NCS000538 DMR SW (4)

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ROLL-TECH MOLDING PRODUCTS, LLC �`a
243 Performance Drive SE
Hickory, NC 28602
Tel. [phone]
Fax. [phone] ,`y9 , �r
Email: [e-mail]
www.rolltech.net JAN 3 0 2014
CENTRAL F-PLES
Tuesday January 28, 2014 DVVQ/SCG
To: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh North Carolina, 27699-1617
REF.: Storm Water Permit #" SOf�?5; —Year-Three
Dear Central Files,
We are pleased to submit two signed copies of Discharge Monitoring Reports(DMRs)for your filing.
Please, contact me at your convenience for additional information. Thank you,
Sincerely,
Patrice Bertrand
President/CEO
Roll-Tech Molding Products, LLC (former Roll-Tech, LLC)

Blue I�idg Labs, Inc.
P.O. Box 2940
Lenoir,NC 28645
Telephone[phone] Fax[phone] r
Chain of Custody
NPDS Reporting Groundwater Sanitary Landfill Hazardous Waste Industrial or QC Non State Reporting
UST/Trust Fund Reporting
Report To: Bill To:
Roll Tech Project Name
PO Number:
Ice Present.
Field Preservatives Lab Check
Time& Field Resid
Temp Field Sulfide Chlor Field
Sample ID Sample Date Time Sulfide Present/ Field Dechlorination pH Resid Temp Sampler Analysis Requested
Type HR:MM Check Removed Check Chlor °C Initials
°C YNYNYN Y N Por A
SE /V .2" /.foef I14 BOD
ll
SE ' .4? COD
SE
TSS,pH
SE
G� Zn
,.�
SW
BOD
SW 402 COD
SW TSS, pH
SW .Gd Zn
Relin uishe 4 By: Date: Time: Rec`; ' • By: Date: Time:
, 7.
Upon submission of samples,client agrees that invoices are due at the time work is completed Open accounts are due 20 .ays following invoice date A finance charge of I 5%per month will be imposed on all pasiue accounts
When relinquishing samples to Blue Ridge Labs(BRL),buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney feef the account becomes delinquent Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made,in effect rendering that data unsupported for regulatory purposes BRL cannot guarantee that any regulatory authority will accept any work
submitted,therefore it is the client's responsibility to request on this form appropriate tests NC DENR Certified Lab p275

Blue Ridgy,' Labs, Inc. ^ .
,
P.O. Box 2940
Lenoir,NC 28645 •
Telephone[phone] Fax[phone]
Chain of Custody
NPDS Reporting Groundwater Sanitary Landfill Hazardous Waste Industrial or QC Non State Reporting
UST/Trust Fund Reporting
Report To: Bill To:
Roll Tech Project Name
PO Number:
Ice Present: Y N
Field Preservatives Lab Check
Time& Field Resid
Temp Field Sulfide Chlor Field
Sample ID Sample Date Time Sulfide Present/ Field Dechlorination pH Resid Temp Sampler Analysis Requested
Type HR:MM Check Removed Check Chlor °C Initials
°C Y N Y N Y N Y N P or A
NE 14 -fp" /, f- 41 BOD
ft
NECOD
i _
NE TSS,pH
i Zn
NE
NW I BOD
NW �a COD
NW
TSS, pH
NW .G�..p. Zn
Relinquished By: Date: Time: Received By: Date: Time:
Upon submission of samples,client agrees that invoices are due at the time work is completed Open accounts are due 20 days following invoice date A finance charge of 1 5%per month will be imposed on all paslue accounts
When relinquishing samples to Blue Ridge Labs(BRL),buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney feef the account becomes delinquent Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made.in effect rendering that data unsupported for regulatory purposes BRL cannot guarantee that any regulatory authority will accept any work
submitted,therefore it is the client's responsibility to request on this form appropriate tests NC DENR Certified Lab 14275

Blue RidgriLabs, Inc.
P.O. Box 2940
Lenoir,NC 28645
Telephone[phone] Fax[phone]
Chain of Custody `
NPDS Reporting Groundwater Sanitary Landfill Hazardous Waste Industrial or QC Non State Reporting
UST/Trust Fund Reporting
Report To: Bill To:
Roll Tech Project Name:
PO Number.
Ice Present: Y N
Field Preservatives Lab Check
Time& Field Resid
Temp Field Sulfide Chlor Field
Sample ID Sample Date Time Sulfide Present/ Field Dechlorination pH Resid Temp Sampler Analysis Requested
Type HR:MM Check Removed Check Chlor °C Initials
°C Y N Y N Y N Y N PorA
SE ,00 f for 1V6.
BOD
SE .e.: COD
SE
TSS, pH
SE ..4Z Zn
Rel'n ish By: Date: Time: � Dat1WTime:
l �-.�- /I:0 r �
10 60
•
Upon submission of samples,client agrees that invoices are due at the time work is completed Open accounts are due 20 days following invoice date A finance charge of l 5%per month will be imposed on all pasiue accounts
When relinquishing samples to Blue Ridge Labs(BRL),buyer authorizes BRL to perform only the analysis indicated above and also agrees to pay collection and attorney fee£the account becomes delinquent Blue Ridge Labs
reserves the right to deny documentation for any work where payment has not been made,in effect rendering that data unsupported for regulatory purposes BRL cannot guarantee that any regulatory authority will accept any work
submitted,therefore it is the client's responsibility to request on this form appropriate tests NC DENR Certified Lab#275