Loading...
HomeMy WebLinkAboutNCG090025_2023 DMR_20230216 NCDEQ 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:Taryn OConnor 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.deq.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No Date Uploaded: 21(.0 2_3 Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in (G ,i) Parameter Parameter Outfall Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class 6 i4 1 N/A Date Sample Collected MM/DD/YYYY a j I [23 46529 24-Hour Rainfall in inches 0. t 'I C0530 TSS in mg/L(100 or 50*) 3 00400 pH in standard units(6.0-9.0) , (D 01027 Cadmium total(as cd)in mg/L(0.002D 5 or 0.003**) 01051 Lead,total recoverable(as Pb)in mg/L(0.075) b• [,)tl7 C0034 Chromium III,total recoverable(as _ Cr)in mg/L(0.905) U Q. ()()T 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) f /A NCOIL Estimated New Motor/Hydraulic Oil 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 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." 2 (La(23 Signature of Permittee or Delegated Authorized Individual Date Email Address taryn.oconnor@bona.com Phone Number 908-392-1957 Waypoint 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL www.waypointanalytical.com 1/30/2023 Bona US Taryn OConnor 4275 Corporate Center Drive Monroe, NC, 28110 Ref: Analytical Testing Lab Report Number: 23-019-0023 Client Project Description: Stormwater 2023 Dear Taryn OConnor: Waypoint Analytical, LLC (Charlotte) received sample(s) on 1/19/2023 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, � oj UJC0Ci.„ 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 20 w VVáypoint 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL 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 07/31/2023 North Carolina State Program 402 12/31/2023 South Carolina State Program 99012 07/31/2023 South Carolina State Program 99012 12/31/2022 Page 1 of 1 00016/23-019-0023 Page 2 of 20 wo V\la'yPoI tit 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 23-019-0023 Client Project Description: Stormwater 2023 Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 97901 SW#1 Aqueous 01/18/2023 10:00 01/19/2023 14:57 97901 SW#1 Aqueous 01/18/2023 10:00 01/19/2023 14:57 200.8 Eurofins Eurofins-Savannah: Eurofins Environmental Testing Southeast,Savannah,Savannah,GA Page 3 of 20 Waypoint. 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL www.waypointanalytical.com Client: Bona US CASE NARRATIVE Project: Stormwater 2023 Lab Report Number: 23-019-0023 Date: 1/30/2023 Metals were subcontracted to Eurofins Savannah NC ID 269. Page 4 of 20 o \f.(a ,rpoIflt 449 Springbrook Rd, Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL www.waypointanalytical.com 00057 Bona US Project Stormwater 2023 Taryn()Connor Report Date : 01/30/2023 4275 Corporate Center Drive Information : Received :01/19/2023 Monroe, NC 28110 /1 tuafj) Terri W Cole Report Number :23-019-0023 REPORT OF ANALYSIS Laboratory Project Manager Lab No : 97901 Matrix: Aqueous Sample ID :SW#1 Sampled: 1/18/2023 10:00 Test Results Units MQL DF Date/Time By Analytical Analyzed Method pH 7.6 H s.u. 1 01/20/23 16:40 CLB 4500H+B-2011 Total Suspended Solids 3.1 mg/L 2.6 1 01/20/23 10:45 CMJ 2540D-2015 Qualifiers/ DF Dilution Factor H Beyond holding time Definitions MQL Method Quantitation Limit Page 5 of 20 tiff eurofins Environment Testing ANALYTICAL REPORT PREPARED FOR Attn: PM Group NC Waypoint Analytical, Inc. 449 Springbrook Road Charlotte, North Carolina 28217 Generated 1/28/2023 2:21:58 PM JOB DESCRIPTION 23-019-0023 JOB NUMBER 680-229516-1 Eurofins Savannah 5102 LaRoche Avenue Savannah GA 31404 _ - my See page two for job notes and