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NCS000509_MONITORING INFO_20180301
--------STORMWATER"DIVISION-CODING-SHEET- - PERMIT NO. NCS ©w 5 D9 DOC TYPE ❑ FINAL PERMIT MONITORING INFO APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE 03 D� YYYYM M D D Permit Number NCS 000509 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACMITYNAME TriEstAoGroup Inc Greenville NC RECEIVED PERSON COLLECTING SAMPLE(S) Ipff From CERTIFIED LABORATORY(S) Test America LabA Lab �j A �/ A A 2018 CENTRAL FILES Part A: Specific Monitoring Requirements DWR SECTION COUNTY Pitt PHONE NO. (800 1 637-9466 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Outfall No. Date Sample Collected 50050 Total Flow if a Total RainfallS Solids CO Demand Oil & Grease Hexane Methyl Bromide Chloropicrin mo/dd/ r MG inches m /L m /L m /L m /L u /L u /L N-001 12/20/17 0.25 17 75 3.9 ND ND ND N-002 1 0/17 0.25 80 170 4 ND ND NO N-003 12/20/17 0.25 150 150 8.9 ND ND ND Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes `� no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitorina Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches unit al/mo Form SWU-247-062310 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000509 FACILITY NAME TriEst Ag,Group, Inc Greenville NC PERSON COLLECTING SAMPLE(S) .iaff From CERTIFIED LABORATORY(S) Test America Lab # Lab # Part A: Speck Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Pitt PHONE NO. Ciloo 637-9466 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the (rest of my knowledge. Outfall No. Date Sample Collected 50050 Total Flow ff a Total Rainfall odium Methyidithio Formaldehyde Nitrate + Nitrite - N Total Phosphorus pH mo/dd/ r MG inches u /L m /L m /L m /L Standard Units N-001 12/20/17 0.25 ND 0.038 0.46 0.12 6.8 N-002 12120117 0.25 ND 0.11 1.6 0.24 7.3 N-003 12/20/17 0.25 ND 0.05 0.67 0.31 7.9 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ',no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitorine Requirements Outfau No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/PPH (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches unit aVmo Form SWU-247-062310 Page I of 2 " . _ , � �. .r .. AA STORM EVENT CHARACTERISTICS: Date 12/20/17 Total Event Precipitation (inches): 0.25 Event Duration (hours): .75 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (� k / / 2/18/18 (Signature of Permit ) (Date) Form SWU-247-062310 Page 2 of 2 I Ricky L. Keck Manager, Environmental, Health & Safety - THEstt" Ag Group; ,Inc. F.ebruary'22, 2618 CERTIFIED MAIL -RETURN RECEIPT REQUESTED Division of Water Quality . Attn: Central Files CORPORATE OFFICE 1617 Mail Service Center . Raleigh, NC 27699-1617 P.O. Box 448 - Greenville, NC 27835 - - - 252.758.4263 - - 800.637.9466- •f 252.758.2767 RE: STORMWATER DISCHARGE OUTFALL"(SDO) MONITORING; _ REPORT. REGIONAL OFFICES" To Whom It May Concern: 3500 NC Highway 133 .Rocky Point. NC 28457 Enclosed is the SDO for the. second semester 2017 for our Greenville facility. 910.675.9409 There were two slight exceedances ofTSS and COD at Outfalls N-002 and 003. ' 800.533.9789 - - . f 9i0.6o23106 We are conducting;additional sampling to'determine if this was.an anomaly. We are 'still awaiting the new SW Permit and were wondering when it might be P.O. Box 965 Tifton, GA 31793 available. 229.382.7272.- 800.872.0644 Should you require further information' regarding this submittal please.do not f 2D.382.9375. hesitate ,to contact me at (941) 723-7316. .7610 US HWY 41-N Sincerely, - Palmetto, FL 34221 - - - - 941.722.5587 - 800 726.5215. CVKe_ck,04310 National Guard Drive. e - Plant City, FL 33563 Mgr., Environmental; Health &Safety 813.752.4244 - 800.832.5982' - f 813.754.8095 - RLK: 06-18 www.TriEstAg.com enc. cc: File , STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000509 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME TriEst Ag Group, Inc Greenville NC REC IVED COUNTY Pitt PERSON COLLECTING SAMPLE(S) .toff From CFp 2 5 2� �% PHONE NO. ( Bn0 1 637-9466 CERTIFIED LABORATORY(S) Test America Lab # Lab # Cr=h rrrRAL FILES (SIGNATURE OF PERMITTEE OR DESIGNEE) DWR SECTION By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall S Solids CO Demand Oil & Grease Hexane Methyl Bromide Chloropicrin mo/dd/ r MG inches m /L m /L m /L m /L u /L u /L N-001 6/5/17 0.3 7 31 1.9 ND ND ND N-002 I117 0.3 18 54 ND ND ND ND N-003 6/5/17 0.3 21 82 2.1 ND ND ND Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes `( no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches unit al/mo Form SWU-247-062310 Page 1 of 2 I STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000509 FACILITY NAME TdEst Ag Group. Inc. Greenville, NC PERSON COLLECTING SAMPLE(S) .Taff Frnm CERTIFIED LABORATORY(S) Test America Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Pitt PHONE NO. eoo 637-9466 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Outfall