NCG140540_Application_20240809

FOR AGENCY USE ONLY
NCG14Q,5W 0 1,
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Division of Energy, Mineral, and Land Resources Land Quality Section 101�
National Pollutant Discharge Elimination System
NCG140000 Notice of Intent
This General Permit covers STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities under
SIC(Standard Industrial Classification)Code 3273[Ready Mix Concrete]and like activities. You can find
information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original,signed application with all required
items listed in Item (8) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh,INC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person as signed in Item(9)below:
Chandler Concrete Company Inc. Ryan Foley
Street address: City: State: Zip Code:
1006 South Church Street Burlington NC 27215
Telephone number: Email address:
336-226-1181 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑ Municipal ❑State
Non-government
O Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
Biscoe Plant 116 Ryan Foley
Street address: City: State: Zip Code:
1517 US-220 ALT Biscoe NC 27209
Parcel Identification Number(PIN): County:
7577 00 24 8542 Montgomery
Telephone number: Email address:
910-9744744 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
3273 ❑ New SPropo d Existing Year2000
Latitude of entrance: Longitude of entrance:
35.326052 -79.763138
Brief description of the types of industrial activities and products manufactured at this facility:
Ready-mix Concrete Manufacturing
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
B N/A
Page 1 of 7

Thisfacility uses: An environmentally friendly truck-wash soap named
❑Phosphorus-containing detergents Sandstorm is utilized at this facility. SDS sheet is included in
❑ Non-Phosphorus-containing detergents
❑ Brighteners application packet.
❑ Other Cleaning Agents
8 Other:
This facility has a closed-loop recycle system that meets design requirements in 15A NCAC 02T. 1000 and hold the facilities
working volume
❑Yes—stop completion of this NOI.Contact DWR Non-Discharge Permitting Program for permitting requirements
8 No
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Not available Not available
Street address: City: State: Zip code:
Telephone number: Email address:
4. Outfall(s) (at least one outfall is required to be eligible for coverage):
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
001 Cabin Creek WS-III ❑This watershed has a TMDL
Discharge from this outfall is from:
B Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
B Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
35.325871 -79.762453
Brief description of the industrial activities that drain to this outfall:
Employee parking and vehicle fueling area.AST-Double walled tank within secondary containment wall poses little to no risk.
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes 8 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 2 of 7

3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar ear?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑Wastewater Comingled with Stormwater
7Q30 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar ear?
All outfalls must be listed and at least one outfall is required.Additional outfalls may be added in the section
"Additional Outfalls"found on the last page of this N01.
5. Wastewater
Types of Wastewater facility will generate or discharge
Vehicle&equipment cleaning(VE) B Generate ❑ Discharge ❑ Sent to WW Treatment System
Wetting of raw material stockpiles(RM) W Generate ❑ Discharge ❑ Sent to WW Treatment System
Mixing drum cleaning(MD) B Generate ❑ Discharge ❑ Sent to WW Treatment System
Facility will spray-down or actively wet aggregate piles Aggregate material is watered during periods of
8 Yes prolonged dry weather and/or to eliminate fugitive dust.
❑ No
Page 3 of 7

6. Wastewater treatment alternatives
What wastewaters were considered for this alternatives review: 8 VE B RM 8 MD
Are there existing sewer lines with a one mile radius: W Yes ❑ No
If Yes:
❑ The wastewater treatment plant will accept the wastewater. It is feasible to connect. Explain:
MThe wastewater treatment plant will accept the wastewater. It is not feasible to connect. Explain: Map Notes
❑The wastewater treatment plant will not accept the wastewater(attach a letter documenting)
❑ Surface or subsurface disposal is technologically feasible Not feasible due to impracticality of necessity of
B Surface or subsurface disposal is not technologically feasible such a system. Financially prohibitive for a
Explain: remotely located plant that is expected to be a
storm-water only water discharge facility.
❑ Surface or subsurface disposal system is feasible to implement Not feasible due to impracticality of necessity
8 Surface or subsurface disposal system is not feasible to implement of such a system. Financially prohibitive for a
Explain: remotely located plant that is expected to be
a non process water discharge facility.
What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge to
surface waters?Explain:
a.Discharge to surface waters is the most envimnmentally sound alternative of all reasonable cost-effective options of the waters being considered.
Discharge to surface waters is the most environmentally sound alternative of all reasonably cost-effective
options of the wastewaters being considered:
8 Yes
❑ No—contact DEMLR's Land Application Unit to determine permitting requirements
If this review included all wastewater discharge types,would excluding some types make of the above non-
discharge options feasible?
❑ Yes
W No
7. Other Facility Conditions (check all that apply and explain accordingly):
❑This facility has a DMLR Erosion&Sedimentation Control Permit.
If checked,list the permit numbers for all current E&SC permits for this facility:
❑This facility has a Division of Waste Management permit.
If checked,list the permit numbers for all current DWM permits for this facility:
❑This facility has other NPDES permits.
If checked,list the permit numbers for all current NPDES permits:
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
B This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Sediment basins, concrete and earthen diversions, and vegetation stabilizing high berm areas.
B This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
A SWPPP is currently being drafted and will be implemented upon acceptance of this application.
Page 4 of 7

