HomeMy WebLinkAboutNCG140043_Monitoring Info_2024103 1'
WILLIAMS MULLEN
[than R.Ware Nc61 t�N 4-_3
Direct Dial: 803.567.4610
eware@will i a m srn u l Ion.corn
October 3, 202RECEIVED
VI_A E-MAIL & L.S. MAIL
Ahmad Dromgoole OCT 10 2024
Suzanne Armor
Water Enforcement Branch DEMLR-STORMWATER PROGRAM
Enforcement and Compliance Assurance Division
United States Environmental Protection Agency, Region 4
61 Forsyth Street, S.W.
Atlanta, Georgia 30303-8960
a=or.sle tLaw
Mike Lawyer
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
Re: Necessary Quarterly Monitoring
Concrete Supply Company, LLC, South Plant
Administrative Order on Consent, Docket No. CWA-04-2022-03I0
Charlotte, North Carolina
Dear Mr. Dromgoole, Ms. Armor and Mr. Lawyer:
Please find enclosed a copy of the quarterly monitoring at permitted outfalls of Concrete
Supply Company, LLC, South Plant, in accordance with Part 111. 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,
ERW/st
Enclosures Ethan R. Ware
1 Z3U Main Street, Suite 330, Columbia, SC Z9Z I P,O.Box 8116 Columbia, SC 29202
IF 803.i67.4600 t 803.567,4601 i williamsmillen.com 1 A Professional Corporation _
: ��
i
i
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: Tel: (704) 372-2930
Name: Johnie Alexander Date: S ?
Title: Environmental Manager
ioWayp nt- 449 Springbrook Rd,Charlotte, 28 Main 704,5,529.6364
364
ANALYTICAL www.waypointanalytical.com
9/12/2024
Concrete Supply Company
Johnnie Alexander
3823 Raleigh Street
Charlotte, NC, 28206
Ref: Analytical Testing
Lab Report Number. 24-249-0024
Client Project Description:South Plant Facility
Charlotte, NC
Dear Johnnie Alexander.
Waypoint Analytical, LLC (Charlotte)received sample(s)on 9/5/2024 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,
6?1)t
Jamie Corporeal
Laboratory Project Manager
Laboratory's liability in any claim relaring to analyses performed shalt be limited to,at laboratory's option,repeating the
analysis in question at laboratory's expense,or the refund or the charges paid for performance of said analysis.
— — Page i of 8 -+
O
V 7 aypoi ■AL t 449 Spring6rool< ad, Charlotte,NC 28217
A NALYT�IC Main 704.529.6364
www.waypointana lytlta I,com
I
I
Certification Summary
i
Laboratory ID:WP CNC:Waypoint Analytical Carolina, Inc.(C),Charlotte,NC
State Program Lab ID Expiration Date
North Carolina State Program 37735 07/31/2025
North Carolina State Program 402 12/3M024
South Carolina Stale Program 99012 07/31/2025
South Carolina State Program 99012 12/31/2024
Page 1 of 1
00016/24.20-0024
-g'r- R.v�-e 2 of a ---�-- -
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� 449 Springbrook Rd,Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 24-249-0024
Client Project Description: South Plant Facility
Charlotte,NC
Lab No Client Sample ID Matrix Date Collected Date Received
91063 Pipe 001 Aqueous 09/05/2024 14:10 09/05/2024 14:30
I
w. —r' Page 3 of 8 —�, -
i I_�_—.—Wayp®8nt` 0 449 Springbrook Rd,Charlotte, NC 2821.7 `m
'I Main 704.529.6364
01058 ANALYTICAL www.waypointatiaiytical.com
Concrete Supply Company Project South Plant Facility
Johnnie Alexander
3823 Raleigh Street
Report Date; 09/12/2024
Charlotte, NC 28206 Information: Charlotte,NC Received:09/05/2024
Report Number:24-249.0024 REPORTOFANAL YSIS
Lab No: 91063
Matrix:Aqueous
Sample[D:Pipe 001 Sampled: 9/5/2024 14:10
Test Results Units MOL OF Date/Time By Analytical
Analyzed Method
I
i