No. Date Sample Collected 50050 Total Flow(if a Total Rainfall Sodium MethAdithio Formaldehyde Nitrate + Nitrite - N Total Phosphorus p H mo/dd/ r MG inches u /L m /L m /L m /L Standard Units N-001 6/5/17 0.3 ND 0.081 0.31 ND 6.9 N-002 7 0.3 ND 0.083 0.35 0.05 7.4 N-003 6/5/17 0.3 0.015 0.088 0.38 0.047 6.9 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes *(no (if yes, complete Par B) Part B: Vehicle Maintenance Ac ivity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/IPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m unit galtmo, Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 6/5/17 Total Event Precipitation (inches): 0.3 Event Duration (hours): 1.5 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 tTrncs-and imprisonment for knowing violations." I9/18/17 (Signature of Permitt ) (Date) Form SWU-247-062310 Page 2 of 2 ' Ricky L. Keck - '., , Manager, Environmental, Health & Safety - - TriEstt" Ag Group, Inc. September 15, 2017 CERTIFIED MAIL -RETURN RECEIPT REQUESTED - Division of Water Quality Attn: Central Files eORPORATE OFFICE 1617 Mail Service Center P.O. Box 448 Raleigh, NC 27699-1617 � - � Greenville, NC 27835 - - 252.758.4263 - .. 800.637.9466 f 252.758.12767 RE: STORMWATER.DISCHARGE OUTFALL (SDO) MONITORING.; REPORT % REGIONAL OFFICES' To Whom It May Concer-n;.. _ 3500 NC Highway 133 Rocky Point, NC z8457 Enclosed is the SDO for the first semester 2017 for our Greenville facility. There - 0..99 800.533533.978789 ' were no exceedances at.any of the three outfaIIS. - .. _ - f 910.602.3106 We are still, awaiting'the new SW.Permit and were wondering when'it might be available.. .P.O. Box 965 Tifton, GA 31793 - - 229.382.7272 Should you require further information, regarding this submittal please do not 800.872.0644 : hesitate to contact me at (800) 726-5215. f 229382.9375 - Sincerely, 761 O US HWY 41-N Palmetto. FL 34221 - 941.722.5587 - - .800.726.5215 , f 941.729.2814 - - - RicRicK ck 4310 National Guard Drive Mgr., Environmental, Health & Safety . - Plant City, FL.33563. - - - 813.752.4244 806.832.5982 f 813.754.8095 RLIC: 100-17 enc.': www.Tr7EstAg.com _ - cc: File . CA 1-1 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000509 FACILITY NAME TriEst Ag Group, Inc. Greenville, NC PERSON COLLECTING SAMPLE(S) .30 ,n g k-! c CERTIFIEDLABORATORY(S) Test Amec%da Lab#�35 Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 26 t y e (This monitoring report shall be received by the Division no later than 30 a s from the date the facility receives the sampling results from the laboratory.) COUNTY Pitt ;i PHONE NO. (B00) 637-9468 rn $ r' 7 r ( NAT F PERMITTEE OR D GNE ) y this signature, I certify that this report is accurate complete to the best of my knowledge. —►l Jt I Ott ---------- ---------- ---------- ---------- ---------- Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes `I no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements MAR 0 5 2015 Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appi.) Non -polar O&G/fPH (Method 16" SGT-HEM), if appl. Total Suspended Solids pH New otOENR - Oil U 401 8 mo/dd/ r MG inches nWA mgfl unit al/mo Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Dale 12 1 M a y Total Event Precipitation (inches): Event Duration (hours): (only if applicable - see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable - see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center i6iL Raleigh, North Carolina 27699-1617 "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." �t �7 z Fvr Ir,Gst Ag GrooLY01- Z4dsll5 ( ature of P ittee) (Date) d5a-759-1/a63 Form SWU-247-062310 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT V Permit Number NCS 000509 SAMPLES COLLECTED DURING CALENDAR YEAR: V (This monitoring report shall be received by the Division no later than 3 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME TriEst Ag Group Inc Greenv Ile. NC COUNTY Pitt PERSON COLLECTING SAMPLE(S) John g i i io PHONE NO. aoo 637-9466 CERTIFIEDLABORATORY(S) TestAmer,ca Lab# 7 * fvr ine,TAgCWL.rf Lab # (SIGNAL PURMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall odium Methyldithio Formaldehyde Nitrate + Nitrite - N Total Phosphorus pH mo/dd/ r MG inches . u /L millL m /L m /L Standard Units N-001 t i V 0.4 N D 0. 