HomeMy WebLinkAboutNCG090025_Monitoring Report_20220621NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000�
Paints, Varnishes, Lacquers, Enamels, and Allied Products
/�-
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 ROzional Office.
m
Certificate of Coverage No. NCG09 0025
Person Collecting Samples: Taryn OConnor
Facility Name: BonaKemi US, 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:Hedocs.deg.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded: 6/15/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in i
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Outfall
N/A
Date Sample Collected MM/DD/YYYY
05/23/2022
46529
24-Hour Rainfall in inches
0.32
C0530
TSS in mg/L (100 or 50*)
16.5
00400
pH in standard units (6.0-9.0)
7.2
Cadmium total (as cd) in mg/L
01027
<0.001
or 0.003**)
Lead, total recoverable (as Pb) in
01051
mg/ L (0.075)
0.0008
Chromium III, total recoverable (as
C0034
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
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
° 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 1 4
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
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."
� O�d/7.f'L62
Signa re of Permittee or Delegated Authorized Individual
6/15/2022
Date
Email Address taryn.oconnor@bona.com Phone Number 704-218-6921
Waypointo
ANALYTICAL
6/15/2022
Bona US
Lisa King
4275 Corporate Center Drive
Monroe, NC, 28110
Ref: Analytical Testing
Lab Report Number: 22-146-0024
Client Project Description: Stormwater 2022
Dear Lisa King:
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypoiritanalytical.com
Waypoint Analytical, LLC (Charlotte) received sample(s) on 5/26/2022 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,
(ORLA'6 c.vC= jam.
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 8
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 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
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/28/2023
Arkansas
State Program
88-0650
02/07/2023
California
State Program
2904
06/30/2022
Florida
State Program - NELAP
E871157
06/30/2022
Georgia
State Program
C044
02/18/2023
Georgia
State Program
04015
06/30/2022
Illinois
State Program - NELAP
200078
10/10/2022
Kentucky
State Program
80215
06/30/2022
Kentucky
State Program
KY90047
12/31/2022
Louisiana
State Program - NELAP
LA037
12/31/2022
Louisiana
State Program - NELAP
04015
06/30/2023
Mississippi
State Program
MS
02/11/2023
North Carolina
State Program
415
12/31/2022
Pennsylvania
State Program - NELAP
68-03195
05/31/2023
South Carolina
State Program
84002
06/30/2022
South Carolina
State Program
84002
06/30/2022
Tennessee
State Program
02027
02/11/2023
Texas
State Program - NELAP
T104704180
09/30/2022
Virginia
State Program
00106
06/30/2022
Virginia
State Program - NELAP
460181
09/14/2022
Page 1 of 1 00016/22-146-0024
Page 2 of 8
(D
WayPont. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
A N A LYT I CA L www.waypointanalytical.com
Sample Summary Table
Report Number: 22-146-0024
Client Project Description: Stormwater 2022
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
90872
SW #1
Aqueous
05/23/2022
14:55
05/26/2022
16:05 200.8 WP MTN
90873
SW #2
Aqueous
05/23/2022
14:55
05/26/2022
16:05
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
paaa I of R
Waypoint..(D
ANALYTICAL
Client: Bona US
Project: Stormwater 2022
Lab Report Number: 22-146-0024
Date: 6/15/2022
449 Springbrook Rd, Charlotte, NC 28217
Main 704.S29.6364
www.waypointanalytical.com
CASE NARRATIVE
Total Metals — Method 200.8
Metals analysis was subcontracted to Waypoint - Memphis
Page 4 of 8
0
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 : 06/15/2022
4275 Corporate Center Drive Information :
Received : 05/26/2022
Monroe , NC 28110
I I , /
W
C"W
Terri W Cole
Report Number: 22-146-0024
REPORT OFANAL YSIS
Laboratory Project Manager
Lab No : 90872
Matrix: Aqueous
Sample ID: SW #1
Sampled: 5/23/2022 14:55
Test Results
Units
MQL
DF Date / Time By Analytical
Analyzed Method
Cadmium <0.0001
mg/L
0.0001
1 06/13/22 22:50 FDS 200.8
Chromium 0.001
mg/L
0.001
1 06/13/22 22:50 FDS 200.8
Lead 0.0008
mg/L
0.0005
1 06/13/22 22:50 FDS 200.8
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 5 of 8
0
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 : 06/15/2022
4275 Corporate Center Drive Information : Received : 05/26/2022
Monroe , NC 28110 /� ti (''P
(IVII�
Terri W Cole
Report Number: 22-146-0024 REPORT OFANAL YSIS
Laboratory Project Manager
Lab No : 90873 Matrix: Aqueous
Sample ID : SW #2 Sampled: 5/23/2022 14:55
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
pH 7.20 S.U.
Total Suspended Solids 16.5 mg/L
Qualifiers/ DF Dilution Factor
Definitions
1 05/27/2212:40 SMW 4500H+B-2011
4.1 1 05/27/2211:05 CEG 2540D-2015
MQL Method Quantitation Limit
Page 6 of 8
P 0
Waypoint
ANALYTICAL
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: 22-146-0024
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IRT15 2.4C
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
# Not Present
Chain of Custody (COC) present?