❑This facility is subject to Phase 11 Post-Construction Area N/A
If checked,please list the permitting authority:
❑This facility is located in one of the 20 Coastal Counties
If checked, please indicate if the facility is adding more than 10,000 ft2 of built-upon area or is a CAMA Major Permit
❑ Will add more than 10,0000 ft of built-upon area
❑ Is a CMA Major Permit
❑Yes to both
8 No to bath
❑This facility is discharging wastewater to a stormwater BMP
If checked, please indicate the permitting authority,and attach letter approval to do so:
N/A
❑This facility has wastewater treatment facilities in the 100-year floodplain N/A
❑This facility stores hazardous waste in the 100-year floodplain.N/A
If checked,describe how the area is protected from flooding:
❑This facility is a(mark all that apply) None
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
How material is stored: Where material is stored:
Number of waste shipments per year: Name of transport/disposal vendor:
Transport/disposal vendor EPA ID: Vendor address:
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
8. Required ItemS(Application will be returned unless all of the following items have been included):
8 Check for$120 made payable to NCDEQ
9 Copy of most recent Annual Report to the NC Secretary of State
9 This completed application and any supporting documentation
N A line drawing of the water flow through the facility.
9 Copy of county map or USGS quad sheet with the location of the facility clearly marked
❑ Letter documenting that WWTP will not accept wastewater(if applicable)
❑ Approval from permitting authority to discharge wastewater to a stormwater BMP(if applicable)
Page 5 of 7

9 Two(2)24"x 36"site diagrams showing,at a minimum,existing and proposed:
a) outline of drainage areas
b) Stormwater/wastewater treatment structures
c) Location of numbered stormwater/wastewater outfalls(corresponding to which drainage areas)
d) Delineation of drainage areas to each discharge point
e) Runoff conveyance structures
f) Areas and acreage where materials are stored
g) Impervious area acreages
h) Locations(s)of streams and/or wetlands the site is draining to,and applicable buffers
i) Site property lines, North Arrow, and bar scale
j) If applicable,the 100-year floodplain line
k) Acreage of each Stormwater and wastewater topographical area
1) Each of the facilities wastewater or Stormwater source and discharge structures and each of its hazardous waste
treatment,storage,or disposal facilities
m) Notation of the water quality classification of the receiving water that site waters eventually discharge to
n) Site location(insert)
9. Applicant Certification:
North Carolina General Statute 143-215.6B(i)provides that: Any person who knowingly makes any false statement,
representation,or certification in any application,record,report,plan,or other document filed or required to be maintained
under this Article or a rule implementing this Article. . .shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($10,000).
Under penalty of law, I certify that:
B I am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
civil or criminal penalties incurred due to violations of this permit.
B The information submitted in this N01 is,to the best of my knowledge and belief,true, accurate,and complete based on
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
B I will abide by all conditions of the NCG140000 permit.I understand that coverage under this permit will constitute the
permit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
8 I hereby request coverage under the NCG140000 General Permit.
Printed Name of Applicant: Ryan Foley
Title: Environmental Manager
( ignature o Applic t (Dat gned)
Mail the entir packa DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6 of 7

Additional Outfalls
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-11,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3A digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑Wastewater Comingled with Stormwater
7Q30 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-11,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-1,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? []Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar ear?
Page 7 of 7

Stormwater Pollution Prevention Plan
Biscoe 116
Chandler Concrete
6. Wastewater treatment alternatives.
Although technically feasible, impractical since the process wastewater is minimal and discharge is only
likely generated during a heavy storm event as it contacts aggregate materials or minimal amounts of
runoff due to aggregate stockpile watering.