029 N D N D 7.51 N-002 i r aj tvD NO NO 0.035 , 54 N-003 0,U N 01017 0.39 0.0837,30 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes `( no (if yes, complete Part B) Part B: Vehicle Maintenance Ac ivity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/PPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date I2- 2`1 11 O, Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." -Fvr lnFSl G(ojp ,Inc. 2 i 's r)lnature of P� nittee) (Date) Form SWU-247-062310 Page 2 of 2 Fs* A,5 STORM WATER DISCHARGE INSPECTION / MONITORING / SAMPLING FORM Greenville, NC Branch Semi -Annual Inspections: I" Semester 2"d Semester (Visual examination t Z 2! y of the storm water Date discharged from the outfall) Inspector's Initials Stormwater Discharge OOutfall (SDO) N-001 d" N-002 ❑ N-003 ❑ Criteria for Inspection: Obvious indicators of storm water pollution such as color, odor, clarity, floating solids, suspended solids, foam, oil sheen, erosion or deposition at the outfall. Directions for collecting sample: Samples shall be collected within the first 30 minutes (or as soon thereafter as practical, but not to exceed one hour) of when the runoff begins discharging from a storm event that is greater than 0.1 inches in magnitude. Samples may be collected in clear glass jars (mason) for observation. No analysis is required. If no rain occurs during a given semester, make note on this form below. Make comments regarding the water quality below: I" Semester 2"d Semester ccleac no CAD( - Additional Comments: /I d erm � OOSn �t STORM WATER DISCHARGE INSPECTION / MONITORING / SAMPLING FORM Greenville, NC Branch Semi -Annual Inspections: I" Semester 2"d Semester (Visual examination of the storm water Date discharged from the outfall) Inspector's Initials Stormwater Discharge Outfall (SDO) N-001 ❑ N-002 m/ N-003 ❑ Criteria for Inspection: Obvious indicators of storm water pollution such as color, odor, clarity, floating solids, suspended solids, foam, oil sheen, erosion or deposition at the outfall. Directions for collecting sample: Samples shall be collected within the first 30 minutes (or as soon thereafter as practical, but not to exceed one hour) of when the runoff begins discharging from a storm event that is greater than 0.1 inches in magnitude. Samples may be collected in clear glass jars (mason) for observation. No analysis is required. If no rain occurs during a given semester, make note on this form below. Make comments regarding the water quality below: I" Semester 2"d Semester clear' nu Uc�or Additional Comments: Part oosoi STORM WATER DISCHARGE INSPECTION I MONITORING / SAMPLING FORM Greenville, NC Branch Semi -Annual Inspections: (Visual examination of the storm water discharged from the outfal l) Ist Semester 2"d Semester Stormwater Discharge Outfall (SDO) 12-24/c( Date Inspector's Initial N-001 ❑ N-002 ❑ N-003 [R' Criteria for Inspection: Obvious indicators of storm water pollution such as color, odor, clarity, floating solids, suspended solids, foam, oil sheen, erosion or deposition at the outfall. Directions for collecting sample: Samples shall be collected within the first 30 minutes (or as soon thereafter as practical, but not to exceed one hour) of when the runoff begins discharging from a storm event that is greater than 0.1 inches in magnitude. Samples may be collected in clear glass jars (mason) for observation. No analysis is required. If no rain occurs during a given semester, make note on this form below. Make comments regarding the water quality below: I" Semester 2"d Semester Clear, l o acloc, Additional Comments: 91 RECEIVED FEB 18 2014 STORMWATER DISCHARGE OUTFALL (SDO) CENTRAL FILE MONITORING REPORT DWQ/BOG Permit Number NCS>000509a SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME TriEst Act Group Inc Greenville NC PERSON COLLECTING SAMPLE(S) A I H ricnn CERTIFIED LABORATORY(S) Test America Lab # E87358 Lab # Part A: Specific Monitoring Requirements COUNTY Pitt PHONE NO. (_a00_) 637-9466 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Outfall No. Date Sample Collected 50050 Total Flow (if a.) Total Rainfall S Solids CO Demand Oil & Grease Hexane Methyl Bromide Chloropicrin mo/dd/yr MG inches m /L m /L m /L m /L u /L u /L N-001 1/14/2014 0.6 Not Detected 9.1 Not Detected Not Detected Not Detected Not detected N-002 1/14/2014 0.6 11 22 3.3 Not Detected Not Detected 0.26 N-003 1/14/2014 0.6 Not Detected 27 Not Detected Not Detected Not Detected Not Detected M L. , /L lfn. Ntel Idt6� m�p u L O�mu®� e !(Rol`<-+N,trtc-nl lo'foL P (m /c N-ool ND o,ogy 0-obli 6•ZS N-0o N0 NO2 00 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 0, no (if yes, complete Pan B) Part B: Vehicle Maintenance Activity Monitorine Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date i 4 1 Total Event Precipitation (inches): 0• (D Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." / / ' / 6 {ur Tiu�o't` Q 5 mitt-, 2 (Signs of Permttt (Date) Form SWU-247-062310 Page 2 of 2 ARA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor Mr. Ricky L. Keck I lendrix and Dail, Inc. POI3 648 Greenville, North Carolina 27835 Dear Mr. Keck: William G. Ross, Jr., Secretary Alan W. Klimek, P.E., Director RECEIVED August 6, 2004 AUG 13 2004 DWQ-WARD Subject: NPDES General Permit Application Application Number NCS000509 Individual Stormwater Permit Pitt County The Division of Water Quality's Stormwater Permitting Unit hereby acknowledges receipt of your application for an NPDES individual stormwater discharge permit on July 23, 2004. Your