NCG140046_Monitoring Data Q4 2023_20240123

WILLIAMS MULLEN
Ethan R.Ware
Direct Dial. 803.567.4610
[e-mail] RECEPI ED
January 11, 2024
JAN 2 3 i�21
VIA E-MAIL & U.S. MAIL
Mark Robertson
Water Enforcement Branch
Enforcement and Compliance Assurance Division
United States Environmental Protection Agency, Region 4
61 Forsyth Street, S.W.
Atlanta, Georgia 30303-8960
[e-mail]
Danny Smith
Supervisor, Stormwater Program
Division of Energy, Minerals, and Land Resources
North Carolina Department of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Dan Y.SmitWncdenr.gov
Re: Necessary Quarterly Monitoring
Concrete Supply Company, LLC, Lincolnton Plant
Administrative Order on Consent, Docket No. CWA-04-2022-0320
Lincolnton, North Carolina
Dear Mr. Robertson and Mr. Smith:
Please find enclosed a copy of the quarterly monitoring at permitted outfalls of Concrete
Supply Company, LLC, Lincolnton Plant, in accordance with Part III. Par. 35.a of the above-
referenced Administrative Order on Consent("Order"). Monitoring occurred unless there was no
qualifying rain event causing a discharge of storm water during this time, as evidenced by rain
gauge readings.
Feel free to call if there are any questions.
Sincerely, �7
ERW/ctF/�A� L
Enclosures t`,d1an R. Ware
1230 Main Street, Suite 330,Columbia,SC 29201 1 P.O.Box 81 6 Columbia,SC 29202
T 803.567 4600 F 803.567,4601 1 williamsmullen.com I A Professional Corporation

Concrete Supply Co LLC
Certification
I certify 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 fine and imprisonment for
knowing violations.
Signature: -P---- Tel: [phone]
Name: Johnie Alexander Date:
Title: Environmental Manager

4 gyp•
STORMWATER POLLUTION PREVENTION PLAN
QUARTERLY- GOOD HOUSKEEPING/PM/BMP INSPECTION
PLANT LOCATION: DATE/TIME: LAflZ120
WEATHER:_ GItX
(Inspection frequency: MUST be performed QUARTERLY when facility is active)
NAME: ZAMLe (t z&") SIGNATURE:
A R E A S T O C H E C K: Raw material storage areas with water spri ers/misters,Truck rinse/wash and drum
washout areas,Truck wash chemicals and Admix tanks,Oil tank/sheds product storage,Catch basins and pipes,
Outfalls,Yard for spillage/debris.
Baseline BMPS Inspection:Good House Keeping,Equipment,preventive Maintenanoe/lnspettions,Spill Control'
Kits Inspection.Emptovee Training lease use additional sheets if necessa
Good Housekeeping/PM Inspection Checklist Remarks what Action is Needed
(Satisfactory) (Geanupfrepalrimplace/none)
Is trash bin lid closed?&Is the Lid In working condition? SJ I NO
Is trash removed from the site on a timely basis? (yg> NO
Is the site swept"As Needed Basis'at a minimum Quarterly? E NO
Is there any debris on the yard? YES Cf CO)
Are outside areas kept in a neat and orderly condition? S NO
Is the maintenance shop orderly for the equipment,materials and � NO
tanks/drums!/totes?
Is there an evidence of dripslleaks from Trucks/Equipment/ p�
Tanks/Drums/Totes? YES NCO
Fines scraped up/removed from equipment areas? No
Are the secondary containments in good conditions with NO leaks/ NO
Cracks/settlement? cis
Is the secondary containment discharge pipe dosed and locked? Y S NO
Are traffic areas free from equipment,materials,and other objects? NO
Are cnemicats/oils/fueis stored in proper containers? �J �NO
Are any storage containers leaking or deteriorating with rust? YES
Are stonelsand areas kept neat and orderly manner.? NO
Do you see any leaks from the baghouses? YES
Are admix tanks In good condition and not leaking? <g�) NO
Are Admix tanks located inside a secondary containment? S NO
Are sediment traps/stone dams in good condition S NO
Are ditches,pipes,swales and catch basins in good condition? Y NO
Is there a vegetation growth in the ponds? YES
Are ponds cleaned regularly for accumulated sediment? YES NO
Are wastewater recycling basins are cleaned for accumulated
sediment? NO
Is the facility required to do BMP feasibility(technical and YES NO J
economic)study?
Do you hear any unusual noise in the equipment? YES O
Page 1/2

QUARTERLY- GOOD HOUSKEEPING/PM/BMP INSPECTION
Good Housekeeping/PM Inspection Checklist Remarks What Action is Needed
(Satisfactory) (cleanuplrepair/replacetnone)
Are washwrater recycling basins pumps working properly? S NO
Check effects of return concrete and slurry drying areas on the
outfall? YES NO
Are equipment(pH and other)in washwater recycling basins
working properly? - YES NO
f
Are effective cleanup procedures used for spilled materials? ES NO
Are spill control kits In good condition with all the required
materials? YES NO
Are there any unauthorized discharges from the facility? YES NO
Is process water from truck washing,drum cleaning going to t
outfalls? YES NO 5� Zf5 0^/1
Are there any signs of erosion on slopes,ponds,or earthen
berms? YES
Should any new BMPs be implemented to protect stormwater YES F�
quality? �J
Have all new employees received Good Housekeeping Training? YES NO
Did you provide at a minimum annual Stormwater Training to all
employees that could affect the stonnwater quality NO
Check for any changes in the Plant operation that could affect
SWPP Plan Update? (!g> NO
Check pH readings from lab report to the pH at process water pits NO
Check if any other area not mentioned above needs attention NO
BMP Inspection Checklist Remarks What Action is Needed
Satisfactory) (cleanup/repalr/replacetnone)
Are oil pumps in working order with no leaks? YE NO
Are dust collectors are working property? YES NO
Are compressor bleed Is contained? YE NO
Are all secondary containment dlkestmlis in good condition? YES NO
Are all stone and sand banters orderly? NO
Is sediment in wash pits orderly and controlled? YES NO
Are ripraplhay balesfberms working property? NO
Is there a site erosion? YES O
Is sediment from the return concrete storage areas contained? 029i NO
Are there any leaky equipment/vehicles an the property? YES O
Is SWPP Plan/Site Map update Necessary? YES NO
Additional Remarks/Recommendations:
Plan Manager Signature Date: �Z /S�2aL3
NOTES:Use the additional marks/recommendations section to describe def efencles in Housekeeping
Measures.and Preventive Maintenance. Use other side if additional space is needed.
Page 2/2