contact information. Page 1 of 13 4e E 0 L. 111 Eurofins Savannah Job Notes The test results in this report meet NELAP requirements for parameters for which accreditation is required or available. Any exceptions to the NELAP requirements are noted. Results pertain only to samples listed in this report. This report may not be reproduced, except in full, without the written approval of the laboratory. Questions should be directed to the person who signed this report. The test results in this report relate only to the samples as received by the laboratory and will meet all requirements of the methodology, with any exceptions noted. This report shall not be reproduced except in full, without the express written approval of the laboratory. All questions should be directed to the Eurofins Environment Testing Southeast, LLC Project Manager. Authorization Y#141)glinzia' Generated 1/28/2023 2:21:58 PM Authorized for release by John Andros, Project Manager I John.Andros@et.eurofinsus.com (404)944-4744 Eurofins Savannah is a laboratory within Eurofins Environment Testing Southeast,LLC,a company within Eurofins Environment Testing Group of Companies Page 2 of 13 1/28/2023 Page 7 of 20 Definitions/Glossary Client: Waypoint Analytical, Inc. Job ID: 680-229516-1 Project/Site:23-019-0023El Glossary Abbreviation These commonly used abbreviations may or may not be present in this report. Listed under the"D"column to designate that the result is reported on a dry weight basis %R Percent Recovery CFL Contains Free Liquid CFU Colony Forming Unit CNF Contains No Free Liquid DER Duplicate Error Ratio(normalized absolute difference) Dil Fac Dilution Factor DL Detection Limit(DoD/DOE) DL,RA,RE,IN Indicates a Dilution,Re-analysis,Re-extraction,or additional Initial metals/anion analysis of the sample DLC Decision Level Concentration(Radiochemistry) EDL Estimated Detection Limit(Dioxin) LOD Limit of Detection(DoD/DOE) LOQ Limit of Quantitation(DoD/DOE) MCL EPA recommended"Maximum Contaminant Level" MDA Minimum Detectable Activity(Radiochemistry) MDC Minimum Detectable Concentration(Radiochemistry) MDL Method Detection Limit ML Minimum Level(Dioxin) MPN Most Probable Number MQL Method Quantitation Limit NC Not Calculated ND Not Detected at the reporting limit(or MDL or EDL if shown) NEG Negative/Absent POS Positive/Present PQL Practical Quantitation Limit PRES Presumptive QC Quality Control RER Relative Error Ratio(Radiochemistry) RL Reporting Limit or Requested Limit(Radiochemistry) RPD Relative Percent Difference,a measure of the relative difference between two points TEF Toxicity Equivalent Factor(Dioxin) TEQ Toxicity Equivalent Quotient(Dioxin) TNTC Too Numerous To Count Eurofins Savannah Page 3 of 13 1/28/2023 Page 8 of 20 Sample Summary Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Lab Sample ID Client Sample ID Matrix Collected Received 680-229516-1 SW#1/97901 Water 01/18/23 10:00 01/24/23 10:30 Eurofins Savannah Page 4 of 13 1/28/2023 Page 9 of 20 Case Narrative Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Job ID: 680-229516-1 Laboratory: Eurofins Savannah 4 Narrative Job Narrative 680-229516-1 Receipt The sample was received on 1/24/2023 10:30 AM. Unless otherwise noted below,the sample arrived in good condition,and,where required,properly preserved and on ice. The temperature of the cooler at receipt time was 0.6°C Metals No additional analytical or quality issues were noted,other than those described above or in the Definitions/Glossary page. Eurofins Savannah Page 5 of 13 1/28/2023 Page 10 of 20 Client Sample Results Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Client Sample ID: SW#1 /97901 Lab Sample ID: 680-229516-1 Date Collected: 01/18/23 10:00 Matrix:Water Date Received: 01/24/23 10:30 Method: EPA 200.8-1994 R5.4-Metals(ICP/MS)-Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac 121 Cadmium ND 0.000500 mg/L 01/25/23 07:41 01/26/23 16:18 1 Chromium ND 0.00500 mg/L 01/25/23 07:41 01/26/23 16:18 1 Lead ND 0.00250 mg/L 01/25/23 07:41 01/26/23 16:18 1 Eurofins Savannah Page 6 of 13 1/28/2023 Page 11 of 20 QC Sample Results Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Method: 200.8-1994 R5.4 - Metals (ICP/MS) Lab Sample ID: MB 680-760424/1-A Client Sample ID: Method Blank Matrix:Water Prep Type:Total Recoverable Analysis Batch: 760824 Prep Batch: 760424 MB MB Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Cadmium ND 0.000500 mg/L 01/25/23 07:41 01/26/23 16:09 1 6 Chromium ND 0.00500 mg/L 01/25/23 07:41 01/26/23 16:09 1 Lead ND 0.00250 mg/L 01/25/23 07:41 01/26/23 16:09 1 Lab Sample ID: LCS 680-760424/2-A Client Sample ID: Lab Control Sample Matrix:Water Prep Type:Total Recoverable Analysis Batch: 760824 Prep Batch: 760424 Spike LCS LCS %Rec Analyte Added Result Qualifier Unit D %Rec Limits Cadmium 0.0500 0.04856 mg/L 97 85.115 Chromium 0.100 0.1041 mg/L 104 85.115 Lead 0.505 0.4972 mg/L 99 85.115 Lab Sample ID: 680-229510-D-1-E MS Client Sample ID: Matrix Spike Matrix:Water Prep Type:Total Recoverable Analysis Batch: 760824 Prep Batch: 760424 Sample Sample Spike MS MS %Rec Analyte Result Qualifier Added Result Qualifier Unit D %Rec Limits Cadmium ND 0.0500 0.04855 mg/L 97 70-130 Chromium ND 0.100 0.09983 mg/L 100 70-130 Lead ND 0.505 0.4789 mg/L 95 70-130 Lab Sample ID: 680-229510-D-1-F MSD Client Sample ID: Matrix Spike Duplicate Matrix:Water Prep Type:Total Recoverable Analysis Batch: 760824 Prep Batch: 760424 Sample Sample Spike MSD MSD %Rec RPD Analyte Result Qualifier Added Result Qualifier Unit D %Rec Limits RPD Limit Cadmium ND 0.0500 0.04641 mg/L 93 70-130 5 20 Chromium ND 0.100 0.09838 mg/L 98 70.130 1 20 Lead ND 0.505 0.4733 mg/L 94 70.130 1 20 Eurofins Savannah Page 7 of 13 1/28/2023 Page 12 of 20 QC Association Summary Client:Waypoint Analytical, Inc. Job ID: 680-229516-1 Project/Site:23-019-0023 Metals Prep Batch: 760424 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-229516-1 SW#1/97901 Total Recoverable Water 200.8-1994 R5.4 MB 680-760424/1-A Method Blank Total Recoverable Water 200.8-1994 R5.4 LCS 680-760424/2-A Lab Control Sample Total Recoverable Water 200.8-1994 R5.4 680-229510-D-1-E MS Matrix Spike Total Recoverable Water 200.8-1994 R5.4 680-229510-D-1-F MSD Matrix Spike Duplicate Total Recoverable Water 200.8-1994 R5.4 Analysis Batch: 760824 Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch 680-229516-1 SW#1/97901 Total Recoverable Water 200.8-1994 R5.4 760424 MB 680-760424/1-A Method Blank Total Recoverable Water 200.8-1994 R5.4 760424 LCS 680-760424/2-A Lab Control Sample Total Recoverable Water 200.8-1994 R5.4 760424 680-229510-D-1-E MS Matrix Spike Total Recoverable Water 200.8-1994 R5.4 760424 680-229510-D-1-F MSD Matrix Spike Duplicate Total Recoverable Water 200.8-1994 R5.4 760424 Eurofins Savannah Page 8 of 13 1/28/2023 Page 13 of 20 Lab Chronicle Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Client Sample ID: SW#1 /97901 Lab Sample ID: 680-229516-1 Date Collected: 01/18/23 10:00 Matrix:Water Date Received: 01/24/23 10:30 Batch Batch Dil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total Recoverable Prep 200.8-1994 R5.4 50 mL 250 mL 760424 01/25/23 07:41 RR EET SAV Total Recoverable Analysis 200.8-1994 R5.4 1 760824 01/26/23 16:18 BJB EET SAV Instrument ID: ICPMSC Laboratory References: EET SAV=Eurofins Savannah,5102 LaRoche Avenue,Savannah,GA 31404,TEL(912)354-7858 8 Eurofins Savannah Page 9 of 13 1/28/2023 Page 14 of 20 Accreditation/Certification Summary Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Laboratory: Eurofins Savannah The accreditations/certifications listed below are applicable to this report. Authority Program Identification Number Expiration Date North Carolina(WW/SW) State 269 12-31-23 South Carolina State 98001 06-30-23 9 Eurofins Savannah Page 10 of 13 1/28/2023 Page 15 of 20 Method Summary Client:Waypoint Analytical, Inc. Job ID:680-229516-1 Project/Site:23-019-0023 Method Method Description Protocol Laboratory 200.8-1994 R5.4 Metals(ICP/MS) EPA EET SAV 200.8-1994 R5.4 Preparation,Total Recoverable Metals EPA EET SAV Protocol References: EPA=US Environmental Protection Agency Laboratory References: EET SAV=Eurofins Savannah,5102 LaRoche Avenue,Savannah,GA 31404,TEL(912)354-7858 10 Eurofins Savannah Page 11 of 13 1/28/2023 Page 16 of 20 o al o r6 a , U `o —� m O $ M 2 U N in n CD N ro ,--1 .(- N Lt1 O .-/ pp v O N - co 0 No ? vU e � o N E o 0 0 Q L L n N a L- " .` a FBI- y c h 03 e c in ',- 6 0 (6 o U E o `� a 1 a ! cn• ? U C L W d U L 1 P OJ L 6L V V a iw e U �i J 0 \c) I U lY N foo 2 N V" U S Q of z M kc vci 0. i In no rt � t co U cr x ® Io Q 6 CY a a) C l U co no v v c U v m K cu cL O En <1 Zfl L 0 � co 2.1 ic OJ ( C a .-> ) +4 co ® M NI 0 v O N cr• co v C O f0 o LC ® o Q M NCD `� C V lJ CO O 'N b w O L• ® -c .~-I C (JO10 Ol C m M 1J 4= N C ® O J .7;• 47) ON PM Vg 7 �o o rn 8 m >. wm Im o U v Q m o Q a) N z l a a C C N Q ce K Page 12 of 13 1/28/2023 Page 17 of 20 Login Sample Receipt Checklist Client:Waypoint Analytical, Inc. Job Number:680-229516-1 Login Number:229516 List Source:Eurofins Savannah List Number: 1 Creator:Sims,Robert D Question Answer Comment Radioactivity wasn't checked or is</=background as measured by a survey N/A meter. The cooler's custody seal, if present,is intact. True Sample custody seals,if present,are intact. True The cooler or samples do not appear to have been compromised or True tampered with. Samples were received on ice. True Cooler Temperature is acceptable. True Cooler Temperature is recorded. True COC is present. True COC is filled out in ink and legible. True COC is filled out with all pertinent information. True Is the Field Sampler's name present on COC? True There are no discrepancies between the containers received and the COC. True Samples are received within Holding Time(excluding tests with immediate True HTs) Sample containers have legible labels. True Containers are not broken or leaking. True Sample collection date/times are provided. True Appropriate sample containers are used. True Sample bottles are completely filled. True Sample Preservation Verified. True There is sufficient vol.for all requested analyses,incl.any requested True MS/MSDs Containers requiring zero headspace have no headspace or bubble is N/A <6mm(1/4"). Multiphasic samples are not present. True Samples do not require splitting or compositing. True Residual Chlorine Checked. N/A Eurofins Savannah Page 13 of 13 1/28/2023 Page 18 of 20 �o • Wapoint 449 Springbrook Rd,Charlotte, NC 28217 Main 704.529.6364 ANALYTICAL www.waypointanalytical.com Shipment Receipt Form Customer Number:00057 Customer Name: Bona US Report Number: 23-019-0023 Shipping Method O Fed Ex 0 US Postal 0 Lab 0 Other : 0 UPS 0 Client 0 Courier Thermometer ID: IRT15 3.2C Shipping container/cooler uncompromised? # Yes 0 No Number of coolers/boxes received 1 Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Present Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Present Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. 