submittal has been assigned the application number shown above. The submitted package contained EPA Form I General, EPA Form 2F NPDES, a site plan, laboratory analytical results of stormwater sampling, and the application processing fee. Please be aware that the Division's Washington Regional Office, copied below, will be asked to comment on the draft permit prior to final action by the Division. You should be aware that the review process generally takes 90 days from the date your complete submittal is received. This 90-day process may be extended if additional information is required. If you have any questions, please contact me at (919) 733-5083, extension 584 Sincere y, Ken Pickle Permit Writer cc: Washington Regional Office Stormwater Permitting Unit Central Files 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 T�iOne 7., 1 512 N. Salisbury St., Raleigh, North Carolina 27604 1 � orth Carolina. Phone: 919-733-7015/ FAX: 919-733-2496 / Internet: h2o.enr.state.nc.us An Equal Opportunity/Affirmative Action Employer- 50 % Recycled/10% Post Consumer Paper Naturally HENDRIX AND DAIL, INC. CORPORATE OFFICE HENDRIX AND DAIL, INC. P.O. BOX 648 GREENVILLE, NC 27835 800-637-9466 HOLLISTER OFFICE P.O. BOX 1327 HOLLISTER, CA 95024 408-637-0195 TIFTON OFFICE P.O. BOX 965 TIFTON, GA31793 800-872-0644 FRANKFORT OFFICE 2150 COMMERCIAL DR. FRANKFORT, KY40601 800-999-1262 PALMETTO OFFICE 7610 US HWY 41 NORTH PALMETTO, FL 34221 . 800-726-5215 Ricky L Keck .,.....,,:,,,..,::..:,n..—i•. Manager, Environmental, Health & Safety- CF_RTIFIED AL41L-RETURN RECEIPT July 19, 2004 D JUL 2 3 2004 NCDENR OEi;R - W41ER OUALIC POIHT SOURCE BRANCH SW & General Permits Unit 1617 Mail Service Center " Raleigh, NC 27699-1617 1.-11- " .. RE: NOI FOR STORMWATER DISCHARGES To Whom It May Concern: I have enclosed the EPA Form I General and Form 2F NPDES for our facility located at 1101 Industrial Blvd.', in Greenville. I have also included a recent stormwater analysis of our SW discharge and a check in the amount of $715.00 to cover the application cost. Should you require further information regarding this submittal please do not hesitate to contact me at (800) 726-5215. Sincerely, &KL) Ricky L. Keck, Mgr., Environmental, Health & Safety RLK:51/04 enc. cc: File Inn-rn areas are Wecea - - -- - - 'us. ENVIRowM ewrwL PworecnpN we ENcv -. ', REVERSE 1• 9PA I.D. NUMBER FORM GENERAL INFORMATION v p Consolidated Pcrmitt Program 1 as��/� F� GENERAL INSTRUCTIONS , GENERAL (Read the -General 7nstructioni' before Yarn e 1 LABEL if a preprinnad:.label,has been provided, affix` 1. EPA I.D. NUM R \ - - itin the designated space. Review the inform-i; ation carefully: if any of it is Incorrect, cross.` Ill- FACILITY NAME through it and enter the cprrect data in the appropriate fill=in area below. Also, if any of. \ the preprinted data is absent (the area to the,' FACILITY - V. - - left of the tabor space lists the information that should appeed.'please provide it in the. MAILING ADDRESS\�\PLEASE PLACE LABEL IN THIS SPACE' proper filltirr area(s/.:below. If the label .is. complete and correct, you need not Complete.', ,.� \ Items 1, III; V, and .VI !except VI-B which ; \ must be completed .rGgarrll¢ssl. Complete, all FACTl�ITYoN .V 1. items if not label has.been provided. Refer tq,,, the instructions for detailed : item. doscnp-." wcAn :bons and for -ihe legal:. authorizations .antler' which thisdata s; collected. :>:., It. POLLUTANT CHARACTERISTICS INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit: application forma to the EPA. If you answer 'yes" to any submit this form and the supplemental form listed in the parenthesis following the question. Mark "W'.. in the box jn the third column questions, you must if the supplemental form is attached. if you answer "no",to-eafh iiuestion, you need not suhmit any of -these forms. You may answer 7no (f your acti6ity Section C the.itti ructions. Sea alto, Section Bill the instructions for definitions`of bold faced terms. is excluded from permit requirements; we of h, A,-M . SPECIFIC QUESTIONSsis .'aPECIPIC-OU ESTIONS y e^cwen A. 'Is this fadnty a publicly owned 'treatment. world E. Does cewill This facility fe/drer existing or proposed),- .''include o'eonce tratadaldlnal feeding oparetlon`or.: x 'which results in a discharge to waters of.the U.S.? x ..;aquatic animal production facility which results W, e (FORM 2A) .' .. ... • ' dischargeas to watof the U.S.? I FORM 28) ,. C. Is this o aedrty w ¢ current y rasa is m, Ise aryes to of the U.S. other than' those oeunbed in X"In s t n a pmpq _ cl Ity of er an more described A ar Ba(sdml which will rewlt cob d-edwrga to-:.. x' A waters or auovez FORM 2C) wate.eeif thisU 7 (FORM 2D) '� F. Do you oi:wiif-you infect at this facility _)ndustrml or: E. Does or will this facility treat, store, or dispose of X - municipal effluent below the lowermost stratum con - hazardous wastes? (FORM3) taming, wfthi,n one ::quarter. mile of.tha-well rare_: .. underprpurid,iources'ofdrinkingwater➢tFORM41 ' ,. o you or wi you inject at this aal ry any p ace H. Do you or w1U you injeiT at thli Iac11Ry tlulds for spa-', water or other fluids which are brought to the surface natural 'C1a1 P 1zKlt mining of zulfur Gy'the Ftasch, ' ' in connection with conventional oil or gas. Pro-- x ;,<ar.