# Yes
0 No
COC agrees with sample label(s)?
# Yes
0 No
COC properly completed
# Yes
0 No
Samples in proper containers?
# Yes
0 No
Sample containers intact?
* Yes
0 No
Sufficient sample volume for indicated test(s)?
# Yes
0 No
All samples received within holding time?
# Yes
0 No
Cooler temperature in compliance?
0 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
# N/A
High concentration container (48 hr)
High concentration pre -weighed (methanol -14 d)
F_ Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes # No
Comments:
Signature: IDanyale Love I Date & Time: 05/26/2022 17:36:44
Page 7 of 8
r•
Waypoint
ANALYTICAL
449 Springbrook Road - Charlotte, NC 28217
Phone 7041529-6364 • Fax: 7041525-0409
Client Company Name:bo!' , k- ft AL
Report To/Contact Name: AS"
Reporting Address:
MD -I r-ic 2 ►►fl.
CHAIN OF CUSTODY RECORD ONLY
PAGE ) OF I- QUOTE p TO ENSURE PROPER 13ILLING:�'�'Q[.Li YE NO N/A
y,� I L, ,( Samples INTACT upon arrival? �
Project Name: S L(](. 1Nl�I_�_-_•`511 - Received IN ICE?
Short Hold Analysis Yes (No) UST Project: (Yes) PROPER PRESERVATIVES indicated?
'Please ATTACH any prof specific reporting (QC LEVEL 111 IIIWr Received WITHIN HOLDING TIMES?
provisions and/or QC Requirements CUSTODY SEALS INTACT?
Invoice To: 501-)C, U5 VOLATILES reed WlUUT HEADSPACE?
Address: PROPER CONTAINERS used? _
t I c rl. P r r�,I a v%4-C - (Nei. i n HI ti M 1^,,% v 1. r TEMP: Therm IDArff1j -- Observed _°C /Corr_% ti °C
Phone: �Il- tQ151 Fax (Yes)(No): 0,-210 Purchase Order No./Billing R�renceIL� 4C.� ILt ( _.
�TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL,
Entail Address: Requested t; m1M Requested Due Date J 1 Day J 2 Days J 3 Days J 4 Days J 5 ays
Certification: NC SC -
EDD Type: PDF,?�- Excel___._. Other "Working Days" J 6-9 Days )(Standard 10 days J pre AWnork Must Be
PP
Other N/A_
opLL,�
Site Location Name: t1o_ryAMonax Samples received after 15:00 will be processed next business day
_-.. .
Site Location Physical Address: So] C-1 0JJ0V.L,- Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_.._ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL, LLC TO CLIENT)
Samples Iced Upon Collection: YES_NO__.
-
CLIENT DATE
TIME MATRIX
COLLECTED (SOIL,
SAMPLE CONTAINER
— -- PRESERVA-
ANALYSIS REQUESTED
\y /
SAMPLE DESCRIPTION COLLECTED
MILITARY WATER, OR
•TYPE TIVES
NO. SIZE
REMARKS
Y�tr �7
ID NO.
HOURS SLUDGE)
SEE BELOW
,L�i
-
5 23 2-1
14 S S_wu±er
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II�I�I IIIII �Il� l��l 0025t3-20224
r- tit,xrnwtltrr
2!;,: 1735.37
PRESS DOWN FIRMLY 2 COPIES
Sampler's Signature - Sampled By (Print Name) ., t� �,(/Y &_e Affiliation
- - _-_
Upon relinquishing, this Chai of Custody Is your authorization for Wayp9.1nt Analytical to proceed with the analyses as requested above. A4
changes must be She Arrival Time:
subWed in writing to the Waypoint Analytical Project Manager. There be charges for ny changes after analyses have been initialized.
e d By turs)r Rece1~1 twe) Date M,6Wr I Additional Comments: Site Departure Time:
By - -
D to
Field Tech Fee:
!X J I
e red (Sgnaturei redtS:t Date
/ Mileage:
Method of Stdlxnens NOTE: ALL SAMPLE COOLERS SHOULD 9E TAPED SHUT SEA OR TRANSPORTA710N To THE LABORATORY. COC Gmup No
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY
J Fed (:x J UPS :,! Harbfetiuwrecf J Waypant Analyti`al Fte!d Serwe. J Omer - _-_-�,--- --._ -.._._
NPUtti: UO1: 1 GKUUNUYYAItKJ UKINKINkx WAttK: ! ,ULIU TWA* K%.KA: tSKWNI-LU LANUPILL UIMtK:
JNCJSC JNC JSC (J NC JSC 1 JNC JSC JNC JSC ❑NC JSC ` _J NC JSG JNC JSC JNC JSC
J — -- J — ---- I J _-._.__. __ I J --- -- J ------ J ---- -J - J --- J -- --- -
'CONTAINER TYPE CODES: A = Amber C - Clear G- Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
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