Stormwater Pollution Prevention Plan
Biscoe 116
Chandler Concrete
(b) Site Topography, (j) graphic scale& north arrow
Plant 116 sr <. —
o
Section 8 NO[ Mao Checklist
North Arrow and Bar Scale

Stormwater Pollution Prevention Plan
Biscoe Plant 116
Chandler Concrete
(b Surface Waters
Section 8 NO] Mao Checklist
Location of '
streams/applicable buffers
Receiving stream with water
quality classification
t ' •�
Plant 116
b
Surface Water Classifications:
Stream Index: 17-26-5-(1) t. .
Stream Name: Cabin Creek
Description: From source to Moore
County SR 1434
Classification: WS-III
No adjacent receiving streams at this
Date of Class.: August 2, 1992 location.
What does this Class.mean? View NC Surface Water Classifications
(arcais.com)
River Basin: Cape Fear

Stormwater Pollution Prevention Plan
Biscoe 116
Chandler Concrete
r
Parcels I NC OneMap
9.68 Acres Total
4 acres of undeveloped wooded land on the eastern area of the property.
Section 8 NOI Map Checklist
Site Property lines
t

SOSID:2828646
Date Filed:4/17/202412:44:00 PM
Elaine F.Marshall
State of Narth Ct7roiina North-Carolina Secretary of State
Department of the Secretary of State C2024 108 01727
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR LIM TED LIABILITY COMPANY
Pursuant to§57D-7-03 of the General Statutes of North Carolina,the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina,and for that purpose submits the following:
1. 'Menameofthelimitedliabilitycompanyis Chandler Concrete Co., LLC
and if the limited liability company name is unavailable for use in the State ofNorth Carolina,the name the limited
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is Del aware
3. Principal office information: (Select either a or 6)
a. N The limited liability company has a principal office.
The principal office telephone number. (336) 22 6-118 1
The street address and county of the principal office of the limited liability company is:
Number and Street: 1006 S. Church Street
City,: Burlington Smte:NC ZipCode:27215 county: Alamance
The mailing address,{/afferent from the street address,of the principal office of the corporation is:
Number and Street:
City: State:_ Zip Code: County:
b. 0 The limited liability company does not have a principal office.
4. The name of the registered agent in the State of North Carolina is: Incorp Services, Inc.
5. The street address and county of the registered agent's office in the State of North Carolina is:
Number and Street: 176 Mine Lake Court, Suite 100
city:Raleigh State: NC Zipcode:27615 County: Wake
6. The North Carolina mailing address,if different from the street address,of the registered agent's office in the State of North
Carolina is:
Number and Street:
City: State: NC Zip Code: County:
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised July 2017) (Form L-09)

APPLICATION FOR CERTIFICATE OF AUTHORITY
Paget
7. The names,titles,and usual business addresses of the current company officials of the limited liability company are:
(use attachment if necessary)(This document must be signed by a person listed In item 7.)
Name and 7711e Business Address
Thomas E. Chandler, Jr., Manager 1006 S. Church Street, Burlington, NC 27215
S. Attached is a certificate of existence(or document of similar import),duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less then six months old. A photocopy of the certification cannot be accepted.
9. If the limited liability company is required to use a fictitious name in order to transact business in this State,a copy of the
resolution of its managers adopting the fictitious name is attached.
10.(Optional):Please provide a business e-mail ad Privacy Redaction
The Secretary of State's Office will e-mail the business amornaucany
is filed. The e-mail provided will not be viewable on the website. For more information on why this service is offered,please see
the instructions for this document.
11.This application will be effective upon filing,unless a delayed date and/or time is specified:
This the I7thday,of April 20 24
Chandler Concrete Co., LLC
Name of Limited Liability Company
..0,44myy f. a&44Utn L
Signature of Company O W
Thomas E. Chandler, Jr., Manager
Type or Print Name and Title
Notes:
I. Filing fee is$250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised July 2017) (Form L-09)

daw - - Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "CHANDLER CONCRETE CO. , LLC" IS DULY
FORMED UNDER TEE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS
OFFICE SHOW, AS OF THE SIXTEENTH DAY OF APRIL, A.D. 2024.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "CHANDLER
CONCRETE CO. , LLC" WAS FORMED ON THE SIXTEENTH DAY OF APRIL, A.D.
2024.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
ASSESSED TO DATE.
e•bt'�.^yo�^ �mny�.er�r.s.ww.n a am
3455963 8300 � `� Authentication:203263548
5R#20241475747 Date:04-16-24
You may verify this certificate online at corp.delaware.gov/authver.shtml