�� solptipn miftng'6( minerals Insttd eorlbus duction, inject fluids used for enhanced recovery of, tlpn of fosstl7uel or,racovlry of gwthermel anerg`yT -oil or natural ,gas,'or, inject fluids to storage of liquid teDRMal.u� aM„' S t Is acI ry vprdpoted statntrlaty source which R Is t n 80 Ity a pr statronety fO1ItCa Whit n'. the '18 wteporks{istedhl Fhe : one or the 28 industrial otegorm tlstad In the .n,-; structions and Whlch',Win; potentially :emitx100 tons. X tJOT,.orw of Itlduftrul <^,?instrucuons -ell,E<which Rnll IxnsntRlly �tnlht 250 tolrs .. 4 /` . Ypar year -of;.any a r;pollutant regulated underc-ha t per y®r of Bny gV pol(utant rLqula[ed under the Cl rtz -Clean Air -Ace and kiay"affect or 6e brat d to an- r..Alr Aet arld,fisv eNee�br 6e Coated (n'i attain nt `<?%�aa7'{FDTi ;51: zi `_-!Y`Y.+ `i.�-+Y: `s.KIO-'� .,:bttainmentarae? IF6RM'51 V 1'.•.+,�'T."XI.* :. aN.a e _ _ I. x,_ -�.-. .III: NAME OF FACICITV -t>A� SNIP �fJ•DRI�C AtJ t7 tiIz- k.�i11+ IV. FACILITY CONTACT' ~ • .1 •. '.. A.'H AME'Q TITLE (IN}..'/rear a(f t%1. _ 11r.8 PHONE Iaredcnrte d o ;;yy r •'(•1 S + o z R� Cr 1� Kam= c yc i✓ ti S ,AAtJA C>E 2 g 0 V. FACILITY MAILING ADDRESS A. STREET OR P.O. BOX!`,%- s O }3 B. CITY OR TOWN QSTATE O•ZIP CODE VL FACILITY LOCATION A. STREET. ROUTE NO. OR OTHER SPECIFIC IDENTIFIER 5 a. ccUNTY NAME S •' C. CITY OR TOWN r: -N -.}ti�� `. 9 LTATE ^• :! ,Xle coo E? r. COUNTY O ; tg A //'•]a Z. % O ,J 'l 1• r%�y,�g� t) EPA Form 3510-1 (8-90) ^ , rt ZA o U �1 t5r60 CONTINUE ON V I. 6. l- VNI Iry UC r"UNI ITI VII. SIC CODES (d-digit.'in order of priority) ' A. FIRST q (tDeeill'I '7 (Specify)AG C.�% C.HEt-4.( f.faLs " G. TNIRO � � �D. FOURTH ltpecifly (Specify/ 7 Vill`OPERATOR INFORMATION A.NAME_ t ':. e... •, •.. ,.: ... ., ." B. Is the llama listed it, '. heal V I I I -A else, the 8 N � c-� UR�x A� � n �Ai � (t � L OWMf7', .'. ..'T'- u YES O NO' .. _ .. ... Ea .. C. STMTVS OF OPERATOR (Enter the appropriate left,, i"10 the answer ilOJ: IJ .mtilrr", Specify. a (oN'a I.de '...;: FEDERAL PUBLIC (other than federal or stare) P ltpecifl'i ` A 8do ty3% S STATE - ...' O• OTHER(weeffyl a _ •.z� '.P •PRIVATE N u - ,• ' 1 : "'-[. STREET OR P.O. BOX .. F.'CITY OR TOWN - - "`G.STAT NI zwcooei1XANDIAN-LAND U the lac,tny Ioested on Indian Iandsr s. GR E-F' `IC: N Z7 g 3 AYES NO 0.t Ella l Sr }.,'.. ly'.1l� .:a X. EXISTING ENVIRONMENTAL PERMITS " A.'NPOES (DUchaeges to Surface Water) D. PSO (Air EnliAions from Prtir)vwd Source) 'sib '• a. Ule (Underground Injection of.Fluidl) - "E: OTNER.(speeify) (specify) G. RGRA (Hazardous WESfesf - E:OTHER (rp[fifv/ T ` - n% e (rpeuifr) - 9 R 9 X1. MAP Attach tO this`ippltcaiiori.a topogriPhic map Di the area extending to at least one mile beyond property Italod�rles The (napinu `;hi. 'tlI•e OUt11ne of .the-faahtythe Iocatlai of eachyofits lexlstingatM proposed Intake and/dlsdlargstructtlrps eadi of Its tlaar�ousjwa treatment storage tqr disposal facihtles arW teach 4✓e{I where it tn)eets ftuitk tmdercp"` h, and a all rings inters artd-d lie wryiLa`c water bodiesin. thefnlaparea See lnstructl0[IetOr,pecls�requlrementa XII::NATUREOr• U$INES rpm--.41irt/dfrtRP lion ezl+\ k-DE.5 -Fc7R CDt�rAP2C�A� APPLt�1tDr� XIII. CERTIFICATION Tree fnrtruedons)- I certify under penalty of law that 1 have persona/ty examined and amYamiliar'with the intormatrori submitted m thrs epp/rcauon an`d aft attachments and that'based on my inquiry of'those persons immediately rasporislble, foiobtainirg 6& infomraation'coniained in the, ' application, I believe that the information is true, accurate and comp/eta. I am aware that there are slgnificarYtpenalties fwsubmftt+ng " false information, including the possibility of fine and imprisonment. A. NAME 6 OFFICIALTITLE,(typeorprintf EI-S7 URE GDATE SIGNED Ricky .ke-je- E Ns NfaN�>✓ro COMMENTS FOR OFFICIAL USE ONLY. 1w 9;P j EPA Form 3510.1 (8-90) EPA 0 Neff leer . PVV ftM Allen i of Form 1) FaM Approved. OMB No. 2040.OM Pke aiMIer tune in the unshaded areas ordv - Approval axplres "192 Fenn N DM YyeGdrgtoa, DO2D460 �� . EPA Application q {rater saharces Associated with Industrial Activity Paperwork Paduollon Act Notice PAft roportLq burden for tide appBallm Isestimated SoamnW MA hours pardon, Including tiro for rsvbwkhg Inffiucti Ui�ons Saud .GXWnp damea seamen, g"IV and rrlakhteer ining the data needed, uct am'reidawig }he coiIectia In at Mrmation: ... cnnrrhente roDemanD tlo, burden.aatkrha0a, ahoy other eager; a this Ddlectonh a khlonifetbru, « ealiens for improving thisform, including . suggestion kh may Inrneaea or reduce this burden to: Chief, Monnatbn Policy Branch; PMea U.