HEM:Oil and Grease <5.7 mgJL S.7 1 09/10/24 11:03 Goa 1664a
PH 6.01 S.U. 1 09/05/24 14:10 FLD FIELD
Total Suspended Solids 46.2 mg/1. 6.2 1 09/06/2-1 09:55 GOB 2540D-2015
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
—r Page 4—ffiW 8--c—
UP-
a.yQ-Po n 449 SprinBbrook Rd,Charlotte, NC 28217 `^
Yr ANALYTICAL Main 704.529.6364
i
www.waypoi,ltanalytical.com
Shipment Receipt Form
Customer Number:01058
Customer Name: Concrete Supply Company
Report Number: 24-249.0024
Shipping Method
• Fed Ex US Postal 0 Lab i Other: �—
UPS Client Courier Thermometer ID: }IRT15IAC--
I
j Shipping container/cooler uncompromised? 0-Yes No
Number of coolers/boxes received I 1
Custody seals intact on shipping container/cooler? Yes No 01 Not Present
Custody seals intact on sample battles? Yes No *I Not Present
Chain of Custody(COC)present? 61 Yes No
COC agrees with sample Iabel(s)? 0 Yes No
COG properly completed W Yes No
Samples in proper containers? .4 Yes No
Sample containers intact? o Yes No
Sufficient sample volume for indicated test(s)? 1,Yes No
All samples received within holding time? 'o Yes No
Cooler temperature in compliance? 0,Yes No Not Present
Cooler/Samples arrived at the laboratory on ice. 0,Yes •No
Samples were considered acceptable as cooling
process had begun.
Water- Sample containers properly preserved 01 Yes No NIA
Water-VOA vials free of headspace Yes No G; N/A
Trip Blanks received with VOAs Yes No .®•N/A
Soil VOA method 5035—compliance criteria met Yes No -0 N/A
High concentration container(48 hr) Low concentration Encore samplers (48 hr)
High concentration pre-weighed(methanol -14 d) 1 Low conc pre-weighed vials (Sad Bis-14 d)
Special precautions or instructions included? •Yes •, No
Comments: I
Signature: "Angela Norvell Date&Time: 09/05/2024 16:11:34
Page 5 of 8 --+--
l
I{ }I
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� `'Irq■ a CHAIN OF CUSTODY RECORD
Wa M®'e �� PAGE 1.OF .1_ QUOTE A TO ENSURE PROPER BILLING:_, _ _ YES N7 WA
_amp!es INTACT,= armal?
ANALYTICAL -?'
US Spr!ngbroak Road-Chodotte,RIC 28217 Project Name:�L+L AA,F� /lL,�t�___•_ REwbsd w ICEn
{ Phone 7041529.6364 - Fax:70G1525-0509 Short Hold Analysis (Yes) (NO) UST Project: (Yes) (NO) PROPER PRESERVA.TIVESmdrol-d?
'Please ATTACH an p reporting( )
Clvent Company Name:�C•:V eY•LC, _. •j��=11 YP squire specific m Orlin [QC LEVEL I II III IV CUSTODY
SE SEALS
HOLDING TIMES?
1-- provisions and/or QC Requirements CUSTODY SEALS INTACT? ___ <
COntact
ing
Reportng Address:Name:. _ ., Invoice To: VOLATILES'ec C W:OIiT HEADSFACE'
Report Address: Address: PROPER CONTAINERS L:ed'+ _
TEMP therm l0.
Phone: -----_Fax(Yes)(ND):. — 9 _ TO 8E FILLED IN BY CLIENTISAtd PLING PERSONNEL
Purchase Order No.lBillin Reference
Emlail Address.
I Re,pesled We Date J l Day J2Days J3Days J4 Days J5 Dar,EDD Type: POF,_Excel_—Other-------- Certification: NC SC_
-vJarNln9 Days^ J f.y Days J Siardarl lD days J Pre Anprowd -Rust,Work Mum Be "--
_
Site Location Name: Sani'Foolod Rite'15 M AII;be pru-rssed Fen business day Other_ I N/A
Site Location Physical Address: Turnaround time Is based on business days,excludna.'.eekends and hcldays Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICES -
— ----- -.-�.— RENDERED BY WAYPOINT ANALYTICAL LLC m CLIENT) Samples Iced Upon Collection: YES--NO.--
FILE MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED
CLIENT DATE COLLECTED (SOIL. PRESERVA.
