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Home My WebLink AboutNCG030301_2022 DMR_20220705VMICROBAC` Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2A0336 Project Description Stormwater Samples - Outfalls, Monthly For: Danny Hammon AP Exhaust Technology 300 Dixie TRL Goldsboro, NC 27530 Administration Brittany Smith Friday, May 6, 2022 Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require further assistance regarding this report, please contact your service representative listed above. I certify that all test results meet all of the requirements of the accrediting authority listed within this report. Analytical results are reported on a'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported on a dry weight basis. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported results are related only to the samples analyzed as received. Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 1 of 15 �MICROBACr� Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2A0336 AP Exhaust Technology Project Name: Stormwater Samples - Outfalls, Monthly Danny Hammon Project/ PO Number: NIA 300 Dixie TRL Received: 04/19/2022 Goldsboro, NC 27530 Reported: 05/06/2022 Sample Summary Report Sample flame Laboratory ID Client Matrix Sample IyRe Sample Begin Sample Taken Lab Received Outfall3 K2A0336-01 Aqueous Grab 04/18/22 13:30 04/19/22 14:09 Outfall5 K2A0336-02 Aqueous Grab 04/18/22 13:45 04/19/22 14:09 Outfall7 K2AO336-03 Aqueous Grab 04/18/22 14:00 04/19/22 14:09 Page 2 of 15 *MICROBAC" Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2AO336 Analytical Testing Parameters Client Sample ID: Y Outfall 3 Sample Matrix: Aqueous Collected By: Lab Sample ID: K2A0336-01 Collection Date Analyses Performed by: Microbac Laboratories Inc., - Marietta, Oil Inorganics Total Result RL Units QF Note EPA 1664A Oil & Grease Metals Total by ICP EPA 200.7, Rv. 4.4 (1994) Zinc Metals Total by ICPMS EPA 200.8, Rv. 5.4 (1994) Hammon 04/18/2022 13:30 Prepared Analyzed Analyst <5.0 5.0 mg1L 1 J 05/04/22 0823 05104122 1020 TTB Result RL Units DF Note Prepared Analyzed Analyst 0.0889 0.0200 mg1L 1 04/21/22 0359 04/21122 1730 LSJ Result RL Units DF Note Prepared Analyzed Analyst Copper 0.0104 0.00200 mglL 1 Lead 0.00266 0.00100 mg/L 1 Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville Inorganics Total Result RL Units DF Note SM 2540 D-2015 Total Suspended Solids (TSS) 28.5 3A3 mg/L 1 04/21/22 0415 04/21/22 1610 JYH 04/21/22 0415 04/21/22 1610 JYH Prepared Analyzed Analyst 04/21/22 1107 SXH Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 3 of 15 Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2AO336 Client Sample 10; Outfall 5 Sample Matrix: Aqueous Collected By: Hammon Lab Sample ID: K2A0336-02 Collection Date: 04/18/2022 13:45 Inorganics Total EPA 1664A Oil & Grease Metals Total by ICP EPA 200.7, Rv. 4.4 (1994) Zinc Metals Total by ICPMS EPA 200.8, Rv. 5.4 (1994) Copper Lead Inorganics Total SM 2540 D-2015 Total Suspended Solids (TSS) Client Sample ID: Sample Matrix: Lab Sample ID: Outfall 7 Aqueous K2A0336-03 Analyses Performed by: Microbac Laboratories Inc., - Marietta, OH Result RL Units DF Note Prepared Analyzed Analyst <5.3 5.3 mglL 1 J 05/04/22 0823 05/04/22 1020 TTB Result RL Units DF Note Prepared Analyzed Analyst 0.103 0,0200 mglL 1 04/21/22 0359 04/21/22 1741 LSJ Result RL Units DF Note Prepared Analyzed Analyst 0.00801 0.00200 mglL 1 04121/22 0415 04121122 1622 JYH 0.00401 0.00100 mglL 1 04/21/22 0415 040122 1622 JYH Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville Result RL Units DF Note Prepared Analyzed Analyst 96.8 6.25 mg1L 3 041201221139 SXH Collected By: Hammon