Waypoint 449 Springbrook Rd,Charlotte, NC 28217
Main 704.S.529.fi364
ANALYTICAL www.waypointanaiytfcal.com
1/912024
Concrete Supply Company
Johnnie Alexander
3823 Raleigh Street
Charlotte, NC, 28206
Ref: Analytical Testing
Lab Report Number: 23-355-0031
Client Project Description: Lincointon Facility
Dear Johnnie Alexander:
Waypoint Analytical, LLC (Charlotte)received sample(s) on 12/21r2023 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,
44/t
Jamie Corporaal
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 9

Waypoint. 449 Springbrook Rd,Charlotte,NC 28217
Main M.529.6364
ANALYTICAL www.waypoir4ana"cal.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 07131/2024
North Carolina State Program 402 12131/2024
South Carolina State Program 99012 07M/2024
South Carolina State Program 99012 12/312023
Page 1 of t
0001fy23.355.0031
Page 2 of 9

Waypoint aa9 Springbrook Rd, Charlotte, .5 26364
Main 704.529.63ti4
ANALYTICAL www.waypolntanalydcal.ccm
Sample Summary Table
Report Humber: 23-355-0031
Client Project Description: Lincolnton Facility
Lab No Client Sample ID Matrix Date Collected Date Received
92613 pipe 001 Aqueous 12/21i2023 14,55 12/21/2023 16:55

Waypoint 449 Springbrook Rd,Charlotte, NC 28217
Main 704.5.529.6364364
ANALYTICAL www.waypointanalytical.com
Client: Concrete Supply Company CASE NARRATIVE
Project: Lincolnton Facility
Lab Report Number: 23-355-0031
Date: 1/9/2024
Oil and Grease Method 1664E
QC Batch No: V41844
Contamination suspected in samples. Results may be biased high. No containers remain for re-analysis.
Sample 92613(Pipe 001)
Analyte: Oil and Grease
OC Batch No: V41844
Relative Percent Difference (RPD)for the duplicate analysis was outside of the allowable QC limits.
Page 4 of 9

Waypoint. 449 SPrinBbrook Rd,Charlotte, 26217
Main 704.S 29217
29.6364
ANALYTICAL www.waypolntanatocal.com
01058
Concrete Supply Company Project Uncolntw Facility
3ohnn"re Alexander Report Date: 01/09/2024
3823 Raleigh Street W mation: ReceWed: 12/21/2023
Charlotte, NC 282D6
Report Number:23-355-0031 REPORT Of ANAL 11JU
Lab No: 92613 Matrix: Aqueous
Sample ID:Pipe 001 Sampled: 12/21/2023 14:55
Test Results Unhs MCL DF Date/Tkne By Ans"cal
Analyzed Method
HEM:Oil and Grease 19.0 N mg/L S.9 1 01/05/24 10:57 RLW 1664E
pH 8.17 S.U. 1 12/21/23 14:45 F D FIELD
Taal Suspended Solids 18.6 mg(L 2.5 1 12/22/23 15:00 3MD 254OD-2015
Qualifiers/ — Refer to cover letter. OF Dilution Factor
Definitions MQL Method Quantitation L"eNt
Page 5 of 9

Waypoi nt ..9 Sprinabrook Rd,Cha Main
7 NC 2a217
Main 04.529.6364
ANALYTICAL www.waypolntana"Wxom
Shipment Receipt Form
Customer Number:01058
Customer Name: Concrete Supply Company
Report Number: 23-355-0031
Shipping Method
Fed Ex US Postal Lab Other: �—
UPS Client • Courier Thermometer ID: RT-15 3. CC
Shipping container/cooler uncompromised? • Yes No
Number of coolers/boxes received F 1
Custody seals intact on shipping container/cooler? Yes No • Not Present
Custody seals intact on sample bottles? Yes No • Not Present
Chain of Custody(COC)present? • Yes No
COC agrees with sample Iabel(s)? • Yes No
COC property completed • Yes No
Samples in proper containers? • Yes No
Sample containers intact? • Yes No
Sufficient sample volume for indicated test(s)? • Yes No
All samples received within holding time? • Yes No
Cooler temperature in compliance? • Yes No
Cooler/Samples arrived at the laboratory on ice. • Yes No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved • Yes No N/A
Water-VOA vials free of headspace Yes No • NIA
Trip Blanks received with VOAs Yes No • NrA
Soil VOA method 5035—compliance criteria met Yes No • WA
High concentration container(48 hr) Low concentration Encore samplers (48 hr)
High concentration pre-weighed(methanol-14 d) Low conc pre-weighed vials(Sod Bill-14 d)
Special precautions or instructions included? Yes • No
Comments:
Signature: Paula Blakeborough Date 8 Time: 12/22/2023 08:35:38
Page 6 of 9