SAMPLE DESCRIPTION COLLECTED MILITARY WATER,Oft •7ypE / Y / Y I REMARKS ID t10.
k HOURS SLUDGE) SEE BELOW NO. SIZE ;{ TNES y.� "J% ,j ! � / I
CU` rrR
.i� L i hJt1L.1 I \ I �1K
I I 1 I I I I •`
v,
GiFc•:';:m:rnry_ ,_.Fcy e.:L:.II �3 ��
t r
fSamp!I is S:gnaRuc °'�•� 11 !__�.... (�1., _ Affllavon I_r• (. ;us. '11- __
./'��_.. Sampled By(PAnl Name) 4Y5• ,ram
Upon refinquishingr is C��yt•�(Custody Is your aulhod2ation for Waypoinl Analytical to proceed with the analyses as requested abtrve.Any changes muss be ��•,v r 5 ``• <'
submitted in,writing to Its eypoint Analytical Project Manager.There will be charges for any changes after analyses have,been initialketl. Slle Arthnl Time,:
<reu- -e (5'T.11NAI NrceA.vl 1
1 IS'S+'nuol Darn E`:Lv. .,�
P.tldillDnel COmmeOtS Site Departure Time:
ru rd tlY ISrr•olmCl
.rl:n<a Y tspG:vx,
Da:e
Field Tech Fee:
Rama"�z�}f.'y 1.^•�'uTnn 'ec.-.n v Fm��'7 M.,e�i U,
�%' •::�' ✓. i -- Ua:� I Mileage:
F' ad C`SNin'r:�� EALLEA504115 COOLERS SNDULO BE rA osHUT vail1 YSEA FORTRANSPORYATON OO Groua TOTHE AOOBATORY. I flo �l
SAMPLESARENOTACCEPTEOANID vFRRIEO AGAINST CDC UNTIL RECEIVED ATru,L SORATORy
I J6ei E+ IJUPS JfIST1�1C4.N.tG .=(��p•n•AnaffCll:.i?tl 5,.*arm JC!Fp•_.
NPDES7 I 5T: GR UN WATE DRINKING WATER. SOLID WAST RCRA: BRWNFLO LANDFILL OT ER:
JNCJ�SCI JNC JSC IJNC JSC �UNC JSC IJNC JSC IJNC JSCIJNC SCILINC JSCIOT ER: �I
I -1 _. J__ J __ ] J J J
'CONTAINER TYPE CODES: A=Amber C=flour G=Glass P=Plast;E L=Toflon.Llnad Cap VOA=Volatile,Organics Analysis(Zero Head Space)
rjua(R/
Storm.watei Discharge OLitfa4 (SDO)
Qualitative Monitoring Report
for gaidouce on;i//ing urrr d;Lsfnrnl.Nerve uistl hops:itdcq.na.gov!about!divs.,>ns%encrgyanincrll-I and-resourccs!
n Ades-stornnvatc r-g ps
or Certificate of Coverage No.: N/CiG;
Facility Name: _['t„t,c•\C n
County:
— PhORe No,
Inspector; ��„r.l L rlG:�•rt!
Date orVnspcction:
Timeoflnspection:
Total Edge[ Precipitation(inches):
I
All permits require qualitative monitoring to be perfornted daring a"measurable storm event-" — l
A "measurable slum[ event"is a storm event that resells in an actual discharge front the permitted site
out"11. The previous measurable stone event must have been al least 72 hours prior. The T_-hour storm ;
interval does not apply if the Pei is able to document that a sltrn to interval is representative for +
local storm events duling the sampling period, and the permittee obtains approval from the local OF.NILR
. Rc,Oional Office.
13y this signature, f certify Ihat this report is accurate and complete to thr, bes!o f im;: knoll Icilga
e
{$ilalure ay1''rmlttee or Uesi ee) -
1. oulfall Description:
OWFall No.
Suucuu'e;pipe, [!itch,etc.): t_�, r�c_
Recr'ving Stream:
—i f
Describe.the industrial activities that occtu within the outfell drainage mca: _
Page ! nr2
llilll!IIIIIIIIICIiiI!II'lllilllliilllinill�!II!ILIIII!Illl
s,.a,..:,a,.,.;,,., y
$IV t.;::.l:nt inndn"ini 04�pi:]'4Y :+dh m.un c.,. •. 3i+.,5
— Page 7 of a
C
2.
