HomeMy WebLinkAboutH C Composite - 11/30/2017STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
N I I
CERTIFICATE OF COVERAGE NO. NCG192[a2g
FACILITY NAME cj,S i - S
PERSON COLLECTING SAMPLE P6
CERTIFIED LABORATORY t» en_� �- Lab #
(�/C Lab#
Part A: Suecilic Monitoring RenuirPmPnte
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the saippling results from the laboratory.)
COUNTY v( r `n
PHONE NO. —,C Ono
1 J14
-- - - -- -
Outfall Date 00530
00400
nJ
00556 01110-01104
L L (4 (_ �—
—01694 O 14
No. Sample Collected. Total Rainfall, Total Suspended
pH.
on & Grease, Copper".
Aluminum Zine ' Lead
mo/dd/ r inches Soli
Standard units
, ,
Benchmark 100
Within 6.0 — 9.0
30 0.007
0.75 0.067 0.03
v
u
If a value is in excess of the b hmark d
z Total recoverable. or outs t a the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Manaeement Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included in the StormwaterTollution Prevention Plan."
(Signature of Permitte (Date)
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 fines ang imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 10/1/2009-9/3W2014 SWU-253-092309
Page 1 of 1
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H C COMPOSITES
ATTN: FORREEST SMITH
1090 WEST SAINT JAMES ST.
TARBORO ,NC 27886
Stormwater
Analysis
Method
PARAMi ETERS
(#I, Grab)
Date
Analyst
Code
PH (not to be used for reporting)
6.5
11/09/17
KDS
4500HB-11
Total Suspended Residue, mg/l
<2.8
11/10/17
KAC
2540D-11
Oil & Grease (HEW mg/l
<6
11/13/17
SEJ
1664B
Aluminum, ug/1
475
11/20/17
LFJ
EPA200.7
Copper, ug/l
<10
11/20/17
LFJ
EPA200.7
Lead, ng/1
<5.0
11/17/17
MTM
311313-04
Zinc, ug/l
102
11/20/17
LFJ
EPA200.7
FAI i>I'olulient 1, Tile. CRAIN w, cus'r om' RECORD
R0 130- 70RS, 114 O al.rnont Jar.
(_IY'mn6JIc, :qC 27858
exiviroilI_))SGvFl",('rR-) N
L'1)ui)e ( 372) 756-6208 • f -at (252 ) 756 0633-3
CLIRN"': 398 Week. 20 _ y
HC COMPOSITES `15iti1 P P G P
ATTN: FORREST SMITH
1090 WEST SAINT JAMES ST.
TARBORO NC 27886 — - •-- - A A C A
(252) 641-8000
SAMPLE LOCATION
BY
BY
REL-INOUISH[0 BY (81G.)
AM
H1 jf ! d rH� �mr RECEIVED BY (SIC.)
IDATErf(h1E RE -I DE3YISI�
I/
COMMENTS
CHLORINE NEUTRALIZED AT COLLECTION
PH CHECK (LAB)
CO TAINE RTYK P/G
CHEMICAL PRESERVATION
A - NONE 0 -NADH
uiui
B-HNO, E -HCL
C - H.SOz F - ZINC ACE Iki &NAi1H
G - NATHIOSULFATE.
CLASSIFICATION
13 WASTEWATER (NPDES)
JDRINKING WATER
F11NQ/Gw
SOLID WASTE SECTION
CHAIN OF CUS'10!)Y ISCAE) NEAINTAINL(.)
L)LIR1hlG SHIPMENT,'Df:LIVERY
SAMPLES COLLECTED BY,
(Pu1 se Priittl
SAMPLES RECEIVED 1N LAB AT -_ � 3 'C
PLEASE READ Illstnictlons f01 C0n1)IetulC tills 4cirnl on a ' � Slrtipler rru1st Pluc.k> {or CUlnposlt� 5�m{,3e or c, "C�" f�71 ��' 330411
FORM 405 ► t11t, reverse; :. rlt grab sample In the blocks above Epi each Parameter tequested
.��
uyi w
_
iii
�j
i i -
O
�
COLLECTION
LATE
TIME
LU 2
a
H
O
Nol
AM
H1 jf ! d rH� �mr RECEIVED BY (SIC.)
IDATErf(h1E RE -I DE3YISI�
I/
COMMENTS
CHLORINE NEUTRALIZED AT COLLECTION
PH CHECK (LAB)
CO TAINE RTYK P/G
CHEMICAL PRESERVATION
A - NONE 0 -NADH
uiui
B-HNO, E -HCL
C - H.SOz F - ZINC ACE Iki &NAi1H
G - NATHIOSULFATE.
CLASSIFICATION
13 WASTEWATER (NPDES)
JDRINKING WATER
F11NQ/Gw
SOLID WASTE SECTION
CHAIN OF CUS'10!)Y ISCAE) NEAINTAINL(.)
L)LIR1hlG SHIPMENT,'Df:LIVERY
SAMPLES COLLECTED BY,
(Pu1 se Priittl
SAMPLES RECEIVED 1N LAB AT -_ � 3 'C
PLEASE READ Illstnictlons f01 C0n1)IetulC tills 4cirnl on a ' � Slrtipler rru1st Pluc.k> {or CUlnposlt� 5�m{,3e or c, "C�" f�71 ��' 330411
FORM 405 ► t11t, reverse; :. rlt grab sample In the blocks above Epi each Parameter tequested