O&G) Residue Suspended (TSS) COD Fecal Coliform Lab ID Sample ID: 21-28082 Site: Outfall Area 2 Test Oil & Grease (O&G) Residue Suspended (TSS) COD Fecal Coliform Lab ID Sample ID: 21-28083 Site: Outfall Area 3 Test EPA 1664 Rev. B SM 2540 0-2011 SM 5220 D-2011 SM 9222 D-2008 MF Collect Date/Time Matrix 7/8/2021 11:06 AM Water Method EPA 1664 Rev. B SM 2540 D-2011 SM 5220 D-2011 SM 9222 D-2006 MF Method <5.0 mg/L 07/13/2021 8.0 mg/L 07/09/2021 <20 mg/L 07/12/2021 >6000 Colonies/100ml- 07/08/2021 Sampled by Kelley Brown Results Date Analyzed Collect Date/Time Matrix 7/8/2021 10:52 AM Water Oil & Grease (0&G) EPA 1664 Rev. B Residue Suspended (TSS) SM 2540 D-2011 COD SM 5220 D-2011 Fecal Coliform SM 9222 D-2006 MF Comment: , Reviewed by: 30.8 mg/L 07/13/2021 2.8 mg/L 07/09/2021 45 mg/L 07/12/2021 >6000 Colon ies/1 00m L 07/08/2021 Sampled by Kelley Brown Results Date Analyzed 6.18 mg/L 07/13/2021 29.9 mg/L 07/09/2021 <20 mg/L 07/12/2021 <1 Colonies/100ml- 07/08/2021 Report #:: 2021-11289 Page 1 of 1 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 Sample Receipt Checklist Client:. _ Date: 7 ai Report Number: Receipt of sample: ECHEM Pickupm Client Delivery ❑ JUPS ❑ FeclEx O Other ❑ ❑ YES 1❑ NO JX N/A 11. Were custody seals present on the cooler? ❑ YES 10 NO IQ N/A 2. If custody seals were present, were they intact/unbroken? Original temperature upon receipt °C Corrected temperature upon receipt How temperature taken: ❑ Temperature Blank Against Bottles IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0 ❑ YES ❑ NO T3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified? YES ❑ NO 4. Were proper custody procedures (relinquished/received) followed? YES 10 NO 5. Were sample ID's listed on the COC? YES IM NO 6. Were samples 1D's listed on sample containers? YES 10 NO 7. Were collection date and time listed on the COO YES 10 NO 8. Were tests to be performed listed on the COC? YES 10 NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 110. Did samples arrive in good condition for each test? YES ID NO Ill. Was adequate sample volume available?' YES ❑ NO 12. Were samples received within proper holding time for requested tests? YES +1113 NO 13. Were acid preserved samples received at a pH of <2? I YES NO 114. Were cyanide samples received at a pH >12? YES ❑ NO 15. Were sulfide samples received at a pH >9? YES O NO 16, Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? ** YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? YES ❑ NO 118. Were orthophosphate samples filtered in the field within 15 minutes? * 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 benchsheet. Sample Preservation: Sample(s) -- by adding (circle one): Time of preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) were received incorrectly preserved and were adjusted accordingly H2504 HNO3 HCl NaOH If more than one preservative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or notify the state lab if directed to analyzed by the customer. Who was notified, date and time: Volatiles Sample(s) _ were received with head COMMENTS: space DOC. QA.002 Rev 1 °C Compoalte to G) 0 G) C) G) 0 G) n 0 0 G) 0 G) n G) (� G� 110 or D Grab r m .G -0 D D Contalner (P or G) u v