Colo!': DescrlbC iil("cojol•of t!!:(Iuchary(ISII1g basic colors fired, brawn. hIn
i linht-nledi un:, d:u t its Jcsc h
I j
i Otlor: Doscnbe an\
Chlorineo(10r distinct o(!urs that fibs dis(:ilarg0 may have(i e m.sells strwlgll of nil, weak
.ete.t• [
4. Clardy: Choose,henumber\vhi:h hest(lescribcsth
a eclarilyol'!hedis0imre, \\hcrclisclear
and : is.very cloudy:
.i -1 i
�. Ploalim, Solids: Choose(I lc number whit!, hest(!cscril:es ills ellowtl 01'
stormwate Iloatic,solids in the
r discharge, ync�rc j is E10 solids and j is the surtilce,;0vu2d with IL?sling soG(is:
�_j 1 � ] •I i
6.
S uspcadcd solids: CltOosc the Illllnbar\Vhtcl:bCst(Ie5c:'ihes:Ile mllounl nfinipcndal ;oli(Is in
t!rc slorntsvatcr(lischmr;e.\there I is no s)1i(Is and 5 is eso-emch• muddy:
z 3 1
7• Is tha'e aln' roan, ill the sioltawater discharge? o Yes ( :"jo.
S. Is there all oil sheen in Elie s,ornr\vater discharge? oyes No.
9. Is thcl—evidence or erosion or del7ositi0n at the outfnll" o Yes / NO.
10. Other Obviuns Indicmtors Or Storunvater Pollution: 1
List and(lescriiie /
r
:Vote: Low cinrity, high solids,and/ur the presence or ro:un,oil sl!cen, or erasion/deposition nin'. be
--_ indicative Orpollut:1111 us!n•c—Thcsc-con(litionsirarrnnl rurlhcr investi!,:anon." -
fags , ni Illlllli! !I!Ili!Ili!!JIIIII!III!N'N!lllH!!II!I!!I!I!!TIIII �� � "`'
wl ,,........::..... . . . :,
—' - Page 8 of 8 —
i+ Stormwater/Process Water Management Inspection
i
Plant: �nu� h i a Sample Date:
Inspection Date:
Type of Sample (Circle one) : Stormwater or Process
i
Area of Exceedence (Circle ALL that apply): pH TSS I Settleable - Total Petroleum - Identify Other-
General Site Observations:
Yes No
a. Yard free from debris
2. Leaks throughout yard ex: "vehicles, admix, other" addressed
3. Wash-but pit well maintained including windrow area
a. Is the lock and sand that is washed away from stockpiles scraped up " Minimize solids"
I�. Catch basin filtration maintained properly " Replace Hay or Rock dams"
l� Aggregate unloading and storage:
Yes No
�. Water runoff from agg directed to catch basins, ponds, or wash down areas
2. Water clear of oil sheen in delivery areas
3. /I/ rr Valley putters leading towards Storm Water drains have filtration to catch solids and is replaced regularly
Batch Plant:
Ye No
1. Block walls around admix secondary poured solid
z. If track wash is not located in the wash out area is there secondary containment 1
3. Trash removed from the inside of the secondary containment
14a. Free of any leaks or spills inside secondary containment
�
Property of concrete Supply col
I
I
Stormwater/Process Water Management Inspection
i
Wash out Area:
' Yes No
f. Is pit maintained and neat in appearance Le.. Not overflowing with solids and debris on walls
2. _Drying area of proper size
3. Is a Ph adiuster used to treat wash water
a. ,7 Do baits allow for solids to settle
t�. Is the main Storm water run off separate from the Process water run off
s. Do the wash out area bays also catch processed water from plant and or secondary containments
Is all water contained on site other than extreme rain events
Additional control measures required " Explain in the Comments section"
Truck fueling and Oil storage:
Yes No
�. L Is there an oil pallet used to contain possible leaks from drums
i}
a},
property of Concrete Supply Co
Stormwater/Process Water Management Inspection
f
+ Line Number: Section: Comments/Observations/Su44estions•
Peril,dj
�I
I
0 0
Inspector: �oS�iiJ u>�ii�s Signature:
Document Corrections With-in Two Months of Inspection Date!!!
