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Home My WebLink AboutNCG090025_Monitoring Report_202108178rr/2021 Submission Completed 3: noun, Cnvounn a.ea.w,mrai Wm�r Stormwater NPDES Permit Data Monitoring Report (DMR) Upload Permit and Facility Information: Please enter the permit number and other details for this upload. . . . ............. ............. ........._....... RECF/VJ�G AU61 7 aa71 Mo reso/Q Rerg on Once IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload. Fields marked with a red asterisk* are required. Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's) NCG090025 Must begin with NCS or NCG Facility Name:* BonaKemi USA, Inc. County:* Union After uploading here, the original signed hardcopy must be mailed to: DEQ Mooresville Regional Office Attn: DEMLR Stormwater Program 610 East Center Avenue Suite 301 Mooresville, NC 28115 Further contact details at hftps:Hdeq.nc.gov/contact/regional-offices/mooresville Monitoring Period Information: Monitoring Period What is the YEAR of the sample date(s)? Year:* 2021 Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years with a new submittal form. https://edocs.deq.ne.gov/Forms/Form/Submit 1/2 8/7/2021 Submission Completed Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically requested by DEQ staff. Only upload the completed and signed DMR forms. DMR Upload * Click the upload button or drag and drop files here to attach document. Stormwater DMR Report - NCG090025 - 210709.... 976.77KB Only PDFs are accepted. Comments: * By checking the box and signing box below, I certify that: o I have given true, accurate, and complete information on this form; o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the uUniform Electronic Transactions Act"); a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature; AND o I intend to electronically sign and submit this DMR upload form. Full Name: * Lisa M King Name of person submitting this form Email Address: * lisa.king@bona.com Phone Number: * 704-220-6954 Signature: * &I " e IWO) r-A,W Date: * 08/07/2021 https:Hedocs.deq.nc.gov/Forms/Form/Submit 2/2 NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitor?.ig 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. NCGO900 2r Person Collecting Samples: Lis K'- Facility Name: Sora ZeAi OVA Laboratory Name: \40qVp6j1A4An4'+lcvJ Facility County: Ljnj�p n Laboratory Cert.No.: 5/pA Discharge during this period: UYes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes J?j No If so, which Tier (I, II, or III)? A copy of this DMR has been uploaded electronically via https:Hedocs.deci.nc.gov/Forms/SW-DMR ® Yes ❑ No Date Uploaded: 0g-07- 26Qj Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in (Red) Parameter Parameter Outfall Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY UG 2P xjx( 46529 24-Hour Rainfall in inches Q, S, C0530 TSSin mg/L(100or50•) &, 5- 00400 pH in standard units (6.0-9.0) -Wo 01027 Cadmium total (as cd) in mg/L (0.002 // 0' OO) 0 G, or 0.003••) S 01051 Lead, total recoverable (as Pb) in mg/ L 0.075) C0034 Chromium III, total recoverable (as <0100;L 9iOn"�R Cr) inm /L(0.905) Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil oRiverage 00552 Non -Polar Oil & Grease in mg/L (15) (J NCOIL Estimated New Motor/Hydraulic Oil iJ Usage in gal/month Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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, orthose persons directly responsible for gathering the information, the information submttttes( is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false injIbonation,includingthepossibilityoffinesandimprisonmentforknowingviolations." *.,.p5ture of Irmittee c Email Address L;m Authorized Individual 16 @,boncl.. CO ! 120al Date Phone Number 70V',W - G �i�Y Waypoint. ANALYTICAL 7/9/2021 Bona US Lisa King 4275 Corporate Center Drive Monroe, NC, 28110 Ref: Analytical Testing Lab Report Number: 21-182-0027 Client Project Description: Stormwater 2021 Dear Lisa King: 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 www.waypointanalytimi.com Waypoint Analytical, LLC (Charlotte) received sample(s) on 7/1/2021 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 2012) 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, (OffljLt)c.vC2` 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 6 Waypoint. \�- 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 1_D _ Expiration Date North Carolina State Program 37735 07/31/2021 North Carolina State Program 402 12/31/2021 South Carolina State Program 99012 07/31/2021 South Carolina State Program 99012 12/31/2021 Page 1 of 1 00016/21-182-0027 Page 2 of 6 Waypoint.'