Collection Date: 04/18/2022 14:00 Analyses Performed by: Microbac Laboratories Inc., - Marietta, OH Inorganics Total Result RL Units OF Note Prepared Analyzed Analyst EPA1664A Oil & Grease <5.4 5.4 mg1L 1 05104/22 0823 05/04/22 1020 TTB Metals Total by ICP Result RL Units DF Note Prepared Analyzed Analyst EPA 200.7, Rv. 4.4 (1994) Zinc 0.0409 0.0200 mg1L 1 04121/22 0359 04/21/22 1745 LSJ Metals Total by ICPMS Result RL Units OF Note Prepared Analyzed Analyst EPA 200.8, Rv. 5.4 (1994) Copper 0,00828 0.00200 mglL 1 04/21/22 0415 04/21/22 1624 JYH Lead 0.00222 0.00100 mglL 1 04/21/22 0415 04/21/22 1624 JYH Inorganics Total SM 2540 D-2015 Total Suspended Solids (TSS) Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville Result RL Units OF Note P 16.0 2.92 mg1L 1 Analyzed Analyst 04/21/22 1107 SXH Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910-864.1920 p I www.microbac.com page 4 of 15 �� U �~�� & �~ ' \�x�� n'n n ~° x^ �� ° MicrDb3CLaboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS Batch Log Summary _--Motbnd__--- ............. .____-__--'_- EPA 20OJ'Rx4.4(19Q4) 82D1028 132D1026-BLm1 B2D1u2oBSI e2o1028+SRL1 M2D1034-03 x2AV336-01 o"vfal|3 K2AV336-02 ouoallo K2AO33603 ounan7 EPA 2Oo.8.Rv5.4(1gQ4) o2o1029 R201029'eLn1 a2oI029'o81 g2oI¢29'SRu M2o1006*1 w2xo336-01 ovnuo3 K2An336'01 ouowoo x2AV336-0/ nu0000 x2x0330-02 ouumno muAnoos'oo Ovo*||7 wexoonn'on 0vnenr EPA 1664A e2E0145 e2sv145'nnI e2so1*5'ono1 x2AV336-01 n"unna n2xn336*2 OunaUo xzAnoos'on ovo°Ur e2so145'oLK1 _. ..... ....... ...... —_' 8M2540D'2015 KD21911 xo21911'oLx1 xn21911'mop1 x2oO888'01 xo21911 -Bs1 8M2O4OD-2)15 KD21918 x2Ao336-03 ouoanr K02191*BLuI KD21918'DUP1 n2oo0*6-01 KD21$i8'gS1 m2A0336'01 nvou||o Bauch Quality Control Summary: MicmbwcLabora*ories |nc.-FayettovUe Micnobnc Laboratories. Inc. 2n93Hope Mills Rd|Fayetteville, NC 283081910.884.1920p|wvnmmic,nuac.nnm Page 5 of �15 VMICROBAC Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2AO336 Inorganics Total Result Batch KD21911 - Wet Chem Aqueous - SM 2540 D-2016 RL Spike Source Units Level Result %REC %REC RPD Limits RPD Limit Notes PBW01 (KD21911-BLKI) _ Prepared &Analyzed: 04/20/2022 Total Suspended Solids (TSS) <83.3 83.3 mglL LCSW01 (KD21911-BS1) Prepared& Analyzed:04/2012022 Total Suspended Solids (TSS) 98.6 2.50 mg1L 99.4 99 95-105 DAF Influent D (KD21911-DUP1) Source: K2130088-01 Prepared &Analyzed: 04/20/2022 Total Suspended Solids (TSS) 12800 1250 mglL 13600 6 10 Batch KD21918 - Wet Chem Aqueous - SM 2540 D-2015 PBW01 (K021918-BLKI) Prepared &Analyzed: 04/21/2022 Total Suspended Solids (TSS) <83.3 83.3 mglL LCSW01 (KD21918-BSI) Prepared &Analyzed: 04/21/2022 Total Suspended Solids (TSS) 91.8 2.50 mglL 93.2 98 95-105 Influent, CompositeD (KD21918-DUP1) Source: K2130066-01 Prepared & Analyzed: 04/21/2022 Total Suspended Solids (TSS) 173 37.9 mglL 206 18 10 S1 Batch Quality Control Summary: Microbac Laboratories Inc., - Marietta, off Spike Source %REC RPD Inorganics Total Result MDL RL Units Level Result %REC Limits RPD Limit Notes Batch B2E0145 - Wet Chem -Method Prep - EPA 1664A Blank (132E0145-BLKI) Prepared &Analyzed: 05/04/2022 Oil & Grease <1.4 1.4 5.0 mglL LCS (B2E0145-BS1) Prepared &Analyzed: 05/04/2022 Oil & Grease 34.5 1.4 5.0 mglL 40.0 86.3 78-114 LCS Dup (B2E0145-BSD1) Prepared & Analyzed: 05/04/2022 Oil & Grease 36.0 1.4 5.0 mglL 40.0 90.0 78-114 4.26 18 Spike Source %REC RPD Metals Total by ICP Result MDL RL Units Level Result %REC Limits RPD Limit Notes Batch B2D1026 - 200.7 - EPA 200.7, Rv. 4.4 (1994) Blank (82D1026-BLKI) Prepared & Analyzed: 04/21/2022 Zinc <0.0100 0.0100 0.0200 mg1L LCS (62D1026-BS1) Prepared & Analyzed: 04/21/2022 Zinc 