Property of Concrete Supply Co
, q
P®�tt - * 449 Springbrook Rd,Charlotte, NC 282a7
ANALYTICAL Main 704.529.6364
www.waypof ntanalytiCal.co1n
913012024
I Concrete Supply Company
Johnnie Alexander
3823 Raleigh Street
Charlotte, NC,28206
Ref: Analytical Testing
Lab Report Number: 24-268-0026
Client Project Description: South Plant Facility
Dear Johnnie Alexander:
Waypoint Analytical,LLC (Charlotte)received sample(s)on 9/24/2024 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,
41-%
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.
—�`-_�__oage 1 of 8 —4
• e
d V���®���. 449 Springbrook Rd,Charlotte, NC 28217
e� ANALYTICAL Main 704.529.6364tical. om
www.waypoi ntana lydca I.co m
Certification Summary
Laboratory ID:WP CNC:Waypoint Analytical Carolina,Inc.(C),Charlotte, NC
State _ Program Lab ID Expiration Date
North Carolina State Program 37735 07/31/2025
North Carolina State Program 402 12/31/2024
South Carolina State Program 99012 07131/2025
South Carolina State Program 99012 12/31/2024
Page 1 or 1
00016/24-268-0026
J_ Page 2 of 8 --�--
0
449 Springbrool< Rd,Charlotte, NC 28217
✓ ®'�t
Main 704.529.6364
ANALYTICAL www.waypoinianalytical,cam
Sample Summary Table
Report Number: 24-268-0026
Client Project Description: South Plant Facility
Lab No Client Sample ID Matrix Date Collected Date Received
92658 001 Aqueous 09/24/2024 14:30 09/24/2024 14:45
I
._ _ Pa9-e--T'ofr1L --�-
s
0
'i-- --' ■ 1•aypoint 4495pringbrook Rd,Charlotte, NC 28217
I
ANALYTICAL Main 704.529.6364
01058
www.waypofntana lytica l.com
Concrete Supply Company Project South Plant Facility
Johnnie Alexander Report Date: 09/30/2024
3823 Raleigh Street Information: Received:09/24/2024
Charlotte, NC 25206
Report Number:24-268-0026 REPORTOFANALYSIS
Lab No: 92658 Matrix: Aqueous
Sample ID:001 Sampled: 9/24/2024 14:30
Test Results Units MOL OF Date/Time By Analytical
Analyzed Melhod
I
I
Total Suspended Solids 64.0 mg/L 12.5 1 09/26/24 12:I8 GOB 2540D-2015
Qualifiers/ OF Dilution Factor MQL Method Quantration Limit
Definitions
.T Page 4 0£ 8
--�— _ ���®��7r-Y 4495pringbroal<Rd�CltMatn 704.529.6364 --
j ANALYTICAL www.waypointanalytical.com
Shipment Receipt Form
Customer Number:01058
Customer Name: Concrete Supply Company
Report Number: 24-268-0026
Shipping Method
1 - Fed Ex , US Postal 0- Lab Other
UPS ,Client �Courier Thermometer ID: IRT15 0.9C
Shipping container/cooler uncompromised? 'e Yes No
Number of coolers/boxes received
Custody seals intact on shipping container/cooler? Yes No G, Not Present
Custody seals intact on sample bottles? Yes No ••, Not Present
Chain of Custody(COG)present? 0 Yes No
CDC agrees with sample label(s)? ,*,Yes No
COC properly completed to,Yes No
Samples in proper containers? AD-Yes No
Sample containers intact? :o,Yes No
Sufficient sample volume for indicated test(s)? to,Yes No
All samples received within holding time? 0 Yes No
Cooler temperature in compliance? 0,Yes No Not Present
Cooler/Samples arrived at the laboratory on ice. V,Yes No
Samples were considered acceptable as cooling
process had begun.
Water-Sample containers properly preserved -01 Yes No N/A
Water-VOA vials free of headspace Yes No 0, N/A
Trip Blanks received with VOAs Yes No 40, WA
Soil VOA method 5035—compliance criteria met Yes No •• NIA
High concentration container(48 hr) Low concentration EnCore samplers(48 hr)
High concentration pre-weighed (methanol-14 of I Low cone pre-weighed vials (Sod Bis-14 d)
Special precautions or instructions included? Yes w No
Comments:
f
I I
I �
Signature: Angelo Norvell Dale &Time: :09/24/2024 17:08:56
-y �� Page 5 of 8
9" CHAIN OF CUSTODY RECORD -���
pq��,�ppppl�Egq . 11�
!urFi��®���• -�•' PAGE \ OF f OUOTEa T0ENSUREPROBNEO LLINy. - .,rr.es lV 1C Lenv ` r10 A r`II
`A[ ANALYTICAL Project Name: _�-�� S�'a-o,(. ,' - ', �/�_ t meC iN o - 1, 111
m9Springgbrook Road•chadottR.NC2a2iT Short NDid Analyst, (Yes) (NO) UST Project: (Yes) (No) PROPF r ' '
Phone 7041529.6 Fax:T041525 0408 R ,,ed - ITI IN i4 LClUG TIMES'
v ESD 16
'Please ATTACH any project specific reporting(DC LEVEL I II III IVl
CliIant Company Name:_„_ _ _2C, � provisions andlor OC Requirements CUSTODY oa4l5 N"YC T' -
.%J VOLATILES re!d V4,00,�EAOSR4CE"
Report To/Contact Name:—__-._,_---_ - _ Invoice TO: --
R 1pmtiny Address: __ Address: PROPER Them-
uN�2$J.;nx(^ A-(I— .. . __
�j ------------ t_t:a nmrnr ID 1• U/f on=ur,.G L.,!L e'e"e e
PF one: Fax(Yes)(No): Purchase Order NO,/Billing Reference_-- - ___ _ ITO BE FILLEDIN BY CLIENT75AMPLING PERSONNEL)
Email Address: —_,. __-_._ R ca r D e J C r J DRT J D JA Ors Jso I Certification: NC 1.:SC --_
EDD Type: PDF _ Excel ___Other___- .__ _- RorM-no Days" JFaC,! JSr !.T I �!,I JR ''slur n 2e
( P Ap7b I Other t5 N!A—
ti Ir p) nn7 Fm s nEaU(s sd.y
I -- -- -- -- - - --- m:xomo uric,is n, won easel ss daysSiteLocationName: S" s! r^ caLl.NmrT An k-nds ahc ha.:,,y;. Water Chlorinated: YES _ NO,L_ +
Sle Location Physical Address: (SEE NEVERSEFOR TERN.5 L COROITIONS REOAROINGSER'/n:ES
RENDERED 6Y wAYPOiHT ANAPTICAL LLc 106LIENT) ISamples[cod Upon Collection: YES_i_NO_-
TIME MATRIX SAMPLE CONTAINE- R i---_-T--- ANALYSIS REQUESTED I
CLIENT DATE COLLECTED (SOIL PRESERVA- REMARKS
ID NO.
SAMPLE DESCRIPTION COLLECTED I MILITARY WATER.OR 'TYPE I I TIVEs I %/\7�--
HOURS SLUDGE) SEE BELOW NO. I 512E ( /'
I I _ _
- -(
- I I I I mc56a., Tt
•5wo�P161Ar1(=Af,IIV
lamplers S,graulre y�(f-j AIGl�ahon ._._J_, _ /_____ I
----fit --�_ � _ {
Upon mlinquishinq,dris Chain or C tody is your aulhod4allon for Waypolnt Analytical to proceed with the analyses as requested.above.A changes mull be 51(o Arrival Tines:
ubmided In wriling In the WoyPoinl Analytical Project Manager.There will be charges for any changes after analysis have been Initialized. I _
P. •' - Wcl- ,J 5r E1.1ri-I � Additional Comments she opanur Tme:� 0
J•ll:lel .cicee G.% .K....•!;E/"_i-A':f'n — _ ' D:.,t
Field Tech Fee:
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SAMPLES ARE Her ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LADORATORY I
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:']E. JIIFS Jf!arGf.'rrilwl 'f:,afl4rL+'il•J'LN C:TiKp. Jtt t,.- _ _
NPDES: UST: G NDWATERi DRINKING WATER: SOLID- VG—AST E2CFA: BRWNFZD LANDFILL Of EiT RJ
J NC J SC IJNC JSC JIC JSC IJNC JSC --IJNC J SC J _ I J NC J SCi J NC JSC IJNC JSC ) JHe JSC
fL J- J J.__-_ J __ _ J _ J- _ J J {'RI!"eIFJ1';I
'CONTAINER TYPE CODES: A=Amber C=Clear G=Glass P=Plastic: TL=Teflon-Lined Cap VOA=Volatile Organics Analysis(Zero Head Space)
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Quality
Storm-water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling nut this,form,pleare visit htryu:Ndeq.ne.gov/aboutldivisinns/entrsy-minciai-land-resources/
n prlc s-scorn wncerv�ps'
Permit No.: WC/ / t t ! / / or Certificate of Coverage No.: NIC�IG�/ I ? ! l l
Facility Name: ��fytrit ✓ � f�'fY�
County: C -. I • !Z Pine Ni
Inspector: v!� /.bZ�Y3QfV
Date of Inspection:
l'inte of Inspection:
Total Event Precipitation(inches):
All permits require qualitative monitoring to be performed during a"measurable stonn event:'
A "mcasurnble storm event" is astorm evem that results in an actual discharge from the permitted site
outfall. The previous measurable scorn event must have been at lease;2 hours prior. The 72-how storm 1
interval does not apply if the permimec is able to document that a shorter interval is representative for
local storm events during the sampling period,and the ponniace obtains approval from the local DEIv)LR
Regional OfriceA
By this signature.I certify that this MI MI is accurate and complete to the best ormy knowledge:
�J
(Signature or permit ce or Designee)
1. Outfnll Description:
Outfall No. 00 Siructure(pipe.ditch.ctc.): I l Ire�i —
Receiving Stream.
