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HomeMy WebLinkAboutNCG030596_2021 DMR_20211201NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 Metal Fabrication Click here for instructi 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. NCG03 0596 Person Collecting Samples: K. Rhinehart Facility Name: Controls Southeast Inc Laboratory Name: Par Labs Facility County: Mecklenburg Laboratory Cert. No.: 20 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)? A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No Date Uploaded: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Parameter Outfall1 Outfall2 Outfall Outfall Outfall Code N/A Receiving Stream Class C C N/A Date Sample Collected MM/DD/YYYY 11/12/2021 11/12/2021 46529 24-Hour Rainfall in inches 1.74 1.74 C0530 TSS in mg/L (100 or 50*) 5 12 00400 pH in standard units (6.0 — 9.0) 7.37 7.43 01119 Copper, total recoverable in mg/L 0.003 0.015 (0.010) 01051 Lead, total recoverable in mg/ L 0.002 0.002 (0.075) 01094 Zinc, total recoverable in mg/ L 0.666 0.087 (0.126) 78141 Total Toxic Organics (TTO) in mg/L(1) N/A N/A (if required) 00552 Non -Polar Oil & Grease in mg/L (15) 6.0 5.8 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 * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L Notes (optional): Elevated zinc levels previously reported to Mr. Zahid Khan "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 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." a—Q,4— L _ Lit.... t 12/01 /2021 Signature of Permi6ee r Delegated Authorized Individual Date Email Address KATE.RHINEHART@AMETEK.COM Phone Number (704)-644-5002 Total Toxic Organics Certification: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated toxic organics into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention Plan." -�- 12/01 /2021 Signature bf Permkee-o Delegated Authorized Individual Date Email Address KATE.RHINEHART@AMETEK.COM Phone Number 704-644-5002 PA& C CIJ RATE• RELIABLE LABORATORIES, INC WWW.PARLABS.COM REPORT OF ANALYSES Attn: SAM HOUFF CONTROLS SOUTHEAST, INC PO BOX 7500 CHARLOTTE, NC 28241- PROJECT NAME: NOV 21 DATE: 12/01/21 SAMPLE NUMBER- 143049 SAMPLE ID- CSI RUNOFF #1 SAMPLE MATRIX- WW DATE SAMPLED- 11/12/21 TIME SAMPLED- 0625 DATE RECEIVED- 11/12/21 SAMPLER- KR RECEIVED BY- DJ TIME RECEIVED- 0950 DELIVERED BY- SB TYPE SAMPLE- Grab Page 1 of 2 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS pH VALUE SM 4500H+B 11/12/21 0955 DJ 7.37 units OIL & GREASE EPA 1664 11/17/21 0820 CT < 6.0 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 11/15/21 0810 DJ < 5 mg/L COPPER, TOTAL EPA 200.7 11/23/21 1807 MR 0.003 mg/L LEAD, TOTAL EPA 200.7 11/23/21 1807 MR < 0.002 mg/L ZINC, TOTAL EPA 200.7 11/23/21 1807 MR 0.666 mg/L �1 LABORATORY DIRECTOR f 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 LL PROM PT•ACCURATE• RELIABLE LABORATORIES, INC WWW.PARLABS.COM Attn: SAM HOUFF CONTROLS SOUTHEAST, INC PROJECT NAME: NOV 21 PO BOX 7500 DATE: 12/01/21 CHARLOTTE, NC 28241- SAMPLE NUMBER- 143050 SAMPLE ID- CSI RUNOFF #2 SAMPLE MATRIX- WW DATE SAMPLED- 11/12/21 TIME SAMPLED- 0630 DATE RECEIVED- 11/12/21 SAMPLER- KR RECEIVED BY- DJ TIME RECEIVED- 0950 DELIVERED BY- SB TYPE SAMPLE- Grab Page 2 of 2 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS pH VALUE SM 4500H+B 11/12/21 0955 DJ 7.43 units OIL & GREASE EPA 1664 11/17/21 0820 CT < 5.8 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 11/15/21 0810 DJ 12 mg/L COPPER, TOTAL EPA 200.7 11/23/21 1807 MR 0.015 mg/L LEAD, TOTAL EPA 200.7 11/23/21 1807 MR < 0.002 mg/L ZINC, TOTAL EPA 200.7 11/23/21 1807 MR 0.087 mg/L LABORATORY DIRECTOR 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 CHAIN OF CUSTODY Phone (704) 588-8333 aMPT•Att UMATE+WELIABLB Fax (704) 588-8335 LABORATORIES, INC Shipping: 2217 Graham Park Drive Charlotte, NC 28273 It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North caronna ue artmenr or tnwronmentar ana rvalurai Kesources. Company Name (billing) Comments/ Special Instructions CONTROLS SOUTHEAST, INC Address 12201 NATIONS FORD ROAD City, State a zip code PINEVILLE, NC 28134 Point of Contact ft Telephone Number -704— G—T S i %-72 SMA I IOUFf 4%-9 53 V_JS j--E i2 N t to 6 +I• A; OLT Sample Taken By: SIGNATURE .Ci--'r PRINTED NAME L� k,%— F 9_l$1 N E N'A -t ARE SAMPLES FOR STATE or EPA REPORTING? YES NO "Sample Type: DW WW GWMW HW sou other Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C "*Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n/a Residual Chlorine checked at time of sampling (YIN): Dechlorination Necessary (Y/N): iient sannipie'l 0 Set Up Collection} names i3a)ripk Ltx Lion tNumber) Comp Grab Presenr. Daterrime6aban1 ie Reqea*de_ STORM WATER RUNOFF #1 X < 4° C = I i tz zt PH' TSS V : Z5A , X H2504 &G X HNO3 w Pb, Cu, Zn STORM WATER RUNOFF #2 X AHNO3 It IZ� Dl PH, TSS X l &G X Pb, Cu, Zn Rel' quished by: Daterrime Keceiveo uace, 111110 _a Relinquished by: DaterTime Received by: Date/Time C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste