HomeMy WebLinkAboutNCG090025_2022 DMR_20220411NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000
Paints, Varnishes, Lacquers, Enamels, and Allied Products
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. NCG09 0025
Person Collecting Samples: Lisa King
Facility Name: BonaKemi USA, Inc.
Laboratory Name: Waypoint Analytical
Facility County: Union
Laboratory Cert. No.: 402
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: 4/11/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
ORW
N/A
Date Sample Collected MM/DD/YYYY
3/17/2022
46529
24-Hour Rainfall in inches
0.35
C0530
TSS in mg/L (100 or 50*)
5.5
00400
pH in standard units (6.0 — 9.0)
6.26
Cadmium total (as cd) in mg/L (0.002
01027
or 0.003**)
<0.0010
Lead, total recoverable (as Pb) in
01051
mg/ L (0.075)
<0.0010
Chromium III, total recoverable (as
C0034
Cr) in mg/ L (0.905)
<0.001
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
N/A
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
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
* ` Outfalls to Trout Waters (Tr) have a benchmark Cadmium limit of 0.002 mg/L. All other water classification have a benchmark of 0.003 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
submitte is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inf mation, including the possibility of fines and imprisonment for knowing violations."
4/11 /2022
of Permittee or Deleted Authorized Individual Date
Email Address lisa.king@bona.com Phone Number 704-220-6954
Waypoint
ANALYTICAL
3/23/2022
Bona US
Lisa King
4275 Corporate Center Drive
Monroe, NC, 28110
Ref: Analytical Testing
Lab Report Number: 22-076-0018
Client Project Description: Stormwater 2022
Dear Lisa King:
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Waypoint Analytical, LLC (Charlotte) received sample(s) on 3/17/2022 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
U
Terri W Cole
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 7
Waypoint.0
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State
Program
Lab ID
Expiration Date
North Carolina
State Program
37735
07/31/2022
North Carolina
State Program
402
12/31/2022
South Carolina
State Program
99012
07/31/2022
South Carolina
State Program
99012
12/31/2022
Page 1 of 1 00016/22-076-0018
Page 2 of 7
•
•
Waypoint. 449 5pringbrool< Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 22-076-0018
Client Project Description: Stormwater 2022
Lab No Client Sample ID
96332 Sw # 1
Matrix Date Collected Date Received
Aqueous 03/17/2022 08:51 03/17/2022 15:29
Page 3 of 7
(D
WayPAo i nt
NALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.S29.6364
www.waypointanalytical.com
Client: Bona US CASE NARRATIVE
Project: Stormwater 2022
Lab Report Number: 22-076-0018
Date: 3/23/2022
pH was received and analyzed outside of the hold time.
Page 4 of 7
•
Waypoint
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL
www.waypointanalytical.com
00057
Bona US
Project
Stormwater 2022
Lisa King
Report Date : 03/23/2022
4275 Corporate Center Drive
Information :
Received : 03/17/2022
Monroe , NC 28110
/� _ - 1 UJ /' %P
U"W
Terri W Cole
Report Number: 22-076-0018
REPORTOFANALYSIS
Laboratory Project Manager
Lab No : 96332
Matrix: Aqueous
Sample ID: SW #1
Sampled: 3/17/2022 8:51
Test
Results
Units
MQL
DF Date / Time By Analytical
Analyzed Method
pH
6.26
S.U.
1 03/18/2210:15 CLB 4500H+B-2011
Total Suspended Solids
5.5
mg/L
2.5
1 03/21/22 15:00 SLO 254OD-2015
Cadmium
<0.0010
mg/L
0.0010
1 03/22/22 23:38 EDV 200.8
Chromium
<0.001
mg/L
0.001
1 03/22/22 23:38 EDV 200.8
Lead
<0.0010
mg/L
0.0010
1 03/22/22 23:38 EDV 200.8
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 5 of 7
WayPAo0nt�
NALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 00057
Customer Name: Bona US
Report Number: 22-076-0018
Shipping Method
0 Fed Ex 0 US Postal * Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IRT-15 4AC
Shipping container/cooler uncompromised?
* Yes
0 No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
0 Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
Yes
0 No
0 N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr)
F_ High concentration pre -weighed (methanol -14 d) [_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes # No
Comments:
Signature: arah J. Locklear Date & Time: 03/17/2022 15:57:15
Page 6 of 7
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Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit Mips://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy-m i neral -land -permits/stormwater-permits/npdes-industrial-swgtab-4
Permit No.: N/C/ /_/_/ /_/_/ / or Certificate of Coverage No.: N/C/G/ 0 / 9 /0 / 0 / 2 / 5 /
Facility Name:
County: Union
BonaKemi USA, Inc.
Inspector: Lisa King
Date of Inspection: 3/17/2022
Time of Inspection: 0851
Total Event Precipitation (inches): 035
Phone No. 704-220-6954
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 thisAgnature, I certify that this report is accurate and complete to the best of my knowledge:
(qgnature 'of Perrra�tee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.): Ditch
Receiving Stream:
Twelve Mile Creek
Describe the industrial activities that occur within the outfall drainage area: None
Page I of 2
SWU-242. Last modified 07/28/2017
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.): None
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
l 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? ®Yes 0 No.
9. Is there evidence of erosion or deposition at the outfal1? O Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
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