- Describe the industrial activiticsthaCoccurwilhin'lhe outl'nll drainage arena __
Pace 1 of,> �l1III1IlI�IIIIIIIII�IIII�I1IIIlI�I11�II�IIIII III�IIIII IIIIIIIf p4.ia vo't
—� - Page 7 of 8 -
Z• Color: Descributhcco(orofthcdi chargu ��.Ga.'si`c-colorsfrt'd� drn,-blue; -)anc ;tm
�— - — (lights tnedium,c arks as descriptors:
i
I 3. Odor: Describe any distinct odors that the dischar
chlorine odor,etc.): Sc nrry have(i.e.,smells strongly 0f nit. weak
--��
4, Clarity: Choose the number which best describes the clarity orthe dischmg— where I is clear
and 5 is very cloudy:
L) 3 3
5• floating Solids: Choose the cumber which best describes the amount or tloaling solids in the
stormwater discharge, where 1 is no solids and i is the surface covered with floating solids:
r
3 ! i
G. Suspended Solids: Choose(lie number which best describes the amount 01'suspe1lm[ed solids in
the stormwater diseliarge,wlhere I is no solids and i is extremely muddy:
11)
I I i
7. Is there aay f0anm in the stormwater discharge? 0 Yes No,
3. Is there an oil sltcen in the storwaler discharge? CYes
9. Is there evidence of erosion or deposition of the oulfnl l? 0 yes /" '"0.
10. 011ie),Obvious Indicators erstorrnwater P011ution:
List and describe
Nnic Low clarity, high solids,and/or the presence of roam,fill Sit cell, or erosionkleposilion may be
-- indientivc-of poll«bint exposure. These conditions warrant further investig: iioa.
Page 2 nt� p•••lY jb4LN to I,N:Wv
..t�rlM1�e.1,0�iL6M1 wt
1 m':I Hb::,Last mUtII l icu OM1ia 1']II I
"—�^ Page G=f a —�'
Good Houszke?ping Chxkllst-112-South Plant 09/20/2022 \—
QUARTERLY - GOOD HOUSEKEEPING/PM/BMP INSPECTION
(Inspection frequency: MUST be performed QUARTERLY when facility is active)
PLANT LOCATION
112 -South Plant
OCCURRED AT
09/20/2024 01:44 AM
_ATH3 E.
Clear
15 SREC T OR NA;;E
Kevin Melgar Guaroado
Good Housekeeping/PM Inspection Checklist
AREAS TO CHECK:Raw material storage areas with water sprinklers/nesters.Truck unserwash and drum washout areas.Truckwash
chemicals and Admix tanks.Oil tank/sheds product storage.Catch basins and pipes. ouUalis. Yard for spillageldebns.
Baseline BHPS Inspection:Good House Keeping.Equipment, Preventive Maintenance/Inspections.Spill Control Kits Inspection.