CHAIN OF CUSTODY RECORD
Way point PAGE of Werra a TaiNWRR PRGPRR WILLING: _ YES NO WA
,l.�w , Srnplee INTACT upon armor' ✓
ANALYTICAL Pro)ct Name: L-IY-NcCA 1 1`^f Received IN ICE? LI
a49 SprITZa.0 1:Charbae.NC 2871? Short Hold Analysis (Yes) IND) UST Project: ) ING) PROPER PRESERVATIVES hd,cated? 1/
Phone 7W1529-0�N Fu.704a2S4WY y
C 'Pies"ATTACH any project specific reporting IOC LEVEL 1 M DI IV) Raceired WITHIN HOLDING nMES7
Ghent Company Name: LOM�(�(, __.pO�V provisions andlor OC Requirements CUSTODY SEALS INTACT? +/
Report To/Contact Name: Imolts To: VOLATILES race WOUT HEADSPACE?
y
Reporting Address: Address PROPER CONTAINERS usW7_- --. TEMP TlNrm w:'i$LIT obwv t 3•y-C lCorr-3 j -C
Phone _. Fad(Yaa)(NO Pumhaw Order NOJBililn8 Ratmenae __—_ TO E LLEDIN BY CLIENTISAMPLWG PERSONNEL
Email Address: _ __.- Requesed Due Dale J I Dry J 2 Days J 3 OWS J{Day{ J S Days
CartMkeNon: NC__ SIC
EDO Type: POF Excel _Other .. 'workln9 Days" J&9 Days J SWreWd to days J RushWork MGM BePre .._.- NIA `
Site Location Name: Sernubs rer+Aed afar 15 00 wig be premed non businessay pproved ONlar__
—_
Site Location Physical Address:
..,_ Ime Is Tw6ne m` lwMsaM on headless Water Chforinabd: YES NO
Ile RU FOR ER {CONDITIONS RGANDWO gayle
RENDERED
SYwMYPOw uYIMCA .LLCTOCUNRry 8amplp Iced Upon Collection. YES NO
TBa1 TSA M SAMPLE CONTAIN&` ANALYlW REGIIESTBD
PRESERVA.
SAMPLE DESCRIPTION C«".m `� WI�OR -TYPE . ._ TNES ' h REMARNR q ND
Noun SLUDGE) SEE BELOW N0. IiBE
�. o
F
Lfeclevon FrcdM
Samplers Signature .__ Sampbd By(Print Name)__. �-e'�.._ �j _ AMMallon y. -..
upon reNnqulslNnp ey C h your suModseBen ssr waypomt Anelytleal b pacew with me u ngwead above, dhenpee must w �Arrival�
wYmNba In writing to IM9fO Project Msnow..TIIM Win be ohms"IM any disnW s azw&hew been kditV w. ...
—fyI r R , air -1—� .. gas, _— Aa*l nal Comments She DepamNs Tkns
Field Tech Fee
HE
sep
22l c55
�?fieiB-Mrolan - ue6RAiaer .�-„�r,
aasrLa•AeelorAtxePTmAwvMafeo DoetemL
1 OFa Fi Jun J•WMaewaa J PMrSarvr[e Jger
: ORO
tIN ffd 1 't� SOLI6Wi )3 :- �1�C: BRWNFLO NO ILL OTHT
O NC�J SC Cl NC JSC JNC JSC LlNC J$C JNC U$C - JNC JSCIJNC JSC jNC JSC JNC JSC
u 1111
' •CONTAMER TYPE CODES: A•AmWr C•Claw 6.61ass P•PUadc; TL•TNIon.LMad Cyr VOA•Volatile Organise Analysis(Zero Hsetl SD{Ce)

6 )o a a6ed
Ic
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
h or gradance onftlhng ow Thisform pleam rtstt hups deq nc go% about/diNisions energy-mmeral-land-resources
npdes-stormwater-gps
Permit No.: N/C or Certificate of Coverage No : /\!!C G
Facility Name: ��tryC.rn.t,,, �.1�L• L' h n1 h4,,,,: 'tte l�i{T
Counh: Phone No
Inspector: IcA k,
Date of Inspection:
Time of Inspection: I y'.
Total Event Precipitation(inches):
All permits require qualitative monitoring to be performed during a"measurable storm event.-
'A "measurable storm event"is a storm went 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 perminee is able to document that a shorter internal is representative for
local storm events during the sampling period.and the permittce obtains approval from the local DEMLR
Regional Once.
B� this signature. I certif} that this report is accurate and complete to the best of m) know ledge:
( ure of Pe lee or Designoyor
1. Outfall Description:
Outfall No. Oak Structure(pipe.ditch,etc.): G k—ky-o a�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: A.4uy4•c,
23,35
Page I of 2 Corset.Sued•carrmarn 083506
n
br..k n Fa<rht•
SWU•242,Lail modrfud 0"1 201S

L C,0 (r4tjf-t 30 61-bed? �. T.' l tj •
2. Color: Describe the color of the discharge using basic colors(red, brown, blue._etc.)and tint
(light.medium.dark)as descriptors: r-
3. Odor: Describe any distinct odors that the discharge nt:p have(i.e..smells strongip of oil.tseak
chlorine odor,etc.): .iV UVLr
4. Clarity: Choose the number which best describes the clarity of the discharge, Where I is clear
and 5 is very cloudy: C,�
r
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:
Q _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:
V 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? OYes F_Vo.
n
9. is there evidence of erasion or deposition at the outfall? 0 Yes (KNo.
10. Other Obvious Indicators of Stormw•ater 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.
Ili t or�t
page 2 of 2 Co MSUMNc me 083606
L,Yoln:m Facfih
SwU442.Last modified 06.00 19018

WILLIAMS MULLEN
Ethan R.ware RECEIVED
Direct Dial: 803.567.4610
[e-mail] JAN 2 3 2024
January 11, 2024
VIA E-MAIL & U.S.MAIL
Mark Robertson
Water Enforcement Branch
Enforcement and Compliance Assurance Division
United States Environmental Protection Agency, Region 4
61 Forsyth Street, S.W.
Atlanta, Georgia 30303-8960
Robertson.M arkAgpa.eov
Danny Smith
Supervisor, Stormwater Program
Division of Energy, Minerals,and Land Resources
North Carolina Department of Environmental Quality
1612 Mail Service Center
Raleigh,North Carolina 27699-1612
Dannv.Smith(@ncdenr.l ov
Re: Necessary Quarterly Monitoring
Concrete Supply Company, LLC, South Plant
Administrative Order on Consent, Docket No. CWA-04-2022-0310
Charlotte, North Carolina
Dear Mr. Ro
Pleas oncrete
Supply Corti �� �CI�- ram- ,renced
Administratf plifying
rain event 0 / �6q 7 ladings.
Feel'
ERW/ct
Enclosuret
1230 Main Street,Suite 330, Columbia, SC 29201 1 P.O.Box 8116 Columbia,SC 29202
T 803.567.4600 F 803.567 4601 1 witliamsmullen.com 1 A Professional Corporation

Concrete Supply Co LLC
Certification
I certify 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 fine and imprisonment for
knowing violations.
Signature: I Tel: [phone]
Name: Johnie Alexander Date: I S ao
Title: Environmental Manager