SANDSTORM
— Heavy-Duty Concrete Dissolver Chemical Solutions Since 1973
_ PRODUCT#:PK-9075
WHAT IS SANDSTORM?
SANDSTORM is the Ready Mix industry's original heavy-duty concrete disolver. SANDSTORM is a liquid compound
specifically formulated to remove built-up concrete from equipment associated with the Ready Mix industry.
SANDSTORM attacks concrete at the molecular level and returns it to mud without the use of harsh acids. SANDSTORM
does not contain any Muriatie Acid,Hydrochloric Acid, Sulphuric Acid, or Hydrofluoric Acid. SANDSTORM's active
ingredient occurs naturally and is most often found in sugar cane syrup. SANDSTORM is 100%Biodegradable,Non-
Corrosive,Non-Regulated, and a Non-Skin Irritant.
MANUFACTURING AND DISTRIBUTION OF SANDSTORM
Manufactured solely by Power Keen Corporation, SANDSTORM has long been the standard in the industry for heavy-duty
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save you both shipping time and shipping dollars.
SANDSTORM USE
SANDSTORM can be used as a heavy-duty concrete dissolver without any neutralization. SANDSTORM can be used to
remove heavy build-up of concrete in twenty minutes or less. The action of SANDSTORM not only removes concrete but
also removes old rust and oxides during the cleaning process. Use on problem areas such as hopper areas,back rings, chutes,
and pedestals. SANDSTORM is so safe, it can be used on any surface, including glass, aluminum, chrome, rubber, plastic,
or paint.
SANDSTORMStart refurbishing your trucks and equipment with
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PRODUCT HIGHLIGHTS: AVAILABLE IN:
• Made from up to 25%Recycled Materials 1 Gal Jug,5 Gal Bucket,55 Gal Drum,
275 Gal Tote,300 Gal Leg Tank
• OSHA Compliant or delivered via Tanker Truck
•DOT Classification:Not Regulated
•Dissolves Rust and Oxides
•Dissolves Concrete Quickly and Efficiently
•Removes Grease and Grime
•Conditions Metal Surfaces
•Non-Fuming _
• Safe on All Surfaces
• Safe on Skin
•Up to 20 times more effective than other industry --
products when dissolving Calcium Carbonate
TRANSPORT INFORMATION:
Proper Shipping Name-
Non-Hazardous for Transport by Truck `
DOT Hazard Class-Not Regulated Pow-e-r-Meen °
Packing Group-Not Regulated Quality Chemicals•superior Service
ID#-None
Jammn Laboratories and Power Kleen Corporation/ 101 South Bayvim Blvd. /Oldsmar,FL 34677/Ph:[phone] Fax:[phone] Email:[e-mail]