0.518 0.0100 0.0200 mglL 0.500 104 85-115 Spike Source %REC RPD Metals Total by ICPMS Result MDL RL Units Level Result %REC Limits RPD Limit Notes Batch B2D1029 - 200.8 W - EPA 200.8, Rv. 5.4 (1994) Blank (132131029-BLKI) Prepared & Analyzed: 04/21/2022 Copper <0.00100 0.00100 0.00200 mglL Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p www.microbac.com Page 6 of 15 �VMICROBAC� Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K2A0336 Spike Source %REC RPD Metals Total by ICPMS Result MDL RL Units Level Result %REC Limits RPD Limit Notes Batch B2D1029 - 200.8 W - EPA 200.8, Rv. 5.4 (1994) Blank (B2131029-BLK1) Prepared &Analyzed: 04/21/2022 Lead <0.00050 0.000500 0.00100 mg/L 0 LCS (82D1029-BS1) Prepared &Analyzed: 04/21/2022 Copper 0.162 0.00100 0.00200 mg/L 0.160 101 85-115 Lead 0.0778 0.000500 0.00100 mg1L 0.0800 97.2 85.115 Definitions J: The result is an estimated quantity. The associated numerical value is the approximate concentration of the analyte in the sample. MDL: Minimum Detection Limit mg/L: Milligrams per Liter RL: Reporting Limit RPD: Relative Percent Difference S1: Relative Percent Difference (RPD) outside accepted recovery limits ------------- Cooler Receipt Log Cooler ID: Default Cooler Temp: 14.20C Cooler Inspection Checklist Ice Present or not required? Yes Shipping containers sealed or not required? Yes Custody seals intact or not required? Yes Chain of Custody (COC) Present? Yes COC includes customer information? Yes Relinquished and received signature on COC? Yes Sample collector identified on COC? Yes Sample type identified on COC? Yes Correct typo of Containers Received Yes Correct number of containers listed on COC? Yes Containers Intact? Yes COC includes requested analyses? Yes Enough sample volume for indicated tests received? Yes Sample labels match COC (Name, Date & Time?) Yes Samples arrived within hold time? Yes Correct preservatives on COC or not required? Yes Chemical preservations checked or not required? Yes Preservation checks meet method requirements? Yes VOA vials have zero headspace, or not recd.? Yes Project Requested Certification(s) Microbac laboratories Inc., - Marietta, OH 583 NC Dept. of the Environment and Natural Resources Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) anafyzod. This report is incomplete unless all pages indicated in the footnote are Brittany Smith present and an authorized signature is included. The services were provided under and Administration subject to Microbac's standard terms and conditions which can be located and Reported: 05/06/2022 14:37 reviewed at <httosr//www.microbac.com/standard-terms-conditions>. Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 7 of 15 O)M I R O B AC" Chain of Custody Microbac Laboratories, Inc. - Fayetteville AP Exhaust Technology Danny Hammon 300 Dixie TRL Goldsboro, NC 27530 Phone: (919) 580-1940 Client Sample ID: Outfall 3 Lab Sample ID: K2A0336-01 Matrix: Aqueous Type: Grab Lab Manager: Brittany Smit Illllll III IIIIII IIII 11111 IIIII IIIII Ills IIII J K2A033 w TAT 7 days Project Name: Stormwater Samples - Outfalls, Monthly ProjectlP0 Number: NIA Tenatively Scheduled: 4/19/2022 Route: Sampled Date &Time: "t61Z 100 Analysis Method Field Results/Comments 200.8 Cu EPA 200.8, Rv. 5.4 (1994) limit 0.007 mg/l 200.8 Pb EPA 200.8, Rv. 5.4 (1994) 1LEM-OG E1664B EPA 1664B TSS SM2540-D SM 2540 D-2015 200.7 Zn EPA200.7, Rv. 4.4 (1994) limit 0.067 mg/L Containers) 1 L-Bottle Glass Amber-H2SO4 1 1_-Bottle Glass Amber-F12SO4 1 L-Bottle HDPE 500m1-Bottle HDPE-HNO3 Client Sample ID: Outfall 5 Lab Sample ID: K2A0336-02 Matrix: Aqueous Type: Grab Hold Time 180.00 days 180.00 days 25.00 