STORMWATER POLLUTION PREVENTION PLAN
QUARTERLY - GOOD HOUSKEEPING/,P,M,//B/MP INSPECTION
PLANT LOCIyj'� : ��L�DATE(fIME:_1
WEATHER:�
(Inspection frequency MUST be performed QUARTERLY w c dy Is t
NAME Osk-tn�a.+/F-1�S SIGNATURE:
AREAS TO CHECK: Raw material storage areas with water sprinkiers/misbrs.Truck rinseMash and drum
washout areas,Truck wash chemicals and Admix tanks,Oil tankisheds product storage,Catch basins and pipes,
Outfalls,Yard for spisage/debris.
.+ Good House Keeping,Equipment Preventive MaintenanceMspections.Spill Control
KitsInspection,Employee Training ease use additional sheets ff necessa
Good Housekeeping/PM Inspectlixf Checklist Remarks Whet Action Is
Needed
factory) (cbanuphepairheplaeahrono)
Is trash bin lid dosed?8 Is the Lid in working condition? I NO
Is trash removed from the site on a timely basis? YEV NO
Is the site swepl'As Needed Sasis'ata minimum Quarterly? NO
Is there any debris on the yard? S O
Are outside areas kept in a neat and orderly condition? YES NO
Is the maintenance shop orderly for the equipment materials and YE NO
tanks/drums!/totes?
Is there an evidence of dripsAeaks from Trucks quipment/ YES NO
Tanks/Drums/Totes?
Fines scraped up/removed from equipmentames? YES NO
Are the secondary containments in good conditions with NOleaks 1 YEB NO
Cracks I settlement?
Is the secondary containment discharge pipe dosed and locked? YE NO
Are traffic areas free from equipment materials,and other objects? NO
Are chemicaWoiMuels stored in proper containers? YEV NO
Are any storage containers leaking or deteriorating with rust? YES O
Are stone/sand areas kept neat and orderly manner? YE NO
Do you see any leaks from the baghouses? YES NO
Are admix tanks in good condition and did you see any leaks? NO
Are Admix tanks located inside a secondary containment? ES NO
Are sediment traps/stone dams in good condition NO
Are ditches,pipes,swaies and catch basins in good condition? S NO
Is there a vegetation growth in the ponds? S NO
Are ponds cleaned regularly for accumulated sediment? NO
Are washwater recycling basins are cleaned for accumulated S NO
sediment? _
Does the facility required to do BMP feasibility(technical and YE NO
economic)study?
Do you near any unusual noise in the equipment? YES NO
Page 1/2

QUARTERLY — GOOD HOUSKEEPING/PM/BMP INSPECTION
Good HouselteepinglPM Inspection Cheddlst Remarks What Action Is Needed
factory) I (cleanupli apatrfnpiacdttotw)
Are washwater recycling basins pumps working properly? YES NO
Check effects of realm concrete and slurry drying areas on the YES NO
outallT
Are equipment(pH and other)in wastewater recycling basins YE NO
working properly?
Are effective cleanup procedures used for spilled materials? NO
Are spill control kits in good condition with all the required NO
materials?
Are there any unauthorized discharges from the facility? YES NO
Is process water from truck washing.drum cleaning going to
outalis? YES NO
Are there any signs of erosion on slopes,ponds,or earthen
berms? YES NO
Could any new BMPs implemented lo protect stormwalerquality? YES NO
Have all newemployess received Good Housekeeping Training? NO
Did you provide at minimum annual Srormwater Training to all g NO
employees that could affect the stormy atar quality
Check for any changes in the Plant operation that could affect YE NO
SWPP Plan Update?
Check pH readings from lab report to the PH at process water pill NO02-1
—�
Check if any other area not mentioned above needs attention NO
BMP Inspection Checklist Remarks What Acton Is Needed
(cearagdrepakfreplacehhone)
Are oil pumps in working order with no leaks? NO
Are dust collectors are working properly? YE NO - '
Are compressor bleed is contained? YE NO
Are all secondary containment dikesAvats in good condition? YE NO
Are all stone and sand barriers orderly? YE
Is sediment in wash pits orderiyand controlled? NO
Are ripraplhay balesiberrns working property? NO
Is there a site erosion? YES N
:s sediment from the return concrete storage areas contained? YES NO
Are there any leaky equipmentfvehices on the property? YES N
Is SWPP Plan/Site Map update Necessary? YES NO
CAdditional, emarksfRecc mendlifinna:��V pC
Plan Manager Signature: Date:--LrT�'�
NOTES: Use the additional remarks/recommendations section to describe deficiencies in Housekeeoine
Measures.and Preventive Maintenance. Use other side if additional space is needed.
Page 2;2

Waypoint_ 049 Sprinebrook Rd,Charlotte,NC 282.17
ANALYTICAL Main 7e4.S29.6369
www.wawpointanatyticat.com
12/28/2023
Concrete Supply Company
Johnnie Alexander
3823 Raleigh Street
Charlotte, NC,28206
Ref: Analytical Testing
Lab Report Number:23.349-0019
Client Project Description:South Plant Facility
Dear Johnnie Alexander.
Waypoint Analytical,LLC(Charlotte)received sample(s)on 1211&2023 for the analyses presented in the,
fallowing 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 validatioru,instrumentation maintenance and calibration for all
Parameters were performed in accordance wilh'guidelines established by fhe 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,
Jamie Corporeal
Laboratory Project Manager
LaboratoVs&Wily in any dafm relating to analyses performed shall be lim tact to,at tabofdtorys opt/on,repeafing the
analysts in gtreslbn at/aboratorys expense,or the refund or the charges paid for performance of said analysis.
Page 1 of s

Wav L)O'nL ® 449 Springbrook Rd,Charlotte,NC 29217
ei �ANALYTIIC■ALL Twain 704.52g.6364
wwwwayllointanalypcal.com
Certification Summary
Laboratory ID:WP CNC:Waypolnt Analytical Carolina,Inc.(C),Charlotte,NC
State Program Lab North Carofma �D Expiration Date
rogram 37735 07/31l2024
North Carols a State Pa
Program 402
South Caroicla 12131/2023
State Program 99012 07/31@024
South Carolina State Program 99D12
12/3tf2023
r
Page 1 of 1
00016 23349-0019
Page 2 of a

Wa�/� oint. 449 Springbrook Rd,Charrotte,NC 28217
Way point
www
L Main 704.529.6364
.waypointanalytical.com
sample Summary Table
Report Number. 23-349-0o19
Client Project Description: Seutit Plant Fact ty,
Lab No Went Sample ID, matrix Date Collected pate Received
92104 Pipe 001 JAWe4vs 12115/202314:43 32/15/202315:16
d
J
I
Page 3 of 8