0 Yes 0 No Samples were considered acceptable as cooling process had begun. Water- Sample containers properly preserved 0 Yes 0 No 0 N/A Water- VOA vials free of headspace 0 Yes 0 No 0 N/A Trip Blanks received with VOAs 0 Yes 0 No 0 N/A Soil VOA method 5035—compliance criteria met 0 Yes 0 No 0 N/A High concentration container (48 hr) Low concentration EnCore samplers (48 hr) High concentration pre-weighed (methanol -14 d) Low conc pre-weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes 0 No Comments: Signature: Angelo Norvell Date &Time: 01/19/2023 15:21:58 Page 19 of 20 r— noozzc 11 I ?' Ir 704_ il,1$c m Ct a I s 8 3 o v v m Occm . a a -4. * . i i - > " 5- -I e) Q I „ gt m gz o o a .16 a apt 00 n a mac" `N 82- z 3 rn - °i 3 �v ¢tc i i fl'• L.j-Q r 03 a * oe G . 14 n OaO 1 I DI ZZCo�m Y ~ Nv '. • II n c; 0$ !� la 3 p XI f � n rTQ o > -4m mn n D H _ ffD G x3OZ=c GpamPk co < 0 t Gmerm jD j n 2 N oa 0 z 3 Dm 3i oT 1 E C * 11 Li m D a Z = No = L ° a c 3'I mi tt m Rr a'° uft Z c _ O a . ' .dI .jFier a a * 3a c ] a m O, m 0 r-CO 9mzf Z O L Cr a n � W" CO 73 mmm CN } w - • 0RaTT ^ 7 ° d x P. r— i a p m a c v . c0 w Ia' m o D.. Z [ Va ; �> 3 � p<Cf y 3 c ■ 0yIT °i � r A� . 0CP m CO Damm ang ZQ AN x�% -1 rn ~C m C.. N o T ' mo° /‘ O ° NV ' A r• ,< a- O.� FQ li Xy0a142 o1 o � ,r 1 m �A = � 8I �Cf � lif co l ! n. a a (in v � Z -gym An � �' S � nAi tUI 0 �' ( G mm �aam o v • ° 0 p a;„, cc1 i i t ,...) y v- mr ma 1 I wm s A ii 1111 g CSC w a r` � .. m n c o p kg' ' c m 3 1 aF F�g � ,p , y m -� 70 aoao� 3 s - �S �_ INN -1 ° "I' \I 01 0 G 03 rt� A < cm mm o�i i0 N '-- 2 0 m o n 74 � mioo m < m n C j » F. A v n �i m D M I, \0 5 o E fr- R p co m §, 33 run, Z D a N a m D p- D_ a i -4 7 c m O Z = z RI � °' x < v 'Q��,�;� 'o a A 'o -CD x c n v -Di m r 3 �T "\ c_ m r m �i ° cmn m 3 n al I� m o J o E C A m n m D _ . r: ., Z r y en n o h m ; m fla I I IN (� giS ►f cD A _ 'O ri c� zp • il a `S y 'Q I z y i kty D °' zz . _Z =A $ 1 Will IAI1I I I I D - Page 20 of 20 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land- resources/energy-mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4 Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/0/9 /0 /0 /2 /5 / Facility Name: BonaKemi US, Inc(dba Bona US) County: Union Phone No. 7042186921 Inspector: Taryn()Connor Date of Inspection: t / I ?S 1 2. Time of Inspection: (9 Ard1 Total Event Precipitation(inches): C)- All permits require qualitative monitoring to be performed during a"measurable storm event." A"measurable storm event"is a stotin 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 this signature,I certify that this report is accurate and complete to the best of my knowledge: Ok (Signature of Permi ee Designee) 1. Outfall Description: Outfall No. 1 Structure(pipe, ditch,etc.): Ditch Receiving Stream: Twelve Mile Creek Describe the industrial activities that occur within the outfall drainage area: None Page 1 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:‘� e, (qL. -- (O l r to 1 3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak chlorine odor, etc.): N 4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear and 5 is very cloudy: 1 2 0 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: 1 { 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: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? 0 Yes No. 8. Is there an oil sheen in the stormwater discharge? °Yes No. 9. Is there evidence of erosion or deposition at the outfall? 0 Yes No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe \J 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