days 7.00 days 180.00 days Designator A B C D Sampled Date & Time: `f1 j jj/ r -�145 Analysis Method Field Results/Comments 200.8 Cu F PA 200.8, Rv. 5.4 (1994) limit 0.001 mg/l 200.8 Pb F.13A 200.8, Rv. 5.4 (1994) HEM-OGP.1664B VPA 1664B TSS SM2540-D SM 2540 D-2015 200.7 Zn EPA 200.7, Rv. 4.4 (1994) limit 0.067 mgll. Container(s) 1 L-Bottle Glass Amber-112SO4 1 L-Bottle Glass Amber-H2804 1L-Bottle HDPE 500ml-Bottle HDPE-HNO3 Client Sample ID: Outfall 7 Lab Sample ID: K2A0336-03 Matrix: Aqueous Type: Grab Sampled Date & Time: 41142v Hold Time 180.00 days 180.00 days 25,00 days 7.00 days 180.00 days Designator A 6 C D r4t7v Microbac Laboratories, Inc. Page I oft 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864A920 p j www.microbac.com V M I C R 0 B A C ,w. Chain of Custody Microbac Laboratories, Inc. -- Fayetteville AP Exhaust Technology Danny Hammon 300 Dixie TRL Goldsboro, NC 27630 Phone: (919) 580-1940 Lab Manager: Brittany Smith Dili in niiiiili iln onion iiiiii iiiiiii min immi I u) UA033 m a Project Dame: Stormwater Samples - Outfalls, Monthly ProjectlPO Number: NIA Tenatively Scheduled: 4/19/2022 Route: Analysis Method Field Results/Comments 200.8 Cu EPA 200.8, Rv. 5.4 (1994) limit 0.007 mgll 200.8 Pb HPA 200.8, Rv. 5.4 (1994) HE, M-OG F.1664B EPA 1664E TSS SM2540-D SM 2540 D-2015 200.7 Zn EPA 200.7, Rv. 4.4 (1994) limit 0.067 mg/L Container(s) 1 L-Bottle Glass Amber-H2SO4 1 L-Bottle Glass Amber-H2504 1 L-Bottle HDPE 500m1-Bottle HDPE-HNO3 Hold Time 180.00 days 180.00 days 25.00 days 7,00 days 180.00 days Designator A B C D Sampled by/ Relinquished by: DatefTime: Received by: Datefrimw Printed Name:I lammon Printed Name: Relinquished by: D��e(r_i C� IIII J' ! O 1`� Received by: pVIZ?, �v Printed Name: Printed Naml, G Relinquished by: Datefrime: Received by: Daterrime: Printed Name: Printed Name: As Received at Laboratory: On Ic es No Temp. (Aq. /--'C Thermometer ID: Total Containers: 12.00 Microbac Laboratories may be unable to perform a portion of the requested testing in which case we will subcontract the analysis to an appropriately accredited laboratory. By signing this document you are acknowledging that you have been informed by Microbac that testing could be subcontracted and agree with this arrangement. Notes: Microbac Laboratories, Inc. Page 2 of2 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com rn a 0 r (1) - 0) l:nvironrrrentat Qudtfly Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report For guidance on filling oul this form, please visit littpsaldeq.rre.gov/about/divisions/energy-mineral-land-resources/ npdes-storniwater-gps Permit No.: NICI 1, l 1 !. 1 I 1 or Certificate of Coverage No.: N/C/G/ Zit ;l 0� Z101 f I Facility Name: �1 g 155rd1VS County: l,✓ ern • I Phone No. d%j �� 510 Inspector: ff r !Cv (;yyS Date of Inspection: " / O ` 2� Tirne of Inspection: / 30 pA Total Event Precipitation (inches): 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 perm.ittee 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 Office. By this�i$nature, I certify that this report is accurate and complete to the best of my knowledge: or Designee) 1. Outfall Description: Outfall No. Receiving Stream: Structure (pipe, flitch, etc.): ;STy01 M P-d4 -fV Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06/01/2018 *K2AO33G* m r 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint ° (light, medium, (lark) as descriptors: _ 'Oo//o ro n_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): AP /�� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: �IJ 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: .01 2 3 4 5 7. Is there any foam in the stormwater discharge? o Yes *No. 8. Is there an oil sheen in the stormwater discharge? oYes pyliqo. 