4495pringbrook Rd,Charlotte,NC28217
Waypoint.
ANALYTICAL Main 704529.636E
01058 www.waypointanalocal.com
Concreterete Supply Company Project South plant Fadmy
7o
3823 Raleigh Sheet in{ormation: Report Date: 17/28/2023
Charlotte, NC 28206 Received:IZ115/2023
Report Number:23-349-0019 REPIORTOFAAGLYSIS
Lab No: 92104
Sample ID:Pipe 001 MBbu:Aqueous
Sampled: 12/15/2022 24:45
Teat Results lints MDL Df Date/Time BY Analytical
Analysed Method
HM:011 and Grease <S.6 mg/l. 5.6
1 17/27/23 09:36 RLW 16646
PH 7.2 S.U. I 12/15/2314:45 F1D FIELD
Total Suspended Sgft 117 mg/L 6.6 ` 1 12/20/2316:30 3Mo 25EOD-2015
Qualifiers/ DF DO Won Factor
Definitions MQL Method Quandtaaon Undt
Page 4 of 8

Waypoint. 449 Springhrook Rd,Charlotte,NC 28217
ANALYTICAL Main ro4.529.rss4
ww W.Wavpolntana"Cal.com
Shipment Receipt Form
Customer Number:01058
Customer Name: Concrete supply Company
Report Number: 23.34"019
Shipping Method
Fed Ex US Postal Lab Other: F —
UPS Client Courier Thermometer ID: IRT15 2. CC
Shipping container/cooler uncompromised? V,Yes No
Number of coolersfwxes received
i
Custody seals intact on shipping containerkboler7 Yes ,No •-Not Present
Custody seals intact on sample bottles? Yes No 10,Not Present
Chain of Custody(COC)present? .9.Yes No
COG agrees with sample label(s)? -W Yes •No
COO properly completed 4•Yes •No
Samples in proper containers? �0,Yes zNo
Sample containers Intact? •0-Yes No
Sufficient sample volume for indicated test(s)? 101 Yes ,No
All samples received within holding time? o.Yes No
Cooler temperature In compliance? illi•yes No
Cooler/Samples arrived at the laboratory on ice. -W Yes No
Samples were considered acceptable as cooling
process had begun.
Water-Sample containers property preserved 0•Yes No NfA
Water-VOA vials free of headspace Yes •No N/A
Trip Blanks received with VOAs Yes No N/A
Sail VOA method5035—compliance criteriamet Yes No :0•N/A
High concentration container(48 hr) I Low concentration Encore samplers(48 hr)
High concentration pre-weighed(methanol-14 d) j Low conic pre-weighed vials(Sod Bis-14 d)
Special precautions or instructions Included? Yes :0,No
Comments:
Signature: An eb Norvell 9 9 _ ! Date&Time: ;12/15/202315:42:04
Page 5 .of 8

I �a CHAIN OF CUSTODY RECORDin
�/pOi11�. PAGE — OF OUDTeaTOENSUREPROPERBILLINGI -YES ND NA
ANALYTICAL SyeP:e3 INTACT vponam ar• 0
aaS SPnngIn. RP ad•Charlotte.NC 2e217 Project Nome: S -�,!�tr'-nyL,�'--.•-•, Rttercpd IN,CET
Phone TOM32/a•W��W •��F�ax;7114525•6409 Short Hold Analysis as (No) UST Project: (Yes) (No) PROPER PRESERVATIVES ma:JIL02
Client Company Noma:<<(}(�fX'C, , S 'L/ 'Please ATTACH any project$pacific reporting(OC LEVEL 1 II 111 IV) Race-Cd VJITH124 HOLDING TILTES° _
Report TO/Contact Name: -- _ _ "(- provisions andlor QC Requirements CUSTODY SEALS INTACT> •p
Reporting Address: • Invoica To:.- - _ VOLxttLESraCIIV:OUTHE•+DSPACE' __ _ �,
-' - --- -- Address: __ _ - - -- PROPER CONTAINERS mea-
I ----V_.- -^- -._ -.._ - ^.-�J'- ._ - _ - — _. TEMP Trlalm ID 003er:cd Z.I G Can C
Phone: ._ ..-. - -!:, ZJ:-
Fax(Yos)(No): Purchase Order No181111ng Reference. — r
Email Address: ITC BE FILLEDIN BY CLIENT/SAMPLING PERSONNEL
NCgoa'l4d Dde OBIS J1DAy Ji'Da)a JjOdr. J40.Tv3 JS D.w•. I
EDD Type:PDF,-Excel. =Other . ..yvorldn Days- JGr shun YtNN 6413I Be I Certification: NC-- _ SC ,-
SileLoeationName: D r rDay. JSanTgrtl."I o3 JPre Apolmed
Sam::.;N rrrrnee aber lS 00 G:'1 ea NaO±aSed npTl CuSn#"day Other NIA_ - _ 1
Site Location Physical Address: -- Turnwllza I,w S Lamm On nus.V.ss dolt.Maedzj vwaaenaaana noway, Water Chlorinated: YESNO
ISEa REVERSE FOR TERNS a CONDRIOMS REGARDING sERN __
cts •—
-- -- RENDERED BY WAYPOINT NIALYTICAL LLG TO CLIENT, Samples Iced Upon Collection:
' L,►"�`T'ep._QQOJ�,11_1,1I.,�(L,f-••�1�csO�.•.Os+�wLT I'�L�1. _\S
II)`.^.1�LwrtTC Y-✓ff_. \ �eI , IVL—II _-v'—III ,ip i•I. —i I
i;l i YES -NO_TIrdE SAMPLE CONTAINER ANALYSIS REQUESTED DATE .COLLECTED IPRLVA•SAPLE DESCRIPTION I COLLECTED IRTRY WATER. B
I g SIZE i REMARKSHOURS SLUDGE' SEEBELOW NO ��i
' _C_g-
3yLIS ' I
10. ;
!�—^ —I —L — --- --'-- a
IINI{IN�IIIIN I''IN�NNINI��{I'{�Ipp;��'=;9
_-- I �-'.,�.--_- Cwvelcamltiv Cnmoam I
P±anl FnN.N
!SampErs Slgnawra{—- SamPIe:18v IPnnl Name) 1'�i.1jG. \ I AtfrllaUon I� z>
Upon rollnlpltshing, is C o�YY is your .00dratlon for Waypolnt Analytical la procaed with the anely Ds as raquwted abovD. ny ehangoc must be
s....[tied In writing to Ilro WoypGlnt Anolydwl Pro`jaet tAanager.Thoro w1116a charges for any changes agar analyses have been 14111o11tod. ObArdwl Timd:
EIIC'SN10 1I 'T'UtuC: 1 RY.4n[b aybr 0..fN �_
i eau• I If ta•n+a:a AdMhonAl Caem+eM3
• Ra+T>YIt•1 y•_aw,u. __-_ I SI±e Oewnan ilmo:
Rryprk l6Y'}�rY.vnr I GK!• I - ^—
Field Tech Fee:
iw">•';ue.NW tlY•s.1,,z— _.__—I M,.VV F_r .AM
�r ' $$MSin'0'BI TAbIo gN}rA7NtY�Q§TeOrs—�Fi T—ORTRAHSIfd1T •'J��•� V.
SAMPLES ARE NOT ACCEPTEDANDVEAVIEO AGARIST COO UNTIL RECEMD AT THE LABORATORY ErIA6OAATORT Ot 4c,y Ns
LJ ej Ill JUPS JWWIM'4,5- J J1L7y;nln Al•IenaI F+N Sena JSC:r '
NP ES: , U T: R ; 613TAKlF1'G-d•A1'E` -SQL O W E: I RCRAT—�f7FCD NbFILt OTHER:JNCJSC 1JNC JSC I JNC JSC 1 -)NC JSC 'JNC JSC JNC JSC
J •jiJNC JSCIJNC JSC ,JNC JSC
J.
I J I J lasa P Plaailc: J'CONTAINER TYPE CODES: AeAmber CeCloar GeG TL=1eRon•LIncACap VOA a vast,,-. (Z e roJ Head Spac"e) i:(i l/;ifGia