& Environmental Protection jancy, 401 -` IL!KYVatlllrom. DC2D4W or Director, Ottoe of I bmuffi n aria Regub+M MUFO: Otis of Management and Budget Mahington, DC I. Fa each oultall, listihe lot hide and lowltude of Ite lobetorh tdtmrAoffidisthe AMM of the raaiN A. Outf a lhrmber 00 B. Latitude C. Lawfulde D. Receiving Water . name v 1? 7-1 O C>R _ 5WAMP CAOP,l— tj0Z 3 3 - -) O 7 N- 003 3S is -� zo Z. II.lm rovemerft A Are you now required by arty Federal Sate, or local authority to meat any ImpbrnmaatWn schedule for In consbuctlon, upgmdinp « operation a wastewater trsetrnerd equpmeM «q�to� or rely other amlronmeMel prop which zany afloat the diedmrges desertbed In Ads appeoatorh7 This Indudes, but Is not I rna to, penMt condition, admtnbtratlw traMorcemaM orders, enforcement oanpliena schedule letters, sdpuletloro, curt orders, and grant ban aondMes 1. IdemiBaton of Cowildo o. -Agree Re. - 2. Affected OuNeTh 3. Brist pesompow of 4. Final Own nonce Date number. wawa source of diac herne 0. You rosy, attach additional dheste desaiMnp arhy additional water pollution nor other environmental projects which ussy atac your dbdhaa"9) you now hews under way or which you pith. 6dioals whether each program to now under way or planned, and Indicate your er'Ahai Of road mhWuka for construction. III. Me DmIrmae Ma Attedh a site map tapog (w bdtatinp the outiko a areas served by doe outat(s) covered In the eppllcaticn M e topbgrepldo map Is amvallabb) d rngg to feoaty IndufihQ each a He fihmks and dladh#gs ; the draboags area of each storm water ouMaa; paved areas and bhdldirga rdthln t e drainage area each storm water Dolton, each known past or present areas used for outdoor storage or disposal of dgro icem materials, each mdatkg structural ehorN, measure to rsdua pdiutam in storm waor nrhoM, materbh baaing and access grew. areas where psstddey herbicides, sDt conditioners and fertilizers are applied; each of Its hazardous waste beabnem, storage or disposal units Urhruding each area not required to have a RCRA perndt which b used for aooumulaft hazardous waste under 40 CFR AW 34); each well where aWtls kom to facility are Injected haMerground; spdnga, end other surface water bodies which receive storm water disclueraes, from the facliftv. EPA Form 3510-21F (Rev. 1-02) - - Page 1 a 3 - Continue on Page 2 8 � - m � J a s s Js kgo AL Q y o N Ila .ar f 2 2 1 'R CrD fill Z � to . FPA m Number (eopyaom rmm l orrmm l) Continued from Pane 2 A,B,G & D: $oe Insbudkro before prooaedinp. Complete one eel of tebles for each outfail. Annotate to outlell number In the space provided. Tables 111144, VI and MI -Care Inchded on separate shaft numbered MI l and VIF2 E: Polendal discharges not covered by analysis - is any tops pollutant listed in table 2F-2, 2F-3 or 2Fd, a substance or a component of a substance which you currency use or manufacture as an Intermediate or final Product or byproduct? . Yes afl such polAdants below No to Section no Do you have say Knowledge or reason to believe tat any biological teat for acute or chronic toolcty has been made on my of your di cltarg" or on a recelving water In relation to your dlacrerps widdn the fast 3 years? . Yes Mer a9 such pWhjtnnts beAN4 No to Seedon IX Contract Ana Were of are analysis reported in ham VII performed by a wand laboratory or cansulft rem? . eaa"Y V� I Yes (at to name, .It end iskphaw Wival nueMer d, and poflutanfa :❑ No (go to Section Jp lam'' A. Nam & Address C. Area Cods & Phone No. D. Pollutants Analymed 5cosp- J TnE� Rd. 813 88S ")y2� " �nwsc C0 LA80&AT0 R1 ES I 1 - Sv,hTt 100 TSS f H TAhpr1 FL TKO. l P 33 LR 82 Ca o of law this document and all atlachmero were prepared under my dkoctfol or I under penallythat . sf�slon Jn accordance tMtll a system designed to assure that qualified personnel property gather and evaluate the kdOrpnffifon submitted. Based on my hfqulty d tine person or persons who manage fhe system or those persons diroody responslb)e for go the /Namadon, (he Irdomadon submitted Is, to the best of my knowledge and I that there signb7cant for submitting false hdbmwdbr4 belle[, but and C�ete Bm aware are penalties includingfhea possWityof Hine andkilpdsonmentfor (mow)ngiblatfons. 0. Name & OMdd Tltls (dpe orprOtQ B. Ares (bde and PIxm No. �1 (deck. EHS I'�r'AGE2 if'vo�2:l. S'L15 G D. Date Signed (s -0 EPA Form 3510-2F (Rev. 1-92) Pape 3 of 3 EPA ID rwmber &oPyt=n Ram 1 of Form 1) Form Approved. OMB No. 2Da0o085 Approvd ezphee 53182 n • 1 '10.. 