ConcreteP�l PM
SANDSTORM — Heavy-Duty
Dissolver Chemical Solution, Since 1973
PRODUCT#:PK 9075
PRODUCT STUDIES CLASSIFICATIONS &APPROVALS
Metal Studies NON-Regulated
Department of Transportation DOT, TDG, IMO, IATA, IMDG, SARA
(DOT) Shipping Test Protocols as 313 311-312, California Prop 65
per Section 173.154 Exceptions for
Class 8 (corrosive materials): A RESEARCH &DEVELOPMENT
liquid is considered to be corrosive power Kleen Corporation maintains
if its corrosion rate exceeds 6.25 a fully equipped laboratory and a
Lumpy on Steel (SAE 1020 carbon chemist on hand at all times. We not
Results of Sandstorm Testing: SAE steel) at a test temperature of C. only maintain the superior level of
1020 carbon steel = 0.64 Lumpy quality set for our products but TECHNICALDATA
Conclusion: Sandstorm was proven continually strive to develop Phosphoric Acid: None
to be a Non-Regulated material with cleaning solutions for the future.
Muriatic Acid: None
regards to shipping over the road. pRODUCTQUALTIY Hydrochloric Acid: None
Sulfuric Acid: None
Toxicity Studies
All Power Kleen products are Hydrofluoric Acid: None
Test Procedure OECD 202, 48hour unconditionally guaranteed. Power Nitrate Level: None
Results of Sandstorm Testing: LC 50 Meen's commitment to product Rinse Additives: Positive
and LD 50 (rat oral) scores found quality is unsurpassed. Sandstorm Detergent Package: Positive
RMWW to be Non-Toxic. is strictly monitored by Power Kleen Surfactant Package: Positive
DermalIMtation Study Corporation and each batch of Solvent Package: Positive
A modified Draize method was Sandstorm produced is checked for Emulsifiers: Positive
used as described in OECD quality before packaging. Random Shipper Regulations: None
Guidelines for the Testing of samples are also taken from the field Weight: 9.17
Chemicals, Sec. 404, Paris 1981 every month and are tested again for Odor: Mild Characteristic
(revised 1992). This study consistency. Product samples from Color: Clear Amber
complies with the requirements of the field are carefully checked for Viscosity: 10 CPS
OECD Principles of GLP, Annex, quality, contamination, and Flash Point: None
Paris, 1981, revised as of July 1992. tampering. Freezing: 320 F
Results of Sandstorm Testing: Stability: 18 mths
Sandstorm received a Primary Carcinogens: None
Irritation Score of 2.1 ± 0.9 and is Toxicity: Non-Toxic
classified as a Non-Skin Irritant. Biodegradable: 100%
enicit Studies Solubility: 100%
Muta
g Y Volatility: None
Tested by the Ames Assay
(OCED Guidelines for Testing of DISSOLVING PROPERTIES
Chemicals, Sec. 471). Calcium Oxide Dissolving Properties
Results of Sandstorm Testing: with 3 Minute Exposure:
Sandstorm was found Sandstorm 12.4
NOT TO BE MUTAGENIC. Phosphoric Acid 0.9
Biodegradation &Aquatic Safety Sandstorm Citric 0.0
Test Procedure: Hach Reactor READY MIX TRUCK CLEANER Lactic 0.2
Digestion method for Waste Water CANNEWSOmMOMAcetic 0.1
w °;u ' °„",',',";„.,
and Sea Water.Hach Reactor Digestion Glycolic 0.2
� M�Win;, Oxalic 0.0
Method is a semi-micro adaptation _
of the Standard Methods. Malic 0.4
Results of Sandstorm Testing: Test Conditions: 200 Grams of 5%active
Sandstorm was found to be 1000/n solution, 1 Calcium Oxide Cube,
Biodegradable. 3 Minutes @ 70'F
Jamson Laboratories and Power Kleen Corporation/ 101 South Bayvim Blvd./Oldsmar,FL 34677/Ph:[phone] Fax:[phone] Email: infoCa PowaKlmn.com