r - -
f>ni••mmn:aa '
(rlra6lp
Stormwatcr Discharge Outrall (SDO)
Qualitative Monitoring Report
f•ar),mrd urt•au fiffmg era tfas faros rVeore riru hops•.dcy.nc gnrfatxmtrdlrlsians elen:yuuncrd-land-resources
npdes-smmormer-gps
Permit No.: NIC r ort'cnifiratcofCnvcragcNo.: \K'd
pacililc Nmttc:
C'uuntr:Cb�p�•�, _ Phone Va _
Inspector.
Date or Inspection: _.L?
Time of lnspcction: t y : S - - --- -
rolnl Event Pmcipitalion(inches): �—
All pennies require qualitative monitoring to he perrontccl during n•'measnnhle storm event'
A"mc.•rsurableslorm event"is a storm event Ella%results in an actual discharge I'mnt the permitted site
oulfall. The previous measurable storm event must have been al least 72 hours prior. 1 he 72-hour storm
interval does not appl\ if the permittee is able to document this a shorter interval 6 representative fi,r
Real stone icc. during the sampling period.and the pennittee obtain,appro\al from the local Df AII.R
Regional(ll'�ce. r
li) this signalure. 1 certifj teat this report is accurate and complete to the hen of my kilos\Icd,c:
(Si' eofPenttitk esignrcl ---- -- -. .-._ -_. ----
I. OuIL•11�Description: 1"
OullAI No. Ob� Structure Ipipe.ditch,etc.): -
�pG�a6e -
Rvwei\ing Stream: —
DOwribe the Industrial acuvitie.s that incur a iihin the oulfall drainage ama: • MJ(Y� __ _
Page 1 of'2 291119111111111111 MillWili111i11 5 91w,'
U\L.L] Lnl mr.da,;J r•�r•].�rlN Gnaia,nrt F.Ruh
Page 7 of-a

Goncrr✓3c� SrXaC't� go, yq., �•L� S,Gb
2, Color: Describe the color ol•lhc discharge using basic colors(red.brown.blue.etc.)and silo
(light,medium,darks a+descriptors: �� 1.
-�- t►--ww-_ -- ----
c Odor. Dc\crilx ant distilxt odor:that life discharge ma} h:ne l i.a,smell++trorn,h of uil."ra!
chlorinetuiar.ctc.t. (Jry p�
J• Clarity: Choo>e the nuuther Which best decerihes the clarit
and S is scn cfoudv: y of Use dheharge. "beer I i+clear
1 (3�) 3 J 3
'• Floating Solids: Ch"C the uuml.er Which best describe"the annsum% of fl�xuing wlid+in the
wnnss:ner discharge,"here 1 i+no solids:uul S is the surthcc covered"ith Iloaliu wlitk
1 O 3 J $
6• Suspended Solids: Chome the numbentltich best describes the amomn of\us1<ndcd solids in
the slorm"aler discharge,where, I is no solids and S is c-Mmuch muddy:
-' 3 J i
7. Is there any foam in the sn.nnwaler discharge? o ycs No,
S. is there an oil sheen in the Stonmwter discharge'! oyes (No.
'y. Is there evidence of erosion or deposition at the ontfaIj,! O yes yy No. —..
10. Other Obvious Indicators of Stormnafer•Pollution: l _
List and dcxrihc
.Note: Low elarily,high solids.and/or the presence of fo:un,oil sheen,ur crosionldeposition may he
indicative of poilutanl exposure. lhcsc conditions n:Irrnnl further invcsli�atlon,
II�'d111l111 Ulu I'MIN11111111 DIMS
C"'..o omwnv
3.'CIld C
t}agl''_of 3 .nup ppd F IGldr IS IS:T
\}OI -:,� I I}aF•lll.i.t +11I tilt'}
Page 8 of 8

Stom,vp«/Wttw Wattt 4anap.m.M Irupoction
�•.wnan on.
Trw•L.W,1Ca`W..xq: 9rormwn« > neon 5
Mu q l,cnyxe(CYce 4(tntl.ppyl'W YTIS. $y.,e4 . Iny P,vol.wn grnWy pn.r.
We�tl Srb OOn,WYpri-
Y �.
Y,N Irx Item Mb
W Maur �s
LLpy-DC4 M1M tx.0 nY _
a LlIf1�M In fil_NIOn TIY!____erm«V PFW O--••
d!!!lMI..l..64..«q nw Wx.r[Y«MeY
r ynM,Nll.,b,elrp le.rCa St
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j�
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W.Wtau N..
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bex m+Itl.InO pMry
a �MYjnp M �M«1a 1, __
t ✓ hlM wnGym
� p91M w.fIrM«..ln.
r b
t .EJIIanM
Ylosd!'�+mn a
ftas
L� O
� 0
0 0
O 0 C
Document Corrections With-in Two Months of Inspection Data!!!