1. � Ic'• • C'� I'• EPAForm3510-21F-(Rev. 1.04 - Page V6.1 - -- -' _ ___' --- - Continue on Heverae Continued from the Front Part C - Nda Wde� adwwn fd feq buIn Tobi a. Co 2F- one 18bb tol a ll oloom of have season to believe Is preeeM. See the InsCwYbna tw ' Pdluterd CAS Nanber (Ravailable) Mm&num Volume Qraluds uMls) pie Values Wwfuds un" Number of soam Ewnb Sampled Sources of FblMrtante T 1pN FlowAweiphted Conl calls, . firab S pb Ta �Du�ring MBu1be . qvw-*Mad CorrrpoNb Pet D - Provide dab for the None evendsl which resulted in the maximum velum for the flow welchlad 1. Dab of Storm Evert 2 Duration of Storm Evert mlrwba & Total rNMa2 durYtp Nam evarrt Inctin A Number d Itoura between u � ant erW of previaia rtgestaebb rein evmrl 5. Mmdmum flow rate dudng min event (gapona nu0s ar Wte & Total flow from rein event or urdfa G•tv�I SY ).2 �2 3 pSP„ Z000JA) f. Provide a desal of the matlwd of flow ntaemxementofeadmab. V(SUA(, C--3'ffl•MATE EPA Fofm 9510.2E (PAY- 1-02) . t-qp vl� F- 12 3 4 7 8 R Ra.{tian note Date Sgmn ChackW To aanara avez —� I A yeMyNN, A ---------------------------------------------- ---- I Rggp�5 b9vyv QIld NN2 SirmwbrQN+YNMO �y V�hImV f} � �klltlal Eplpml5lvye H� FS B , nau.M [` Fwiryplm Rp 9orv�e Ma B Lyfvgx RemMaioNnp >~ I emn a+^>QemRw RaimaE Tea }ai O m -------1, EvWd T.j O hnrma r C owaa.,M. I I � W.T.l I Tw LoaEYplD i% k �w++w.e sme.e. haa+ae) D FommeRT4 ON D I 1 � olnw '+' Palo Roo Blala}I�II Oam I C«oo<u. oteoe. Il— �I II E I � 1 I I I terra tltr simar xyde MAtefaeice Legend DBWWW W CheckaaM Mpwad M-dib F"e Date &ale F }y svnnvaer RLK RLK RLK71laW GVFadliH 7/73004 ww Srale F ear. Drainage Plan H&D, Inc. EM. 0 1/1 1 2 3 6 7 8 STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Report For: Mr. Rick Keck Hendrix and Dail 7610 U.S. Hwy 41 North Palmetto, FL 34221 CC: Order Number:B423238 SDG Number: Client Project ID: Project: Greenvi11e,NC Report Date:07/09/2004 Sampled By:Client Sample Received Date:06/30/2004 Requisition Number: Purchase Order: tfritz@stl-inc.com The test results in this report meet all NELAP requirements for parameters for which accreditation is required or available. Any exceptions to NELAP requirements are noted in this report. Pursuant to NELAP, this report may not be reproduced, except in full, without the written approval of the laboratory. Page 1 of 10 STL, - STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Order: B423238 Date Received: 06/30/2004 Client Sanple ID Greenville, Outfall (9p0 Sample Summary Client: Hendrix and Dail Project: Greenville,NC Lab Sample ID Matrix B423238*1 Liquid Date Sampled 06/28/2004 06:00 Page 2 of 10 STL STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Description Matrix Date Received Date Sampled SDGV 23238-1 Greenville, Outfall (SW) Liquid 06/30/04 06/28/04 06:00 Lab Sample IDs parameter Units 23238-1 Volatiles by GC/MS (8260) Bromomethane (Methyl bromide) ug/l 0.66U trans-1,3-Dichloropropene ug/l 0.14U Surrogate - Toluene-d8 * % 116 % Surrogate - 4-Bromofluorobenzene * % 108 % Surrogate - Dibromofluoromethane * % 108 % Analysis Date 07/06/04 Analysis Time 14:35 Oil & Grease (Hexane Extractable Material)(1664) (1664) Oil & Grease (Hexane Extractable Material)(1664) mg/l 0.73U Prep Date 07/06/04 Analysis Date 07/06/04 Analysis Time 15:00 Biochemical Oxygen Demand (5 Day) (405.1/5210B) Biochemical Oxygen Demand (5 Day) mg/l 2.OU Analysis Date 06/30/04 Analysis Time 16:25 Page 3 of 10 STL STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Repot Lab Sample M Description 23238-1 Greenville, Outfall (SW) Lab Sample Ms Parameter Units 23238-1 Suspended Solids (160.2) Suspended Solids mg/l S.OU Analysis Date 07/02/04 Analysis Time 10:30 PH (150.1) pH units 7.1 Analysis Date 06/30/04 Analysis Time 13:30 Chemical Oxygen Demand (SM5220C) Chemical Oxygen Demand mg/l 20U Prep Date 07/01/04 Analysis Date 07/02/04 Analysis Time 10:34 Total Kjeldahl Nitrogen-N (351.3) Total Kjeldahl Nitrogen-N eg/l 1.3 Analysis Date 07/06/04 Analysis Time 10:00 Phosphorus, Total (365.2) Phosphorus, Total mg/1 0.056I Analysis Date 07/01/04 Analysis Time 20:00 Matrix Date Received Date Sampled SDGI Liquid 06/30/04 06/28/04 06:00 Page 4 of 10 SrTL STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Description Matrix Date Reoeived Date Sanpled SDG# 23238-2 Method Blank Liquid 06/30/04 23238-3 Accuracy Mec) Liquid 06/30/04 23238-4 LCS Accuracy Control Limit (%O Liquid 06/30/04 23238-5 Precision (%iPD) Liquid 06/30/04 23238-6 LCS Precision Control Limit (Advisory) %iPD Liquid 06/30/04 Lab Sample 3Ds Parameter hits 23238-2 23238-3 23238-4 23238-5 23Z38-6 Volatiles by GC/MS (8260) Bromomethane (Methyl bromide) ug/l 0.66U trans-1,3-Dichloropropene ug/1 O.14U Surrogate - Toluene-d8 * % 110 % 102/106 % 77-122 % Surrogate - 4-Bramofluorobenzene * % 102 % 100/102 % 74-126 % Surrogate - Dibromofluoromethane * % 98 % 96/98 % 70-130 % Benzene % 94 % 62-135 % 0 % <16 % Toluene % 105 % 68-131 % 1.9 % <33 % Analysis Date 07/06/04 07/06/04 07/06/04 Analysis Time 11:59 Oil & Grease (Hexane Extractable Material)(1664) (1664) Oil & Grease (Hexane Extractable Material)(1664) mg/l O.73U 97 % 78-114 % 2.1 % <18 % Prep Date 07/06/04 07/06/04 07/06/04 Analysis Date 07/06/04 