Page 118
Safety Data Sheet
ace. to OSHA HCS
Printing date 06/26/2019 Reviewed on 0110112019
Product idenhfier
• Trade name:Sandstorm son
Article number.9075 PK TS
Chemical Solutions Since 1973
Details of the supplier of the safety data sheet
Manufacturer/Supplier:
Power Kleen Corporation
101 South Bayview Blvd.
OLDSMAR, FL 34677
USA
Information department:Product Safety Department
Emergency telephone number: ChemTel Inc. [phone] Intl. +01 [phone]
Classifuation of the substance or mixture
O GHS07
•
Eye Irrit. 2A 11319 Causes serious eye irritation.
Additional information:
This product was tested per the protocol of the (OECD)section 404 and the US-Dot 49 CFR Part 173.137.3
Draise,J.H. 'Dermal Toxicity"for the potential to produce primary dermal irritation after a single topical 4-hour
application to the skin of albino rabbits. This product"was considered a non-irritant'.
Label elements
GHS label elements The product is classified and labeled according to the Globally Harmonized System(GHS).
Hazard pictograms
1
GHS07
Signal word Warning
Hazard statements
Causes serious eye irritation.
Precautionary statements
PIN If medical advice is needed, have product container or label at hand.
P102 Keep out of reach of children.
PIN Read label before use.
P264 Wash thoroughly after handling.
P280 Wear eye protection/face protection.
P305+P351+P338 If in eyes:Rinse cautiously with water for several minutes. Remove contact lenses, if present
and easy to do. Continue rinsing.
P337+P313 If eye irritation persists:Get medical advice/attention.
Classification system:
NFPA ratings(scale 0-4)
Health = 1
Fire =0
Reactivity=0
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Trade name:Sandstorm
(Contd.of page 1)
HMIS-ratings(scale 0-4)
Health= 1
o Fire=0
REACTNITY�O Reactivity=0
•Other hazards
Results of PBT and vPvB assessment
PBT:Not applicable.
-vPvB:Not applicable.
Compositionfinforination
Chemical characterization:Mixtures
•Description:Mixture of the substances listed below with nonhazardous additions.
Dangerous components:
Trade secret >25-550%
68439-46-3 1 C9-I1 Alcohols Ethoxylated >2.5-S10%
4 First-aid measures
Description of fast aid measures
-After inhalation:Supply fresh air;consult doctor in case of complaints.
-After skin contact: Generally the product does not irritate the skin.
After eye contact:
Remove contact lenses if able to do so.
Rinse opened eye for several minutes under running water. If symptoms persist, consult a doctor.
After swallowing.-
Rime out mouth and then drink plenty of water.
A person vomiting while lying on their back should be turned onto their side.
Information for doctor:
Most important symptoms and effects,both acute and delayed
Nausea
Gastric or intestinal disorders
Cramp
Indication of any immediate medical attention and special treatment needed
Medical supervision for at least 48 hours.
5 Fire-fighting measures
Extinguishing media
Suitable extinguishing agents: Use fire fighting measures that suit the environment.
Special hazards arising from the substance or mixture No further relevant information available.
Advice for firefighters
Protective equipment.No special measures required.
6 Accidental release measures
-Personal precautions,protective equipment and emergency procedures Not required.
-Environmental precautions:Dilute with plenty of water.
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Trade name:Sandstorm
(Contd.of page 2)
Methods and material for containment and cleaning up:
Absorb with liquid-binding material(sand, diatomite, acid binders, universal binders, sawdust).
Reference to other sections
See Section 7 far information on safe handling.
See Section 8 for information on personal protection equipment.
See Section 13 for disposal information.
7 Handling and storage
Handling:
•Precautions for safe handling No special precautions are necessary if used correctly.
Information about protection against explosions and fires:No special measures required.
Conditions for safe storage,including any incompatibilities
Storage:
Requirements to be met by storerooms and receptacles:No special requirements.
Information about storage in one common storage facility:
Store away from oxidizing agents.
Store away from foodstuffs.
Further information about storage conditions:Keep receptacle tightly sealed.
Specific end use(s)No further relevant information available.
Exposuret t protection
Additional information about design of technical systems:No further data;see item 7.
Control parameters
Components with limit values that require monitoring at the workplace:
The product does not contain any relevant quantities of materials with critical values that have to be monitored at
the workplace.
•Additional information:The lists that were valid during the creation were used as basis.
•Exposure controls
Personal protective equipment:
General protective and hygienic measures:
Keep away from foodstuffs,beverages and feed.
Immediately remove all soiled and contaminated clothing.
Wash hands before breaks and at the end of work.
Avoid contact with the eyes.
Avoid contact with the eyes and skin.
Breathing equipment.Not required.
Protection of hands:
® Protective gloves
The glove material has to be impermeable and resistant to the product/the substance/the preparation.
Due to missing tests no recommendation to the glove material can be given for the product/the preparation/the
chemical mixture.
Selection of the glove material on consideration of the penetration times, rates of diffusion and the degradation
Material of gloves
Neoprene gloves
Nitrile rubber,NBR
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Trade name:Sandstorm
(Contd.of page 3)
Fluorocarbon rubber(Viton)
Butyl rubber,BR
The selection of the suitable gloves does not only depend on the material, but also on further marks of quality and
varies from manufacturer to manufacturer.As the product is a preparation of several substances, the resistance of
the glove material can not be calculated in advance and has therefore to be checked prior to the application.
Penetration time of glove material
The exact break through time has to be found out by the manufacturer of the protective gloves and has to be
observed.
•Not suitable are gloves made of the following materials:Leather gloves
•Eye protection:
® Tightly sealed goggles
Body protection:Protective work clothing
' Physical and chemical properties
•Information on basic physical and chemical properties
General Information
Appearance:
Form: Liquid
Color: Amber colored
Odor: Sweetish
Odor threshold. Not determined.
pH-value at 20°C(68°F): 2.4
Change in condition
Melling point/MeUing range: Undetermined.
Boiling point/Boiling range: 100°C(212 °F)
Flash point:. Not applicable.
Flammability(solid,gaseous): Not applicable.
Decomposition temperature: Not determined.
Auto igniting: Product is not se{frgniting.
Danger of explosion: Product does not present an explosion hazard.
Explosion limits:
Lower: Not determined.
Upper: Not determined.
• Vapor pressure: Not determined.
Density at 20°C(68°F): 1.06 glcm3(8.8457lbs/gal)
•Relative density Not determined.
Vapor density Not determined.
•Evaporation rate Not determined.
Solubility in I Miscibility with
Water: Fully miscible.
•Partition coefficient(n-octanollwater):Not determined.
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Trade name:Sandstorm
(Contd.of page 4)
• Viscosity:
Dynamic: Not determined.
Kinematic: Not determined.
Solvent content:
Water. 69.7%
VOC content: 0.00%
0.0 g/l/0.00 lh/gal
Solids content: 30.4%
Other information No further relevant information available.
I Stability and reactivity
•Reactivity No further relevant information available.
Chemical stability
Thermal decomposition/conditions to be avoided:No decomposition if used according to specifications.
Possibility of hazardous reactions Violent reactions with strong alkalis and oxidizing agents.
Conditions to avoid No further relevant information available.
Incompatible materials:No further relevant information available.
Hazardous decomposition products:Carbon monoxide and carbon dioxide
11 Toxicological infonnatt
Information on toxicological effects
Acute toxicity:
Primary irritant effect:
on the skin:No irritant effect.
on the eye:Irritating effect.
Sensitization:No sensitizing effects known.
•Additional toxicological information:
The product shows the following dangers according to internally approved calculation methods for preparations:
Irritant
Carcinogenic categories
/ARC(International Agency for Research on Cancer)
None of the ingredients is listed.
NTP(National Toxicology Program)
no ingredient above de minimis level is listed
OSHA-Ca(Occupational Safety&Health Administration)
None of the ingredients is listed.
Ecological12
Toxicity
Aquatic toxicity:No further relevant information available.
Persistence and degradability No further relevant information available.
•Behavior in environmental systems:
•Bioaccumuladve potential No further relevant information available.
Mobility in soil No further relevant information available.
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Trade name:Sandstorm
(Contd.of page 5)
Additional ecological information:
•General notes:
Water hazard class 1 (Self-assessment):slightly hazardous for water
Do not allow undiluted product or large quantities of it to reach ground water, water course or sewage system.
Results of PBT and vPvB assessment
PBT:Not applicable.
vPvB:Not applicable.
•Other adverse effects No further relevant information available.
Waste treatment methods
Recommendation:
Must not be disposed of together with household garbage.Do not allow product to reach sewage system.
Uncleaned packagings:
Recommendation:Disposal must be made according to official regulations.
•Recommended cleansing agent. Water, if necessary with cleansing agents.
UN-Number
DOT,IMDG,IATA
UN proper shipping name
DOT,IMDG,IATA
Transport hazard class(es)
DOT Not applicable
Class
---- - ------------------ - - --------- - ----------- --- -- -------------
IMDG,IATA
Class
•Packing group
DOT,IMDG,IATA
Environmental hazards:
Marine pollutant: No
Transport in bulk according to Annex II of
MARPOL73178 and the!BC Code Not applicable.
• Tramport/Addidonal information:
•DOT This material was tested for corrosivi y toward a steel surface and
found to be Non-corrosive by the test protocol. It is therefore
specifically exempted from corrosive warnings for transportation
purposes.
UN"Model Regulation":
us
(Contd.m page 7)