9. Is there evidence of erosion or deposition at the outfall? Q Yes (KNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. *K2pp336* SWU-242, Last modified 061OU2018 Page 2 of 2 +n 0 N as 0) ♦�l7V111�nRiCRiRI ii Qualtty Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfrlling oul thisform, please visit litips:Hdeq.ite.gov/about/divisions/energy-mineral-land-resources/ up des-storinwater-gps Permit No.: NICI 1 1 1 1 I 1 I or Certificate of Coverage No.: NICIG/,91,,71p 1,? 101 11 Facility Namc: i9p 61135 0 Ns _ County; LA) 17 N E - Phone No. Inspector: A5,1j165 Date of Inspection: Time of Inspection: Total Event Precipitation (inches): All permits require qualitative monitoring to be performed during a "treasurable 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-hoar storm interval does not apply if the pennittee 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 Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: or Designee) 1. Outfall Description: ? Outfall No. 5r Structure (pipe, ditch, etc.): j)-ot, Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page I of 2 S W U-242, Last madifiied OWO 112018 u� 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and lint o eo (light, medium, dark) as descriptors: N a 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): -tip, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: D 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: D 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 19 2 3 4 5 7. is there any foam in the stormwater discharge? O Yes �'No. 8. Is there an oil sheen in the stormwater discharge? OYes gy-NO. 9. is there evidence of erosion or deposition at the outfall7 O Yes <X No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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 5WU-242, Last modified 06/01/2018 m r a F.nvlron�enrat tl Qtrdi(fy Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisform, please visit littps://deq.iic,govtabout/divisions/energy-mineral-laud-resources/ npdes-stormwater-gps Permit No.: N_IC_I 1 I 1 I I 1 1 or Certificate of Coverage No.: N_ICIG/ aq la I I D I 1 Facility Name: Al"-, County: UJ4 A) _Phone No. j Gj _ '4y - Zrj zc Inspector: 10 5771 AK;"> Date of Inspection: 1 - Time of Inspection: Z V 0 e Total Event Precipitation (inches): All permits require qualitative monitoring to be performed during a "measurable stortn event." A "measurable storm event" is a storm event that results in an actual discharge from the pennitted 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 pertnittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Sidhature of Permittee or Designee) 1. Outfall Description: Outfall No. :7Structure (pipe, ditch, etc.):11v� Gi( CZl ]rCr �j Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: PZTC4/S AV A STr)I Page 1 of 0336* SWU-242, Last modified 06/01/2018 LO 2. Color: Describe the color of the discharge using basic colors (red, brown blue, etc.) and tint (light, medium, dark) as descriptors: _ 61YT o_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): N A g)DOYl- 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 stortwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stortnwatcr discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? O Yes 0//No. 8. Is there an oil sheen in the stormwater discharge? 0Yes Q40" 9. Is there evidence of erosion or deposition at the outfall? O Yes O No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe No Z&NCy 0,91zZa2S -47— ajffi�- eWY L,-9CL6-'6-''770A) 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 06/01/2018