07/06/04 07/06/04 Analysis Time 15:00 Biochemical Oxygen Demand (5 Day) (405.1/5210B) Biochemical Oxygen Demand (5 Day) mg/l 2.OU 90 % 85-115 % 2.8 % <30 % Analysis Date 06/30/04 06/30/04 06/30/04 Analysis Time 16:25 Page 5 of 10 STL - STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Desmiptian Matrix Date Received Date Sampled -9" 23238-2 Method Blank Liquid 06/30/04 23238-3 Accuracy Stec) Liquid 06/30/04 23238-4 LCS Accuracy Control Limit M Liquid 06/30/04 23238-5 Precision (%2PD) Liquid 06/30/04 23238-6 LCS Precision Control Limit (Advisory) %2PD Liquid 06/30/04 Lab Sample II2s Parameter Units 23238-2 Z3238-3 Z3238-4 23238-S 23238-6 Suspended Solids (160.2) Suspended Solids mg/l S.Ou 99 % 80-120 % 6.1 % <25 % Analysis Date 07/02/04 07/02/04 07/02/04 Analysis Time 10:30 PH (150.1) PH units 6.0 107 % 63-158 % 0.67 % <40 % Analysis Date 06/30/04 06/30/04 06/30/04 Analysis Time 13:30 Chemical Oxygen Demand (SM5220C) Chemical Oxygen Demand mg/l 20U 105 % 80-120 % 3.8 % <40 % Prep Date 07/01/04 07/01/04 07/01/04 Analysis Date 07/02/04 07/02/04 07/02/04 Analysis Time 10:34 Total Kjeldahl Nitrogen-N (351.3) Total Kjeldahl Nitrogen-N mg/l 0.44U 100 % 75-125 % 1.1 % <40 % Analysis Date 07/06/04 07/06/04 07/06/04 Analysis Time 10:00 Page 6 of 10 SrTL STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Description 23238-2 Method Blank 23238-3 Accuracy Qaiec) 23238-4 LCS Accuracy Control Limit (%i) 23238-5 Precision MPD) 23238-6 LCS Precision Control Limit (Advisory) %tPD Lab Sample )Ds Parameter Units 23238-2 23238-3 Phosphorus, Total (365.2) Phosphorus, Total mg/l 0.017U 99 % Analysis Date 07/O1/04 07/01/04 Analysis Time 20:00 Page 7 of 10 Mhtmx Date Received Date Sampled SDG# Liquid 06/30/04 Liquid 06/30/04 Liquid 06/30/04 Liquid 06/30/04 Liquid 06/30/04 23238-4 23238-5 23238-6 60-140 % 0 % <40 % 07/01/04 STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Descr-iption Matrix Date Reoeived Date Sampled SDG# 23238-7 Practical Quantitation Limit (PQL) Liquid 06/30/04 - 23238-8 Method Detection Limit (POL) Liquid 06/30/04 Lab Sample IN Parameter- Units 23238-7 23238-8 Volatiles by CC/MS (8260) Bromomethane (Methyl bromide) ug/l 1.0 0.66 trans-1,3-Dichloropropene ug/1 1.0 0.14 Oil & Grease (Hexane Extractable Material)(1664) (1664) Oil & Grease (Hexane Extractable Material)(1664) mg/l 5.0 0.73 Biochemical Oxygen Demand (5 Day) (405.1/5210B) Biochemical Oxygen Demand (5 Day) mg/l 2.0 2.0 Suspended Solids (160.2) Suspended Solids mg/l 5.0 5.0 Chemical Oxygen Demand (SM5220C) Chemical Oxygen Demand mg/l 20 20 Total Kjeldahl Nitrogen-N (351.3) Total Kjeldahl Nitrogen-N mg/l 0.50 0.44 Page 8 of 10 STL, STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Analytical Data Report Lab Sample ID Description Matrix Date Received Date Sampled SDGN 23238-7 Practical Quantitation Limit (PQL) Liquid 06/30/04 23238-8 Method Detection Limit (bDL) Liquid 06/30/04 Lab Sample Ms Parameter Wits 23238-7 23238-8 Phosphorus, Total (365.2) Phosphorus, Total mg/l 0.10 0.017 Page 9 of 10 STL STL Tampa 6712 Benjamin Road, Suite 100 - Tampa FL 33634 Telephone:(813) 885-7427 Fax:(813) 885-7049 Order Number: 9423238 Method: EPA 600/4-79-020,SW-846,FDEP,Federal Register, Standard Method DOH Certification NE84282 I e The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit. U e Indicates that the compound was analyzed for but not detected. These test results meet all the requirements of NELAC. All questions regarding this test report should be directed to the STL project manager who signed this test report. The estimated uncertainty associated with these reported results is available upon request. Page 10 of 10 Serial Number 05371 ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD ' STL 8Lf2�Z3� ®f STL Tampa Website: w .stl-inc.com 6712 Benjamin Road, Suite 100 Phone: (813) 885-7427 Tampa, FL33634 Fax:18131885-7049 O Alternate Laboratory Name/Location Phone: Fax: PROJECT REFERENCE PROJECT NO. PROJECT LOCATION (STATE) MATRIX TYPE REQUIRED ANALYSIS PAGE OF SAMPLER'S SIGNATURE P.O. NUMBER CONTRACT NO. Q ? m o = 0 d o V 0 w a ¢ o Jo o o o w g ¢ z o o g a ¢ o Z Orh J_ Z I� (� T �pp� Z ! REPORT DELIVERYO DATE DUE DEL VDITTED REPORT (SURCHARGE) O DATE DUE CLIENT (SITE) PM CtREENV1llti fJ C. CLIENT PHONE K0D 7L(, 5215 CLIENT FAX 9y1729-Z-814 CLIENT NAME NEN7)R1X -DAC• CLIENT E-MAIL RKe-CJ4 r CLIENT ADDRESS r!ol /N77usre/q� BcvD G+cee.-willc ,j C. Z.%$3g �'U z�- EFV ` V NUMBER OF COOLERS SUBMITTED PER SHIPMENT: / COMPANY CONTRACTING THIS WORK (if applicable) SAMPLE SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME I R LIN ED BY: ISIGNATu DATE TIME RELINQ HE Y' NAT I DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME iG RE) OiV r q Tr DATE /O- Dy TIME D90D RECEIV BY: (SIGNATURE) DATE TIME RECEIVED BY: (SicrvaruRE) DATE TIME ...`.LABORATORY US E:ONLY; R.aECOLABO:Y CUSTODY O SEALN 0l: LOG NO � •STAM�/ ' = ABATiRMARKS-- �,,,,.-a'%., a 122