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Trade name:Sandstorm
(Contd.of page 6)
Regulatory15 I
•Safety,health and environmental regulations legislation specific for the substance or mixture
Sara
Section 355(extremely hazardous substances):
None of the ingredients is listed.
Section 313(Specific toxic chemical listings):
None of the ingredients is listed.
TSCA(Toxic Substances Control Act):
6843946-3 C9-11 Alcohols Ethoxylated
7732-18-5 water, distilled,conductivity or of similar purity
TSCA new(21st Century Act)(Substances not listed)
Trade secret
Proposition 65
Chemicals known to cause cancer:
None of the substances are listed
Chemicals known to cause reproductive toxicity for females:
None of the ingredients is listed.
Chemicalsknown to cause reproductive toxicity for males.
None of the ingredients is listed.
Chemicals known to cause developmental toxicity:
None of the ingredients is listed.
Carcinogenic categories
EPA(Environmental Protection Agency)
None of the ingredients is listed.
TLV(Threshold Limit Value established by ACGIH)
None of the ingredients is listed.
NIOSH-Ca(National Institute for Occupational Safety and Health)
None of the ingredients is listed.
GHS label elements The product is classified and labeled according to the Globally Harmonized System(GHS).
Hazard pictograms
1
GHS07
Signal word Warning
•Hazard statements
Causes serious eye irritation.
Precautionary statements
PIN If medical advice is needed, have product container or label at hand.
P102 Keep out of reach of children.
P103 Read label before use.
P264 Wash thoroughly after handling.
P280 Wear eye protection/face protection.
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Trade name:Sandstorm
(Contd.of page 7)
P305+P35]+P338 If in eyes:Rinse cautiously with water for several minutes. Remove contact lenses, if present
and easy to do. Continue rinsing.
P337+1`313 If eye irritation persists:Get medical advice/attention.
Chemical safety assessment:A Chemical Safety Assessment has not been carried out.
This information is based on our present knowledge. However, this shall not constitute a guarantee for any
specific product features and shall not establish a legally valid contractual relationship.
Department issuing SDS:Environment protection department.
Date of preparation/last revision
0612612019/-
04242014
•Abbreviations and acronyms:
IMDG:International Maritime Code for Dangerous Goods
DOT.:US Department of Transportation
IATA:International Air Transport Association
ACGIH:American Conference of Governmental Industrial Hygienists
EINECS:European Inventory of Existing Commercial Chemical Substances
ELINCS.European List of Notified Chemical Substances
CAS:Chemical Abstracts Service(division of the American Chemical Society)
NFPA:National Fire Protection Association(USA)
HMIS:Hazardous Materials Identification System(USA)
VOC:Volatile Organic Compounds(USA,EU)
PBT..Persistent,Bioaccumulative and Toxic
vPvB:very Persistent and very Bioaccumulative
NIOSH:National Institute for Occupational Safety
OSHA:Occupational Safety&Health
TLV.•Threshold limit Value
PEL Permissible Exposure Limit
REL Recommended Exposure Limit
Eye brit.2A:Serious eye damage/eye irritation—Category 2A
US