Waypoint_ 4495pringbrook Rd,Charlotte,NC 28217
ANALYTICAL Main 764.529.6364
www.waypointanalydcal.com
1/3/2024
Concrete Supply Company
Johnnie Alexander
3823 Raleigh Street
Charlotte,NC,282o6
Ref: Analytical Testing
Lab Report Number 23.383-0019
Client Project description:South Plant Facility
Dear Johnnie Alexander:
Waypoint Analytical,LLC(Charlotte)received sample(s)on 12/29/2023 for the analyses presented in the
following report
The above referenced project has been analyzed per your instnmctiOn$. 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 ail
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,
I-%1�
Jamie Corporeal
Laboratory Project Manager
Laboratorys liability in any claim relating to analyses performed shay be ymiled to,at laborato"option,repeating the
analysis in question at laboratory's expense,or the refund of the charges paid forperfonnarrce of said analysis.
Page 1 of a

Waypoint. 449 SPringbrook Rd,Charlotte,NC 23217
ANALYTICAL Main 704.529.63611
www
.vrmointana"cal.com
Certification Summary
Laboratory ID:WP CNC:Waypoint Anatytical Carolina,Inc.(C),Charlotte,NC
State_ __ _ Program Lab ID Expiration Date
North Carolina State Program 37735 07/31/2024 -
North Carolina Slate Program 402 12/31/2023
South Carolina State Program 99012 07/31/2024
South Carolina State Program WD12 12031/2023
Page 1 of 00016/23-363-0019
Page 2 of 8

Waypoint. 49 Springbrook Rd,Charlotte, .5 28364
ANALYTICAL Main nalOcal.com
www.waypatntanalytical,wm
Sampk Summary Table
Report Number. 23-363-0019
Client Project Description: South Plant Facility
Lab No Client Sample ID Natror Date Collected Date Received
92893 Pipe 001 Aqueous 12/29/202312:45 12/29/2023 13:18
Page 3 of 8

Waypoint. 4495pringbrook Rd,Charlotte,NC 28217
Main 704.529.6364
glass ANALYTICAL www.waypolntana"cal.com
concrete sup*CDMPWW Roved South Plant Faaty
]ahnnie Alexander
3823 Baugh sheet Information: Report Date:01/03/2024 -
Charlotte, NC 28206 Received:12/29/2023
Report Numtrer:23-363.0019 - REPORTOFAMLYSZS
Lab No.-' 92893 Matrix:Aqueous
Sample 1D:Pipe 001
sampko: 12/29/202312:45
Test Results Units MDL DF Date/Time By Anslytiml
Analyzed Method
PH 6.21 s.u. 1 12/29/2312*45 FLD FIELD
Tow Suspended Solids &7 mail. 2.6 1 01/02/2410:00 7MD 2540D-201s
Qualifiers/ I)F Dilution Factor Definitions MQL Method Qoantita0on omit
Page 4 0£ 8

Waypoint 0 449 Springbrack Rd.Charlotte,NC 28217
ANALYTICAL Main 7e4s29.6364
wwxcwaypolntanatrecaLcom
Shipment Receipt Form
Customer Number:01056
Customer Name: Concrete supply Company
Report Number: 23-363-g019
Shipping Method
Fed Ex US Postal 4!Lab Other: F-
UPS / Client •Courier Thermometer i0: RT15 4.2C
Shipping container/cooler uncompromised? q•Yes No
Number of cooleryboxes received F j
Custody seals intact on shipping container/cooler? Yes No 4,Not Present
Custody seals intact on sample bottles? Yes No G' Not Present
Chain of Custody(COC)present? •0,Yes . .No
COC agrees with sample label(s)? .49.Yes • s No
COG property completed 4,Yes 1 ,
No
Samples in Proper containers? 4b,Yes No
Sample containers intact? W Yes No
Sufficient sample volume for indicated test(s)? -0,Yes • 1 No
All samples received within holding time? :0.Yes No
Cooler temperature in compliance? 11!Yes 'No
Coeledsamples arrived at the laboratory on ice. A Yes No
Samples were considered acceptable as cooling
process had begun.
Water-Sample containers property preserved :e) Yes +No WA
Water-VOA vials free of headspace Yes • •—No *-WA
Trip Blanks received with VOAs Yes. No AD N/A
Soil VOA method 5035—compliance criteria met Yes •No 4-WA
High concentration container(48 hr) I• Low concentration EnCore samplers(48 hr)
High concentration pre-welghed(methanol-14 d) I Low cone pre weighed vials(Sod Bis-14 d)
Special precautions or instructions included? Yes •0•No
Comments: 1 J
i
Signature: Angelo Norveil Date&Time: fl W91202313:53:41
Page 5 of a

