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Hexion—STORM WATER SAMPLING REPORT ��! O 2D
Certificate of Coverage No.:NCS000156 ���U
Columbus County,North Carolina DRQ-WATER
401 BUFFER PERM��Es
IVG
Personnel Collecting Samples.P.Busovne/D Maddox/S/S.Mow rey
Certified Laboratories.Environmental Chemists Lab ID94
Environmental Testing Solutions,Inc. Lab ID 37
ANALYTICAL RESULTS
00530 00310 00340 00610 00625 00630 00665 77885 50060 71880 01042 01092 01051 00556 00400 TAA3B
Total Total Total Total Non-Polar Acute
Date TSS BOO COD N133 T1CN NO3+NO2 Phosphorus Methanol TRC Hexamine Formaldehyde Copper Zinc Lead O&G pH Toxicity
Outfall mo/dd/yr mg/I mg/I mg/I mg/1 mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I s.u. LC50
003-Dry Projects March
004-HCHO March
006-Duck Pond March
009-Mamt Shop March
STORM EVENT CHARACTERISTICS
Submit 1(original)Form AT-1(no DMR)to:
Total Event Precipitation(ins.): NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Permit Sampling Period 1 Raleigh,NC 27699-1621
Submit 1 copy DMR(original)and Form AT-1 to:
Note: No qualifying rain event Division of Water Quality
Water Quality Section
Attn.Central Files
1617 Matl Service Center
CERTIFICATION STATEMENT - Raleigh,NC 27699-1617
By this signature, certify this report is accurate and complete to the best of my knowledge
Company Information Submit 1 copy DMR(copy)and Form AT-1 to:
l
M3 Neil Momentive Stormwater PermittingUnit
A� `/f 2('l 333 Neils Eddy Road Division of Water Quality
Signature of Pe ittee or Designee Date Riegelwood,NC 28456 1617 Mail Service Center
(910)655-2263 Raleigh,NC 27699-1617
EXT 5248
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