Stormwater Pollution Prevention Plan
Biscoe 116
Chandler Concrete
63.) Site Maps
M1 (a)Site Property/ Permit Boundary 5.68 acres
7 .:r
�M
..r ■ =; x. �,. __ "` ' �' Complete overview is included in overhead
graphic at the end of this section
L Aggregate ° (f) delineated stormwater drainage area.
�j Aggregate
AST 5 ACRE
Parking �•'
� r r Aggregate '
silos ; (c) Buildings, roads, parking areas and other
Batch Office
d built-upon areas
Load Point Hopper
Admixture Washdown (d) Industrial Activity Areas
(e) Outfall location
OF-1 Material
Storage r
ay ,r•.
Aggregate Qoa Truck Wash
J
Seasonal/ephemeral pond is not Chandler property
Drying Area
.4
Sediment Basins
Section 8 NOI Map Checklist
Outline of drainage areas
Outfall Location
Process Water Basin
Delineation of drainage areas
Areas and acreage
` Item L— No hazardous
materials present
Return
4
Concrete

Stormwater Pollution Prevention Plan
Biscoe 116 f. Impervious Percentage:90% Concrete
Chandler Concrete and compacted grade. 10% natural area
that is property border and 4 acres of
woods beyond bermed process- water
area.
� 3 ee�w at fl'y - g. SCMs- Property is graded so that all
process water flows along the northern
edge through a ditch and 2 sedimentation
basins. Lower pond is dredged on a
weekly basis. When dredged material is
dried, it becomes inert and is sold as fill
a 1 h. Blue Arrows indicate water flow
00
tt_T [�
OF-1
e
Y
Section 8 NOI Map Checklist
Stormwater/waste water
I�
treatment & runoff structures
' Impervious area acreage
A
A
t
t
y. .
j9 Y