�_.. . ANALYTICAL Report Number: 21-182-0027 Client Project Description: Stormwater 2021 Lab No Client Sample ID 90813 SW#1 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 www.waypointanalytical.com Sample Summary Table Matrix Date Collected Date Received Aqueous 06/28/2021 17:45 07/01/2021 16:30 Page 3 of 6 Waypoint.. ANALYTICAL 00057 Bona US Project Usa IOng 4275 Corporate Center Drive Information Monroe , NC 28110 Report Number:21-182-0027 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 www.waypointanalytical.com Stormwater 2021 REPORT OF ANALYSIS Report Date : 07109/2021 Received : 07/O1/2021 � J.�w, Terri W Cole Laboratory Project Manager Lab No : 90813 Sample ID : SW#1 Matrix: Aqueous Sampled: 6/28/202117:45 Test Results Units MOL DF Date/Time By Analytical Analyzed Method pH 7.10 S.U. 1 07/02/2110:10 ENM 4500H+B-2011 Total Suspended Solids 6.5 mg/L 3.5 1 07/02/21 08:30 SMW 2540D-2011 Cadmium <0.0010 mg/L 0.0010 1 07/08/2119:26 EDV 200.8 Chromium <0.002 mg/L 0.002 1 07/08/2119:26 EDV 200.8 Lead <0.0010 mg/L 0.0010 1 07/08/21 19:26 EDV 200.8 Qualifiers/ DF Dilution Factor Definitions L Limit Exceeded Page 4 of 6 Waypoint ANALYTICAL Customer Number: 00057 Customer Name: Bona US Report Number: 21-182-0027 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 www.waypointana lytiwl.com Shipment Receipt Form Shipping Method O Fed Ex O US Postal * Lab Q Other: Q UPS Q Client O Courier Thermometer ID: IRT-15 1.2C Shipping container/cooler uncompromised? QQ Yes O No Number of coolers/boxes received 1 Custody seals intact on shipping container/cooler? O Yes O No QQ Not Present Custody seals intact on sample bottles? O Yes O No Not Present Chain of Custody (COC) present? * Yes Q No COC agrees with sample label(s)? QQ Yes Q No COC properly completed Yes Q No Samples in proper containers? Yes Q No Sample containers intact? QQ Yes Q No Sufficient sample volume for indicated test(s)? QQ Yes O No All samples received within holding time? QQ Yes Q No Cooler temperature in compliance?Q Yes O No Cooler/Samples arrived at the laboratory on ice. Yes Q No Samples were considered acceptable as cooling process had begun. Water - Sample containers properly preserved QQ Yes O No Q N/A Water - VOA vials free of headspace O Yes Q No N/A Trip Blanks received with VOAs O Yes Q No QQ N/A Soil VOA method 5035 — compliance criteria met Q Yes Q No QQ N/A r- High concentration container (48 hr) [_ Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F- Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? O Yes Q No Comments: Signature: uis E Oviedo j Date & Time: 07/01/2021 17:16:13 Page 5 of 6 CHAIN OF CUSTODY RECORD LAB USE ONLY Waypoint_ PAGE_ OF I QUOTE a TOENSURE PROPER BILLING: ZJfALL YFS ND WA ANALYTICAL }, Samples INTACT upon snivel? `� M9 9 ringgbr A Road • ANALYTICAL Charlotte, NC 25217 Project Name: F e/ a0a1.l _ �l Readved IN ICE? c.� Phone 7041529-6364 • Fax: 704/525-0409 Short Hold Analyals Yes (No) UST Protect: (Yet) Nyy PROPER PRESERVATIVES Indicated? �iA ,j.nG *Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) Received WITHIN HOLDING TIMES? --� Client Company Name: - - provisions and/or OC Regulre(�ments {.� CUSTODY SEALS INTACT? Report To/Contact Name: _I-is0. �A �_��-�� Invoice To: i A.- V—.ITCCAS%W`� RIp„ble VOLATILES reed WIOUT HEADSPACE? _ Reporting Address: y:%S CC-0_L'X.�L. PROPER CONTAINERS used? _7 Address: �}�-AaR1,__ _ TEMP: ThermlD:S l-1 Observed 1 . 0 C/CorL_�•C —�Dr�oe NC lT110 1 f}CCIas7+�Tf_. P,slg— b1e� —(_001 Phone: 7041d(aoo ftx es NO:70f/'W&1(0 r� - - T - — 7 V )( )• Purchase Order NoJBllling (arena S /1 TO BE FILLEDIN BY CUENT/SAMPLING PERSONNEL Email Address: L•rSLL 16nd �anc-C-0I --- Requested Due Dale O l Day 02 Days U3Days U4 Dad U5 Days CertHleation: NC SC_ EDD Type: PDFX Excel _Otuher_ _ 'Working Days- a s•s Deyap(Stpnderd 1D says Pro Nrtsoved et Other N/A__ Site Location Name: w&__I��A e _ Samples racmwxI after 15:00 will be processed nerd business day Site Location Physical Address: �9 Q�. Turnaround 0me Is based on business days, excluding Weekends and holidays. Water Chlorinated: YES_ NO_ (SEE REVERSE FOR TERMS a CONDITIONS REGARONG SERVICES RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT) Samples Iced Upon Collection: YES_NO_ ` TIME MATRIX SAMPLE CONTAINER V ANALYSIS REQUESTED CLIENT DATE COLLECTED (SOO.• PRESERVA• [ (� REMARKS ID NO. SAMPLE DESCRIPTION COLLECTED HOURS WATER MIMOR SEE BELOW NO. SIZE TVES S- ► G gal 7 Wafer P l Aso ► —0 X1?bCr-U0A1q. SW *: 1 r' 1g�r]1 r1q1' IAJniet P I I I L X X Upon retinQdahing, this Chain of CustVdy Is art �r:Tr VERIFIED be proceed III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIINIIIIIII1111112�; 021 Bona US 171533 Slmn,wale, 2021 IA - _ Atgliallon EI�tPIo lee as requested above. Any anges must be have been Initialized. �•t• _1 NeseqtOu'll I Additional Comments: Z/ She Arrival imw. Site Departure Time: Rdd Tech Fw.. Mibage: ONCOSC I OONC OSC INC USC I (3NC ❑SC — I UUNC OSC I OUNC OSC I UNC OSC I OOUORIGINAL NC ❑SC I ONC OSC O 'CONTAINER TYPE CODES: A - Amber C - Clear G- Glass P e Plastic; TL a Taflon-tined Cap VOA - Volatile Organics Analysis Rom Head Space)