Employee Training(please use additional sheets if necessary)
IS TRASH BIN LID CLOSED1 S 15 THE LID IN WORKING COMDIT'ON'
Yes
IS TRAisr Rghlo VED FRo61 THE SITE ON A TIMELY aASU�
Yes
15 THE SITE SWEPT AS NEEDED 3ASIS'AT A MIPI1MU61 QUART ERE1
Yes
15 THERE=>IY DEBRIS Itl THE YARD'
No
ARE OUTBID-AREAS KEPT IN A NEAT AND ORDERLY CONDI T ION1
Yes
15 THE '.1.AINTENA`ICE SHOT ORDERCI FOR THE EQDI2ME>IT '.,ATERIALS AND TANKS r DRULIS f 70725"+
Yes
IS THERE AN EVIDENCE Ca ORIPB%LEAKS FRO'.:TRUCKS: EQ U I PME:IT I TALI KS i DP.u K.S r TOTE'_:
No
FINES SCR-AaEO VR1RS-:OV=D FROM EQUI2RIENT AREAS'
Yes
Pays 1 or A Rrecarzd:rite Adannan;
S �—
i• 000d H0us=4tePIng Checklist-112-SOUth Giant 09120,12024
ARE THE SECONDARY CON74INIAENT 51N GOOD CD4101"OHS VJITH NO LEAKS J CRACKS S=TTLEl.IENTt
Yes
THE SEC ONDARf CONTAINUVIT DISCHARGE 'I P=CLOSED AND LOCK=Ds
Yes
ARE TRAP,-IC AREAS FREE PROGI EOUIR:tE,IT MATERIALS AND OTHER. OBJECT 31
Yes
ARE CH-.MICALSJ0ILSJ=UELS STORED OI PROPER CONTAINERS%
YES
ARE ANY STORAGE CONTAINERS LEAKING 09 DETERIORATING VJITH RU5-o
No
ARE STOUS=ISAIJO A.RE4S KEPT HEAT AIQ ORDERLY IJANNER'
Yes
00 YOU 5EE ANY LEAKS 0RO41 THE eAGH0USE5>
PIO
ARE AOW.Ik TANS IIJ GOOD CONDITION AND ROT LEAKING>
Yes
RS A0411N TA`IKS LOCATEO 11510E A SECONDARY CONTAINMENT'
YES
=R'e 5E01+.IEHT ;RAGS J STORE DA,, IN 0000 CONOIT:ON
Yes
A R'c Oi-CHES RI2E5 SwALES AND CATCH 3A51N5 IN GOOD CONDITION?
Yes
Is THERE A JSGETATION GROL'JTN IN THE 'ONC,,
NO
ARE FONDS CLEANED R GULIRLY 'OR ACCUMULATED 5ED',ME —,a
Yes
V+AS`V AT ER RECVCUIIG GASINS ARE CLE:NEO FOR ACCU4IULATEO SEDIMENT
Y?s
H THE FACILI T, REQUIRED TO GO SLIP =EAS13Il-TY CTECHN CAL Alto ECO11111Ca STNOY>
No
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Good MoVsekaeping ehackllsc-112-So 4:h Pilo[e9!2e1207Z
1 —
BMP Inspection Checklist
I
' ARE OIL PUMPS IN WORKING ORDER WITH NO LEAF$>
Yes
DUiT COLLECTORS ARE WC RKING PROPERLY'
Yes
ARE COLIP?ESSOR SLEEU Ii C011TAINE0
Yes
ARE aLL SECO:IGAR"CONT.41J;AIENT DIK=SAMALLS 111 GOLD CGa OITION>
Yes
:aE.ILL Lio'.IE AnD 5AIlD e4RR ERs DR,ER,Y>
I
Yes
L
15 SEDJ,ENT IN WASH PITS G.RDERLJ AND CONTROLLED'
Yes
ARE RIPR4PIaiY SALESIEERIAS WOR4,4G PROPERLr>
Yes
Is THERE A =EROS:utl-
No
IS SEDIgI'c.11, =RO:I THE RETLRM CONCRET' STORAGE AREAS COCIT•:IN=D>
Yes
ARE TiERE ANY L=AIRY EQJPA ENT,VER'CLES 04 THE PROPERTY?
No
Is s1:IP= -144JSIT? "TAP JPDATE IIECEiSAR'J>
Na
Sign Off
•li?=CTGR SIGNATVRE
Kevin Melgar
NOTES:Use the additional remarks/recommendations section to describe deficiencies in Housekeeping Measures,and
Preventive Maintenance.
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