\� . • CHAIN OF CUSTODY RECORD
Waypom PAGE t• ) OP1 OUOTS aiOENSUP[PpOPERBILUNO: _ YES NO NA
Samp_
ANALYTICAL L� RxeNN INTACT dOcn:nrnRl p _
as on 1 rcootu k Road•Cbadolre.NC 2e2t7 Project Name: SOI�C�r1_}J�p.YTr _— ReceN�9 IN ICES P
Phone)04529'W 4 • For:7041526.0400 Short Hold Analysis (Yes) (No) UST Project: (Yea) (No) PROPER PRESERVATIVES Ind V3Vd7
'Client Company Name: 1' 'Please ATTACH any project spoclRC reporting jQC LEVEL 111111 IV) Recer.ed LATHnr HOLDING TIMES', +� ,_•
"`-`—y Provisions andfor OC Requirements CUSTODY SEALS INTACT',
Report TOIContacl Name: _ Invoice To: VOLATtLES Md YSOVT HEACSFnCE' _ K.
Reporting Address:-_____. Address: PROPER CONTAINERS N aT
-- TEMP ThoenlDZI-0- Obxr.T: 'C!CcV—!C 'C
Phone: _ ,__—_Fax(Yes)(No):,Email Address: Order No,lBilling Reference--..,-._
_ � I7O BE FILLED IN BY CLIENTISAMPLING PERSONNEL:
RsRd4slrl Dim Pala J I Oa, J 2 Day3 J.1 Dan a OmT• J S Da73
EDD Type: PDF___ Excel—__Other Certification: NC__ SC­
'Working Day:" JG-,+,Day: Jal"dar410aers ]F!usa ri'oIL LIasi Bo j
Site Location Name: _-- Samp:es rnrurat!ana l.UBxd bo r+acsseo na.!buaroF,myPlo�a I Other , NIA -
Site Location Physical Address_ •- TwPar0und emm a baged On txNlriSS days crdddmg nesFeruH:mrl J,Ways. . I Water Chlorinated: YES--- NO
(SEE REVERSE FOR TERNS a COIIOmNS O REGARDING SERVICES -' I
—•_�—__ -___ ..- _— RENDERED BYWAYPOINT ANALYTICAL.LLC TO CLIENT) Samples load Upon Collection: YES_., NO i
! TIME — MATRIX SAMPLE CONTAINER I ANALYSIS REQUESTED
DATE CLIENT I COLLECTED SOIL. _ / i i + 1, '
SAMPLE DESCRIPTION COLLECTED I MTLRpf1Y I WATER,OR, T---r— PRESERVA• / i
'TYPE 7NE5 REMARKS i ID NO. r
HOURS SLUDGE) I SEE BELOW I qD, I SIZE
+• / i• i
t G OO J 2.2aI.23( Z•• �1S l�••YFt.I. I � � !_ Y1arEr i X. I I• I'- --�
i
j-- -- _ � �191HIpp�� pppplIlI qqnp II��pp pppplIpp yy��II ,3.363.00e ---- - —
Po��IA�IIIIIII�pIHII'tlIpII� I1N 01058s•m.r 1
S"Oh Coma" r339 5: I ( t
1 9umb aynl Fae�Nv
I f ! 'r1
( samplers Slgrtalure— /_ _'Samptstl 8y IPrml Name).r,1� l�,CG•1'a./ ,AlNrebon
I Upon relinquishing, Is C of CuStod is yourauthomation for Waypoinl Analytical to proccoa with the a Tsos as requested above.Any changes mull be '
(submitted In writing to NO Waypolnt Ano IcRI Project Managef.Them will be charges for any Changes alter analyses have been initialized. I S{N Arrhil Tkna
� �n..+•.w.a Addllionat Comments —
Site OePanuro Tama:
I!rNMr:ri,Tay lf�JnLxPI _�____' R `C:nd Fluld TKO Fee:
yiAM.? YI.�rM1a'.✓4• -11•'M.N ip l�' IJ'La �•^- --
I �. Mango.
�Z ThfJ3l �
rJ ;ALL oU'�,a s��i Ri—egYi�P€bsxg'rm U �SFO�- PTA 1 pG1�pTgH Tp1MLAUORATOR. •T„PNi
SAMPLESA I= TED ANP VER1M AGAINST C0e UNTR RECEwEG AT TNEtABORATORY )
�J ror E+ Ju s Jlk mh{;,i,gT JCAT:ea aatumrcU:inla JC^.el I ' '
P : i OS7': GROUNDWATERj DRINKING TNAS G I�AATER: SdCIbfE`WIC tl—•9RY� FL D W ILL OTHER:
NCJSC JNC JSCI JNC JSC IJNC JSC IJNC JSC IJNC -1 SC JNC JSC -INC JSC LJNCJSC
CONTAINER TYPECODES: A-Amber C-Clear G-Glass Pe PiaMlc: TL-To0on4LIrmd Cop VOA-Volatile Organics Analysis(Zero Head Space)

�111HIINIWIk11�tn11OOISl A111�11IIO�INI�I��a9
Cm,cutu SueW CortlKu,v 11;95z
. Swla Plml F,rulM
r.,IN:•4lfKvty:
Qun(Qy
Stormwater Discharge Outfall (SDO)
QU81itatiVe Monitoring Report
fin crrr,Sn¢a•ru?lit/n;e a1R drn purr.plra,c rrtrt['tips. dcq uc gu,al++lut'Jiclaenl<mere+-uuncrd-Lmd•re>vure+
nptks-slomnatcr-gps
Permit No.: orCertilicmeorcowrageNo: \/r,
Facility Name: Gbt-,r_r `. SOt 4,
('Ounce: ---1�]4+r1.}�_._..— _ •--
/� _phone No.
- - taG4
Inspector: --kq - ---
Date of Imspectiotl: _�Z•,Zq
t fine ol'Imilcelion:
Total H'cnl precipitation cinched:— n .
All pennits require qualitative monitoring to tic perlunned during a"measurable.Iran to col.•
A '•menr'nrahlc storm etvill"!a a storm event that results in an acWat discharge from file permitted site
01116111. '1 he pre,ions measurable stoma event must h:nc peen al least 12 hotvs prit+r. 1'he'?-hlnlr uonn
inter al does not apple if the pennittcc is able to dcx:umrnt that a shorter interval is representative I•or
local alone events during the sanq+ling period.and the penuitlee obtain,approval from the It1ea1 Dl.�II ti
Regional Office.
BY this signature.I coil} Ihal this report is accurate and eontpicle to the lea of In. leant ledge:
tSigm ln:ol-per
1. fAufall Description:
Outfall No. 001 Structure(ripe.dilch.etc.):
Receiving Streaul:
------------
1?:aeribe the industrial:xaiv!ties that occur within the out
ialI draitrtge urea: ._•___ - __
l7tgc I nf_
page 7 of 8

Corvc.ra�- Svpp(y .Sam Plr�r%�- 12. aq. 23 jL:clS
?• Color: Describe the color of the discharge using h•Isic colors(red, brown,blue.Cie.)and tint
(light.medium.dark)as descriptors: J%4-
3. Odor: Describe an) distinct odnry that the discharge nim have(i.e..mulls strongly of oil,vcC hk
chlorine odor,cte.k QOYQi
J. 'Clarity: Choose tic number which best describoc the cltuily of the di char!_c. where I is clear)
and 5 is very cloudy:
1 0 3 d 5
S. F1006111.0 Solids: Choose the number which best describes the amount of)Baling solids in the
stormvyaler discharge,where 1 is nn solids/a�n'd�5 is the surrace covered with floating solids;
a 5
6. Suspended Solids: Choose the nundier which best describes the amount ol'suspended solids in
the stonrncater discharge.%%here I is no solids and 5 is extremely muddy:
01 '_ 3 •! 5
t
7. Is there any foam in the Sonuwaler discharge? o Yes i\o. _._ .• __ ...
8. I.there an oil sheen in the stormwaler discharge? oyes 14 No.
9. Is there evidence of erosion or deposition at the otalall? o yes Vn. _
10. Other Obvious Indicators or Stormwnter Pollution;
List and describe
\ote: Low clarity,high solids,and/or the presence of foam.oii sheen,or erosion/deposition may he
indicative orprinutnotexposure. Thcse Conditions%varrantrurtherinvestigation.
Il�hq�Il��ItI�I1�Bq�pGil0E�11011111�W o a�1W,9
_,mcten:SuooM1 Comwm .3395:
1'age 2 or 'a.+dl,W.t,d Fdoldv
iwl .3•h3.1 al mµlnicJ��:nl:•nC
Page 8 of e